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Five-year follow-up results from phase II studies of nivolumab in Japanese patients with previously treated advanced non-small cell lung cancer: pooled analysis of the ONO-4538-05 and ONO-4538-06 studies.


ABSTRACT:

Background

Two phase II studies in Japan examined the efficacy and safety of nivolumab, a programmed cell death 1 receptor inhibitor, in patients with advanced squamous and non-squamous non-small cell lung cancer (ONO-4538-05 and ONO-4538-06). We examined the long-term efficacy and safety of nivolumab in these patients treated for up to 5 years.

Methods

Patients with squamous (N = 35) or non-squamous (N = 76) non-small cell lung cancer received nivolumab (3 mg/kg every 2 weeks) until disease progression/death. Overall survival and progression-free survival were assessed at 5 years after starting treatment in separate and pooled analyses. Safety was evaluated in terms of treatment-related adverse events.

Results

A total of 17 patients were alive at the database lock (26 July 2019). The median overall survival (95% confidence interval) and 5-year survival rate were 16.3 (12.4-25.2) months and 14.3% in squamous patients, 17.1 (13.3-23.0) months and 19.4% in non-squamous patients and 17.1 (14.2-20.6) months and 17.8% in the pooled analysis, respectively. Programmed death ligand-1 expression tended to be greater among 5-year survivors than in non-survivors (P = 0.0703). Overall survival prolonged with increasing programmed death ligand-1 expression, with 5-year survival rates of 11.8, 21.8 and 41.7% in patients with programmed death ligand-1 expression of <1, ?1-<50 and ?50%, respectively. Treatment-related adverse events in ?10% of patients (pooled analysis) included rash (15.3%), malaise (14.4%), decreased appetite (14.4%), pyrexia (14.4%) and nausea (10.8%).

Conclusions

Long-term survival with nivolumab was observed in patients with squamous or non-squamous non-small cell lung cancer. No new safety signals were reported after ?5 years of follow-up.

SUBMITTER: Saka H 

PROVIDER: S-EPMC7767981 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature

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Publications

Five-year follow-up results from phase II studies of nivolumab in Japanese patients with previously treated advanced non-small cell lung cancer: pooled analysis of the ONO-4538-05 and ONO-4538-06 studies.

Saka Hideo H   Nishio Makoto M   Hida Toyoaki T   Nakagawa Kazuhiko K   Sakai Hiroshi H   Nogami Naoyuki N   Atagi Shinji S   Takahashi Toshiaki T   Horinouchi Hidehito H   Takenoyama Mitsuhiro M   Katakami Nobuyuki N   Tanaka Hiroshi H   Takeda Koji K   Satouchi Miyako M   Isobe Hiroshi H   Maemondo Makoto M   Goto Koichi K   Hirashima Tomonori T   Minato Koichi K   Yada Nobumichi N   Tamura Tomohide T  

Japanese journal of clinical oncology 20210101 1


<h4>Background</h4>Two phase II studies in Japan examined the efficacy and safety of nivolumab, a programmed cell death 1 receptor inhibitor, in patients with advanced squamous and non-squamous non-small cell lung cancer (ONO-4538-05 and ONO-4538-06). We examined the long-term efficacy and safety of nivolumab in these patients treated for up to 5 years.<h4>Methods</h4>Patients with squamous (N = 35) or non-squamous (N = 76) non-small cell lung cancer received nivolumab (3 mg/kg every 2 weeks) un  ...[more]

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