BMS Reports Positive Data in CheckMate-227 Study
Bristol-Myers Squibb (BMS) says that its ongoing Phase 3 CheckMate-227 study met its co-primary endpoint of progression-free survival (PFS) with the Opdivo (nivolumab) plus Yervoy (ipilimumab) combination versus chemotherapy in first-line advanced non-small cell lung cancer (NSCLC) patients whose tumors have high tumor mutation burden (TMB), regardless of PD-L1 expression. PD-L1 is an immunoinhibitory molecule that suppresses the activation of T cells, leading to the progression of tumors. “Additionally, based on an interim analysis for overall survival (OS), the data monitoring committee recommended that the study continue,” it says. The safety profile was consistent with previously reported findings in first-line NSCLC for the combination.
BMS notes that TMB has become an important biomarker for immunotherapy activity. “Over time, cancer cells accumulate mutations that are not seen in normal cells of the body,” it says. The quantitative biomarker reflects the total number of mutations carried by tumor cells. “Tumor cells with high TMB have higher levels of neoantigens, which are thought to help the immune system recognize tumors and incite an increase in cancer-fighting T cells and an anti-tumor response,” the company says.
Opdivo is a programmed death-1 immune checkpoint inhibitor that is designed to harness the body’s own immune system to help restore anti-tumor immune response. It is FDA-approved for treating metastatic melanoma, NSCLC with progression on or after platinum-based chemotherapy, advanced renal cell carcinoma, classical Hodgkin lymphoma, and recurrent or metastatic squamous cell carcinoma of the head and neck, among other indications.