Long-term Outcomes with Nivolumab as First-line Treatment in Recurrent or Metastatic Head and Neck Cancer: Subgroup Analysis of CheckMate 141

Author:

Gillison Maura L1,Blumenschein George1,Fayette Jerome2,Guigay Joel3,Colevas A Dimitrios4,Licitra Lisa5,Harrington Kevin J6,Kasper Stefan7,Vokes Everett E8,Even Caroline9,Worden Francis10,Saba Nabil F11,Iglesias Docampo Lara Carmen12,Haddad Robert13,Rordorf Tamara14,Kiyota Naomi15,Tahara Makoto16ORCID,Jayaprakash Vijayvel17,Wei Li17,Ferris Robert L18

Affiliation:

1. Department of Thoracic-Head & Neck Med Onc, Division of Cancer Medicine, MD Anderson Cancer Center, Houston, TX, USA

2. Radiation Oncology Department, Centre Leon Berard, Lyon, France

3. Department of Medical Oncology, Centre Antoine Lacassagne, FHU OncoAge, Université Côte d’Azur, Nice, France

4. Department of Medicine - Med/Oncology, Stanford University, Stanford, CA, USA

5. Medical Oncology Head and Neck Cancer Department, Fondazione IRCCS Istituto Nazionale dei Tumori and University of Milan, Milan, Italy

6. Division of Radiotherapy and Imaging, Royal Marsden NHS Foundation Trust/The Institute of Cancer Research, National Institute of Health Research Biomedical Research Centre, London, UK

7. Department of Medical Oncology, West German Cancer Center, University Hospital, Essen, Germany

8. Department of Medicine, University of Chicago Medicine and Biological Sciences, Chicago, IL, USA

9. Head and Neck Medical Oncology, Gustave Roussy, Villejuif Cedex, France

10. Department of Medical Oncology, University of Michigan, Ann Arbor, MI, USA

11. Department of Hematology and Medical Oncology, Winship Cancer Institute of Emory University, Atlanta, GA, USA

12. Department of Medical Oncology, Hospital Universitario 12 de Octubre, Madrid, Spain

13. Division of Head and Neck Oncology, Dana-Farber/Harvard Cancer Center, Boston, MA, USA

14. Clinic for Medical Oncology and Hematology, Universitätsspital Zurich, Zurich, Switzerland

15. Department of Medical Oncology and Hematology, Kobe University Hospital Cancer Center, Kobe, Japan

16. Department of Head and Neck Medical Oncology, National Cancer Center Hospital East, Kashiwa, Japan

17. Bristol Myers Squibb, Princeton, NJ, USA

18. Department of Otolaryngology, of Immunology, and of Radiation Oncology, University of Pittsburgh Medical Center Hillman Cancer Center, Pittsburgh, PA, USA

Abstract

Abstract 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.

Publisher

Oxford University Press (OUP)

Subject

Cancer Research,Oncology

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