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Author contributions:

Bernard Escudier had full access to all the data in

the study and takes responsibility for the integrity of the data and the

accuracy of the data analysis.

Study concept and design:

Zhao, Hardy.

Acquisition of data:

Escudier, Motzer, Sharma, Wagstaff, Plimack,

Hammers, Donskov, Gurney, Sosman, Zalewski, Harmenberg, McDer-

mott, Choueiri, Richardet, Tomita, Ravaud, George.

Analysis and interpretation of data:

All authors.

Drafting of the manuscript:

Escudier, George.

Critical revision of the manuscript for important intellectual content:

All

authors.

Statistical analysis:

Zhao.

Obtaining funding:

None.

Administrative, technical, or material support:

Doan.

Supervision:

None.

Other:

None.

Financial disclosures:

Bernard Escudier certifies that all conflicts of

interest, including specific financial interests and relationships and

affiliations relevant to the subject matter or materials discussed in the

manuscript (eg, employment/affiliation, grants or funding, consultan-

cies, honoraria, stock ownership or options, expert testimony, royalties,

or patents filed, received, or pending), are the following: Escudier has

received honoraria from Bayer, Bristol-Myers Squibb, Exelixis, Novartis,

and Pfizer; Motzer has received research funding from Bristol-Myers

Squibb, Eisai, Exelixis, GlaxoSmithKline, Novartis, and Pfizer, and has

received consultant/advisor fees from Eisai, Novartis, and Pfizer; Sharma

is in a leadership role with Evelo Therapeutics, Jounce Therapeutics, Kite

Pharma, and Neon Therapeutics, holds stock options with Evelo

Therapeutics, Jounce Therapeutics, Kite Pharma, and Neon Therapeutics,

has received consultant/advisor fees from Amgen, AstraZeneca, Bristol-

Myers Squibb, and GlaxoSmithKline, owns patents licensed to Bristol-

Myers Squibb, Jounce, and Merck, and has served as a principal

investigator for AstraZeneca, Bristol-Myers Squibb, and GlaxoSmithK-

line; Wagstaff has received honoraria and consultant/advisor fees from

and is on the speakers’ bureau for Bristol-Myers Squibb, MSD, Novartis,

Pfizer, and Roche, and has received travel accommodations from Bristol-

Myers Squibb and MSD; Plimack has received consultant/advisor fees

from Acceleron Pharma, Bristol-Myers Squibb, Dendreon, Genentech/

Roche, GlaxoSmithKline, Merck, Novartis, and Pfizer, has received

research funding from Acceleron Pharma, Bristol-Myers Squibb,

Dendreon, Genentech/Roche, GlaxoSmithKline, Merck, and Novartis,

and holds US patent number 14/588.503, filed January 2, 2015;

Hammers has received consultant/advisor fees from Bristol-Myers

Squibb, Cerulean, Exelixis, and Pfizer, and has received research funding

from Bristol-Myers Squibb, Exelixis, GlaxoSmithKline, Newlink, Pfizer

SFJ, and Tracon; Donskov has received research funding from

GlaxoSmithKline, Novartis, and Pfizer; Gurney has received consul-

tant/advisor fees from Astellas, Bristol-Myers Squibb, Novartis, and

Pfizer; Sosman has received honoraria and consultant/advisor fees from

Array, Genentech, Merck, and Novartis, and has received research

funding from BMD, Biomedical Valley Development, and GlaxoSmithK-

line; Zalewski has received consultant/advisor fees from Astellas,

Novartis, and Sanofi, and has received research funding from AstraZe-

neca, Bristol-Myers Squibb, Janssen, and Roche; Harmenberg is in a

leadership role with and has received consultant/advisor fees from

Glionova, Medivir, and Oncopeptides; holds stock options with Akinion,

Axelar, Medivir, Oncopeptides, and Oxypharma, has received research

funding from Bristol-Myers Squibb, and has received travel accom-

modations from Oncopeptides; McDermott has received consultant/

advisor fees from Array BioPharm, Bristol-Myers Squibb, Eisai, Exelixis,

Genentech BioOncology, Merck, Novartis, and Pfizer, and has received

research funding from Prometheus Laboratories; Choueiri has received

honoraria from NCCN and UpToDate, has received consultant/advisor

fees from Bayer, GlaxoSmithKline, Merck, Novartis, and Pfizer, and has

received research funding from AstraZeneca, Bristol-Myers Squibb,

Exelixis, GlaxoSmithKline, Genentech/Roche, Merck, Novartis, Peloton

Therapeutics, Pfizer, and TRACON Pharma; Tomita has received

honoraria from Novartis and Pfizer, has received consultant/advisor

fees from Novartis and Ono, and has received research funding from

Astellas, AstraZeneca, Pfizer, and Takeda; Ravaud has received honoraria

fromMSD, Novartis, and Pfizer; has received consultant/advisor fees and

travel accommodations from Bristol-Myers Squibb, Novartis, Pfizer, and

Roche, and has received research funding from Novartis and Pfizer;

Doan, Zhao, and Hardy are employed by and hold stock options with

Bristol-Myers Squibb; George (spouse) is employed by Amgen, has

received consultant/advisor fees from Astellas, Bayer, Bristol-Myers

Squibb, Exelixis, Novartis, Onclive, Pfizer, and Xcenda; and has received

research funding from Acceleron, Agensys, Bayer, Bristol-Myers Squibb,

Novartis, and Pfizer.

Funding/Support and role of the sponsor:

This study was sponsored by

Bristol-Myers Squibb and Ono Pharmaceutical Co., Ltd. Authors received

no financial support or compensation for publication of this manuscript.

The funders contributed to the design and conduct of the study;

collection, management, analysis, and interpretation of the data; and

preparation, review, and approval of the manuscript in collaboration

with the investigators and authors of this report.

Acknowledgments:

We thank the patients and their families, as well as

the investigators and participating study teams, for making this study

possible. All authors contributed and approved the manuscript;

professional medical writing and editorial assistance was provided by

Jennifer Granit and Lawrence Hargett of PPSI (a PAREXEL company),

funded by Bristol-Myers Squibb. This study was funded by Bristol-Myers

Squibb and Ono Pharmaceutical Co., Ltd.

Appendix A. Supplementary data

Supplementary data associated with this article can be

found, in the online version, at

http://dx.doi.org/10.1016/j. eururo.2017.03.037

.

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