1L MSI-H/dMMR metastatic colorectal cancer — Bristol Myers Squibb + Ono Pharmaceutical
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NIVO/IPI vs CTx in 1st line for MSI-H/dMMR mCRC #ASCO24
🔎CheckMate 8HW, 202 pts
👉PFS: nr vs 5.9mo, HR 0.21
👉Subsequent Tx: 12% vs 68%, in CTx arm: 67% ICI
👉mPFS2: nr vs 29.9, HR 0.27
👉24-mo PFS2: 83…
The New Standard of Care in MSI-H CRC: Nivolumab + Ipilimumab
The CM-8HW trial has provided us with some important insights:
1. Discrepancy between local and central MSI testing: In the CM-8HW…
Nivolumab/ipilimumab versus nivolumab in MSI mCRC (CheckMate 8HW): a randomised, open-label, phase 3 trial
👇Get the full paper in the @TheLancet
https://t.co/BcTvHxv4Bu
👉Convincing activity with…
One page takeaway from #CheckMate8HW study that resulted in Ipi + Nivo @FDAOncology approval on April 8, 2025 for dMMR/MSI-H metastatic colorectal cancer. More data on MSI-H in adj at #ASCO25!…
JUST IN: The @US_FDA approves nivolumab with ipilimumab for unresectable or metastatic MSI-H or dMMR colorectal cancer!
News reported by @ASCO #FDAalerts https://t.co/SZySs7FXSp
Another trial data with WIDE gap between PFS and PFS 2 curves .
Checkmate 8HW
And
Role of IO ( double vs Single IO ) in MSI high colon cancer, both metastatic and localized.
@asco #asco24…
Ipi/Nivo now @FDAOncology approved based off #Checkmate8HW: Ph 3, dMMR/MSI-H mCRC, Ipi (1mg/kg) + Nivo (240mg) Q3W for 4 cycles and then Nivo alone vs Nivo:
- mPFS NR for Ipi/Nivo vs 39·3 months
-…
✅Dual Immunotherapy Gets the Green Light
FDA fully approved nivolumab + ipilimumab for MSI-H/dMMR metastatic colorectal cancer — in adults and teens ≥12.
@US_FDA @OncoAlert @OncBrothers …
NIVO + IPI vs NIVO for MSI-H/dMMR mCRC: Health-related quality of life analysis
🔎CheckMate 8HW
👉mPFS clearly improved
👉 HRQoL, less symptoms
🧐 Supports use of Nivo IPI as 1st line treatment in MSI…
🔥FDA approves nivolumab with ipilimumab for unresectable or metastatic MSI-H or dMMR colorectal cancer🔥
👉based on impressive efficacy in CHECKMATE-8HW
@myESMO https://t.co/8CbFUxwa9q
CheckMate-8HW establishes NIVO+IPI as a 1L standard for MSI-H/dMMR mCRC, building on KEYNOTE-177 (pembrolizumab monotherapy) benchmark. Superior PFS vs. both chemotherapy and NIVO alone. FDA approved April 2025. Choice between NIVO+IPI and pembrolizumab monotherapy in MSI-H mCRC balances efficacy depth vs. IR AE burden.
Median: not reached (NIVO + IPI, 95% CI 38.4-NE) vs. 5.8 months (chemotherapy, 95% CI 4.4-7.8). HR 0.21 (95% CI 0.14-0.32), P<0.0001 Median PFS not reached (95% CI: 38.4 to NE) with NIVO+IPI vs. 5.8 months (95% CI: 4.4-7.8) with chemotherapy — a 79% reduction in risk of progression or death. Analysis conducted in 255 patients with centrally confirmed MSI-H/dMMR status (of 303 based on local testing).
Median: not reached (NIVO + IPI) vs. not reached (NIVO monotherapy). HR 0.61 (95% CI 0.45-0.83) ESMO 2025 (Sara Lonardi) descriptive OS analysis of NIVO+IPI vs. NIVO monotherapy across all lines in centrally confirmed MSI-H/dMMR mCRC: HR 0.61 (95% CI 0.45-0.83). Median OS not reached in either arm. OS data remain immature — 168 of ~243 expected deaths observed (~69% event maturity). The prespecified statistical boundary for significance at this interim was 0.0007 (hierarchical alpha allocation across co-primary endpoints), which was not crossed. Median follow-up 55.1 months (range 24.7-68.5). FDA approval (April 2025) was based on PFS alone; OS data were not available at time of interim PFS analysis per FDA approval document.
Grade ≥3 adverse events: 22.0% (nivo_ipi) vs. 14.0% (nivo_mono). Higher Grade ≥3 TRAE rate with NIVO+IPI than NIVO monotherapy but well-managed and consistent with established checkpoint inhibitor combinations. No new safety signals identified.
✅ New 1L SOC for MSI-H/dMMR mCRC. CheckMate-8HW establishes NIVO+IPI as a 1L standard for MSI-H/dMMR mCRC, building on KEYNOTE-177 (pembrolizumab monotherapy) benchmark. Superior PFS vs. both chemotherapy and NIVO alone. FDA approved April 2025. Choice between NIVO+IPI and pembrolizumab monotherapy in MSI-H mCRC balances efficacy depth vs. IR AE burden.