FDA OKs Opdivo for Previously Untreated Hodgkin Lymphoma
FDA has approved Bristol Myers Squibb’s Opdivo (nivolumab) for use with doxorubicin, vinblastine, and dacarbazine (AVD) for adult and pediatric patients 12 years and older with previously untreated, Stage III or IV classical Hodgkin lymphoma (cHL). The FDA also granted traditional approval to nivolumab for the following indications in adults with relapsed or refractory cHL:
- after autologous hematopoietic stem cell transplantation (HSCT) and brentuximab vedotin
- after three or more lines of systemic therapy that includes autologous HSCT.
Nivolumab received accelerated approval for these indications in 2016 and 2017, respectively.
Approval was based on data of nivolumab in combination with AVD that was evaluated in Study CA209-8UT, according to FDA, adding that the primary efficacy outcome measure was progression-free survival (PFS). “The study demonstrated superiority of PFS in the nivolumab plus AVD arm,” it says. “After a median follow-up of 36.7 months, there were 1.8% deaths in the nivolumab plus AVD arm and 3.4% in the brentuximab vedotin plus AVD arm.”