New Drug: Relatlimab and Nivolumab for Advanced Melanoma


  • Study

    Double-blind, randomized Phase II-III trial
    Untreated metastatic or unresectable melanoma
    Relatlimab and nivolumab vs nivolumab alone



  • Efficacy

    mPFS: 10.1 vs 4.6 mos (HR:0.75; P=0.006)
    12 months PFS: 47.7% vs 36.0%
    PD L1<1 mPFS: 6.4 vs 2.9 mos (HR:0.66)
    PD L1>=1 mPFS: 15.7 vs 14.7 mos (HR:0.95)



  • Safety

    Most AE’s: Hypothyroidism or thyroiditis (in 18.0% of the patients), rash (in 9.3%), diarrhea or colitis (in 6.8%) in combination arm
    Grade >=3 increased levels of lipase (1.7%), ALT (1.4%), AST (1.4%), fatigue (1.1%) in combination arm



  • N Engl J Med 2022; 386:24-34

    Relatlimab and Nivolumab versus Nivolumab in Untreated Advanced Melanoma

    http://doi.org/10.1056/NEJMoa2109970

    Reviewed by Hasan Cagri Yildirim, MD on Nov 26, 2022