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NCT02899299 · OUTCOME

Progression Free Survival (PFS) According to PD-L1 Expression Level

Study of Nivolumab Combined With Ipilimumab Versus Pemetrexed and Cisplatin or Carboplatin as First Line Therapy in Unresectable Pleural Mesothelioma Patients · Source last updated 2024-05-21

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 date to the date of first documented tumor progression or death due to any cause, whichever occurs first. (up to 76 months)

What was measured

PD-L1 Expression is defined as the percent of tumor cells membrane staining in a minimum of 100 evaluable tumor cells per validated Dako PD-L1 immunohistochemistry (IHC) assay. This is referred to as quantifiable PD-L1 expression and efficacy is determined by progression free survival (PFS) analysis. PFS is defined as the time between the date of randomization and the date of first documented tumor progression per Blinded Independent Central Review (BICR) assessments (using adapted m-RECIST and RECIST 1.1), or death due to any cause, whichever occurs first. Participants who received subsequent anticancer therapy prior to documented progression were censored at the date of the last evaluable tumor assessment conducted on or prior to the date of initiation of the subsequent anticancer therapy. Progressive disease (PD)=At least a 20% increase in the sum of the Total Tumor Measurement.

Analysis population: All PD-L1 evaluable participants with baseline expression \<1% or ≥1%

Groups in this outcome

Treatment A

Nivolumab 3 mg/kg IV Q2W + Ipilimumab 1 mg/kg IV Q6W

Treatment B

Pemetrexed 500 mg/m\^2 + Cisplatin 75 mg/m\^2 or Carboplatin 5 AUC up to 6 cycles

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 A289
Treatment B297

Reported measurements

<1% PD-L1

Analysis denominator · Participants

GroupSource count
Treatment A57
Treatment B78
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Treatment A4.1Not reported2.75.6Not reported
Treatment B8.3Not reported7.011.1Not reported
≥1% PD-L1

Analysis denominator · Participants

GroupSource count
Treatment A232
Treatment B219
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Treatment A7.0Not reported5.88.5Not reported
Treatment B7.1Not reported6.27.6Not reported

Source statistical analyses

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

  1. ci Lower Limit
    1.22
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.63
    group Description
    \< 1% PD-L1
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Treatment A vs Treatment B
    non Inferiority Type
    SUPERIORITY
    param Type
    Hazard Ratio (HR)
    param Value
    1.79
  2. ci Lower Limit
    0.61
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.96
    group Description
    ≥1% PD-L1
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Treatment A vs Treatment B
    non Inferiority Type
    SUPERIORITY
    param Type
    Hazard Ratio (HR)
    param Value
    0.77
Complete source fields
analyses
  1. ci Lower Limit
    1.22
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.63
    group Description
    \< 1% PD-L1
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Treatment A vs Treatment B
    non Inferiority Type
    SUPERIORITY
    param Type
    Hazard Ratio (HR)
    param Value
    1.79
  2. ci Lower Limit
    0.61
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.96
    group Description
    ≥1% PD-L1
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Treatment A vs Treatment B
    non Inferiority Type
    SUPERIORITY
    param Type
    Hazard Ratio (HR)
    param Value
    0.77
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        2.7
        upper Limit
        5.6
        value
        4.1
      2. group Id
        OG001
        lower Limit
        7.0
        upper Limit
        11.1
        value
        8.3
    denoms
    1. counts
      1. group Id
        OG000
        value
        57
      2. group Id
        OG001
        value
        78
      units
      Participants
    title
    <1% PD-L1
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        5.8
        upper Limit
        8.5
        value
        7.0
      2. group Id
        OG001
        lower Limit
        6.2
        upper Limit
        7.6
        value
        7.1
    denoms
    1. counts
      1. group Id
        OG000
        value
        232
      2. group Id
        OG001
        value
        219
      units
      Participants
    title
    ≥1% PD-L1
denoms
  1. counts
    1. group Id
      OG000
      value
      289
    2. group Id
      OG001
      value
      297
    units
    Participants
description
PD-L1 Expression is defined as the percent of tumor cells membrane staining in a minimum of 100 evaluable tumor cells per validated Dako PD-L1 immunohistochemistry (IHC) assay. This is referred to as quantifiable PD-L1 expression and efficacy is determined by progression free survival (PFS) analysis. PFS is defined as the time between the date of randomization and the date of first documented tumor progression per Blinded Independent Central Review (BICR) assessments (using adapted m-RECIST and RECIST 1.1), or death due to any cause, whichever occurs first. Participants who received subsequent anticancer therapy prior to documented progression were censored at the date of the last evaluable tumor assessment conducted on or prior to the date of initiation of the subsequent anticancer therapy. Progressive disease (PD)=At least a 20% increase in the sum of the Total Tumor Measurement.
dispersion Type
95% Confidence Interval
groups
  1. description
    Nivolumab 3 mg/kg IV Q2W + Ipilimumab 1 mg/kg IV Q6W
    id
    OG000
    title
    Treatment A
  2. description
    Pemetrexed 500 mg/m\^2 + Cisplatin 75 mg/m\^2 or Carboplatin 5 AUC up to 6 cycles
    id
    OG001
    title
    Treatment B
param Type
MEDIAN
population Description
All PD-L1 evaluable participants with baseline expression \<1% or ≥1%
reporting Status
POSTED
time Frame
From randomization date to the date of first documented tumor progression or death due to any cause, whichever occurs first. (up to 76 months)
title
Progression Free Survival (PFS) According to PD-L1 Expression Level
type
SECONDARY
unit Of Measure
Months

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Preserved source evidence · Not medical advice