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CompletedNCT02982954CHECKMATE 920Updated Nov 1, 2022Results posted

A Study to Evaluate the Safety of Nivolumab and Ipilimumab in Subjects With Previously Untreated Advanced or Metastatic Renal Cell Cancer

A Phase 4 interventional study of Nivolumab and Ipilimumab in Renal Cell Carcinoma, sponsored by Bristol-Myers Squibb. Completed at 61 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-11-01.

Sponsored by Bristol-Myers Squibb · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
211
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

To investigate the safety of Nivolumab in combination with Ipilimumab in subjects with previously untreated advanced or metastatic Renal Cell Cancer.

02

Conditions studied

  • Renal Cell Carcinoma
03

In context

Carcinoma, Renal Cell

1,965 studies on the registry are indexed under Carcinoma, Renal Cell; 378 are open to participants now.

This study's enrollment of 211 is above the median of 42 across 1,480 interventional studies indexed under Carcinoma, Renal Cell.

Browse Carcinoma, Renal Cell 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

Inclusion criteria

  1. Type of Participant and Target Disease Characteristics
  1. Advanced or metastatic RCC
  2. Histologically confirmed, previously untreated (treatment-naive) RCC
  3. No prior systemic therapy for RCC except for one prior adjuvant or neoadjuvant therapy for completely resectable RCC
  4. Measurable disease as per RECIST 1.1. Subject must have extracranial metastasis as measurable disease
  5. Karnofsky Performance Status (KPS) of at least 70% for Cohort 1, 2, and 3; KPS of 50-60% for Cohort 4
  6. Tumor tissue need be received by the central vendor (block or unstained slides). Note: Fine Needle Aspiration (FNA)and bone metastases samples are not acceptable for submission.

Exclusion criteria

Exclusion Criteria:

  1. Medical Conditions

    1. Subjects with any active autoimmune disease or a history of known autoimmune disease
    2. Prior malignancy active within the previous 3 years except for locally curable cancers that have been apparently cured
    3. Known HIV or AIDS-related illness
    4. Any positive test for hepatitis B or hepatitis C virus indicating acute or chronic infection.
  2. Prior/Concomitant Therapy

    1. Prior systemic treatment in the metastatic setting with Vascular epithelial growth factor(VEGF) or VEGF receptor targeted therapy
    2. Prior treatment with an anti-Programmed Death (PD) -1, anti-PD-L1, anti-PD-L2, anti-cluster of differentiation 137 (CD137), or anti-cytotoxic T-lymphocyte-associated antigen 4(CTLA-4) antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways. This includes the utilization of these agents in the neo-adjuvant or adjuvant setting.
    3. Anti-cancer therapy less than 28 days prior to the first dose of study drug or palliative, focal radiation therapy less than 14 days prior to the first dose of study drug.

Other protocol defined inclusion/exclusion criteria apply

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
211 participants (actual)

Study arms

  • Experimental
    ccRCC KPS ≥ 70%

    Clear-Cell Renal Cell Carcinoma (ccRCC) with Karnofsky Performance Status (KPS) ≥ 70%

    Drug: Nivolumab · Drug: Ipilimumab

  • Experimental
    Non-ccRCC, KPS ≥ 70%

    Non Clear-Cell Renal Cell Carcinoma (nccRCC) with KPS ≥ 70%

    Drug: Nivolumab · Drug: Ipilimumab

  • Experimental
    RCC with non-active Brain Mets, KPS ≥70%

    Renal Cell Carcinoma (RCC) with non-active Brain Metastases, with KPS ≥70%

    Drug: Nivolumab · Drug: Ipilimumab

  • Experimental
    any RCC with KPS 50%-60%

    Renal Cell Carcinoma (RCC), regardless of any histology or existing non-active brain metastasis, with KPS 50%-60%

    Drug: Nivolumab · Drug: Ipilimumab

Interventions

  • DrugNivolumab

    Specified dose on specified day

    Also known as: BMS-936558, Opdivo

  • DrugIpilimumab

    Specified Dose on Specified Day

    Also known as: Yervoy, BMS-734016

06

What researchers measure

Primary outcomes

  1. Number of Participants With High Grade (Grade 3-4) Immune Mediated Adverse Events (IMAEs)

    Number of participants with IMAEs in the following categories: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity

    Time frame: Approximately 39 Months

  2. Number of Participants With High Grade (Grade 5) Immune Mediated Adverse Events (IMAEs)

    Number of participants with IMAEs in the following categories: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity

    Time frame: Approximately 39 Months

Secondary outcomes

  1. Time to Onset of Grade 3-5 Immune Mediated Adverse Events (IMAEs)

    Time to onset is defined as the duration of time in weeks from the first dosing to the immune modulating adverse event onset date. Participants experiencing all high grade (CTCAE v4 Grade 3-4 and Grade 5) Immune Mediated Adverse Events (IMAEs) in the following categories will be included: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity. IMAEs are specific events (or groups of preferred terms describing specific events) considered as potential immune-mediated events by investigator, that meet the following definition: (1) those occurring within 100 days of the last dose (2) regardless of causality (3) with no clear alternate etiology based on investigator assessment, or with an immune-mediated component and (4) treated with immune-modulating medication. Grade 3= Severe reaction, Grade 4 = Life-threatening, Grade 5 = Death

    Time frame: From first dose to the earliest IMAE (grade 3-5) event onset date (up to approximately 116 weeks)

  2. Time to Resolution of Grade 3-5 Immune Mediated Adverse Events (IMAEs)

    Time to resolution is defined as the longest time from IMAE onset date to complete resolution or improvement to the grade at baseline experienced by the participant (the IMAE end date). Participants experiencing all high grade (CTCAE v4 Grade 3-4 and Grade 5) Immune Mediated Adverse Events (IMAEs) in the following categories will be included: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity. IMAEs are specific events (or groups of preferred terms describing specific events) considered as potential immune-mediated events by investigator, that meet the following definition: (1) those occurring within 100 days of the last dose (2) regardless of causality (3) with no clear alternate etiology based on investigator assessment, or with an immune-mediated component and (4) treated with immune-modulating medication. Grade 3= Severe reaction, Grade 4 = Life-threatening, Grade 5 = Death

    Time frame: From the IMAE onset date to the IMAE end date, up to approximately 194 weeks

  3. Number of Participants Who Received Immune Modulating Medication for High Grade (Grades 3-5) Immune Mediated Adverse Events (IMAEs)

    The number of participants who received immune modulating medication for participants experiencing all high grade (CTCAE v4 Grade 3-4 and Grade 5) Immune Mediated Adverse Events (IMAEs) in the following categories will be included: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity. IMAEs are specific events (or groups of preferred terms describing specific events) considered as potential immune-mediated events by investigator, that meet the following definition: (1) those occurring within 100 days of the last dose (2) regardless of causality (3) with no clear alternate etiology based on investigator assessment, or with an immune-mediated component and (4) treated with immune-modulating medication. Grade 3= Severe reaction, Grade 4 = Life-threatening, Grade 5 = Death

    Time frame: From first dose up to 100 days post last dose (up to approximately 29 months)

  4. Number of Participants Who Received Hormone Replacement Therapy for High Grade (Grades 3-5) Immune Mediated Adverse Events (IMAEs)

    The number of participants who received Hormone Replacement Therapy for experiencing all high grade (CTCAE v4 Grade 3-4 and Grade 5) Immune Mediated Adverse Events (IMAEs) in the following categories will be included: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity. IMAEs are specific events (or groups of preferred terms describing specific events) considered as potential immune-mediated events by investigator, that meet the following definition: (1) those occurring within 100 days of the last dose (2) regardless of causality (3) with no clear alternate etiology based on investigator assessment, or with an immune-mediated component and (4) treated with immune-modulating medication. Grade 3= Severe reaction, Grade 4 = Life-threatening, Grade 5 = Death

    Time frame: From first dose up to 100 days post last dose (up to approximately 29 months)

  5. Number of Participants Who Received ≥ 40mg of Prednisone for High Grade (Grades 3-5) Immune Mediated Adverse Events (IMAEs)

    The number of participants who received ≥ 40mg of prednisone for high grade (grades 3-5) IMAEs. Participants experiencing all high grade (CTCAE v4 Grade 3-4 and Grade 5) Immune Mediated Adverse Events (IMAEs) in the following categories will be included: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity. IMAEs are specific events (or groups of preferred terms describing specific events) considered as potential immune-mediated events by investigator, that meet the following definition: (1) those occurring within 100 days of the last dose (2) regardless of causality (3) with no clear alternate etiology based on investigator assessment, or with an immune-mediated component and (4) treated with immune-modulating medication. Grade 3= Severe reaction, Grade 4 = Life-threatening, Grade 5 = Death

    Time frame: From first dose up to 100 days post last dose (up to approximately 29 months)

  6. Median Progression Free Survival (PFS)

    PFS is defined as the time from first dose to the date of the first documented progressive disease (PD) as determined by the investigator (per RECIST 1.1 criteria or clinical) or death due to any cause whichever occur first. Progressive disease is defined as progression of existing non-target lesions or at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression.

    Time frame: From first dose to the date of the first documented progressive disease, up to approximately 12 months

  7. Objective Response Rate (ORR)

    ORR is defined as the percentage of participants with a best overall response (BOR) of complete response (CR) or partial response (PR) divided by the number of response evaluable participants. Best overall response is defined as the best response recorded from the start of the study treatment until the end of treatment. The participant's best overall response assignment will depend on the findings of both target and non-target disease and will also take into consideration the appearance of new lesions. Partial response is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Complete response is defined as the disappearance of all lesions and normalization of tumor marker level. All lymph nodes (whether target or non-target) must be non-pathological in size (\< 10mm short axis).

    Time frame: From first dose up to the date of objectively documented progression or the date of subsequent therapy, whichever occurs first (up to approximately 26 months)

  8. Time to Response Rate (TRR)

    TTR is defined as the median percentage of participants with a best overall response (BOR) of complete response (CR) or partial response (PR) divided by the number of response evaluable participants. Best overall response is defined as the best response recorded from the start of the study treatment until the end of treatment. The participant's best overall response assignment will depend on the findings of both target and non-target disease and will also take into consideration the appearance of new lesions. Partial response is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Complete response is defined as the disappearance of all lesions and normalization of tumor marker level. All lymph nodes (whether target or non-target) must be non-pathological in size (\< 10mm short axis).

    Time frame: From the date of first dose to first documented CR or PR, up to approximately 15 months

  9. Duration of Response (DOR)

    DOR is defined as the time between the date of first confirmed response to the date of the first documented tumor progression per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1, or death due to any cause, whichever occurs first. DOR will be computed for participants who achieve partial response (PR) or complete response (CR) only. Partial response is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Complete response is defined as the disappearance of all lesions and normalization of tumor marker level. All lymph nodes (whether target or non-target) must be non-pathological in size (\< 10mm short axis).

    Time frame: From first confirmed response to the date of the first documented tumor progression or death, up to approximately 48 months

07

Results

Posted Oct 14, 2021

Participant flow

Participant flow — Overall Study
MilestoneCohort 1Cohort 2Cohort 3Cohort 4
Started106522825
Completed0000
Not completed106522825
Withdrew: Death55291520
Withdrew: Lost to follow-up2100
Withdrew: Participant withdrew consent7511
Withdrew: Other reasons4217123
Withdrew: Premature site closure0001

Outcome measures

PrimaryNumber of Participants With High Grade (Grade 3-4) Immune Mediated Adverse Events (IMAEs)

Number of participants with IMAEs in the following categories: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity

Time frame:
Approximately 39 Months
Reported as:
Count of participants · Participants
Number of Participants With High Grade (Grade 3-4) Immune Mediated Adverse Events (IMAEs)
ParticipantsCohort 1Cohort 2Cohort 3Cohort 4
Pneumonitis1000
Diarrhoea/Colitis8420
Hepatitis3111
Nephritis and Renal Dysfunction0200
Rash7310
Hypersensitivity0000
Adrenal Insufficiency3101
Hypothyroidism and Thyroiditis0001
Diabetes Mellitus3010
Hyperthyroidism0000
Hypophysitis0110
PrimaryNumber of Participants With High Grade (Grade 5) Immune Mediated Adverse Events (IMAEs)

Number of participants with IMAEs in the following categories: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity

Time frame:
Approximately 39 Months
Reported as:
Count of participants · Participants
Number of Participants With High Grade (Grade 5) Immune Mediated Adverse Events (IMAEs)
ParticipantsCohort 1Cohort 2Cohort 3Cohort 4
Pneumonitis0000
Diarrhoea/Colitis0000
Hepatitis0000
Nephritis and Renal Dysfunction0000
Rash0000
Hypersensitivity0000
Adrenal Insufficiency0000
Hypothyroidism and Thyroiditis0000
Diabetes Mellitus0000
Hyperthyroidism0000
Hypophysitis0000
SecondaryTime to Onset of Grade 3-5 Immune Mediated Adverse Events (IMAEs)

Time to onset is defined as the duration of time in weeks from the first dosing to the immune modulating adverse event onset date. Participants experiencing all high grade (CTCAE v4 Grade 3-4 and Grade 5) Immune Mediated Adverse Events (IMAEs) in the following categories will be included: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity. IMAEs are specific events (or groups of preferred terms describing specific events) considered as potential immune-mediated events by investigator, that meet the following definition: (1) those occurring within 100 days of the last dose (2) regardless of causality (3) with no clear alternate etiology based on investigator assessment, or with an immune-mediated component and (4) treated with immune-modulating medication. Grade 3= Severe reaction, Grade 4 = Life-threatening, Grade 5 = Death

Time frame:
From first dose to the earliest IMAE (grade 3-5) event onset date (up to approximately 116 weeks)
Reported as:
Median · Weeks
Time to Onset of Grade 3-5 Immune Mediated Adverse Events (IMAEs)
WeeksCohort 1Cohort 2Cohort 3Cohort 4
Pneumonitis12.7 (12.7 to 12.7)———
Diarrhoea/Colitis21.79 (1.7 to 115.7)10.43 (4.4 to 20.1)11.0 (10.1 to 11.9)—
Hepatitis8.43 (2.0 to 82.1)9.4 (9.4 to 9.4)11.6 (11.6 to 11.6)10.1 (10.1 to 10.1)
Nephritis and Renal Dysfunction—9.43 (1.4 to 17.4)——
Rash4.00 (1.1 to 80.4)6.14 (2.3 to 13.7)8.3 (8.3 to 8.3)—
Immune Mediated Arthritis—38.9 (38.9 to 38.9)——
Adrenal Insufficiency36.21 (21.0 to 51.4)12.7 (12.7 to 12.7)—14.9 (14.9 to 14.9)
Diabetes Mellitus——2.0 (2.0 to 2.0)—
Hypophysitis—18.7 (18.7 to 18.7)——
SecondaryTime to Resolution of Grade 3-5 Immune Mediated Adverse Events (IMAEs)

Time to resolution is defined as the longest time from IMAE onset date to complete resolution or improvement to the grade at baseline experienced by the participant (the IMAE end date). Participants experiencing all high grade (CTCAE v4 Grade 3-4 and Grade 5) Immune Mediated Adverse Events (IMAEs) in the following categories will be included: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity. IMAEs are specific events (or groups of preferred terms describing specific events) considered as potential immune-mediated events by investigator, that meet the following definition: (1) those occurring within 100 days of the last dose (2) regardless of causality (3) with no clear alternate etiology based on investigator assessment, or with an immune-mediated component and (4) treated with immune-modulating medication. Grade 3= Severe reaction, Grade 4 = Life-threatening, Grade 5 = Death

Time frame:
From the IMAE onset date to the IMAE end date, up to approximately 194 weeks
Reported as:
Median · Weeks
Time to Resolution of Grade 3-5 Immune Mediated Adverse Events (IMAEs)
WeeksCohort 1Cohort 2Cohort 3Cohort 4
Pneumonitis0.9 (0.9 to 0.9)———
Diarrhoea/Colitis2.71 (0.7 to 193.9)5.93 (0.9 to 16.9)1.14 (1.1 to 4.9)—
HepatitisNA (7.9 to 144.9)NA (14.9 to 18.3)3.00 (3.0 to 3.0)2.1 (2.1 to 2.1)
Nephritis and Renal Dysfunction—7.79 (1.1 to 14.4)——
Rash26.86 (5.3 to 181.6)8.00 (3.1 to 69.9)5.3 (5.3 to 5.3)—
Adrenal InsufficiencyNA (0.4 to 170.0)——6.0 (6.0 to 6.0)
Diabetes Mellitus——1.1 (1.1 to 1.1)—
Hypophysitis—7.6 (7.6 to 7.6)——
Immune Mediated Arthritis—37.0 (37.0 to 37.0)——
SecondaryNumber of Participants Who Received Immune Modulating Medication for High Grade (Grades 3-5) Immune Mediated Adverse Events (IMAEs)

The number of participants who received immune modulating medication for participants experiencing all high grade (CTCAE v4 Grade 3-4 and Grade 5) Immune Mediated Adverse Events (IMAEs) in the following categories will be included: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity. IMAEs are specific events (or groups of preferred terms describing specific events) considered as potential immune-mediated events by investigator, that meet the following definition: (1) those occurring within 100 days of the last dose (2) regardless of causality (3) with no clear alternate etiology based on investigator assessment, or with an immune-mediated component and (4) treated with immune-modulating medication. Grade 3= Severe reaction, Grade 4 = Life-threatening, Grade 5 = Death

Time frame:
From first dose up to 100 days post last dose (up to approximately 29 months)
Reported as:
Count of participants · Participants
Number of Participants Who Received Immune Modulating Medication for High Grade (Grades 3-5) Immune Mediated Adverse Events (IMAEs)
ParticipantsCohort 1Cohort 2Cohort 3Cohort 4
Pneumonitis1000
Diarrhoea/Colitis8420
Hepatitis3111
Nephritis and Renal Dysfunction0200
Rash7310
Hypersensitivity0000
Adrenal Insufficiency3101
Hypothyroidism/Thyroiditis0001
Diabetes Mellitus3010
Hyperthyroidism0000
Hypophysitis0110
SecondaryNumber of Participants Who Received Hormone Replacement Therapy for High Grade (Grades 3-5) Immune Mediated Adverse Events (IMAEs)

The number of participants who received Hormone Replacement Therapy for experiencing all high grade (CTCAE v4 Grade 3-4 and Grade 5) Immune Mediated Adverse Events (IMAEs) in the following categories will be included: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity. IMAEs are specific events (or groups of preferred terms describing specific events) considered as potential immune-mediated events by investigator, that meet the following definition: (1) those occurring within 100 days of the last dose (2) regardless of causality (3) with no clear alternate etiology based on investigator assessment, or with an immune-mediated component and (4) treated with immune-modulating medication. Grade 3= Severe reaction, Grade 4 = Life-threatening, Grade 5 = Death

Time frame:
From first dose up to 100 days post last dose (up to approximately 29 months)
Reported as:
Count of participants · Participants
Number of Participants Who Received Hormone Replacement Therapy for High Grade (Grades 3-5) Immune Mediated Adverse Events (IMAEs)
ParticipantsCohort 1Cohort 2Cohort 3Cohort 4
Pneumonitis1000
Diarrhoea/Colitis8320
Hepatitis3111
Nephritis and Renal Dysfunction0200
Rash7310
Adrenal Insufficiency2101
Diabetes Mellitus0010
Hypophysitis0100
SecondaryNumber of Participants Who Received ≥ 40mg of Prednisone for High Grade (Grades 3-5) Immune Mediated Adverse Events (IMAEs)

The number of participants who received ≥ 40mg of prednisone for high grade (grades 3-5) IMAEs. Participants experiencing all high grade (CTCAE v4 Grade 3-4 and Grade 5) Immune Mediated Adverse Events (IMAEs) in the following categories will be included: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity. IMAEs are specific events (or groups of preferred terms describing specific events) considered as potential immune-mediated events by investigator, that meet the following definition: (1) those occurring within 100 days of the last dose (2) regardless of causality (3) with no clear alternate etiology based on investigator assessment, or with an immune-mediated component and (4) treated with immune-modulating medication. Grade 3= Severe reaction, Grade 4 = Life-threatening, Grade 5 = Death

Time frame:
From first dose up to 100 days post last dose (up to approximately 29 months)
Reported as:
Count of participants · Participants
Number of Participants Who Received ≥ 40mg of Prednisone for High Grade (Grades 3-5) Immune Mediated Adverse Events (IMAEs)
ParticipantsCohort 1Cohort 2Cohort 3Cohort 4
Number of Participants Who Received ≥ 40mg of Prednisone for High Grade (Grades 3-5) Immune Mediated Adverse Events (IMAEs)19952
SecondaryMedian Progression Free Survival (PFS)

PFS is defined as the time from first dose to the date of the first documented progressive disease (PD) as determined by the investigator (per RECIST 1.1 criteria or clinical) or death due to any cause whichever occur first. Progressive disease is defined as progression of existing non-target lesions or at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression.

Time frame:
From first dose to the date of the first documented progressive disease, up to approximately 12 months
Reported as:
Median · Months
Median Progression Free Survival (PFS)
MonthsCohort 1Cohort 2Cohort 3Cohort 4
Median Progression Free Survival (PFS)4.8 (3.0 to 8.4)3.7 (2.7 to 4.6)8.5 (2.9 to 12.0)3.6 (2.5 to 8.7)
SecondaryObjective Response Rate (ORR)

ORR is defined as the percentage of participants with a best overall response (BOR) of complete response (CR) or partial response (PR) divided by the number of response evaluable participants. Best overall response is defined as the best response recorded from the start of the study treatment until the end of treatment. The participant's best overall response assignment will depend on the findings of both target and non-target disease and will also take into consideration the appearance of new lesions. Partial response is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Complete response is defined as the disappearance of all lesions and normalization of tumor marker level. All lymph nodes (whether target or non-target) must be non-pathological in size (\< 10mm short axis).

Time frame:
From first dose up to the date of objectively documented progression or the date of subsequent therapy, whichever occurs first (up to approximately 26 months)
Reported as:
Number · Percentage of Participants
Objective Response Rate (ORR)
Percentage of ParticipantsCohort 1Cohort 2Cohort 3Cohort 4
Objective Response Rate (ORR)35.4 (25.9 to 45.8)21.7 (10.9 to 36.4)30.8 (14.3 to 51.8)33.3 (13.3 to 59.0)
SecondaryTime to Response Rate (TRR)

TTR is defined as the median percentage of participants with a best overall response (BOR) of complete response (CR) or partial response (PR) divided by the number of response evaluable participants. Best overall response is defined as the best response recorded from the start of the study treatment until the end of treatment. The participant's best overall response assignment will depend on the findings of both target and non-target disease and will also take into consideration the appearance of new lesions. Partial response is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Complete response is defined as the disappearance of all lesions and normalization of tumor marker level. All lymph nodes (whether target or non-target) must be non-pathological in size (\< 10mm short axis).

Time frame:
From the date of first dose to first documented CR or PR, up to approximately 15 months
Reported as:
Median · Months
Time to Response Rate (TRR)
MonthsCohort 1Cohort 2Cohort 3Cohort 4
Time to Response Rate (TRR)2.8 (2.5 to 14.6)2.8 (2.1 to 4.5)2.8 (2.4 to 3.0)4.5 (2.5 to 12.1)
SecondaryDuration of Response (DOR)

DOR is defined as the time between the date of first confirmed response to the date of the first documented tumor progression per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1, or death due to any cause, whichever occurs first. DOR will be computed for participants who achieve partial response (PR) or complete response (CR) only. Partial response is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Complete response is defined as the disappearance of all lesions and normalization of tumor marker level. All lymph nodes (whether target or non-target) must be non-pathological in size (\< 10mm short axis).

Time frame:
From first confirmed response to the date of the first documented tumor progression or death, up to approximately 48 months
Reported as:
Median · Months
Duration of Response (DOR)
MonthsCohort 1Cohort 2Cohort 3Cohort 4
Duration of Response (DOR)11.01 (7.10 to NA)37.68 (10.87 to NA)16.51 (3.88 to 47.87)19.48 (6.28 to 20.57)

Adverse events

Collected over SAEs and NSAEs: From first dose to 100 days post last dose (up to approximately 29 months). Participants were assessed for All-cause mortality from their first dose to study completion (up to approximately 56 months). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cohort 155/106 (51.9%)63/106 (59.4%)103/106 (97.2%)
Cohort 229/52 (55.8%)29/52 (55.8%)50/52 (96.2%)
Cohort 315/28 (53.6%)14/28 (50%)27/28 (96.4%)
Cohort 420/25 (80%)17/25 (68%)24/25 (96%)
Most frequent serious events
Showing 10 of 131
Most frequent serious events
EventCohort 1Cohort 2Cohort 3Cohort 4
Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)15/1066/525/285/25
Mental status changesPsychiatric disorders2/1060/520/282/25
Pleural effusionRespiratory, thoracic and mediastinal disorders1/1060/520/282/25
DiarrhoeaGastrointestinal disorders4/1061/522/280/25
DehydrationMetabolism and nutrition disorders3/1060/522/280/25
ColitisGastrointestinal disorders5/1062/521/280/25
PneumoniaInfections and infestations5/1062/521/280/25
Anaemia of chronic diseaseBlood and lymphatic system disorders0/1060/520/281/25
Disseminated intravascular coagulationBlood and lymphatic system disorders0/1060/520/281/25
Acute coronary syndromeCardiac disorders0/1060/520/281/25
Most frequent other events
Showing 10 of 108
Most frequent other events
EventCohort 1Cohort 2Cohort 3Cohort 4
FatigueGeneral disorders62/10631/5214/282/25
NauseaGastrointestinal disorders40/10620/5212/286/25
DiarrhoeaGastrointestinal disorders45/10619/5211/289/25
AnaemiaBlood and lymphatic system disorders21/1066/529/284/25
HypothyroidismEndocrine disorders19/1066/529/287/25
PruritusSkin and subcutaneous tissue disorders32/10611/529/285/25
Rash maculo-papularSkin and subcutaneous tissue disorders13/10610/526/288/25
CoughRespiratory, thoracic and mediastinal disorders32/10611/527/286/25
Weight decreasedInvestigations12/10610/528/286/25
Abdominal painGastrointestinal disorders17/1067/526/287/25

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Cohort 1Cohort 2Cohort 3Cohort 4Total
Mean62.8 ± 9.4360.1 ± 14.0961.3 ± 11.0665.2 ± 12.5462.2 ± 11.3
Sex: Female, Male
Sex: Female, Male(Participants)Cohort 1Cohort 2Cohort 3Cohort 4Total
Female20164646
Male86362419165
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Cohort 1Cohort 2Cohort 3Cohort 4Total
Hispanic or Latino531110
Not Hispanic or Latino101482724200
Unknown or Not Reported01001
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Cohort 1Cohort 2Cohort 3Cohort 4Total
American Indian or Alaska Native01001
Asian01102
Native Hawaiian or Other Pacific Islander00000
Black or African American16119
White104402624194
More than one race00000
Unknown or Not Reported14005
08

Study locations

61 sites
  • Northwest Alabama Cancer Center, Pc
    Muscle Shoals, Alabama 35661, United States
  • Alaska Urological Institute dba Alaska Clinical Research Center
    Anchorage, Alaska 99503, United States
  • Ironwood Cancer And Research Centers, Pc
    Chandler, Arizona 85224, United States
  • Local Institution - 0028
    Fayetteville, Arkansas 72703, United States
  • eCare
    Encinitas, California 92024, United States
  • Pacific Shores Medical Group
    Long Beach, California 90813, United States
  • Los Angeles Cancer Network
    Los Angeles, California 90017, United States
  • UCLA Hematology Oncology
    Los Angeles, California 90095, United States
  • Torrance Health Association
    Redondo Beach, California 90277, United States
  • Kaiser Permanente Medical Group - Southern California
    Riverside, California 92505, United States
  • Sharp Memorial Hospital
    San Diego, California 92123, United States
  • Coastal Integrative Cancer Care
    San Luis Obispo, California 93401, United States
  • Central Coast Med Oncology
    Santa Maria, California 93454, United States
  • Florida Cancer Specialists S.
    Fort Myers, Florida 33901, United States
  • University Of Miami/Sylvester Cancer Center
    Miami, Florida 33136, United States
  • UF Health Cancer Center at Orlando Health
    Orlando, Florida 32806, United States
  • Florida Cancer Specialists
    Saint Petersburg, Florida 33705, United States
  • Emory University - Winship Cancer Institute
    Atlanta, Georgia 30322, United States
  • Illinois Cancer Specialists
    Niles, Illinois 60714, United States
  • Local Institution - 0012
    Fort Wayne, Indiana 46845, United States
  • Cancer Center Of Kansas
    Wichita, Kansas 67214, United States
  • Norton Cancer Institute
    Louisville, Kentucky 40202, United States
  • Southdale Cancer Clinic
    Burnsville, Minnesota 55337, United States
  • Local Institution - 0009
    Coon Rapids, Minnesota 55433, United States
  • Park Nicollet Clinic Cancer Center
    Minneapolis, Minnesota 55416, United States
  • Hattiesburg Clinic
    Hattiesburg, Mississippi 39401, United States
  • Jackson Oncology Associates, Pllc
    Jackson, Mississippi 39202, United States
  • HCA Midwest Division
    Kansas City, Missouri 64132, United States
  • Comprehensive Cancer Centers of Nevada
    Las Vegas, Nevada 89148, United States
  • Local Institution - 0023
    Hackensack, New Jersey 07601, United States
  • University Of New Mexico
    Albuquerque, New Mexico 87106, United States
  • Montefiore Medical Center
    Bronx, New York 10461, United States
  • Maimonides Medical Center
    Brooklyn, New York 11220, United States
  • St. Francis Cancer Treatment Center
    Grand Island, New York 68803, United States
  • Broome Oncology
    Johnson City, New York 13790, United States
  • Local Institution - 0052
    New York, New York 10016, United States
  • Weill Cornell Medical College
    New York, New York 10021, United States
  • SUNY Upstate Medical University
    Syracuse, New York 13210, United States
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
  • Southeastern Medical Oncology Center
    Goldsboro, North Carolina 27534, United States
  • Oklahoma Cancer Specialists and Research Institute, LLC-Clinical Research
    Tulsa, Oklahoma 74146, United States
  • Local Institution - 0071
    Pittsburgh, Pennsylvania 15240, United States
  • Charleston Hematology Oncology Associates, Pa
    Charleston, South Carolina 29414, United States
  • Hollings Cancer Center
    Charleston, South Carolina 29425, United States
  • Avera Cancer Institute
    Sioux Falls, South Dakota 57105, United States
  • Tennessee Oncology, PLLC - SCRI - PPDS
    Chattanooga, Tennessee 37404, United States
  • Local Institution - 0002
    Nashville, Tennessee 37203-1624, United States
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37232-6307, United States
  • Texas Oncology
    Austin, Texas 78731, United States
  • Texas Oncology
    Dallas, Texas 75246, United States
  • Texas Oncology-Fort Worth 12th Ave
    Fort Worth, Texas 76104, United States
  • Texas Oncology-Midland Allison Cancer Center
    Midland, Texas 79701, United States
  • Texas Oncology
    San Antonio, Texas 78217, United States
  • University of Virginia Health System
    Charlottesville, Virginia 22936, United States
  • Local Institution - 0042
    Fairfax, Virginia 22031, United States
  • Bon Secours St Francis Hospital
    Midlothian, Virginia 23114, United States
  • Virginia Cancer Institute
    Richmond, Virginia 23226, United States
  • University of Washington - Seattle Cancer Care Alliance
    Seattle, Washington 98109, United States
  • Medical Oncology Associates
    Spokane, Washington 99208, United States
  • Yakima Valley Memorial Hospital/North Star Lodge
    Yakima, Washington 98902, United States
  • University of Wisconsin Clinical Science Center
    Madison, Wisconsin 53705, United States
09

References and documents

Publications

  • George DJ, Spigel DR, Gordan LN, Kochuparambil ST, Molina AM, Yorio J, Rezazadeh Kalebasty A, McKean H, Tchekmedyian N, Tykodi SS, Zhang J, Askelson M, Johansen JL, Hutson TE. Safety and efficacy of first-line nivolumab plus ipilimumab alternating with nivolumab monotherapy in patients with advanced renal cell carcinoma: the non-randomised, open-label, phase IIIb/IV CheckMate 920 trial. BMJ Open. 2022 Sep 14;12(9):e058396. doi: 10.1136/bmjopen-2021-058396. PubMed 36104138 ↗
  • Tykodi SS, Gordan LN, Alter RS, Arrowsmith E, Harrison MR, Percent I, Singal R, Van Veldhuizen P, George DJ, Hutson T, Zhang J, Zoco J, Johansen JL, Rezazadeh Kalebasty A. Safety and efficacy of nivolumab plus ipilimumab in patients with advanced non-clear cell renal cell carcinoma: results from the phase 3b/4 CheckMate 920 trial. J Immunother Cancer. 2022 Feb;10(2):e003844. doi: 10.1136/jitc-2021-003844. PubMed 35210307 ↗

Study documents

  • Study protocol · Dec 18, 2019
  • Statistical analysis plan · May 26, 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 Nov 1, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02982954
Lead sponsor
Bristol-Myers Squibb
Responsible party
Sponsor
First posted
Dec 6, 2016
Start date
Jan 16, 2017
Primary completion
May 11, 2020
Completion
Oct 6, 2021
Results posted
Oct 14, 2021
Last update
Nov 1, 2022

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 ↗

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