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. 2021 May 7;39(1):181–199. doi: 10.1007/s10585-021-10099-7

Table 2.

Results of randomized phase III clinical trials in adjuvant setting for nodal-metastatic melanoma

Study No. pts Treatment Primary endpoint RFS OS Gr ≥3
Adverse events

Eggermont, et al.

[4446],

NCT00636168

(EORTC 18071)

951 Ipilimumab (Ipi) vs placebo RFS

HR 0.76 (95% CI 0.64–0.89); p < 0.001

Medium:

Ipi

26 mo.;

Placebo

17 mo

HR 0.72 (95.1% CI 0.58–0.88); p = 0.001

OS rate at 5 yr.:

Ipi

65.4%;

Placebo

54.5%

Ipi

54%;

Placebo

26%

Tarhini, et al.

[48],

NCT01274338

(E1609)

1670 High-dose Ipi vs Low-dose Ipi vs High-dose IFN-α

OS;

RFS

Low-dose Ipi vs

High-dose IFN-α

HR 0.85 (99.4% CI 0.66–1.09); p = 0.065

High-dose Ipil vs High-dose IFN-α

HR 0.84 (99.4% CI 0.65–1.09); p, NS

Low-dose Ipi vs

High-dose IFN-α

HR 0.78 (95.6% CI 0.61–0.99); p = 0.044

High-dose Ipi vs High-dose IFN-α

HR 0.88 (95.6% CI 0.69–1.12); p, NS

Low-dose Ipi

37%;

High-dose Ipi

58%;

High-dose

IFN-α

79%

Eggermon, et al.

[51, 52],

EORTC 1325

(KEYNOTE-054)

1019 Pembrolizumab (Pembro) vs placebo RFS

HR 0.57 (98.4% CI 0.43–0.74); p < 0.001

RFS rate at 12 mo.:

Pembro

75%;

Placebo

61%

n/a

Pembro

15%;

Placebo

3%

Weber, et al.

[53],

NCT02388906

(CheckMate-238)

906 Nivolumab (Nivo) vs Ipilimumab RFS

HR 0.65 (97.56% CI 0.51–0.83); p < 0.001

RFS rate at 12 mo.:

Nivo

71%;

Ipi

61%

n/a

Nivo

14%;

Ipi

46%

Long, et al.

[35, 56],

NCT01682083

(COMBI-AD)

870 Dabrafenib + Trametinib (Dab + Tram) vs placebo

RFS;

OS

HR 0.47 (95% CI 0.39–0.58), p < 0.001

RFS rate at 3 yr.:

Dab + Tram

58%;

Placebo

39%

HR 0.57 (95% CI 0.42–0.79), p = 0.0006

OS rate at 3 yr.:

Dab + Tram

86%;

Placebo

77%

Dab + Tram

36%;

Placebo

10%

Maio, et al.

[61],

NCT01667419

(BRIM8)

498 Vemurafenib (Vem) vs placebo DFS

HR 0.80 (95% CI 0.54–1.18); p = 0.26

Median (cohort 2):

Vem

23 mo.;

Placebo

15 mo

n/a

Vem

57%;

Placebo

15%

No. Pts number of patients, OS overall Survival, RFS recurrence-free survival, DFS disease-free survival, mo months, yr years, HR hazard ratio, CI confidence interval, p p-value, n/a not available