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NCT02593786: CheckMate 077

A Study of Safety, Tolerability and Pharmacokinetics of Nivolumab in Chinese Subjects With Previously Treated Advanced or Recurrent Solid Tumors

Completed Phase 1, PHASE2 Results posted Last updated 24 October 2022
What this trial tests

Phase 1, PHASE2 trial testing Nivolumab in Solid Tumors in 58 participants. Completed in 27 September 2021.

Timeline
7 January 2016
Primary endpoint
27 September 2021
27 September 2021

Quick facts

Lead sponsorBristol-Myers Squibb
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment58
Start date7 January 2016
Primary completion27 September 2021
Estimated completion27 September 2021
Sites2 locations across China

Drugs / interventions tested

Conditions studied

Sponsor

Bristol-Myers Squibb — full company profile →

Who can join

18 and older, any sex, with Solid Tumors. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

The Number of Participants Experiencing Drug-Related Grade 3-4 Adverse Events (AEs) Primary · From first dose to 100 days after last dose (up to approximately 28 months)

A drug related adverse event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study drug that has a causal relationship with the treatment. AEs are graded according to National Cancer Institute Common Terminology Criteria for Adverse Events (Version 4.03) (NCI CTCAE) guidelines where Grade 3= Severe and Grade 4= Life-threatening.

GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W1
Cohort B: Nivolumab 240 mg Q2W1
Cohort C: Nivolumab 360 mg Q3W0
Cohort D: Nivolumab 480 mg Q4W0
The Number of Participants Experiencing Drug-Related Grade 3-4 Serious Adverse Events (SAEs) Primary · From first dose to 100 days after last dose (up to approximately 28 months)

A drug related serious adverse event (SAE) is any untoward medical occurrence that at any dose: results in death; is life-threatening; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; or is an important medical event that has a casual relationship with the treatment. SAEs are graded according to National Cancer Institute Common Terminology Criteria for Adverse Events (Version 4.03) (NCI CTCAE) guidelines where Grade 3= Severe and Grade 4= Life-threatening.

GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W0
Cohort B: Nivolumab 240 mg Q2W1
Cohort C: Nivolumab 360 mg Q3W0
Cohort D: Nivolumab 480 mg Q4W0
The Number of Participants Experiencing Abnormal Hepatic Laboratory Test Results Primary · From first dose to 100 days after last dose (up to approximately 28 months)

The number of participants with the following laboratory abnormalities from the following on-treatment evaluations: * ALT or AST \> 3 x ULN, \> 5 x ULN, \> 10 x ULN and \> 20 x ULN * Total bilirubin \> 2 x ULN * Concurrent (within 1 day) ALT or AST \> 3 x ULN and total bilirubin \> 2 x ULN * Concurrent (within 30 days) ALT or AST \> 3 x ULN and total bilirubin \> 2 x ULN

ALT OR AST > 3XULN
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W0
Cohort B: Nivolumab 240 mg Q2W3
Cohort C: Nivolumab 360 mg Q3W0
Cohort D: Nivolumab 480 mg Q4W1
ALT OR AST> 5XULN
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W0
Cohort B: Nivolumab 240 mg Q2W2
Cohort C: Nivolumab 360 mg Q3W0
Cohort D: Nivolumab 480 mg Q4W0
ALT OR AST> 10XULN
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W0
Cohort B: Nivolumab 240 mg Q2W1
Cohort C: Nivolumab 360 mg Q3W0
Cohort D: Nivolumab 480 mg Q4W0
ALT OR AST > 20XULN
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W0
Cohort B: Nivolumab 240 mg Q2W0
Cohort C: Nivolumab 360 mg Q3W0
Cohort D: Nivolumab 480 mg Q4W0
TOTAL BILIRUBIN > 2XULN
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W0
Cohort B: Nivolumab 240 mg Q2W3
Cohort C: Nivolumab 360 mg Q3W1
Cohort D: Nivolumab 480 mg Q4W0
ALT/AST ELEV>3XULN;TOTAL BILIRUBIN>2XULN IN 1 DAY
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W0
Cohort B: Nivolumab 240 mg Q2W3
Cohort C: Nivolumab 360 mg Q3W0
Cohort D: Nivolumab 480 mg Q4W0
ALT/AST ELEV>3XULN;TOTAL BILIRUBIN>2XULN IN 30 DAYS
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W0
Cohort B: Nivolumab 240 mg Q2W3
Cohort C: Nivolumab 360 mg Q3W0
Cohort D: Nivolumab 480 mg Q4W0
Best Overall Response (BOR) Secondary · From first dose up to approximately 28 months

Best overall response (BOR) was assessed by the investigator using Response Evaluation Criteria in Solid Tumor (RECIST v1.1). Complete Response (CR) is defined as a disappearance of all target lesions. Partial Response (PR) is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Stable Disease (SD) is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. Progressive Disease (PD) is defined as at least a 20% increa

GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W0
Cohort B: Nivolumab 240 mg Q2W0
Cohort C: Nivolumab 360 mg Q3W0
Cohort D: Nivolumab 480 mg Q4W0
Cohort A: Nivolumab 3 mg/kg Q2W3
Cohort B: Nivolumab 240 mg Q2W2
Cohort C: Nivolumab 360 mg Q3W1
Cohort D: Nivolumab 480 mg Q4W2
Cohort A: Nivolumab 3 mg/kg Q2W2
Cohort B: Nivolumab 240 mg Q2W12
Cohort C: Nivolumab 360 mg Q3W6
Cohort D: Nivolumab 480 mg Q4W6
Cohort A: Nivolumab 3 mg/kg Q2W9
Cohort B: Nivolumab 240 mg Q2W5
Cohort C: Nivolumab 360 mg Q3W4
Cohort D: Nivolumab 480 mg Q4W4
Duration of Response (DOR) Secondary · From the date of first response (CR or PR) to the date of the first documented tumor progression or death due to any cause, whichever occurs first. (Up to approximately 28 months)

Duration of response is defined as the time from the date of first response (CR or PR) to the date of the first documented tumor progression as determined using RECIST 1.1 or death due to any cause, whichever occurs first. Participants who remain alive and have not progressed will be censored on the date of their last tumor assessment. Participants who started subsequent therapy without a prior reported progression will be censored at the last tumor assessment prior to initiation of the subsequent anticancer therapy. Complete response (CR) is defined as a disappearance of all target lesions an

Hepatocellular carcinoma
GroupValue95% CI
Cohort D: Nivolumab 480 mg Q4WNA95.3 – 95.3
Non-small cell lung carcinoma (NSCLC)
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2WNA8.3 – 8.3
Cohort C: Nivolumab 360 mg Q3W6.16.1 – 6.1
Nasopharyngeal carcinoma
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2WNA48.7 – 75.7
Cohort B: Nivolumab 240 mg Q2WNA34.1 – 81.1
Cohort D: Nivolumab 480 mg Q4WNA83.3 – 83.3
Objective Response Rate (ORR) Secondary · From first dose up to approximately 28 months

Objective response rate (ORR) is defined as the percentage of all treated participants whose best overall response (BOR) is either a complete response (CR) or partial response (PR) by investigator using Response Evaluation Criteria in Solid Tumor (RECIST v1.1). Complete response (CR) is defined as a disappearance of all target lesions and partial response (PR) is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Other tumor types include: gastric, melanoma, neuroblastoma, colorectal cancer, cervical cancer, duodenal pa

Hepatocellular carcinoma
GroupValue95% CI
Cohort B: Nivolumab 240 mg Q2W0NA – NA
Cohort D: Nivolumab 480 mg Q4W100NA – NA
Non-small cell lung carcinoma (NSCLC)
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W11.1NA – NA
Cohort B: Nivolumab 240 mg Q2W0NA – NA
Cohort C: Nivolumab 360 mg Q3W100NA – NA
Cohort D: Nivolumab 480 mg Q4W0NA – NA
Nasopharyngeal carcinoma
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W33.3NA – NA
Cohort B: Nivolumab 240 mg Q2W11.81.5 – 36.4
Cohort C: Nivolumab 360 mg Q3W00.0 – 30.8
Cohort D: Nivolumab 480 mg Q4W100NA – NA
Other tumor types
GroupValue95% CI
Cohort D: Nivolumab 480 mg Q4W0NA – NA
Response Rate at 24 Weeks Secondary · Week 24

Response rate at 24 weeks is defined as the percentage of all treated participants who have CR or PR by 24 weeks. Complete response (CR) is defined as a disappearance of all target lesions and partial response (PR) is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Other tumor types include: gastric, melanoma, neuroblastoma, colorectal cancer, cervical cancer, duodenal papillary carcinoma, and gallbladder carcinoma.

Hepatocellular carcinoma
GroupValue95% CI
Cohort B: Nivolumab 240 mg Q2W0NA – NA
Cohort D: Nivolumab 480 mg Q4W100NA – NA
Non-small cell lung carcinoma (NSCLC)
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W11.1NA – NA
Cohort B: Nivolumab 240 mg Q2W0NA – NA
Cohort C: Nivolumab 360 mg Q3W100NA – NA
Cohort D: Nivolumab 480 mg Q4W0NA – NA
Nasopharyngeal carcinoma
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W33.3NA – NA
Cohort B: Nivolumab 240 mg Q2W5.90.1 – 28.7
Cohort C: Nivolumab 360 mg Q3W00.0 – 30.8
Cohort D: Nivolumab 480 mg Q4W100NA – NA
Other tumor types
GroupValue95% CI
Cohort D: Nivolumab 480 mg Q4W0NA – NA
Disease Control Rate (DCR) at 24 Weeks Secondary · Week 24

Disease control rate (DCR) at 24 weeks is defined as the percentage of all treated participants who have CR, PR or SD by 24 weeks. Complete Response (CR) is defined as a disappearance of all target lesions. Partial Response (PR) is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Stable Disease (SD) is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. Other tumor types include: gastric, melanoma, neuroblas

Colorectal Cancer
GroupValue95% CI
Cohort D: Nivolumab 480 mg Q4W100NA – NA
Hepatocellular carcinoma
GroupValue95% CI
Cohort B: Nivolumab 240 mg Q2W0NA – NA
Cohort D: Nivolumab 480 mg Q4W100NA – NA
Non-small cell lung carcinoma (NSCLC)
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W11.1NA – NA
Cohort B: Nivolumab 240 mg Q2W0NA – NA
Cohort C: Nivolumab 360 mg Q3W100NA – NA
Cohort D: Nivolumab 480 mg Q4W66.7NA – NA
Nasopharyngeal carcinoma
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W33.3NA – NA
Cohort B: Nivolumab 240 mg Q2W23.56.8 – 49.9
Cohort C: Nivolumab 360 mg Q3W20.02.5 – 55.6
Cohort D: Nivolumab 480 mg Q4W100NA – NA
Other tumor types
GroupValue95% CI
Cohort D: Nivolumab 480 mg Q4W0NA – NA
The Number of Participants With Positive Anti Drug Antibody (ADA) Assessments at Baseline and Positive or Negative ADA Samples After Treatment Secondary · From pre-dose on day 1 Cycle 1 up to participants end of study (up to approximately 28 months)

The number of participants with the following anti-drug responses: 1. Baseline ADA positive: all participants with baseline ADA positive samples. 2. ADA Positive: participants that have at least one ADA positive sample relative to baseline at any time after initiation of treatment. 3. ADA negative: participants that have no ADA positive samples after the initiation of treatment.

ADA positive sample at baseline
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W1
Cohort B: Nivolumab 240 mg Q2W4
Cohort C: Nivolumab 360 mg Q3W0
Cohort D: Nivolumab 480 mg Q4W0
ADA positive sample after initiation of treatment
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W1
Cohort B: Nivolumab 240 mg Q2W0
Cohort C: Nivolumab 360 mg Q3W0
Cohort D: Nivolumab 480 mg Q4W2
ADA Negative sample after initiation of treatment
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W12
Cohort B: Nivolumab 240 mg Q2W19
Cohort C: Nivolumab 360 mg Q3W10
Cohort D: Nivolumab 480 mg Q4W10
Cmax - Maximum Observed Serum Concentration Secondary · Day 1 Cycle 1, 3, 5, 6 (pre-dose, 0.5, 4, 8, 24, 48, 96, 168, hours post dose. Cohort C-D includes also 336 hours post dose)

Nivolumab pharmacokinetic parameters are derived from serum concentration versus time data. Cmax is the maximum observed serum concentration over time.

Cycle 1 Day 1
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W57.025± NA
Cohort B: Nivolumab 240 mg Q2W77.674± NA
Cohort C: Nivolumab 360 mg Q3W108.455± NA
Cohort D: Nivolumab 480 mg Q4W206.630± NA
Cycle 3 Day 1
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W132.222± NA
Cohort B: Nivolumab 240 mg Q2W171.604± NA
Cycle 5 Day 1
GroupValue95% CI
Cohort D: Nivolumab 480 mg Q4W265.550± NA
Cycle 6 Day 1
GroupValue95% CI
Cohort C: Nivolumab 360 mg Q3W165.369± NA
Tmax - Time of Maximum Observed Serum Concentration Secondary · Day 1 Cycle 1, 3, 5, 6 (pre-dose, 0.5, 4, 8, 24, 48, 96, 168, hours post dose. Cohort C-D includes also 336 hours post dose)

Nivolumab pharmacokinetic parameters are derived from serum concentration versus time data. Tmax is the time of maximum observed serum concentration.

Cycle 1 Day 1
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W4.000.5 – 4.0
Cohort B: Nivolumab 240 mg Q2W4.000.5 – 8.0
Cohort C: Nivolumab 360 mg Q3W4.04.0 – 8.0
Cohort D: Nivolumab 480 mg Q4W4.010.5 – 8.0
Cycle 3 Day 1
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W8.004.0 – 48.2
Cohort B: Nivolumab 240 mg Q2W8.004.0 – 48.0
Cycle 5 Day 1
GroupValue95% CI
Cohort D: Nivolumab 480 mg Q4W2.260.5 – 8.0
Cycle 6 Day 1
GroupValue95% CI
Cohort C: Nivolumab 360 mg Q3W8.000.5 – 24.1
AUC (0-T)-Area Under the Plasma Concentration-Time Curve Secondary · Day 1 Cycle 1, 3, 5, 6 (pre-dose, 0.5, 4, 8, 24, 48, 96, 168, hours post dose. Cohort C-D includes also 336 hours post dose)

Nivolumab pharmacokinetic parameters are derived from serum concentration versus time data. AUC (0-T) is the area under the plasma concentration-time curve from time zero to the last time of the last quantifiable concentration.

Cycle 1 Day 1
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W8353.429± NA
Cohort B: Nivolumab 240 mg Q2W11646.854± NA
Cohort C: Nivolumab 360 mg Q3W23567.315± NA
Cohort D: Nivolumab 480 mg Q4W49115.208± NA
Cycle 3 Day 1
GroupValue95% CI
Cohort A: Nivolumab 3 mg/kg Q2W28442.153± NA
Cohort B: Nivolumab 240 mg Q2W35649.049± NA
Cycle 5 Day 1
GroupValue95% CI
Cohort D: Nivolumab 480 mg Q4W91967.438± NA
Cycle 6 Day 1
GroupValue95% CI
Cohort C: Nivolumab 360 mg Q3W51087.588± NA

Adverse events — posted to ClinicalTrials.gov

Time frame: All-cause mortality was assessed from participants first dose to their study completion (up to approximately 28 months). SAEs and Other AEs were assessed from first dose to 100 days following last dose (up to an approximately 14 months, maximum of 28 months). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort A: Nivolumab 3 mg/kg Q2W
Serious: 6/15 (40%)
Deaths: 4/15
Cohort B: Nivolumab 240 mg Q2W
Serious: 8/20 (40%)
Deaths: 7/20
Cohort C: Nivolumab 360 mg Q3W
Serious: 2/11 (18%)
Deaths: 0/11
Cohort D: Nivolumab 480 mg Q4W
Serious: 7/12 (58%)
Deaths: 1/12

Serious adverse events (23 terms)

ReactionSystemCohort A: Nivolumab 3 mg/k…Cohort B: Nivolumab 240 mg…Cohort C: Nivolumab 360 mg…Cohort D: Nivolumab 480 mg…
Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
PneumoniaInfections and infestations
Pericardial effusionCardiac disorders
Hypothalamo-pituitary disorderEndocrine disorders
Optic neuropathyEye disorders
DysphagiaGastrointestinal disorders
Intestinal obstructionGastrointestinal disorders
PancreatitisGastrointestinal disorders
AstheniaGeneral disorders
Jaundice cholestaticHepatobiliary disorders
AppendicitisInfections and infestations
Septic shockInfections and infestations
Tracheal haemorrhageInjury, poisoning and procedural complications
Platelet count decreasedInvestigations
Decreased appetiteMetabolism and nutrition disorders
HyponatraemiaMetabolism and nutrition disorders
Muscular weaknessMusculoskeletal and connective tissue disorders
Brain oedemaNervous system disorders
Cerebellar haemorrhageNervous system disorders
ParaplegiaNervous system disorders
Urinary tract obstructionRenal and urinary disorders
AsphyxiaRespiratory, thoracic and mediastinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Other adverse events (131 terms — click to expand)

ReactionSystemCohort A: Nivolumab 3 mg/k…Cohort B: Nivolumab 240 mg…Cohort C: Nivolumab 360 mg…Cohort D: Nivolumab 480 mg…
HypothyroidismEndocrine disorders
MalaiseGeneral disorders
Upper respiratory tract infectionInfections and infestations
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Decreased appetiteMetabolism and nutrition disorders
HyponatraemiaMetabolism and nutrition disorders
DizzinessNervous system disorders
ProteinuriaRenal and urinary disorders
RashSkin and subcutaneous tissue disorders
AnaemiaBlood and lymphatic system disorders
VomitingGastrointestinal disorders
PyrexiaGeneral disorders
PneumoniaInfections and infestations
C-reactive protein increasedInvestigations
GranulocytosisBlood and lymphatic system disorders
LeukocytosisBlood and lymphatic system disorders
ThrombocytosisBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
AstheniaGeneral disorders
FatigueGeneral disorders
Blood bilirubin increasedInvestigations
Haemoglobin decreasedInvestigations
Weight decreasedInvestigations
HypochloraemiaMetabolism and nutrition disorders
Cancer painNeoplasms benign, malignant and unspecified (incl cysts and polyps)
HeadacheNervous system disorders
InsomniaPsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Productive coughRespiratory, thoracic and mediastinal disorders
HypertensionVascular disorders
PhlebitisVascular disorders
LeukopeniaBlood and lymphatic system disorders
HyperthyroidismEndocrine disorders
Abdominal discomfortGastrointestinal disorders
NauseaGastrointestinal disorders
Chest discomfortGeneral disorders
Chest painGeneral disorders

Most-reported serious reactions: Malignant neoplasm progression, Pneumonia, Pericardial effusion, Hypothalamo-pituitary disorder, Optic neuropathy, Dysphagia, Intestinal obstruction, Pancreatitis.

Data from ClinicalTrials.gov NCT02593786 adverse events section.

Sponsor's own description

The purpose of this study is to determine whether nivolumab is safe and effective in the treatment of advanced or recurrent solid tumors in Chinese subjects.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Immunotherapy for nasopharyngeal carcinoma: Current status and prospects (Review).
    Huang H, Yao Y, Deng X, Huang Z, et al · · 2023 · cited 78× · PMID 37417358 · DOI 10.3892/ijo.2023.5545
  2. A Phase I/II Open-Label Study of Nivolumab in Previously Treated Advanced or Recurrent Nasopharyngeal Carcinoma and Other Solid Tumors.
    Ma Y, Fang W, Zhang Y, Yang Y, et al · · 2019 · cited 29× · PMID 31048330 · DOI 10.1634/theoncologist.2019-0284
  3. Copy number loss in granzyme genes confers resistance to immune checkpoint inhibitor in nasopharyngeal carcinoma.
    Ma Y, Chen X, Wang A, Zhao H, et al · · 2021 · cited 23× · PMID 33737344 · DOI 10.1136/jitc-2020-002014
  4. Distinct Functional Metagenomic Markers Predict the Responsiveness to Anti-PD-1 Therapy in Chinese Non-Small Cell Lung Cancer Patients.
    Fang C, Fang W, Xu L, Gao F, et al · · 2022 · cited 16× · PMID 35530307 · DOI 10.3389/fonc.2022.837525
  5. Model-Based Population Pharmacokinetic Analysis of Nivolumab in Chinese Patients With Previously Treated Advanced Solid Tumors, Including Non-Small Cell Lung Cancer.
    Zhang J, Cai J, Bello A, Roy A, et al · · 2019 · cited 16× · PMID 31115908 · DOI 10.1002/jcph.1432
  6. TMBserval: a statistical explainable learning model reveals weighted tumor mutation burden better categorizing therapeutic benefits.
    Wang Y, Wang J, Fang W, Xiao X, et al · · 2023 · cited 14× · PMID 37234148 · DOI 10.3389/fimmu.2023.1151755
  7. TMBcat: A multi-endpoint <i>p</i>-value criterion on different discrepancy metrics for superiorly inferring tumor mutation burden thresholds.
    Wang Y, Lai X, Wang J, Xu Y, et al · · 2022 · cited 13× · PMID 36189291 · DOI 10.3389/fimmu.2022.995180
  8. Genomic and microbial factors affect the prognosis of anti-pd-1 immunotherapy in nasopharyngeal carcinoma.
    Xu L, Ma Y, Fang C, Peng Z, et al · · 2022 · cited 10× · PMID 36059644 · DOI 10.3389/fonc.2022.953884

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