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MelanomaPhase 3CheckMate 401NCT02599402

Nivolumab Combined With Ipilimumab Followed by Nivolumab Monotherapy as First-Line Treatment for Patients With Advanced Melanoma

A Phase 3 study testing Nivolumab and Ipilimumab in people with Melanoma, run by Bristol-Myers Squibb at 111 sites in 12 countries.

Completed

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

Official record
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Trial summary

The purpose of this study is to determine the effects of combination treatment of Nivolumab with Ipilimumab followed by Nivolumab monotherapy in patients with previously untreated advanced Melanoma. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Melanoma
What is being tested?
Nivolumab and Ipilimumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
533 participants
Where
111 sitesin 12 countries
Study dates
20 Dec 2015to 10 Feb 2020
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

  • Potential subjects must have advanced Melanoma (stage III or IV as confirmed by biopsy) with spread to other sites in the body and unable to be removed by surgery.
  • Potential subjects must be newly diagnosed with advanced melanoma and received no treatment for the advanced disease.
  • NOTE: Prior adjuvant or neoadjuvant melanoma therapy (including anti-CTLA-4, anti-PD-1, anti-PD-L1, anti-PD-L2, or any other antibody or drug specifically targeting T-cell costimulation or checkpoint pathways, such as anti-CD-137) is permitted if the therapy was used in the adjuvant or neoadjuvant setting but not in the metastatic setting. These drugs must be discontinued 6 months prior to study entry and the side effects related to the prior therapy resolved.
  • Potential subjects (with disease spread to brain) who previously received primary treatment are permitted if there was no evidence of disease as confirmed by the MRI (at least 2 weeks after the primary treatment is complete and with in 6 weeks of the first dose of the study drug). Potential subjects must not have received intravenous steroid treatment (>10 mg/day) intravenously for at least 2 weeks prior to study drug administration.

Who cannot join

  • Leptomenigeal metastases
  • Subjects with autoimmune disease. Subjects with Type I diabetes mellitus, hypothyroidism only requiring hormone replacement, skin disorders (such as vitiligo, psoriasis, or alopecia) not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger are permitted to enroll.
  • All side effects from previous primary treatments other than alopecia, fatigue, or peripheral neuropathy must have resolved to Grade 1 or baseline before administration of study drug.

Trial locations and contacts

111 sites in 12 countries.

111 sites in 12 countries

France19 sites
  • Local Institution

    Angers, 49933

  • Local Institution

    Bordeaux, 33075

  • Local Institution

    Boulogne-Billancourt, 92104

  • Local Institution

    Clermont-Ferrand, 63003

  • Local Institution

    Dijon, 21079

  • Local Institution

    Grenoble, 38043

  • Local Institution

    Le Mans, 72037

  • Local Institution

    Lille, 59037

  • Local Institution

    Marseille, 13385

  • Local Institution

    Montpellier, 34295

  • Local Institution

    Nantes, 44093

  • Local Institution

    Nice, 06202

  • Local Institution

    Paris, 75010

  • Local Institution

    Pierre Benite Cedax, 69495

  • Local Institution

    Rennes, 35042

  • Local Institution

    Rouen, 76031

  • Local Institution

    Toulouse, 31059

  • Local Institution

    Vandœuvre-lès-Nancy, 54511

  • Local Institution

    Villejuif, 94805

Other trials in France

Australia18 sites
  • Local Institution

    Adelaide, South Australia, 5000

  • Local Institution

    Bedford Park, South Australia, 5402

  • Local Institution

    Brisbane, Queensland, 4102

  • Local Institution

    Cairns, Queensland, 4870

  • Local Institution

    Camperdown, New South Wales, 2050

  • Local Institution

    Coffs Harbour, New South Wales, 2450

  • Local Institution

    Garran, Australian Capital Territory, 2605

  • Local Institution

    Gateshead, New South Wales, 2290

  • Local Institution

    Greenslopes, Queensland, 4120

  • Local Institution

    Hobart, Tasmania, 7000

  • Local Institution

    Melbourne, Victoria, 3004

  • Local Institution

    Melbourne, Victoria, 3128

  • Local Institution

    Melbourne, Victoria, 3144

  • Local Institution

    Murdoch, Western Australia, 6150

  • Local Institution

    Nedlands, Western Australia, 6009

  • Local Institution

    North Sydney, New South Wales, 2060

  • Local Institution

    Southport, Queensland, 4215

  • Local Institution

    Tiwi, Northern Territory, 0810

Other trials in Australia

Germany17 sites
  • Local Institution

    Berlin, 10117

  • Local Institution

    Dresden, 01277

  • Local Institution

    Erfurt, 99028

  • Local Institution

    Erlangen, 91054

  • Local Institution

    Frankfurt, 60590

  • Local Institution

    Freiburg im Breisgau, 79104

  • Local Institution

    Göttingen, 37075

  • Local Institution

    Hanover, 30625

  • Local Institution

    Kiel, 24105

  • Local Institution

    Leipzig, 04103

  • Local Institution

    Lübeck, 23538

  • Local Institution

    Ludwigshafen, 67063

  • Local Institution

    Mainz, Rhineland-palladium, 55131

  • Local Institution

    Mannheim, 68167

  • Local Institution

    Regensburg, 93053

  • Local Institution

    Schwerin, 19049

  • Local Institution

    Stade, 21682

Other trials in Germany

United Kingdom15 sites
  • Local Institution

    Cambridge, CB2 0QQ

  • Local Institution

    Cottingham, HU16 5JQ

  • Local Institution

    Glasgow, G12 0YN

  • Local Institution

    Headington, OX3 7LE

  • Local Institution

    London, Greater London, SW3 6JJ

  • Local Institution

    London, SE1 9RT

  • Local Institution

    Manchester, M20 4BX

  • Local Institution

    Newcastle upon Tyne, Tyne and Wear, NE7 7DN

  • Mount Vernon Hospital

    Northwood, HA6 2RN

  • Local Institution

    Nottingham, NG5 1PB

  • Local Institution

    Preston, PR2 9HT

  • Local Institution

    Sheffield, S10 2SJ

  • Local Institution

    Southampton, SO16 6YD

  • Local Institution

    Swansea, SA2 8QA

  • Local Institution

    Truro, TR1 3LJ

Other trials in United Kingdom

Italy14 sites
  • Local Institution

    Bari, 70124

  • Local Institution

    Bergamo, 24127

  • Local Institution

    Genova, 16132

  • Local Institution

    Meldola, 47014

  • Local Institution

    Milan, 20141

  • Local Institution

    Milan, 20133

  • Local Institution

    Naples, 80131

  • Local Institution

    Padova, 35128

  • Local Institution

    Pisa, 56126

  • Local Institution

    Roma, 00144

  • Local Institution

    Roma

  • Local Institution

    Siena, 53100

  • Local Institution

    Terni, 05100

  • Local Institution

    Torino, 10126

Other trials in Italy

Sweden8 sites
  • Local Institution

    Eskilstuna, 631 88

  • Local Institution

    Gävle, SE-80187

  • Local Institution

    Karlskrona, 371 85

  • Local Institution

    Linköping, SE-58185

  • Local Institution

    Stockholm, 17176

  • Local Institution

    Sundsvall, 164 40

  • Local Institution

    Västerås, 721 89

  • Local Institution

    Vaxjo, SE-35185

Other trials in Sweden

Ireland6 sites
  • Local Institution

    Cork

  • Local Institution

    Dublin, 4

  • Local Institution

    Dublin, 7

  • Local Institution

    Dublin, 8

  • Local Institution

    Dublin, 9

  • Local Institution

    Galway, ST4 6QG

Other trials in Ireland

Austria4 sites
  • Local Institution

    Graz, 8036

  • Local Institution

    Innsbruck, 6020

  • Local Institution

    Salzburg, 5020

  • Local Institution

    Vienna, 1090

Other trials in Austria

Finland4 sites
  • Local Institution

    Helsinki, 00290

  • Local Institution

    Oulu, 90029

  • Local Institution

    Tampere, 33520

  • Local Institution

    Turku, FIN-20520

Other trials in Finland

Belgium2 sites
  • Local Institution

    Brussels, 1090

  • Local Institution

    Brussels, 1200

Other trials in Belgium

Norway2 sites
  • Local Institution

    Oslo, 0424

  • Local Institution

    Stavanger, 4011

Other trials in Norway

Switzerland2 sites
  • Local Institution

    Basel, 4031

  • Local Institution

    Lausanne, 1005

Other trials in Switzerland

About this study

Official title: Clinical Trial of Nivolumab (BMS-936558) Combined With Ipilimumab Followed by Nivolumab Monotherapy as First-Line Therapy of Subjects With Histologically Confirmed Stage III (Unresectable) or Stage IV Melanoma CheckMate 401: CHECKpoint Pathway and nivoluMAb Clinical Trial Evaluation 401

The purpose of this study is to determine the effects of combination treatment of Nivolumab with Ipilimumab followed by Nivolumab monotherapy in patients with previously untreated advanced Melanoma.

Conditions
Melanoma
Being tested
Nivolumab, Ipilimumab
Medical subject headings
Melanoma

What participants receive

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

Study groups in NCT02599402
Study groupRoleWhat they receive
Combination therapy: Nivolumab + IpilimumabExperimentalNivolumab + Ipilimumab specified dose on specified days
Receives: Drug: Nivolumab; Drug: Ipilimumab
Monotherapy: NivolumabExperimentalNivolumab specified dose on specified days
Receives: Drug: Nivolumab

What is being measured

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

  1. Incidence of Participants With High-Grade (CTCAE v4.0 Grade 3-5) Treatment-Related Select Adverse Events

    Incidence of participants with high-grade (CTCAE v4.0 grade 3-5) treatment-related, select adverse events of potentially immune-mediated etiology including pulmonary, gastrointestinal, skin, renal, hepatic, endocrine, infusion-related, or hypersensitivity

    Measured: From first dose to 30 days after last dose (up to approximately 37 months)

Secondary outcomes (11)
  1. Incidence of Participants With All High-Grade (Grades 3-5) Select Adverse Events

    Incidence of participants with high-grade (grade 3-5) select adverse events including pulmonary, gastrointestinal, skin, renal, hepatic, infusion-related, or hypersensitivity

    Measured: From first dose to 30 days after last dose (up to approximately 37 months)

  2. Median Time to Onset (Grades 3-4) of Select Adverse Events

    Median time to onset (grades 3-4) of select adverse events including pulmonary, gastrointestinal, skin, renal, hepatic, endocrine, infusion-related, or hypersensitivity

    Measured: From first dose to 30 days after last dose (up to approximately 37 months)

  3. Median Time to Resolution (Grades 3-4) of Select Adverse Events

    Median time to resolution (Grades 3-4) of select adverse events including pulmonary, gastrointestinal, skin, renal, hepatic, endocrine, infusion-related, or hypersensitivity

    Measured: From first dose to 30 days after last dose (up to approximately 37 months)

  4. Time to Resolution of an Adverse Event (AE)

    Resolution of an adverse event (AE) is defined as a participant experiencing complete resolution or improvement to the baseline of any grade AE including pulmonary, gastrointestinal, skin, renal, hepatic, endocrine, infusion-related, or hypersensitivity

    Measured: From first dose to 30 days after last dose (up to approximately 37 months)

  5. Overall Survival (OS)

    Overall survival is defined from the time of first dosing date to the date of death. A participant who has not died will be censored at the last known date alive

    Measured: Up to approximately 37 months

  6. Incidence of Participants With Adverse Events

    The assessment of safety is measured by the incidence of participants who experienced any grade of adverse events (AEs), treatment-related AEs, serious adverse events (SAEs), and deaths

    Measured: From first dose to 30 days after last dose (up to approximately 37 months)

  7. Incidence of Participants With Select Adverse Events

    The assessment of safety is measured by the incidence of participants who experienced any grade of select adverse events including pulmonary, gastrointestinal, skin, renal, hepatic, endocrine, infusion-related, or hypersensitivity

    Measured: From first dose to 30 days after last dose (up to approximately 37 months)

  8. Incidence of Participants With Laboratory Abnormalities - Liver

    Safety assessment is measured by the incidence of participants who experienced a liver laboratory abnormality in Aspartate aminotransferase (AST), Alanine aminotransferase (ALT), Upper Limit of Normal (ULN)

    Measured: From first dose to 30 days after last dose (up to approximately 37 months)

  9. Incidence of Participants With Laboratory Abnormalities - Thyroid

    Safety assessment is measured by the incidence of participants who experienced a thyroid laboratory abnormality in Free T3 (FT3), Free T4 (FT4), Lower Limit of Normal (LLN)

    Measured: From first dose to 30 days after last dose (up to approximately 37 months)

  10. Objective Response Rate (ORR)

    Objective response rate is defined as the percentage of participants with a best overall response (BOR) of a complete response (CR) or partial response (PR) divided by the number of all treated participants

    Measured: Up to approximately 37 months

  11. Progression Free Survival (PFS)

    Progression free survival per investigator assessment is defined as radiological evidence of progression, significant clinical symptomatic progression, or the need to introduce a non-study drug therapy.

    Measured: Up to approximately 37 months

Timeline

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

  1. First posted6 Nov 2015 (estimated)
  2. Study start20 Dec 2015
  3. Primary completion10 Feb 2020
  4. Study completion10 Feb 2020

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
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
533 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02599402
Sponsor's protocol ID
CA209-401
Other IDs
2015-001274-17, 2015
Acronym
CheckMate 401
Status last verified
May 2021
First submitted
5 Nov 2015
Last updated
15 Jun 2021
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Dummer R, Corrie P, Gutzmer R, Meniawy TM, Del Vecchio M, Lebbe C, Guida M, Dutriaux C, Dreno B, Meyer N, Ferrucci PF, Dalle S, Khattak MA, Grob JJ, Briscoe K, Larkin J, Mansard S, Lesimple T, Guidoboni M, Sabatini S, Richtig E, Herbst R, Lobo M, Askelson M, Ascierto PA, Maio M. First-Line, Fixed-Duration Nivolumab Plus Ipilimumab Followed by Nivolumab in Clinically Diverse Patient Populations With Unresectable Stage III or IV Melanoma: CheckMate 401. J Clin Oncol. 2023 Aug 10;41(23):3917-3929. doi: 10.1200/JCO.22.02199. Epub 2023 Jun 12.

    PubMed 37307514

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Nivolumab and Ipilimumab in people with Melanoma, run by Bristol-Myers Squibb at 111 sites in 12 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 15 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 111 sites in France, Australia, Germany, United Kingdom, Italy and 7 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 15 Jun 2021). 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?

Incidence of Participants With High-Grade (CTCAE v4.0 Grade 3-5) Treatment-Related Select Adverse Events (time frame: From first dose to 30 days after last dose (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 NCT02599402, which also lists 1 linked publication.

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 15 Jun 2021.

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