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Comparative analysis of the phase III clinical trials of anti-PD1 monotherapy in head and neck squamous cell carcinoma patients (CheckMate 141 and KEYNOTE 040)
by
Giglio, Raul E.
, Leemans, C. René
, Gruenwald, Viktor
, Seiwert, Tanguy Y.
, Bruzzi, Paolo
, Licitra, Lisa
, Machiels, Jean-Pascal
, Pai, Sara I.
, Soulieres, Denis
, Faivre, Sandrine
, Vermorken, Jan B.
in
Anti-PD-1 therapy
/ Antineoplastic Agents, Immunological - administration & dosage
/ Antineoplastic Agents, Immunological - adverse effects
/ Antineoplastic Agents, Immunological - therapeutic use
/ Biomarkers
/ Biomarkers, Tumor
/ Cancer
/ Cancer metastasis
/ Cancer treatment
/ Carcinoma
/ Cetuximab
/ Chemotherapy
/ Clinical trials
/ Clinical/Translational Cancer Immunotherapy
/ Commentary
/ Comparative analysis
/ Dosage and administration
/ Drug therapy
/ FDA approval
/ Head and neck squamous cell carcinoma
/ Humans
/ Immune checkpoint therapy
/ Immunology
/ Immunotherapy
/ Medicine
/ Medicine & Public Health
/ Methotrexate
/ Molecular Targeted Therapy - methods
/ Nivolumab
/ Oncology
/ Patients
/ Programmed Cell Death 1 Receptor - antagonists & inhibitors
/ Programmed Cell Death 1 Receptor - genetics
/ Programmed Cell Death 1 Receptor - metabolism
/ Retreatment
/ Squamous cell carcinoma
/ Squamous Cell Carcinoma of Head and Neck - diagnosis
/ Squamous Cell Carcinoma of Head and Neck - drug therapy
/ Squamous Cell Carcinoma of Head and Neck - immunology
/ Treatment Outcome
2019
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Comparative analysis of the phase III clinical trials of anti-PD1 monotherapy in head and neck squamous cell carcinoma patients (CheckMate 141 and KEYNOTE 040)
by
Giglio, Raul E.
, Leemans, C. René
, Gruenwald, Viktor
, Seiwert, Tanguy Y.
, Bruzzi, Paolo
, Licitra, Lisa
, Machiels, Jean-Pascal
, Pai, Sara I.
, Soulieres, Denis
, Faivre, Sandrine
, Vermorken, Jan B.
in
Anti-PD-1 therapy
/ Antineoplastic Agents, Immunological - administration & dosage
/ Antineoplastic Agents, Immunological - adverse effects
/ Antineoplastic Agents, Immunological - therapeutic use
/ Biomarkers
/ Biomarkers, Tumor
/ Cancer
/ Cancer metastasis
/ Cancer treatment
/ Carcinoma
/ Cetuximab
/ Chemotherapy
/ Clinical trials
/ Clinical/Translational Cancer Immunotherapy
/ Commentary
/ Comparative analysis
/ Dosage and administration
/ Drug therapy
/ FDA approval
/ Head and neck squamous cell carcinoma
/ Humans
/ Immune checkpoint therapy
/ Immunology
/ Immunotherapy
/ Medicine
/ Medicine & Public Health
/ Methotrexate
/ Molecular Targeted Therapy - methods
/ Nivolumab
/ Oncology
/ Patients
/ Programmed Cell Death 1 Receptor - antagonists & inhibitors
/ Programmed Cell Death 1 Receptor - genetics
/ Programmed Cell Death 1 Receptor - metabolism
/ Retreatment
/ Squamous cell carcinoma
/ Squamous Cell Carcinoma of Head and Neck - diagnosis
/ Squamous Cell Carcinoma of Head and Neck - drug therapy
/ Squamous Cell Carcinoma of Head and Neck - immunology
/ Treatment Outcome
2019
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Comparative analysis of the phase III clinical trials of anti-PD1 monotherapy in head and neck squamous cell carcinoma patients (CheckMate 141 and KEYNOTE 040)
by
Giglio, Raul E.
, Leemans, C. René
, Gruenwald, Viktor
, Seiwert, Tanguy Y.
, Bruzzi, Paolo
, Licitra, Lisa
, Machiels, Jean-Pascal
, Pai, Sara I.
, Soulieres, Denis
, Faivre, Sandrine
, Vermorken, Jan B.
in
Anti-PD-1 therapy
/ Antineoplastic Agents, Immunological - administration & dosage
/ Antineoplastic Agents, Immunological - adverse effects
/ Antineoplastic Agents, Immunological - therapeutic use
/ Biomarkers
/ Biomarkers, Tumor
/ Cancer
/ Cancer metastasis
/ Cancer treatment
/ Carcinoma
/ Cetuximab
/ Chemotherapy
/ Clinical trials
/ Clinical/Translational Cancer Immunotherapy
/ Commentary
/ Comparative analysis
/ Dosage and administration
/ Drug therapy
/ FDA approval
/ Head and neck squamous cell carcinoma
/ Humans
/ Immune checkpoint therapy
/ Immunology
/ Immunotherapy
/ Medicine
/ Medicine & Public Health
/ Methotrexate
/ Molecular Targeted Therapy - methods
/ Nivolumab
/ Oncology
/ Patients
/ Programmed Cell Death 1 Receptor - antagonists & inhibitors
/ Programmed Cell Death 1 Receptor - genetics
/ Programmed Cell Death 1 Receptor - metabolism
/ Retreatment
/ Squamous cell carcinoma
/ Squamous Cell Carcinoma of Head and Neck - diagnosis
/ Squamous Cell Carcinoma of Head and Neck - drug therapy
/ Squamous Cell Carcinoma of Head and Neck - immunology
/ Treatment Outcome
2019
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Comparative analysis of the phase III clinical trials of anti-PD1 monotherapy in head and neck squamous cell carcinoma patients (CheckMate 141 and KEYNOTE 040)
Journal Article
Comparative analysis of the phase III clinical trials of anti-PD1 monotherapy in head and neck squamous cell carcinoma patients (CheckMate 141 and KEYNOTE 040)
2019
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Overview
Two phase III clinical trials (CheckMate 141 and KEYNOTE 040) have independently demonstrated that overall survival (OS) in recurrent and/or metastatic head and neck squamous cell carcinoma (R/M HNSCC) patients, who have failed platinum-based therapy, can be improved with anti-PD1 monotherapy. Treatment with nivolumab or pembrolizumab in R/M HNSCC patients led to an improved OS with a hazards ratio (HR) of 0.70 (95%CI 0.51–0.96;
p
= 0.01) and HR of 0.80 (95%CI 0.65–0.98,
p
= 0.0161), respectively, as compared to standard of care (SOC) chemo monotherapy regimens (specifically, cetuximab, docetaxel, or methotrexate). The gain in OS was similar in both studies, underscoring the role of anti-PD1 drugs in R/M HNSCC patients. One of the striking discrepancies between CheckMate 141 and KEYNOTE 040 was the OS observed in the control SOC arms (6.9 months median in KEYNOTE 040 versus 5.1 months in CheckMate 141), which inadvertently set a higher threshold in the bio-statistical analysis of KEYNOTE 040 so that the clinical outcome of every patient was influential in the analysis. We perform a comparative analysis of the two studies to identify potential factors in the control arm that can impact clinical trial bio-statistical outcomes and which may have implications for future immunotherapy clinical trial designs.
Publisher
BioMed Central,BioMed Central Ltd,BMJ Publishing Group LTD,BMJ Publishing Group
Subject
/ Antineoplastic Agents, Immunological - administration & dosage
/ Antineoplastic Agents, Immunological - adverse effects
/ Antineoplastic Agents, Immunological - therapeutic use
/ Cancer
/ Clinical/Translational Cancer Immunotherapy
/ Head and neck squamous cell carcinoma
/ Humans
/ Medicine
/ Molecular Targeted Therapy - methods
/ Oncology
/ Patients
/ Programmed Cell Death 1 Receptor - antagonists & inhibitors
/ Programmed Cell Death 1 Receptor - genetics
/ Programmed Cell Death 1 Receptor - metabolism
/ Squamous Cell Carcinoma of Head and Neck - diagnosis
/ Squamous Cell Carcinoma of Head and Neck - drug therapy
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