Evidence map›Paper›PMID 39137386›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2024

First-Line Nivolumab Plus Relatlimab Versus Nivolumab Plus Ipilimumab in Advanced Melanoma: An Indirect Treatment Comparison Using RELATIVITY-047 and CheckMate 067 Trial Data.

Georgina V Long, Evan J Lipson, F Stephen Hodi, Paolo A Ascierto, James Larkin, Christopher Lao, Jean-Jacques Grob, Flavia Ejzykowicz, Andriy Moshyk, Viviana Garcia-Horton and 10 more

Erratum issuedAbstract readComparative Study
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed.

  1. Trial
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  4. Type 3 Autoimmune Pancreatitis: What Do We Know So Far?Digestive diseases and sciences · 2026
    Review
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  20. Therapeutic potential of targeting LAG-3 in cancer.Journal for immunotherapy of cancer · 2025
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Georgina V LongMelanoma Institute Australia, The University of Sydney, Royal North Shore and Mater Hospitals, Sydney, NSW, Australia.ORCID 0000-0001-8894-3545
Evan J LipsonThe Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins University, Baltimore, MD.ORCID 0000-0003-2976-0911
F Stephen HodiDana-Farber Cancer Institute, Boston, MA.
Paolo A AsciertoIstituto Nazionale Tumori IRCCS Fondazione Pascale, Napoli, Italy.ORCID 0000-0002-8322-475X
James LarkinThe Royal Marsden NHS Foundation Trust, London, United Kingdom.ORCID 0000-0001-5569-9523
Christopher LaoUniversity of Michigan, Ann Arbor, MI.
Jean-Jacques GrobAix-Marseille University, Hôpital de la Timone, Marseille, France.ORCID 0000-0002-0667-153X
Flavia EjzykowiczBristol Myers Squibb, Princeton, NJ.
Andriy MoshykBristol Myers Squibb, Princeton, NJ.ORCID 0000-0003-4895-7103
Viviana Garcia-HortonAnalysis Group, Inc, Boston, MA.
Zheng-Yi ZhouAnalysis Group, Inc, Boston, MA.ORCID 0000-0001-9014-8479
Yiqiao XinAnalysis Group, Inc, Boston, MA.ORCID 0000-0001-5856-3103
Jennell PalaiaBristol Myers Squibb, Princeton, NJ.
Laura McDonaldBristol Myers Squibb, Princeton, NJ.
Sarah KeidelBristol Myers Squibb, Princeton, NJ.
Anthony SalvatoreBristol Myers Squibb, Princeton, NJ.
Divya PatelBristol Myers Squibb, Princeton, NJ.
Leon A SakkalBristol Myers Squibb, Princeton, NJ.ORCID 0000-0002-8164-6772
Hussein TawbiThe University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0003-1942-851X
Dirk SchadendorfUniversity of Essen and the German Cancer Consortium, Partner Site, Essen, Germany.ORCID 0000-0003-3524-7858

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNivolumab plus relatlimab and nivolumab plus ipilimumab have been approved for advanced melanoma on the basis of the phase II/III RELATIVITY-047 and phase III CheckMate 067 trials, respectively. As no head-to-head trial comparing these regimens exists, an indirect treatment comparison was conducted using patient-level data from each trial.

methodsInverse probability of treatment weighting (IPTW) adjusted for baseline characteristic differences. Minimum follow-ups (RELATIVITY-047, 33 months; CheckMate 067, 36 months) were selected to best align assessments. Outcomes included progression-free survival (PFS), confirmed objective response rate (cORR), and melanoma-specific survival (MSS) per investigator; overall survival (OS); and treatment-related adverse events (TRAEs). A Cox regression model compared PFS, OS, and MSS. A logistic regression model compared cORRs. Subgroup analyses were exploratory.

resultsAfter IPTW, key baseline characteristics were balanced for nivolumab plus relatlimab (n = 339) and nivolumab plus ipilimumab (n = 297). Nivolumab plus relatlimab demonstrated similar PFS (hazard ratio [HR], 1.08 [95% CI, 0.88 to 1.33]), cORR (odds ratio, 0.91 [95% CI, 0.73 to 1.14]), OS (HR, 0.94 [95% CI, 0.75 to 1.19]), and MSS (HR, 0.86 [95% CI, 0.67 to 1.12]) to nivolumab plus ipilimumab. Subgroup comparisons showed larger numerical differences favoring nivolumab plus ipilimumab with acral melanoma,

conclusionNivolumab plus relatlimab demonstrated similar efficacy to nivolumab plus ipilimumab in the overall population, including most-but not all-subgroups, and improved safety in patients with untreated advanced melanoma. Results should be interpreted with caution.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsIpilimumabMelanomaNivolumabAdultAgedAntibodies, Monoclonal, HumanizedFemaleHumansMaleMiddle AgedProgression-Free SurvivalSkin NeoplasmsAntibodies, Monoclonal, HumanizedIpilimumabNivolumab

Identifiers

PMID39137386
PMCPMC11575907

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.