› Forums › General Melanoma Community › IPI/NIVO combo discussed by Mayo doctor
- This topic has 5 replies, 3 voices, and was last updated 5 years, 1 month ago by ed williams.
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- March 6, 2019 at 2:47 pm
"The combination of nivolumab and ipilimumab appear to have highest rate of efficacy including a best response rate, (6% higher than single agent PD1)"
IMHO 6% better efficacy seems highly understated.
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- March 6, 2019 at 5:48 pm
Key Points:
At 4 years, median overall survival was not reached in the nivolumab-plus-ipilimumab group, 36.9 months in the nivolumab group, and 19.9 months in the ipilimumab group. Median progression-free survival was 11.5 months, 6.9 months, and 2.9 months, respectively.Yep, pretty impressive. The only downside is the incidence of grade 3 and 4 (combined) adverse events increases by about 30 per cent. So, the combo seems to be the way to go if your body can take it.
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- March 6, 2019 at 6:19 pm
Hi Brian, here are two links, first shows 4 year survival and #'s for combination shows 53% survival down from 58% at 3 year mark in second link from New England journal of medicine. Nivo at 4 years survival is at 46% down from 52% at 3 year mark. https://www.businesswire.com/news/home/20181022005105/en/Opdivo-nivolumab-Combination-Yervoy-ipilimumab-Demonstrates-Durable
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- March 6, 2019 at 7:51 pm
So four year survival for combo is 7% better than anti-Pd1 alone. 6% not as understated as I thought. I guess I'm thinking more of the initial trial results. I seem to remember the reported response rates being much greater for the combo than single agent but I could be wrong on that account also. Seems to happen to me a lot these days.
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- March 6, 2019 at 8:59 pm
Brian, the data always comes out in the fall a year behind checkmate 067 trial start time. I started in Jan. 2014 so just passed 5 year mark a month ago. I hope the survival curves have reached a point where they flatten out and stay where they are now. Take Care!!!Ed
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