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A

4

Indication details

Control Arm
Ipilimumab
FDA Therapeutic Indication
Monotherapy for the treatment of advanced melanoma in adults and adolescents 12 years of age and older*
Tumour Type
Skin Cancers
Tumour Sub-type
Cutaneous Melanoma
Tumour Stage
Advanced unresectable or metastatic
Trial Name
CheckMate 067
NCT Number
NCT01844505
Trial Phase
Phase III

Approval details

EMA Approval
EMA (CHMP) April 2015 EC decision June 2015

Primary Outcome(s)

Primary Outcome(s)
PFS, OS
Evaluated Outcome
OS
Form(s)
Form 2a / Form 1

Outcome Data

OS Control
19.9 months 10-year OS: 19%
OS Gain
17.0 months 10-year OS gain: 18% (with plateau)
OS HR
0.63 (0.52-0.76)

Adjustments

QoL Comment
No QoL benefit

Score (after adjustments)

Preliminary non-curative score

4

Non-curative score

4

Curative score

A

Comment
* Relative to nivolumab monotherapy, an increase in progression‑free survival (PFS) and overall survival (OS) for the combination of nivolumab with ipilimumab is established only in patients with low tumour PD‑L1 expression.

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
78
Scorecard version
1
Issue date
11.12.2018
Last update
20.11.2024
Nivolumab CheckMate 067

PRELIMINARY SCORE

OS

ADJUSTMENTS

No QoL benefit
Long term plateau in the survival curve
Nivolumab CheckMate 067

SCORE

A

Overall Survival / Disease-Free Survival / Pathological Complete Response
4
Overall Survival
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
Overall Response Rate / Duration of Response
Skin Cancers
Monotherapy for the treatment of advanced melanoma in adults and adolescents 12 years of age and older*
Nivolumab
Ipilimumab

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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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