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CheckMate 274: Disease Free Survival







                                    DFS in ITT Population                                                                           DFS in PD-L1 ≥1%


                                                                               Median DFS                                                     No. of events/           DFS at
         1.0                                No. of events/       DFS at                               1.0
                                                                                 (95% CI),                                                    no. of patients        12 months
                                            no. of patients   12 months
         0.9                       NIVO        170/353      62.8 (57.3-67.8) 20.8 (16.5–27.6)         0.9                        NIVO            55/140            67.2 (58.4-74.5)
                                                                                  months
       Disease-free survival (probability)  0.6  HR, 0.70 (98.22% CI, 0.55–0.90)    NIVO             Disease-free survival (probability)  0.7  HR, 0.55 (98.72% CI, 0.35–0.85)   NIVO
         0.8
                                                                                                      0.8
                                                                                                                                                 81/142
                                                                                                                                 PBO
                                                                                                                                                                   45.9 (37.1-54.2)
                                                            46.6 (41.1-51.9) 10.8 (8.3–13.9)
                                               204/356
                                   PBO
         0.7
                                                                                                                                                      P < 0.001
                                                                                                      0.6
                                                            P < 0.001
         0.5
                                                                                                      0.5
         0.4
                                                                                                      0.4
                                                                                                      0.3
         0.3
         0.2
                                                                                                      0.1
         0.1                                                                        PBO               0.2                                                                        PBO
         0.0                                                                                          0.0
             0    3   6    9   12   15   18  21   24   27   30  33   36   39  42   45   48   51           0    3    6   9    12  15   18   21  24   27   30  33   36   39   42  45   48   51
     No. at risk                                  Months                                          No. at risk                                  Months
     NIVO   353  296  244  212  178  154  126  106  85  68  57   51  36   23   20   3    1   0    NIVO    140  113  98  91   76   68  58   50   38  31   27   24  21   12   10   1    0   0
     PBO    356  248  198  157  134  121  103  94  80  65   54   50  37   22   19   10   2   0    PBO     142  90  73   59   53   49  42   37   28  22   17   16  12    7   5    3    1   0

                   • NUTRFS (secondary endpoint) and DMFS (exploratory endpoint) were also improved with NIVO vs PBO in both study populations

                   • Safety/tolerability of nivolumab was consistent with previous reports in other tumour types; grade ≥3 TRAEs 17.9% in nivo group vs 7.2%
                      in placebo; No deterioration in HRQoL with nivolumab vs placebo


                  DFS was defined as the time between the date of randomization and the date of first recurrence (local urothelial tract, local non-urothelial tract or distant) or death.
                  CI, confidence interval; DFS, disease-free survival; DMFS, distant metastasis-free survival; NUTRFS, non-urothelial tract recurrence-free survival.
                                                                                                                                                      Bajorin DF, et al. N Engl J Med. 2021;384(22):2102-2114.
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