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2023 World Conference on Lung Cancer (Posters)
P2.06. Association of Clinical Response and HRQoL ...
P2.06. Association of Clinical Response and HRQoL with Long-Term Survival with 1L Nivolumab + Ipilimumab in mNSCLC in CheckMate 227 - PDF(Abstract)
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Pdf Summary
This study presented results from the CheckMate 227 trial, which evaluated the long-term effectiveness and impact on quality of life of the dual immunotherapy combination of nivolumab and ipilimumab in patients with metastatic non-small cell lung cancer (mNSCLC). The analysis included patients regardless of their tumor's programmed death ligand 1 (PD-L1) expression. <br /><br />The study found that patients who had a complete or partial tumor response at 6 months had improved long-term overall survival (OS) when treated with nivolumab plus ipilimumab compared to chemotherapy. Importantly, this OS benefit was not observed in patients with stable or progressive disease. <br /><br />In addition, the study examined the association between health-related quality of life (HRQoL) improvement and OS. Patients who experienced HRQoL improvement at 6 months, as measured by the EQ-5D-3L visual analog scale (VAS) and utility index (UI), had a greater likelihood of achieving an OS benefit with nivolumab plus ipilimumab compared to those without HRQoL improvement. This association was not observed in patients treated with chemotherapy. <br /><br />Furthermore, when HRQoL changes were evaluated over time, an improvement in EQ-5D-3L was associated with OS benefit in both the nivolumab plus ipilimumab and chemotherapy groups. <br /><br />Overall, these findings suggest that patients with a tumor response and HRQoL improvement have improved long-term survival outcomes when treated with nivolumab plus ipilimumab compared to chemotherapy. The study highlights the potential predictive value of tumor response and HRQoL improvement in identifying patients who may benefit from this dual immunotherapy regimen.
Asset Subtitle
Julie Brahmer
Meta Tag
Speaker
Julie Brahmer
Topic
Metastatic NSCLC: Immunotherapy - Prospective
Keywords
CheckMate 227 trial
dual immunotherapy combination
nivolumab
ipilimumab
metastatic non-small cell lung cancer
PD-L1 expression
overall survival
health-related quality of life
EQ-5D-3L
chemotherapy
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