CClinicalTrials.gg
CompletedNCT02599402CheckMate 401Updated Jun 15, 2021Results posted

Nivolumab Combined With Ipilimumab Followed by Nivolumab Monotherapy as First-Line Treatment for Patients With Advanced Melanoma

A Phase 3 interventional study of Nivolumab and Ipilimumab in Melanoma, sponsored by Bristol-Myers Squibb. Completed at 111 sites in 12 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-06-15.

Sponsored by Bristol-Myers Squibb · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
533
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine the effects of combination treatment of Nivolumab with Ipilimumab followed by Nivolumab monotherapy in patients with previously untreated advanced Melanoma.

02

Conditions studied

  • Melanoma

Browse trials for

03

In context

Melanoma

3,006 studies on the registry are indexed under Melanoma; 520 are open to participants now.

This study's enrollment of 533 is above the median of 38 across 2,351 interventional studies indexed under Melanoma.

Browse Melanoma studies →

Lead sponsor

Bristol-Myers Squibb is the lead sponsor of 1,538 studies on the registry; 116 are open to participants now.

Of its 429 completed or terminated interventional studies of FDA-regulated products, 223 (52%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

For more information regarding BMS clinical trial participation, please visit www.BMSStudyConnect.com

Inclusion criteria

Inclusion Criteria:

  • Potential subjects must have advanced Melanoma (stage III or IV as confirmed by biopsy) with spread to other sites in the body and unable to be removed by surgery.
  • Potential subjects must be newly diagnosed with advanced melanoma and received no treatment for the advanced disease.

NOTE: Prior adjuvant or neoadjuvant melanoma therapy (including anti-CTLA-4, anti-PD-1, anti-PD-L1, anti-PD-L2, or any other antibody or drug specifically targeting T-cell costimulation or checkpoint pathways, such as anti-CD-137) is permitted if the therapy was used in the adjuvant or neoadjuvant setting but not in the metastatic setting. These drugs must be discontinued 6 months prior to study entry and the side effects related to the prior therapy resolved.

  • Potential subjects (with disease spread to brain) who previously received primary treatment are permitted if there was no evidence of disease as confirmed by the MRI (at least 2 weeks after the primary treatment is complete and with in 6 weeks of the first dose of the study drug). Potential subjects must not have received intravenous steroid treatment (>10 mg/day) intravenously for at least 2 weeks prior to study drug administration.

Exclusion criteria

Exclusion Criteria:

  • Leptomenigeal metastases
  • Subjects with autoimmune disease. Subjects with Type I diabetes mellitus, hypothyroidism only requiring hormone replacement, skin disorders (such as vitiligo, psoriasis, or alopecia) not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger are permitted to enroll.
  • All side effects from previous primary treatments other than alopecia, fatigue, or peripheral neuropathy must have resolved to Grade 1 or baseline before administration of study drug.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
533 participants (actual)

Study arms

  • Experimental
    Combination therapy: Nivolumab + Ipilimumab

    Nivolumab + Ipilimumab specified dose on specified days

    Drug: Nivolumab · Drug: Ipilimumab

  • Experimental
    Monotherapy: Nivolumab

    Nivolumab specified dose on specified days

    Drug: Nivolumab

Interventions

  • DrugNivolumab
  • DrugIpilimumab
06

What researchers measure

Primary outcomes

  1. Incidence of Participants With High-Grade (CTCAE v4.0 Grade 3-5) Treatment-Related Select Adverse Events

    Incidence of participants with high-grade (CTCAE v4.0 grade 3-5) treatment-related, select adverse events of potentially immune-mediated etiology including pulmonary, gastrointestinal, skin, renal, hepatic, endocrine, infusion-related, or hypersensitivity

    Time frame: From first dose to 30 days after last dose (up to approximately 37 months)

Secondary outcomes

  1. Incidence of Participants With All High-Grade (Grades 3-5) Select Adverse Events

    Incidence of participants with high-grade (grade 3-5) select adverse events including pulmonary, gastrointestinal, skin, renal, hepatic, infusion-related, or hypersensitivity

    Time frame: From first dose to 30 days after last dose (up to approximately 37 months)

  2. Median Time to Onset (Grades 3-4) of Select Adverse Events

    Median time to onset (grades 3-4) of select adverse events including pulmonary, gastrointestinal, skin, renal, hepatic, endocrine, infusion-related, or hypersensitivity

    Time frame: From first dose to 30 days after last dose (up to approximately 37 months)

  3. Median Time to Resolution (Grades 3-4) of Select Adverse Events

    Median time to resolution (Grades 3-4) of select adverse events including pulmonary, gastrointestinal, skin, renal, hepatic, endocrine, infusion-related, or hypersensitivity

    Time frame: From first dose to 30 days after last dose (up to approximately 37 months)

  4. Time to Resolution of an Adverse Event (AE)

    Resolution of an adverse event (AE) is defined as a participant experiencing complete resolution or improvement to the baseline of any grade AE including pulmonary, gastrointestinal, skin, renal, hepatic, endocrine, infusion-related, or hypersensitivity

    Time frame: From first dose to 30 days after last dose (up to approximately 37 months)

  5. Overall Survival (OS)

    Overall survival is defined from the time of first dosing date to the date of death. A participant who has not died will be censored at the last known date alive

    Time frame: Up to approximately 37 months

  6. Incidence of Participants With Adverse Events

    The assessment of safety is measured by the incidence of participants who experienced any grade of adverse events (AEs), treatment-related AEs, serious adverse events (SAEs), and deaths

    Time frame: From first dose to 30 days after last dose (up to approximately 37 months)

  7. Incidence of Participants With Select Adverse Events

    The assessment of safety is measured by the incidence of participants who experienced any grade of select adverse events including pulmonary, gastrointestinal, skin, renal, hepatic, endocrine, infusion-related, or hypersensitivity

    Time frame: From first dose to 30 days after last dose (up to approximately 37 months)

  8. Incidence of Participants With Laboratory Abnormalities - Liver

    Safety assessment is measured by the incidence of participants who experienced a liver laboratory abnormality in Aspartate aminotransferase (AST), Alanine aminotransferase (ALT), Upper Limit of Normal (ULN)

    Time frame: From first dose to 30 days after last dose (up to approximately 37 months)

  9. Incidence of Participants With Laboratory Abnormalities - Thyroid

    Safety assessment is measured by the incidence of participants who experienced a thyroid laboratory abnormality in Free T3 (FT3), Free T4 (FT4), Lower Limit of Normal (LLN)

    Time frame: From first dose to 30 days after last dose (up to approximately 37 months)

  10. Objective Response Rate (ORR)

    Objective response rate is defined as the percentage of participants with a best overall response (BOR) of a complete response (CR) or partial response (PR) divided by the number of all treated participants

    Time frame: Up to approximately 37 months

  11. Progression Free Survival (PFS)

    Progression free survival per investigator assessment is defined as radiological evidence of progression, significant clinical symptomatic progression, or the need to introduce a non-study drug therapy.

    Time frame: Up to approximately 37 months

07

Results

Posted Jun 15, 2021

Participant flow

Participant flow — Overall Study
MilestoneNivolumab + Ipilimumab Total
Started533
Completed0
Not completed533
Withdrew: Disease progression153
Withdrew: Study drug toxicity201
Withdrew: Death26
Withdrew: Adverse event unrelated to study drug23
Withdrew: Participant request to discontinue study treatment13
Withdrew: Participant withdrew consent5
Withdrew: Lost to follow-up1
Withdrew: Maximum clinical benefit7
Withdrew: Poor/non-compliance1
Withdrew: Pregnancy1
Withdrew: Participant no longer met study criteria7
Withdrew: Other reasons95

Outcome measures

PrimaryIncidence of Participants With High-Grade (CTCAE v4.0 Grade 3-5) Treatment-Related Select Adverse Events

Incidence of participants with high-grade (CTCAE v4.0 grade 3-5) treatment-related, select adverse events of potentially immune-mediated etiology including pulmonary, gastrointestinal, skin, renal, hepatic, endocrine, infusion-related, or hypersensitivity

Time frame:
From first dose to 30 days after last dose (up to approximately 37 months)
Reported as:
Count of participants · Participants
Incidence of Participants With High-Grade (CTCAE v4.0 Grade 3-5) Treatment-Related Select Adverse Events
ParticipantsNivolumab + Ipilimumab TotalNivolumab + Ipilimumab ECOG PS0-1Nivolumab + Ipilimumab ECOG PS2Nivolumab + Ipilimumab Brain MetastasisNivolumab + Ipilimumab MucosalNivolumab + Ipilimumab Ocular/UvealNivolumab + Ipilimumab CutaneousNivolumab + Ipilimumab AcralNivolumab + Ipilimumab Other
Pulmonary: Grade 3-4770001600
Pulmonary: Grade 5000000000
Gastrointestinal: Grade 3-48379455957111
Gastrointestinal: Grade 5110010000
Skin: Grade 3-4353141372014
Skin: Grade 5000000000
Renal: Grade 3-41091101801
Renal: Grade 5110000100
Hepatic: Grade 3-48275762175616
Hepatic: Grade 5000000000
Endocrine: Grade 3-4585805264316
Endocrine: Grade 5000000000
Hypersensitivity/Infusion Reaction: Grade 3-4110000100
Hypersensitivity/Infusion Reaction: Grade 5000000000
SecondaryIncidence of Participants With All High-Grade (Grades 3-5) Select Adverse Events

Incidence of participants with high-grade (grade 3-5) select adverse events including pulmonary, gastrointestinal, skin, renal, hepatic, infusion-related, or hypersensitivity

Time frame:
From first dose to 30 days after last dose (up to approximately 37 months)
Reported as:
Count of participants · Participants
Incidence of Participants With All High-Grade (Grades 3-5) Select Adverse Events
ParticipantsTotalECOG PS0-1ECOG PS2Brain MetastasisMucosalOcular/UvealCutaneousAcralOther
Pulmonary: Grade 3-4880001700
Gastrointestinal: Grade 3-48783455961111
Gastrointestinal: Grade 5110010000
Skin: Grade 3-4393541382215
Renal: Grade 3-4131211011011
Renal: Grade 5110000100
Hepatic: Grade 3-4101938114216718
Hepatic: Grade 5110001000
Hypersensitivity/Infusion Reaction: Grade 3-4220000101
SecondaryMedian Time to Onset (Grades 3-4) of Select Adverse Events

Median time to onset (grades 3-4) of select adverse events including pulmonary, gastrointestinal, skin, renal, hepatic, endocrine, infusion-related, or hypersensitivity

Time frame:
From first dose to 30 days after last dose (up to approximately 37 months)
Reported as:
Median · Days
Median Time to Onset (Grades 3-4) of Select Adverse Events
DaysTotalECOG PS0-1ECOG PS2Brain MetastasisMucosalOcular/UvealCutaneousAcralOther
Pulmonary51.5 (12 to 783)51.5 (12 to 783)———51.0 (51 to 51)52.0 (12 to 783)——
Gastrointestinal49.0 (7 to 582)49.0 (7 to 582)61.0 (8 to 91)83.0 (35 to 543)42.5 (27 to 543)39.0 (20 to 95)49.0 (7 to 582)7.0 (7 to 7)79.0 (8 to 281)
Skin32.0 (4 to 670)35.0 (4 to 404)17.5 (7 to 670)14.0 (14 to 14)48.0 (8 to 69)36.5 (14 to 127)17.5 (4 to 670)89.0 (89 to 89)100.0 (10 to 338)
Renal52.5 (6 to 540)43.0 (6 to 223)540.0 (540 to 540)106.0 (106 to 106)—23.0 (23 to 23)106.0 (14 to 540)16.0 (16 to 16)6.0 (6 to 6)
Hepatic63.0 (5 to 724)63.0 (5 to 724)63.0 (13 to 83)64.0 (41 to 724)139.0 (22 to 475)64.0 (16 to 111)62.0 (5 to 588)101.0 (101 to 101)80.0 (8 to 724)
Endocrine75.0 (7 to 369)75.0 (7 to 369)—67.0 (25 to 130)153.0 (102 to 204)70.0 (26 to 98)71.5 (7 to 369)114.0 (114 to 114)39.5 (16 to 115)
Hypersensitivity/Infusion Reaction291.5 (22 to 561)291.5 (22 to 561)————22.0 (22 to 22)—561.0 (561 to 561)
SecondaryMedian Time to Resolution (Grades 3-4) of Select Adverse Events

Median time to resolution (Grades 3-4) of select adverse events including pulmonary, gastrointestinal, skin, renal, hepatic, endocrine, infusion-related, or hypersensitivity

Time frame:
From first dose to 30 days after last dose (up to approximately 37 months)
Reported as:
Median · Days
Median Time to Resolution (Grades 3-4) of Select Adverse Events
DaysTotalECOG PS0-1ECOG PS2Brain MetastasisMucosalOcular/UvealCutaneousAcralOther
Pulmonary19.0 (5 to 64)19.0 (5 to 64)———6.0 (6 to 6)30.0 (5 to 64)——
Gastrointestinal22.0 (2 to 684)22.0 (2 to 684)NA (8 to 437)107.5 (18 to 666)25.0 (6 to 437)14.0 (6 to 183)23.0 (2 to 684)5.0 (5 to 5)12.0 (4 to 214)
Skin24.0 (4 to 690)24.0 (4 to 690)20.0 (10 to 186)67.0 (67 to 67)8.0 (5 to 44)17.5 (4 to 690)24.0 (8 to 455)15.0 (15 to 15)28.0 (4 to 287)
Renal19.0 (3 to 66)23.0 (3 to 66)11.0 (11 to 11)7.0 (7 to 7)—23.0 (23 to 23)11.0 (3 to 60)NA (20 to 20)66.0 (66 to 66)
Hepatic42.0 (1 to 889)38.0 (1 to 889)67.0 (3 to 225)17.5 (2 to 285)126.0 (1 to 625)55.0 (1 to 612)30.0 (2 to 889)29.0 (29 to 29)117.0 (15 to 285)
EndocrineNA (2 to 1223)NA (3 to 1019)—NA (4 to 950)NA (5 to 931)NA (3 to 670)NA (4 to 1019)NA (514 to 514)NA (4 to 627)
Hypersensitivity/Infusion Reaction4.5 (2 to 7)4.5 (2 to 7)————2.0 (2 to 2)—7.0 (7 to 7)
SecondaryTime to Resolution of an Adverse Event (AE)

Resolution of an adverse event (AE) is defined as a participant experiencing complete resolution or improvement to the baseline of any grade AE including pulmonary, gastrointestinal, skin, renal, hepatic, endocrine, infusion-related, or hypersensitivity

Time frame:
From first dose to 30 days after last dose (up to approximately 37 months)
Reported as:
Median · Days
Time to Resolution of an Adverse Event (AE)
DaysTotalECOG PS0-1ECOG PS2Brain MetastasisMucosalOcular/UvealCutaneousAcralOther
Pulmonary35.0 (6 to 738)43.0 (6 to 738)7.5 (7 to 8)NA (55 to 302)NA (7 to 371)19.0 (6 to 62)43.0 (7 to 738)—NA (24 to 302)
Gastrointestinal18.0 (1 to 1016)18.0 (1 to 1016)12.0 (1 to 468)36.0 (1 to 720)14.0 (1 to 527)14.0 (1 to 183)19.0 (1 to 1016)5.0 (1 to 22)36.0 (2 to 645)
Skin89.0 (1 to 1175)88.0 (1 to 1175)NA (5 to 1002)257.0 (1 to 1011)84.0 (5 to 1055)33.5 (4 to 775)102.0 (1 to 1175)46.0 (15 to 625)59.5 (2 to 952)
Renal56.0 (2 to 904)56.0 (2 to 904)11.0 (11 to 11)5.5 (2 to 100)9.5 (4 to 15)27.5 (23 to 32)56.0 (2 to 904)NA (20 to 20)NA (66 to 603)
Hepatic44.0 (1 to 1008)43.0 (1 to 1008)80.5 (3 to 225)20.5 (3 to 1008)97.0 (1 to 650)34.0 (1 to 612)37.0 (3 to 912)129.0 (31 to 129)29.0 (8 to 1008)
EndocrineNA (2 to 1223)NA (2 to 1223)NA (76 to 917)NA (4 to 950)NA (5 to 1139)NA (2 to 759)NA (4 to 1223)NA (40 to 938)NA (6 to 1060)
Hypersensitivity/Infusion Reaction1.0 (1 to 7)1.0 (1 to 7)1.0 (1 to 1)———1.0 (1 to 7)—1.0 (1 to 7)
SecondaryOverall Survival (OS)

Overall survival is defined from the time of first dosing date to the date of death. A participant who has not died will be censored at the last known date alive

Time frame:
Up to approximately 37 months
Reported as:
Median · Months
Overall Survival (OS)
MonthsTotalECOG PS0-1ECOG PS2Brain MetastasisMucosalOcular/UvealCutaneousAcralOther
Overall Survival (OS)NA (33.91 to NA)NA (34.76 to NA)11.01 (7.23 to NA)NA (NA to NA)12.55 (3.78 to 33.91)15.21 (10.41 to 21.42)NA (NA to NA)20.83 (1.15 to NA)34.76 (16.69 to NA)
SecondaryIncidence of Participants With Adverse Events

The assessment of safety is measured by the incidence of participants who experienced any grade of adverse events (AEs), treatment-related AEs, serious adverse events (SAEs), and deaths

Time frame:
From first dose to 30 days after last dose (up to approximately 37 months)
Reported as:
Count of participants · Participants
Incidence of Participants With Adverse Events
ParticipantsTotalECOG PS0-1ECOG PS2Brain MetastasisMucosalOcular/UvealCutaneousAcralOther
Adverse Events (AEs)533477554232643651062
Treatment-Related AEs48444440332661332835
Serious Adverse Events (SAEs)35632431312640238943
Deaths19916929132041107625
SecondaryIncidence of Participants With Select Adverse Events

The assessment of safety is measured by the incidence of participants who experienced any grade of select adverse events including pulmonary, gastrointestinal, skin, renal, hepatic, endocrine, infusion-related, or hypersensitivity

Time frame:
From first dose to 30 days after last dose (up to approximately 37 months)
Reported as:
Count of participants · Participants
Incidence of Participants With Select Adverse Events
ParticipantsTotalECOG PS0-1ECOG PS2Brain MetastasisMucosalOcular/UvealCutaneousAcralOther
Pulmonary282622232102
Gastrointestinal25223616141331175627
Skin31929623231734228832
Renal434214223414
Hepatic1851731216735128213
Endocrine24223111201529166527
Hypersensitivity/Infusion Reaction871000503
SecondaryIncidence of Participants With Laboratory Abnormalities - Liver

Safety assessment is measured by the incidence of participants who experienced a liver laboratory abnormality in Aspartate aminotransferase (AST), Alanine aminotransferase (ALT), Upper Limit of Normal (ULN)

Time frame:
From first dose to 30 days after last dose (up to approximately 37 months)
Reported as:
Count of participants · Participants
Incidence of Participants With Laboratory Abnormalities - Liver
ParticipantsTotalECOG PS0-1ECOG PS2Brain MetastasisMucosalOcular/UvealCutaneousAcralOther
ALT OR AST > 3XULN11310671172172211
ALT OR AST > 5XULN7569645134818
ALT OR AST > 10XULN302730242202
ALT OR AST > 20XULN12111012702
TOTAL BILIRUBIN > 2XULN12120103801
CONCURRENT ALT OR AST ELEVATION > 3XULN; TOTAL BILIRUBIN > 2XULN IN 1 DAY110000100
CONCURRENT ALT OR AST ELEVATION > 3XULN; TOTAL BILIRUBIN > 2XULN IN 30 DAYS440000400
SecondaryIncidence of Participants With Laboratory Abnormalities - Thyroid

Safety assessment is measured by the incidence of participants who experienced a thyroid laboratory abnormality in Free T3 (FT3), Free T4 (FT4), Lower Limit of Normal (LLN)

Time frame:
From first dose to 30 days after last dose (up to approximately 37 months)
Reported as:
Count of participants · Participants
Incidence of Participants With Laboratory Abnormalities - Thyroid
ParticipantsTotalECOG PS0-1ECOG PS2Brain MetastasisMucosalOcular/UvealCutaneousAcralOther
TSH > ULN13012371281291415
TSH > ULN WITH TSH <= ULN AT BASELINE11310851161079315
TSH >ULN WITH ATLEAST ONE FT3/FT4 TEST VALUE <LLN8076485655212
TSH >ULN WITH ALL OTHER FT3/FT4 TEST VALUES >= LLN373523142723
TSH > ULN WITH FT3/FT4 TEST MISSING262512222101
TSH < LLN1781699141123124416
TSH <LLN WITH TSH >= LLN AT BASELINE1681599141121116416
TSH <LLN WITH ATLEAST ONE FT3/FT4 TEST VALUE > ULN10198378127227
TSH <LLN WITH ALL OTHER FT3/FT4 TEST VALUES <= ULN595365384017
TSH < LLN WITH FT3/FT4 TEST MISSING262512041912
SecondaryObjective Response Rate (ORR)

Objective response rate is defined as the percentage of participants with a best overall response (BOR) of a complete response (CR) or partial response (PR) divided by the number of all treated participants

Time frame:
Up to approximately 37 months
Reported as:
Number · Percentage of participants
Objective Response Rate (ORR)
Percentage of participantsTotalECOG PS0-1ECOG PS2Brain MetastasisMucosalOcular/UvealCutaneousAcralOther
Objective Response Rate (ORR)44.5 (40.2 to 48.8)46.1 (41.6 to 50.7)30.9 (19.1 to 44.8)52.4 (36.4 to 68.0)43.8 (26.4 to 62.3)9.4 (3.5 to 19.3)51.2 (46.0 to 56.5)30.0 (6.7 to 65.2)43.5 (31.0 to 56.7)
SecondaryProgression Free Survival (PFS)

Progression free survival per investigator assessment is defined as radiological evidence of progression, significant clinical symptomatic progression, or the need to introduce a non-study drug therapy.

Time frame:
Up to approximately 37 months
Reported as:
Median · Months
Progression Free Survival (PFS)
MonthsTotalECOG PS0-1ECOG PS2Brain MetastasisMucosalOcular/UvealCutaneousAcralOther
Progression Free Survival (PFS)4.96 (3.45 to 6.77)5.45 (3.78 to 7.69)2.46 (1.77 to 3.75)3.35 (1.81 to NA)2.94 (2.53 to 8.74)2.83 (2.73 to 4.63)6.77 (4.67 to 10.45)2.56 (1.15 to 8.48)5.22 (2.76 to 27.27)

Adverse events

Collected over From first dose to 30 days after last dose (up to approximately 37 months). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Nivolumab + Ipilimumab Total199/533 (37.3%)356/533 (66.8%)503/533 (94.4%)
Nivolumab + Ipilimumab ECOG PS0-1169/477 (35.4%)324/477 (67.9%)453/477 (95%)
Nivolumab + Ipilimumab ECOG PS229/55 (52.7%)31/55 (56.4%)49/55 (89.1%)
Nivolumab + Ipilimumab Brain Metastasis13/42 (31%)31/42 (73.8%)37/42 (88.1%)
Nivolumab + Ipilimumab Mucosal20/32 (62.5%)26/32 (81.3%)28/32 (87.5%)
Nivolumab + Ipilimumab Ocular/Uveal41/64 (64.1%)40/64 (62.5%)61/64 (95.3%)
Nivolumab + Ipilimumab Cutaneous107/365 (29.3%)238/365 (65.2%)347/365 (95.1%)
Nivolumab + Ipilimumab Acral6/10 (60%)9/10 (90%)10/10 (100%)
Nivolumab + Ipilimumab Other25/62 (40.3%)43/62 (69.4%)57/62 (91.9%)
Most frequent serious events
Showing 10 of 231
Most frequent serious events
EventNivolumab + Ipilimumab TotalNivolumab + Ipilimumab ECOG PS0-1Nivolumab + Ipilimumab ECOG PS2Nivolumab + Ipilimumab Brain MetastasisNivolumab + Ipilimumab MucosalNivolumab + Ipilimumab Ocular/UvealNivolumab + Ipilimumab CutaneousNivolumab + Ipilimumab AcralNivolumab + Ipilimumab Other
Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)71/53357/47714/5513/428/329/6442/3652/1010/62
Adrenal insufficiencyEndocrine disorders6/5336/4770/550/420/320/644/3651/101/62
Autoimmune colitisGastrointestinal disorders12/53311/4771/551/421/321/646/3651/103/62
EnteritisGastrointestinal disorders3/5333/4770/550/420/320/642/3651/100/62
AstheniaGeneral disorders3/5333/4770/550/420/321/641/3651/100/62
EndocarditisInfections and infestations1/5331/4770/550/420/320/640/3651/100/62
Post procedural cellulitisInfections and infestations1/5331/4770/550/420/320/640/3651/100/62
PyodermaInfections and infestations1/5331/4770/550/420/320/640/3651/100/62
SepsisInfections and infestations6/5335/4771/551/420/320/645/3651/100/62
General physical condition abnormalInvestigations5/5334/4771/550/421/320/643/3651/100/62
Most frequent other events
Showing 10 of 43
Most frequent other events
EventNivolumab + Ipilimumab TotalNivolumab + Ipilimumab ECOG PS0-1Nivolumab + Ipilimumab ECOG PS2Nivolumab + Ipilimumab Brain MetastasisNivolumab + Ipilimumab MucosalNivolumab + Ipilimumab Ocular/UvealNivolumab + Ipilimumab CutaneousNivolumab + Ipilimumab AcralNivolumab + Ipilimumab Other
DiarrhoeaGastrointestinal disorders224/533209/47715/5513/4213/3227/64154/3655/1025/62
NauseaGastrointestinal disorders156/533144/47711/5510/428/3224/64105/3655/1014/62
PruritusSkin and subcutaneous tissue disorders146/533135/47711/5511/4211/3213/64102/3654/1016/62
FatigueGeneral disorders178/533173/4775/5512/429/3218/64129/3651/1021/62
PyrexiaGeneral disorders130/533111/47719/555/427/3213/6491/3652/1017/62
Alanine aminotransferase increasedInvestigations101/53391/47710/559/424/3220/6469/3651/107/62
HeadacheNervous system disorders117/533110/4777/5513/425/3213/6487/3653/109/62
AnaemiaBlood and lymphatic system disorders57/53350/4777/552/422/326/6435/3653/1011/62
Pain in extremityMusculoskeletal and connective tissue disorders36/53333/4773/552/426/324/6419/3653/104/62
RashSkin and subcutaneous tissue disorders82/53376/4776/555/424/327/6459/3653/109/62

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Nivolumab + Ipilimumab Total
Median59.0 ± 13.55
Sex: Female, Male
Sex: Female, Male(Participants)Nivolumab + Ipilimumab Total
Female217
Male316
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Nivolumab + Ipilimumab Total
Hispanic or Latino5
Not Hispanic or Latino515
Unknown or Not Reported13
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Nivolumab + Ipilimumab Total
American Indian or Alaska Native0
Asian2
Native Hawaiian or Other Pacific Islander0
Black or African American0
White521
More than one race0
Unknown or Not Reported10
08

Study locations

111 sites
  • Local Institution
    Garran, Australian Capital Territory 2605, Australia
  • Local Institution
    Camperdown, New South Wales 2050, Australia
  • Local Institution
    Coffs Harbour, New South Wales 2450, Australia
  • Local Institution
    Gateshead, New South Wales 2290, Australia
  • Local Institution
    North Sydney, New South Wales 2060, Australia
  • Local Institution
    Tiwi, Northern Territory 0810, Australia
  • Local Institution
    Brisbane, Queensland 4102, Australia
  • Local Institution
    Cairns, Queensland 4870, Australia
  • Local Institution
    Greenslopes, Queensland 4120, Australia
  • Local Institution
    Southport, Queensland 4215, Australia
  • Local Institution
    Adelaide, South Australia 5000, Australia
  • Local Institution
    Bedford Park, South Australia 5402, Australia
  • Local Institution
    Hobart, Tasmania 7000, Australia
  • Local Institution
    Melbourne, Victoria 3004, Australia
  • Local Institution
    Melbourne, Victoria 3128, Australia
  • Local Institution
    Melbourne, Victoria 3144, Australia
  • Local Institution
    Murdoch, Western Australia 6150, Australia
  • Local Institution
    Nedlands, Western Australia 6009, Australia
  • Local Institution
    Graz, 8036, Austria
  • Local Institution
    Innsbruck, 6020, Austria
  • Local Institution
    Salzburg, 5020, Austria
  • Local Institution
    Vienna, 1090, Austria
  • Local Institution
    Brussel, 1090, Belgium
  • Local Institution
    Bruxelles, 1200, Belgium
  • Local Institution
    Helsinki, 00290, Finland
  • Local Institution
    Oulu, 90029, Finland
  • Local Institution
    Tampere, 33520, Finland
  • Local Institution
    Turku, FIN-20520, Finland
  • Local Institution
    Angers Cedex 9, 49933, France
  • Local Institution
    Bordeaux, 33075, France
  • Local Institution
    Boulogne Billancourt, 92104, France
  • Local Institution
    Clermont-Ferrand, 63003, France
  • Local Institution
    Dijon, 21079, France
  • Local Institution
    Grenoble Cedex 09, 38043, France
  • Local Institution
    Le Mans Cedex 9, 72037, France
  • Local Institution
    Lille, 59037, France
  • Local Institution
    Marseille, 13385, France
  • Local Institution
    Montpellier, 34295, France
  • Local Institution
    Nantes Cedex 01, 44093, France
  • Local Institution
    Nice, 06202, France
  • Local Institution
    Paris, 75010, France
  • Local Institution
    Pierre Benite Cedax, 69495, France
  • Local Institution
    Rennes Cedex, 35042, France
  • Local Institution
    Rouen Cedex, 76031, France
  • Local Institution
    TOULOUSE Cedex 9, 31059, France
  • Local Institution
    Vandoeuvre-les-Nancy, 54511, France
  • Local Institution
    Villejuif, 94805, France
  • Local Institution
    Mainz, Rhineland-palladium 55131, Germany
  • Local Institution
    Berlin, 10117, Germany
  • Local Institution
    Dresden, 01277, Germany
  • Local Institution
    Erfurt, 99028, Germany
  • Local Institution
    Erlangen, 91054, Germany
  • Local Institution
    Frankfurt, 60590, Germany
  • Local Institution
    Freiburg, 79104, Germany
  • Local Institution
    Gottingen, 37075, Germany
  • Local Institution
    Hannover, 30625, Germany
  • Local Institution
    Kiel, 24105, Germany
  • Local Institution
    Leipzig, 04103, Germany
  • Local Institution
    Ludwigshafen, 67063, Germany
  • Local Institution
    Luebeck, 23538, Germany
  • Local Institution
    Mannheim, 68167, Germany
  • Local Institution
    Regensburg, 93053, Germany
  • Local Institution
    Schwerin, 19049, Germany
  • Local Institution
    Stade, 21682, Germany
  • Local Institution
    Cork, Ireland
  • Local Institution
    Dublin, 4, Ireland
  • Local Institution
    Dublin, 7, Ireland
  • Local Institution
    Dublin, 8, Ireland
  • Local Institution
    Dublin, 9, Ireland
  • Local Institution
    Galway, ST4 6QG, Ireland
  • Local Institution
    Bari, 70124, Italy
  • Local Institution
    Bergamo, 24127, Italy
  • Local Institution
    Genova, 16132, Italy
  • Local Institution
    Meldola, 47014, Italy
  • Local Institution
    Milano, 20133, Italy
  • Local Institution
    Milan, 20141, Italy
  • Local Institution
    Napoli, 80131, Italy
  • Local Institution
    Padova, 35128, Italy
  • Local Institution
    Pisa, 56126, Italy
  • Local Institution
    Roma, 00144, Italy
  • Local Institution
    Roma, Italy
  • Local Institution
    Siena, 53100, Italy
  • Local Institution
    Terni, 05100, Italy
  • Local Institution
    Torino, 10126, Italy
  • Local Institution
    Oslo, 0424, Norway
  • Local Institution
    Stavanger, 4011, Norway
  • Local Institution
    Eskilstuna, 631 88, Sweden
  • Local Institution
    Gävle, SE-80187, Sweden
  • Local Institution
    Karlskrona, 371 85, Sweden
  • Local Institution
    Linköping, SE-58185, Sweden
  • Local Institution
    Stockholm, 17176, Sweden
  • Local Institution
    Sundsvall, 164 40, Sweden
  • Local Institution
    Vasteras, 721 89, Sweden
  • Local Institution
    Växjö, SE-35185, Sweden
  • Local Institution
    Basel, 4031, Switzerland
  • Local Institution
    Lausanne, 1005, Switzerland
  • Local Institution
    London, Greater London SW3 6JJ, United Kingdom
  • Local Institution
    Newcastle Upon Tyne, Tyne And Wear NE7 7DN, United Kingdom
  • Local Institution
    Cambridge, CB2 0QQ, United Kingdom
  • Local Institution
    Cottingham, HU16 5JQ, United Kingdom

Showing the first 100 of 111 sites across 12 countries.

09

References and documents

Study documents

  • Study protocol · Jul 31, 2018
  • Statistical analysis plan · Feb 25, 2020

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 15, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02599402
Lead sponsor
Bristol-Myers Squibb
Responsible party
Sponsor
First posted
Nov 6, 2015
Start date
Dec 20, 2015
Primary completion
Feb 10, 2020
Completion
Feb 10, 2020
Results posted
Jun 15, 2021
Last update
Jun 15, 2021

Study contacts

Bristol Myers Squibb
study director · Bristol-Myers Squibb

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2021. You cannot join it, but the record below documents what was studied.

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