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2

Indication details

Combined Agent(s)
Cisplatin-based ChT (Gemcitabine+Cisplatin)
Control Arm
Standard of care chemotherapy (Gemcitabine+Cisplatin)
FDA Therapeutic Indication
Nivolumab in combination with cisplatin-based chemotherapy in the first-line setting for the treatment of patients with unresectable or metastatic urothelial carcinoma
Tumour Type
Genitourinary Cancers
Tumour Sub-type
Urothelial Carcinoma
Tumour Stage
Unresectable or metastatic
Trial Name
CHECKMATE-901
NCT Number
NCT03036098
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval March 2024
EMA Approval
EMA (CHMP) April 2024. Pending EC decision (recommendations on extensions)

Primary Outcome(s)

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

Outcome Data

PFS Control
7.6 months
PFS Gain
0.3 months
PFS HR
0.72 (0.59-0.88)
OS Control
18.9 months
OS Gain
2.8 months
OS HR
0.78 (0.63-0.96)

Adjustments

QoL Comment
No QoL benefit

Score (after adjustments)

Preliminary non-curative score

2

Non-curative score

2

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
416
Scorecard version
1
Issue date
16.01.2024
Last update
29.04.2024
Nivolumab CHECKMATE-901

PRELIMINARY SCORE

OS

ADJUSTMENTS

No QoL benefit
Nivolumab CHECKMATE-901

SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
2
Overall Survival
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
Overall Response Rate / Duration of Response
Genitourinary Cancers
Nivolumab in combination with cisplatin-based chemotherapy in the first-line setting for the treatment of patients with unresectable or metastatic urothelial carcinoma
Nivolumab + Cisplatin-based ChT (Gemcitabine+Cisplatin)
Standard of care chemotherapy (Gemcitabine+Cisplatin)

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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