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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)