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NCT02488759 · OUTCOME

Metastatic: Investigator-Assessed Objective Response Rate (ORR) Extended Collection

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
NUMBER
Unit
Percentage of participants
Interval / dispersion
95% Confidence Interval
Time frame
From the date of first dose to the date of the initial objectively documented tumor progression or the date of the last tumor assessment prior to subsequent therapy (Up to 83 months)

What was measured

ORR is defined as the percentage of participants with a best overall response (BOR) of confirmed complete response (CR) or partial response (PR) using RECIST 1.1 criteria. An ORR in excess of 10% will be considered of clinical interest, and an ORR of 25% or greater will be considered of strong clinical interest. Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. 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 treated participants 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 Monotherapy113
Metastatic Combo A195
Metastatic Combo B133
Metastatic Combo C8
Metastatic Combo D6

Reported measurements

EBV positive related gastric cancer

Analysis denominator · Participants

GroupSource count
Metastatic Monotherapy14
Metastatic Combo A0
Metastatic Combo B0
Metastatic Combo C0
Metastatic Combo D0
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Metastatic Monotherapy14.3Not reported1.842.8Not reported
HPV positive SCCHN

Analysis denominator · Participants

GroupSource count
Metastatic Monotherapy26
Metastatic Combo A42
Metastatic Combo B0
Metastatic Combo C8
Metastatic Combo D0
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Metastatic Monotherapy11.5Not reported2.430.2Not reported
Metastatic Combo A31.0Not reported17.647.1Not reported
Metastatic Combo C0Not reported0.036.9Not reported
Other anogenital HPV associated cancers

Analysis denominator · Participants

GroupSource count
Metastatic Monotherapy0
Metastatic Combo A23
Metastatic Combo B21
Metastatic Combo C0
Metastatic Combo D0
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Metastatic Combo A34.8Not reported16.457.3Not reported
Metastatic Combo B23.8Not reported8.247.2Not reported
SCCHN I-O naive

Analysis denominator · Participants

GroupSource count
Metastatic Monotherapy0
Metastatic Combo A0
Metastatic Combo B0
Metastatic Combo C0
Metastatic Combo D6
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Metastatic Combo D16.7Not reported0.464.1Not reported
Cervical, Randomized

Analysis denominator · Participants

GroupSource count
Metastatic Monotherapy19
Metastatic Combo A45
Metastatic Combo B45
Metastatic Combo C0
Metastatic Combo D0
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Metastatic Monotherapy26.3Not reported9.151.2Not reported
Metastatic Combo A31.1Not reported18.246.6Not reported
Metastatic Combo B40.0Not reported25.755.7Not reported
Cervical, Pooled

Analysis denominator · Participants

GroupSource count
Metastatic Monotherapy0
Metastatic Combo A0
Metastatic Combo B112
Metastatic Combo C0
Metastatic Combo D0
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Metastatic Combo B40.2Not reported31.049.9Not reported
Vaginal/Vulvar

Analysis denominator · Participants

GroupSource count
Metastatic Monotherapy5
Metastatic Combo A0
Metastatic Combo B0
Metastatic Combo C0
Metastatic Combo D0
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Metastatic Monotherapy20.0Not reported0.571.6Not reported
MCC

Analysis denominator · Participants

GroupSource count
Metastatic Monotherapy25
Metastatic Combo A43
Metastatic Combo B0
Metastatic Combo C0
Metastatic Combo D0
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Metastatic Monotherapy60.0Not reported38.778.9Not reported
Metastatic Combo A58.1Not reported42.173.0Not reported
NPC

Analysis denominator · Participants

GroupSource count
Metastatic Monotherapy24
Metastatic Combo A42
Metastatic Combo B0
Metastatic Combo C0
Metastatic Combo D0
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Metastatic Monotherapy16.7Not reported4.737.4Not reported
Metastatic Combo A28.6Not reported15.744.6Not reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        1.8
        upper Limit
        42.8
        value
        14.3
    denoms
    1. counts
      1. group Id
        OG000
        value
        14
      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. group Id
        OG000
        lower Limit
        2.4
        upper Limit
        30.2
        value
        11.5
      2. group Id
        OG001
        lower Limit
        17.6
        upper Limit
        47.1
        value
        31.0
      3. group Id
        OG003
        lower Limit
        0.0
        upper Limit
        36.9
        value
        0
    denoms
    1. counts
      1. group Id
        OG000
        value
        26
      2. group Id
        OG001
        value
        42
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        8
      5. group Id
        OG004
        value
        0
      units
      Participants
    title
    HPV positive SCCHN
  3. categories
    1. measurements
      1. group Id
        OG001
        lower Limit
        16.4
        upper Limit
        57.3
        value
        34.8
      2. group Id
        OG002
        lower Limit
        8.2
        upper Limit
        47.2
        value
        23.8
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        23
      3. group Id
        OG002
        value
        21
      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. group Id
        OG004
        lower Limit
        0.4
        upper Limit
        64.1
        value
        16.7
    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
        6
      units
      Participants
    title
    SCCHN I-O naive
  5. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        9.1
        upper Limit
        51.2
        value
        26.3
      2. group Id
        OG001
        lower Limit
        18.2
        upper Limit
        46.6
        value
        31.1
      3. group Id
        OG002
        lower Limit
        25.7
        upper Limit
        55.7
        value
        40.0
    denoms
    1. counts
      1. group Id
        OG000
        value
        19
      2. group Id
        OG001
        value
        45
      3. group Id
        OG002
        value
        45
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        0
      units
      Participants
    title
    Cervical, Randomized
  6. categories
    1. measurements
      1. group Id
        OG002
        lower Limit
        31.0
        upper Limit
        49.9
        value
        40.2
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        112
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        0
      units
      Participants
    title
    Cervical, Pooled
  7. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        0.5
        upper Limit
        71.6
        value
        20.0
    denoms
    1. counts
      1. group Id
        OG000
        value
        5
      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. group Id
        OG000
        lower Limit
        38.7
        upper Limit
        78.9
        value
        60.0
      2. group Id
        OG001
        lower Limit
        42.1
        upper Limit
        73.0
        value
        58.1
    denoms
    1. counts
      1. group Id
        OG000
        value
        25
      2. group Id
        OG001
        value
        43
      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. group Id
        OG000
        lower Limit
        4.7
        upper Limit
        37.4
        value
        16.7
      2. group Id
        OG001
        lower Limit
        15.7
        upper Limit
        44.6
        value
        28.6
    denoms
    1. counts
      1. group Id
        OG000
        value
        24
      2. group Id
        OG001
        value
        42
      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
      113
    2. group Id
      OG001
      value
      195
    3. group Id
      OG002
      value
      133
    4. group Id
      OG003
      value
      8
    5. group Id
      OG004
      value
      6
    units
    Participants
description
ORR is defined as the percentage of participants with a best overall response (BOR) of confirmed complete response (CR) or partial response (PR) using RECIST 1.1 criteria. An ORR in excess of 10% will be considered of clinical interest, and an ORR of 25% or greater will be considered of strong clinical interest. Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. 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
NUMBER
population Description
All treated participants in the metastatic cohorts
reporting Status
POSTED
time Frame
From the date of first dose to the date of the initial objectively documented tumor progression or the date of the last tumor assessment prior to subsequent therapy (Up to 83 months)
title
Metastatic: Investigator-Assessed Objective Response Rate (ORR) Extended Collection
type
POST_HOC
unit Of Measure
Percentage of participants

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Preserved source evidence · Not medical advice