'Total Disaster' In First-Line Lung Cancer For BMS's Opdivo

Things couldn't have gone any worse for Bristol-Myers Squibb's Opdivo in the CheckMate 026 lung cancer data presented at ESMO. Without even a trend towards efficacy in patients with high levels of PD-L1 expression, imminent erosion of market share by Merck's Keytruda seems inevitable.

When Bristol-Myers Squibb Co. announced a couple months ago that the CheckMate 026 trial of its PD-1 inhibitor Opdivo (nivolumab) in first-line non-small cell lung cancer had failed, it was a major surprise. The failure in the exploratory analyses presented this weekend at the European Society for Medical Oncology, which could have been BMS's saving grace, were another shock, and have some totally re-forecasting the PD-1 market.

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