Lung CancerPhase 3CheckMate 451NCT02538666
An Investigational Immuno-therapy Study of Nivolumab, or Nivolumab in Combination With Ipilimumab, or Placebo in Patients With Extensive-Stage Disease Small Cell Lung Cancer (ED-SCLC) After Completion of Platinum-based Chemotherapy
A Phase 3 study testing Nivolumab and Ipilimumab in people with Lung Cancer, run by Bristol-Myers Squibb at 197 sites in 32 countries.
Trial summary
In this study, all patients must have already completed first-line chemotherapy to treat extensive-stage disease small cell lung cancer. The purpose of this study is to show that nivolumab, or nivolumab plus ipilimumab followed by nivolumab by itself, will prolong overall survival when administered as consolidation… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Lung Cancer
- What is being tested?
- Nivolumab and Ipilimumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 907 participants
- Where
- 197 sitesin 32 countries
- Study dates
- 13 Oct 2015to 11 Nov 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
- Subjects with histologically or cytologically confirmed extensive stage disease SCLC
- Ongoing response of stable disease or better following 4 cycles of platinum-based first line chemotherapy
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
Who cannot join
- Subjects with symptomatic Central Nervous System (CNS) metastases
- Subjects receiving consolidative chest radiation
- Subjects with active, known, or suspected autoimmune disease are excluded
- All side effects attributed to prior anti-cancer therapy must have resolved to Grade 1 or baseline
- Other protocol-defined inclusion/exclusion criteria apply
Trial locations and contacts
197 sites in 32 countries.
197 sites in 32 countries
United States28 sites
Local Institution - 0004
Allentown, Pennsylvania, 18103
Local Institution - 0010
Atlanta, Georgia, 30322
Local Institution - 0051
Baltimore, Maryland, 21287
Local Institution - 0107
Boston, Massachusetts, 02215
Local Institution - 0207
Boston, Massachusetts, 02215
Local Institution - 0005
Charleston, South Carolina, 29425
Local Institution - 0129
Cincinnati, Ohio, 45242
Local Institution - 0009
Columbus, Ohio, 43210
Local Institution - 0014
Durham, North Carolina, 27710
Local Institution - 0061
Fairway, Kansas, 66205
Local Institution - 0215
Fargo, North Dakota, 58102
Local Institution - 0127
Fort Myers, Florida, 33901
Local Institution - 0013
Indianapolis, Indiana, 46237
Local Institution - 0007
Jacksonville, Florida, 32256
Local Institution - 0032
Lexington, Kentucky, 40503
Local Institution - 0202
New Haven, Connecticut, 06520
Local Institution - 0008
New York, New York, 10065
Local Institution - 0001
Portland, Oregon, 97213
Local Institution - 0034
Portland, Oregon, 97239
Local Institution - 0006
Richmond, Virginia, 23226
Local Institution - 0003
Sacramento, California, 95816
Local Institution - 0011
Salt Lake City, Utah, 84112
Local Institution - 0002
Sayre, Pennsylvania, 18840
Local Institution - 0213
Sioux Falls, South Dakota, 57104
Local Institution - 0015
St Louis, Missouri, 63110
Local Institution - 0128
St. Petersburg, Florida, 33705
Local Institution - 0012
Wichita, Kansas, 67214
Local Institution - 0016
Winston-Salem, North Carolina, 27103
Japan22 sites
Local Institution - 0141
Bunkyo-ku, Tokyo, 113-8603
Local Institution - 0071
Chuo-ku, Tokyo, 1040045
Local Institution - 0146
Fukuoka, Fukuoka, 8128582
Local Institution - 0198
Gifu, Gifu, 5008513
Local Institution - 0193
Hidaka, Saitama, 350-1298
Local Institution
Hirakata-shi, Osaka, 5731191
Local Institution - 0138
Kanazawa, Ishikawa-ken, 9208641
Local Institution - 0139
Kashiwa-shi, Chiba, 2778577
Local Institution - 0076
Kobe, Hyōgo, 6500047
Local Institution - 0140
Koto-ku, Tokyo, 1358550
Local Institution - 0077
Kurashiki-shi, Okayama-ken, 7108602
Local Institution - 0200
Kurume-shi, Fukuoka, 8300011
Local Institution - 0142
Matsuyama, Ehime, 7910280
Local Institution - 0145
Osaka, Osaka, 5340021
Local Institution - 0075
Osaka-sayama-shi, Osaka, 5898511
Local Institution - 0143
Sapporo, Hokkaido, 0608648
Local Institution - 0070
Sendai, Miyagi, 9800873
Local Institution - 0069
Sendai, Miyagi, 9808574
Local Institution - 0144
Shinjuku-ku, Tokyo, 1600023
Local Institution - 0083
Takatsuki-shi, Osaka, 5698686
Local Institution - 0216
Wakayama, 641-8510
Local Institution - 0072
Yokohama, Kanagawa, 2408555
China20 sites
Local Institution
Beijing, Beijing Municipality, 100001
Local Institution
Beijing, Beijing Municipality, 100142
Local Institution
Changchun, Jilin, 130021
Local Institution - 0247
Changsha, 0
Local Institution - 0240
Guangzhou, 510515
Local Institution - 0239
Hangzhou, Zhejiang, 310003
Local Institution - 0227
Hangzhou, Zhejiang, 310016
Local Institution - 0221
Harbin, Heilongjiang, 155040
Local Institution - 0238
Hefei, Anhui, 230001
Local Institution - 0243
Hefei, Anhui, 230022
Local Institution - 0232
Kunming, Yunnan, 650118
Local Institution - 0230
Nanchang, Jiangxi, 330006
Local Institution - 0248
Nantong, Jiangsu, 226361
Local Institution - 0220
Shanghai, Shanghai Municipality, 200030
Local Institution - 0228
Shanghai, Shanghai Municipality, 200030
Local Institution - 0233
Shanghai, Shanghai Municipality, 200032
Local Institution - 0245
Shanghai, Shanghai Municipality, 200433
Local Institution - 0237
Shenyang, Liaoning, 110046
Local Institution - 0246
Wenzhou, Zhejiang, 325000
Local Institution - 0244
Wuhang, Hubei, 430030
France9 sites
Local Institution - 0208
Avignon Cedes 9, 84918
Local Institution - 0099
Lyon, 69373
Local Institution - 0098
Marseille, 13915
Local Institution - 0097
Paris, 75970
Local Institution - 0095
Pierre-Bénite, 69495
Local Institution - 0100
Rennes, 35033
Local Institution - 0150
Saint-Herblain, 44805
Local Institution - 0149
Strasbourg, Alsace, 67091
Local Institution - 0096
Toulouse, 31059
Brazil8 sites
Local Institution - 0081
Barretos, São Paulo, 14784-400
Local Institution - 0068
Belo Horizonte, Minas Gerais, 30110-022
Local Institution - 0067
Fortaleza, Ceará, 60430-230
Local Institution - 0063
Ijuí, Rio Grande do Sul, 98700-000
Local Institution - 0017
Itajaí, Santa Catarina, 88301-220
Local Institution - 0064
Porto Alegre, Rio Grande do Sul, 90610000
Local Institution
Rio de Janeiro, 22793-080
Local Institution
Salvador, 40170-110
Germany8 sites
Local Institution - 0171
Augsburg, 86156
Local Institution - 0170
Bad Berka, 99437
Local Institution - 0168
Berlin, 14165
Local Institution - 0164
Bochum, 44791
Local Institution - 0166
Gauting, 82131
Local Institution - 0165
Großhansdorf, 22927
Local Institution - 0169
Immenhausen, 34376
Local Institution - 0167
Tübingen, 72076
United Kingdom7 sites
Local Institution - 0118
London, Greater London, NW1 2PG
Local Institution - 0201
London, Greater London, SW3 6JJ
Local Institution - 0121
Metropolitan Borough of Wirral, Lancashire, CH63 4JY
Local Institution - 0152
Oxford, Oxfordshire, OX3 7LJ
Local Institution - 0192
Sheffield, S10 2SJ
Local Institution - 0151
Sutton, Surrey, SM2 5PT
Local Institution - 0153
Truro, Cornwall, TR1 3LJ
Australia6 sites
Local Institution - 0137
Adelaide, South Australia, 5000
Local Institution
Birtinya, Queensland, 4575
Princess Alexandra Hospital
Brisbane, Queensland, 4102
Local Institution - 0035
East Melbourne, Victoria, 3165
Local Institution
Kogarah, New South Wales
Local Institution
Wollongong, New South Wales, 2500
Romania6 sites
Local Institution - 0199
Bucharest, 010991
Local Institution - 0186
Bucharest, 020122
Local Institution - 0182
Craiova, 200347
Local Institution - 0178
Lasi, 700106
Local Institution - 0212
Romania, 400015
Local Institution - 0181
Timisoara, Timis, 300239
Russia6 sites
Local Institution - 0148
Moscow, 105229
Local Institution - 0217
Moscow, 115478
Local Institution - 0209
Moscow, 121309
Local Institution - 0116
Saint Petersburg, 194291
Local Institution - 0157
Saint Petersburg, 197758
Local Institution - 0115
Saint Petersburg, 198255
Argentina5 sites
Local Institution - 0110
Berazategui, Buenos Aires, 1880
Local Institution - 0088
Capital Federal, Buenos Aires, 1426
Local Institution - 0109
Ciudad Autonoma de Buenos Aire, Buenos Aires, 1181
Local Institution - 0188
Córdoba, 5004
Local Institution - 0029
San Miguel de Tucumán, 4000
Canada5 sites
Local Institution - 0094
Edmonton, Alberta, T6G 1Z2
Local Institution - 0102
Greater Sudbury, Ontario, P3E 5J1
Local Institution - 0136
Moncton, New Brunswick, E1C 6Z8
Local Institution - 0123
Oshawa, Ontario, L1G 2B9
Local Institution - 0111
Windsor, Ontario, N8W 1L9
Ireland5 sites
Local Institution - 0175
Dublin, 24
Local Institution
Dublin, 4
Local Institution - 0162
Galway, ST4 6QG
Local Institution - 0214
Limerick, 0
Local Institution - 0161
Wilton, CORK, 0
Israel5 sites
Local Institution
Haifa, 31096
Local Institution - 0093
Jerusalem, 91031
Local Institution
Petah Tikva, 49100
Local Institution - 0090
Tel Aviv, 64239
Local Institution - 0089
Tsrifin, 70300
Italy5 sites
Local Institution - 0026
Avellino, 83100
Local Institution - 0025
Bologna, 40138
Local Institution - 0112
Messina, 98158
Local Institution - 0027
Milan, Lombardy, 20141
Local Institution - 0082
Perugia, 06132
South Korea5 sites
Local Institution - 0021
Gangnam-gu, 06351
Local Institution - 0047
Seongnam-si, Gyeonggi-do, 13620
Local Institution - 0022
Seoul, 03722
Local Institution - 0154
Seoul, 05505
Local Institution - 0024
Suwon, Kyǒnggi-do, 16499
Spain5 sites
Local Institution - 0132
Barcelona, 08035
Local Institution
Barcelona, 08036
Local Institution
Madrid, 28040
Local Institution
Málaga, 29011
Local Institution
Seville, 41013
Finland4 sites
Local Institution - 0044
Oulu, 90029
Local Institution - 0043
Tampere, 33521
Local Institution - 0045
Turku, FIN-20521
Local Institution - 0046
Vaasa, 65130
Mexico4 sites
Local Institution - 0020
León, Guanajuato, 37000
Local Institution - 0019
Mexico City, Mexico City, 14050
Local Institution - 0028
Monterrey, Nuevo León, 64000
Local Institution - 0135
Querétaro, 76090
Poland4 sites
Local Institution - 0041
Gdansk, 80-19
Local Institution - 0054
Gdynia, 81-519
Local Institution - 0053
Olsztyn, 10-357
Local Institution - 0187
Warsaw, 02-781
South Africa4 sites
Local Institution - 0084
Cape Town, Western Cape, 7570
Local Institution - 0085
Cape Town, Western Cape, 7700
Local Institution - 0086
George, Western Cape, 6530
Local Institution - 0087
Sandton, Gauteng, 2199
Austria3 sites
Local Institution - 0174
Innsbruck, 6020
Local Institution - 0173
Salzburg, 5020
Local Institution - 0172
Vienna, 1130
Belgium3 sites
Local Institution - 0057
Brussels, 1090
Local Institution - 0059
Charleroi, 6000
Local Institution - 0060
Roeselare, 8800
Colombia3 sites
Local Institution - 0078
Bogotá, 0
Local Institution
Medellín, MEDELLIN
Local Institution
Montería, Departamento de Córdoba
Netherlands3 sites
Local Institution - 0158
's-Hertogenbosch, 5223 GZ
Local Institution
Eindhoven, 5623 EJ
Local Institution - 0159
Rotterdam, 3000 CA
Peru3 sites
Local Institution
Lima, 27
Local Institution
Lima, 34
Local Institution
Miraflores, Lima region, 18
Switzerland3 sites
Local Institution - 0179
Aarau, 5001
Local Institution - 0180
Geneva, 1205
Local Institution - 0191
Sankt Gallen, 9007
Greece2 sites
Local Institution - 0080
N.Kifissia, 14564
Interbalkan European Medical Center
Thessaloniki, 57001
Sweden2 sites
Local Institution - 0124
Lund, 221 85
Local Institution - 0185
Uppsala, 751 85
Taiwan2 sites
Local Institution - 0049
Tainan, TNN, 704
Local Institution - 0048
Taoyuan, 333
About this study
Official title: A Randomized, Multicenter, Double-Blind, Phase 3 Study of Nivolumab, Nivolumab in Combination With Ipilimumab, or Placebo as Maintenance Therapy in Subjects With Extensive-Stage Disease Small Cell Lung Cancer (ED-SCLC) After Completion of Platinum-based First Line Chemotherapy (CheckMate 451: CHECKpoint Pathway and nivoluMAb Clinical Trial Evaluation 451)
In this study, all patients must have already completed first-line chemotherapy to treat extensive-stage disease small cell lung cancer. The purpose of this study is to show that nivolumab, or nivolumab plus ipilimumab followed by nivolumab by itself, will prolong overall survival when administered as consolidation treatment in patients that are stable or responding after chemotherapy. Patients receiving treatment will be compared with patients taking placebo.
- Conditions
- Lung Cancer
- Being tested
- Nivolumab, Ipilimumab, Placebo
- Medical subject headings
- Lung Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
NivolumabBiological
Also called Opdivo
IpilimumabBiological
Also called Yervoy
PlaceboOther
| Study group | Role | What they receive |
|---|---|---|
| Nivolumab monotherapy | Experimental | Nivolumab intravenous fusion Receives: Biological: Nivolumab |
| Nivolumab and ipilimumab combination therapy | Experimental | Nivolumab and ipilimumab intravenous fusion Receives: Biological: Nivolumab; Biological: Ipilimumab |
| Placebo | Placebo comparator | Placebo Receives: Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival (OS) of Nivolumab + Ipilimumab Versus Placebo In The Global Population
OS was defined as the time from randomization to the date of death. A participant who had not died was censored at last known alive date. OS was followed up during the blinded study drug treatment and every 3 months via in-person or phone contact after participant discontinued the blinded study drug
Measured: From randomization to 400 deaths across the two treatment groups (Nivo+Ipi vs Placebo) (up to approximately 37 months)
Secondary outcomes (5)
Overall Survival (OS) of Nivolumab Versus Placebo
Overall Survival (OS) comparing nivolumab monotherapy versus placebo. OS was defined as the time from randomization to the date of death. A participant who had not died was censored at last known alive date. OS was followed up during the blinded study drug treatment and every 3 months via in-person or phone contact after participant discontinued the blinded study drug.
Measured: From randomization to the date of death or last known alive date (up to approximately 73 months)
Overall Survival (OS) of Nivolumab + Ipilimumab Versus Nivolumab
Overall Survival (OS) comparing Nivolumab + Ipilimumab Versus Nivolumab. OS was defined as the time from randomization to the date of death. A participant who had not died was censored at last known alive date. OS was followed up during the blinded study drug treatment and every 3 months via in-person or phone contact after participant discontinued the blinded study drug.
Measured: From randomization to the date of death or last known alive date (up to approximately 73 months)
Progression Free Survival (PFS) Per BICR
PFS was defined as the time between the date of randomization and the first date of documented progression as determined by Blind Independent Central Review (BICR) or death due to any cause, whichever occurred first. Participants who died with no reported progression were considered to have progressed on the date of death. Participants who did not progress or die were censored on the date of their last evaluable tumor assessment on or prior to initiation of the subsequent anti-cancer therapy. Participants who did not have any on study tumor assessments and did not die (or died after initiation of the subsequent anti- cancer therapy) were censored on their date of randomization. Participants who started any subsequent anti- cancer therapy without a prior reported Progressive Disease (PD) per BICR were censored at the last evaluable tumor assessment on or prior to initiation of the subsequent anti-cancer therapy.
Measured: From randomization to the date of the first documented tumor progression or death due to any cause (up to approximately 73 months)
Overall Survival (OS) in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population
Tumor mutational burden (TMB) is measured using FoundationOne CDxTM (F1CDx) assay, a comprehensive genomic profile (CGP) assay based on baseline tumor tissue. TMB is defined as the number of somatic, coding, base substitution, and indel mutations per megabase of genome examined.
OS in TMB by the following cutoff points: ≥10 mutations/mb, < 10 mutations/mb, ≥13 mutations/mb, <13 mutations/mb
Measured: From randomization to the date of death or last known alive date (up to approximately 73 months)
Progression Free Survival (PFS) Per BICR in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population
Tumor mutational burden (TMB) is measured using FoundationOne CDxTM (F1CDx) assay, a comprehensive genomic profile (CGP) assay based on baseline tumor tissue. TMB is defined as the number of somatic, coding, base substitution, and indel mutations per megabase of genome examined.
PFS in TMB by the following cutoff points: ≥10 mutations/mb, < 10 mutations/mb, ≥13 mutations/mb, <13 mutations/mb.
Measured: From randomization to the date of the first documented tumor progression or death due to any cause (up to approximately 73 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Sep 2015 (estimated)
- Study start13 Oct 2015
- Primary completion1 Oct 2018
- Study completion11 Nov 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Lung CancerStudies of the same condition, open and under way.
- More trials run by Bristol-Myers SquibbThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 907 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Ono Pharmaceutical Co., Ltd.
- Responsible party
- Sponsor
- Investigators
- Bristol Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02538666
- Sponsor's protocol ID
- CA209-451
- Other IDs
- 2015-002441-61, 2015
- Acronym
- CheckMate 451
- Status last verified
- Dec 2022
- First submitted
- 26 Aug 2015
- Last updated
- 5 Jan 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Expanded access
- Available
Publications
Kang YK, Reck M, Nghiem P, Feng Y, Plautz G, Kim HR, Owonikoko TK, Boku N, Chen LT, Lei M, Chang H, Lin WH, Roy A, Bello A, Sheng J. Assessment of hyperprogression versus the natural course of disease development with nivolumab with or without ipilimumab versus placebo in phase III, randomized, controlled trials. J Immunother Cancer. 2022 Apr;10(4):e004273. doi: 10.1136/jitc-2021-004273.
PubMed 35383114Owonikoko TK, Park K, Govindan R, Ready N, Reck M, Peters S, Dakhil SR, Navarro A, Rodriguez-Cid J, Schenker M, Lee JS, Gutierrez V, Percent I, Morgensztern D, Barrios CH, Greillier L, Baka S, Patel M, Lin WH, Selvaggi G, Baudelet C, Baden J, Pandya D, Doshi P, Kim HR. Nivolumab and Ipilimumab as Maintenance Therapy in Extensive-Disease Small-Cell Lung Cancer: CheckMate 451. J Clin Oncol. 2021 Apr 20;39(12):1349-1359. doi: 10.1200/JCO.20.02212. Epub 2021 Mar 8.
PubMed 33683919
Study at a glance
From the registry record, last updated by the sponsor on 5 Jan 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Multicenter, Double-Blind, Phase 3 Study of Nivolumab, Nivolumab in Combination With Ipilimumab, or Placebo as Maintenance Therapy in Subjects With Extensive-Stage Disease Small Cell Lung Cancer (ED-SCLC) After Completion of Platinum-based First Line Chemotherapy (CheckMate 451: CHECKpoint Pathway and nivoluMAb Clinical Trial Evaluation 451)
- ClinicalTrials.gov ID
- NCT02538666
- Acronym / sponsor ID
- CheckMate 451 / CA209-451
- Conditions
- Lung Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 907 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Collaborators
- Ono Pharmaceutical Co., Ltd.
- Study start
- 13 Oct 2015 (actual)
- Primary completion
- 1 Oct 2018 (actual)
- Study completion
- 11 Nov 2021 (actual)
- First posted
- 2 Sep 2015 (estimated)
- Results
- Posted 22 Oct 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
In this study, all patients must have already completed first-line chemotherapy to treat extensive-stage disease small cell lung cancer. The purpose of this study is to show that nivolumab, or nivolumab plus ipilimumab followed by nivolumab by itself, will prolong overall survival when administered as consolidation treatment in patients that are stable or responding after chemotherapy. Patients receiving treatment will be compared with patients taking placebo.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Nivolumab monotherapy | Experimental | Biological: NivolumabNivolumab intravenous fusion |
| Nivolumab and ipilimumab combination therapy | Experimental | Biological: Nivolumab, Biological: IpilimumabNivolumab and ipilimumab intravenous fusion |
| Placebo | Placebo comparator | Other: PlaceboPlacebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Subjects with histologically or cytologically confirmed extensive stage disease SCLC
- Ongoing response of stable disease or better following 4 cycles of platinum-based first line chemotherapy
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
Key exclusion criteria (5 listed)
- Subjects with symptomatic Central Nervous System (CNS) metastases
- Subjects receiving consolidative chest radiation
- Subjects with active, known, or suspected autoimmune disease are excluded
- All side effects attributed to prior anti-cancer therapy must have resolved to Grade 1 or baseline
- Other protocol-defined inclusion/exclusion criteria apply
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| NivolumabAlso: Opdivo | Biological | Nivolumab and ipilimumab combination therapy, Nivolumab monotherapy |
| IpilimumabAlso: Yervoy | Biological | Nivolumab and ipilimumab combination therapy |
| Placebo | Other | Placebo |
Primary outcome
Overall Survival (OS) of Nivolumab + Ipilimumab Versus Placebo In The Global Population
Time frame: From randomization to 400 deaths across the two treatment groups (Nivo+Ipi vs Placebo) (up to approximately 37 months)
OS was defined as the time from randomization to the date of death. A participant who had not died was censored at last known alive date. OS was followed up during the blinded study drug treatment and every 3 months via in-person or phone contact after participant discontinued the blinded study drug
5 secondary outcomes
Overall Survival (OS) of Nivolumab Versus Placebo
Time frame: From randomization to the date of death or last known alive date (up to approximately 73 months)
Overall Survival (OS) of Nivolumab + Ipilimumab Versus Nivolumab
Time frame: From randomization to the date of death or last known alive date (up to approximately 73 months)
Progression Free Survival (PFS) Per BICR
Time frame: From randomization to the date of the first documented tumor progression or death due to any cause (up to approximately 73 months)
Overall Survival (OS) in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population
Time frame: From randomization to the date of death or last known alive date (up to approximately 73 months)
Progression Free Survival (PFS) Per BICR in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population
Time frame: From randomization to the date of the first documented tumor progression or death due to any cause (up to approximately 73 months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Jan 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 35383114Kang YK, Reck M, Nghiem P, Feng Y, Plautz G, Kim HR, Owonikoko TK, Boku N, Chen LT, Lei M, Chang H, Lin WH, Roy A, Bello A, Sheng J. Assessment of hyperprogression versus the natural course of disease development with nivolumab with or without ipilimumab versus placebo in phase III, randomized, controlled trials. J Immunother Cancer. 2022 Apr;10(4):e004273. doi: 10.1136/jitc-2021-004273.
- Derived from this study: PubMed 33683919Owonikoko TK, Park K, Govindan R, Ready N, Reck M, Peters S, Dakhil SR, Navarro A, Rodriguez-Cid J, Schenker M, Lee JS, Gutierrez V, Percent I, Morgensztern D, Barrios CH, Greillier L, Baka S, Patel M, Lin WH, Selvaggi G, Baudelet C, Baden J, Pandya D, Doshi P, Kim HR. Nivolumab and Ipilimumab as Maintenance Therapy in Extensive-Disease Small-Cell Lung Cancer: CheckMate 451. J Clin Oncol. 2021 Apr 20;39(12):1349-1359. doi: 10.1200/JCO.20.02212. Epub 2021 Mar 8.
- BMS Clinical Trial InformationLink provided by the sponsor.
- BMS Clinical Trial Patient RecruitingLink provided by the sponsor.
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A Prospective ,Multicenter ,Non-interventional ,Real-world Study Observing Changes in Molecular Markers Osimertinib Targeted Therapy in EGFRm NSCLC
Non Small Cell Lung Cancer
Active, not recruiting
Streamlined Geriatric and Oncological Evaluation Based On IC Technology
Breast Cancer, Comorbidities and Coexisting Conditions
RecruitingPhase 3
A Study Evaluating Sotorasib Platinum Doublet Combination Versus Pembrolizumab Platinum Doublet Combination as a Front-Line Therapy in Participants With Stage IV or Advanced Stage IIIB/C Nonsquamous Non-Small Cell Lung Cancers (CodeBreaK 202)
Non-Small Cell Lung Cancer (NSCLC)
Active, not recruitingPhase 2
Datopotamab Deruxtecan (Dato-DXd, DS-1062a) in Advanced and/or Unresectable Non-Small Cell Lung Cancer
Metastatic Lung Cancer, Advanced Non Small Cell Lung Cancer
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bristol Myers Squibb study director
Bristol-Myers Squibb
197 sites in 32 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Nivolumab and Ipilimumab in people with Lung Cancer, run by Bristol-Myers Squibb at 197 sites in 32 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 3 inclusion and 5 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 Jan 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 197 sites in United States, Japan, China, France, Brazil and 27 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. Some participants in this study may receive a placebo. 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 22 Oct 2019). 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) of Nivolumab + Ipilimumab Versus Placebo In The Global Population (time frame: From randomization to 400 deaths across the two treatment groups (Nivo+Ipi vs Placebo) (up to approximately 37 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 NCT02538666, which also lists 2 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 Jan 2023.