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NCT02823574 · OUTCOME

Duration of Response (DOR) - Platinum Eligible Subgroup Based on Tumor Mutation Burden (TMB) Status

Study of Nivolumab in Combination With Ipilimumab Versus Nivolumab in Combination With Ipilimumab Placebo in Patients With Recurrent or Metastatic Squamous Cell Carcinoma of the Head and Neck · Source last updated 2023-05-03

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 randomization to disease progression or death. Approximately 63 Months

What was measured

The time between the date of first confirmed response to the date of the first documented tumor progression, or death due to any cause, whichever occurs first. Tumor Mutational Burden (TMB) refers to the number of nonsynonymous somatic mutations that exist within a tumor's genome as measured by the Foundation One CDx panel at Foundation Medicine. The analysis was done on subjects with baseline tumor mutation burden by a cutoff of 7 mutations/megabase (mut/Mb) and 10 mut/Mb. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progression).

Analysis population: All treated participants in the Platinum eligible subgroup with a response

Groups in this outcome

Treatment A - Platinum Eligible Subgroup

Participants with histologically confirmed Squamous Cell Carcinoma of the Head and Neck (SCCHN) who are platinum naive or have recurred 6 months or more after completion of previous platinum-based chemotherapy. Treated with Nivolumab 3 mg/kg Q2W + Ipilimumab 1 mg/kg Q6W

Treatment B - Platinum Eligible Subgroup

Participants with histologically confirmed Squamous Cell Carcinoma of the Head and Neck (SCCHN) who are platinum naive or have recurred 6 months or more after completion of previous platinum-based chemotherapy. Treated with Nivolumab 3 mg/kg Q2W + Ipilimumab-Placebo Q6W

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

Analysis denominator · Participants

GroupSource count
Treatment A - Platinum Eligible Subgroup25
Treatment B - Platinum Eligible Subgroup18

Reported measurements

TMB: <7

Analysis denominator · Participants

GroupSource count
Treatment A - Platinum Eligible Subgroup6
Treatment B - Platinum Eligible Subgroup8
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Treatment A - Platinum Eligible Subgroup10.97Not reported4.1435.55Not reported
Treatment B - Platinum Eligible SubgroupNANot reported5.52NAInsufficient number of events to calculate upper limit number and median
TMB ≥ 7

Analysis denominator · Participants

GroupSource count
Treatment A - Platinum Eligible Subgroup13
Treatment B - Platinum Eligible Subgroup6
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Treatment A - Platinum Eligible Subgroup24.11Not reported10.97NAInsufficient number of events to calculate upper limit number.
Treatment B - Platinum Eligible Subgroup19.32Not reported5.4924.61Not reported
TMB: <10

Analysis denominator · Participants

GroupSource count
Treatment A - Platinum Eligible Subgroup14
Treatment B - Platinum Eligible Subgroup10
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Treatment A - Platinum Eligible Subgroup13.67Not reported8.2835.55Not reported
Treatment B - Platinum Eligible SubgroupNANot reported5.52NAInsufficient number of events to calculate upper limit number and median
TMB: ≥ 10

Analysis denominator · Participants

GroupSource count
Treatment A - Platinum Eligible Subgroup5
Treatment B - Platinum Eligible Subgroup4
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Treatment A - Platinum Eligible SubgroupNANot reported5.78NAInsufficient number of events to calculate upper limit number and median
Treatment B - Platinum Eligible Subgroup19.32Not reported5.4924.61Not reported
TMB: Not Reported

Analysis denominator · Participants

GroupSource count
Treatment A - Platinum Eligible Subgroup6
Treatment B - Platinum Eligible Subgroup4
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Treatment A - Platinum Eligible SubgroupNANot reported27.04NAInsufficient number of events to calculate upper limit number and median.
Treatment B - Platinum Eligible Subgroup48.49Not reported4.11NAInsufficient number of events to calculate upper limit number.
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        4.14
        upper Limit
        35.55
        value
        10.97
      2. comment
        Insufficient number of events to calculate upper limit number and median
        group Id
        OG001
        lower Limit
        5.52
        upper Limit
        NA
        value
        NA
    denoms
    1. counts
      1. group Id
        OG000
        value
        6
      2. group Id
        OG001
        value
        8
      units
      Participants
    title
    TMB: <7
  2. categories
    1. measurements
      1. comment
        Insufficient number of events to calculate upper limit number.
        group Id
        OG000
        lower Limit
        10.97
        upper Limit
        NA
        value
        24.11
      2. group Id
        OG001
        lower Limit
        5.49
        upper Limit
        24.61
        value
        19.32
    denoms
    1. counts
      1. group Id
        OG000
        value
        13
      2. group Id
        OG001
        value
        6
      units
      Participants
    title
    TMB ≥ 7
  3. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        8.28
        upper Limit
        35.55
        value
        13.67
      2. comment
        Insufficient number of events to calculate upper limit number and median
        group Id
        OG001
        lower Limit
        5.52
        upper Limit
        NA
        value
        NA
    denoms
    1. counts
      1. group Id
        OG000
        value
        14
      2. group Id
        OG001
        value
        10
      units
      Participants
    title
    TMB: <10
  4. categories
    1. measurements
      1. comment
        Insufficient number of events to calculate upper limit number and median
        group Id
        OG000
        lower Limit
        5.78
        upper Limit
        NA
        value
        NA
      2. group Id
        OG001
        lower Limit
        5.49
        upper Limit
        24.61
        value
        19.32
    denoms
    1. counts
      1. group Id
        OG000
        value
        5
      2. group Id
        OG001
        value
        4
      units
      Participants
    title
    TMB: ≥ 10
  5. categories
    1. measurements
      1. comment
        Insufficient number of events to calculate upper limit number and median.
        group Id
        OG000
        lower Limit
        27.04
        upper Limit
        NA
        value
        NA
      2. comment
        Insufficient number of events to calculate upper limit number.
        group Id
        OG001
        lower Limit
        4.11
        upper Limit
        NA
        value
        48.49
    denoms
    1. counts
      1. group Id
        OG000
        value
        6
      2. group Id
        OG001
        value
        4
      units
      Participants
    title
    TMB: Not Reported
denoms
  1. counts
    1. group Id
      OG000
      value
      25
    2. group Id
      OG001
      value
      18
    units
    Participants
description
The time between the date of first confirmed response to the date of the first documented tumor progression, or death due to any cause, whichever occurs first. Tumor Mutational Burden (TMB) refers to the number of nonsynonymous somatic mutations that exist within a tumor's genome as measured by the Foundation One CDx panel at Foundation Medicine. The analysis was done on subjects with baseline tumor mutation burden by a cutoff of 7 mutations/megabase (mut/Mb) and 10 mut/Mb. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progression).
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants with histologically confirmed Squamous Cell Carcinoma of the Head and Neck (SCCHN) who are platinum naive or have recurred 6 months or more after completion of previous platinum-based chemotherapy. Treated with Nivolumab 3 mg/kg Q2W + Ipilimumab 1 mg/kg Q6W
    id
    OG000
    title
    Treatment A - Platinum Eligible Subgroup
  2. description
    Participants with histologically confirmed Squamous Cell Carcinoma of the Head and Neck (SCCHN) who are platinum naive or have recurred 6 months or more after completion of previous platinum-based chemotherapy. Treated with Nivolumab 3 mg/kg Q2W + Ipilimumab-Placebo Q6W
    id
    OG001
    title
    Treatment B - Platinum Eligible Subgroup
param Type
MEDIAN
population Description
All treated participants in the Platinum eligible subgroup with a response
reporting Status
POSTED
time Frame
From randomization to disease progression or death. Approximately 63 Months
title
Duration of Response (DOR) - Platinum Eligible Subgroup Based on Tumor Mutation Burden (TMB) Status
type
SECONDARY
unit Of Measure
Months

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