3303 Efficacy and safety in key patient subgroups of nivolumab (NIVO) alone or combined with ipilimumab (IPI) versus IPI alone in treatment-naïve patients with advanced melanoma (MEL) (CheckMate 067)

J. Larkin, V. Chiarion-Sileni, R. Gonzalez, J.J. Grob, C.L. Cowey, C.D. Lao, J. Wagstaff, D. Hogg, A. Hill, M.S. Carlino, P. Wolter, C. Lebbé, J. Schachter, L. Thomas, J.C. Hassel, P. Lorigan, D. Walker, J. Jiang, F.S. Hodi, J.D. Wolchok

Research output: Contribution to journalMeeting Abstractpeer-review

Abstract

Aims: Phase III study CheckMate 067 reported improved progression-free survival (PFS) with NIVO + IPI vs IPI alone. Here, we report results of subgroup analyses in this trial. Methods: Treatment-naive MEL pts (N = 945) were randomized 1:1:1 to receive NIVO (3 mg/kg Q2W) + placebo (PBO), or NIVO + IPI (1 mg/ kg + 3 mg/kg Q3W X 4) followed by NIVO 3 mg/kg Q2W, or to IPI (3 mg/kg Q3W X 4) + PBO until disease progression or unacceptable toxicity. PFS, a co-primary endpoint, was evaluated in predefined subgroups. Results: In the total population, median PFS was 11.5 months for NIVO + IPI vs 2.9 months for IPI alone (hazard ratio [HR] vs IPI, 0.42; P <0.00001), and was 6.9 months for NIVO alone (HR vs IPI, 0.57; P <0.00001). Numerically longer PFS was observed with the combination vs NIVO or IPI alone in all predefined subgroups, including baseline lactate dehydrogenase >upper limit of normal (NIVO + IPI: 4.2 months [95% CI: 2.8-9.3] vs NIVO: 2.8 months [95% CI: 2.6-4.0] vs IPI: 2.6 months [95% CI: 2.6-2.8]) and age
Original languageEnglish
Pages (from-to)S664-S665
Number of pages2
JournalEuropean Journal of Cancer
Volume51
Issue numberSupplement 3
DOIs
Publication statusPublished - Sept 2015

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