BMS Reports Opdivo Trial Misses Primary Endpoint
Bristol-Myers Squibb (BMS) has reported disappointing data from its CheckMate-026, a trial investigating the use of Opdivo (nivolumab) as monotherapy in advanced non-small cell lung cancer (NSCLC). The trial did not meet its primary endpoint of progression-free survival in patients with previously untreated advanced NSCLC whose tumors expressed PD-L1 at ≥ 5%, the company says.
“While we are disappointed CheckMate-026 did not meet its primary endpoint in this broad patient population,” BMS says, “we remain committed to improving patient outcomes through our comprehensive development program, including the ongoing Phase 3 CheckMate-227 study exploring the potential of the combination of Opdivo plus Yervoy for PD-L1 positive patients, and Opdivo plus Yervoy, or Opdivo plus chemotherapy in PD-L1 negative patients.”
In CheckMate-026, the trial randomized 541 patients to receive either Opdivo 3 mg/kg intravenously every two weeks or investigator’s choice chemotherapy in squamous patients (gemcitabine with cisplatin/gemcitabine with carboplatin/paclitaxel with carboplatin) and non-squamous patients (pemetrexed with cisplatin/pemetrexed with carboplatin) until disease progression, unacceptable toxicity, or completing six cycles.
Opdivo was approved 11/2015 for use in previously untreated patients with BRAF V600 wild-type unresectable or metastatic melanoma. It has since obtained expanded indications, including treating metastatic non-small cell lung cancer with progression on or after platinum-based chemotherapy, advanced renal cell carcinoma who have received prior anti-angiogenic therapy, and Hodgkin lymphoma that has relapsed or progressed after autologous hematopoietic stem cell transplantation and post- transplantation brentuximab vedotin.