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5

Indication details

Control Arm
Investigator choice (methotrexate or cetuximab or docetaxel)
FDA Therapeutic Indication
As monotherapy is indicated for the treatment of recurrent or metastatic squamous cell cancer of the head and neck in adults progressing on or after platinum based therapy
Tumour Type
Head and neck cancer
Tumour Sub-type
Squamous cell
Tumour Stage
Recurrent or metastatic
Trial Name
CheckMate141
NCT Number
NCT02105636
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval November 2016
EMA Approval
EMA (March 2017) EC decision May 2017

Primary Outcome(s)

Primary Outcome(s)
OS
Evaluated Outcome
OS
Form(s)
Form 2a

Outcome Data

OS Control
5.1 months 2-year OS: 6.0%
OS Gain
2.6 months 2-year OS gain: 10.9%
OS HR
0.68 (0.54-0.86)

Adjustments

QoL Comment
QoL evaluated as exploratory end point (as distinct from primary or secondary) is not eligible for ESMO-MCBS grading
Toxicity Comment
Reduced toxicity

Score (after adjustments)

Preliminary non-curative score

4

Toxicity adjustment
1+
Non-curative score

5

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
189
Scorecard version
1
Issue date
15.07.2020
Last update
07.08.2023
Nivolumab CheckMate141

PRELIMINARY SCORE

OS

ADJUSTMENTS

Less serious adverse events observed
Nivolumab CheckMate141

SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
5
Overall Survival
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
Overall Response Rate / Duration of Response
Head and neck cancer
As monotherapy is indicated for the treatment of recurrent or metastatic squamous cell cancer of the head and neck in adults progressing on or after platinum based therapy
Nivolumab
Investigator choice (methotrexate or cetuximab or docetaxel)

My watchlist

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    Legend

    Information about symbols, abbrevations and color codes

    Red = negative
    Green = positive
    Grey = neutral
    ? Grey + ? = neutral with pending data
    DFS
    Disease-Free Survival
    DoR
    Duration of Response
    EFS
    Event-Free Survival
    HR
    Hazard Ratio
    NEB
    No evaluable benefit
    NI
    Non-inferiority Study
    ORR
    Overall Response Rate
    OS
    Overall Surival
    pCR
    Pathological Complete Response/Remission
    PFS
    Progression-Free Survival
    QoL
    Quality of Life
    RFS
    Relapse-Free Survival
    RR
    Response Rate

    QoL adjustments

    Other adjustments*

    Serious and disabling adverse effects

    Red = negative / deterioration

    Green = positive / improvement

    QoL adjustments

    Red = negative / deterioration

    Green = positive / improvement

    Other adjustments*

    Red = negative / deterioration

    Green = positive / improvement

    Serious and disabling adverse effects

    Red = negative / deterioration

    Green = positive / improvement

    * Other adjustments include:

    - Long-term plateau in the survival curve
    - Long-term plateau in the PFS curve
    - Early stopping or crossover
    - Only improved PFS mature data shows no OS advantage and no improved Qol.

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