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    Clinical Trial Results:
    A Safety study of Nivolumab in Patients with Recurrent and/or Metastatic Platinum-refractory Squamous Cell Carcinoma of the Head and Neck (SCCHN).

    Summary
    EudraCT number
    2017-000424-10
    Trial protocol
    FR  
    Global end of trial date
    27 May 2022

    Results information
    Results version number
    v1(current)
    This version publication date
    28 Jun 2025
    First version publication date
    28 Jun 2025
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    UC-0130/1703
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03226756
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    UNICANCER
    Sponsor organisation address
    101 rue de Tolbiac, Paris, France, 75015
    Public contact
    Nourredine AIT RAHMOUNE,, UNICANCER, 33 0171936704, n.ait-rahmoune@unicancer.fr
    Scientific contact
    Nourredine AIT RAHMOUNE, UNICANCER, 33 0171936704, n.ait-rahmoune@unicancer.fr
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    10 Feb 2021
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    10 Feb 2021
    Global end of trial reached?
    Yes
    Global end of trial date
    27 May 2022
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    To estimate the incidence of high-grade (i.e. Grade 3-5 of CTCAE v4.0) adverse events of interest (AEI) in patients with recurrent and/or metastatic platinum refractory SCCHN treated with nivolumab in monotherapy. AEI are defined as adverse reactions known to be related to nivolumab (i.e. skin, endocrinopathy, astrointestinal, hepatic, renal, pulmonary, and hypersensitivity adverse events) and other adverse events not related to carcinoma progression or to intercurrent disease clearly identified.
    Protection of trial subjects
    This study was conducted in accordance with the Declaration of Helsinki (1964) and subsequent amendments, ICH Good Clinical Practice (GCP) Guidelines (CPMP/ICH/135/95), the European Directive (2001/20/CE) and the applicable local regulatory requirements and laws.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    07 Jul 2017
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Safety, Efficacy
    Long term follow-up duration
    2 Years
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    France: 343
    Worldwide total number of subjects
    343
    EEA total number of subjects
    343
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    198
    From 65 to 84 years
    140
    85 years and over
    5

    Subject disposition

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    Recruitment
    Recruitment details
    351 patients were included from 07-AUG-2017 to 05-NOV-2018 by 28 recruiting centers . Among them, eight patients were not treated: two did not receive any cure because of the appearance of brain metastasis before the first treatment, four of them died and the last one presented an adverse event clinically significant before their first treatment.

    Pre-assignment
    Screening details
    In this study, patients presented recurrent and/or metastatic platinum-refractory Squamous Cell Carcinoma of the Head and Neck (SCCHN) were included. Following the signature of the informed consent form, all included patients received nivolumab treatment until immune Confirmed Progressive Disease (iCPD) the patients were followed-up for two years.

    Period 1
    Period 1 title
    Overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Nivolumab 3 mg/kg, every 2 weeks
    Arm description
    All patients enrolled in the study will received Nivolumab injections, 3mg/kg IV, every 2 weeks, up to 12 cycles (1 cycle = 28 days) until of immune Confirmed Progressive Disease (iCPD) according to iRECIST guidelines.
    Arm type
    Experimental

    Investigational medicinal product name
    Nivolumab
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Nivolumab isotonic aqueous solution (10 mg/mL) intravenously injected over 30 ± 5 min. to a final dose of 3 mg/kg, every two weeks for n cycles until of immune Confirmed Progressive Disease (iCPD) according to iRECIST guidelines.

    Number of subjects in period 1
    Nivolumab 3 mg/kg, every 2 weeks
    Started
    343
    Completed
    6
    Not completed
    337
         Physician decision
    11
         Consent withdrawn by subject
    6
         Death
    54
         Other
    17
         Adverse event
    25
         Progressive disease
    223
         Protocol deviation
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall trial (overall period)
    Reporting group description
    -

    Reporting group values
    Overall trial (overall period) Total
    Number of subjects
    343 343
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    198 198
        From 65-84 years
    140 140
        85 years and over
    5 5
    Age continuous
    Units: years
        median (inter-quartile range (Q1-Q3))
    62 (56 to 69) -
    Gender categorical
    Units: Subjects
        Female
    64 64
        Male
    279 279
    ECOG
    Units: Subjects
        ECOG 0
    84 84
        ECOG 1
    206 206
        ECOG 2
    52 52
        Missing
    1 1
    Primary site of cancer
    Units: Subjects
        Hypopharynx
    68 68
        Larynx
    52 52
        Oral cavity
    83 83
        Oropharynx
    138 138
        Unknown primary
    2 2
    Metastatic disease
    Units: Subjects
        No
    126 126
        Yes
    217 217
    Loco regional Recurrent disease
    Units: Subjects
        No
    102 102
        Yes
    241 241

    End points

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    End points reporting groups
    Reporting group title
    Nivolumab 3 mg/kg, every 2 weeks
    Reporting group description
    All patients enrolled in the study will received Nivolumab injections, 3mg/kg IV, every 2 weeks, up to 12 cycles (1 cycle = 28 days) until of immune Confirmed Progressive Disease (iCPD) according to iRECIST guidelines.

    Primary: Time until Grade 5 SADR occurre

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    End point title
    Time until Grade 5 SADR occurre [1]
    End point description
    The primary endpoint of this study was to assess the incidence of nivolumab induced Grade 3, 4 and 5 ADRs and SADRs susceptible to promote skin, endocrinologic, gastrointestinal, hepatic, renal, pulmonary, or hypersensitivities as well as other AEs not related to either carcinoma progression or clearly identified intercurrent disease. The 5 Grade 5 SADRs were recorded and consisted of 3 interstitial lung disease, 1 autoimmune hepatitis, and 1 cardi-respiratory arrest.
    End point type
    Primary
    End point timeframe
    Last day dose + 100 d
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis to report for this end point.
    End point values
    Nivolumab 3 mg/kg, every 2 weeks
    Number of subjects analysed
    343
    Units: Months
    number (not applicable)
        Interstitial lung disease 1
    0.7228
        Autoimmune hepatitis
    1.7413
        Interstitial lung disease 2
    10.3491
        Interstitial lung disease 3
    1.2813
        Cardio-respiratory arrest
    0.2628
    No statistical analyses for this end point

    Secondary: Overall survival (OS)

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    End point title
    Overall survival (OS)
    End point description
    Overall survival is defined as the time from date of inclusion to date of death due to any cause. Patients last known to be alive will be censored at date of last contact. Overall survival will be estimated by Kaplan Meier method.
    End point type
    Secondary
    End point timeframe
    Up to 36 months.
    End point values
    Nivolumab 3 mg/kg, every 2 weeks
    Number of subjects analysed
    343
    Units: Months
        median (confidence interval 95%)
    7.4 (6.5 to 8.9)
    No statistical analyses for this end point

    Secondary: Progression free survival (PFS)

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    End point title
    Progression free survival (PFS)
    End point description
    Progression-free survival is defined as the time since the inclusion in the trial to the first event among progression and death, whatever the cause of death. Progression is defined according to RECIST 1.1. Patients last known to be alive without progression having occurred before will be censored at date of last contact. Progression free survival will be estimated by Kaplan Meier method.
    End point type
    Secondary
    End point timeframe
    Up to 36 months.
    End point values
    Nivolumab 3 mg/kg, every 2 weeks
    Number of subjects analysed
    343
    Units: Months
        median (confidence interval 95%)
    1.8 (1.8 to 1.9)
    No statistical analyses for this end point

    Secondary: Objective response rate (ORR) (complete response and partial response according to RECIST 1.1 and to iRECIST) during nivolumab treatment

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    End point title
    Objective response rate (ORR) (complete response and partial response according to RECIST 1.1 and to iRECIST) during nivolumab treatment
    End point description
    The rate of patients with objective response (complete response or partial response) will be provided. The response is the best response obtained at the evaluations performed during treatment and at the end of treatment. Two evaluations of the response will be done: one according to the RECIST 1.1 criteria and one according the Immune-related Response Criteria (iRECIST).
    End point type
    Secondary
    End point timeframe
    The time between the fist dose of treatment until the best response, assessed up to 36 months.
    End point values
    Nivolumab 3 mg/kg, every 2 weeks
    Number of subjects analysed
    343
    Units: Patients
        Not evaluated N
    67
        Progressive disease N
    145
        Stable disease N
    74
        Partial response N
    45
        Complete response N
    12
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    The period of observation of adverse events of interest was the period of nivolumab treatment and 180 days after.
    Adverse event reporting additional description
    For non serious adverse events the number of occurrence are not available and will be always noted "1"
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    20.0
    Reporting groups
    Reporting group title
    Nivolumab 3 mg/kg, every 2 weeks
    Reporting group description
    All patients enrolled in the study will received Nivolumab injections, 3mg/kg IV, every 2 weeks, up to 12 cycles (1 cycle = 28 days) until of immune Confirmed Progressive Disease (iCPD) according to iRECIST guidelines.

    Serious adverse events
    Nivolumab 3 mg/kg, every 2 weeks
    Total subjects affected by serious adverse events
         subjects affected / exposed
    181 / 343 (52.77%)
         number of deaths (all causes)
    291
         number of deaths resulting from adverse events
    10
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Adenocarcinoma of colon
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Gastric carcinoma
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Lung metastases
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Metastatic bone pain
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Oesophageal cancer
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Squamous cell carcinoma of skin
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Tumor bleeding
         subjects affected / exposed
    15 / 343 (4.37%)
         occurrences causally related to treatment / all
    0 / 17
         deaths causally related to treatment / all
    0 / 5
    Tumor hemorrhage
         subjects affected / exposed
    13 / 343 (3.79%)
         occurrences causally related to treatment / all
    1 / 14
         deaths causally related to treatment / all
    0 / 7
    Tumor pain
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Tumor progression
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Tumour bleeding
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Vascular disorders
    Acute limb ischaemia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Aortic stenosis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Bleeding
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cerebral infarction
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hemoptysis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Hemorrhage
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Ischemic stroke
         subjects affected / exposed
    3 / 343 (0.87%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 1
    Jugular vein thrombosis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Pulmonary embolism
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Tumor hemorrhage
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Surgical and medical procedures
    Scar revision
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    TAVI
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Surgery
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Death
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Disease progression
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 2
    Fever
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    General physical health deterioration
         subjects affected / exposed
    20 / 343 (5.83%)
         occurrences causally related to treatment / all
    1 / 20
         deaths causally related to treatment / all
    1 / 9
    Hyperthermia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Pain
         subjects affected / exposed
    6 / 343 (1.75%)
         occurrences causally related to treatment / all
    0 / 6
         deaths causally related to treatment / all
    0 / 3
    Sudden death
         subjects affected / exposed
    3 / 343 (0.87%)
         occurrences causally related to treatment / all
    3 / 3
         deaths causally related to treatment / all
    3 / 3
    Unknown cause of death
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    1 / 1
    Respiratory, thoracic and mediastinal disorders
    Acute respiratory distress syndrome
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Adult respiratory distress syndrome
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 2
    Aspiration pneumonia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Bronchial congestion
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Bronchial obstruction
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Chronic obstructive pulmonary disease
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Chronic obstructive pulmonary disease exacerbation
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 2
    Dyspnea
         subjects affected / exposed
    7 / 343 (2.04%)
         occurrences causally related to treatment / all
    0 / 7
         deaths causally related to treatment / all
    0 / 1
    Food aspiration
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hemoptysis
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Inhalation pneumonia
         subjects affected / exposed
    4 / 343 (1.17%)
         occurrences causally related to treatment / all
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    Interstitial lung disease
         subjects affected / exposed
    4 / 343 (1.17%)
         occurrences causally related to treatment / all
    3 / 4
         deaths causally related to treatment / all
    2 / 2
    Interstitial pneumonia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Interstitial pneumonitis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    1 / 1
    Laryngeal dyspnea
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 1
    Laryngeal oedema
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Lung infection
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Oropharyngeal hemorrhage
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 1
    Plaural effusion
         subjects affected / exposed
    3 / 343 (0.87%)
         occurrences causally related to treatment / all
    2 / 3
         deaths causally related to treatment / all
    0 / 1
    Pneumonitis
         subjects affected / exposed
    3 / 343 (0.87%)
         occurrences causally related to treatment / all
    1 / 3
         deaths causally related to treatment / all
    0 / 1
    Pneumopathy
         subjects affected / exposed
    9 / 343 (2.62%)
         occurrences causally related to treatment / all
    1 / 10
         deaths causally related to treatment / all
    0 / 3
    Pneumothorax
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Respiratory distress
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Respiratory tract hemorrhage
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Suicide attempt
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Psychiatric decompensation
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Product issues
    Catheter dislodgment
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Prosthetic cardiac valve leakage
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Investigations
    Troponin increased
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Weight loss
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Injury, poisoning and procedural complications
    Arm fracture
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Bleeding postoperative
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Drug overdose
         subjects affected / exposed
    3 / 343 (0.87%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    Fall
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrostomy tube site complication
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hemopneumothorax
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Leg fracture
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 1
    Subdural hematoma
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Tracheal obstruction
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 1
    Vascular access complication
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 1
    Cardiac disorders
    Acute coronary syndrome
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Cardiac arrest
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Coronary artery stenosis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Myocardial infarct
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Myocardial infarction
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Takotsubo syndrome
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Nervous system disorders
    Coma
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Consciousness loss
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Convulsion
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Epilepsy
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Facial paralysis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Generalized tonic-clonic seizure
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Headache
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Motor deficit
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Polyradiculoneuritis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Transient ischemic attack
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Blood and lymphatic system disorders
    Eosinophilia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Thrombopenia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Bleeding mouth
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Bowel obstruction
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Colitis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Diarrhea
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Dysphagia
         subjects affected / exposed
    5 / 343 (1.46%)
         occurrences causally related to treatment / all
    0 / 5
         deaths causally related to treatment / all
    0 / 2
    Femoral hernia strangulated
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hemorrhoids
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Inguinal hernia
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Intestinal obstruction
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Lower gastrointestinal haemorrhage
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Mouth pain
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Oesophageal fistula
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Oral hemorrhage
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pain esophageal
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Tongue bleeding
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Vomiting
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hepatobiliary disorders
    Acute cholecystitis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Autoimmune hepatitis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    1 / 1
    Hepatitis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hepatitis acute
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Hepatitis autoimmune
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Skin and subcutaneous tissue disorders
    Zona
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Renal and urinary disorders
    Renal colic
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Acute renal insufficiency
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Endocrine disorders
    Adrenal insufficiency
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Hypophysitis
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Hypothyroidism
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    SIADH
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Musculoskeletal and connective tissue disorders
    Bone pain
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Dorsal pain
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Femoral neck fracture
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Osteoarthritis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Pain in hip
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Infections and infestations
    Bone infection
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Bronchial infection
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Bronchopulmonary infection
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Catheter infection
         subjects affected / exposed
    5 / 343 (1.46%)
         occurrences causally related to treatment / all
    0 / 5
         deaths causally related to treatment / all
    0 / 0
    Catheter related infection
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cellulitis of face
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 1
    Device related infection
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Encephalitis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal infection
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infection
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infectious pneumonitis
         subjects affected / exposed
    3 / 343 (0.87%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    Influenza
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Lung infection
         subjects affected / exposed
    7 / 343 (2.04%)
         occurrences causally related to treatment / all
    0 / 7
         deaths causally related to treatment / all
    0 / 2
    Pneumonia
         subjects affected / exposed
    4 / 343 (1.17%)
         occurrences causally related to treatment / all
    2 / 4
         deaths causally related to treatment / all
    1 / 2
    Pulmonary sepsis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Sepsis
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 1
    Staphylococcus aureus septicemia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Staphylococcus epidermidis infection
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Superinfection
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Upper respiratory infection
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Metabolism and nutrition disorders
    Anorexia
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 1
    Decreased appetite
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 2
    Hypercalcemia
         subjects affected / exposed
    12 / 343 (3.50%)
         occurrences causally related to treatment / all
    0 / 12
         deaths causally related to treatment / all
    0 / 3
    Hypokalemia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Hyponatremia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Malnutrition
         subjects affected / exposed
    3 / 343 (0.87%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 2
    Protein energy malnutrition
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Nivolumab 3 mg/kg, every 2 weeks
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    343 / 343 (100.00%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Tumour haemorrhage
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Tumour pain
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    55 / 343 (16.03%)
         occurrences all number
    1
    Crepitations
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Fatigue
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1
    Feeling cold
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    General physical health deterioration
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Hyperthermia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Mucosal inflammation
         subjects affected / exposed
    14 / 343 (4.08%)
         occurrences all number
    1
    Oedema peripheral
         subjects affected / exposed
    5 / 343 (1.46%)
         occurrences all number
    1
    Pain
         subjects affected / exposed
    3 / 343 (0.87%)
         occurrences all number
    1
    Pyrexia
         subjects affected / exposed
    10 / 343 (2.92%)
         occurrences all number
    1
    Xerosis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Immune system disorders
    Hypersensitivity
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Angular cheilitis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Folliculitis
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1
    Herpes Zoster
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1
    Encephalitis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Reproductive system and breast disorders
    Gynaecomastia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Pruritus genital
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Vulvovaginal pruritus
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Respiratory, thoracic and mediastinal disorders
    Acute respiratory failure
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Cough
         subjects affected / exposed
    7 / 343 (2.04%)
         occurrences all number
    1
    Dyspnoea
         subjects affected / exposed
    9 / 343 (2.62%)
         occurrences all number
    1
    Dyspnoea exertional
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Epistaxis
         subjects affected / exposed
    3 / 343 (0.87%)
         occurrences all number
    1
    Interstitial lung disease
         subjects affected / exposed
    6 / 343 (1.75%)
         occurrences all number
    1
    Lung disorder
         subjects affected / exposed
    4 / 343 (1.17%)
         occurrences all number
    1
    Lung infiltration
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Pleural effusion
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Pneumonitis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Productive cough
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Rales
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Rhinorrhoea
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Insomnia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1
    Aspartate aminotransferase increased
         subjects affected / exposed
    4 / 343 (1.17%)
         occurrences all number
    1
    Blood alkaline phosphatase increased
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Blood creatine phosphokinase increased
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Blood thyroid stimulating hormone increased
         subjects affected / exposed
    4 / 343 (1.17%)
         occurrences all number
    1
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1
    Lipase increased
         subjects affected / exposed
    8 / 343 (2.33%)
         occurrences all number
    1
    Transaminases increased
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Weight decreased
         subjects affected / exposed
    3 / 343 (0.87%)
         occurrences all number
    1
    Injury, poisoning and procedural complications
    Tracheostomy malfunction
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Congenital, familial and genetic disorders
    Phimosis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Deafness
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Ear pruritus
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Tinnitus
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Vertigo
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1
    Cardiac disorders
    Atrial fibrillation
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Cardio-respiratory arrest
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Cyanosis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Stress cardiomyopathy
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1
    Dysaesthesia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Dysarthria
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Dysgeusia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Headache
         subjects affected / exposed
    4 / 343 (1.17%)
         occurrences all number
    1
    Hyperaesthesia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Loss of consciousness
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Neuropathy peripheral
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Paraesthesia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Peripheral sensory neuropathy
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Polyneuropathy
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Somnolence
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Blood and lymphatic system disorders
    Anemia
         subjects affected / exposed
    17 / 343 (4.96%)
         occurrences all number
    1
    Eosinophilia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Leukocytosis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Lymphopenia
         subjects affected / exposed
    12 / 343 (3.50%)
         occurrences all number
    1
    Thrombocytopenia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Eye disorders
    Lacrimation increased
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1
    Vision blurred
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Abdominal pain upper
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Aptyalism
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Colitis
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1
    Constipation
         subjects affected / exposed
    7 / 343 (2.04%)
         occurrences all number
    1
    Diarrhoea
         subjects affected / exposed
    18 / 343 (5.25%)
         occurrences all number
    1
    Dry mouth
         subjects affected / exposed
    4 / 343 (1.17%)
         occurrences all number
    1
    Mouth ulceration
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Nausea
         subjects affected / exposed
    19 / 343 (5.54%)
         occurrences all number
    1
    Oral pain
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Stomatitis
         subjects affected / exposed
    9 / 343 (2.62%)
         occurrences all number
    1
    Tongue oedema
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Vomiting
         subjects affected / exposed
    6 / 343 (1.75%)
         occurrences all number
    1
    Hepatobiliary disorders
    Autoimmune hepatitis
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1
    Cholestasis
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1
    Hepatocellular injury
         subjects affected / exposed
    3 / 343 (0.87%)
         occurrences all number
    1
    Skin and subcutaneous tissue disorders
    Alopecia
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1
    Dermatitis
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1
    Dry skin
         subjects affected / exposed
    11 / 343 (3.21%)
         occurrences all number
    1
    Eczema
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1
    Erythema
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1
    Hyoerhidrosis
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1
    Night sweats
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Pemphigoid
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Pruritis
         subjects affected / exposed
    19 / 343 (5.54%)
         occurrences all number
    1
    Pruritis generalised
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Psoriasis
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1
    Rash
         subjects affected / exposed
    11 / 343 (3.21%)
         occurrences all number
    1
    Seborrhoeic dermatitis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Skin exfoliation
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Skin fissures
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1
    Skin lesion
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Skin toxicity
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Xeroderma
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Renal and urinary disorders
    Dysuria
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Renal failure
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Endocrine disorders
    Adrenal insufficiency
         subjects affected / exposed
    3 / 343 (0.87%)
         occurrences all number
    1
    Hyperthyroidism
         subjects affected / exposed
    10 / 343 (2.92%)
         occurrences all number
    1
    Hypophysitis
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1
    Hypothyroidism
         subjects affected / exposed
    32 / 343 (9.33%)
         occurrences all number
    1
    Inappropriate antidiuretic hormone secretion
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Thyroid disorder
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    7 / 343 (2.04%)
         occurrences all number
    1
    Arthritis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Back pain
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1
    Muscle spasms
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1
    Muscle tightness
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Musculoskeletal discomfort
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Musculoskeletal pain
         subjects affected / exposed
    3 / 343 (0.87%)
         occurrences all number
    1
    Myalgia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Neck pain
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Pain in extremity
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Phabdomyolysis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Infections and infestations
    Bronchitis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Conjunctivitis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Encephalitis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Oral fungal infection
         subjects affected / exposed
    4 / 343 (1.17%)
         occurrences all number
    1
    Rash pustular
         subjects affected / exposed
    3 / 343 (0.87%)
         occurrences all number
    1
    Rhinitis
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    10 / 343 (2.92%)
         occurrences all number
    1
    Hypercalcaemia
         subjects affected / exposed
    3 / 343 (0.87%)
         occurrences all number
    1
    Hyperglycaemia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Hyperkalaemia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Hypernatraemia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Hypoalbuminaemia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Hypochloraemia
         subjects affected / exposed
    1 / 343 (0.29%)
         occurrences all number
    1
    Hypomagnesaemia
         subjects affected / exposed
    4 / 343 (1.17%)
         occurrences all number
    1
    Hypophosphataemia
         subjects affected / exposed
    2 / 343 (0.58%)
         occurrences all number
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    12 Feb 2018
    - Inclusion number increase to 250 - Nivolumab Investigator's Brochure update - Investigators’ list modification - Addendum to the Information Note regarding the Informed Consent Form
    10 Apr 2018
    - Inclusion number increase to 350 - Supplemental ancillary biological study (galectine-9 measurement) for 100 subjects - Investigators’ list modification - Update of both the Informed Consent Form and its Information Note
    04 Jul 2018
    - Protocol-related: Inlusion period extension from 12 to 18 months and Extended HPV status diagnosis to availability of archived or new tumor biopsies for oropharynx’s SCC). Nivolumab therapeutic regimens and treatment duration/period: the maximum of 12 cycles was removed and replaced by “up to progression (immune Confirmed Progressive Disease (iCPD) using iRECIST) - Investigators’ list modification - Update of both the Informed Consent Form and its Information Note - Supplemental information regarding General Data Protection Regulations for included patients being either currently treated or followed
    28 May 2019
    - Investigator's Brochure update - Investigators’ list modification - Supplemental information “C” intended to the included patients being either currently treated or followed
    10 Sep 2019
    - Investigator's Brochure update - Addendum to both Informed Consent Form and its Information Note - Investigators’ list modification
    13 Sep 2021
    - Treatement modalities update leading to SmPC update - Protocol and synopsis update: Follow-up period modification - Addendum to both Informed Consent Form and its Information Note to include new follow-up period - Investigator's Brochure update - Investigators’ list modification

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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