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ASH 2024 | A study of brentuximab vedotin, nivolumab, and ipilimumab in pediatric patients with R/R cHL

Catherine Diefenbach, MD, NYU Langone, New York City, NY, comments on the results of an intergroup study (NCT01896999) of brentuximab vedotin, nivolumab, and ipilimumab in pediatric patients with relapsed/refractory (R/R) classic Hodgkin lymphoma (cHL). Dr Diefenbach notes that patients treated with the triplet combination had a significant improvement in progression-free survival compared to those treated with the doublet brentuximab and nivolumab. This finding is encouraging and suggests that the triplet combination may offer improved outcomes in this population. This interview took place at the 66th ASH Annual Meeting and Exposition, held in San Diego, CA.

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Transcript

Yes, so these are the pediatric colleagues who participated in the intergroup study of brentuximab vedotin, which is an antibody drug conjugate to CD30, and the checkpoint inhibitors nivolumab and ipilimumab in Hodgkin lymphoma. This was the study that I led and I presented the data at ASH last year for the Phase II that was randomized between BV-nivo and ipi-nevo, showing that there was no difference in the CR rate between the two arms, and that there was no difference in the progression-free survival at the follow-up that we did...

Yes, so these are the pediatric colleagues who participated in the intergroup study of brentuximab vedotin, which is an antibody drug conjugate to CD30, and the checkpoint inhibitors nivolumab and ipilimumab in Hodgkin lymphoma. This was the study that I led and I presented the data at ASH last year for the Phase II that was randomized between BV-nivo and ipi-nevo, showing that there was no difference in the CR rate between the two arms, and that there was no difference in the progression-free survival at the follow-up that we did. We subsequently presented data at Cologne, where we showed that for the patients who did not go to transplant, so the patients who opted not to go to transplant, there was a significant improvement in progression-free survival in the triplet arm of brentuximab, ipi, and nivo compared to brentuximab and nivo. These are the pediatric patients who were on this study presented by the pediatric group, and these were a small number of patients. But what they showed, patients were equally randomized to each arm, and what they showed is that patients in both arms had 100% complete response rate, which is very encouraging, but that a complete response did not equal a durable full response because there was a substantial difference in the progression-free survival for patients who got brentuximab-nivo versus brentuximab-ipi-nivo with a significant improvement in progression-free survival for patients who got the triplet compared to the doublet. So what this means and where this is going, it’s a small number of patients, but it’s intriguing.

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Disclosures

MorphoSys: Consultancy; Seattle Genetics: Consultancy, Research Funding; Millenium: Research Funding; Merck: Consultancy, Research Funding; MEI Pharma: Research Funding; Incyte: Consultancy, Research Funding; I MAB: Consultancy; Genmab: Consultancy; Genentech/Roche: Consultancy, Research Funding; FATE Therapeutics: Research Funding; Celgene: Consultancy; BMS: Consultancy, Research Funding; Astra Zeneca: Membership on an entity’s Board of Directors or advisory committees; Abbvie: Membership on an entity’s Board of Directors or advisory committees, Research Funding; OverT Therapeutics: Current equity holder in private company; Gilead Sciences: Current equity holder in publicly-traded company; NYU Grossman School of Medicine/Perlmutter Cancer Center at NYU Langone Health: Current Employment.