Long-term Outcomes with Nivolumab as First-line Treatment in Recurrent or Metastatic Head and Neck Cancer: Subgroup Analysis of CheckMate 141
Author(s) -
Maura L. Gillison,
George R. Blumenschein,
Jérôme Fayette,
J. Guigay,
A. Dimitrios Colevas,
Lisa Licitra,
Kevin J. Harrington,
Stefan Kasper,
Everett E. Vokes,
Caroline Even,
Francis P. Worden,
Nabil F. Saba,
Lara Carmen Iglesias Docampo,
Robert I. Haddad,
Tamara Rordorf,
Naomi Kiyota,
Makoto Tahara,
Vijayvel Jayaprakash,
Wei Li,
Robert L. Ferris
Publication year - 2022
Publication title -
the oncologist
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.176
H-Index - 164
eISSN - 1549-490X
pISSN - 1083-7159
DOI - 10.1093/oncolo/oyab036
Subject(s) - nivolumab , medicine , hazard ratio , oncology , head and neck cancer , adjuvant , subgroup analysis , confidence interval , randomized controlled trial , cancer , immunotherapy
In the randomized, phase 3 CheckMate 141 trial, nivolumab significantly improved overall survival (OS) versus investigator’s choice (IC) of chemotherapy at primary analysis among 361 patients with recurrent or metastatic squamous cell carcinoma of the head and neck (R/M SCCHN) post-platinum therapy. Nivolumab versus IC as first-line treatment also improved OS among patients with R/M SCCHN who progressed on platinum therapy for locally advanced disease in the adjuvant or primary setting at 1-year follow-up. In the present long-term follow-up analysis of patients receiving first-line treatment, OS benefit with nivolumab (n = 50) versus IC (n = 26) was maintained (median: 7.7 months versus 3.3 months; hazard ratio: 0.56; 95% confidence interval, 0.34-0.94) at 2 years. No new safety signals were identified. In summary, this long-term 2-year analysis of CheckMate 141 supports the use of nivolumab as a first-line treatment for patients with platinum-refractory R/M SCCHN.
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