CClinicalTrials.gg
CompletedNCT03001882CheckMate 592Updated May 20, 2024Results posted

An Exploratory Study of the Effects of Nivolumab Combined With Ipilimumab in Patients With Treatment-Naive Stage IV or Recurrent Non-Small Cell Lung Cancer (NSCLC)

A Phase 2 interventional study of Nivolumab and Ipilimumab in Non-Small Cell Lung Cancer, sponsored by Bristol-Myers Squibb. Completed at 35 sites in 8 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-05-20.

Sponsored by Bristol-Myers Squibb · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
230
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to explore the possible links between participant characteristics and their cancer, with how effective the combination of nivolumab with ipilimumab is, in participants with Stage IV or recurrent Non-Small Cell Lung Cancer (NSCLC).

02

Conditions studied

  • Non-Small Cell Lung Cancer
03

In context

Lung Neoplasms

7,243 studies on the registry are indexed under Lung Neoplasms; 1,558 are open to participants now.

This study's enrollment of 230 is above the median of 60 across 5,296 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms 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

  • Histologically confirmed, stage IV or recurrent non-small cell lung cancer with no prior systemic anticancer therapy given as primary therapy for advanced or metastatic disease
  • Measurable disease by CT or MRI
  • Must have full activity or, if limited, must be able to walk and carry out light activities such as light house work or office work

Exclusion criteria

Exclusion Criteria:

  • Participants with untreated central nervous system metastases
  • Participants with active, known or suspected autoimmune disease
  • Prior treatment with any drug that targets T cell co-stimulations pathways (such as checkpoint inhibitors)

Other protocol defined inclusion/exclusion criteria apply

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
230 participants (actual)

Study arms

  • Experimental
    Combination therapy

    Nivolumab + Ipilimumab

    Biological: Nivolumab · Biological: Ipilimumab

Interventions

  • BiologicalNivolumab

    Specified dose on specified days

    Also known as: Opdivo, BMS-936558

  • BiologicalIpilimumab

    Specified dose on specified days

    Also known as: Yervoy, BMS-734016

06

What researchers measure

Primary outcomes

  1. Objective Response Rate (ORR) Per Investigator by Blood TMB (bTMB) Within PD-L1 Subgroup (TMB Cut-point = 16 Mutations/MB)

    Objective response rate (ORR) is defined as the percent of treated participants with a best overall response of a complete response (CR) or partial response (PR) assessed by investigator per Response Evaluation Criteria In Solid Tumors (RECIST 1.1). PR is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. CR is disappearance of all target lesions and a reduction in pathological lymph node (whether target or non-target) short axis to \<10 mm. Blood tumor mutational burden (bTMB) is the total number of nonsynonymous somatic mutations produced by a tumor that are detected in serum. CR+PR, confidence interval based on the Clopper and Pearson method.

    Time frame: From first dose up to the date of objectively documented progression, or the date of initiation of palliative local therapy or the date of initiation of subsequent anticancer therapy (up to approximately 58 months)

  2. Objective Response Rate (ORR) Per Investigator by Blood TMB (bTMB) Within PD-L1 Subgroup (Blood TMB Cut-point = 21-mutations/MB)

    Objective response rate (ORR) is defined as the percent of treated participants with a best overall response of a complete response (CR) or partial response (PR) assessed by investigator per Response Evaluation Criteria In Solid Tumors (RECIST 1.1). PR is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. CR is disappearance of all target lesions and a reduction in pathological lymph node (whether target or non-target) short axis to \<10 mm. Blood tumor mutational burden (bTMB) is the total number of nonsynonymous somatic mutations produced by a tumor that are detected in serum. CR+PR, confidence interval based on the Clopper and Pearson method.

    Time frame: From first dose up to the date of objectively documented progression, or the date of initiation of palliative local therapy or the date of initiation of subsequent anticancer therapy (up to approximately 58 months)

  3. Objective Response Rate (ORR) Per Investigator by Tissue TMB Within PD-L1 Subgroup (Tissue TMB Cut-point = 10-mutations/MB)

    Objective response rate (ORR) is defined as the percent of treated participants with a best overall response of a complete response (CR) or partial response (PR) assessed by investigator per Response Evaluation Criteria In Solid Tumors (RECIST 1.1). PR is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. CR is disappearance of all target lesions and a reduction in pathological lymph node (whether target or non-target) short axis to \<10 mm. Tissue tumor mutational burden (tTMB) is the total number of nonsynonymous somatic mutations produced by a tumor that are detected in tumor tissue samples. CR+PR, confidence interval based on the Clopper and Pearson method.

    Time frame: From first dose up to the date of objectively documented progression, or the date of initiation of palliative local therapy or the date of initiation of subsequent anticancer therapy (up to approximately 58 months)

Secondary outcomes

  1. Objective Response Rate (ORR) for All Treated Participants by Investigator Per RECIST 1.1

    Objective response rate (ORR) is defined as the percent of treated participants with a best overall response of a complete response (CR) or partial response (PR) assessed by investigator per Response Evaluation Criteria In Solid Tumors (RECIST 1.1). Partial Response (PR) is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Complete Response (CR) is disappearance of all target lesions and a reduction in pathological lymph node (whether target or non-target) short axis to \<10 mm. CR+PR, confidence interval based on the Clopper and Pearson method.

    Time frame: From first dose until the date of objectively documented progression, or the date of initiation of palliative local therapy or the date of initiation of subsequent anticancer therapy, whichever occurs first (Up to approximately 67 months)

  2. Disease Control Rate (DCR) for Part 1

    Disease control rate (DCR) is the percent of treated participants with a best overall response of a complete response (CR), partial response (PR), or stable disease (SD), assessed by investigator per Response Evaluation Criteria In Solid Tumors (RECIST 1.1). 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 short axis to \<10 mm of any pathological lymph nodes (target or non-target). SD is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking smallest sum diameters as reference. PD is at least a 20% increase in the sum of diameters of target lesions, taking the smallest sum as reference. The sum must also demonstrate an absolute increase of at least 5 mm. (one or more new lesions is also considered progression). CR+PR, confidence interval based on the Clopper and Pearson method.

    Time frame: From first dose until the date of objectively documented progression, or the date of initiation of palliative local therapy or the date of initiation of subsequent anticancer therapy, whichever occurs first (Up to approximately 67 months)

  3. Duration of Response (DOR) for Part 1

    DOR is the time between first confirmed response (Complete/Partial Response) and first documented tumor progression (per RECIST 1.1) or death due to any cause. Participants who don't progress or die are censored on the date of their last evaluable tumor assessment. Participants who started subsequent anti-cancer therapy without prior reported progression were censored at the last evaluable tumor assessment prior to or on the date of subsequent anti-cancer therapy. PR is at least 30% decrease in the sum of diameters of target lesions, using baseline sum diameters as reference. CR is disappearance of all target lesions and reduction in short axis to \<10 mm of any pathological lymph nodes (target or non-target). Progressive Disease (PD) is at least 20% increase in the sum of diameters of target lesions, taking the smallest sum as reference. The sum must also show an overall increase of \> 5 mm. (one or more new lesions is also progression). Median computed using Kaplan-Meier method.

    Time frame: From first dose to the date of the first documented tumor progression or death due to any cause (Up to approximately 67 months)

  4. Time to Response (TTR) for Part 1

    TTR is the time taken from first dosing date to the time the criteria for Complete Response (CR)/Partial Response (PR) are first met. Partial Response (PR) is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Complete Response (CR) is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm.

    Time frame: From first dose to the time the criteria for Complete Response/Partial Response are first met (Up to approximately 67 months)

  5. Progression Free Survival (PFS)

    PFS is defined as the time from first dosing date to the date of the first documented tumor progression (per RECIST 1.1) or death due to any cause. Participants who neither progress nor die will be censored on the date of their last evaluable tumor assessment. Participants who started any subsequent anti-cancer therapy without a prior reported progression will be censored at the last evaluable tumor assessment prior to or on the date of initiation of subsequent anti-cancer therapy. Progressive Disease (PD) is at least a 20% increase in the sum of diameters of target lesions, taking the smallest sum on study as reference. The sum must also show an overall increase of \> 5 mm. (one or more new lesions is also progression). Median calculated using Kaplan-Meier estimates.

    Time frame: From first dose to the date of the first documented tumor progression or death due to any causes (Assessed up to approximately 67 months)

  6. Overall Survival (OS)

    OS is defined as the time from first dosing date to the date of death. If a participant didn't die, OS will be censored on the last date the participant was known to be alive. Median based on Kaplan-Meier estimates.

    Time frame: From first dose to the date of death (Assessed up to approximately 67 months)

  7. Number of Participants With Adverse Events (AEs) for Study Part 2

    An Adverse Event (AE) is any new untoward medical occurrence or worsening preexisting medical condition in a treated participant and that does not necessarily have a causal relationship with treatment. An AE can be any unfavorable, unintended sign, symptom, or disease temporally associated with the use of treatment, whether or not related to the treatment.

    Time frame: From first dose to 30 days after last dosing date (assessed up to approximately 27 months)

  8. Number of Participants With Serious Adverse Events (SAEs) for Study Part 2

    A Serious Adverse Event (SAE) results in death, is life-threatening (defined as an event in which the participant was at risk of death at the time of the event; it does not refer to an event which hypothetically might have caused death if it were more severe), or requires inpatient hospitalization or causes prolongation of existing hospitalization.

    Time frame: From first dose to 30 days after last dosing date (assessed up to approximately 27 months)

  9. Number of Participants With Select Adverse Events (AEs) for Study Part 2

    An Adverse Event (AE) is any new untoward medical occurrence or worsening preexisting medical condition in a treated participant and that does not necessarily have a causal relationship with treatment. An AE can be any unfavorable, unintended sign, symptom, or disease temporally associated with the use of treatment, whether or not related to the treatment.

    Time frame: From first dose to 30 days after last dosing date (up to approximately 27 months)

07

Results

Posted Jun 6, 2023

Participant flow

In Part 1, upon determination of PD-L1 status (cut-off of 1%), 2 cohorts were defined: PD-L1 positive and negative. In Part 2, a separate group of participants were treated regardless of their PD-L1 status.

Participant flow — Overall Study
MilestonePART 1: PD-L1+ StatusPART 1: PD-L1- StatusPART 1: Not Evaluable/Indeterminate PD-L1 StatusPART 2: PD-L1 Status Independent
Started31281170
Completed0000
Not completed31281170
Withdrew: Death1003
Withdrew: Participant withdrew consent0105
Withdrew: Other reasons1205
Withdrew: Administrative reason by sponsor0001
Withdrew: Participant requested to discontinue study treatment0002
Withdrew: Not reported0006
Withdrew: Maximum clinical benefit23010
Withdrew: Ae unrelated to study drug33011
Withdrew: Study drug toxicity85037
Withdrew: Disease progression1614190

Outcome measures

PrimaryObjective Response Rate (ORR) Per Investigator by Blood TMB (bTMB) Within PD-L1 Subgroup (TMB Cut-point = 16 Mutations/MB)

Objective response rate (ORR) is defined as the percent of treated participants with a best overall response of a complete response (CR) or partial response (PR) assessed by investigator per Response Evaluation Criteria In Solid Tumors (RECIST 1.1). PR is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. CR is disappearance of all target lesions and a reduction in pathological lymph node (whether target or non-target) short axis to \<10 mm. Blood tumor mutational burden (bTMB) is the total number of nonsynonymous somatic mutations produced by a tumor that are detected in serum. CR+PR, confidence interval based on the Clopper and Pearson method.

Time frame:
From first dose up to the date of objectively documented progression, or the date of initiation of palliative local therapy or the date of initiation of subsequent anticancer therapy (up to approximately 58 months)
Reported as:
Number · Percent of Participants
Objective Response Rate (ORR) Per Investigator by Blood TMB (bTMB) Within PD-L1 Subgroup (TMB Cut-point = 16 Mutations/MB)
Percent of ParticipantsPART 1: PD-L1 + StatusPART 1: PD-L1- StatusPART 1: Not Evaluable/Indeterminate PD-L1 StatusPART 2: PD-L1+ StatusPART 2: PD-L1- Status
bTMB High (Cut-point = 16-mutations)30 (6.7 to 65.2)50 (18.7 to 81.3)—58.8 (32.9 to 81.6)30.3 (15.6 to 48.7)
bTMB Low (Cut-point = 16-mutations)33.3 (7.5 to 70.1)33.3 (4.3 to 77.7)—31.8 (13.9 to 54.9)24.1 (10.3 to 43.5)
PrimaryObjective Response Rate (ORR) Per Investigator by Blood TMB (bTMB) Within PD-L1 Subgroup (Blood TMB Cut-point = 21-mutations/MB)

Objective response rate (ORR) is defined as the percent of treated participants with a best overall response of a complete response (CR) or partial response (PR) assessed by investigator per Response Evaluation Criteria In Solid Tumors (RECIST 1.1). PR is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. CR is disappearance of all target lesions and a reduction in pathological lymph node (whether target or non-target) short axis to \<10 mm. Blood tumor mutational burden (bTMB) is the total number of nonsynonymous somatic mutations produced by a tumor that are detected in serum. CR+PR, confidence interval based on the Clopper and Pearson method.

Time frame:
From first dose up to the date of objectively documented progression, or the date of initiation of palliative local therapy or the date of initiation of subsequent anticancer therapy (up to approximately 58 months)
Reported as:
Number · Percent of Participants
Objective Response Rate (ORR) Per Investigator by Blood TMB (bTMB) Within PD-L1 Subgroup (Blood TMB Cut-point = 21-mutations/MB)
Percent of ParticipantsPART 1: PD-L1+ StatusPART 1: PD-L1- StatusPART 1: Not Evaluable/Indeterminate PD-L1 StatusPART 2: PD-L1 + StatusPART 2: PD-L1- Status
bTMB High (Cut-point = 21-mutations)33.3 (4.3 to 77.7)66.7 (22.3 to 95.7)—64.3 (35.1 to 87.2)40.9 (20.7 to 63.6)
bTMB Low (Cut-point = 21-mutations)30.8 (9.1 to 61.4)30.0 (6.7 to 65.2)—32.0 (14.9 to 53.5)20.0 (9.1 to 35.6)
PrimaryObjective Response Rate (ORR) Per Investigator by Tissue TMB Within PD-L1 Subgroup (Tissue TMB Cut-point = 10-mutations/MB)

Objective response rate (ORR) is defined as the percent of treated participants with a best overall response of a complete response (CR) or partial response (PR) assessed by investigator per Response Evaluation Criteria In Solid Tumors (RECIST 1.1). PR is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. CR is disappearance of all target lesions and a reduction in pathological lymph node (whether target or non-target) short axis to \<10 mm. Tissue tumor mutational burden (tTMB) is the total number of nonsynonymous somatic mutations produced by a tumor that are detected in tumor tissue samples. CR+PR, confidence interval based on the Clopper and Pearson method.

Time frame:
From first dose up to the date of objectively documented progression, or the date of initiation of palliative local therapy or the date of initiation of subsequent anticancer therapy (up to approximately 58 months)
Reported as:
Number · Percent of Participants
Objective Response Rate (ORR) Per Investigator by Tissue TMB Within PD-L1 Subgroup (Tissue TMB Cut-point = 10-mutations/MB)
Percent of ParticipantsPART 1: PD-L1+ StatusPART 1: PD-L1- StatusPART 1: Not Evaluable/Indeterminate PD-L1 StatusPART 2: PD-L1 + StatusPART 2: PD-L1- Status
tTMB High (Cut-point = 10-mutations)25.0 (3.2 to 65.1)71.4 (29.0 to 96.3)—60.0 (32.3 to 83.7)46.7 (21.3 to 73.4)
tTMB Low (Cut-point = 10-mutations27.3 (6.0 to 61.0)22.2 (2.8 to 60.0)—25.0 (7.3 to 52.4)21.4 (10.3 to 36.8)
SecondaryObjective Response Rate (ORR) for All Treated Participants by Investigator Per RECIST 1.1

Objective response rate (ORR) is defined as the percent of treated participants with a best overall response of a complete response (CR) or partial response (PR) assessed by investigator per Response Evaluation Criteria In Solid Tumors (RECIST 1.1). Partial Response (PR) is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Complete Response (CR) is disappearance of all target lesions and a reduction in pathological lymph node (whether target or non-target) short axis to \<10 mm. CR+PR, confidence interval based on the Clopper and Pearson method.

Time frame:
From first dose until the date of objectively documented progression, or the date of initiation of palliative local therapy or the date of initiation of subsequent anticancer therapy, whichever occurs first (Up to approximately 67 months)
Reported as:
Number · Percent of Participants
Objective Response Rate (ORR) for All Treated Participants by Investigator Per RECIST 1.1
Percent of ParticipantsPART 1: PD-L1+ StatusPART 1: PD-L1- StatusPART 1: Not Evaluable/Indeterminate PD-L1 StatusPART 2: PD-L1 Status Independent
Objective Response Rate (ORR) for All Treated Participants by Investigator Per RECIST 1.129.0 (14.2 to 48.0)39.3 (21.5 to 59.4)0 (0.0 to 97.5)29.4 (22.7 to 36.9)
SecondaryDisease Control Rate (DCR) for Part 1

Disease control rate (DCR) is the percent of treated participants with a best overall response of a complete response (CR), partial response (PR), or stable disease (SD), assessed by investigator per Response Evaluation Criteria In Solid Tumors (RECIST 1.1). 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 short axis to \<10 mm of any pathological lymph nodes (target or non-target). SD is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking smallest sum diameters as reference. PD is at least a 20% increase in the sum of diameters of target lesions, taking the smallest sum as reference. The sum must also demonstrate an absolute increase of at least 5 mm. (one or more new lesions is also considered progression). CR+PR, confidence interval based on the Clopper and Pearson method.

Time frame:
From first dose until the date of objectively documented progression, or the date of initiation of palliative local therapy or the date of initiation of subsequent anticancer therapy, whichever occurs first (Up to approximately 67 months)
Reported as:
Number · Percent of Participants
Disease Control Rate (DCR) for Part 1
Percent of ParticipantsPART 1: PD-L1+ StatusPART 1: PD-L1- StatusPART 1: Not Evaluable/Indeterminate PD-L1 Status
Disease Control Rate (DCR) for Part 158.1 (39.1 to 75.5)64.3 (44.1 to 81.4)100.0 (2.5 to 100.0)
SecondaryDuration of Response (DOR) for Part 1

DOR is the time between first confirmed response (Complete/Partial Response) and first documented tumor progression (per RECIST 1.1) or death due to any cause. Participants who don't progress or die are censored on the date of their last evaluable tumor assessment. Participants who started subsequent anti-cancer therapy without prior reported progression were censored at the last evaluable tumor assessment prior to or on the date of subsequent anti-cancer therapy. PR is at least 30% decrease in the sum of diameters of target lesions, using baseline sum diameters as reference. CR is disappearance of all target lesions and reduction in short axis to \<10 mm of any pathological lymph nodes (target or non-target). Progressive Disease (PD) is at least 20% increase in the sum of diameters of target lesions, taking the smallest sum as reference. The sum must also show an overall increase of \> 5 mm. (one or more new lesions is also progression). Median computed using Kaplan-Meier method.

Time frame:
From first dose to the date of the first documented tumor progression or death due to any cause (Up to approximately 67 months)
Reported as:
Median · Months
Duration of Response (DOR) for Part 1
MonthsPART 1: PD-L1+ StatusPART 1: PD-L1- StatusPART 1: Not Evaluable/Indeterminate PD-L1 Status
Duration of Response (DOR) for Part 124.56 (1.9 to 61.7)29.57 (2.8 to 48.9)—
SecondaryTime to Response (TTR) for Part 1

TTR is the time taken from first dosing date to the time the criteria for Complete Response (CR)/Partial Response (PR) are first met. Partial Response (PR) is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Complete Response (CR) is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm.

Time frame:
From first dose to the time the criteria for Complete Response/Partial Response are first met (Up to approximately 67 months)
Reported as:
Median · Months
Time to Response (TTR) for Part 1
MonthsPART 1: PD-L1+ StatusPART 1: PD-L1- StatusPART 1: Not Evaluable/Indeterminate PD-L1 Status
Time to Response (TTR) for Part 11.84 (1.6 to 3.7)5.26 (1.7 to 18.5)—
SecondaryProgression Free Survival (PFS)

PFS is defined as the time from first dosing date to the date of the first documented tumor progression (per RECIST 1.1) or death due to any cause. Participants who neither progress nor die will be censored on the date of their last evaluable tumor assessment. Participants who started any subsequent anti-cancer therapy without a prior reported progression will be censored at the last evaluable tumor assessment prior to or on the date of initiation of subsequent anti-cancer therapy. Progressive Disease (PD) is at least a 20% increase in the sum of diameters of target lesions, taking the smallest sum on study as reference. The sum must also show an overall increase of \> 5 mm. (one or more new lesions is also progression). Median calculated using Kaplan-Meier estimates.

Time frame:
From first dose to the date of the first documented tumor progression or death due to any causes (Assessed up to approximately 67 months)
Reported as:
Median · Months
Progression Free Survival (PFS)
MonthsPART 1: PD-L1+ StatusPART 1: PD-L1- StatusPART 1: Not Evaluable/Indeterminate PD-L1 StatusPART 2: PD-L1 Status Independent
Progression Free Survival (PFS)3.71 (1.97 to 8.90)4.30 (1.84 to 13.60)3.61 (NA to NA)6.28 (5.09 to 7.56)
SecondaryOverall Survival (OS)

OS is defined as the time from first dosing date to the date of death. If a participant didn't die, OS will be censored on the last date the participant was known to be alive. Median based on Kaplan-Meier estimates.

Time frame:
From first dose to the date of death (Assessed up to approximately 67 months)
Reported as:
Median · Months
Overall Survival (OS)
MonthsPART 1: PD-L1+ StatusPART 1: PD-L1- StatusPART 1: Not Evaluable/Indeterminate PD-L1 StatusPART 2: PD-L1 Status Independent
Overall Survival (OS)9.63 (4.47 to 20.57)22.29 (11.56 to 25.23)9.23 (NA to NA)14.78 (11.99 to 20.60)
SecondaryNumber of Participants With Adverse Events (AEs) for Study Part 2

An Adverse Event (AE) is any new untoward medical occurrence or worsening preexisting medical condition in a treated participant and that does not necessarily have a causal relationship with treatment. An AE can be any unfavorable, unintended sign, symptom, or disease temporally associated with the use of treatment, whether or not related to the treatment.

Time frame:
From first dose to 30 days after last dosing date (assessed up to approximately 27 months)
Reported as:
Count of participants · Participants
Number of Participants With Adverse Events (AEs) for Study Part 2
ParticipantsPART 2: PD-L1 Status Independent
Number of Participants With Adverse Events (AEs) for Study Part 2169
SecondaryNumber of Participants With Serious Adverse Events (SAEs) for Study Part 2

A Serious Adverse Event (SAE) results in death, is life-threatening (defined as an event in which the participant was at risk of death at the time of the event; it does not refer to an event which hypothetically might have caused death if it were more severe), or requires inpatient hospitalization or causes prolongation of existing hospitalization.

Time frame:
From first dose to 30 days after last dosing date (assessed up to approximately 27 months)
Reported as:
Count of participants · Participants
Number of Participants With Serious Adverse Events (SAEs) for Study Part 2
ParticipantsPART 2: PD-L1 Status Independent
Number of Participants With Serious Adverse Events (SAEs) for Study Part 2102
SecondaryNumber of Participants With Select Adverse Events (AEs) for Study Part 2

An Adverse Event (AE) is any new untoward medical occurrence or worsening preexisting medical condition in a treated participant and that does not necessarily have a causal relationship with treatment. An AE can be any unfavorable, unintended sign, symptom, or disease temporally associated with the use of treatment, whether or not related to the treatment.

Time frame:
From first dose to 30 days after last dosing date (up to approximately 27 months)
Reported as:
Count of participants · Participants
Number of Participants With Select Adverse Events (AEs) for Study Part 2
ParticipantsPART 2: PD-L1 Status Independent
Gastrointestinal Adverse Events68
Hepatic Adverse Events49
Pulmonary Adverse Events17
Renal Adverse Events28
Skin Adverse Events73
Hypersensitivity/Infusion Reaction12
Post-hocExtended Collection of Objective Response Rate (ORR) Per Investigator by Blood TMB (bTMB) (TMB Cut-point = 16 Mutations/MB)

Objective response rate (ORR) is defined as the percent of treated participants with a best overall response of a complete response (CR) or partial response (PR) assessed by investigator per Response Evaluation Criteria In Solid Tumors (RECIST 1.1). PR is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. CR is disappearance of all target lesions and a reduction in pathological lymph node (whether target or non-target) short axis to \<10 mm. Blood tumor mutational burden (bTMB) is the total number of nonsynonymous somatic mutations produced by a tumor that are detected in serum. CR+PR, confidence interval based on the Clopper and Pearson method.

Time frame:
From first dose up to the date of objectively documented progression, or the date of initiation of palliative local therapy or the date of initiation of subsequent anticancer therapy (up to approximately 67 months)
Reported as:
Number · Percent of Participants
Extended Collection of Objective Response Rate (ORR) Per Investigator by Blood TMB (bTMB) (TMB Cut-point = 16 Mutations/MB)
Percent of ParticipantsPART 1PART 1: Not Evaluable/Indeterminate PD-L1 StatusPART 2
bTMB High (Cut-point = 16-mutations)40.0 (19.1 to 63.9)—34.4 (22.9 to 47.3)
bTMB Low (Cut-point = 16-mutations)25.0 (7.3 to 52.4)—26.9 (16.8 to 39.1)
Post-hocExtended Collection of Objective Response Rate (ORR) Per Investigator by Blood TMB (bTMB) (Blood TMB Cut-point = 21-mutations/MB)

Objective response rate (ORR) is defined as the percent of treated participants with a best overall response of a complete response (CR) or partial response (PR) assessed by investigator per Response Evaluation Criteria In Solid Tumors (RECIST 1.1). PR is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. CR is disappearance of all target lesions and a reduction in pathological lymph node (whether target or non-target) short axis to \<10 mm. Blood tumor mutational burden (bTMB) is the total number of nonsynonymous somatic mutations produced by a tumor that are detected in serum. CR+PR, confidence interval based on the Clopper and Pearson method.

Time frame:
From first dose up to the date of objectively documented progression, or the date of initiation of palliative local therapy or the date of initiation of subsequent anticancer therapy (up to approximately 67 months)
Reported as:
Number · Percent of Participants
Extended Collection of Objective Response Rate (ORR) Per Investigator by Blood TMB (bTMB) (Blood TMB Cut-point = 21-mutations/MB)
Percent of ParticipantsPART 1PART 1: Not Evaluable/Indeterminate PD-L1 StatusPART 2
bTMB High (Cut-point = 21-mutations)50.0 (21.1 to 78.9)—44.4 (29.6 to 60.0)
bTMB Low (Cut-point = 21-mutations)25.0 (9.8 to 46.7)—23.3 (14.8 to 33.6)
Post-hocExtended Collection of Objective Response Rate (ORR) Per Investigator by Tissue TMB (Tissue TMB Cut-point = 10-mutations/MB)

Objective response rate (ORR) is defined as the percent of treated participants with a best overall response of a complete response (CR) or partial response (PR) assessed by investigator per Response Evaluation Criteria In Solid Tumors (RECIST 1.1). PR is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. CR is disappearance of all target lesions and a reduction in pathological lymph node (whether target or non-target) short axis to \<10 mm. Tissue tumor mutational burden (tTMB) is the total number of nonsynonymous somatic mutations produced by a tumor that are detected in tumor tissue samples. CR+PR, confidence interval based on the Clopper and Pearson method.

Time frame:
From first dose up to the date of objectively documented progression, or the date of initiation of palliative local therapy or the date of initiation of subsequent anticancer therapy (up to approximately 67 months)
Reported as:
Number · Percent of Participants
Extended Collection of Objective Response Rate (ORR) Per Investigator by Tissue TMB (Tissue TMB Cut-point = 10-mutations/MB)
Percent of ParticipantsPART 1PART 1: Not Evaluable/Indeterminate PD-L1 StatusPART 2
tTMB High (Cut-point = 10-mutations)46.7 (21.3 to 73.4)—50.0 (32.4 to 67.6)
tTMB Low (Cut-point = 10-mutations20.0 (5.7 to 43.7)—19.4 (10.8 to 30.9)

Adverse events

Collected over Participants were assessed for all-cause mortality from their first dose to their 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 8 months and a maximum of 29 months).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
PART 1: PD-L1+ Status27/31 (87.1%)24/31 (77.4%)31/31 (100%)
PART 1: PD-L1- Status22/28 (78.6%)14/28 (50%)27/28 (96.4%)
PART 1: Not Evaluable/Indeterminate PD-L1 Status1/1 (100%)0/1 (0%)1/1 (100%)
PART 2: PD-L1 Status Independent134/170 (78.8%)113/170 (66.5%)161/170 (94.7%)
Most frequent serious events
Showing 10 of 144
Most frequent serious events
EventPART 1: PD-L1+ StatusPART 1: PD-L1- StatusPART 1: Not Evaluable/Indeterminate PD-L1 StatusPART 2: PD-L1 Status Independent
Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)10/315/280/138/170
DyspnoeaRespiratory, thoracic and mediastinal disorders0/313/280/110/170
Amylase increasedInvestigations3/310/280/10/170
PneumonitisRespiratory, thoracic and mediastinal disorders3/312/280/17/170
Urinary tract infectionInfections and infestations1/312/280/11/170
HypokalaemiaMetabolism and nutrition disorders0/312/280/11/170
Alanine aminotransferase increasedInvestigations2/310/280/12/170
Lipase increasedInvestigations2/310/280/11/170
Metabolic encephalopathyNervous system disorders2/310/280/10/170
Acute respiratory failureRespiratory, thoracic and mediastinal disorders2/310/280/11/170
Most frequent other events
Showing 10 of 99
Most frequent other events
EventPART 1: PD-L1+ StatusPART 1: PD-L1- StatusPART 1: Not Evaluable/Indeterminate PD-L1 StatusPART 2: PD-L1 Status Independent
PruritusSkin and subcutaneous tissue disorders6/3110/281/143/170
FatigueGeneral disorders18/3116/280/143/170
DiarrhoeaGastrointestinal disorders7/3112/280/165/170
DyspnoeaRespiratory, thoracic and mediastinal disorders8/3112/280/145/170
NauseaGastrointestinal disorders12/3111/280/148/170
CoughRespiratory, thoracic and mediastinal disorders4/3110/280/145/170
ConstipationGastrointestinal disorders6/319/280/125/170
Decreased appetiteMetabolism and nutrition disorders9/319/280/138/170
RashSkin and subcutaneous tissue disorders7/318/280/142/170
Lipase increasedInvestigations6/317/280/128/170

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)PART 1: PD-L1+ StatusPART 1: PD-L1- StatusPART 1: Not Evaluable/Indeterminate PD-L1 StatusPART 2: PD-L1 Status IndependentTotal
<=18 years00000
Between 18 and 65 years1015076101
>=65 years2113194129
Sex: Female, Male
Sex: Female, Male(Participants)PART 1: PD-L1+ StatusPART 1: PD-L1- StatusPART 1: Not Evaluable/Indeterminate PD-L1 StatusPART 2: PD-L1 Status IndependentTotal
Female151105480
Male16171116150
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PART 1: PD-L1+ StatusPART 1: PD-L1- StatusPART 1: Not Evaluable/Indeterminate PD-L1 StatusPART 2: PD-L1 Status IndependentTotal
Hispanic or Latino11046
Not Hispanic or Latino2425198148
Unknown or Not Reported6206876
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)PART 1: PD-L1+ StatusPART 1: PD-L1- StatusPART 1: Not Evaluable/Indeterminate PD-L1 StatusPART 2: PD-L1 Status IndependentTotal
White27251164217
Black or African American330511
Other10012
08

Study locations

35 sites
  • Local Institution - 0006
    Springdale, Arkansas 72762, United States
  • Local Institution - 0001
    New Haven, Connecticut 06520, United States
  • Local Institution - 0005
    Jacksonville, Florida 32256, United States
  • Local Institution - 0009
    Atlanta, Georgia 30322, United States
  • Local Institution - 0003
    Saint Louis, Missouri 63110, United States
  • Local Institution - 0038
    Bronx, New York 10461, United States
  • Local Institution - 0002
    Cleveland, Ohio 44195, United States
  • Local Institution - 0008
    Cleveland, Ohio 44195, United States
  • Local Institution - 0007
    Greenville, South Carolina 29607, United States
  • Local Institution - 0004
    Nashville, Tennessee 37203, United States
  • Local Institution - 0017
    La Louvière, Hainaut 7100, Belgium
  • Local Institution - 0018
    Gent, 9000, Belgium
  • Local Institution - 0028
    Gent, 9000, Belgium
  • Local Institution - 0027
    Liege, 4000, Belgium
  • Local Institution - 0016
    Sint-Niklaas, 9100, Belgium
  • Local Institution - 0036
    Paris Cedex 5, 75248, France
  • Local Institution - 0033
    Pierre Benite, 69495, France
  • Local Institution - 0034
    Strasbourg Cedex, 67091, France
  • Local Institution - 0039
    Toulon, 83000, France
  • Local Institution - 0015
    Essen, 45136, Germany
  • Local Institution - 0014
    Immenstadt, 87509, Germany
  • Local Institution - 0013
    Loewenstein, 74245, Germany
  • Local Institution - 0012
    Stuttgart, 70174, Germany
  • Local Institution - 0023
    Bergamo, 24127, Italy
  • Local Institution - 0025
    Catania, 95123, Italy
  • Local Institution - 0026
    Parma, 43100, Italy
  • Local Institution - 0024
    Perugia, 06129, Italy
  • Local Institution - 0021
    Amsterdam, 1066 CX, Netherlands
  • Local Institution - 0022
    Nijmegen, 6525 GA, Netherlands
  • Local Institution - 0011
    Cluj-Napoca, Cluj 400015, Romania
  • Local Institution - 0010
    Craiova, 200542, Romania
  • Local Institution - 0031
    Barcelona, 08908, Spain
  • Local Institution - 0029
    Madrid, 28041, Spain
  • Local Institution - 0030
    Madrid, 28046, Spain
  • Local Institution - 0032
    Sevilla, 41009, Spain
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Dec 18, 2019

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 May 20, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03001882
Lead sponsor
Bristol-Myers Squibb
Collaborators
Yale University
Responsible party
Sponsor
First posted
Dec 23, 2016
Start date
Mar 29, 2017
Primary completion
Feb 17, 2022
Completion
Apr 24, 2023
Results posted
Jun 6, 2023
Last update
May 20, 2024

Study contacts

Bristol-Myers Squibb
study director · Bristol-Myers Squibb

Oversight

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

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