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Squamous Cell Carcinoma of the Head and NeckPhase 3NCT02105636

Trial of Nivolumab vs Therapy of Investigator's Choice in Recurrent or Metastatic Head and Neck Carcinoma (CheckMate 141)

A Phase 3 study testing Nivolumab, Cetuximab and Methotrexate in people with Squamous Cell Carcinoma of the Head and Neck, run by Bristol-Myers Squibb at 64 sites in 15 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to find out whether Nivolumab will significantly improve overall survival as compared to therapy of investigator's choice in patients with recurrent or metastatic head and neck carcinoma. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Nivolumab, Cetuximab and Methotrexate
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
361 participants
Where
64 sitesin 15 countries
Study dates
29 May 2014to 10 Sep 2021
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men and women ≥ 18 years of age with an Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1
  • Histologically confirmed recurrent or metastatic SCCHN (oral cavity, pharynx, larynx), stage III/IV and not amenable to local therapy with curative intent (surgery or radiation therapy with or without chemotherapy)
  • Tumor progression or recurrence within 6 months of last dose of platinum therapy in the adjuvant (ie with radiation after surgery), primary (ie, with radiation), recurrent, or metastatic setting
  • Measurable disease by Computed tomography (CT) or Magnetic resonance imaging (MRI) per Response Evaluation Criteria In Solid Tumors (RECIST 1.1) criteria

Who cannot join

  • Active brain metastases or leptomeningeal metastases are not allowed
  • Histologically confirmed recurrent or metastatic carcinoma of the nasopharynx, squamous cell carcinoma of unknown primary, and salivary gland or non-squamous histologies (eg: mucosal melanoma) are not allowed
  • Subjects with active, known or suspected autoimmune disease

Trial locations and contacts

64 sites in 15 countries.

64 sites in 15 countries

United States15 sites
  • University Of Michigan

    Ann Arbor, Michigan, 48109

  • Local Institution - 0001

    Atlanta, Georgia, 30322

  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts, 02215

  • Dana-Farber Cancer Institute

    Boston, Massachusetts, 02215

  • Local Institution - 0002

    Chicago, Illinois, 60637

  • Local Institution - 0012

    Columbus, Ohio, 43210

  • Dumc

    Durham, North Carolina, 27710

  • Univ Of Tx. Md Anderson

    Hoston, Texas, 77030

  • Local Institution - 0004

    Metairie, Louisiana, 70006

  • Local Institution - 0031

    Milwaukee, Wisconsin, 53226

  • Vanderbilt Cancer Clinic

    Nashville, Tennessee, 37232

  • Local Institution - 0007

    Pittsburgh, Pennsylvania, 15213

  • Huntsman Cancer Institute

    Salt Lake City, Utah, 84112

  • Stanford University Medical Center

    Stanford, California, 94305

  • H. Lee Moffitt Cancer Center

    Tampa, Florida, 33612

Other trials in United States

Japan8 sites
  • Local Institution - 0057

    Akashi, Hyogo, 673-8558

  • Local Institution - 0060

    Kashiwa, Chiba, 2778577

  • Local Institution - 0058

    Kobe, Hyōgo, 650-0017

  • Local Institution - 0056

    Nagoya, Aichi-ken, 4648681

  • Local Institution - 0062

    Sapporo, Hokkaido, 0608648

  • Local Institution - 0059

    Sunto-gun, Shizuoka, 4118777

  • Local Institution - 0063

    Takatsuki, Osaka, 5698686

  • Local Institution - 0061

    Tokyo, 135-8550

Other trials in Japan

Germany6 sites
  • Local Institution - 0047

    Berlin, 12200

  • Local Institution - 0049

    Bonn, 53127

  • Local Institution - 0048

    Essen, 45122

  • Local Institution - 0052

    Hamburg, 20246

  • Local Institution - 0046

    Hanover, 30625

  • Local Institution - 0050

    Würzburg, 97070

Other trials in Germany

Italy6 sites
  • Ist.Scient. Romagnolo Per Lo Studio E Cura Tumori

    Meldola, FC, 47014

  • Local Institution

    Milan, MI, 20133

  • Local Institution

    Milan, 20142

  • Local Institution

    Naples, 80131

  • Local Institution

    Padova, 35128

  • Local Institution

    Torino, TO, 10126

Other trials in Italy

United Kingdom5 sites
  • Local Institution

    London, Greater London, SW3 6JJ

  • Local Institution

    Manchester, Greater Manchester, M20 4BX

  • Local Institution

    Metropolitan Borough of Wirral, Merseyside, CH63 4JY

  • Local Institution

    Southampton, Hampshire, SO16 6YD

  • Local Institution

    Surrey, Surrey, SM2 5PT

Other trials in United Kingdom

Spain4 sites
  • Local Institution - 0032

    Barcelona, 08035

  • Local Institution - 0035

    Barcelona, 08036

  • Local Institution - 0034

    Madrid, 28041

  • Local Institution - 0033

    Valencia, 46010

Other trials in Spain

Argentina3 sites
  • Local Institution - 0015

    Berazategui, Buenos Aires, 1880

  • Local Institution - 0014

    Córdoba, 5000

  • Local Institution - 0013

    San Miguel de Tucumán, Tucumán Province, 4000

Other trials in Argentina

Brazil3 sites
  • Local Institution - 0054

    Ijuí, Rio Grande do Sul, 98700-000

  • Local Institution

    Porto Alegre, Rio Grande do Sul, 90610-000

  • Local Institution - 0055

    São Paulo, 01321-001

Other trials in Brazil

France3 sites
  • Local Institution

    Lyon, 69373

  • Local Institution

    Nice, 06189

  • Local Institution

    Villejuif, 94805

Other trials in France

Netherlands3 sites
  • Local Institution

    Amsterdam, 1081 HV

  • Local Institution

    Groningen, 9713 AP

  • Local Institution

    Leiden, 2333 ZA

Other trials in Netherlands

Canada2 sites
  • Local Institution - 0045

    London, Ontario, N6A 4L6

  • Local Institution - 0038

    Vancouver, British Columbia, V5Z 4E6

Other trials in Canada

South Korea2 sites
  • Local Institution - 0067

    Seoul, 135-710

  • Local Institution - 0066

    Seoul, 137-701

Other trials in South Korea

Taiwan2 sites
  • Local Institution - 0065

    Tainan, 704

  • Local Institution - 0064

    Taipei, 100

Other trials in Taiwan

Hong Kong1 site
  • Local Institution

    Hong Kong

Other trials in Hong Kong

Switzerland1 site
  • Local Institution - 0051

    Zurich, 8091

Other trials in Switzerland

About this study

Official title: An Open Label, Randomized Phase 3 Clinical Trial of Nivolumab vs Therapy of Investigator's Choice in Recurrent or Metastatic Platinum-refractory Squamous Cell Carcinoma of the Head and Neck (SCCHN)

The purpose of this study is to find out whether Nivolumab will significantly improve overall survival as compared to therapy of investigator's choice in patients with recurrent or metastatic head and neck carcinoma.

Medical subject headings
Squamous Cell Carcinoma of Head and Neck

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT02105636
Study groupRoleWhat they receive
Arm A: NivolumabExperimentalNivolumab 3mg/kg intravenous (IV) Solution for Injection every 2 weeks until disease progression
Receives: Drug: Nivolumab
Arm B: Cetuximab/Methotrexate/DocetaxelActive comparatorCetuximab intravenous (IV) Solution for Injection 400 mg/m2 (first dose) then 250 mg/m2 weekly until disease progression OR Methotrexate intravenous (IV) Solution for Injection 40 or 60 mg/m2 weekly until disease progression OR Docetaxel intravenous (IV) Solution for Injection 30 or 40 mg/m2 weekly until disease progression
Receives: Drug: Cetuximab; Drug: Methotrexate; Drug: Docetaxel

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall Survival (OS)

    OS was defined as the time from randomization to the date of death from any cause. Participants were censored at the date they were last known to be alive and at the date of randomization if they were randomized but had no follow-up. Median OS time was calculated using Kaplan-Meier (KM) method.

    Measured: From date of randomization to date of death (Up to approximately 18 months)

Secondary outcomes (2)
  1. Investigator-Assessed Progression-Free Survival (PFS)

    PFS was defined as the time between the date of randomization and the first date of documented progression, as determined by the investigator (as per Response Evaluation Criteria In Solid Tumors (RECIST1.1)), or death due to any cause, whichever occurs first. Progressive Disease: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. The sum must demonstrate an absolute increase of at least 5mm. Participants who:

    • Die without a reported progression were considered to have progressed on the date of their death.
    • Did not progress or die were censored on the date of their last evaluable tumor assessment.
    • Without any on study tumor assessments and did not die were censored on their date of randomization.
    • Received subsequent systemic anti-cancer therapy prior to documented progression were censored at the date of the last tumor assessment prior to the initiation of the new therapy.

    Measured: From date of randomization to date of disease progression or death, whichever occurs first (Up to approximately 87 months)

  2. Investigator-Assessed Objective Response Rate (ORR)

    ORR was defined as the percentage of randomized participants who achieved a best response of complete response (CR) or partial response (PR) using the RECIST1.1 criteria as per investigator assessment. Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions.

    Measured: From date of randomization to date of disease progression or study drug is discontinued, whichever occurs first (Up to approximately 87 months)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Apr 2014 (estimated)
  2. Study start29 May 2014
  3. Primary completion6 Nov 2015
  4. Study completion10 Sep 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
361 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02105636
Sponsor's protocol ID
CA209-141
Other IDs
2013-003622-86
Status last verified
Aug 2022
First submitted
3 Apr 2014
Last updated
5 Oct 2022
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Yen CJ, Kiyota N, Hanai N, Takahashi S, Yokota T, Iwae S, Shimizu Y, Hong RL, Goto M, Kang JH, Li WSK, Ferris RL, Gillison M, Endo T, Jayaprakash V, Tahara M. Two-year follow-up of a randomized phase III clinical trial of nivolumab vs. the investigator's choice of therapy in the Asian population for recurrent or metastatic squamous cell carcinoma of the head and neck (CheckMate 141). Head Neck. 2020 Oct;42(10):2852-2862. doi: 10.1002/hed.26331. Epub 2020 Jun 24.

    PubMed 32583557
  • Saba NF, Blumenschein G Jr, Guigay J, Licitra L, Fayette J, Harrington KJ, Kiyota N, Gillison ML, Ferris RL, Jayaprakash V, Li L, Brossart P. Nivolumab versus investigator's choice in patients with recurrent or metastatic squamous cell carcinoma of the head and neck: Efficacy and safety in CheckMate 141 by age. Oral Oncol. 2019 Sep;96:7-14. doi: 10.1016/j.oraloncology.2019.06.017. Epub 2019 Jul 3.

    PubMed 31422216
  • Cocks K, Contente M, Simpson S, DeRosa M, Taylor FC, Shaw JW. A Q-TWiST Analysis Comparing Nivolumab and Therapy of Investigator's Choice in Patients with Recurrent/Metastatic Platinum-Refractory Squamous Cell Carcinoma of the Head and Neck. Pharmacoeconomics. 2019 Aug;37(8):1041-1047. doi: 10.1007/s40273-019-00798-1.

    PubMed 30972702
  • Pai SI, Faivre S, Licitra L, Machiels JP, Vermorken JB, Bruzzi P, Gruenwald V, Giglio RE, Leemans CR, Seiwert TY, Soulieres D. Comparative analysis of the phase III clinical trials of anti-PD1 monotherapy in head and neck squamous cell carcinoma patients (CheckMate 141 and KEYNOTE 040). J Immunother Cancer. 2019 Apr 3;7(1):96. doi: 10.1186/s40425-019-0578-0.

    PubMed 30944020
  • Ferris RL, Blumenschein G Jr, Fayette J, Guigay J, Colevas AD, Licitra L, Harrington KJ, Kasper S, Vokes EE, Even C, Worden F, Saba NF, Docampo LCI, Haddad R, Rordorf T, Kiyota N, Tahara M, Lynch M, Jayaprakash V, Li L, Gillison ML. Nivolumab vs investigator's choice in recurrent or metastatic squamous cell carcinoma of the head and neck: 2-year long-term survival update of CheckMate 141 with analyses by tumor PD-L1 expression. Oral Oncol. 2018 Jun;81:45-51. doi: 10.1016/j.oraloncology.2018.04.008. Epub 2018 Apr 17.

    PubMed 29884413
  • Kiyota N, Hasegawa Y, Takahashi S, Yokota T, Yen CJ, Iwae S, Shimizu Y, Hong RL, Goto M, Kang JH, Sum Kenneth Li W, Ferris RL, Gillison M, Namba Y, Monga M, Lynch M, Tahara M. A randomized, open-label, Phase III clinical trial of nivolumab vs. therapy of investigator's choice in recurrent squamous cell carcinoma of the head and neck: A subanalysis of Asian patients versus the global population in checkmate 141. Oral Oncol. 2017 Oct;73:138-146. doi: 10.1016/j.oraloncology.2017.07.023. Epub 2017 Sep 1.

    PubMed 28939066
  • Harrington KJ, Ferris RL, Blumenschein G Jr, Colevas AD, Fayette J, Licitra L, Kasper S, Even C, Vokes EE, Worden F, Saba NF, Kiyota N, Haddad R, Tahara M, Grunwald V, Shaw JW, Monga M, Lynch M, Taylor F, DeRosa M, Morrissey L, Cocks K, Gillison ML, Guigay J. Nivolumab versus standard, single-agent therapy of investigator's choice in recurrent or metastatic squamous cell carcinoma of the head and neck (CheckMate 141): health-related quality-of-life results from a randomised, phase 3 trial. Lancet Oncol. 2017 Aug;18(8):1104-1115. doi: 10.1016/S1470-2045(17)30421-7. Epub 2017 Jun 23.

    PubMed 28651929
  • Ferris RL, Blumenschein G Jr, Fayette J, Guigay J, Colevas AD, Licitra L, Harrington K, Kasper S, Vokes EE, Even C, Worden F, Saba NF, Iglesias Docampo LC, Haddad R, Rordorf T, Kiyota N, Tahara M, Monga M, Lynch M, Geese WJ, Kopit J, Shaw JW, Gillison ML. Nivolumab for Recurrent Squamous-Cell Carcinoma of the Head and Neck. N Engl J Med. 2016 Nov 10;375(19):1856-1867. doi: 10.1056/NEJMoa1602252. Epub 2016 Oct 8.

    PubMed 27718784

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Nivolumab, Cetuximab and Methotrexate in people with Squamous Cell Carcinoma of the Head and Neck, run by Bristol-Myers Squibb at 64 sites in 15 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Oct 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 64 sites in United States, Japan, Germany, Italy, United Kingdom and 10 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 11 Jan 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Overall Survival (OS) (time frame: From date of randomization to date of death (Up to approximately 18 months)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02105636, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Oct 2022.

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