Unresectable or Metastatic Melanoma
Conditions
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
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| 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 months | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall Survival (OS) by PD-L1 Positive | Up to 96 months | 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. |
| 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 Negative | Up to 96 months | 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. |
| Objective Response Rate (ORR) by Baseline PD-L1 Expression | From 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
| Arm | Count |
|---|---|
| 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 |
| Total | 405 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Pre-Treatment | Participant no longer met study criteria | 2 | 2 |
| Pre-Treatment | Participant request to discontinue Study treatment | 0 | 13 |
| Pre-Treatment | Poor/Non-compliance | 1 | 0 |
| Pre-Treatment | Withdrawal by Subject | 1 | 16 |
| Treatment | Adverse Event unrelated to Study Drug | 6 | 3 |
| Treatment | Disease Progression | 192 | 74 |
| Treatment | Maximum Clinical Benefit | 9 | 3 |
| Treatment | Other reasons | 6 | 2 |
| Treatment | Participant no longer met Study criteria | 4 | 0 |
| Treatment | Participant request to discontinue Study treatment | 26 | 7 |
| Treatment | Participant withdrew consent | 4 | 2 |
| Treatment | Poor/Non-compliance | 2 | 0 |
| Treatment | Study Drug Toxicity | 19 | 11 |
Baseline characteristics
| Characteristic | Total | Nivolumab | Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel) |
|---|---|---|---|
| Age, Continuous | 59.2 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 Participants | 4 Participants | 1 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 177 Participants | 116 Participants | 61 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 223 Participants | 152 Participants | 71 Participants |
| Race/Ethnicity, Customized American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized Asian | 2 Participants | 2 Participants | 0 Participants |
| Race/Ethnicity, Customized Black or African American | 3 Participants | 1 Participants | 2 Participants |
| Race/Ethnicity, Customized Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized Other | 2 Participants | 0 Participants | 2 Participants |
| Race/Ethnicity, Customized White | 398 Participants | 269 Participants | 129 Participants |
| Sex: Female, Male Female | 144 Participants | 96 Participants | 48 Participants |
| Sex: Female, Male Male | 261 Participants | 176 Participants | 85 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 206 / 268 | 88 / 102 |
| other Total, other adverse events | 255 / 268 | 95 / 102 |
| serious Total, serious adverse events | 191 / 268 | 37 / 102 |
Outcome results
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Nivolumab | Objective Response Rate (ORR) | 27.2 Percentage of participants |
| Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel) | Objective Response Rate (ORR) | 9.8 Percentage of participants |
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
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Nivolumab | Overall Survival (OS) | 15.74 Months |
| Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel) | Overall Survival (OS) | 14.39 Months |
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
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Financial Difficulties Follow-Up 1 | -1.73 Units on a scale | Standard Deviation 25.87 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Physical Functioning Follow-Up 2 | -3.66 Units on a scale | Standard Deviation 16.05 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Role Functioning Follow-Up 1 | -14.94 Units on a scale | Standard Deviation 31.13 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Role Functioning Follow-Up 2 | -7.80 Units on a scale | Standard Deviation 25.56 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Emotional Functioning Follow-Up 1 | -5.09 Units on a scale | Standard Deviation 21.59 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Emotional Functioning Follow-Up 2 | -0.94 Units on a scale | Standard Deviation 19.15 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Cognitive Functioning Follow-Up 1 | -7.58 Units on a scale | Standard Deviation 16.79 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Cognitive Functioning Follow-Up 2 | -3.49 Units on a scale | Standard Deviation 15.43 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Social Functioning Follow-Up 1 | -8.66 Units on a scale | Standard Deviation 29.45 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Social Functioning Follow-Up 2 | -1.61 Units on a scale | Standard Deviation 29.52 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Global Health Status Follow-Up 1 | -8.23 Units on a scale | Standard Deviation 22.44 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Global Health Status Follow-Up 2 | -1.61 Units on a scale | Standard Deviation 18.53 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Dyspnea Follow-Up 1 | 6.06 Units on a scale | Standard Deviation 27.96 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Dyspnea Follow-Up 2 | 5.91 Units on a scale | Standard Deviation 22.2 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Insomnia Follow-Up 1 | 3.46 Units on a scale | Standard Deviation 32.26 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Insomnia Follow-Up 2 | -4.84 Units on a scale | Standard Deviation 25.5 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Apatite loss Follow-Up 1 | 6.93 Units on a scale | Standard Deviation 28.79 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Apatite loss Follow-Up 2 | 5.91 Units on a scale | Standard Deviation 30.49 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Constipation Follow-Up 1 | 7.36 Units on a scale | Standard Deviation 28.93 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Constipation Follow-Up 2 | 2.15 Units on a scale | Standard Deviation 22.48 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Diarrhea Follow-Up 1 | -0.43 Units on a scale | Standard Deviation 19.86 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Diarrhea Follow-Up 2 | 1.08 Units on a scale | Standard Deviation 20.88 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Physical Functioning Follow-Up 1 | -7.97 Units on a scale | Standard Deviation 20.49 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Financial Difficulties Follow-Up 2 | -1.08 Units on a scale | Standard Deviation 22.56 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Fatigue Follow-Up 1 | 8.95 Units on a scale | Standard Deviation 23.78 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Fatigue Follow-Up 2 | 4.84 Units on a scale | Standard Deviation 22.55 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Nausea and Vomiting Follow-Up 1 | 2.81 Units on a scale | Standard Deviation 17.19 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Nausea and Vomiting Follow-Up 2 | 0.00 Units on a scale | Standard Deviation 15.39 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Pain Follow-Up 1 | 6.06 Units on a scale | Standard Deviation 31.17 |
| Nivolumab | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Pain Follow-Up 2 | 5.38 Units on a scale | Standard 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 scale | Standard 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 scale | Standard Deviation 21.47 |
| Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel) | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Insomnia Follow-Up 2 | 0.00 Units on a scale | Standard 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 scale | Standard 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 1 | 4.76 Units on a scale | Standard 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 scale | Standard 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 1 | 13.64 Units on a scale | Standard 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 scale | Standard 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 1 | 10.61 Units on a scale | Standard 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 scale | Standard 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 2 | 2.38 Units on a scale | Standard 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 scale | Standard Deviation 25.98 |
| Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel) | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Fatigue Follow-Up 2 | 7.14 Units on a scale | Standard 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 scale | Standard 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 scale | Standard 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 scale | Standard Deviation 13.55 |
| Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel) | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Constipation Follow-Up 1 | 0.00 Units on a scale | Standard 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 scale | Standard Deviation 26.82 |
| Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel) | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Pain Follow-Up 1 | 6.82 Units on a scale | Standard 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 scale | Standard 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 scale | Standard 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 scale | Standard Deviation 17.71 |
| Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel) | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Fatigue Follow-Up 1 | 15.66 Units on a scale | Standard 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 scale | Standard Deviation 12.07 |
| Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel) | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Diarrhea Follow-Up 1 | 6.35 Units on a scale | Standard Deviation 22.65 |
| Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel) | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Dyspnea Follow-Up 1 | 16.67 Units on a scale | Standard 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 2 | 2.98 Units on a scale | Standard Deviation 18.73 |
| Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel) | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Dyspnea Follow-Up 2 | 7.14 Units on a scale | Standard Deviation 24.61 |
| Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel) | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Diarrhea Follow-Up 2 | 1.19 Units on a scale | Standard Deviation 16.93 |
| Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel) | Mean Change From Baseline in Health-related Quality of Life (HRQoL) | Insomnia Follow-Up 1 | 0.00 Units on a scale | Standard Deviation 30.86 |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Nivolumab | Objective Response Rate (ORR) by Baseline PD-L1 Expression | <5% PD-L1 expression | 15.3 Percentage of participants |
| Nivolumab | Objective Response Rate (ORR) by Baseline PD-L1 Expression | >=5% PD-L1 expression | 43.2 Percentage of participants |
| Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel) | Objective Response Rate (ORR) by Baseline PD-L1 Expression | <5% PD-L1 expression | 13.8 Percentage of participants |
| Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel) | Objective Response Rate (ORR) by Baseline PD-L1 Expression | >=5% PD-L1 expression | 12.2 Percentage of participants |
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
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Nivolumab | Overall Survival (OS) by PD-L1 Negative | 11.14 Months |
| Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel) | Overall Survival (OS) by PD-L1 Negative | 11.76 Months |
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
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Nivolumab | Overall Survival (OS) by PD-L1 Positive | 31.44 Months |
| Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel) | Overall Survival (OS) by PD-L1 Positive | 16.72 Months |
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
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Nivolumab | Progression Free Survival (PFS) | 3.12 months |
| Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel) | Progression Free Survival (PFS) | 3.65 months |