Table 5.
Treatment characteristics of treated patients following index nivolumab discontinuation according to their retreatment type.
| CT and/or TKI (n = 1,604) |
Rechallenge (n = 110) |
Resumption (n = 102) |
Switch (n = 14) |
|
|---|---|---|---|---|
| Median follow-up from index nivolumab initiation, months (range) | 11.4 (1.0–73.4) | 31.9 (7.6–70.4) | 29.9 (5.1–73.9) | 24.8 (4.4–63.4) |
| Duration of first LoT for LAM NSCLC, months, median (Q1–Q3) | 3.3 (2.1–5.6) | 3.3 (2.2–5.9) | 3.6 (2.0–5.3) | 4.6 (3.5–8.0) |
| ICI as 1L therapy for LAM NSCLC, n (%) | 8 (0.5) | 0 (0.0) | 1 (1.0) | 0 (0.0) |
| LoT of first nivolumab treatment received, n (%) | ||||
| 2L | 948 (59.1) | 72 (65.5) | 58 (56.9) | 7 (50.0) |
| 3L | 433 (27.0) | 23 (20.9) | 27 (26.5) | 5 (35.7) |
| ≥4L | 223 (13.9) | 15 (13.6) | 17 (16.7) | 2 (14.3) |
| Initial nivolumab treatment duration, months, median (Q1–Q3) | 2.5 (1.4–5.1) | 5.4 (2.7–10.6) | 6.9 (3.0–18.2) | 7.0 (6.0–16.1) |
| Reason for discontinuation, n (%) | ||||
| Progression | 1,350 (84.2) | 86 (78.2) | 25 (24.5) | 11 (78.6) |
| Toxicity | 101 (6.3) | 8 (7.3) | 23 (22.5) | – |
| Patient’s choice | 3 (0.2) | – | 7 (6.9) | – |
| Doctor’s choice/protocol-driven choice | 156 (9.7) | 10 (9.1) | 43 (42.2) | 2 (14.3) |
| Other | 53 (3.3) | 7 (6.4) | 16 (15.7) | 1 (7.1) |
| Median time from nivolumab discontinuation to retreatment with ICI, months (IQR) | NA | 11.5 (7.0–19.5) | 5.6 (3.1–10.3) | 1.0 (0.9–1.1) |
| Median ICI retreatment duration, months (IQR) | NA | 2.1 (1.1–5.2) | 3.3 (1.4–6.5) | 3.7 (1.7–5.6) |
Follow-up was calculated as follows: (date of last medical information-index date)/30.4375. This is a time interval calculation; no censoring rule was applied.
1L, first line; 2L, second line; 2L+, second line or later; 3L, third line; ≥4L, fourth line or later; CT, chemotherapy; ICI, immune checkpoint inhibitor; IQR, interquartile range; LAM, locally advanced or metastatic; LoT, line of therapy; NA, not available; NSCLC, non-small cell lung cancer; Q, quartile; TKI, tyrosine kinase inhibitor.