Trial Outcomes & Findings for NIvolumab COmbination With Standard First-line Chemotherapy and Radiotherapy in Locally Advanced Stage IIIA/B Non-Small Cell Lung Carcinoma (NCT NCT02434081)

NCT ID: NCT02434081

Last Updated: 2022-08-24

Results Overview

It is defined as the number of patients reaching up to 6 months post-radiotherapy without any episode of CTCAE v4.0 grade ≥3 pneumonitis. It will be used as the primary endpoint for all patients followed for at least 6 months beyond radiotherapy.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

94 participants

Primary outcome timeframe

Time from enrolment until 6 months post-radiotherapy

Results posted on

2022-08-24

Participant Flow

Participant milestones

Participant milestones
Measure
Concurrent CRT-Nivo
4 doses of nivolumab 360mg concurrently with standard chemo-radiotherapy, followed by 480mg for up to 1 year from start of nivolumab treatment. Nivolumab: Nivolumab is a fully human monoclonal antibody that targets the programmed death-1 (PD-1) cell surface membrane receptor. PD-1 is a negative regulatory molecule expressed by activated T and B lymphocytes.Binding of PD-1 to its ligands, 1 (PD-L1) and 2 (PD-L2), results in the down-regulation of lymphocyte activation. Nivolumab inhibits the interaction of programmed cell death Protein 1 (PD-1)with its ligands, PD-L1 and PD-L2, resulting in enhanced T-cell proliferation.
Overall Study
STARTED
79
Overall Study
COMPLETED
31
Overall Study
NOT COMPLETED
48

Reasons for withdrawal

Reasons for withdrawal
Measure
Concurrent CRT-Nivo
4 doses of nivolumab 360mg concurrently with standard chemo-radiotherapy, followed by 480mg for up to 1 year from start of nivolumab treatment. Nivolumab: Nivolumab is a fully human monoclonal antibody that targets the programmed death-1 (PD-1) cell surface membrane receptor. PD-1 is a negative regulatory molecule expressed by activated T and B lymphocytes.Binding of PD-1 to its ligands, 1 (PD-L1) and 2 (PD-L2), results in the down-regulation of lymphocyte activation. Nivolumab inhibits the interaction of programmed cell death Protein 1 (PD-1)with its ligands, PD-L1 and PD-L2, resulting in enhanced T-cell proliferation.
Overall Study
Death (never started treatment)
2
Overall Study
Death
2
Overall Study
Progression
20
Overall Study
Adverse Event
20
Overall Study
Physician Decision
2
Overall Study
Withdrawal by Subject
1
Overall Study
Patient did not receive treatment for more than six weeks
1

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Concurrent CRT-Nivo
n=79 Participants
4 doses of nivolumab 360mg concurrently with standard chemo-radiotherapy, followed by 480mg for up to 1 year from start of nivolumab treatment. Nivolumab: Nivolumab is a fully human monoclonal antibody that targets the programmed death-1 (PD-1) cell surface membrane receptor. PD-1 is a negative regulatory molecule expressed by activated T and B lymphocytes.Binding of PD-1 to its ligands, 1 (PD-L1) and 2 (PD-L2), results in the down-regulation of lymphocyte activation. Nivolumab inhibits the interaction of programmed cell death Protein 1 (PD-1)with its ligands, PD-L1 and PD-L2, resulting in enhanced T-cell proliferation.
Age, Categorical
<=18 years
0 Participants
n=79 Participants
Age, Categorical
Between 18 and 65 years
44 Participants
n=79 Participants
Age, Categorical
>=65 years
35 Participants
n=79 Participants
Age, Continuous
62 years
n=79 Participants
Sex: Female, Male
Female
26 Participants
n=79 Participants
Sex: Female, Male
Male
53 Participants
n=79 Participants
Region of Enrollment
Netherlands
14 participants
n=79 Participants
Region of Enrollment
Belgium
12 participants
n=79 Participants
Region of Enrollment
Switzerland
11 participants
n=79 Participants
Region of Enrollment
Germany
13 participants
n=79 Participants
Region of Enrollment
Spain
29 participants
n=79 Participants

PRIMARY outcome

Timeframe: Time from enrolment until 6 months post-radiotherapy

It is defined as the number of patients reaching up to 6 months post-radiotherapy without any episode of CTCAE v4.0 grade ≥3 pneumonitis. It will be used as the primary endpoint for all patients followed for at least 6 months beyond radiotherapy.

Outcome measures

Outcome measures
Measure
Chemo-radiotherapy With Concurrent Nivolumab
n=77 Participants
4 doses of nivolumab 360mg concurrently with standard chemo-radiotherapy, followed by 480mg for up to 1 year from start of nivolumab treatment. Nivolumab: Nivolumab is a fully human monoclonal antibody that targets the programmed death-1 (PD-1) cell surface membrane receptor. PD-1 is a negative regulatory molecule expressed by activated T and B lymphocytes.Binding of PD-1 to its ligands, 1 (PD-L1) and 2 (PD-L2), results in the down-regulation of lymphocyte activation. Nivolumab inhibits the interaction of programmed cell death Protein 1 (PD-1)with its ligands, PD-L1 and PD-L2, resulting in enhanced T-cell proliferation.
Grade ≥3 Pneumonitis (CTCAE v4.0) up to 6 Months Post-radiotherapy
71 Participants

SECONDARY outcome

Timeframe: From the date of enrolment of the first patient up to 3 years, which is also 1 year after the enrolment of the last patient (i.e., from September 2016 to September 2019)

Population: ITT cohort

PFS, κey secondary endpoint, is defined as the time from the date of enrolment until first documented progression or death, if progression is not documented. For patients without a PFS event, censoring occurs at the last tumour assessment. Database cutoff: 18 September 2019

Outcome measures

Outcome measures
Measure
Chemo-radiotherapy With Concurrent Nivolumab
n=79 Participants
4 doses of nivolumab 360mg concurrently with standard chemo-radiotherapy, followed by 480mg for up to 1 year from start of nivolumab treatment. Nivolumab: Nivolumab is a fully human monoclonal antibody that targets the programmed death-1 (PD-1) cell surface membrane receptor. PD-1 is a negative regulatory molecule expressed by activated T and B lymphocytes.Binding of PD-1 to its ligands, 1 (PD-L1) and 2 (PD-L2), results in the down-regulation of lymphocyte activation. Nivolumab inhibits the interaction of programmed cell death Protein 1 (PD-1)with its ligands, PD-L1 and PD-L2, resulting in enhanced T-cell proliferation.
Progression-free Survival by RECIST v1.1 (PFS)
12.7 months
Interval 10.1 to 22.8

SECONDARY outcome

Timeframe: From the date of enrolment of the first patient up to 3 years, which is also 1 year after the enrolment of the last patient (i.e., from September 2016 to September 2019)

Population: Estimate of 1-year TFP3% based on the safety cohort (N=77 pts)

Rate of TFP3, evaluated at 1-year based on Kaplan-Meier method, where TFP3 is defined as the time from the date of enrolment until first documented pneumonitis of grade ≥3.

Outcome measures

Outcome measures
Measure
Chemo-radiotherapy With Concurrent Nivolumab
n=77 Participants
4 doses of nivolumab 360mg concurrently with standard chemo-radiotherapy, followed by 480mg for up to 1 year from start of nivolumab treatment. Nivolumab: Nivolumab is a fully human monoclonal antibody that targets the programmed death-1 (PD-1) cell surface membrane receptor. PD-1 is a negative regulatory molecule expressed by activated T and B lymphocytes.Binding of PD-1 to its ligands, 1 (PD-L1) and 2 (PD-L2), results in the down-regulation of lymphocyte activation. Nivolumab inhibits the interaction of programmed cell death Protein 1 (PD-1)with its ligands, PD-L1 and PD-L2, resulting in enhanced T-cell proliferation.
(Grade ≥3) Pneumonitis-free Rate
87.0 percentage of participants
Interval 76.4 to 93.0

SECONDARY outcome

Timeframe: From the date of enrolment of the first patient up to 3 years, which is also 1 year after the enrolment of the last patient (i.e., from September 2016 to September 2019)

Population: ITT cohort

Objective response rate (ORR) is defined as the percentage of patients with objective response (OR). OR was determined using the Response Evaluation Criteria in Solid Tumors (RECIST v1.1). OR is defined as the best overall response (Complete Response (disappearance of all target and non-target lesions; no new lesions) or Partial Response (≥decrease in the sum of the largest diameters of target lesions; no new lesions)) across all assessment points from enrollment to termination of trial treatment. Radiological tumour assessment was performed using CT scans.

Outcome measures

Outcome measures
Measure
Chemo-radiotherapy With Concurrent Nivolumab
n=79 Participants
4 doses of nivolumab 360mg concurrently with standard chemo-radiotherapy, followed by 480mg for up to 1 year from start of nivolumab treatment. Nivolumab: Nivolumab is a fully human monoclonal antibody that targets the programmed death-1 (PD-1) cell surface membrane receptor. PD-1 is a negative regulatory molecule expressed by activated T and B lymphocytes.Binding of PD-1 to its ligands, 1 (PD-L1) and 2 (PD-L2), results in the down-regulation of lymphocyte activation. Nivolumab inhibits the interaction of programmed cell death Protein 1 (PD-1)with its ligands, PD-L1 and PD-L2, resulting in enhanced T-cell proliferation.
Objective Response Rate (ORR)
73.4 percentage of patients with OR
Interval 62.3 to 82.7

SECONDARY outcome

Timeframe: From the date of enrolment of the first patient up to 3 years, which is also 1 year after the enrolment of the last patient (i.e., from September 2016 to September 2019)

Population: based on ITT cohort

Time to treatment failure (TTF) is defined as time from enrolment to discontinuation of trial treatment for any reason. Disease progression, treatment toxicity, death, withdrawal and lost to follow-up which occurred after treatment completion are viewed as events.

Outcome measures

Outcome measures
Measure
Chemo-radiotherapy With Concurrent Nivolumab
n=79 Participants
4 doses of nivolumab 360mg concurrently with standard chemo-radiotherapy, followed by 480mg for up to 1 year from start of nivolumab treatment. Nivolumab: Nivolumab is a fully human monoclonal antibody that targets the programmed death-1 (PD-1) cell surface membrane receptor. PD-1 is a negative regulatory molecule expressed by activated T and B lymphocytes.Binding of PD-1 to its ligands, 1 (PD-L1) and 2 (PD-L2), results in the down-regulation of lymphocyte activation. Nivolumab inhibits the interaction of programmed cell death Protein 1 (PD-1)with its ligands, PD-L1 and PD-L2, resulting in enhanced T-cell proliferation.
Time to Treatment Failure (TTF).
9.2 months
Interval 6.4 to 12.4

SECONDARY outcome

Timeframe: From the date of enrolment of the first patient up to 4 years (i.e., from September 2016 to September 2020).

Population: ITT cohort

OS is defined as the time from the date of enrolment until death from any cause. The patients without OS event (death) were censored at their last follow-up date

Outcome measures

Outcome measures
Measure
Chemo-radiotherapy With Concurrent Nivolumab
n=79 Participants
4 doses of nivolumab 360mg concurrently with standard chemo-radiotherapy, followed by 480mg for up to 1 year from start of nivolumab treatment. Nivolumab: Nivolumab is a fully human monoclonal antibody that targets the programmed death-1 (PD-1) cell surface membrane receptor. PD-1 is a negative regulatory molecule expressed by activated T and B lymphocytes.Binding of PD-1 to its ligands, 1 (PD-L1) and 2 (PD-L2), results in the down-regulation of lymphocyte activation. Nivolumab inhibits the interaction of programmed cell death Protein 1 (PD-1)with its ligands, PD-L1 and PD-L2, resulting in enhanced T-cell proliferation.
Overall Survival (OS)
38.8 months
Interval 26.8 to
The upper 95% confidence limit is not estimable.

Adverse Events

Concurrent CRT-Nivo

Serious events: 37 serious events
Other events: 76 other events
Deaths: 37 deaths

Serious adverse events

Serious adverse events
Measure
Concurrent CRT-Nivo
n=77 participants at risk
4 doses of nivolumab 360mg concurrently with standard chemo-radiotherapy, followed by 480mg for up to 1 year from start of nivolumab treatment. Nivolumab: Nivolumab is a fully human monoclonal antibody that targets the programmed death-1 (PD-1) cell surface membrane receptor. PD-1 is a negative regulatory molecule expressed by activated T and B lymphocytes.Binding of PD-1 to its ligands, 1 (PD-L1) and 2 (PD-L2), results in the down-regulation of lymphocyte activation. Nivolumab inhibits the interaction of programmed cell death Protein 1 (PD-1)with its ligands, PD-L1 and PD-L2, resulting in enhanced T-cell proliferation.
Blood and lymphatic system disorders
Anemia
1.3%
1/77 • Number of events 1 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Blood and lymphatic system disorders
Neutrophil count decreased
2.6%
2/77 • Number of events 2 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
General disorders
Fever
3.9%
3/77 • Number of events 3 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Gastrointestinal disorders
Nausea
3.9%
3/77 • Number of events 3 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Myelodysplastic syndrome
1.3%
1/77 • Number of events 1 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Respiratory, thoracic and mediastinal disorders
Dyspnea
1.3%
1/77 • Number of events 1 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Gastrointestinal disorders
Colitis
2.6%
2/77 • Number of events 2 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
General disorders
Pain
1.3%
1/77 • Number of events 1 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Gastrointestinal disorders
Esophageal fistula
1.3%
1/77 • Number of events 1 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Infections and infestations
Sepsis
1.3%
1/77 • Number of events 1 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Infections and infestations
Bronchial infection
2.6%
2/77 • Number of events 2 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Respiratory, thoracic and mediastinal disorders
Pneumonitis
16.9%
13/77 • Number of events 13 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Respiratory, thoracic and mediastinal disorders
Pulmonary fibrosis
1.3%
1/77 • Number of events 1 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Gastrointestinal disorders
Esophagitis
3.9%
3/77 • Number of events 3 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Infections and infestations
Lung infection
2.6%
2/77 • Number of events 2 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Nervous system disorders
Stroke
3.9%
3/77 • Number of events 3 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Blood and lymphatic system disorders
Febrile neutropenia
5.2%
4/77 • Number of events 4 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
General disorders
Malaise
1.3%
1/77 • Number of events 1 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Infections and infestations
Catheter related infection
1.3%
1/77 • Number of events 1 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Respiratory, thoracic and mediastinal disorders
Bronchial stricture
1.3%
1/77 • Number of events 1 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Cardiac disorders
Heart failure
1.3%
1/77 • Number of events 1 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Infections and infestations
Urinary tract infection
1.3%
1/77 • Number of events 1 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Immune system disorders
Autoimmune disorder
1.3%
1/77 • Number of events 1 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Respiratory, thoracic and mediastinal disorders
Bronchopulmonary hemorrhage
1.3%
1/77 • Number of events 1 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Infections and infestations
Upper respiratory infection
1.3%
1/77 • Number of events 1 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Hepatobiliary disorders
Cholecystitis
1.3%
1/77 • Number of events 1 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Nervous system disorders
Ataxia
1.3%
1/77 • Number of events 1 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Respiratory, thoracic and mediastinal disorders
Pleural effusion
1.3%
1/77 • Number of events 1 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Cardiac disorders
Myocarditis
1.3%
1/77 • Number of events 1 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Respiratory, thoracic and mediastinal disorders
Pneumothorax
1.3%
1/77 • Number of events 1 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Gastrointestinal disorders
Esophageal varices hemorrhage
1.3%
1/77 • Number of events 1 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Renal and urinary disorders
Acute kidney injury
1.3%
1/77 • Number of events 1 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Immune system disorders
Allergic reaction
1.3%
1/77 • Number of events 1 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.

Other adverse events

Other adverse events
Measure
Concurrent CRT-Nivo
n=77 participants at risk
4 doses of nivolumab 360mg concurrently with standard chemo-radiotherapy, followed by 480mg for up to 1 year from start of nivolumab treatment. Nivolumab: Nivolumab is a fully human monoclonal antibody that targets the programmed death-1 (PD-1) cell surface membrane receptor. PD-1 is a negative regulatory molecule expressed by activated T and B lymphocytes.Binding of PD-1 to its ligands, 1 (PD-L1) and 2 (PD-L2), results in the down-regulation of lymphocyte activation. Nivolumab inhibits the interaction of programmed cell death Protein 1 (PD-1)with its ligands, PD-L1 and PD-L2, resulting in enhanced T-cell proliferation.
Blood and lymphatic system disorders
Anemia
46.8%
36/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Blood and lymphatic system disorders
Neutrophil count decreased
32.5%
25/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Ear and labyrinth disorders
Vertigo
5.2%
4/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Endocrine disorders
Hypothyroidism
7.8%
6/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Endocrine disorders
Hyperthyroidism
6.5%
5/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Gastrointestinal disorders
Dysphagia
33.8%
26/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Gastrointestinal disorders
Esophagitis
27.3%
21/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Gastrointestinal disorders
Nausea
22.1%
17/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Gastrointestinal disorders
Diarrhea
15.6%
12/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Gastrointestinal disorders
Vomiting
13.0%
10/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Gastrointestinal disorders
Constipation
10.4%
8/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Gastrointestinal disorders
Esophageal pain
9.1%
7/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Gastrointestinal disorders
Mucositis oral
6.5%
5/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
General disorders
Fatigue
49.4%
38/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
General disorders
Fever
15.6%
12/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
General disorders
Pain
15.6%
12/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
General disorders
Flu like symptoms
7.8%
6/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
General disorders
Non-cardiac chest pain
6.5%
5/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Infections and infestations
Bronchial infection
7.8%
6/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Infections and infestations
Upper respiratory infection
7.8%
6/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Infections and infestations
Lung infection
5.2%
4/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Infections and infestations
Urinary tract infection
5.2%
4/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Injury, poisoning and procedural complications
Dermatitis radiation
6.5%
5/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Investigations
Lipase increased
11.7%
9/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Investigations
Lymphocyte count decreased
11.7%
9/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Investigations
Platelet count decreased
11.7%
9/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Investigations
White blood cell decreased
11.7%
9/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Investigations
Creatinine increased
10.4%
8/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Investigations
Serum amylase increased
10.4%
8/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Investigations
Alanine aminotransferase increased
7.8%
6/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Investigations
Aspartate aminotransferase increased
6.5%
5/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Investigations
Weight gain
5.2%
4/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Metabolism and nutrition disorders
Anorexia
18.2%
14/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Metabolism and nutrition disorders
Hypomagnesemia
7.8%
6/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Musculoskeletal and connective tissue disorders
Pain in extremity
11.7%
9/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Nervous system disorders
Dizziness
14.3%
11/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Nervous system disorders
Headache
7.8%
6/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Nervous system disorders
Peripheral sensory neuropathy
6.5%
5/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Nervous system disorders
Tremor
5.2%
4/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Psychiatric disorders
Insomnia
16.9%
13/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Psychiatric disorders
Anxiety
5.2%
4/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Respiratory, thoracic and mediastinal disorders
Pneumonitis
27.3%
21/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Respiratory, thoracic and mediastinal disorders
Productive cough
40.3%
31/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Respiratory, thoracic and mediastinal disorders
Dyspnea
32.5%
25/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Skin and subcutaneous tissue disorders
Pruritus
15.6%
12/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Skin and subcutaneous tissue disorders
Dry skin
13.0%
10/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Skin and subcutaneous tissue disorders
Rash acneiform
7.8%
6/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Skin and subcutaneous tissue disorders
Rash maculo-papular
6.5%
5/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.
Skin and subcutaneous tissue disorders
Alopecia
5.2%
4/77 • Adverse events (AEs) were recorded from the date of first trial treatment until 100 days after the final dose of nivolumab, regardless of whether they were considered related to the trial treatment. After the last dose, only AEs considered possibly related to nivolumab had to be reported. Any known untoward event that occurred subsequent to the AE reporting period, possibly related to the protocol treatment, was considered an AE.
In the 'All Cause Mortality' section, number of at risk patients includes all enrolled patients, while in the 'Serious Adverse Events' and 'Other (Not Including Serious) Adverse Events' sections, at risk patients refer to the population who received at least one dose of trial treatment.

Additional Information

Heidi Roschitzki-Voser

European Thoracic Oncology Platform (ETOP)

Phone: +41 31 511 94 18

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place