Opdivo Approved in First-Line Bladder Cancer
FDA has approved Bristol Myers Squibb’s Opdivo (nivolumab) for combination use with cisplatin and gemcitabine for first-line treatment of adult patients with unresectable or metastatic urothelial carcinoma (UC) (bladder cancer). The approval is based on data from the Phase 3 CheckMate-901 trial which evaluated Opdivo in combination with cisplatin and gemcitabine followed by Opdivo monotherapy compared to cisplatin-gemcitabine alone in patients with previously untreated unresectable or metastatic UC, according to the company. The primary efficacy endpoints were overall survival (OS) and progression-free survival (PFS).
In the trial, the combination Opdivo regimen “reduced the risk of death by 22%, demonstrating a median OS of 21.7 months versus 18.9 months with cisplatin-gemcitabine alone,” Bristol Myers says. “Patients receiving Opdivo in combination with cisplatin and gemcitabine had their risk of disease progression or death reduced by 28%, with a median PFS of 7.9 months compared to 7.6 months with cisplatin-gemcitabine alone.” Additionally, the complete response rate and partial response rate seen in patients treated with the Opdivo combination were significantly better than those given cisplatin and gemcitabine alone, it adds.
Previously, Opdivo was approved for the adjuvant treatment of adult patients with UC who are at high risk of recurrence after undergoing radical resection of UC. It is also approved for treating adult patients with locally advanced or metastatic UC who have had disease progression during or following platinum-containing chemotherapy or have disease progression within 12 months of neoadjuvant or adjuvant treatment with platinum-containing chemotherapy.