Table III.
Enrollment period | Trial phase/Identifier | Patients | Randomization / Dosing regimen(s) | Primary endpoint / Results | Median follow-up | Common severe (grade 3-5) irAEs: |
---|---|---|---|---|---|---|
2012-2014 | Phase 3, CheckMate 037, NCT01721746 | Previously treated, unresectable or metastatic ipilimumab-refractory melanoma; or (if BRAF V600 mutation-positive) ipilimumab + BRAF inhibitor-refractory melanoma, n=631 | Nivolumab 3 mg/kg every 2 weeks, n=272 Chemotherapy (dacarbazine 1000 mg/m2 every 3 weeks or paclitaxel 175 mg/m2 combined with carboplatin area under the curve 6 every 3 weeks), n=133 |
OR: Nivolumab (n=120): 37.1% Chemotherapy (n=47): 10.6% |
8.4 mo. | Nivolumab: 5% Chemotherapy: 9% |
2013-2014 | Checkmate 066, NCT01721772 | Previously untreated melanoma without BRAF mutation, n=418 | Nivolumab 3 mg/kg every 2 weeks and dacarbazinematched placebo every 3 weeks, n=210 Dacarbazine 1000 mg/m^2 BSA every 3 weeks and nivolumabmatched placebo every 2 weeks, n=208 |
1-year-OS: Nivolumab: 72.9% Dacarbazine: 42.1% |
Nivolumab: 8.9 mo. Dacarbazine: 6.8 mo |
Nivolumab: 11.7% Dacarbazine: 17.6% |
2015 | Phase 3, Checkmate 238, NCT02388906 | Completely resected, advanced (stage IIIb, IIIc or IV) melanoma patients, n=906 | Nivolumab 3 mg/kg every 2 weeks, n=453 Ipilimumab, 10 mg/kg every 3 weeks for 4 doses; then every 12 weeks, n=453 |
RFS in overall intention to treat group: Nivolumab: 70.5% Ipilimumab: 60.8% |
18 mo. | Nivolumab: 14.4% Ipilimumab: 45.9% |
Abbreviations: Investigator’s choice of chemotherapy (ICC); body surface area (BSA)