Five oral presentations to be featured from Bristol-Myers Squibb’s
broad lung cancer development programs
Data from investigational Opdivo+Yervoy regimen in
previously untreated patients with advanced non-small cell lung cancer,
to be presented
Longer term overall survival data from two pivotal Opdivo
trials in patients with squamous non-small cell lung cancer,
to be presented
PRINCETON, N.J.--(BUSINESS WIRE)--
Bristol-Myers
Squibb Company (NYSE:BMY) today announced data from its
Immuno-Oncology clinical development programs to be presented at the 16th
World Conference on Lung Cancer (WCLC) in Denver, CO from September 6-9.
The company is presenting Opdivo (nivolumab) data in a
broad set of patients with lung cancer, across histologies and treatment
settings. These data add to the growing body of evidence that may help
the scientific community advance their understanding Opdivo’s
role in the treatment of lung cancer as a single agent and its potential
in combination with Yervoy (ipilimumab). Key oral presentations
include:
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CheckMate -012, September 7 during the 10:45am -12:15pm MDT Session:
Safety and Efficacy of First-Line Nivolumab and Ipilimumab in
Non-Small Cell Lung Cancer
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CheckMate -017, September 7 during the 10:45am -12:15pm MDT Session:
Phase 3, Randomized Trial of Nivolumab vs Docetaxel in Advanced
Squamous Cell Non-Small Cell Lung Cancer
-
CheckMate -063, September 7 during the 10:45am -12:15pm MDT Session:
Longer-Term Follow-Up of a Phase 2 Study of Nivolumab in Patients with
Advanced, Refractory Squamous Non-Small Cell Lung Cancer
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CheckMate -153, September 7 during the 10:45am -12:15pm MDT Session:
Safety and Efficacy of Nivolumab in an Ongoing Trial of a PD-L1+/-
Patient Population with Metastatic Non-Small Cell Lung Cancer
-
CheckMate -017, September 9 during the 9:00am - 4:45 p.m. MDT
Session: Evaluation of Disease-Related Symptoms in Patients with
Advanced Squamous Non-Small Cell Lung Cancer Treated with Nivolumab or
Docetaxel
Michael Giordano, senior vice president, head of Development, Oncology,
Bristol-Myers Squibb commented, “Lung cancer has the highest mortality
rate of all cancers globally. This meeting is a unique opportunity to
focus on new, innovative science to help address this devastating
malignancy. We look forward to presenting Opdivo data in advanced
non-small cell lung cancer, showing longer-term overall survival and
important quality of life data, as well as research into the Opdivo+Yervoy
regimen in first line treatment of lung cancer.”
The full set of data to be presented by Bristol-Myers Squibb include the
following:
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Abstract #, Title, Author
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Session Type, Date, Time, Location
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Abstract #736: Phase 3, Randomized Trial (CheckMate 017) of Nivolumab
(NIVO) vs Docetaxel in Advanced Squamous (SQ) Cell Non-Small
Cell Lung Cancer (NSCLC) Author: K. Reckamp
|
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Oral
Monday, September 7th
10:45 – 12:15 PM MDT
Four Seasons Ballroom F1+F2
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Abstract #828: Longer-Term Follow-Up of a Phase 2 Study (CheckMate
063) of Nivolumab in Patients with
Advanced, Refractory Squamous Non-Small Cell Lung Cancer Author:
L. Horn
|
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Oral
Monday, September 7th
10:45 – 12:15 PM MDT
Four Seasons Ballroom F1+F2
|
|
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Abstract #786: Safety and Efficacy of First-Line Nivolumab (NIVO;
Anti-Programmed Death-1 [PD-1]) and Ipilimumab in Non-Small
Cell Lung Cancer (NSCLC) Author: N. Rizvi
|
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Oral
Monday, September 7th
10:45 – 12:15 PM MDT
Four Seasons Ballroom F1+F2
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Abstract #851: Safety and Efficacy of Nivolumab in an
Ongoing Trial of a PD-L1+/- Patient Population with
Metastatic Non- Small Cell Lung Cancer Author: M. Hussein
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Oral
Monday, September 7th
10:45 – 12:15 PM MDT
Four Seasons Ballroom F1+F2
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Abstract #733: Clinical Attributes of Lung Cancer in US Community
Oncology Practice: Implications for Immunotherapy Author: P.
Reddy
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Mini Oral
Monday, September 7th
4:45 – 6:15 PM MDT
Four Seasons Ballroom F1+F2
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Abstract #774: Years of Life Lost and Lifetime Earnings
Lost in Metastatic Lung Cancer: Potential Societal Benefits
of Improved Survival by Age and Histology Author: M.
Danese
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Mini Oral
Monday, September 7th
4:45 – 6:15 PM MDT
Mile High Ballroom 2c-3c
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Abstract #783: Value of Innovation in Systemic Therapy for US
Patients with Advanced/Metastatic NSCLC Author: J. Nilsson
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Mini Oral
Monday, September 7th
4:45 – 6:15 PM MDT
Mile High Ballroom 2c-3c
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Abstract #1323: A Multicenter Phase 1B Study of Ceritinib
plus Nivolumab in Patients with ALK+ NSCLC Author: A.
Shaw
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Poster
Monday, September 7th
9:30 – 4:45 PM MDT
Exhibit Hall
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Abstract #743: Evaluation of Disease-Related Symptoms in Patients
with Advanced Squamous Non-Small Cell Lung Cancer Treated
with Nivolumab or Docetaxel Author: R. J. Gralla
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Oral
Wednesday, September 9th
4:45 – 6:15 PM MDT
Four Seasons Ballroom F1+F2
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Abstract #781: Predictors of Subsequent Lines of Therapy
(LOTs) in Non-Small Cell Lung Cancer (NSCLC) Author: E.
Nadler
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Poster
Wednesday, September 9th
9:30 – 4:45 PM MDT
Exhibit Hall
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Abstracts for WCLC can be found online here: http://wclc2015.iaslc.org/.
About Lung Cancer
Lung cancer is the leading cause of cancer deaths globally, resulting in
more than 1.5 million deaths each year according to 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.
About Opdivo
Bristol-Myers Squibb has a broad, global development program to study Opdivo in
multiple tumor types consisting of more than 50 trials – as monotherapy
or in combination with other therapies – in which more than 8,000
patients have been enrolled worldwide.
Opdivo is a programmed death-1 (PD-1) immune checkpoint inhibitor
that has received approval from the U.S. Food and Drug Administration
(FDA) as a monotherapy in two cancer indications. Opdivo became
the first PD-1 immune checkpoint inhibitor to receive regulatory
approval anywhere in the world on July 4, 2014 when Ono Pharmaceutical
Co. announced that it received manufacturing and marketing approval in
Japan for the treatment of patients with unresectable melanoma. In the
U.S., the FDA granted its first approval for Opdivo for the
treatment of patients with unresectable or metastatic melanoma and
disease progression following Yervoy (ipilimumab) and, if
BRAF V600 mutation positive, a BRAF inhibitor. On March 4, 2015, Opdivo received
FDA approval for the treatment of patients with metastatic squamous
non-small cell lung cancer (NSCLC) with progression on or after
platinum-based chemotherapy. On July 20, the European Commission
approved Nivolumab BMS for the treatment of locally advanced or
metastatic SQ NSCLC after prior chemotherapy.
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
research in an innovative field of cancer research and treatment known
as 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
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.
IMPORTANT SAFETY INFORMATION
Immune-Mediated Pneumonitis
-
Severe pneumonitis or interstitial lung disease, including fatal
cases, occurred with OPDIVO treatment. Across the clinical trial
experience in 691 patients with solid tumors, fatal immune-mediated
pneumonitis occurred in 0.7% (5/691) of patients receiving OPDIVO; no
cases occurred in Trial 1 or Trial 3. In Trial 1, pneumonitis,
including interstitial lung disease, occurred in 3.4% (9/268) of
patients receiving OPDIVO and none of the 102 patients receiving
chemotherapy. Immune-mediated pneumonitis occurred in 2.2% (6/268) of
patients receiving OPDIVO; one with Grade 3 and five with Grade 2. In
Trial 3, immune-mediated pneumonitis occurred in 6% (7/117) of
patients receiving OPDIVO, including, five Grade 3 and two Grade 2
cases. Monitor patients for signs and symptoms of pneumonitis.
Administer corticosteroids for Grade 2 or greater pneumonitis.
Permanently discontinue OPDIVO for Grade 3 or 4 and withhold OPDIVO
until resolution for Grade 2.
Immune-Mediated Colitis
-
In Trial 1, diarrhea or colitis occurred in 21% (57/268) of patients
receiving OPDIVO and 18% (18/102) of patients receiving chemotherapy.
Immune-mediated colitis occurred in 2.2% (6/268) of patients receiving
OPDIVO; five with Grade 3 and one with Grade 2. In Trial 3, diarrhea
occurred in 21% (24/117) of patients receiving OPDIVO. Grade 3
immune-mediated colitis occurred in 0.9% (1/117) of patients. Monitor
patients for immune-mediated colitis. Administer corticosteroids for
Grade 2 (of more than 5 days duration), 3, or 4 colitis. Withhold
OPDIVO for Grade 2 or 3. Permanently discontinue OPDIVO for Grade 4
colitis or recurrent colitis upon restarting OPDIVO.
Immune-Mediated Hepatitis
-
In Trial 1, there was an increased incidence of liver test
abnormalities in the OPDIVO-treated group as compared to the
chemotherapy-treated group, with increases in AST (28% vs 12%),
alkaline phosphatase (22% vs 13%), ALT (16% vs 5%), and total
bilirubin (9% vs 0). Immune-mediated hepatitis occurred in 1.1%
(3/268) of patients receiving OPDIVO; two with Grade 3 and one with
Grade 2. In Trial 3, the incidences of increased liver test values
were AST (16%), alkaline phosphatase (14%), ALT (12%), and total
bilirubin (2.7%). Monitor patients for abnormal liver tests prior to
and periodically during treatment. Administer corticosteroids for
Grade 2 or greater transaminase elevations. Withhold OPDIVO for Grade
2 and permanently discontinue OPDIVO for Grade 3 or 4 immune-mediated
hepatitis.
Immune-Mediated Nephritis and Renal Dysfunction
-
In Trial 1, there was an increased incidence of elevated creatinine in
the OPDIVO-treated group as compared to the chemotherapy-treated group
(13% vs 9%). Grade 2 or 3 immune-mediated nephritis or renal
dysfunction occurred in 0.7% (2/268) of patients. In Trial 3, the
incidence of elevated creatinine was 22%. Immune-mediated renal
dysfunction (Grade 2) occurred in 0.9% (1/117) of patients. Monitor
patients for elevated serum creatinine prior to and periodically
during treatment. For Grade 2 or 3 serum creatinine elevation,
withhold OPDIVO and administer corticosteroids; if worsening or no
improvement occurs, permanently discontinue OPDIVO. Administer
corticosteroids for Grade 4 serum creatinine elevation and permanently
discontinue OPDIVO.
Immune-Mediated Hypothyroidism and Hyperthyroidism
-
In Trial 1, Grade 1 or 2 hypothyroidism occurred in 8% (21/268) of
patients receiving OPDIVO and none of the 102 patients receiving
chemotherapy. Grade 1 or 2 hyperthyroidism occurred in 3% (8/268) of
patients receiving OPDIVO and 1% (1/102) of patients receiving
chemotherapy. In Trial 3, hypothyroidism occurred in 4.3% (5/117) of
patients receiving OPDIVO. Hyperthyroidism occurred in 1.7% (2/117) of
patients, including one Grade 2 case. Monitor thyroid function prior
to and periodically during treatment. Administer hormone replacement
therapy for hypothyroidism. Initiate medical management for control of
hyperthyroidism.
Other Immune-Mediated Adverse Reactions
-
In Trial 1 and 3 (n=385), the following clinically significant
immune-mediated adverse reactions occurred in <2% of OPDIVO-treated
patients: adrenal insufficiency, uveitis, pancreatitis, facial and
abducens nerve paresis, demyeliniation, autoimmune neuropathy, motor
dysfunction, and vasculitis. Across clinical trials of OPDIVO
administered at doses 3 mg/kg and 10 mg/kg, additional clinically
significant, immune-mediated adverse reactions were identified:
hypophysitis, diabetic ketoacidosis, hypopituitarism, Guillain-Barré
syndrome, and myasthenic syndrome. Based on the severity of adverse
reaction, withhold OPDIVO, administer high-dose corticosteroids, and,
if appropriate, initiate hormone- replacement therapy.
Embryofetal Toxicity
-
Based on its mechanism of action, OPDIVO can cause fetal harm when
administered to a pregnant woman. Advise pregnant women of the
potential risk to a fetus. Advise females of reproductive potential to
use effective contraception during treatment with OPDIVO and for at
least 5 months after the last dose of OPDIVO.
Lactation
-
It is not known whether OPDIVO is present in human milk. Because many
drugs, including antibodies, are excreted in human milk and because of
the potential for serious adverse reactions in nursing infants from
OPDIVO, advise women to discontinue breastfeeding during treatment.
Serious Adverse Reactions
-
In Trial 1, serious adverse reactions occurred in 41% of patients
receiving OPDIVO. Grade 3 and 4 adverse reactions occurred in 42% of
patients receiving OPDIVO. The most frequent Grade 3 and 4 adverse
drug reactions reported in 2% to <5% of patients receiving OPDIVO were
abdominal pain, hyponatremia, increased aspartate aminotransferase,
and increased lipase.
-
In Trial 3, serious adverse reactions occurred in 59% of patients
receiving OPDIVO. The most frequent serious adverse drug reactions
reported in =2% of patients were dyspnea, pneumonia, chronic
obstructive pulmonary disease exacerbation, pneumonitis,
hypercalcemia, pleural effusion, hemoptysis, and pain.
Common Adverse Reactions
-
The most common adverse reactions (=20%) reported with OPDIVO in Trial
1 were rash (21%) and in Trial 3 were fatigue (50%), dyspnea (38%),
musculoskeletal pain (36%), decreased appetite (35%), cough (32%),
nausea (29%), and constipation (24%).
Please see U.S. Full Prescribing Information for OPDIVO here.
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
approval for these additional indications in monotherapy or in
combination with Yervoy. 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, 2014 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.

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Source: Bristol-Myers Squibb Company