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Overall Survival and Long-Term Safety of Nivolumab (Anti–Programmed Death 1 Antibody, BMS-936558, ONO-4538) in Patients With Previously Treated Advanced Non–Small-Cell Lung Cancer
Open accessAbstract
Purpose: Programmed death 1 is an immune checkpoint that suppresses antitumor immunity. Nivolumab, a fully human immunoglobulin G4 programmed death 1 immune checkpoint inhibitor antibody, was active and generally well tolerated in patients with advanced solid tumors treated in a phase I trial with expansion cohorts. We report overall survival (OS), response durability, and long-term safety in patients with non–small-cell lung cancer (NSCLC) receiving nivolumab in this trial. Patients and Methods: Patients (N = 129) with heavily pretreated advanced NSCLC received nivolumab 1, 3, or 10 mg/kg intravenously once every 2 weeks in 8-week cycles for up to 96 weeks. Tumor burden was assessed by RECIST (version 1.0) after each cycle. Results: Median OS across doses was 9.9 months; 1-, 2-, and 3-year OS rates were 42%, 24%, and 18%, respectively, across doses and 56%, 42%, and 27%, respectively, at the 3-mg/kg dose (n = 37) chosen for further clinical development. Among 22 patients (17%) with objective responses, estimated median response duration was 17.0 months. An additional six patients (5%) had unconventional immune-pattern responses. Response rates were similar in squamous and nonsquamous NSCLC. Eighteen responding patients discontinued nivolumab for reasons other than progressive disease; nine (50%) of those had responses lasting > 9 months after their last dose. Grade 3 to 4 treatment-related adverse events occurred in 14% of patients. Three treatment-related deaths (2% of patients) occurred, each associated with pneumonitis. Conclusion: Nivolumab monotherapy produced durable responses and encouraging survival rates in patients with heavily pretreated NSCLC. Randomized clinical trials with nivolumab in advanced NSCLC are ongoing.
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Metadata
- Authors
- Gettinger, S. N., Horn, L., Gandhi, L., Spigel, D. R., Antonia, S. J., Rizvi, N. A., Powderly, J. D., Heist, R. S., Carvajal, R. D., Jackman, D. M., Sequist, L. V., Smith, D. C., Leming, P., Carbone, D. P., Pinder-Schenck, M. C., Topalian, S. L., Hodi, F. S., Sosman, J. A., Sznol, M., McDermott, D. F., Pardoll, D. M., Sankar, V., Ahlers, C. M., Salvati, M., Wigginton, J. M., Hellmann, M. D., Kollia, G. D., Gupta, A. K., & Brahmer, J. R.
- Venue
- Journal of Clinical Oncology
- Published
- 2015-06-20
- Volume
- 33
- Issue
- 18
- Pages
- 2004-2012
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- OpenAlex
- W2143488876
- Cited by
- 1,177
- References
- 10
- FWCI
- 77.75
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Gettinger, S. N., Horn, L., Gandhi, L., Spigel, D. R., Antonia, S. J., Rizvi, N. A., Powderly, J. D., Heist, R. S., Carvajal, R. D., Jackman, D. M., Sequist, L. V., Smith, D. C., Leming, P., Carbone, D. P., Pinder-Schenck, M. C., Topalian, S. L., Hodi, F. S., Sosman, J. A., Sznol, M., . . . Brahmer, J. R. (2015). Overall Survival and Long-Term Safety of Nivolumab (Anti–Programmed Death 1 Antibody, BMS-936558, ONO-4538) in Patients With Previously Treated Advanced Non–Small-Cell Lung Cancer. Journal of Clinical Oncology. https://doi.org/10.1200/jco.2014.58.3708
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