-- In CheckMate -063, the objective response rate was 15% in patients
treated with single agent Opdivo and median duration of response was not
reached
-- 41% of Opdivo-treated patients were alive at one year
-- Types and frequency of treatment-related adverse events were consistent
with early clinical experience and managed using recommended treatment
algorithms
-- Rolling submission initiated with FDA in April based on CheckMate 063;
company expects to complete submission by year end
PRINCETON, N.J.--(BUSINESS WIRE)--
Bristol-Myers
Squibb Company (NYSE:BMY) today announced results from CheckMate
-063, a Phase 2 single-arm, open-label study of Opdivo (nivolumab),
an investigational PD-1 immune checkpoint inhibitor, administered as a
single agent in patients with advanced squamous cell non-small cell lung
cancer (NSCLC) who have progressed after at least two prior systemic
treatments with 65% receiving three or more prior therapies (n=117).
With approximately 11 months of minimum follow up, the objective
response rate (ORR, the study's primary endpoint) was 15% (95% CI = 8.7,
22.2) as assessed by an independent review committee (IRC) using RECIST
1.1 criteria and the median duration of response was not reached. The
estimated one-year survival rate was 41% (95% CI = 31.6, 49.7) and
median overall survival (mOS) was 8.2 months (95% CI = 6.05, 10.91).
These data will be presented during the Plenary Session at the 2014
Chicago Multidisciplinary Symposium on Thoracic Oncology on October 31
(Abstract #3462).
"The Phase 2 findings from CheckMate -063 are encouraging as there are
no effective treatment options for patients with refractory squamous
cell lung cancer after their disease has progressed through two prior
therapies," said Suresh S. Ramalingam, MD, Professor and Director of
Medical Oncology, Winship Cancer Institute of Emory University. "The
results are also consistent with Phase 1 data previously reported from
Study -003." Historically, the expected one-year survival rate for
third-line squamous cell NSCLC patients is approximately 5.5% - 18%.1,2
Grade 3-4 drug-related adverse events (AEs) were reported in 17.1% of
patients. The most common Grade 3-4 AEs (greater than or equal to 2%)
were fatigue (4.3%), pneumonitis (3.4%), and diarrhea (2.6%).
Discontinuations due to drug-related AEs of any grade occurred in 12% of
patients and there were two drug-related deaths in patients with
multiple comorbidities and in the setting of progressive disease.
"Results from CheckMate -063 offer further clinical evidence of the
potential of immuno-oncology as an innovative approach to treating this
disease," said Michael Giordano, senior vice president, Head of
Development, Oncology. "We are committed to addressing the significant
unmet medical needs of patients with lung cancer and have the broadest
development program evaluating our approved and investigational
immuno-oncology agents across multiple lines of therapy and histology."
Bristol-Myers Squibb's lung cancer research and development program is
evaluating its approved and investigational immunotherapies - either as
single agents or as part of combination regimens - across lines of
therapy, histologies and biomarker expression. Among these are six
ongoing Phase 3 trials. Four Phase 3 trials are evaluating Opdivo
(nivolumab) as a single agent - three in previously treated patients
(CheckMate -017, CheckMate -057 and CheckMate -153 ) and one in
chemotherapy-naive patients (CheckMate -026). Two Phase 3 trials
evaluating Yervoy in combination with chemotherapy in newly diagnosed
small cell lung cancer (Study -156) and squamous cell NSCLC (Study -104)
are ongoing.
Bristol-Myers Squibb has proposed the name Opdivo (pronounced
op-dee-voh), which, if approved by health authorities, will serve
as the trademark for nivolumab.
About the Checkmate -063 Trial Design &
Detailed Results
Checkmate -063 is a Phase 2 single arm, open-label study designed to
assess advanced squamous cell NSCLC patients who progressed after both
platinum-based therapy and at least one additional systemic therapy with
an ECOG Performance Status of 0 or 1 who were treated with Opdivo
as a single agent 3mg/kg by intravenous infusion every two weeks until
disease progression or treatment discontinuation (n=117). The primary
endpoint was ORR as assessed by an IRC using RECIST 1.1 criteria.
Responders were further characterized by duration of response. Secondary
endpoints included investigator-assessed ORR. Overall survival, PFS and
efficacy by PD-L1 expression status were exploratory endpoints. All
treated patients had received at least two prior systemic regimens with
65% receiving greater than or equal to three prior therapies.
Seventy-six percent of patients were within three months of completion
of their most recent therapy. The best response to the most recent prior
systemic therapy was progressive disease in 61% of patients.
With approximately 11 months of minimum follow up, the ORR was 15% (95%
CI = 8.7, 22.2) as assessed by an IRC using RECIST 1.1 criteria and the
median duration of response was not reached. The estimated one-year
survival rate was 41% (95% CI = 31.6, 49.7) and mOS was 8.2 months (95%
CI = 6.05, 10.91). An additional 26% of patients had stable disease with
a median duration of six months (95% CI, 4.73, 10.91) giving a disease
control rate (defined as partial response + stable disease) of 41%. For
patients with quantifiable PD-L1 expression, responses were observed
independent of PD-L1 status.
Grade 3-4 drug-related AEs were reported in 17.1% of patients. The most
common (greater than or equal to 2%) Grade 3-4 AEs were fatigue (4.3%),
pneumonitis (3.4%), and diarrhea (2.6%). Drug-related AEs generally were
manageable with corticosteroids and/or supportive care as per
established safety algorithms. Discontinuations due to drug-related AEs
of any grade occurred in 12% of patients and there were two drug-related
deaths in patients with muliple comorbidities and in the setting of
progressive disease.
About Opdivo (nivolumab)
Cancer cells may exploit "regulatory" pathways, such as checkpoint
pathways, to hide from the immune system and shield the tumor from
immune attack. Opdivo is an investigational, fully-human PD-1
immune checkpoint inhibitor that binds to the checkpoint receptor PD-1
(programmed death-1) expressed on activated T-cells.
Bristol-Myers Squibb has a broad, global development program to study Opdivo
in multiple tumor types consisting of more than 35 trials - as
monotherapy or in combination with other therapies - in which more than
7,000 patients have been enrolled worldwide. Among these are several
potentially registrational trials in NSCLC, melanoma, renal cell
carcinoma (RCC), head and neck cancer, glioblastoma and non-Hodgkin
lymphoma.
In 2013, the FDA granted Fast Track designation for Opdivo in
NSCLC, melanoma and RCC. In April 2014, the company initiated a rolling
submission with the FDA for Opdivo in third-line pre-treated
squamous cell NSCLC based on CheckMate -063 and expects to complete the
submission by year-end. The FDA granted Opdivo Breakthrough
Therapy Designation in May 2014 for the treatment of patients with
Hodgkin lymphoma after failure of autologous stem cell transplant and
brentuximab. On July 4, Ono Pharmaceutical Co. announced that Opdivo
received manufacturing and marketing approval in Japan for the treatment
of patients with unresectable melanoma, making Opdivo the first
PD-1 immune checkpoint inhibitor to receive regulatory approval anywhere
in the world. On September 26, Bristol-Myers Squibb announced that the
FDA accepted for priority review the Biologics License Application for
previously treated advanced melanoma, and the Prescription Drug User Fee
Act (PDUFA) goal date for a decision is March 30, 2015. The FDA also
granted Opdivo Breakthrough Therapy status for this indication.
In the European Union, the European Medicines Agency (EMA) has validated
for review the Marketing Authorization Application (MAA) for Opdivo in
advanced melanoma and lung cancer. The advanced melanoma application has
also been granted accelerated assessment by the EMA's Committee for
Medicinal Products for Human Use (CHMP).
About Lung Cancer
Lung cancer is the leading cause of cancer deaths globally, resulting in
more than 1.5 million deaths each year according the World Health
Organization. NSCLC is one of the most common types of the disease and
accounts for approximately 85 percent of cases. Survival rates vary
depending on the stage and type of the cancer when it is diagnosed.
Globally, the five-year survival rate for Stage I NSCLC is between 47
and 50 percent; for Stage IV NSCLC, the five-year survival rate drops to
two percent. Historically, the expected one-year survival rate for
third-line squamous cell NSCLC patients is approximately 5.5% - 18%.i,
ii
Immuno-Oncology at Bristol-Myers Squibb
Surgery, radiation, cytotoxic or targeted therapies have represented the
mainstay of cancer treatment over the last several decades, but
long-term survival and a positive quality of life have remained elusive
for many patients with advanced disease.
To address this unmet medical need, Bristol-Myers Squibb is leading
advances in the innovative field of immuno-oncology, which involves
agents whose primary mechanism is to work directly with the body's
immune system to fight cancer. The company is exploring a variety of
compounds and immunotherapeutic approaches for patients with different
types of cancer, including researching the potential of combining
immuno-oncology agents that target different and complementary pathways
in the treatment of cancer.
Bristol-Myers Squibb is committed to advancing the science of
immuno-oncology, with the goal of changing survival expectations and the
way patients live with cancer.
About the Bristol-Myers Squibb and Ono
Pharmaceutical Collaboration
In 2011, through a collaboration agreement with Ono Pharmaceutical Co.,
Bristol-Myers Squibb expanded its territorial rights to develop and
commercialize Opdivo globally except in
Japan, South Korea and Taiwan, where Ono had retained all rights to the
compound at the time. On July 23, 2014, Bristol-Myers Squibb and Ono
Pharmaceutical further expanded the companies' strategic collaboration
agreement to jointly develop and commercialize multiple immunotherapies
- as single agents and combination regimens - for patients with cancer
in Japan, South Korea and Taiwan.
About Bristol-Myers Squibb
Bristol-Myers Squibb is a global pharmaceutical company whose mission is
to discover, develop and deliver innovative medicines that help patients
prevail over serious diseases. For more information about Bristol-Myers
Squibb, visit www.bms.com,
or follow us on Twitter at http://twitter.com/bmsnews.
Bristol-Myers Squibb Forward-Looking Statement
This press release contains "forward-looking statements" as that term
is defined in the Private Securities Litigation Reform Act of 1995
regarding the research, development and commercialization of
pharmaceutical products. Such forward-looking statements are based on
current expectations and involve inherent risks and uncertainties,
including factors that could delay, divert or change any of them, and
could cause actual outcomes and results to differ materially from
current expectations. No forward-looking statement can be guaranteed.
Among other risks, there can be no guarantee that Opdivo will receive
regulatory approval in the U.S. or, if approved, that it will become a
commercially successful product. Forward-looking statements in this
press release should be evaluated together with the many uncertainties
that affect Bristol-Myers Squibb's business, particularly those
identified in the cautionary factors discussion in Bristol-Myers
Squibb's Annual Report on Form 10-K for the year ended December 31, 2013
in our Quarterly Reports on Form 10-Q and our Current Reports on Form
8-K. Bristol-Myers Squibb undertakes no obligation to publicly update
any forward-looking statement, whether as a result of new information,
future events or otherwise.
1 Massarelli E, et al. Lung Cancer 2003;39: 55-61
2 Penrod JR, et al. Poster presentation at ASCO 2014. Poster
45

CONTACT: Bristol-Myers Squibb
Media:
Sarah Koenig, 609-252-4145
sarah.koenig@bms.com
or
Chrissy Trank, 609-252-3418
Christina.trank@bms.com
or
Investors:
Ranya Dajani, 609-252-5330
ranya.dajani@bms.com
or
Ryan Asay, 609-252-5020
ryan.asay@bms.com
Source: Bristol-Myers Squibb Company
Bristol-Myers Squibb
Media:
Sarah Koenig, 609-252-4145
sarah.koenig@bms.com
or
Chrissy Trank, 609-252-3418
Christina.trank@bms.com
or
Investors:
Ranya Dajani, 609-252-5330
ranya.dajani@bms.com
or
Ryan Asay, 609-252-5020
ryan.asay@bms.com