Try our mobile app

Bristol Myers Squibb Presents New Research at ASCO and EHA 2021 Featuring Novel Approaches and Demonstrating Significant Progress to Improve Survival in Cancer and Blood Disorders

Published: 2021-05-12 15:43:00 ET
<<<  go to BMY company page

First Phase 3 data from the RELATIVITY-047 trial highlight clinical benefit of LAG-3 blocking antibody relatlimab – the company’s third distinct checkpoint inhibitor – in combination with nivolumab for patients with previously untreated unresectable or metastatic melanoma

First disclosure of results from CheckMate -648 demonstrate Opdivo (nivolumab) plus Yervoy (ipilimumab) and Opdivo plus chemotherapy’s potential to address unmet needs in advanced esophageal squamous cell carcinoma

Long-term data in non-small cell lung cancer and metastatic melanoma continue to show durable survival benefits with Opdivo plus Yervoy-based combinations

New long-term results from KarMMa study of Abecma (idecabtagene vicleucel) and combination data from an early phase study of novel CELMoD agent iberdomide underscore potential of new therapeutic approaches for patients with multiple myeloma

First disclosure of results from Phase 2 BEYOND study evaluating Reblozyl (luspatercept) plus best supportive care demonstrate first-in-class erythroid maturation agent’s potential in adults with non-transfusion-dependent beta (β)-thalassemia

PRINCETON, N.J.--(BUSINESS WIRE)-- Bristol Myers Squibb (NYSE: BMY) today announced the presentation of research demonstrating the potential of its medicines to deliver long-term survival, improve outcomes and address areas of high unmet need across cancers and blood disorders at the 2021 American Society of Clinical Oncology (ASCO) Virtual Annual Meeting, June 4-8, and the European Hematology Association (EHA) 2021 Virtual Congress, June 9-17. Data from more than 75 company-sponsored studies, investigator-sponsored studies and collaborations evaluating compounds across 18 cancer types and blood disorders will be featured at the two meetings, including two abstracts (Abstract #9503 and #LBA4001) selected for the official ASCO press program and one (Abstract #S101) for the EHA presidential symposium.

“Our breadth of data at this year’s ASCO and EHA meetings highlights our diverse pipeline, with numerous approaches aimed at addressing the underlying biology of cancer and blood disorders,” said Samit Hirawat, M.D., executive vice president, chief medical officer, Global Drug Development, Bristol Myers Squibb. “Through our comprehensive research programs, we’re exploring how immunotherapy combinations may improve survival outcomes for patients with cancer, leading significant advances in cell therapy and erythroid maturation and building on decades of experience in protein degradation to evaluate more potent agents. As we make progress in developing new therapies, we recognize that the needs of patients extend beyond treatment, and we are committed to supporting all aspects of care for all patients. In collaboration with the community, we're working to improve survivorship support and to advance health equity in a time when disparities in care have become an even more pressing issue."

Key data being presented by Bristol Myers Squibb at ASCO and EHA 2021 include:

Solid Tumor

  • First presentation of results from the RELATIVITY-047 trial evaluating the LAG-3 blocking antibody relatlimab, the company’s third distinct checkpoint inhibitor and latest innovation, demonstrating clinical benefit for patients in a fixed-dose combination with nivolumab. These data are part of the official ASCO press program on May 14, 2021.
  • Longest-ever survival data of the Opdivo (nivolumab) plus Yervoy (ipilimumab) combination from CheckMate -067, demonstrating durable survival benefits over 6.5 years in patients with advanced or metastatic melanoma.
  • First disclosure of data from CheckMate -648 showcasing survival benefits of Opdivo plus chemotherapy and Opdivo plus Yervoy, as well as expanded efficacy and safety data from CheckMate -649, with both trials supporting Opdivo’s demonstrated superior first-line efficacy for patients with upper gastrointestinal cancers with high unmet needs. The CheckMate -648 data are part of the official ASCO press program on May 28, 2021.
  • Expanded efficacy and safety results from CheckMate -577, the first and only trial to demonstrate superior efficacy of Opdivo monotherapy in the adjuvant setting in patients with esophageal or gastroesophageal junction cancer.
  • Two- and four-year data from the CheckMate -9LA and CheckMate -227 trials, reinforcing the role of Opdivo plus Yervoy-based combinations in improving long-term survival for patients with non-small cell lung cancer (NSCLC) in the first-line setting.
  • Surgical outcomes data from the CheckMate -816 trial that show the potential of neoadjuvant treatment with Opdivo plus chemotherapy to increase pathological response without negatively impacting surgery for patients with earlier-stage NSCLC.

Hematology

  • Longer-term efficacy and safety results presented in collaboration with bluebird bio from the pivotal KarMMa study of Abecma (idecabtagene vicleucel), the first BCMA-directed CAR T cell therapy, in patients with relapsed or refractory multiple myeloma, reinforcing the company’s commitment to advancing cell therapies.
  • First data disclosure from Phase 2 BEYOND study of Reblozyl (luspatercept), a first-in-class erythroid maturation agent, plus best supportive care, demonstrating its clinical benefit and potential in patients with non-transfusion-dependent beta (β)-thalassemia. These data are part of the official EHA press briefing and presidential symposium on June 11, 2021.
  • New combination data from the Phase 1/2 MM-001 study of iberdomide, highlighting the potential of CELMoD® compounds in patients with relapsed and refractory multiple myeloma and underscoring the company’s foundation in protein degradation research.
  • Overall survival and progression-free survival analyses for Inrebic (fedratinib), the first treatment approved in Europe for myelofibrosis in nearly a decade, from the JAKARTA and JAKARTA-2 studies in patients with newly diagnosed and previously treated myelofibrosis.
  • New analyses from QUAZAR AML-001 confirming survival benefits of Onureg (azacitidine tablets; CC-486) across different disease subtypes and baseline characteristics in patients with acute myeloid leukemia in the maintenance treatment setting.

Summary of Presentations

Select Bristol Myers Squibb studies at the 2021 ASCO Virtual Annual Meeting include:

Abstract Title

Author

Presentation Type/#

Session Title

Session Date/Time

Acute Myeloid Leukemia

Prognostic factors of overall (OS) and relapse-free survival (RFS) for patients with acute myeloid leukemia (AML) in remission after intensive chemotherapy (IC): Multivariate analyses from the QUAZAR AML-001 trial of oral azacytidine (Oral-AZA)

Gail J. Roboz

Poster Discussion Abstract # 7014

Hematologic Malignancies—Leukemia, Myelodysplastic Syndromes, and Allotransplant

Friday, June 4, 2021: 9:00 AM EDT

Gastrointestinal

Nivolumab (NIVO) plus ipilimumab (IPI) or NIVO plus chemotherapy (chemo) versus chemo as first-line (1L) treatment for advanced esophageal squamous cell carcinoma (ESCC): First results of the CheckMate 648 study

 

Ian Chau

Oral

Abstract # LBA4001

Gastrointestinal Cancer—Gastroesophageal, Pancreatic, and Hepatobiliary

Saturday, June 5, 2021: 1:45 PM - 4:45 PM EDT

 

ASCO Press Program Friday, May 28, 11:30 AM1:00 PM EDT

First-line (1L) nivolumab (NIVO) plus chemotherapy (chemo) versus chemo in advanced gastric cancer/gastroesophageal junction cancer/esophageal adenocarcinoma (GC/GEJC/EAC): Expanded efficacy and safety data from CheckMate 649

Markus H. Moehler

Oral

Abstract # 4002

Gastrointestinal Cancer—Gastroesophageal, Pancreatic, and Hepatobiliary

Saturday, June 5, 2021: 1:45 PM - 4:45 PM EDT

Adjuvant nivolumab (NIVO) in resected esophageal or gastroesophageal junction cancer (EC/GEJC) following neoadjuvant chemoradiotherapy (CRT): Expanded efficacy and safety analyses from CheckMate 577

Ronan J. Kelly

Oral

Abstract # 4003

Gastrointestinal Cancer—Gastroesophageal, Pancreatic, and Hepatobiliary

Saturday, June 5, 2021: 1:45 PM - 4:45 PM EDT

Health-related quality of life (HRQOL) in patients (pts) with advanced gastric cancer/gastroesophageal junction cancer (GC/GEJC) or esophageal adenocarcinoma (EAC): Interim results of nivolumab plus chemotherapy (N+C) versus (C) from CheckMate 649

Lucjan Wyrwicz

Poster

Abstract # 4066

Gastrointestinal Cancer—Gastroesophageal, Pancreatic, and Hepatobiliary

Friday, June 4, 2021:

9:00 AM EDT

Genitourinary

Nivolumab plus cabozantinib (N+C) versus sunitinib (S) for advanced renal cell carcinoma (aRCC): Outcomes by baseline disease characteristics in the phase 3 CheckMate 9ER trial

Andrea B. Apolo

Poster

Abstract # 4553

Genitourinary Cancer—Kidney and Bladder

Friday, June 4, 2021:

9:00 AM EDT

Quality-adjusted time without symptoms of disease progression or toxicity (Q-TWiST) of nivolumab plus cabozantinib (N+C) versus sunitinib (SUN) in treatment-naïve, advanced/metastatic renal cell carcinoma (aRCC): A post-hoc analysis of CheckMate 9ER (CM 9ER) data

David Cella

Poster

Abstract # 6567

Health Services Research and Quality Improvement

Friday, June 4, 2021:

9:00 AM EDT

Long-term trend of quality-adjusted time without symptoms or toxicities (Q-TWiST) of nivolumab+ipilimumab (N+I) versus sunitinib (SUN) for the first-line treatment of advanced renal cell carcinoma (aRCC)

Robert J. Motzer

Poster

Abstract # 6568

Health Services Research and Quality Improvement

Friday, June 4, 2021:

9:00 AM EDT

Efficacy outcomes of nivolumab + cabozantinib versus pembrolizumab + axitinib in patients with advanced renal cell carcinoma (aRCC): Matching-adjusted indirect comparison (MAIC)​

Bradley A. McGregor

Poster

Abstract # 4578

Genitourinary Cancer—Kidney and Bladder

Friday, June 4, 2021:

9:00 AM EDT

Impact of recurrence on health-related quality of life in patients at high risk of recurrence after radical surgery for muscle-invasive urothelial carcinoma (MIUC): Results from the phase 3 CheckMate 274 trial

Matthew D. Galsky

Poster

Abstract # 4540

Genitourinary Cancer—Kidney and Bladder

Friday, June 4, 2021:

9:00 AM EDT

Safety and efficacy outcomes with nivolumab plus ipilimumab in patients with advanced renal cell carcinoma and brain metastases: results from the CheckMate 920 trial

Hamid Emamekhoo

Poster Discussion Abstract # 4515

Genitourinary Cancer—Kidney and Bladder

Friday, June 4, 2021:

9:00 AM EDT

Melanoma

Relatlimab (RELA) plus nivolumab (NIVO) versus NIVO in first-line advanced melanoma: Primary phase III results from RELATIVITY-047 (CA224-047)

 

Evan J. Lipson

Oral

Abstract # 9503

Melanoma/Skin Cancers

Sunday, June 6, 2021: 8:00 AM-11:00 AM EDT

 

ASCO Press Program Friday, May 14, 10:45 AM12:00 PM EDT

CheckMate 067: 6.5-year outcomes in patients (pts) with advanced melanoma

 

Jedd D. Wolchok

Oral

Abstract # 9506

Melanoma/Skin Cancers

Sunday, June 6, 2021: 8:00 AM-11:00 AM EDT

Two dosing regimens of nivolumab (NIVO) plus ipilimumab (IPI) for advanced (adv) melanoma: Three-year results of CheckMate 511

Celeste Lebbé

Poster Discussion

Abstract # 9516

Melanoma/Skin Cancers

Friday, June 4, 2021: 9:00 AM EDT

Analysis of patients (pts) with in-transit metastases treated with nivolumab (NIVO) or ipilimumab (IPI) in CheckMate 238

James Larkin

Poster

Abstract # 9569

Melanoma/Skin Cancers

Friday, June 4, 2021: 9:00 AM EDT

Treatment outcomes in patients (pts) with melanoma brain metastases (MBM) treated with systemic therapy: A systematic literature review (SLR) and meta-analysis

Hussein A. Tawbi

Poster

Abstract # 9561

Melanoma/Skin Cancers

Friday, June 4, 2021: 9:00 AM EDT

Association of health-related quality of life (HRQoL) and treatment safety with nivolumab (NIVO) in patients (pts) with resected stage IIIB/C or IV melanoma: Analysis of CheckMate 238 four-year follow-up (FU) data

Jeffery S. Weber

Poster

Abstract # 9574

Melanoma/Skin Cancers

Friday, June 4, 2021: 9:00 AM EDT

Multiple Myeloma

Characteristics of neurotoxicity associated with idecabtagene vicleucel (ide-cel, bb2121) in patients with relapsed and refractory multiple myeloma (RRMM) in the pivotal phase II KarMMa study

Salomon Manier

Poster

Abstract # 8036

Hematologic Malignancies—Plasma Cell Dyscrasia

Friday, June 4, 2021: 9:00 AM EDT

Idecabtagene vicleucel (ide-cel, bb2121), a BCMA-directed CAR T cell therapy, in relapsed and refractory multiple myeloma: Updated KarMMa results

Larry D. Anderson, Jr

Poster Discussion Abstract # 8016

Hematologic Malignancies—Plasma Cell Dyscrasia

Friday, June 4, 2021: 9:00 AM EDT

KarMMa-4: Idecabtagene vicleucel (ide-cel, bb2121), a BCMA-directed CAR T-cell therapy in high-risk newly diagnosed multiple myeloma

Saad Z. Usmani

Poster

Abstract # TPS8053

Hematologic Malignancies—Plasma Cell Dyscrasia

Friday, June 4, 2021: 9:00 AM EDT

Product Design & Delivery

CheckMate 8KX: Phase 1/2 multitumor preliminary analyses of a subcutaneous formulation of nivolumab (± rHuPH20)

Sara Lonardi

Poster

Abstract # 2575

Developmental

Therapeutics – Immunotherapy

Friday, June 4, 2021: 9:00 AM EDT

Thoracic

Nivolumab (NIVO) plus ipilimumab (IPI) versus chemotherapy (chemo) as first-line (1L) treatment for advanced non-small cell lung cancer (NSCLC): 4-year update from CheckMate 227

Luis G. Paz-Ares

Poster Discussion

Abstract # 9016

Lung Cancer—Non-Small Cell Metastatic

Friday, June 4, 2021: 9:00 AM EDT

First-line nivolumab (NIVO) plus ipilimumab (IPI) plus two cycles of chemotherapy (chemo) versus chemo alone (4 cycles) in patients with advanced non-small cell lung cancer (NSCLC): Two-year update from CheckMate 9LA

Martin Reck

Oral

Abstract # 9000

Lung Cancer—Non-Small Cell Metastatic

Friday, June 4, 2021: 1:00 PM - 4:00 PM EDT

Surgical outcomes from the phase 3 CheckMate 816 trial: Nivolumab (NIVO) + platinum-doublet chemotherapy (chemo) vs chemo alone as neoadjuvant treatment for patients with resectable non-small cell lung cancer (NSCLC)

Jonathan Spicer

Oral

Abstract # 8503

Lung Cancer—Non-Small Cell Local-Regional/Small Cell/Other Thoracic Cancers

Sunday, June 6, 2021: 8:00 AM11:00 AM EDT

Select Bristol Myers Squibb studies at the 2021 EHA Virtual Congress include:

Abstract Title

Author

Presentation Type/#

Acute Myeloid Leukemia

Survival Outcomes From the QUAZAR AML-001 Trial With Oral Azacitidine for Patients With Acute Myeloid Leukemia in Remission by Disease Subtype, Cytogenetic Risk, and NPM1 Mutation Status at Diagnosis

Hartmut Döhner

Oral Abstract # S131

Estimated Hospitalization-Related Costs With Oral-AZA vs PBO for Remission Maintenance in Patients With AML in Spain and the UK

Christopher Pocock

Oral Abstract # S311

Patient Preferences for Maintenance Therapy of Acute Myeloid Leukemia: A Discrete Choice Experiment Subanalysis of Patients in Germany and Italy

Katelyn Cutts

Publication # PB1398

A Phase 3 Study of Enasidenib Versus Conventional Care Regimens in Older Patients With Late-Stage Mutant-IDH2 R/R AML

Courtney DiNardo

Poster Abstract # EP457

Updated Pharmacodynamic and Survival Outcomes From the AG221-AML-005 Trial of Enasidenib Plus AZA in Patients With Newly Diagnosed Mutant IDH2 AML

Courtney DiNardo

Poster Abstract # EP465

Beta Thalassemia

The BEYOND Study: Results of a Phase 2, Double-blind, Randomized, Placebo (Pbo)-Controlled Multicenter Study of Luspatercept in Adult Patients (Pts) With Non-transfusion Dependent (Ntd) β-Thalassemia

Ali Taher

Oral Presidential Symposium # S101

Benefit of Continuing Therapy With Luspatercept in Patients With Beta-Thalassemia Who Do Not Achieve ≥33% Reduction in Red Blood Cell (RBC) Transfusion Burden (TB) in Weeks 13-24 in the BELIEVE Trial

Antonio Piga

Poster Abstract # EP1306

Fewer Red Blood Cell Transfusion Units and Visits Across Baseline Transfusion Burden Levels in Patients With Beta-Thalassemia Treated With Luspatercept in the Phase 3 BELIEVE Trial

Ali Taher

Poster Abstract # EP1304

Lymphoma

Safety & Efficacy Preliminary Results From a Phase 2 Study of Lisocabtagene Maraleucel (liso-cel) in the Non-university Setting

JT Godwin

Poster Abstract # EP541

Clinical Outcomes in Patients With Relapsed/Refractory Large B-Cell Lymphoma Receiving Third-Line Therapy: A Multicenter, Retrospective, Real-world Study in the United Kingdom

Christopher Fox

Poster Abstract # EP539

Multiple Myeloma

Characteristics of Neurotoxicity Associated With Idecabtagene Vicleucel (Ide-cel, bb2121) in Patients With Relapsed and Refractory Multiple Myeloma in the Pivotal Phase 2 KarMMa StudySalomon ManierPoster Abstract # EP984
Idecabtagene Vicleucel (Ide-cel, bb2121), a BCMA-Directed CAR T Cell Therapy, in Patients With Relapsed and Refractory Multiple Myeloma: Updated KarMMa Results

Albert Oriol

Poster Abstract # EP1009

Iberdomide (Iber) in Combination With Dexamethasone (Dex) and Daratumumab (Dara), Bortezomib (Bort), or Carfilzomib (Cfz) in Patients (Pts) With Relapsed/Refractory Multiple Myeloma (RRMM)

Sagar Lonial

Oral Abstract # S187

Pharmacokinetic/Pharmacodynamic Evaluation of Iberdomide (Iber) in Combination With Dexamethasone and Daratumumab in a Phase 1/2 Trial for Relapsed/Refractory Multiple Myeloma

Michael Amatangelo

Publication # PB1632

Myelodysplastic Syndrome

Benefit of Continuing Luspatercept Therapy in Patients With Lower-risk Myelodysplastic Syndromes Who Did Not Achieve Red Blood Cell Transfusion Independence by Week 25 in the MEDALIST Study

Ulrich Germing

Poster Abstract # EP915

Luspatercept Reduces Red Blood Cell Transfusions in Patients With Lower-Risk Myelodysplastic Syndromes Regardless of Baseline Transfusion Burden in the MEDALIST Study

Guillermo Garcia-Manero

Poster Abstract # EP920

Health-Related Quality of Life (HRQoL) in Patients (Pts) With Myelodysplastic Syndromes (MDS) in the CONNECT® Myeloid Disease Registry

Dennis Revicki

Poster Abstract # EP1182

Myelofibrosis

Overall and Progression-free Survival in Patients Treated With Fedratinib as First-line MF Therapy and After Prior RUX: Results From the JAKARTA and JAKARTA2 Trials

Claire Harrison

Oral Abstract # S203

The abstracts above are available on the EHA conference website. All presentations will be available on demand when published on the virtual congress platform on Friday, June 11, at 9:00 AM CEST (3 AM EDT).

Bristol Myers Squibb: Creating a Better Future for People with Cancer

Bristol Myers Squibb is inspired by a single vision — transforming patients’ lives through science. The goal of the company’s cancer research is to deliver medicines that offer each patient a better, healthier life and to make cure a possibility. Building on a legacy across a broad range of cancers that have changed survival expectations for many, Bristol Myers Squibb researchers are exploring new frontiers in personalized medicine, and through innovative digital platforms, are turning data into insights that sharpen their focus. Deep scientific expertise, cutting-edge capabilities and discovery platforms enable the company to look at cancer from every angle. Cancer can have a relentless grasp on many parts of a patient’s life, and Bristol Myers Squibb is committed to taking actions to address all aspects of care, from diagnosis to survivorship. Because as a leader in cancer care, Bristol Myers Squibb is working to empower all people with cancer to have a better future.

OPDIVO Indications

OPDIVO® (nivolumab), as a single agent, is indicated for the treatment of patients with unresectable or metastatic melanoma.

OPDIVO® (nivolumab), in combination with YERVOY® (ipilimumab), is indicated for the treatment of patients with unresectable or metastatic melanoma.

OPDIVO® (nivolumab), in combination with YERVOY® (ipilimumab), is indicated for the first-line treatment of adult patients with metastatic non-small cell lung cancer (NSCLC) whose tumors express PD-L1 (≥1%) as determined by an FDA-approved test, with no EGFR or ALK genomic tumor aberrations.

OPDIVO® (nivolumab), in combination with YERVOY® (ipilimumab) and 2 cycles of platinum-doublet chemotherapy, is indicated for the first-line treatment of adult patients with metastatic or recurrent non-small cell lung cancer (NSCLC), with no EGFR or ALK genomic tumor aberrations.

OPDIVO® (nivolumab) is indicated for the treatment of patients with metastatic non-small cell lung cancer (NSCLC) with progression on or after platinum-based chemotherapy. Patients with EGFR or ALK genomic tumor aberrations should have disease progression on FDA-approved therapy for these aberrations prior to receiving OPDIVO.

OPDIVO® (nivolumab), in combination with YERVOY® (ipilimumab), is indicated for the first-line treatment of adult patients with unresectable malignant pleural mesothelioma (MPM).

OPDIVO® (nivolumab), in combination with YERVOY® (ipilimumab), is indicated for the first-line treatment of patients with intermediate or poor risk advanced renal cell carcinoma (RCC).

OPDIVO® (nivolumab), in combination with cabozantinib, is indicated for the first-line treatment of patients with advanced renal cell carcinoma (RCC).

OPDIVO® (nivolumab) is indicated for the treatment of patients with advanced renal cell carcinoma (RCC) who have received prior anti-angiogenic therapy.

OPDIVO® (nivolumab) is indicated for the treatment of adult patients with classical Hodgkin lymphoma (cHL) that has relapsed or progressed after autologous hematopoietic stem cell transplantation (HSCT) and brentuximab vedotin or after 3 or more lines of systemic therapy that includes autologous HSCT. This indication is approved under accelerated approval based on overall response rate. Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trials.

OPDIVO® (nivolumab) is indicated for the treatment of patients with recurrent or metastatic squamous cell carcinoma of the head and neck (SCCHN) with disease progression on or after platinum-based therapy.

OPDIVO® (nivolumab) is indicated for the treatment of patients with locally advanced or metastatic urothelial carcinoma who have disease progression during or following platinum-containing chemotherapy or have disease progression within 12 months of neoadjuvant or adjuvant treatment with platinum-containing chemotherapy. This indication is approved under accelerated approval based on tumor response rate and duration of response. Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trials.

OPDIVO® (nivolumab), as a single agent, is indicated for the treatment of adult and pediatric (12 years and older) patients with microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR) metastatic colorectal cancer (CRC) that has progressed following treatment with a fluoropyrimidine, oxaliplatin, and irinotecan. This indication is approved under accelerated approval based on overall response rate and duration of response. Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trials.

OPDIVO® (nivolumab), in combination with YERVOY® (ipilimumab), is indicated for the treatment of adults and pediatric patients 12 years and older with microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR) metastatic colorectal cancer (CRC) that has progressed following treatment with a fluoropyrimidine, oxaliplatin, and irinotecan. This indication is approved under accelerated approval based on overall response rate and duration of response. Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trials.

OPDIVO® (nivolumab) is indicated for the treatment of patients with hepatocellular carcinoma (HCC) who have been previously treated with sorafenib. This indication is approved under accelerated approval based on overall response rate and duration of response. Continued approval for this indication may be contingent upon verification and description of clinical benefit in the confirmatory trials.

OPDIVO® (nivolumab), in combination with YERVOY® (ipilimumab), is indicated for the treatment of patients with hepatocellular carcinoma (HCC) who have been previously treated with sorafenib. This indication is approved under accelerated approval based on overall response rate and duration of response. Continued approval for this indication may be contingent upon verification and description of clinical benefit in the confirmatory trials.

OPDIVO® (nivolumab) is indicated for the adjuvant treatment of patients with melanoma with involvement of lymph nodes or metastatic disease who have undergone complete resection.

OPDIVO® (nivolumab) is indicated for the treatment of patients with unresectable advanced, recurrent or metastatic esophageal squamous cell carcinoma (ESCC) after prior fluoropyrimidine- and platinum-based chemotherapy.

OPDIVO® (nivolumab), in combination with fluoropyrimidine- and platinum-containing chemotherapy, is indicated for the treatment of patients with advanced or metastatic gastric cancer, gastroesophageal junction cancer, and esophageal adenocarcinoma.

IMPORTANT SAFETY INFORMATION

Severe and Fatal Immune-Mediated Adverse Reactions

Immune-mediated adverse reactions listed herein may not include all possible severe and fatal immune-mediated adverse reactions.

Immune-mediated adverse reactions, which may be severe or fatal, can occur in any organ system or tissue. While immune-mediated adverse reactions usually manifest during treatment, they can also occur after discontinuation of OPDIVO or YERVOY. Early identification and management are essential to ensure safe use of OPDIVO and YERVOY. Monitor for signs and symptoms that may be clinical manifestations of underlying immune-mediated adverse reactions. Evaluate clinical chemistries including liver enzymes, creatinine, adrenocorticotropic hormone (ACTH) level, and thyroid function at baseline and periodically during treatment with OPDIVO and before each dose of YERVOY. In cases of suspected immune-mediated adverse reactions, initiate appropriate workup to exclude alternative etiologies, including infection. Institute medical management promptly, including specialty consultation as appropriate.

Withhold or permanently discontinue OPDIVO and YERVOY depending on severity (please see section 2 Dosage and Administration in the accompanying Full Prescribing Information). In general, if OPDIVO or YERVOY interruption or discontinuation is required, administer systemic corticosteroid therapy (1 to 2 mg/kg/day prednisone or equivalent) until improvement to Grade 1 or less. Upon improvement to Grade 1 or less, initiate corticosteroid taper and continue to taper over at least 1 month. Consider administration of other systemic immunosuppressants in patients whose immune-mediated adverse reactions are not controlled with corticosteroid therapy. Toxicity management guidelines for adverse reactions that do not necessarily require systemic steroids (e.g., endocrinopathies and dermatologic reactions) are discussed below.

Immune-Mediated Pneumonitis

OPDIVO and YERVOY can cause immune-mediated pneumonitis. The incidence of pneumonitis is higher in patients who have received prior thoracic radiation. In patients receiving OPDIVO monotherapy, immune-mediated pneumonitis occurred in 3.1% (61/1994) of patients, including Grade 4 (