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Long-term Outcomes with Nivolumab as First-line Treatment in Recurrent or Metastatic Head and Neck Cancer: Subgroup Analysis of CheckMate 141
Authors:Maura L Gillison  George Blumenschein  Jr  Jerome Fayette  Joel Guigay  A Dimitrios Colevas  Lisa Licitra  Kevin J Harrington  Stefan Kasper  Everett E Vokes  Caroline Even  Francis Worden  Nabil F Saba  Lara Carmen Iglesias Docampo  Robert Haddad  Tamara Rordorf  Naomi Kiyota  Makoto Tahara  Vijayvel Jayaprakash  Li Wei  Robert L Ferris
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.
Keywords:clinical trial   squamous cell carcinoma of head and neck   nivolumab   immunotherapy
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