Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 261.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 261.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 261.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 261.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 261.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\28232599
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Oncologist
2017 ; 22
(3
): 311-317
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
FDA Approval Summary: Nivolumab in Advanced Renal Cell Carcinoma After
Anti-Angiogenic Therapy and Exploratory Predictive Biomarker Analysis
#MMPMID28232599
Xu JX
; Maher VE
; Zhang L
; Tang S
; Sridhara R
; Ibrahim A
; Kim G
; Pazdur R
Oncologist
2017[Mar]; 22
(3
): 311-317
PMID28232599
show ga
On November 23, 2015, the U.S. Food and Drug Administration approved nivolumab
(OPDIVO, Bristol-Myers Squibb Company) for patients with advanced renal cell
carcinoma (RCC) who have received prior anti-angiogenic therapy. The approval was
based on efficacy and safety data demonstrated in an open-label, randomized study
of 821 patients with advanced RCC who progressed after at least one
anti-angiogenic therapy. Patients were randomized to nivolumab or everolimus and
followed for disease progression. The primary end point was overall survival.
Subsequent therapies, including everolimus for patients who developed progressive
disease on the nivolumab arm, were allowed, but no cross-over was permitted. The
median overall survival was 25.0 months on the nivolumab arm and 19.6 months on
everolimus arm (hazard ratio: 0.73; 95% confidence interval: 0.60-0.89). The
confirmed response rates were 21.5% versus 3.9%; median durations of response
were 23.0 versus 13.7 months, and median times to response were 3.0 versus 3.7
months in the nivolumab and everolimus arms, respectively. A statistically
significant improvement in progression-free survival was not observed in this
trial. The safety profile of nivolumab in renal cell cancer was similar to that
in other disease settings. However, the incidence of immune-mediated nephritis
appeared to be higher in patients with RCC. The Oncologist 2017;22:311-317
IMPLICATIONS FOR PRACTICE: The overall benefit/risk profile demonstrated in trial
CA209025 supported the approval of nivolumab as an additional treatment option
for patients with advanced renal cell carcinoma after anti-angiogenic therapy.
The use of nivolumab in patients who had received vascular endothelial growth
factor-targeted therapy resulted in a 5.4 month improvement in median overall
survival compared with the everolimus arm. This difference is statistically
significant and clinically meaningful.