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Nivo/Ipi (nivolumab and ipilimumab)

CheckMate 214
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4

Indication details

Control Arm
Sunitinib
Therapeutic Indication
First-line treatment of adult patients with intermediate/poor-risk advanced RCC
Tumour Type
Genitourinary Cancers
Tumour Sub-type
Renal cell cancer
Tumour Stage
Advanced
Trial Name
CheckMate 214
NCT Number
NCT02231749
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval April 2018
EMA Approval
EMA (CHMP) November 2018 EC decision January 2019

Primary Outcome(s)

Primary Outcome(s)
OS
Evaluated Outcome
OS
Form(s)
Form 2a

Outcome Data

OS Control
26.6 months
OS Gain
21.5 months
OS HR
0.68 (0.58-0.81)

Adjustments

QoL Comment
QoL benefit reported in exploratory evaluation not eligible for QoL adjustment.

Final Score (after adjustments)

Preliminary non-curative score

4

Final non-curative score

4

Comment
EMA (CHMP) November 2018 EC decision January 2019
FDA approval April 2018

Benefit may be exaggerated by low prevalence of subsequent immunotherapy in patients progressing in the control arm, indicating substandard post-progression therapy.

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
117
Scorecard version
1
Issue date
17.02.2020
Last update
15.05.2023
Nivo/Ipi (nivolumab and ipilimumab) CheckMate 214

PRELIMINARY SCORE

OS

ADJUSTMENTS

Nivo/Ipi (nivolumab and ipilimumab) CheckMate 214

FINAL SCORE

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
Genitourinary Cancers
First-line treatment of adult patients with intermediate/poor-risk advanced RCC
Nivo/Ipi (nivolumab and ipilimumab)
Sunitinib

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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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