RE: Tumour shrinkage27 Sep 2023 15:21
Bobbust -
The doublet therapy of Yervoy (Ipilimumab) plus Opdivo (Nivolumab) in advanced inoperable melanoma was approved based on results from the CheckMate 067 clinical trial. The results of that trial give some indication of the sort of response rates you might expect when patients are treated with the doublet therapy alone as standard of care treatment and therefore what SCIB1 might be bringing to the table.
CheckMate 067 was a large trial recruiting over 1000 patients who were randomised to one of 3 different arms of the trial. The ipilimumbab plus nivolumab arm consisted of 314 patients and 61 (19%) of those had a complete response to treatment , their tumours had disappeared completely ie. on imaging no trace could be found. A further 122 patients (39%) had a partial response, their tumours had shrunk by at least 30%. So a total of 58% of patients showed an objective response with tumour shrinkage ranging from 30% to 100%. On top of that a further 38 patients (12%) had stable disease. The combination produced significant improvements in survival rates and duration of response.
So to answer your question, the doublet therapy when used alone does produce responses in excess of 90% tumour shrinkage, but never as far as we know in such a high proportion of patients. The caveat is obviously that patient numbers are still very small and we don't yet have any information regarding the patient population in terms of PD-L1 status, BRAF status, extent of metastatic spread etc. However we do know that all of them have stage IV melanoma even though the trial is designed to recruit both stage III and stage IV.