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Non-Small-Cell Lung CancerPhase 2CheckMate 568NCT02659059

Nivolumab in Combination With Ipilimumab (Part 1); Nivolumab Plus Ipilimumab in Combination With Chemotherapy (Part 2) as First Line Therapy in Stage IV Non-Small Cell Lung Cancer

A Phase 2 study testing Nivolumab, Ipilimumab and Platinum Doublet Chemotherapy in people with Non-Small-Cell Lung Cancer, run by Bristol-Myers Squibb at 32 sites in 2 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 part 1 of this study is to determine the objective response rate (ORR) in stage IV NSCLC subjects treated with nivolumab in combination with ipilimumab as first line therapy. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Non-Small-Cell Lung Cancer
What is being tested?
Nivolumab, Ipilimumab and Platinum Doublet Chemotherapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
324 participants
Where
32 sitesin 2 countries
Study dates
15 Feb 2016to 7 Mar 2022
Phase
Phase 2
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
  • Diagnosed with stage IV Non-Small Cell Lung Cancer
  • Diagnosed with recurrent stage IIIB non-small cell lung cancer and failed previous concurrent chemoradiation with no further curative options.

Who cannot join

  • Subjects with untreated CNS metastases are excluded.
  • Subjects with carcinomatous meningitis
  • Subjects with an active, known or suspected autoimmune disease.
  • Subjects with a condition requiring systemic treatment with either corticosteroids ( > 10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days of first treatment.
  • Women who are pregnant, plan to become pregnant, and/or breastfeed during the study.
  • Other protocol defined inclusion/exclusion criteria apply

Trial locations and contacts

32 sites in 2 countries.

32 sites in 2 countries

United States29 sites
  • Local Institution - 0036

    Albuquerque, New Mexico, 87106

  • Lovelace Cancer Care

    Albuquerque, New Mexico, 87131

  • New Mexico Cancer Care Alliance

    Albuquerque, New Mexico, 87131

  • New Mexico Cancer Care Center

    Albuquerque, New Mexico, 87131

  • The Cancer Center at Presbyterian

    Albuquerque, New Mexico, 87131

  • Winship Cancer Institute.

    Atlanta, Georgia, 30322

  • Johns Hopkins Cancer Center

    Baltimore, Maryland, 21287

  • Local Institution - 0029

    Boston, Massachusetts, 02114-2621

  • Local Institution - 0030

    Boston, Massachusetts, 02114-2621

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Charleston Hematology Oncology Associates, Pa

    Charleston, South Carolina, 29414

  • The Ohio State University

    Columbus, Ohio, 43210

  • Henry Ford Health System

    Detroit, Michigan, 48202

  • Duke University

    Durham, North Carolina, 27710

  • Hackensack University Medical Center

    Hackensack, New Jersey, 07601

  • Local Institution - 0015

    Lincoln, Nebraska, 68506

  • University Of Louisville Medical Center, Inc., Dba

    Louisville, Kentucky, 40202

  • Local Institution - 0010

    Mineola, New York, 11501

  • Tennessee Oncology, PLLC - SCRI - PPDS

    Nashville, Tennessee, 37203

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232-6307

  • Memorial Sloan Kettering Nassau

    New York, New York, 10065

  • Fox Chase Cancer Center

    Philadelphia, Pennsylvania, 19111-2412

  • Local Institution - 0006

    Pittsburgh, Pennsylvania, 15212

  • Cancer Center Of Central Connecticut

    Plainville, Connecticut, 06062

  • Sharp Memorial Hospital

    San Diego, California, 92123

  • Summit Cancer Care

    Savannah, Georgia, 31405

  • Cleveland Clinic Florida

    Weston, Florida, 33331

  • Cancer Center Of Kansas

    Wichita, Kansas, 67214

  • Novant Health Oncology Specialists

    Winston-Salem, North Carolina, 27103

Other trials in United States

Canada3 sites
  • Local Institution - 0022

    Kingston, Ontario, K7L 2V7

  • Csss De St-Jerome

    Saint-Jérôme, Quebec, J7Z 5T3

  • Local Institution - 0023

    Sault Ste. Marie, Ontario, P6B 0A8

Other trials in Canada

About this study

Official title: A Study of Nivolumab in Combination With Ipilimumab (Part 1); and Nivolumab Plus Ipilimumab in Combination With Chemotherapy (Part 2) as First Line Therapy in Stage IV Non-Small Cell Lung Cancer (NSCLC)

The purpose of part 1 of this study is to determine the objective response rate (ORR) in stage IV NSCLC subjects treated with nivolumab in combination with ipilimumab as first line therapy.

The purpose of part 2 of this study is to determine the safety and tolerability of nivolumab and ipilimumab combined with a short course of chemotherapy in first line stage IV NSCLC.

Being tested
Nivolumab, Ipilimumab, Platinum Doublet Chemotherapy
Medical subject headings
Carcinoma, Non-Small-Cell Lung

What participants receive

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

  • NivolumabBiological

    Also called BMS-936558, Opdivo

    Specified Dose on Specified Days

  • IpilimumabBiological

    Also called BMS-734016, Yervoy

    Specified Dose on Specified Days

  • Platinum Doublet ChemotherapyDrug

    Also called Carboplatin + Paclitaxel, Cisplatin + pemetrexed

Study groups in NCT02659059
Study groupRoleWhat they receive
Nivolumab+IpilimumabExperimentalPart 1 Specified Dose on Specified Days
Receives: Biological: Nivolumab; Biological: Ipilimumab
Nivolumab+Ipilimumab + 2 cycles Platinum Doublet ChemotherapyExperimentalPart 2 Specified Dose on Specified Days
Receives: Biological: Nivolumab; Biological: Ipilimumab; Drug: Platinum Doublet Chemotherapy

What is being measured

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

  1. Objective Response Rate (ORR) by PD-L1 Positive and Negative Levels - Part 1

    Objective response rate (ORR) in PD-L1 positive (PD-L1 ≥1%) and PD-L1 negative (PD-L1 <1%) participants was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment.

    Measured: From first dose to database lock (Up to 18 months)

  2. Number of Participants With Dose Limiting Toxicities (DLTs) - Part 2

    Dose limiting toxicities (DLTs) were defined as any of the items listed below.

    1. Any Grade 2 drug-related uveitis or eye pain that does not respond to topical therapy and does not improve to Grade 1 severity within the re-treatment period OR requires systemic treatment.
    2. Any Grade 2 drug-related pneumonitis or interstitial lung disease that does not resolve to dose delay and systemic steroids in 14 days.
    3. Any Grade 3 non-skin drug-related adverse event with the exception of laboratory abnormalities that cannot be alleviated or controlled by appropriate care within 14 days.
    4. Any Grade 4 drug-related adverse event including laboratory abnormalities except Grade 4 leukopenia or neutropenia lasting < 14 days and asymptomatic amylase/lipase elevation.
    5. Drug-related hepatic function laboratory abnormalities.

    Measured: 9 weeks after first dose

  3. Number of Participants With Adverse Events (AEs) - Part 2

    Number of participants with adverse events (AEs) including serious adverse events (SAEs) and deaths graded by Common Terminology Criteria for Adverse Events (CTCAE v4.0) to determine the safety and tolerability of Nivolumab and Ipilimumab combined with chemotherapy.

    Measured: Deaths are from first dose to database lock (Up to 24 months). AEs and SAEs are from first dose to 30 days post last dose

  4. Number of Participants With Laboratory Abnormalities in Hepatic Tests - Part 2

    Number of participant with specific liver laboratory abnormalities graded by Common Terminology Criteria for Adverse Events (CTCAE v4.0) to determine the safety and tolerability of Nivolumab and Ipilimumab combined with chemotherapy.

    Measured: From first dose to 30 days post last dose

  5. Number of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2

    Number of participants with specific thyroid laboratory abnormalities graded by Common Terminology Criteria for Adverse Events (CTCAE v4.0) to determine the safety and tolerability of Nivolumab and Ipilimumab combined with chemotherapy.

    Measured: From first dose to 30 days post last dose

Secondary outcomes (12)
  1. Overall Survival (OS) - Part 1

    Overall survival (OS) was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive.

    Measured: From the date of first treatment to the date of death due to any cause (Up to approximately 72 months)

  2. Overall Survival (OS) - Part 2

    Overall survival (OS) was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive.

    Measured: From the date of first treatment to the date of death due to any cause (Up to approximately 59 months)

  3. Progression Free Survival (PFS) - Part 1

    Progression Free Survival (PFS) was defined as the time between the date of first dose and the first date of documented progression, as determined by blinded independent central review (BICR), or death due to any cause, whichever occurred first. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.

    Measured: From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 72 months)

  4. Progression Free Survival (PFS) - Part 2

    Progression Free Survival (PFS) was defined as the time between the date of first dose and the first date of documented progression, as determined by investigator (per RECIST 1.1), or death due to any cause, whichever occurred first. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.

    Measured: From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 59 months)

  5. Objective Response Rate (ORR) - Part 1

    Objective response rate (ORR) was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment.

    CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.

    PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

    Measured: From first dose up to approximately 72 months

  6. Objective Response Rate (ORR) - Part 2

    Objective response rate (ORR) was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on investigator assessment.

    CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.

    PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

    Measured: From first dose up to approximately 59 months

  7. Overall Survival (OS) by PD-L1 Expression Levels - Part 1

    Overall survival (OS) by PD-L1 expression levels was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive.

    PD-L1 ≥1% = PD-L1 positive (membranous staining in ≥ 1% tumor cells) PD-L1 <1% = PD-L1 negative (membranous staining in <1% tumor cells)

    Measured: From the date of first treatment to the date of death due to any cause (Up to approximately 72 months)

  8. Progression Free Survival (PFS) by PD-L1 Expression Levels - Part 1

    Progression Free Survival (PFS) by PD-L1 expression levels was defined as the time between the date of first dose and the first date of documented progression, as determined by blinded independent central review (BICR), or death due to any cause, whichever occurred first. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.

    PD-L1 ≥1% = PD-L1 positive (membranous staining in ≥ 1% tumor cells) PD-L1 <1% = PD-L1 negative (membranous staining in <1% tumor cells)

    Measured: From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 72 months)

  9. Objective Response Rate (ORR) by PD-L1 Expression Levels-Part 1

    Objective response rate (ORR) by PD-L1 expression levels was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment.

    CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.

    PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

    PD-L1 ≥1% = PD-L1 positive (membranous staining in ≥ 1% tumor cells) PD-L1 <1% = PD-L1 negative (membranous staining in <1% tumor cells)

    Measured: From first dose up to approximately 72 months

  10. Overall Survival (OS) by Tumor Mutation Burden (TMB) Levels - Part 1

    Overall survival (OS) by tumor mutational burden (TMB) using DNA derived from tumor specimens was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive.

    High TMB = ≥ 10 mutations per megabase Low TMB = < 10 mutations per megabase

    Measured: From the date of first treatment to the date of death due to any cause (Up to approximately 72 months)

  11. Progression Free Survival (PFS) by Tumor Mutation Burden (TMB) Levels - Part 1

    Progression Free Survival (PFS) by tumor mutational burden (TMB) using DNA derived from tumor specimens was defined as the time between the date of first dose and the first date of documented progression, as determined by blinded independent central review (BICR), or death due to any cause, whichever occurred first. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.

    High TMB = ≥ 10 mutations per megabase Low TMB = < 10 mutations per megabase

    Measured: From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 72 months)

  12. Objective Response Rate (ORR) by Tumor Mutation Burden (TMB) Levels - Part 1

    Objective response rate (ORR) by tumor mutational burden (TMB) using DNA derived from tumor specimens was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment.

    CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.

    PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

    High TMB = ≥ 10 mutations per megabase Low TMB = < 10 mutations per megabase

    Measured: From first dose up to approximately 72 months

Timeline

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

  1. First posted20 Jan 2016 (estimated)
  2. Study start15 Feb 2016
  3. Primary completion22 Jun 2018
  4. Study completion7 Mar 2022

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 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
324 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02659059
Sponsor's protocol ID
CA209-568
Acronym
CheckMate 568
Status last verified
Mar 2023
First submitted
15 Jan 2016
Last updated
5 Apr 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Ready N, Hellmann MD, Awad MM, Otterson GA, Gutierrez M, Gainor JF, Borghaei H, Jolivet J, Horn L, Mates M, Brahmer J, Rabinowitz I, Reddy PS, Chesney J, Orcutt J, Spigel DR, Reck M, O'Byrne KJ, Paz-Ares L, Hu W, Zerba K, Li X, Lestini B, Geese WJ, Szustakowski JD, Green G, Chang H, Ramalingam SS. First-Line Nivolumab Plus Ipilimumab in Advanced Non-Small-Cell Lung Cancer (CheckMate 568): Outcomes by Programmed Death Ligand 1 and Tumor Mutational Burden as Biomarkers. J Clin Oncol. 2019 Apr 20;37(12):992-1000. doi: 10.1200/JCO.18.01042. Epub 2019 Feb 20.

    PubMed 30785829

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Nivolumab, Ipilimumab and Platinum Doublet Chemotherapy in people with Non-Small-Cell Lung Cancer, run by Bristol-Myers Squibb at 32 sites in 2 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 6 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 Apr 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 32 sites in United States, Canada. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 Jul 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?

Objective Response Rate (ORR) by PD-L1 Positive and Negative Levels - Part 1 (time frame: From first dose to database lock (Up to 18 months)). The study lists 5 primary outcomes in all. 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 NCT02659059, 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 5 Apr 2023; AzTrials last refreshed its copy on 8 Nov 2026.

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