1. Safety profile of nivolumab administered as 30-min infusion: analysis of data from CheckMate 153
- Author
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Ben C. Creelan, Ang Li, Mohamed K. Mohamed, Nivedita Aanur, Shruti Agrawal, Jason C. Chandler, Kenneth B. Blankstein, Michael McCleod, Craig H. Reynolds, Abderrahim Oukessou, Leora Horn, Petros Nikolinakos, David R. Spigel, Tarek Mekhail, and David M. Waterhouse
- Subjects
Adult ,Male ,Cancer Research ,medicine.medical_specialty ,Lung Neoplasms ,Toxicology ,03 medical and health sciences ,Antineoplastic Agents, Immunological ,0302 clinical medicine ,Pharmacokinetics ,Carcinoma, Non-Small-Cell Lung ,Internal medicine ,medicine ,Humans ,Tissue Distribution ,Pharmacology (medical) ,030212 general & internal medicine ,Dosing ,Infusions, Intravenous ,Adverse effect ,Aged ,Retrospective Studies ,Aged, 80 and over ,Pharmacology ,Brain Neoplasms ,Infusion time ,business.industry ,Incidence (epidemiology) ,Middle Aged ,Prognosis ,Discontinuation ,Safety profile ,Nivolumab ,Oncology ,Lymphatic Metastasis ,030220 oncology & carcinogenesis ,Carcinoma, Squamous Cell ,Female ,Neoplasm Recurrence, Local ,Safety ,business ,Follow-Up Studies - Abstract
Nivolumab has been administered using a 60-min infusion time. Reducing this time to 30 min would benefit both patients and infusion facilities. This analysis compared the safety of 30- and 60-min infusions of nivolumab in patients with previously treated advanced non-small cell lung cancer. CheckMate 153 is an open-label, phase 3b/4, predominantly community-based study ongoing in the United States and Canada. Patients with stage IIIB/IV disease with progression/recurrence after at least one prior systemic therapy received nivolumab 3 mg/kg every 2 weeks over 30 or 60 min for 1 year or until disease progression. The primary outcome overall was to estimate the incidence of grade 3–5 treatment-related select adverse events; a retrospective objective was to estimate the incidence of hypersensitivity/infusion-related reactions (IRRs) with the 30-min infusion. Exploratory pharmacokinetic analyses were performed using a population pharmacokinetics model. Of 1420 patients enrolled, 369 received only 30-min infusions and 368 received only 60-min infusions. Similar frequencies of hypersensitivity/IRRs were noted in patients receiving 30-min [2% (n = 8)] and 60-min [2% (n = 7)] infusions. Grade 3–4 treatment-related hypersensitivity/IRRs led to treatment discontinuation in
- Published
- 2018