Indirect comparison of nivolumab ± ipilimumab (CheckMate 032) versus other treatments for recurrent small-cell lung cancer

Author:

Cope Shannon1,Keeping Sam T1,Goldgrub Rachel1,Ayers Dieter1,Jansen Jeroen P2,Penrod John R3,Korytowsky Beata3,Juarez-Garcia Ariadna4,Yuan Yong3

Affiliation:

1. Precision Xtract, Vancouver, BC, V6H 3Y4, Canada

2. Precision Xtract, Oakland, CA 94612, USA

3. Bristol-Myers Squibb, Princeton Pike, Lawrence Township, NJ 08648, USA

4. Bristol-Myers Squibb, Uxbridge, Middlesex, UB8 1DH, UK

Abstract

Aim: To estimate the comparative efficacy of nivolumab ± ipilimumab versus alternative treatments for small-cell lung cancer after at least one prior line of chemotherapy. Materials & m ethods: A systematic literature review identified six randomized controlled trials (RCTs) that could be connected in a network. The Kaplan–Meier survival curves from these RCTs were synthesized using network meta-analysis models. Aggregate-level matching was used to connect CheckMate 032 to the RCTs. Results: CheckMate 032 was connected to the network by Amrubicin Clinical Trial-1. Nivolumab ± ipilimumab had a more durable tumor response and more favorable long-term survival versus topotecan via intravenous and versus amrubicin. Conclusion: Compared with chemotherapies for recurrent small-cell lung cancer, nivolumab ± ipilimumab improves response duration, which may translate to long-term survival benefits.

Publisher

Future Medicine Ltd

Subject

Health Policy

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