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NCT01668784 · OUTCOME

Overall Survival (OS) at Primary Endpoint

Study of Nivolumab (BMS-936558) vs. Everolimus in Pre-Treated Advanced or Metastatic Clear-cell Renal Cell Carcinoma (CheckMate 025) · Source last updated 2022-08-09

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
MEDIAN
Unit
months
Interval / dispersion
95% Confidence Interval
Time frame
Randomization until 398 deaths, up to May 2015 (approximately 30 months)

What was measured

Overall Survival (OS) was defined as the time from randomization to the date of death. Participants that had not died were censored at last known date alive. Median OS time was calculated using Kaplan-Meier Estimates. Interim analysis for the Primary Endpoint occurred after 398 deaths (70% of the total OS events needed for final analysis). At that time the data monitoring committee noted that the pre-specified boundary for OS (nominal significance level p \< 0.0148) was crossed while no new safety signals that would affect continuation of the study were found. The study was stopped early by the Sponsor, Bristol-Myers Squibb (BMS) and the interim analysis became the final analysis. As a result, participants in the everolimus groups could be assessed for a crossover to nivolumab treatment if they met all inclusion criteria.

Analysis population: All randomized participants; any participants that was randomized to any treatment group in the study.

Groups in this outcome

Nivolumab

Nivolumab at 3 mg/kg solution provided intravenously every 2 weeks until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends.

Everolimus

Everolimus provided in 10 mg tablets by mouth daily until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Nivolumab410
Everolimus411

Reported measurements

Source class 1
Values in months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Nivolumab25.00Not reported21.75NAN.A.: Not Available: Too few events to estimate the upper limit of the confidence interval
Everolimus19.55Not reported17.6423.06Not reported

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    0.57
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    98.52
    ci Upper Limit
    0.93
    estimate Comment
    Stratified Cox proportional hazard model. Hazard ratio (HR) was Nivolumab over Everolimus.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.0018
    p Value Comment
    The boundary for statistical significance required the p-value to be less than 0.0148 at the interim analyses.
    param Type
    Hazard Ratio (HR)
    param Value
    0.73
    statistical Comment
    Log-rank Test stratified by the Memorial Sloan-Kettering Cancer Center risk group, number of prior anti-angiogenic therapies, and the region.
    statistical Method
    Log Rank
Complete source fields
analyses
  1. ci Lower Limit
    0.57
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    98.52
    ci Upper Limit
    0.93
    estimate Comment
    Stratified Cox proportional hazard model. Hazard ratio (HR) was Nivolumab over Everolimus.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.0018
    p Value Comment
    The boundary for statistical significance required the p-value to be less than 0.0148 at the interim analyses.
    param Type
    Hazard Ratio (HR)
    param Value
    0.73
    statistical Comment
    Log-rank Test stratified by the Memorial Sloan-Kettering Cancer Center risk group, number of prior anti-angiogenic therapies, and the region.
    statistical Method
    Log Rank
classes
  1. categories
    1. measurements
      1. comment
        N.A.: Not Available: Too few events to estimate the upper limit of the confidence interval
        group Id
        OG000
        lower Limit
        21.75
        upper Limit
        NA
        value
        25.00
      2. group Id
        OG001
        lower Limit
        17.64
        upper Limit
        23.06
        value
        19.55
denoms
  1. counts
    1. group Id
      OG000
      value
      410
    2. group Id
      OG001
      value
      411
    units
    Participants
description
Overall Survival (OS) was defined as the time from randomization to the date of death. Participants that had not died were censored at last known date alive. Median OS time was calculated using Kaplan-Meier Estimates. Interim analysis for the Primary Endpoint occurred after 398 deaths (70% of the total OS events needed for final analysis). At that time the data monitoring committee noted that the pre-specified boundary for OS (nominal significance level p \< 0.0148) was crossed while no new safety signals that would affect continuation of the study were found. The study was stopped early by the Sponsor, Bristol-Myers Squibb (BMS) and the interim analysis became the final analysis. As a result, participants in the everolimus groups could be assessed for a crossover to nivolumab treatment if they met all inclusion criteria.
dispersion Type
95% Confidence Interval
groups
  1. description
    Nivolumab at 3 mg/kg solution provided intravenously every 2 weeks until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends.
    id
    OG000
    title
    Nivolumab
  2. description
    Everolimus provided in 10 mg tablets by mouth daily until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends.
    id
    OG001
    title
    Everolimus
param Type
MEDIAN
population Description
All randomized participants; any participants that was randomized to any treatment group in the study.
reporting Status
POSTED
time Frame
Randomization until 398 deaths, up to May 2015 (approximately 30 months)
title
Overall Survival (OS) at Primary Endpoint
type
PRIMARY
unit Of Measure
months

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