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A Study to Compare BMS-936558 to the Physician's Choice of Either Dacarbazine or Carboplatin and Paclitaxel in Advanced Melanoma Patients That Have Progressed Following Anti-CTLA-4 Therapy (CheckMate 037)

A Randomized Open-Label Phase 3 Trial of BMS-936558 (Nivolumab) Versus Investigator's Choice in Advanced (Unresectable or Metastatic) Melanoma Patients Progressing Post Anti-CTLA-4 Therapy

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01721746
Enrollment
405
Registered
2012-11-06
Start date
2012-12-21
Completion date
2020-12-29
Last updated
2022-04-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Unresectable or Metastatic Melanoma

Brief summary

The purpose of the study is to estimate the response rate and compare overall survival of patients taking BMS-936558 to those taking study physician's choice of either Dacarbazine or Carboplatin and Paclitaxel

Interventions

BIOLOGICALBMS-936558
DRUGDacarbazine
DRUGCarboplatin
DRUGPaclitaxel

Sponsors

Bristol-Myers Squibb
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

For more information regarding BMS clinical trial participation, please visit www.BMSStudyConnect.com Inclusion Criteria: * Men & women ≥ 18 years of age * Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1 * Histologically confirmed Stage III (unresectable)/Stage IV melanoma * Measurable disease by computed tomography (CT)/magnetic resonance imaging (MRI) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria * Objective evidence of disease progression (clinical or radiological) during or after at least 1 (V600 Wildtype) or at least 2 (V600 mutation positive) prior treatment regimens * Pre-treatment fresh core, excision or punch tumor biopsy * Archival Formalin-fixed paraffin-embedded (FFPE) tumor material if available

Exclusion criteria

* Any treatment in a BMS-936558 (Nivolumab) trial * Subjects with condition requiring systemic treatment with either corticosteroids (\> 10mg daily prednisone/equivalent) or other immunosuppressive medications within 14 days of study drug administration * Active, known or suspected autoimmune disease * Unknown BRAF status * Active brain metastasis or leptomeningeal metastasis * Ocular melanoma * Prior therapy with anti programmed death-1 (anti-PD-1), anti programmed death-ligand 1 (anti-PD-L1) or anti-programmed death-ligand 2 (anti-PD-L2)

Design outcomes

Primary

MeasureTime frameDescription
Objective Response Rate (ORR)From date of randomization to the date of objectively documented progression, date of death, or the date of subsequent therapy (Up to approximately 38 months)Objective response rate (ORR) per Independent Review Committee (IRC) is defined as the number of participants with a best overall response (BOR) of complete response (CR) or partial response (PR) divided by the number of randomized participants using RECIST 1.1
Overall Survival (OS)Up to 96 monthsOverall Survival (OS) was defined the time between the date of randomization to the date of death. For participants without documentation of death, OS was censored on the last date the participant was known to be alive. Unit of measure (months) is the median survival time.

Secondary

MeasureTime frameDescription
Overall Survival (OS) by PD-L1 PositiveUp to 96 monthsOverall Survival (OS) by PD-L1 expression was defined the time between the date of randomization to the date of death. For participants without documentation of death, OS was censored on the last date the participant was known to be alive.
Progression Free Survival (PFS)From the date of randomization to the date of the first documented progression or death (Up to approximately 38 months)Progression Free Survival (PFS) is defined as the time from randomization to the date of the first documented progression, as determined by the Independent Review Committee (IRC) using RECIST 1.1, or death due to any cause, whichever occurs first. Participants who died without a reported progression were considered to have progressed on the date of their death. Participants who did not progress or die were censored on the date of their last evaluable tumor assessment before subsequent anti-cancer therapy. Unit of measure (months) is the median survival time.
Mean Change From Baseline in Health-related Quality of Life (HRQoL)From Baseline (Day1) to second Follow-Up (Up to 96 months)Health-related Quality of Life (HRQoL) was assessed with the EORTC QLQ-C30 questionnaire, which is the most commonly used quality-of-life instrument in oncology trials. The instrument's 30 items were divided among 5 functional scales (physical, role, cognitive, emotional, and social), 9 symptom scales (fatigue, pain, nausea/vomiting, dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties), and a global health/quality of life scale. Raw scores for the EORTC QLQ-C30 were transformed to a 0-100 metric. Higher scores for all functional scales and Global Health Status=better HRQoL Increase from baseline indicates improvement in HRQoL. Lower scores for symptom scales=better HRQoL Decline from baseline for symptom scales =improvement in symptoms compared to baseline. A 10 point difference on a 100 point scale between treatments was considered clinically significant.
Overall Survival (OS) by PD-L1 NegativeUp to 96 monthsOverall Survival (OS) by PD-L1 expression was defined the time between the date of randomization to the date of death. For participants without documentation of death, OS was censored on the last date the participant was known to be alive.
Objective Response Rate (ORR) by Baseline PD-L1 ExpressionFrom date of randomization to the date of objectively documented progression or the date of subsequent therapy (Up to approximately 38 months)Objective Response Rate (ORR) is defined as the number of participants with a Best Overall Response (BOR) of complete response (CR) or partial response (PR) divided by number of randomized participants. PD-L1 expression evaluated for ORR.

Countries

Austria, Belgium, Brazil, Canada, Denmark, France, Germany, Israel, Italy, Netherlands, Spain, Switzerland, United Kingdom, United States

Participant flow

Pre-assignment details

405 participants randomized and 370 treated.

Participants by arm

ArmCount
Nivolumab
Nivolumab 3 mg/kg IV over 60 minutes Q2W
272
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
Dacarbazine: 1000 mg/m\^2 IV over 30 to 60 minutes Q3W, or Carboplatin: Area under the concentration-time curve (AUC) 6 IV over 30 minutes Q3W, and Paclitaxel: 175 mg/m\^2 IV over 180 minutes Q3W
133
Total405

Withdrawals & dropouts

PeriodReasonFG000FG001
Pre-TreatmentParticipant no longer met study criteria22
Pre-TreatmentParticipant request to discontinue Study treatment013
Pre-TreatmentPoor/Non-compliance10
Pre-TreatmentWithdrawal by Subject116
TreatmentAdverse Event unrelated to Study Drug63
TreatmentDisease Progression19274
TreatmentMaximum Clinical Benefit93
TreatmentOther reasons62
TreatmentParticipant no longer met Study criteria40
TreatmentParticipant request to discontinue Study treatment267
TreatmentParticipant withdrew consent42
TreatmentPoor/Non-compliance20
TreatmentStudy Drug Toxicity1911

Baseline characteristics

CharacteristicTotalNivolumabInvestigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
Age, Continuous59.2 years
STANDARD_DEVIATION 13.6
58.7 years
STANDARD_DEVIATION 14.1
60.3 years
STANDARD_DEVIATION 12.4
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants4 Participants1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
177 Participants116 Participants61 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
223 Participants152 Participants71 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Asian
2 Participants2 Participants0 Participants
Race/Ethnicity, Customized
Black or African American
3 Participants1 Participants2 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Other
2 Participants0 Participants2 Participants
Race/Ethnicity, Customized
White
398 Participants269 Participants129 Participants
Sex: Female, Male
Female
144 Participants96 Participants48 Participants
Sex: Female, Male
Male
261 Participants176 Participants85 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
206 / 26888 / 102
other
Total, other adverse events
255 / 26895 / 102
serious
Total, serious adverse events
191 / 26837 / 102

Outcome results

Primary

Objective Response Rate (ORR)

Objective response rate (ORR) per Independent Review Committee (IRC) is defined as the number of participants with a best overall response (BOR) of complete response (CR) or partial response (PR) divided by the number of randomized participants using RECIST 1.1

Time frame: From date of randomization to the date of objectively documented progression, date of death, or the date of subsequent therapy (Up to approximately 38 months)

Population: All randomized participants

ArmMeasureValue (NUMBER)
NivolumabObjective Response Rate (ORR)27.2 Percentage of participants
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Objective Response Rate (ORR)9.8 Percentage of participants
Primary

Overall Survival (OS)

Overall Survival (OS) was defined the time between the date of randomization to the date of death. For participants without documentation of death, OS was censored on the last date the participant was known to be alive. Unit of measure (months) is the median survival time.

Time frame: Up to 96 months

Population: All randomized participants

ArmMeasureValue (MEDIAN)
NivolumabOverall Survival (OS)15.74 Months
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Overall Survival (OS)14.39 Months
Comparison: Hazard Ratio is Nivolumab 3 mg/kg (IV) over Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)95% CI: [0.68, 1.08]
Secondary

Mean Change From Baseline in Health-related Quality of Life (HRQoL)

Health-related Quality of Life (HRQoL) was assessed with the EORTC QLQ-C30 questionnaire, which is the most commonly used quality-of-life instrument in oncology trials. The instrument's 30 items were divided among 5 functional scales (physical, role, cognitive, emotional, and social), 9 symptom scales (fatigue, pain, nausea/vomiting, dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties), and a global health/quality of life scale. Raw scores for the EORTC QLQ-C30 were transformed to a 0-100 metric. Higher scores for all functional scales and Global Health Status=better HRQoL Increase from baseline indicates improvement in HRQoL. Lower scores for symptom scales=better HRQoL Decline from baseline for symptom scales =improvement in symptoms compared to baseline. A 10 point difference on a 100 point scale between treatments was considered clinically significant.

Time frame: From Baseline (Day1) to second Follow-Up (Up to 96 months)

Population: All randomized participants

ArmMeasureGroupValue (MEAN)Dispersion
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Financial Difficulties Follow-Up 1-1.73 Units on a scaleStandard Deviation 25.87
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Physical Functioning Follow-Up 2-3.66 Units on a scaleStandard Deviation 16.05
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Role Functioning Follow-Up 1-14.94 Units on a scaleStandard Deviation 31.13
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Role Functioning Follow-Up 2-7.80 Units on a scaleStandard Deviation 25.56
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Emotional Functioning Follow-Up 1-5.09 Units on a scaleStandard Deviation 21.59
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Emotional Functioning Follow-Up 2-0.94 Units on a scaleStandard Deviation 19.15
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Cognitive Functioning Follow-Up 1-7.58 Units on a scaleStandard Deviation 16.79
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Cognitive Functioning Follow-Up 2-3.49 Units on a scaleStandard Deviation 15.43
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Social Functioning Follow-Up 1-8.66 Units on a scaleStandard Deviation 29.45
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Social Functioning Follow-Up 2-1.61 Units on a scaleStandard Deviation 29.52
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Global Health Status Follow-Up 1-8.23 Units on a scaleStandard Deviation 22.44
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Global Health Status Follow-Up 2-1.61 Units on a scaleStandard Deviation 18.53
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Dyspnea Follow-Up 16.06 Units on a scaleStandard Deviation 27.96
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Dyspnea Follow-Up 25.91 Units on a scaleStandard Deviation 22.2
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Insomnia Follow-Up 13.46 Units on a scaleStandard Deviation 32.26
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Insomnia Follow-Up 2-4.84 Units on a scaleStandard Deviation 25.5
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Apatite loss Follow-Up 16.93 Units on a scaleStandard Deviation 28.79
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Apatite loss Follow-Up 25.91 Units on a scaleStandard Deviation 30.49
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Constipation Follow-Up 17.36 Units on a scaleStandard Deviation 28.93
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Constipation Follow-Up 22.15 Units on a scaleStandard Deviation 22.48
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Diarrhea Follow-Up 1-0.43 Units on a scaleStandard Deviation 19.86
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Diarrhea Follow-Up 21.08 Units on a scaleStandard Deviation 20.88
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Physical Functioning Follow-Up 1-7.97 Units on a scaleStandard Deviation 20.49
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Financial Difficulties Follow-Up 2-1.08 Units on a scaleStandard Deviation 22.56
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Fatigue Follow-Up 18.95 Units on a scaleStandard Deviation 23.78
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Fatigue Follow-Up 24.84 Units on a scaleStandard Deviation 22.55
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Nausea and Vomiting Follow-Up 12.81 Units on a scaleStandard Deviation 17.19
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Nausea and Vomiting Follow-Up 20.00 Units on a scaleStandard Deviation 15.39
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Pain Follow-Up 16.06 Units on a scaleStandard Deviation 31.17
NivolumabMean Change From Baseline in Health-related Quality of Life (HRQoL)Pain Follow-Up 25.38 Units on a scaleStandard Deviation 24.84
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Pain Follow-Up 2-1.79 Units on a scaleStandard Deviation 14.59
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Physical Functioning Follow-Up 1-12.73 Units on a scaleStandard Deviation 21.47
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Insomnia Follow-Up 20.00 Units on a scaleStandard Deviation 30.09
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Physical Functioning Follow-Up 2-7.14 Units on a scaleStandard Deviation 16.02
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Financial Difficulties Follow-Up 14.76 Units on a scaleStandard Deviation 39.84
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Role Functioning Follow-Up 1-15.91 Units on a scaleStandard Deviation 29.76
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Apatite loss Follow-Up 113.64 Units on a scaleStandard Deviation 24.47
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Role Functioning Follow-Up 2-8.33 Units on a scaleStandard Deviation 21.52
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Nausea and Vomiting Follow-Up 110.61 Units on a scaleStandard Deviation 25.48
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Emotional Functioning Follow-Up 1-15.48 Units on a scaleStandard Deviation 24.48
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Apatite loss Follow-Up 22.38 Units on a scaleStandard Deviation 22.09
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Emotional Functioning Follow-Up 2-5.36 Units on a scaleStandard Deviation 25.98
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Fatigue Follow-Up 27.14 Units on a scaleStandard Deviation 21.85
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Cognitive Functioning Follow-Up 1-7.94 Units on a scaleStandard Deviation 17.17
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Financial Difficulties Follow-Up 2-2.38 Units on a scaleStandard Deviation 28.59
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Cognitive Functioning Follow-Up 2-1.19 Units on a scaleStandard Deviation 13.55
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Constipation Follow-Up 10.00 Units on a scaleStandard Deviation 23.57
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Social Functioning Follow-Up 1-18.25 Units on a scaleStandard Deviation 26.82
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Pain Follow-Up 16.82 Units on a scaleStandard Deviation 25.02
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Social Functioning Follow-Up 2-4.17 Units on a scaleStandard Deviation 24.69
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Constipation Follow-Up 2-2.38 Units on a scaleStandard Deviation 29.99
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Global Health Status Follow-Up 1-10.71 Units on a scaleStandard Deviation 17.71
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Fatigue Follow-Up 115.66 Units on a scaleStandard Deviation 28
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Global Health Status Follow-Up 2-3.27 Units on a scaleStandard Deviation 12.07
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Diarrhea Follow-Up 16.35 Units on a scaleStandard Deviation 22.65
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Dyspnea Follow-Up 116.67 Units on a scaleStandard Deviation 24.67
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Nausea and Vomiting Follow-Up 22.98 Units on a scaleStandard Deviation 18.73
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Dyspnea Follow-Up 27.14 Units on a scaleStandard Deviation 24.61
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Diarrhea Follow-Up 21.19 Units on a scaleStandard Deviation 16.93
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Mean Change From Baseline in Health-related Quality of Life (HRQoL)Insomnia Follow-Up 10.00 Units on a scaleStandard Deviation 30.86
Secondary

Objective Response Rate (ORR) by Baseline PD-L1 Expression

Objective Response Rate (ORR) is defined as the number of participants with a Best Overall Response (BOR) of complete response (CR) or partial response (PR) divided by number of randomized participants. PD-L1 expression evaluated for ORR.

Time frame: From date of randomization to the date of objectively documented progression or the date of subsequent therapy (Up to approximately 38 months)

Population: All PD-L1 Evaluable Participants for ORR

ArmMeasureGroupValue (NUMBER)
NivolumabObjective Response Rate (ORR) by Baseline PD-L1 Expression<5% PD-L1 expression15.3 Percentage of participants
NivolumabObjective Response Rate (ORR) by Baseline PD-L1 Expression>=5% PD-L1 expression43.2 Percentage of participants
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Objective Response Rate (ORR) by Baseline PD-L1 Expression<5% PD-L1 expression13.8 Percentage of participants
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Objective Response Rate (ORR) by Baseline PD-L1 Expression>=5% PD-L1 expression12.2 Percentage of participants
Comparison: For \<5% PD-L1 expression. Ratio of Nivolumab over Investigator's Choice95% CI: [0.44, 3.16]
Comparison: For \>=5% PD-L1 expression. Ratio of Nivolumab over Investigator's Choice95% CI: [1.92, 19.08]
Secondary

Overall Survival (OS) by PD-L1 Negative

Overall Survival (OS) by PD-L1 expression was defined the time between the date of randomization to the date of death. For participants without documentation of death, OS was censored on the last date the participant was known to be alive.

Time frame: Up to 96 months

Population: All PD-L1 negative evaluable participants for OS

ArmMeasureValue (MEDIAN)
NivolumabOverall Survival (OS) by PD-L1 Negative11.14 Months
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Overall Survival (OS) by PD-L1 Negative11.76 Months
Comparison: PD-L1 Negative95% CI: [0.75, 1.41]
Secondary

Overall Survival (OS) by PD-L1 Positive

Overall Survival (OS) by PD-L1 expression was defined the time between the date of randomization to the date of death. For participants without documentation of death, OS was censored on the last date the participant was known to be alive.

Time frame: Up to 96 months

Population: All PD-L1 positive evaluable participants for OS

ArmMeasureValue (MEDIAN)
NivolumabOverall Survival (OS) by PD-L1 Positive31.44 Months
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Overall Survival (OS) by PD-L1 Positive16.72 Months
Comparison: PD-L1 Positive95% CI: [0.5, 1.01]
Secondary

Progression Free Survival (PFS)

Progression Free Survival (PFS) is defined as the time from randomization to the date of the first documented progression, as determined by the Independent Review Committee (IRC) using RECIST 1.1, or death due to any cause, whichever occurs first. Participants who died without a reported progression were considered to have progressed on the date of their death. Participants who did not progress or die were censored on the date of their last evaluable tumor assessment before subsequent anti-cancer therapy. Unit of measure (months) is the median survival time.

Time frame: From the date of randomization to the date of the first documented progression or death (Up to approximately 38 months)

Population: All randomized participants

ArmMeasureValue (MEDIAN)
NivolumabProgression Free Survival (PFS)3.12 months
Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)Progression Free Survival (PFS)3.65 months
Comparison: Hazard Ratio is Nivolumab 3 mg/kg (IV) over Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)95.1% CI: [0.78, 1.36]

Source: ClinicalTrials.gov · Data processed: Mar 18, 2026