INSIGNA:
ECOG/SWOG Advanced Non-squamous Trial wit
Pembrolizumab
Primary Endpoint: OS
Overall Objective: Determine which approach is of greatest
benefit in 1
st
line therapy of Non-Squamous NSCLC
Pembrolizumab
Induction
Maintenance
2
nd
Line Treatment
Carbo/Pemetre
xed/
Pembrolizumab
Pembrolizumab
Pemetrexed/
Pembrolizumab
Carbo/Pemetrexed/
Pembrolizumab
Not Specified
Carbo/Pemetrexed
≥1% TPS
positive
Randomization
*
Arm B
1
st
Line Treatment
Post-Progression
Advanced
on-squamous
NSCLC
PIs: H. Borghaei (ECOG) and A. Chiang (SWOG)