Association between immune-checkpoint inhibitor induced tumor shrinkage and overall survival in advanced melanoma and NSCLC.

Authors

null

Yan Feng

Bristol-Myers Squibb, Princeton, NJ

Yan Feng , Shruti Agrawal , Manish Gupta , Ashok Kumar Gupta , Eric Masson , Amit Roy

Organizations

Bristol-Myers Squibb, Princeton, NJ

Research Funding

No funding sources reported

Background: Immune checkpoint inhibitors enhance immunologic antitumor activity and ongoing studies are exploring the potential of such inhibitors to provide long term (OS) benefits across several cancer types. We describe an exploratory analysis of the association between tumor shrinkage (TS) and OS in patients (pts) with melanoma or NSCLC receiving ipilimumab or nivolumab, immune checkpoint inhibitors that augment T-cell activity by blocking CTLA-4 and programmed death-1 receptors, respectively. Methods: TS and OS associations for ipilimumab in pts with advanced melanoma were assessed using data from 4 phase II studies (CA184-004/007/008/022, n=351). TS and OS associations for nivolumab were assessed in pts with advanced melanoma (n=97) or NSCLC (n=112) using data from cohorts of a phase I study (CA209-003). A nonlinear mixed-effects model was used to describe longitudinal tumor burden data; TS was determined from the model as % decrease from baseline. The relationship between TS and OS was determined by a multivariate Cox proportional-hazards model. Results: Across the pt populations tested, the risk of death decreased with increasing % TS (hazard ratio [HR] coefficients in all 3 models and associated 95% confidence intervals [CIs] <1.0). At 30% TS (corresponding to magnitude of RECIST partial response), the association between TS and OS for pts with melanoma was comparable for ipilimumab or nivolumab treatment (HR [95% CI] of 0.602 [0.543–0.668] and 0.502 [0.381–0.662], respectively, relative to no change in % TS). At 30% TS, the association between TS and OS for NSCLC pts treated with nivolumab was comparable with that seen for melanoma pts (HR [95% CI] of 0.361 [0.252–0.517]). Conclusions: An association was found between the extent of TS and OS across melanoma pts receiving ipilimumab or nivolumab and NSCLC pts receiving nivolumab in this exploratory retrospective analysis. Measuring the extent and timing of TS may have use in predicting potential OS benefits of immune checkpoint inhibitors; however, this observation would need to be prospectively evaluated in data from a well-controlled study. Additional exploratory analyses are ongoing to assess correlates to OS benefit.

Disclaimer

This material on this page is ©2024 American Society of Clinical Oncology, all rights reserved. Licensing available upon request. For more information, please contact licensing@asco.org

Abstract Details

Meeting

2014 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Developmental Therapeutics - Immunotherapy

Track

Developmental Therapeutics

Sub Track

Immunotherapy and Biologic Therapy

Citation

J Clin Oncol 32:5s, 2014 (suppl; abstr 3053)

DOI

10.1200/jco.2014.32.15_suppl.3053

Abstract #

3053

Poster Bd #

120

Abstract Disclosures