A Phase 3 interventional study of Nivolumab and Ipilimumab in Non-Small-Cell Lung Carcinoma, sponsored by Bristol-Myers Squibb. Completed at 110 sites in 10 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-09-28.
Sponsored by Bristol-Myers Squibb · Phase 3, Interventional, and Treatment
The main purpose of this study is to determine whether nivolumab + chemotherapy is effective as compared to chemotherapy in the treatment of patients with EGFR mutation, NSCLC who failed first line (1L) or second-line (2L) EGFR TKI therapy.
6,488 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,632 are open to participants now.
This study's enrollment of 367 is above the median of 62 across 5,213 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.
Browse Carcinoma, Non-Small-Cell Lung studies →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.
Exclusion Criteria:
Other protocol defined inclusion/exclusion criteria apply
Biological: Nivolumab · Drug: Pemetrexed · Drug: Cisplatin · Drug: Carboplatin
Enrollment is closed for this arm
Biological: Nivolumab · Biological: Ipilimumab
Drug: Pemetrexed · Drug: Cisplatin · Drug: Carboplatin
Specified dose on specified days
Also known as: Opdivo, BMS-936558
Specified dose on specified days
Also known as: Yervoy, BMS-734016
Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
Progression Free Survival (PFS) by Blinded Independent Centralized Review (BICR)
PFS is defined as the time between the date of randomization and the date of first documented tumor progression, as determined by BICR (per RECIST v1.1 criteria), or death due to any cause, whichever occurs first. Participants who died without reported progression will be considered to have progressed on the date of their death. Subsequent therapy was accounted for by censoring at the last evaluable tumor assessment on or prior to the date of subsequent therapy. Progression is the appearance of one or more new lesions. RECIST - "response evaluation criteria in solid tumors" is a standard system to measure tumor response to treatment. Based on Kaplan-Meier estimates
Time frame: From randomization to the date of first documented tumor progression or death (approximately 58 months)
Overall Survival (OS)
Overall Survival (OS) is defined as the time between the date of randomization and the date of death due to any cause. OS will be censored on the last date a participant was known to be alive. Median based on Kaplan-Meier Estimates
Time frame: From randomization to the date of death due to any cause (up to approximately 67 months)
Objective Response Rate (ORR) by Blinded Independent Centralized Review (BICR)
ORR is number of randomized participants who have confirmed best overall response (BOR) of complete response (CR) or partial response (PR) using RECIST v1.1 criteria by BICR assessment. BOR is the best response designation, between randomization and objectively documented progression per RECIST v1.1 criteria by BICR or the date of subsequent anti-cancer therapy, whichever occurs first. PR is at least a 30% decrease in the sum of diameters of target lesions, using the baseline sum diameters as reference. CR is disappearance of all target lesions and a reduction in the short axis of pathological lymph nodes to \<10 mm (whether target or non-target). Radiographic tumor response assessments from Week 7 (± 7 days), then every 6 weeks (± 7 days) until Week 49 and every 12 weeks (± 7 days) thereafter, until disease progression, treatment discontinued, or the start of subsequent anti-cancer therapy. CR+PR, confidence interval based on the Clopper and Pearson method.
Time frame: From randomization to the date of objectively documented progression, date of death, or the date of subsequent therapy (up to approximately 67 months)
Duration of Response (DOR) by Blinded Independent Centralized Review (BICR)
DOR is the time between the date of first response (CR or PR) and the date of first documented disease progression as determined by Response Evaluation Criteria In Solid Tumors (RECIST 1.1) or death due to any cause (death occurring after re-treatment or randomization to new combination treatment was not included), whichever occurred first. PR is at least a 30% decrease in the sum of diameters of target lesions, using the baseline sum diameters as reference. CR is disappearance of all target lesions and a reduction in the short axis of pathological lymph nodes to \<10 mm (whether target or non-target). Radiographic tumor response assessments from Week 7 (± 7 days), then every 6 weeks (± 7 days) until Week 49 and every 12 weeks (± 7 days) thereafter, until disease progression, treatment discontinued, or the start of subsequent anti-cancer therapy. Participants who neither progress nor die were censored on the date of their last assessment. Median computed using Kaplan-Meier method
Time frame: From randomization to the date of first documented disease progression or death due to any cause (approximately 67 months)
9 Month Progression Free Survival Rates (PFSR) by Blinded Independent Centralized Review (BICR)
The PFSR at 9 months is defined as the percent of treated participants remaining progression free and surviving at 9 months since the first dosing date. Progression is the appearance of one or more new lesions. Point estimates are derived from Kaplan-Meier analyses.
Time frame: 9 months after first treatment dose
12 Month Progression Free Survival Rates (PFSR) by Blinded Independent Centralized Review (BICR)
The PFSR at 12 months is defined as the percent of treated participants remaining progression free and surviving at 12 months since the first dosing date. Progression is the appearance of one or more new lesions. Point estimates are derived from Kaplan-Meier analyses.
Time frame: 12 Months after first treatment dose
| Milestone | Arm A: Nivolumab Plus Platinum-doublet Chemotherapy | Arm B: Nivolumab Plus Ipilimumab | Arm C: Platinum Doublet Chemotherapy |
|---|---|---|---|
| Started | 144 | 73 | 150 |
| Completed | 141 | 71 | 143 |
| Not completed | 3 | 2 | 7 |
| Withdrew: Adverse event unrelated to study drug | 1 | 0 | 0 |
| Withdrew: Withdrawal by participant | 0 | 0 | 4 |
| Withdrew: Participant no longer meets study criteria | 2 | 1 | 2 |
| Withdrew: Other reasons | 0 | 1 | 1 |
| Milestone | Arm A: Nivolumab Plus Platinum-doublet Chemotherapy | Arm B: Nivolumab Plus Ipilimumab | Arm C: Platinum Doublet Chemotherapy |
|---|---|---|---|
| Started | 141 | 71 | 143 |
| Completed | 3 | 5 | 0 |
| Not completed | 138 | 66 | 143 |
| Withdrew: Disease progression | 109 | 52 | 101 |
| Withdrew: Study drug toxicity | 9 | 4 | 10 |
| Withdrew: Death | 0 | 2 | 3 |
| Withdrew: Adverse event unrelated to study drug | 1 | 1 | 6 |
| Withdrew: Participant requested to discontinue study treatment | 8 | 0 | 5 |
| Withdrew: Withdrawal by participant | 8 | 5 | 13 |
| Withdrew: Maximum clinical benefit | 1 | 0 | 1 |
| Withdrew: Participant no longer meets study criteria | 0 | 1 | 0 |
| Withdrew: Other reasons | 1 | 1 | 4 |
| Withdrew: Administrative reason by sponsor | 1 | 0 | 0 |
PFS is defined as the time between the date of randomization and the date of first documented tumor progression, as determined by BICR (per RECIST v1.1 criteria), or death due to any cause, whichever occurs first. Participants who died without reported progression will be considered to have progressed on the date of their death. Subsequent therapy was accounted for by censoring at the last evaluable tumor assessment on or prior to the date of subsequent therapy. Progression is the appearance of one or more new lesions. RECIST - "response evaluation criteria in solid tumors" is a standard system to measure tumor response to treatment. Based on Kaplan-Meier estimates
| Months | Arm A: Nivolumab Plus Platinum-doublet Chemotherapy | Arm B: Nivolumab Plus Ipilimumab | Arm C: Platinum Doublet Chemotherapy |
|---|---|---|---|
| Progression Free Survival (PFS) by Blinded Independent Centralized Review (BICR) | 5.59 (4.47 to 6.80) | 1.54 (1.41 to 2.63) | 5.45 (4.40 to 5.65) |
Overall Survival (OS) is defined as the time between the date of randomization and the date of death due to any cause. OS will be censored on the last date a participant was known to be alive. Median based on Kaplan-Meier Estimates
| Months | Arm A: Nivolumab Plus Platinum-doublet Chemotherapy | Arm B: Nivolumab Plus Ipilimumab | Arm C: Platinum Doublet Chemotherapy |
|---|---|---|---|
| Overall Survival (OS) | 19.35 (16.13 to 20.99) | 17.12 (13.67 to 23.59) | 15.90 (14.00 to 18.79) |
ORR is number of randomized participants who have confirmed best overall response (BOR) of complete response (CR) or partial response (PR) using RECIST v1.1 criteria by BICR assessment. BOR is the best response designation, between randomization and objectively documented progression per RECIST v1.1 criteria by BICR or the date of subsequent anti-cancer therapy, whichever occurs first. PR is at least a 30% decrease in the sum of diameters of target lesions, using the baseline sum diameters as reference. CR is disappearance of all target lesions and a reduction in the short axis of pathological lymph nodes to \<10 mm (whether target or non-target). Radiographic tumor response assessments from Week 7 (± 7 days), then every 6 weeks (± 7 days) until Week 49 and every 12 weeks (± 7 days) thereafter, until disease progression, treatment discontinued, or the start of subsequent anti-cancer therapy. CR+PR, confidence interval based on the Clopper and Pearson method.
| Percent of Participants | Arm A: Nivolumab Plus Platinum-doublet Chemotherapy | Arm B: Nivolumab Plus Ipilimumab | Arm C: Platinum Doublet Chemotherapy |
|---|---|---|---|
| Objective Response Rate (ORR) by Blinded Independent Centralized Review (BICR) | 30.6 (23.2 to 38.8) | 13.7 (6.8 to 23.8) | 26.7 (19.8 to 34.5) |
DOR is the time between the date of first response (CR or PR) and the date of first documented disease progression as determined by Response Evaluation Criteria In Solid Tumors (RECIST 1.1) or death due to any cause (death occurring after re-treatment or randomization to new combination treatment was not included), whichever occurred first. PR is at least a 30% decrease in the sum of diameters of target lesions, using the baseline sum diameters as reference. CR is disappearance of all target lesions and a reduction in the short axis of pathological lymph nodes to \<10 mm (whether target or non-target). Radiographic tumor response assessments from Week 7 (± 7 days), then every 6 weeks (± 7 days) until Week 49 and every 12 weeks (± 7 days) thereafter, until disease progression, treatment discontinued, or the start of subsequent anti-cancer therapy. Participants who neither progress nor die were censored on the date of their last assessment. Median computed using Kaplan-Meier method
| Months | Arm A: Nivolumab Plus Platinum-doublet Chemotherapy | Arm B: Nivolumab Plus Ipilimumab | Arm C: Platinum Doublet Chemotherapy |
|---|---|---|---|
| Duration of Response (DOR) by Blinded Independent Centralized Review (BICR) | 6.67 (4.17 to 12.45) | 50.04 (2.86 to NA) | 5.55 (4.07 to 9.92) |
The PFSR at 9 months is defined as the percent of treated participants remaining progression free and surviving at 9 months since the first dosing date. Progression is the appearance of one or more new lesions. Point estimates are derived from Kaplan-Meier analyses.
| Percent of Participants | Arm A: Nivolumab Plus Platinum-doublet Chemotherapy | Arm B: Nivolumab Plus Ipilimumab | Arm C: Platinum Doublet Chemotherapy |
|---|---|---|---|
| 9 Month Progression Free Survival Rates (PFSR) by Blinded Independent Centralized Review (BICR) | 25.9 (18.4 to 34.0) | 12.2 (5.5 to 21.7) | 19.8 (12.6 to 28.1) |
The PFSR at 12 months is defined as the percent of treated participants remaining progression free and surviving at 12 months since the first dosing date. Progression is the appearance of one or more new lesions. Point estimates are derived from Kaplan-Meier analyses.
| Percent of Participants | Arm A: Nivolumab Plus Platinum-doublet Chemotherapy | Arm B: Nivolumab Plus Ipilimumab | Arm C: Platinum Doublet Chemotherapy |
|---|---|---|---|
| 12 Month Progression Free Survival Rates (PFSR) by Blinded Independent Centralized Review (BICR) | 21.2 (14.3 to 29.1) | 12.2 (5.5 to 21.7) | 15.9 (9.3 to 24.0) |
Collected over Participants were assessed for all-cause mortality from their randomization to study completion (up to approximately 67 months.) SAEs and Other AEs was assessed from first dose to 100 days post the last dose of study therapy (up to approximately an average of 11 months and a maximum of 51 months).. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Arm A: Nivolumab Plus Platinum-doublet Chemotherapy | 92/144 (63.9%) | 77/141 (54.6%) | 136/141 (96.5%) |
| Arm B: Nivolumab Plus Ipilimumab | 55/73 (75.3%) | 46/71 (64.8%) | 62/71 (87.3%) |
| Arm C: Platinum Doublet Chemotherapy | 105/150 (70%) | 55/143 (38.5%) | 140/143 (97.9%) |
| Event | Arm A: Nivolumab Plus Platinum-doublet Chemotherapy | Arm B: Nivolumab Plus Ipilimumab | Arm C: Platinum Doublet Chemotherapy |
|---|---|---|---|
| Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 25/141 | 20/71 | 22/143 |
| PneumoniaInfections and infestations | 10/141 | 4/71 | 7/143 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 0/141 | 5/71 | 2/143 |
| PneumonitisRespiratory, thoracic and mediastinal disorders | 5/141 | 1/71 | 1/143 |
| VomitingGastrointestinal disorders | 4/141 | 2/71 | 1/143 |
| Decreased appetiteMetabolism and nutrition disorders | 4/141 | 0/71 | 0/143 |
| Pericardial effusionCardiac disorders | 0/141 | 2/71 | 0/143 |
| ColitisGastrointestinal disorders | 1/141 | 2/71 | 0/143 |
| DiarrhoeaGastrointestinal disorders | 0/141 | 2/71 | 0/143 |
| PyrexiaGeneral disorders | 3/141 | 2/71 | 1/143 |
| Event | Arm A: Nivolumab Plus Platinum-doublet Chemotherapy | Arm B: Nivolumab Plus Ipilimumab | Arm C: Platinum Doublet Chemotherapy |
|---|---|---|---|
| AnaemiaBlood and lymphatic system disorders | 66/141 | 7/71 | 58/143 |
| NauseaGastrointestinal disorders | 63/141 | 12/71 | 60/143 |
| ConstipationGastrointestinal disorders | 52/141 | 21/71 | 57/143 |
| Decreased appetiteMetabolism and nutrition disorders | 42/141 | 16/71 | 52/143 |
| Neutrophil count decreasedInvestigations | 42/141 | 4/71 | 45/143 |
| White blood cell count decreasedInvestigations | 38/141 | 3/71 | 35/143 |
| PruritusSkin and subcutaneous tissue disorders | 17/141 | 18/71 | 8/143 |
| VomitingGastrointestinal disorders | 35/141 | 7/71 | 21/143 |
| Alanine aminotransferase increasedInvestigations | 35/141 | 12/71 | 26/143 |
| Aspartate aminotransferase increasedInvestigations | 35/141 | 11/71 | 27/143 |
| Age, Continuous(Years) | Arm A: Nivolumab Plus Platinum-doublet Chemotherapy | Arm B: Nivolumab Plus Ipilimumab | Arm C: Platinum Doublet Chemotherapy | Total |
|---|---|---|---|---|
| Mean | 62.3 ± 10.6 | 61.9 ± 10.6 | 60.7 ± 10.1 | 61.6 ± 10.4 |
| Sex: Female, Male(Participants) | Arm A: Nivolumab Plus Platinum-doublet Chemotherapy | Arm B: Nivolumab Plus Ipilimumab | Arm C: Platinum Doublet Chemotherapy | Total |
|---|---|---|---|---|
| Female | 83 | 37 | 94 | 214 |
| Male | 61 | 36 | 56 | 153 |
| Ethnicity (NIH/OMB)(Participants) | Arm A: Nivolumab Plus Platinum-doublet Chemotherapy | Arm B: Nivolumab Plus Ipilimumab | Arm C: Platinum Doublet Chemotherapy | Total |
|---|---|---|---|---|
| Hispanic or Latino | 0 | 0 | 0 | 0 |
| Not Hispanic or Latino | 59 | 39 | 73 | 171 |
| Unknown or Not Reported | 85 | 34 | 77 | 196 |
| Race (NIH/OMB)(Participants) | Arm A: Nivolumab Plus Platinum-doublet Chemotherapy | Arm B: Nivolumab Plus Ipilimumab | Arm C: Platinum Doublet Chemotherapy | Total |
|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 |
| Asian | 136 | 68 | 139 | 343 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 | 0 |
| White | 7 | 3 | 11 | 21 |
| More than one race | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 1 | 2 | 0 | 3 |
Showing the first 100 of 110 sites across 10 countries.
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This study is completed, as verified in Sep 2023. You cannot join it, but the record below documents what was studied.
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Carcinoma, Non-Small-Cell Lung→
Bristol-Myers Squibb