Non-Small-Cell Lung Cancer
Conditions
Brief summary
The purpose of part 1 of this study is to determine the objective response rate (ORR) in stage IV NSCLC subjects treated with nivolumab in combination with ipilimumab as first line therapy. The purpose of part 2 of this study is to determine the safety and tolerability of nivolumab and ipilimumab combined with a short course of chemotherapy in first line stage IV NSCLC.
Interventions
Specified Dose on Specified Days
Specified Dose on Specified Days
Sponsors
Study design
Eligibility
Inclusion criteria
* Men and Women ≥ 18 years of age * Diagnosed with stage IV Non-Small Cell Lung Cancer * Diagnosed with recurrent stage IIIB non-small cell lung cancer and failed previous concurrent chemoradiation with no further curative options.
Exclusion criteria
* Subjects with untreated CNS metastases are excluded. * Subjects with carcinomatous meningitis * Subjects with an active, known or suspected autoimmune disease. * Subjects with a condition requiring systemic treatment with either corticosteroids ( \> 10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days of first treatment. * Women who are pregnant, plan to become pregnant, and/or breastfeed during the study. Other protocol defined inclusion/
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Objective Response Rate (ORR) by PD-L1 Positive and Negative Levels - Part 1 | From first dose to database lock (Up to 18 months) | Objective response rate (ORR) in PD-L1 positive (PD-L1 ≥1%) and PD-L1 negative (PD-L1 \<1%) participants was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment. |
| Number of Participants With Dose Limiting Toxicities (DLTs) - Part 2 | 9 weeks after first dose | Dose limiting toxicities (DLTs) were defined as any of the items listed below. 1. Any Grade 2 drug-related uveitis or eye pain that does not respond to topical therapy and does not improve to Grade 1 severity within the re-treatment period OR requires systemic treatment. 2. Any Grade 2 drug-related pneumonitis or interstitial lung disease that does not resolve to dose delay and systemic steroids in 14 days. 3. Any Grade 3 non-skin drug-related adverse event with the exception of laboratory abnormalities that cannot be alleviated or controlled by appropriate care within 14 days. 4. Any Grade 4 drug-related adverse event including laboratory abnormalities except Grade 4 leukopenia or neutropenia lasting \< 14 days and asymptomatic amylase/lipase elevation. 5. Drug-related hepatic function laboratory abnormalities. |
| Number of Participants With Adverse Events (AEs) - Part 2 | Deaths are from first dose to database lock (Up to 24 months). AEs and SAEs are from first dose to 30 days post last dose | Number of participants with adverse events (AEs) including serious adverse events (SAEs) and deaths graded by Common Terminology Criteria for Adverse Events (CTCAE v4.0) to determine the safety and tolerability of Nivolumab and Ipilimumab combined with chemotherapy. |
| Number of Participants With Laboratory Abnormalities in Hepatic Tests - Part 2 | From first dose to 30 days post last dose | Number of participant with specific liver laboratory abnormalities graded by Common Terminology Criteria for Adverse Events (CTCAE v4.0) to determine the safety and tolerability of Nivolumab and Ipilimumab combined with chemotherapy. |
| Number of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2 | From first dose to 30 days post last dose | Number of participants with specific thyroid laboratory abnormalities graded by Common Terminology Criteria for Adverse Events (CTCAE v4.0) to determine the safety and tolerability of Nivolumab and Ipilimumab combined with chemotherapy. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Objective Response Rate (ORR) - Part 2 | From first dose up to approximately 59 months | Objective response rate (ORR) was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on investigator assessment. CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. |
| Overall Survival (OS) by PD-L1 Expression Levels - Part 1 | From the date of first treatment to the date of death due to any cause (Up to approximately 72 months) | Overall survival (OS) by PD-L1 expression levels was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive. PD-L1 ≥1% = PD-L1 positive (membranous staining in ≥ 1% tumor cells) PD-L1 \<1% = PD-L1 negative (membranous staining in \<1% tumor cells) |
| Progression Free Survival (PFS) by PD-L1 Expression Levels - Part 1 | From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 72 months) | Progression Free Survival (PFS) by PD-L1 expression levels was defined as the time between the date of first dose and the first date of documented progression, as determined by blinded independent central review (BICR), or death due to any cause, whichever occurred first. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. PD-L1 ≥1% = PD-L1 positive (membranous staining in ≥ 1% tumor cells) PD-L1 \<1% = PD-L1 negative (membranous staining in \<1% tumor cells) |
| Overall Survival (OS) - Part 1 | From the date of first treatment to the date of death due to any cause (Up to approximately 72 months) | Overall survival (OS) was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive. |
| Overall Survival (OS) by Tumor Mutation Burden (TMB) Levels - Part 1 | From the date of first treatment to the date of death due to any cause (Up to approximately 72 months) | Overall survival (OS) by tumor mutational burden (TMB) using DNA derived from tumor specimens was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive. High TMB = ≥ 10 mutations per megabase Low TMB = \< 10 mutations per megabase |
| Progression Free Survival (PFS) by Tumor Mutation Burden (TMB) Levels - Part 1 | From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 72 months) | Progression Free Survival (PFS) by tumor mutational burden (TMB) using DNA derived from tumor specimens was defined as the time between the date of first dose and the first date of documented progression, as determined by blinded independent central review (BICR), or death due to any cause, whichever occurred first. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. High TMB = ≥ 10 mutations per megabase Low TMB = \< 10 mutations per megabase |
| Objective Response Rate (ORR) by Tumor Mutation Burden (TMB) Levels - Part 1 | From first dose up to approximately 72 months | Objective response rate (ORR) by tumor mutational burden (TMB) using DNA derived from tumor specimens was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment. CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. High TMB = ≥ 10 mutations per megabase Low TMB = \< 10 mutations per megabase |
| Objective Response Rate (ORR) by PD-L1 Expression Levels-Part 1 | From first dose up to approximately 72 months | Objective response rate (ORR) by PD-L1 expression levels was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment. CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. PD-L1 ≥1% = PD-L1 positive (membranous staining in ≥ 1% tumor cells) PD-L1 \<1% = PD-L1 negative (membranous staining in \<1% tumor cells) |
| Overall Survival (OS) - Part 2 | From the date of first treatment to the date of death due to any cause (Up to approximately 59 months) | Overall survival (OS) was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive. |
| Progression Free Survival (PFS) - Part 1 | From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 72 months) | Progression Free Survival (PFS) was defined as the time between the date of first dose and the first date of documented progression, as determined by blinded independent central review (BICR), or death due to any cause, whichever occurred first. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. |
| Progression Free Survival (PFS) - Part 2 | From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 59 months) | Progression Free Survival (PFS) was defined as the time between the date of first dose and the first date of documented progression, as determined by investigator (per RECIST 1.1), or death due to any cause, whichever occurred first. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. |
| Objective Response Rate (ORR) - Part 1 | From first dose up to approximately 72 months | Objective response rate (ORR) was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment. CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. |
Countries
Canada, United States
Participant flow
Pre-assignment details
324 participants treated
Participants by arm
| Arm | Count |
|---|---|
| Nivolumab+Ipilimumab Part 1 Nivolumab IV 3 mg/kg Q2W + Ipilimumab IV 1 mg/kg Q6W | 288 |
| Nivolumab+Ipilimumab+Chemotherapy Part 2 Nivolumab IV 360mg Q3W + Ipilimumab IV 1 mg/kg Q6W + 2 cycles Platinum Doublet Chemotherapy | 36 |
| Total | 324 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event unrelated to Study drug | 32 | 4 |
| Overall Study | Death | 3 | 1 |
| Overall Study | Disease Progression | 143 | 16 |
| Overall Study | Other reasons | 6 | 1 |
| Overall Study | Participant request to discontinue study treatment | 5 | 0 |
| Overall Study | Participant withdrew consent | 6 | 1 |
| Overall Study | Study Drug toxicity | 56 | 9 |
Baseline characteristics
| Characteristic | Total | Nivolumab+Ipilimumab+Chemotherapy | Nivolumab+Ipilimumab |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 176 Participants | 23 Participants | 153 Participants |
| Age, Categorical Between 18 and 65 years | 148 Participants | 13 Participants | 135 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 12 Participants | 0 Participants | 12 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 294 Participants | 36 Participants | 258 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 18 Participants | 0 Participants | 18 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 3 Participants | 0 Participants | 3 Participants |
| Race (NIH/OMB) Black or African American | 23 Participants | 4 Participants | 19 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 7 Participants | 0 Participants | 7 Participants |
| Race (NIH/OMB) White | 291 Participants | 32 Participants | 259 Participants |
| Sex: Female, Male Female | 159 Participants | 13 Participants | 146 Participants |
| Sex: Female, Male Male | 165 Participants | 23 Participants | 142 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 209 / 288 | 28 / 36 |
| other Total, other adverse events | 282 / 288 | 35 / 36 |
| serious Total, serious adverse events | 171 / 288 | 26 / 36 |
Outcome results
Number of Participants With Adverse Events (AEs) - Part 2
Number of participants with adverse events (AEs) including serious adverse events (SAEs) and deaths graded by Common Terminology Criteria for Adverse Events (CTCAE v4.0) to determine the safety and tolerability of Nivolumab and Ipilimumab combined with chemotherapy.
Time frame: Deaths are from first dose to database lock (Up to 24 months). AEs and SAEs are from first dose to 30 days post last dose
Population: All treated participants -Part 2
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Nivolumab+Ipilimumab | Number of Participants With Adverse Events (AEs) - Part 2 | Adverse Events (AEs) | 36 Participants |
| Nivolumab+Ipilimumab | Number of Participants With Adverse Events (AEs) - Part 2 | Serious Adverse Events (SAEs) | 26 Participants |
| Nivolumab+Ipilimumab | Number of Participants With Adverse Events (AEs) - Part 2 | Deaths due to Disease progression | 9 Participants |
| Nivolumab+Ipilimumab | Number of Participants With Adverse Events (AEs) - Part 2 | Deaths due to Study drug toxicity | 0 Participants |
| Nivolumab+Ipilimumab | Number of Participants With Adverse Events (AEs) - Part 2 | Deaths due to unknown causes | 1 Participants |
| Nivolumab+Ipilimumab | Number of Participants With Adverse Events (AEs) - Part 2 | Deaths due to other causes | 6 Participants |
Number of Participants With Dose Limiting Toxicities (DLTs) - Part 2
Dose limiting toxicities (DLTs) were defined as any of the items listed below. 1. Any Grade 2 drug-related uveitis or eye pain that does not respond to topical therapy and does not improve to Grade 1 severity within the re-treatment period OR requires systemic treatment. 2. Any Grade 2 drug-related pneumonitis or interstitial lung disease that does not resolve to dose delay and systemic steroids in 14 days. 3. Any Grade 3 non-skin drug-related adverse event with the exception of laboratory abnormalities that cannot be alleviated or controlled by appropriate care within 14 days. 4. Any Grade 4 drug-related adverse event including laboratory abnormalities except Grade 4 leukopenia or neutropenia lasting \< 14 days and asymptomatic amylase/lipase elevation. 5. Drug-related hepatic function laboratory abnormalities.
Time frame: 9 weeks after first dose
Population: All treated participants -Part 2
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Nivolumab+Ipilimumab | Number of Participants With Dose Limiting Toxicities (DLTs) - Part 2 | 1 Participants |
Number of Participants With Laboratory Abnormalities in Hepatic Tests - Part 2
Number of participant with specific liver laboratory abnormalities graded by Common Terminology Criteria for Adverse Events (CTCAE v4.0) to determine the safety and tolerability of Nivolumab and Ipilimumab combined with chemotherapy.
Time frame: From first dose to 30 days post last dose
Population: All treated participants with at least one on-treatment measurement of the corresponding laboratory parameter -Part 2
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Nivolumab+Ipilimumab | Number of Participants With Laboratory Abnormalities in Hepatic Tests - Part 2 | ALT OR AST >3XULN | 2 Participants |
| Nivolumab+Ipilimumab | Number of Participants With Laboratory Abnormalities in Hepatic Tests - Part 2 | ALT OR AST >5XULN | 2 Participants |
| Nivolumab+Ipilimumab | Number of Participants With Laboratory Abnormalities in Hepatic Tests - Part 2 | ALT OR AST >10XULN | 1 Participants |
| Nivolumab+Ipilimumab | Number of Participants With Laboratory Abnormalities in Hepatic Tests - Part 2 | ALT OR AST >20XULN | 1 Participants |
| Nivolumab+Ipilimumab | Number of Participants With Laboratory Abnormalities in Hepatic Tests - Part 2 | TOTAL BILIRUBIN >2XULN | 0 Participants |
| Nivolumab+Ipilimumab | Number of Participants With Laboratory Abnormalities in Hepatic Tests - Part 2 | Concurrent ALT OR AST >3XULN & BILIRUBIN >2XULN within 1 day | 0 Participants |
| Nivolumab+Ipilimumab | Number of Participants With Laboratory Abnormalities in Hepatic Tests - Part 2 | Concurrent ALT OR AST >3XULN & BILIRUBIN >2XULN within 30 days | 0 Participants |
Number of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2
Number of participants with specific thyroid laboratory abnormalities graded by Common Terminology Criteria for Adverse Events (CTCAE v4.0) to determine the safety and tolerability of Nivolumab and Ipilimumab combined with chemotherapy.
Time frame: From first dose to 30 days post last dose
Population: All treated participants with at least one on-treatment TSH measurement -Part 2
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Nivolumab+Ipilimumab | Number of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2 | TSH > ULN | 10 Participants |
| Nivolumab+Ipilimumab | Number of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2 | TSH > ULN with TSH <= ULN at baseline | 7 Participants |
| Nivolumab+Ipilimumab | Number of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2 | TSH > ULN with at least one FT3/FT4 test value < LLN | 8 Participants |
| Nivolumab+Ipilimumab | Number of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2 | TSH > ULN with all other FT3/FT4 test values ≥ LLN | 1 Participants |
| Nivolumab+Ipilimumab | Number of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2 | TSH > ULN with FT3/FT4 test missing | 1 Participants |
| Nivolumab+Ipilimumab | Number of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2 | TSH < LLN | 13 Participants |
| Nivolumab+Ipilimumab | Number of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2 | TSH < LLN with TSH >= LLN at baseline | 12 Participants |
| Nivolumab+Ipilimumab | Number of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2 | TSH < LLN with at least one FT3/FT4 test value > ULN | 7 Participants |
| Nivolumab+Ipilimumab | Number of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2 | TSH < LLN with all other FT3/FT4 test values <= ULN | 6 Participants |
| Nivolumab+Ipilimumab | Number of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2 | TSH < LLN with FT3/Ft4 test missing | 0 Participants |
Objective Response Rate (ORR) by PD-L1 Positive and Negative Levels - Part 1
Objective response rate (ORR) in PD-L1 positive (PD-L1 ≥1%) and PD-L1 negative (PD-L1 \<1%) participants was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment.
Time frame: From first dose to database lock (Up to 18 months)
Population: All PD-L1 evaluable participants -Part 1
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Nivolumab+Ipilimumab | Objective Response Rate (ORR) by PD-L1 Positive and Negative Levels - Part 1 | PD-L1 ≥1% | 41.3 Percentage of participants |
| Nivolumab+Ipilimumab | Objective Response Rate (ORR) by PD-L1 Positive and Negative Levels - Part 1 | PD-L1 <1% | 14.9 Percentage of participants |
Objective Response Rate (ORR) by PD-L1 Expression Levels-Part 1
Objective response rate (ORR) by PD-L1 expression levels was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment. CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. PD-L1 ≥1% = PD-L1 positive (membranous staining in ≥ 1% tumor cells) PD-L1 \<1% = PD-L1 negative (membranous staining in \<1% tumor cells)
Time frame: From first dose up to approximately 72 months
Population: All PD-L1 evaluable participants in Part 1. Data was pre-specified to be collected only in Part 1 arm
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Nivolumab+Ipilimumab | Objective Response Rate (ORR) by PD-L1 Expression Levels-Part 1 | PD-L1 ≥1% | 44.2 Percentage of participants |
| Nivolumab+Ipilimumab | Objective Response Rate (ORR) by PD-L1 Expression Levels-Part 1 | PD-L1 <1% | 17.1 Percentage of participants |
Objective Response Rate (ORR) by Tumor Mutation Burden (TMB) Levels - Part 1
Objective response rate (ORR) by tumor mutational burden (TMB) using DNA derived from tumor specimens was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment. CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. High TMB = ≥ 10 mutations per megabase Low TMB = \< 10 mutations per megabase
Time frame: From first dose up to approximately 72 months
Population: All TMB evaluable participants in Part 1. Data was pre-specified to be collected only in Part 1 arm
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Nivolumab+Ipilimumab | Objective Response Rate (ORR) by Tumor Mutation Burden (TMB) Levels - Part 1 | High TMB (>=10 Mutations/MB) | 52.1 Percentage of participants |
| Nivolumab+Ipilimumab | Objective Response Rate (ORR) by Tumor Mutation Burden (TMB) Levels - Part 1 | Low TMB (<10 Mutations/MB) | 16.0 Percentage of participants |
Objective Response Rate (ORR) - Part 1
Objective response rate (ORR) was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment. CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Time frame: From first dose up to approximately 72 months
Population: All treated participants in Part 1
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Nivolumab+Ipilimumab | Objective Response Rate (ORR) - Part 1 | 32.3 Percentage of participants |
Objective Response Rate (ORR) - Part 2
Objective response rate (ORR) was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on investigator assessment. CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Time frame: From first dose up to approximately 59 months
Population: All treated participants in Part 2
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Nivolumab+Ipilimumab | Objective Response Rate (ORR) - Part 2 | 47.2 Percentage of participants |
Overall Survival (OS) by PD-L1 Expression Levels - Part 1
Overall survival (OS) by PD-L1 expression levels was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive. PD-L1 ≥1% = PD-L1 positive (membranous staining in ≥ 1% tumor cells) PD-L1 \<1% = PD-L1 negative (membranous staining in \<1% tumor cells)
Time frame: From the date of first treatment to the date of death due to any cause (Up to approximately 72 months)
Population: All PD-L1 evaluable participants in Part 1. Data was pre-specified to be collected only in Part 1 arm
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Nivolumab+Ipilimumab | Overall Survival (OS) by PD-L1 Expression Levels - Part 1 | PD-L1 ≥1% | 26.51 Months |
| Nivolumab+Ipilimumab | Overall Survival (OS) by PD-L1 Expression Levels - Part 1 | PD-L1 <1% | 13.70 Months |
Overall Survival (OS) by Tumor Mutation Burden (TMB) Levels - Part 1
Overall survival (OS) by tumor mutational burden (TMB) using DNA derived from tumor specimens was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive. High TMB = ≥ 10 mutations per megabase Low TMB = \< 10 mutations per megabase
Time frame: From the date of first treatment to the date of death due to any cause (Up to approximately 72 months)
Population: All TMB evaluable participants in Part 1. Data was pre-specified to be collected only in Part 1 arm
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Nivolumab+Ipilimumab | Overall Survival (OS) by Tumor Mutation Burden (TMB) Levels - Part 1 | High TMB (>=10 Mutations/MB) | 47.31 Months |
| Nivolumab+Ipilimumab | Overall Survival (OS) by Tumor Mutation Burden (TMB) Levels - Part 1 | Low TMB (<10 Mutations/MB) | 11.33 Months |
Overall Survival (OS) - Part 1
Overall survival (OS) was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive.
Time frame: From the date of first treatment to the date of death due to any cause (Up to approximately 72 months)
Population: All treated participants in Part 1
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Nivolumab+Ipilimumab | Overall Survival (OS) - Part 1 | 20.83 Months |
Overall Survival (OS) - Part 2
Overall survival (OS) was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive.
Time frame: From the date of first treatment to the date of death due to any cause (Up to approximately 59 months)
Population: All treated participants in Part 2
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Nivolumab+Ipilimumab | Overall Survival (OS) - Part 2 | 19.35 Months |
Progression Free Survival (PFS) by PD-L1 Expression Levels - Part 1
Progression Free Survival (PFS) by PD-L1 expression levels was defined as the time between the date of first dose and the first date of documented progression, as determined by blinded independent central review (BICR), or death due to any cause, whichever occurred first. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. PD-L1 ≥1% = PD-L1 positive (membranous staining in ≥ 1% tumor cells) PD-L1 \<1% = PD-L1 negative (membranous staining in \<1% tumor cells)
Time frame: From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 72 months)
Population: All PD-L1 evaluable participants in Part 1. Data was pre-specified to be collected only in Part 1 arm
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Nivolumab+Ipilimumab | Progression Free Survival (PFS) by PD-L1 Expression Levels - Part 1 | PD-L1 ≥1% | 6.80 Months |
| Nivolumab+Ipilimumab | Progression Free Survival (PFS) by PD-L1 Expression Levels - Part 1 | PD-L1 <1% | 2.92 Months |
Progression Free Survival (PFS) by Tumor Mutation Burden (TMB) Levels - Part 1
Progression Free Survival (PFS) by tumor mutational burden (TMB) using DNA derived from tumor specimens was defined as the time between the date of first dose and the first date of documented progression, as determined by blinded independent central review (BICR), or death due to any cause, whichever occurred first. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. High TMB = ≥ 10 mutations per megabase Low TMB = \< 10 mutations per megabase
Time frame: From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 72 months)
Population: All TMB evaluable participants in Part 1. Data was pre-specified to be collected only in Part 1 arm
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Nivolumab+Ipilimumab | Progression Free Survival (PFS) by Tumor Mutation Burden (TMB) Levels - Part 1 | High TMB (>=10 Mutations/MB) | 10.84 Months |
| Nivolumab+Ipilimumab | Progression Free Survival (PFS) by Tumor Mutation Burden (TMB) Levels - Part 1 | Low TMB (<10 Mutations/MB) | 2.79 Months |
Progression Free Survival (PFS) - Part 1
Progression Free Survival (PFS) was defined as the time between the date of first dose and the first date of documented progression, as determined by blinded independent central review (BICR), or death due to any cause, whichever occurred first. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
Time frame: From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 72 months)
Population: All treated participants in Part 1
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Nivolumab+Ipilimumab | Progression Free Survival (PFS) - Part 1 | 5.19 Months |
Progression Free Survival (PFS) - Part 2
Progression Free Survival (PFS) was defined as the time between the date of first dose and the first date of documented progression, as determined by investigator (per RECIST 1.1), or death due to any cause, whichever occurred first. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
Time frame: From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 59 months)
Population: All treated participants in Part 2
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Nivolumab+Ipilimumab | Progression Free Survival (PFS) - Part 2 | 10.81 Months |