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NCT02488759 · OUTCOME

Metastatic: Investigator-Assessed Duration of Response (DoR)

An Investigational Immuno-therapy Study to Investigate the Safety and Effectiveness of Nivolumab, and Nivolumab Combination Therapy in Virus-associated Tumors · Source last updated 2023-11-13

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
From first confirmed response (complete response or partial response) to the date of the initial objectively documented tumor progression or death due to any cause, whichever occurs first (Up to 83 months)

What was measured

Duration of response (DoR) is defined as the time from first confirmed response (complete response or partial response) to the date of the initial objectively documented tumor progression as determined per investigator assessment using RECIST 1.1 criteria or death due to any cause, whichever occurs first. Participants with the following diseases will be assessed: 1. EBV positive related gastric cancer; 2. HPV positive SCCHN; 3. Other anogenital HPV associated cancers; 4. GYN (Cervical, Vaginal, Vulvar) carcinoma; 5. Merkel cell carcinoma (MCC); 6. Nasopharyngeal carcinoma (NPC) NOTE: "Cervical, Randomized" and "Cervical, Pooled" are not mutually exclusive categories.

Analysis population: All complete and partial responders in the metastatic cohorts

Groups in this outcome

Metastatic Monotherapy

Nivolumab IV over 30 minutes at 240 mg every 2 weeks for a maximum of 24 months or until disease progression, unacceptable toxicity, or withdrawal of consent, whichever comes first

Metastatic Combo A

Nivolumab 3 mg/kg IV over 30 minutes every 2 weeks + Ipilimumab 1 mg/kg IV over 30 minutes every 6 weeks for a maximum of 24 months or until disease progression, unacceptable toxicity, or withdrawal of consent, whichever comes first

Metastatic Combo B

Nivolumab 1 mg/kg IV over 30 minutes + Ipilimumab 3 mg/kg IV over 30 minutes every 3 weeks for 4 doses followed by Nivolumab 240 mg IV over 30 minutes every 2 weeks for a maximum of 24 months or until disease progression, unacceptable toxicity, or withdrawal of consent, whichever comes first

Metastatic Combo C

Nivolumab 240 mg IV over 30 minutes + BMS-986016 (Relatlimab) 80 mg IV over 60 minutes administered every 2 weeks for a maximum of 24 months, or until disease progression, unacceptable toxicity, or withdrawal of consent, whichever comes first

Metastatic Combo D

Daratumumab 16 mg/kg IV weekly for the first 8 weeks. Starting at Week 3, Nivolumab 240 mg IV over 30 minutes every 2 weeks. Daratumumab 16 mg/kg every 2 weeks from Weeks 9-24. Starting at Week 25, Nivolumab 480 mg IV flat dose over 30 minutes every 4 weeks; daratumumab 16 mg/kg every 4 weeks for a maximum of 24 months or until progression, unacceptable toxicity, or withdrawal of consent, whichever comes first

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

Analysis denominator · Participants

GroupSource count
Metastatic Monotherapy30
Metastatic Combo A72
Metastatic Combo B50
Metastatic Combo C0
Metastatic Combo D1

Reported measurements

EBV positive related gastric cancer

Analysis denominator · Participants

GroupSource count
Metastatic Monotherapy2
Metastatic Combo A0
Metastatic Combo B0
Metastatic Combo C0
Metastatic Combo D0
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Metastatic MonotherapyNANot reportedNANAMedian not reached as insufficient progression events among responders
HPV positive SCCHN

Analysis denominator · Participants

GroupSource count
Metastatic Monotherapy3
Metastatic Combo A13
Metastatic Combo B0
Metastatic Combo C0
Metastatic Combo D0
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Metastatic Monotherapy44.25Not reported24.90NAUpper limit not calculable as upper CI bound does not cross 50% threshold
Metastatic Combo A34.46Not reported10.45NAUpper limit not calculable as upper CI bound does not cross 50% threshold
Other anogenital HPV associated cancers

Analysis denominator · Participants

GroupSource count
Metastatic Monotherapy0
Metastatic Combo A8
Metastatic Combo B5
Metastatic Combo C0
Metastatic Combo D0
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Metastatic Combo A18.23Not reported3.6827.93Not reported
Metastatic Combo B3.71Not reported3.58NAUpper limit not calculable as upper CI bound does not cross 50% threshold
SCCHN I-O naive

Analysis denominator · Participants

GroupSource count
Metastatic Monotherapy0
Metastatic Combo A0
Metastatic Combo B0
Metastatic Combo C0
Metastatic Combo D1
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Metastatic Combo DNANot reportedNANAMedian not reached as insufficient progression events among responders
Cervical, Randomized

Analysis denominator · Participants

GroupSource count
Metastatic Monotherapy5
Metastatic Combo A14
Metastatic Combo B18
Metastatic Combo C0
Metastatic Combo D0
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Metastatic MonotherapyNANot reported35.29NAMedian not reached as insufficient progression events among responders and Upper limit not calculable as upper CI bound does not cross 50% threshold
Metastatic Combo ANANot reported8.67NAMedian not reached as insufficient progression events among responders and Upper limit not calculable as upper CI bound does not cross 50% threshold
Metastatic Combo B34.07Not reported15.28NAUpper limit not calculable as upper CI bound does not cross 50% threshold
Cervical, Pooled

Analysis denominator · Participants

GroupSource count
Metastatic Monotherapy0
Metastatic Combo A0
Metastatic Combo B45
Metastatic Combo C0
Metastatic Combo D0
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Metastatic Combo B34.07Not reported15.28NAUpper limit not calculable as upper CI bound does not cross 50% threshold
Vaginal/Vulvar

Analysis denominator · Participants

GroupSource count
Metastatic Monotherapy1
Metastatic Combo A0
Metastatic Combo B0
Metastatic Combo C0
Metastatic Combo D0
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Metastatic Monotherapy4.96Not reportedNANALower limit and Upper limit not calculable as upper CI bound does not cross 50% threshold
MCC

Analysis denominator · Participants

GroupSource count
Metastatic Monotherapy15
Metastatic Combo A25
Metastatic Combo B0
Metastatic Combo C0
Metastatic Combo D0
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Metastatic Monotherapy60.62Not reported16.72NAUpper limit not calculable as upper CI bound does not cross 50% threshold
Metastatic Combo A25.86Not reported10.38NAUpper limit not calculable as upper CI bound does not cross 50% threshold
NPC

Analysis denominator · Participants

GroupSource count
Metastatic Monotherapy4
Metastatic Combo A12
Metastatic Combo B0
Metastatic Combo C0
Metastatic Combo D0
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Metastatic Monotherapy9.46Not reported3.68NAUpper limit not calculable as upper CI bound does not cross 50% threshold
Metastatic Combo A19.63Not reported5.55NAUpper limit not calculable as upper CI bound does not cross 50% threshold
Complete source fields
classes
  1. categories
    1. measurements
      1. comment
        Median not reached as insufficient progression events among responders
        group Id
        OG000
        lower Limit
        NA
        upper Limit
        NA
        value
        NA
    denoms
    1. counts
      1. group Id
        OG000
        value
        2
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        0
      units
      Participants
    title
    EBV positive related gastric cancer
  2. categories
    1. measurements
      1. comment
        Upper limit not calculable as upper CI bound does not cross 50% threshold
        group Id
        OG000
        lower Limit
        24.90
        upper Limit
        NA
        value
        44.25
      2. comment
        Upper limit not calculable as upper CI bound does not cross 50% threshold
        group Id
        OG001
        lower Limit
        10.45
        upper Limit
        NA
        value
        34.46
    denoms
    1. counts
      1. group Id
        OG000
        value
        3
      2. group Id
        OG001
        value
        13
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        0
      units
      Participants
    title
    HPV positive SCCHN
  3. categories
    1. measurements
      1. group Id
        OG001
        lower Limit
        3.68
        upper Limit
        27.93
        value
        18.23
      2. comment
        Upper limit not calculable as upper CI bound does not cross 50% threshold
        group Id
        OG002
        lower Limit
        3.58
        upper Limit
        NA
        value
        3.71
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        8
      3. group Id
        OG002
        value
        5
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        0
      units
      Participants
    title
    Other anogenital HPV associated cancers
  4. categories
    1. measurements
      1. comment
        Median not reached as insufficient progression events among responders
        group Id
        OG004
        lower Limit
        NA
        upper Limit
        NA
        value
        NA
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        1
      units
      Participants
    title
    SCCHN I-O naive
  5. categories
    1. measurements
      1. comment
        Median not reached as insufficient progression events among responders and Upper limit not calculable as upper CI bound does not cross 50% threshold
        group Id
        OG000
        lower Limit
        35.29
        upper Limit
        NA
        value
        NA
      2. comment
        Median not reached as insufficient progression events among responders and Upper limit not calculable as upper CI bound does not cross 50% threshold
        group Id
        OG001
        lower Limit
        8.67
        upper Limit
        NA
        value
        NA
      3. comment
        Upper limit not calculable as upper CI bound does not cross 50% threshold
        group Id
        OG002
        lower Limit
        15.28
        upper Limit
        NA
        value
        34.07
    denoms
    1. counts
      1. group Id
        OG000
        value
        5
      2. group Id
        OG001
        value
        14
      3. group Id
        OG002
        value
        18
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        0
      units
      Participants
    title
    Cervical, Randomized
  6. categories
    1. measurements
      1. comment
        Upper limit not calculable as upper CI bound does not cross 50% threshold
        group Id
        OG002
        lower Limit
        15.28
        upper Limit
        NA
        value
        34.07
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        45
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        0
      units
      Participants
    title
    Cervical, Pooled
  7. categories
    1. measurements
      1. comment
        Lower limit and Upper limit not calculable as upper CI bound does not cross 50% threshold
        group Id
        OG000
        lower Limit
        NA
        upper Limit
        NA
        value
        4.96
    denoms
    1. counts
      1. group Id
        OG000
        value
        1
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        0
      units
      Participants
    title
    Vaginal/Vulvar
  8. categories
    1. measurements
      1. comment
        Upper limit not calculable as upper CI bound does not cross 50% threshold
        group Id
        OG000
        lower Limit
        16.72
        upper Limit
        NA
        value
        60.62
      2. comment
        Upper limit not calculable as upper CI bound does not cross 50% threshold
        group Id
        OG001
        lower Limit
        10.38
        upper Limit
        NA
        value
        25.86
    denoms
    1. counts
      1. group Id
        OG000
        value
        15
      2. group Id
        OG001
        value
        25
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        0
      units
      Participants
    title
    MCC
  9. categories
    1. measurements
      1. comment
        Upper limit not calculable as upper CI bound does not cross 50% threshold
        group Id
        OG000
        lower Limit
        3.68
        upper Limit
        NA
        value
        9.46
      2. comment
        Upper limit not calculable as upper CI bound does not cross 50% threshold
        group Id
        OG001
        lower Limit
        5.55
        upper Limit
        NA
        value
        19.63
    denoms
    1. counts
      1. group Id
        OG000
        value
        4
      2. group Id
        OG001
        value
        12
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        0
      units
      Participants
    title
    NPC
denoms
  1. counts
    1. group Id
      OG000
      value
      30
    2. group Id
      OG001
      value
      72
    3. group Id
      OG002
      value
      50
    4. group Id
      OG003
      value
      0
    5. group Id
      OG004
      value
      1
    units
    Participants
description
Duration of response (DoR) is defined as the time from first confirmed response (complete response or partial response) to the date of the initial objectively documented tumor progression as determined per investigator assessment using RECIST 1.1 criteria or death due to any cause, whichever occurs first. Participants with the following diseases will be assessed: 1. EBV positive related gastric cancer; 2. HPV positive SCCHN; 3. Other anogenital HPV associated cancers; 4. GYN (Cervical, Vaginal, Vulvar) carcinoma; 5. Merkel cell carcinoma (MCC); 6. Nasopharyngeal carcinoma (NPC) NOTE: "Cervical, Randomized" and "Cervical, Pooled" are not mutually exclusive categories.
dispersion Type
95% Confidence Interval
groups
  1. description
    Nivolumab IV over 30 minutes at 240 mg every 2 weeks for a maximum of 24 months or until disease progression, unacceptable toxicity, or withdrawal of consent, whichever comes first
    id
    OG000
    title
    Metastatic Monotherapy
  2. description
    Nivolumab 3 mg/kg IV over 30 minutes every 2 weeks + Ipilimumab 1 mg/kg IV over 30 minutes every 6 weeks for a maximum of 24 months or until disease progression, unacceptable toxicity, or withdrawal of consent, whichever comes first
    id
    OG001
    title
    Metastatic Combo A
  3. description
    Nivolumab 1 mg/kg IV over 30 minutes + Ipilimumab 3 mg/kg IV over 30 minutes every 3 weeks for 4 doses followed by Nivolumab 240 mg IV over 30 minutes every 2 weeks for a maximum of 24 months or until disease progression, unacceptable toxicity, or withdrawal of consent, whichever comes first
    id
    OG002
    title
    Metastatic Combo B
  4. description
    Nivolumab 240 mg IV over 30 minutes + BMS-986016 (Relatlimab) 80 mg IV over 60 minutes administered every 2 weeks for a maximum of 24 months, or until disease progression, unacceptable toxicity, or withdrawal of consent, whichever comes first
    id
    OG003
    title
    Metastatic Combo C
  5. description
    Daratumumab 16 mg/kg IV weekly for the first 8 weeks. Starting at Week 3, Nivolumab 240 mg IV over 30 minutes every 2 weeks. Daratumumab 16 mg/kg every 2 weeks from Weeks 9-24. Starting at Week 25, Nivolumab 480 mg IV flat dose over 30 minutes every 4 weeks; daratumumab 16 mg/kg every 4 weeks for a maximum of 24 months or until progression, unacceptable toxicity, or withdrawal of consent, whichever comes first
    id
    OG004
    title
    Metastatic Combo D
param Type
MEDIAN
population Description
All complete and partial responders in the metastatic cohorts
reporting Status
POSTED
time Frame
From first confirmed response (complete response or partial response) to the date of the initial objectively documented tumor progression or death due to any cause, whichever occurs first (Up to 83 months)
title
Metastatic: Investigator-Assessed Duration of Response (DoR)
type
SECONDARY
unit Of Measure
Months

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Preserved source evidence · Not medical advice