BrUOG 354: A Phase II Randomized Trial of Nivolumab +/- Ipilimumab for Ovarian and Extra-renal Clear Cell Carcinomas

Trial ID # NCT03355976; BrUOG 354
Phase II
Drug Class Immunotherapy: Checkpoint Inhibitors/PD-1
Drug Name Nivolumab
Alternate Drug Names BMS-936558, ONO-4538, MDX-1106, Anti-PD-1 human mab MDX-1106, Opdivo
Drugs in Trial Ipilimumab, Nivolumab
Eligible Participant

Recurrent clear cell ovarian and gynecologic cancer

Patients Enrolled

44, median 1 prior therapies (1-7); 36 OCCC

Therapy Setting

Recurrence

Study Design

Open-Label, Randomized

Endpoints

ORR, DoR, PFS, OS, evaluated per RECIST

Efficacy

Ipi+Niv (n=30) vs Niv (n=14):

ORR: 33.3 (4CR, 6PR) vs 14.3% (2PR)
DCR: 66.6 (4CR, 6PR, 10SD) vs 50% (2PR, 5SD)
DoR: 22.4 vs 30.6 months
PFS: 5.6 vs 2.2 months
OS: 24.7 vs 17.3 months

Clinically Significant Adverse Events

Ipi+Niv vs Niv:
Serious AEs:
Grade 3-4 AEs: overall (47 vs 21%)

Conclusion

Ipillimumab+nivolumab demonstrates important, meaningful, and durable activity in people with previously treated ovarian and gynecologic clear cell cancer

Reference

Dizon D et al. Final results of BrUOG 354: a randomized phase II trial of nivolumab alone or in combination with ipilimumab with ovarian and extra-renal clear cell carcinomas. J Clin Oncol 2024; 42 (suppl 17):LBA5500.
https://www.clearityfoundation.org/wp-content/uploads/2024/06/dizon-et-al-2024-final-results-of-bruog-354-Ipi-Nivo.pdf

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