First Phase 3 Results Presented for a PD-1 Immune Checkpoint Inhibitor

Similar documents
U.S. Food and Drug Administration Accepts Supplemental Biologics License Application for Opdivo

ONO PHARMACEUTICAL CO., LTD. and Bristol-Myers Squibb Announce Strategic Immuno-Oncology Collaboration in Japan, South Korea and Taiwan

Attached from the following page is the press release made by BMS for your information.

Attached from the following page is the press release made by BMS for your information.

U.S. Food and Drug Administration Accepts Supplemental Biologics License Application. for Opdivo (nivolumab)

Attached from the following page is the press release made by BMS for your information.

Attached from the following page is the press release made by BMS for your information.

Attached from the following page is the press release made by BMS for your information.

(generic name: ipilimumab) Injection 50 mg ( Yervoy ), a human anti-human CTLA-4 monoclonal. August 21, 2018

FDA Approves Opdivo (nivolumab) for the Treatment of Patients with Previously Treated Metastatic Squamous Non-Small Cell Lung Cancer

Bristol-Myers Squibb s Opdivo

European Commission Approves Expanded Use of Opdivo (nivolumab) to Include Previously Treated Metastatic Non-Squamous Non-Small Cell Lung Cancer

More cancer patients are being treated with immunotherapy, but

First and only FDA-approved combination of two Immuno-Oncology agents 1

Bristol-Myers Squibb Announces Regulatory Update for Opdivo (nivolumab) in Advanced Melanoma

Bristol-Myers Squibb s Opdivo

May 20, Attached from the following page is the press release made by BMS for your information.

First Presentation of Overall Survival Data for Opdivo

First Presentation of Two-Year Overall Survival Data for Opdivo (nivolumab) in Combination with Yervoy

The Current Status of Immune Checkpoint Inhibitors: Arvin Yang, MD PhD Oncology Global Clinical Research Bristol-Myers Squibb

PTAC meeting held on 5 & 6 May (minutes for web publishing)

December 8, Attached from the following page is the press release made by BMS for your information.

Bristol-Myers Squibb Provides Regulatory Update in First-line Lung Cancer

Immuno-Oncology Applications

European Medicines Agency Validates Bristol-Myers Squibb s Type II Variation Application for Opdivo (nivolumab) in Advanced Form of Bladder Cancer

Merck Announces FDA Approval of KEYTRUDA. Provided to Investors as a Reference

Updated Results Presented for the Opdivo (nivolumab) and Yervoy (ipilimumab) Combination in Metastatic Renal Cell Carcinoma From Phase 1 Study

Bristol-Myers Squibb Announces Results from CheckMate -143, a Phase 3 Study of Opdivo (nivolumab) in Patients with Glioblastoma Multiforme

Bristol-Myers Squibb Receives FDA Approval for Opdivo

Opdivo. Opdivo (nivolumab) Description

July 19, Attached from the following page is the press release made by BMS for your information.

Phase 1/2 Data Combining Urelumab with Opdivo (nivolumab) in Hematologic and Solid Tumors Suggest Increased Antitumor Effect in Patients with Melanoma

ARISTOTLE Demonstrated that ELIQUIS is the First Oral Anticoagulant to Significantly Reduce All-Cause Death

October 26, Attached from the following page is the press release made by BMS for your information.

Opdivo (nivolumab) Shows Durable Response in Longest Follow-up for a PD-1 Inhibitor in Previously Treated Advanced Non-Small Cell Lung Cancer

Clinical Policy: Nivolumab (Opdivo) Reference Number: ERX.SPA.302 Effective Date:

Long-Term Data from Two Trials Evaluating the Opdivo

June 5, Attached from the following page is the press release made by BMS for your information.

Nektar Investor & Analyst Call. Nektar & z Bristol-Myers Squibb Collaboration. February 14, 2018

ESMO 2016 * Investor Meeting October 9, *European Society of Medical Oncology, October 7-11, 2016 ESMO 2016 NOT FOR PRODUCT PROMOTIONAL USE

Clinical Policy: Nivolumab (Opdivo) Reference Number: CP.PHAR.121

Cowen Health Care Conference

News Release. Merck and Pfizer Advance Clinical Development Program with Two Additional Phase III Trials of Avelumab.

First Presentation of Phase 2 CheckMate-142 Study Evaluating Opdivo (nivolumab) Alone or in Combination with Yervoy

May 8, Attached from the following page is the press release made by BMS for your information.

June 5, Attached from the following page is the press release made by BMS for your information.

Clinical: Ipilimumab (MDX-010) Update and Next Steps

News Release. December 9, Not intended for UK-based media

Your Contacts. EMA ODD is an important regulatory milestone for avelumab in metastatic Merkel cell carcinoma (MCC)

AVEO and Astellas Report Final Overall Survival Results from TIVO-1

New Data on Opdivo (nivolumab) Indicate Benefit in Heavily Pre-Treated Classical Hodgkin Lymphoma Patients in Phase 2, Single-Arm Pivotal Trial

Opdivo. Opdivo (nivolumab) Description

BLA /S-048, S-049, S-050, S-051, S-052, S-061, S-062, S-064, S-065, and S-066 SUPPLEMENT APPROVAL

May 24, Attached from the following page is the press release made by BMS for your information.

Merck ASCO 2015 Investor Briefing

Opdivo (nivolumab) and Yervoy

Checkpoint regulators a new class of cancer immunotherapeutics. Dr Oliver Klein Medical Oncologist ONJCC Austin Health

STUDY FINDINGS PRESENTED ON TAXOTERE REGIMENS IN HEAD AND NECK, LUNG AND BREAST CANCER

Immuno-Oncology Clinical Trials Update: Checkpoint Inhibitors Others (not Anti-PD-L1/PD-1) Issue 4 January 2017

General Information, efficacy and safety data

MERCK ONCOLOGY OVERVIEW ASCO 2018 JUNE 4, 2018

Name of Policy: Yervoy (Ipilimumab)

Clinical Policy: Nivolumab (Opdivo) Reference Number: CP.HNMC.27 Effective Date: Last Review Date: Line of Business: Medicaid - HNMC

Clinical Policy: Nivolumab (Opdivo) Reference Number: CP.PHAR.121 Effective Date: Last Review Date: Line of Business: Medicaid

Immune Checkpoint Inhibitors: The New Breakout Stars in Cancer Treatment

JP Morgan Healthcare Conference

Citi Global Healthcare Conference

JP Morgan Healthcare Conference

AACR 2018 Investor Meeting

VeriStrat Poor Patients Show Encouraging Overall Survival and Progression Free Survival Signal; Confirmatory Phase 2 Study Planned by Year-End

Merck KGaA, Darmstadt, Germany, and Pfizer to Present Avelumab Data in Seven Different Cancers at ASCO Annual Meeting

(212) Investors Contact: Ryan Crowe (212)

Opdivo (nivolumab) An overview of Opdivo and why it is authorised in the EU. What is Opdivo and what is it used for?

ASCO 2014 Highlights*

June 6, Attached from the following page is the press release made by BMS for your information.

MERCK ONCOLOGY OVERVIEW AACR 2018 APRIL 16, 2018

AVEO and Astellas Announce TAURUS Patient Preference Clinical Study Comparing Tivozanib with Sunitinib in First-Line Kidney Cancer

ICLIO National Conference

(direct) (609) (mobile)

About TARIS System and TAR-200 (GemRIS )

Policy. Medical Policy Manual Approved Revised: Do Not Implement until 6/30/2019. Nivolumab

Ipilimumab ASCO Data Review and Discussion Webcast. Monday, June 2, 2008

Forward-Looking Statements

Checkpoint Regulators Cancer Immunotherapy takes centre stage. Dr Oliver Klein Department of Medical Oncology 02 May 2015

Policy. Medical Policy Manual Approved Revised: Do Not Implement Until 3/2/19. Nivolumab (Intravenous)

National Horizon Scanning Centre. Ipilimumab (MDX-010) for unresectable stage III or IV metastatic melanoma - first or second line treatment

Newest Oncology Agents: PD 1 Inhibitors Clinical Information and Patient Management

Media Release. Basel, 07 December 2017

AVEO and Astellas Announce Positive Findings from TIVO-1 Superiority Study of Tivozanib in First-Line Advanced RCC

Determined to realize a future in which people with cancer live longer and better than ever before CORPORATE PRESENTATION SEPTEMBER 2017

Determined to realize a future in which people with cancer live longer and better than ever before CORPORATE PRESENTATION JUNE 2017

September 14, Attached is the original press release made by BMS for your information.

CORPORATE PRESENTATION

Cost-effectiveness of nivolumab with ipilimumab (Opdivo with Yervoy ) for the treatment of advanced (unresectable or metastatic) melanoma.

June 5, Attached from the following page is the press release made by BMS for your information.

Merck & Co, Inc. Announced Approval of JANUVIA TM (INN: sitagliptin), a new oral treatment of diabetes, by the US FDA

2016 Year-End Results and Conference Call. March 14, 2017

Immunocore and MedImmune announce new collaboration to conduct immuno-oncology combination trials in melanoma

Media Release. Basel, 26 March 2018

Transcription:

September 30, 2014 Positive Phase 3 Data for Opdivo (nivolumab) in Advanced Melanoma Patients Previously Treated with Yervoy @ (ipilimumab) Presented at the ESMO 2014 Congress First Phase 3 Results Presented for a PD-1 Immune Checkpoint Inhibitor Bristol-Myers Squibb announced that the positive Phase 3 results for Opdivo (nivolumab) in advanced melanoma patients previously treated with Yervoy @ (ipilimumab) was presented at ESMO 2014 Congress in Madrid on September 29(EST). Opdivo is a human anti-human PD-1 monoclonal antibody generated under a research collaboration entered into in May 2005 between ONO PHARMACEUTICAL CO.,LTD. ( ONO ) and the US-based company Medarex,Inc. When Medarex, Inc. was acquired by Bristol-Myers Squibb Company ( BMS ) in 2009, it also granted BMS its rights to develop and commercialize the human anti-human PD-1 monoclonal antibody in North America. Through the collaboration agreement entered into in September 2011 between ONO and BMS, ONO granted BMS exclusive rights to develop and commercialize Opdivo in the rest of the world, except in Japan, Korea and Taiwan where ONO had retained all rights to develop and commercialize the compound. On July 23, 2014, ONO and BMS signed a new collaboration agreement in which the companies agreed to jointly develop and commercialize Opdivo, ipilimumab and three early-stage immunotherapies in Japan, South Korea and Taiwan. Furthermore, BMS has a robust clinical development program in a variety of tumor types overseas, including: Non-Small Cell Lung Cancer (NSCLC), Renal Cell Carcinoma (RCC), Melanoma, Head and Neck Cancer, Blood Cancer, Glioblastoma, Colorectal Cancer, Pancreatic Cancer, Gastric Cancer, Hepatocellular Carcinoma, Triple-Negative Breast Cancer, Small-Cell Cancer, Bladder Cancer. In Japan, ONO has launched it for melanoma treatment in September 2014. Also, ONO is conducting clinical development programs including RCC, NSCLC, Head and Neck Cancer, Gastric Cancer and esophageal cancer. Please refer to the Press Release announced by BMS. Contact ONO PHARMACEUTICAL CO.,LTD. Bristol-Myers Squibb K.K. Corporate Communications Public Affairs & Communications public_relations@ono.co.jp 03-6705-7013 Keisuke Goto pac@bms.com

Positive Phase 3 Data for Opdivo (nivolumab) in Advanced Melanoma Patients Previously Treated with Yervoy (ipilimumab) Presented at the ESMO 2014 Congress; First Phase 3 Results Presented for a PD-1 Immune Checkpoint Inhibitor Objective response rate was 32% in Opdivo treated patients and 11% in the reference arm of chemotherapy-treated patients Majority (95%) of responses were ongoing in Opdivo treated patients and median duration of response was not reached Overall frequency of adverse events was lower with Opdivo compared to chemotherapy; Opdivo treatment-related adverse events were managed using recommended treatment algorithms (PRINCETON, N.J., September 29, 2014) Bristol-Myers Squibb Company (NYSE: BMY) today announced positive results from CheckMate -037, a Phase 3 randomized, controlled open-label study of Opdivo (nivolumab), an investigational PD-1 immune checkpoint inhibitor, versus investigator s choice chemotherapy (ICC) in patients with advanced melanoma who were previously treated with Yervoy (ipilimumab). Based on a planned interim analysis of the co-primary endpoint, the objective response rate (ORR) was 32% (95% CI = 24, 41) in the Opdivo arm (n=120) and 11% (95% CI = 4, 23) in the ICC reference arm (n=47) in patients with at least six months of follow up. The majority (95%) of responses were ongoing in the Opdivo arm and the median duration of response was not reached. ORR was based on RECIST criteria as evaluated by an independent radiologic review committee (IRRC). These data were highlighted at a ESMO 2014 Congress press briefing today in Madrid and will be presented during the Presidential Symposium at 4 p.m. CEST (Abstract #LBA3_PR). These data are important as they mark the first presentation of results from a Phase 3 randomized study for the PD-1 immune checkpoint inhibitor class, said Jeffrey S. Weber, MD, Ph.D., director of the Donald A. Adam Comprehensive Melanoma Research Center at Moffitt Cancer Center. Additionally, the response rate and duration of response in patients treated with Opdivo are consistent with findings from the early Phase 1 trial in previously treated advanced melanoma (Study -003). Safety was reported on all patients treated in the Opdivo (n=268) and ICC (n=102) arms. The majority of Opdivo treatment-related adverse events (AEs) were Grade 1/2 and managed using recommended treatment algorithms. Grade 3/4 drug-related AEs were less frequent for the Opdivo arm (9% versus 31% of patients treated chemotherapy). Serious Grade 3/4 drug-related AEs were reported in 5% and 9% of patients treated with Opdivo and ICC, respectively. There was no Grade 3/4 pneumonitis

(inflammatory lung disease) with Opdivo. Discontinuations due to drug-related AEs, of any grade, occurred in 2% of Opdivo-treated patients and 8% of patients administered ICC. There were no deaths related to study drug toxicity. This second set of positive Phase 3 data for Opdivo in patients with advanced melanoma supports a deeper understanding of the potential of immuno-oncology in this disease, said Michael Giordano, M.D., senior vice president, Head of Development, Oncology. These results confirm our belief in the potential of immuno-oncology, and our broad development program continues to evaluate Opdivo in advanced melanoma across lines of therapy, both as a single agent and as part of a combination regimen. In June, Bristol-Myers Squibb announced that a randomized blinded comparative Phase 3 study evaluating Opdivo versus dacarbazine in patients with previously untreated BRAF wild-type advanced melanoma (CheckMate -066) was stopped early because an analysis conducted by the independent Data Monitoring Committee showed evidence of superior overall survival in patients receiving Opdivo compared to the control arm. The Company is working with investigators on the future presentation and publication of the results from CheckMate -066. Bristol-Myers Squibb has proposed the name Opdivo (pronounced op-dee-voh), which, if approved by health authorities, will serve as the trademark for nivolumab. About CheckMate 037 CheckMate -037 is a Phase 3 randomized, open-label study (n=370) designed to estimate the ORR in the Opdivo arm and compare the OS of patients treated with Opdivo versus those patients administered ICC. Patients in the trial were randomized 2:1 to receive Opdivo 3 mg/kg by intravenous infusion every two weeks (n=268) or ICC (dacarbazine 1000 mg/m 2 every three weeks or carboplatin AUC 6 plus paclitaxel 175 mg/m 2 every three weeks; n=102) until progression or unacceptable toxicity. Patients were classified by PD-1 ligand expression, BRAF status (wild type or mutated) and best response to prior treatment with Yervoy. Co-primary endpoints of the study are ORR and overall survival (OS). Response, as measured by standard RECIST 1.1 criteria by an IRRC, was assessed nine weeks after randomization, every six weeks for the first 12 months and then every 12 weeks. An interim analysis of OS had not taken place at the time of the ORR analysis. About Opdivo Cancer cells may exploit regulatory pathways, such as checkpoint pathways, to hide from the immune system and shield the tumor from immune attack. Opdivo is an investigational, fully-human

PD-1 immune checkpoint inhibitor that binds to the checkpoint receptor PD-1 (programmed death-1) expressed on activated T-cells. Bristol-Myers Squibb has a broad, global development program to study Opdivo in multiple tumor types consisting of more than 35 trials as monotherapy or in combination with other therapies in which more than 7,000 patients have been enrolled worldwide. Among these are several potentially registrational trials in non-small cell lung cancer (NSCLC), melanoma, renal cell carcinoma (RCC), head and neck cancer, glioblastoma and non-hodgkin lymphoma. In 2013, the FDA granted Fast Track designation for Opdivo (nivolumab) in NSCLC, melanoma and RCC. In April 2014, the company initiated a rolling submission with the FDA for Opdivo in thirdline pre-treated squamous cell NSCLC and expects to complete the submission by year-end. The FDA granted Opdivo Breakthrough Therapy Designation in May 2014 for the treatment of patients with Hodgkin lymphoma after failure of autologous stem cell transplant and brentuximab. On July 4,ONO PHARMACEUTICAL CO.. announced that Opdivo received manufacturing and marketing approval in Japan for the treatment of patients with unresectable melanoma, making Opdivo the first PD-1 immune checkpoint inhibitor to receive regulatory approval anywhere in the world. On September 26, Bristol- Myers Squibb announced that the FDA accepted for priority review the BLA for previously treated advanced melanoma, and the Prescription Drug User Fee Act (PDUFA) goal date for a decision is March 30, 2015. The FDA also granted Opdivo Breakthrough Therapy status for this indication. In the European Union, the European Medicines Agency (EMA) has validated for review the Marketing Authorization Application (MAA) for Opdivo in advanced melanoma. The application has also been granted accelerated assessment by the EMA s Committee for Medicinal Products for Human Use (CHMP). About Advanced Melanoma Melanoma is a form of skin cancer characterized by the uncontrolled growth of pigmentproducing cells (melanocytes) located in the skin. Metastatic melanoma is the deadliest form of the disease, and occurs when cancer spreads beyond the surface of the skin to the other organs, such as the lymph nodes, lungs, brain or other areas of the body. The incidence of melanoma has been increasing for at least 30 years. In 2012, an estimated 232,130 melanoma cases were diagnosed globally. Melanoma is mostly curable when treated in its early stages. However, in its late stages, the average survival rate has historically been just six months with a one-year mortality rate of 75 percent, making it one of the most aggressive forms of cancer. GLOBOCAN 2012

Immuno-Oncology at Bristol-Myers Squibb Surgery, radiation, cytotoxic or targeted therapies have represented the mainstay of cancer treatment over the last several decades, but long-term survival and a positive quality of life have remained elusive for many patients with advanced disease. To address this unmet medical need, Bristol-Myers Squibb is leading advances in the innovative field of immuno-oncology, which involves agents whose primary mechanism is to work directly with the body s immune system to fight cancer. The company is exploring a variety of compounds and immunotherapeutic approaches for patients with different types of cancer, including researching the potential of combining immuno-oncology agents that target different and complementary pathways in the treatment of cancer. Bristol-Myers Squibb is committed to advancing the science of immuno-oncology, with the goal of changing survival expectations and the way patients live with cancer. About the Bristol-Myers Squibb and ONO PHARMACEUTICAL Collaboration In 2011, through a collaboration agreement with ONO PHARMACEUTICAL, Bristol-Myers Squibb expanded its territorial rights to develop and commercialize Opdivo globally except in Japan, South Korea and Taiwan, where ONO had retained all rights to the compound at the time. On July 23, 2014, Bristol-Myers Squibb and ONO PHARMACEUTICAL further expanded the companies strategic collaboration agreement to jointly develop and commercialize multiple immunotherapies as single agents and combination regiments for patients with cancer in Japan, South Korea and Taiwan. About Bristol-Myers Squibb Bristol-Myers Squibb is a global pharmaceutical company whose mission is to discover, develop and deliver innovative medicines that help patients prevail over serious diseases. For more information about Bristol-Myers Squibb, visit www.bms.com, or follow us on Twitter at http://twitter.com/bmsnews. Bristol-Myers Squibb Forward-Looking Statement This press release contains "forward-looking statements" as that term is defined in the Private Securities Litigation Reform Act of 1995 regarding the research, development and commercialization of pharmaceutical products. Such forward-looking statements are based on current expectations and involve inherent risks and uncertainties, including factors that could delay, divert or change any of

them, and could cause actual outcomes and results to differ materially from current expectations. No forward-looking statement can be guaranteed. Among other risks, there can be no guarantee that Opdivo will receive regulatory approval in the U.S. or, if approved, that it will become a commercially successful product. Forward-looking statements in this press release should be evaluated together with the many uncertainties that affect Bristol-Myers Squibb's business, particularly those identified in the cautionary factors discussion in Bristol-Myers Squibb's Annual Report on Form 10-K for the year ended December 31, 2013 in our Quarterly Reports on Form 10-Q and our Current Reports on Form 8-K. Bristol-Myers Squibb undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future events or otherwise.