First-line unresectable hepatocellular carcinoma (HCC) — Bristol Myers Squibb
Visit Interactive Trial Page →
Top tweets by impressions — click to view on X
Did you catch our #HCC 📺video update from #ESMO24? Dr Richard Finn reviews the data from HIMALAYA, CheckMate 9DW, LEAP-012 & IMbrave050 & discuss the key takeaways. Watch the short video…
CheckMate9DW expanded analyses
#HCC #GI25
➡️ response in HCC predicts OS
➡️ at 24wks med OS not reached in responders ipi/nivo
➡️responses consistent across subgroups
➡️still some toxicity…
Most impressive data from #CheckMate9DW (frontline nivo/ipi in #HCC) is the median duration of response: 30.4 months❗️Reaffirms something we've seen time and time again⏩Anti-CTLA4 responses are the…
Nivolumab plus ipilimumab vs lenvatinib or sorafenib as first-line treatment for HCC: 4-year follow-up of CheckMate 9DW
#ASCOGI26
👉ORR: 36 vs 13%
👉mOS: 23.7 vs 20.6 mo
🧐 Very valid option in HCC;…
Nivolumab plus ipilimumab vs lenvatinib or sorafenib as first-line treatment for HCC
@TheLancet
https://t.co/QlVvcP1U0l
🔎CheckMate 9DW
👉mOS 23·7 vs 20·6 mo
👉ORR 36 vs 13%
👉Consistent efficacy in…
🙏@drlauragoff @VUMC_Cancer for putting things in perspective to close the @asco #asco24 #GI session 👏👏 re: Checkmate 9DW Nivo/Ipi in #HCC. @bmsnews #cancer #cancerresearch @jordanberlin5 @benhopark…
Overall Health-related quality of life & efficacy assessment in pts who discontinued due to TRAEs
🔎CheckMate 9DW
👉Time to def. deterioration: 22.3 vs 0.5 mo
👉20% stopped due to TRAEs —> OS…
Dr. Galle 4-year follow-up of CM9DW of #1L nivo/ipi vs. len/sorafenib in adv #HCC ➡️ sustained OS benefit median 23.7 vs 20.6 mos, ORR 36% (8% CR) vs 13% (2% CR) in favor of nivo/ipi. 4% G5 AEs with…
5/10 – Checkmate 9DW #HCC
#ASCO @ASCO
phase 3 Nivo1+ipi3 q3w ▶️maint nivo/TKI VS len85%/sor15% in 1L aHCC
📌 n=668, CP-A, PS 0-1
👉ORR 36% (7%CR) vs 13%, durable
👉mOS 23.7m vs 20.6m, HR0.79, p0.018 🌟
-…
Nivolumab plus ipilimumab versus lenvatinib or sorafenib as first-line treatment for unresectable hepatocellular carcinoma (CheckMate 9DW): an open-label, randomised, phase 3 trial @TheLancet…
CheckMate-9DW converted the prior CheckMate-040 accelerated approval to regular approval (April 11, 2025) and established nivolumab + ipilimumab as the first immunotherapy regimen to demonstrate OS superiority vs. TKI in 1L unresectable HCC. The 6-month KM crossover (early HR 1.65, then sustained HR 0.61) is a defining nuance — patient selection matters. Competes with IMbrave150 (atezolizumab + bevacizumab), HIMALAYA (STRIDE: tremelimumab + durvalumab), and LEAP-002 (lenvatinib + pembrolizumab, negative).
Median: 23.7 months (nivolumab + ipilimumab) vs. 20.6 months (lenvatinib or sorafenib). HR 0.79 (95% CI 0.65-0.96), P=0.018 Median OS 23.7 months with nivolumab + ipilimumab vs. 20.6 months with investigator's choice lenvatinib or sorafenib; HR 0.79 (95% CI 0.65-0.96, P=0.018). ORR 36.1% vs. 13.2% (P<0.0001). Median PFS 9.1 vs. 9.2 months (not significantly different). Critical nuance: Kaplan-Meier curves crossed at 6 months — early HR 1.65 (early-mortality signal) then HR 0.61 sustained long-term benefit. First immunotherapy combination to demonstrate OS benefit vs. TKI standard in 1L HCC.
Median: 23.7 months (nivolumab + ipilimumab) vs. 20.6 months (lenvatinib or sorafenib). HR 0.79 (95% CI 0.65-0.96), P=0.018 See primary (OS is the primary endpoint).
Grade ≥3 adverse events: 41% (nivo_ipi) vs. 42% (lenva_sora). Key AEs: immune-mediated hepatitis, colitis / diarrhea, skin toxicity (rash, pruritus), endocrinopathies (thyroid, adrenal). Grade ≥3 TRAE 41% (nivo+ipi) vs. 42% (TKI). 12 treatment-related deaths in nivo+ipi arm vs. 3 in TKI arm — a notable safety signal driven by early immune-related toxicity. Critical take-home: the 6-month KM crossover (early HR 1.65) reflects early treatment-related mortality; patient selection and early irAE monitoring are paramount.
✅ FDA-approved 1L standard; first IO combo with OS benefit over TKI in HCC. CheckMate-9DW converted the prior CheckMate-040 accelerated approval to regular approval (April 11, 2025) and established nivolumab + ipilimumab as the first immunotherapy regimen to demonstrate OS superiority vs. TKI in 1L unresectable HCC. The 6-month KM crossover (early HR 1.65, then sustained HR 0.61) is a defining nuance — patient selection matters. Competes with IMbrave150 (atezolizumab + bevacizumab), HIMALAYA (STRIDE: tremelimumab + durvalumab), and LEAP-002 (lenvatinib + pembrolizumab, negative).