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MesotheliomaPhase 3CheckMate743NCT02899299

Study of Nivolumab Combined With Ipilimumab Versus Pemetrexed and Cisplatin or Carboplatin as First Line Therapy in Unresectable Pleural Mesothelioma Patients

A Phase 3 study testing Nivolumab, Ipilimumab and Pemetrexed in people with Mesothelioma, run by Bristol-Myers Squibb at 109 sites in 21 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 test the effectiveness and tolerability of the combination of Nivolumab and Ipilimumab compared to Pemetrexed and Cisplatin or Carboplatin in patients with unresectable pleural mesothelioma. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Mesothelioma
What is being tested?
Nivolumab, Ipilimumab and Pemetrexed
Could I receive a placebo?
No, everyone receives an active treatment
How many people
605 participants
Where
109 sitesin 21 countries
Study dates
29 Nov 2016to 28 Apr 2023
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

  • Males and Females at least 18 years of age
  • Histologically confirmed pleural malignant mesothelioma not eligible for curative surgery
  • ECOG Performance status of 0 or 1
  • Available tumor sample for testing
  • Acceptable blood work

Who cannot join

  • Primitive peritoneal, pericardial and tunica vaginalis testis mesotheliomas
  • Prior chemotherapy for pleural mesothelioma
  • Prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2 oranti-CTLA-4 antibody
  • History of other malignancy unless the subject has been disease-free for at least 3 years
  • Active, untreated central nervous system (CNS) metastasis
  • Other protocol defined inclusion/exclusion criteria could apply

Trial locations and contacts

109 sites in 21 countries.

109 sites in 21 countries

Japan15 sites
  • Local Institution - 0106

    Amagasaki-shi, Hyōgo, 6608550

  • Local Institution - 0097

    Chiba, Chiba, 2608677

  • Local Institution - 0094

    Chuo-ku, Tokyo, 1040045

  • Local Institution - 0108

    Fukuyama-shi, Hiroshima, 7200001

  • Local Institution - 0114

    Hiroshima, Hiroshima, 7348551

  • Local Institution - 0096

    Kitaadachi-gun, Saitama, 3620806

  • Local Institution - 0105

    Nagoya, Aichi-ken, 4668560

  • Local Institution - 0104

    Natori-shi, Miyagi, 9811293

  • Local Institution - 0107

    Niigata, Niigata, 9518520

  • Local Institution - 0098

    Nishinomiya-shi, Hyōgo, 6638501

  • Local Institution - 0100

    Okayama, Okayama-ken, 7028055

  • Local Institution - 0101

    Sapporo, Hokkaido, 0030804

  • Local Institution - 0113

    Sayama, 5898511

  • Local Institution - 0099

    Ube-shi, Yamaguchi, 7550241

  • Local Institution - 0095

    Yokohama, Kanagawa, 2210855

Other trials in Japan

United States14 sites
  • Univ Of Maryland Greenbaum Cancer Center

    Baltimore, Maryland, 21201

  • Local Institution - 0002

    Chicago, Illinois, 60637

  • Local Institution - 0007

    Cleveland, Ohio, 44195

  • Local Institution - 0013

    Detroit, Michigan, 48201

  • Cancer & Hematology Centers Of Western Michigan

    Grand Rapids, Michigan, 49503

  • Local Institution - 0005

    Houston, Texas, 77030

  • West Virginia University

    Morgantown, West Virginia, 26506

  • Local Institution - 0014

    New Haven, Connecticut, 06520

  • Memorial Sloan Kettering Nassau

    New York, New York, 10065

  • University Of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • Allegheny Cancer Center

    Pittsburgh, Pennsylvania, 15212

  • Local Institution - 0004

    Rochester, Minnesota, 55905

  • Ucsf

    San Francisco, California, 94143

  • H. Lee Moffitt Cancer Center & Research Inst, Inc

    Tampa, Florida, 33612

Other trials in United States

France10 sites
  • Local Institution - 0057

    Caen, 14033

  • Local Institution - 0073

    Créteil, 94010

  • Local Institution - 0074

    La Tronche, 38700

  • Local Institution - 0067

    Lille, 59037

  • Local Institution - 0069

    Marseille, 13915

  • Local Institution - 0056

    Paris, 75018

  • Local Institution - 0080

    Saint-Herblain, 44805

  • Local Institution - 0093

    Strasbourg, 67091

  • Local Institution - 0058

    Toulon, 83056

  • Local Institution - 0068

    Toulouse, 31059

Other trials in France

Germany10 sites
  • Local Institution - 0026

    Cologne, 51109

  • Local Institution - 0054

    Coswig, 01640

  • Local Institution - 0038

    Essen, 45147

  • Local Institution - 0023

    Göttingen, 37075

  • Local Institution - 0024

    Großhansdorf, 22927

  • Local Institution - 0027

    Hamburg, 21075

  • Local Institution - 0037

    Heidelberg, 69126

  • Local Institution - 0021

    Homburg An D. Saar, 66421

  • Local Institution - 0022

    Immenhausen, 34376

  • Local Institution - 0019

    Moers, 47441

Other trials in Germany

Italy8 sites
  • Local Institution - 0047

    Aviano, 33081

  • Local Institution - 0044

    Bari, 70124

  • Local Institution - 0046

    Catania, 95124

  • Local Institution - 0045

    Genova, 16132

  • Local Institution - 0043

    Naples, 80131

  • Local Institution - 0042

    Ravenna, Emilia-Romagna, 48121

  • Local Institution - 0048

    Rozzano, 20089

  • Local Institution - 0041

    Siena, 53100

Other trials in Italy

United Kingdom6 sites
  • Local Institution - 0084

    Edinburgh, Midlothian, EH4 2XU

  • Local Institution - 0081

    Leicester, LE1 5WW

  • Local Institution - 0083

    London, EC1A 7BE

  • Local Institution - 0116

    Manchester, M23 9LT

  • Local Institution - 0090

    Southampton, SO16 6YD

  • Local Institution - 0085

    Truro, Cornwall, TR1 3LJ

Other trials in United Kingdom

Australia5 sites
  • Local Institution - 0031

    Birtinya, Queensland, 4575

  • Local Institution - 0033

    Clayton, Victoria, 3168

  • Local Institution - 0030

    Malvern, Victoria, 3144

  • Local Institution - 0034

    Nedlands, Western Australia, 6009

  • Local Institution - 0032

    Sydney, New South Wales, 2139

Other trials in Australia

China5 sites
  • Local Institution

    Changchun, Jilin, 130021

  • Local Institution - 0133

    Harbin, Heilongjiang, 150081

  • Local Institution - 0124

    Kunming, 0

  • Local Institution - 0120

    Shanghai, 200030

  • Local Institution

    Shenyang, Liaoning

Other trials in China

Mexico5 sites
  • Local Institution - 0118

    Chihuahua City, 31000

  • Local Institution - 0079

    Df, Mexico City, 06720

  • Local Institution - 0051

    Guadalajara, Jalisco, 44270

  • Local Institution - 0053

    Mexico City, Mexico City, 14000

  • Local Institution - 0050

    Mexico City, Mexico City, 14050

Other trials in Mexico

Belgium4 sites
  • Local Institution - 0089

    Brussels, 1090

  • Local Institution - 0086

    Edegem, 2650

  • Local Institution - 0087

    Liège, 4000

  • Local Institution - 0088

    Sint-Niklaas, 9100

Other trials in Belgium

Romania4 sites
  • Local Institution - 0115

    Bucharest, 020122

  • Local Institution - 0109

    Bucharest, 021389

  • Local Institution - 0102

    Craiova, 200347

  • Local Institution - 0055

    Romania, 400015

Other trials in Romania

Poland3 sites
  • Local Institution - 0078

    Bytom, 41-902

  • Local Institution - 0076

    Krakow, 31-202

  • Local Institution - 0077

    Warsaw, 02-781

Other trials in Poland

Russia3 sites
  • Local Institution - 0150

    Moscow, 115478

  • Local Institution - 0071

    Moscow, 121309

  • Local Institution - 0072

    Saint Petersburg, 197758

Other trials in Russia

Switzerland3 sites
  • Local Institution - 0049

    Bern, 3010

  • Local Institution - 0036

    Lausanne, 1011

  • Local Institution - 0029

    Zurich, 8091

Other trials in Switzerland

Turkey (Türkiye)3 sites
  • Local Institution - 0111

    Diyarbakır, 21280

  • Local Institution - 0112

    Istanbul, 34098

  • Local Institution - 0110

    Seyhan, 01130

Other trials in Turkey (Türkiye)

Brazil2 sites
  • Local Institution

    Barretos, São Paulo, 14784-400

  • Local Institution - 0064

    São Paulo, 05403-010

Other trials in Brazil

Colombia2 sites
  • Local Institution - 0039

    Bogotá, 0

  • Local Institution - 0040

    Bogotá, 0

Other trials in Colombia

Greece2 sites
  • Local Institution - 0017

    Athens, 11527

  • Local Institution - 0016

    Thessaloniki, 57001

Other trials in Greece

Netherlands2 sites
  • Local Institution - 0092

    Amsterdam, 1066 CX

  • Local Institution - 0091

    Rotterdam, 3000 CA

Other trials in Netherlands

South Africa2 sites
  • Local Institution - 0059

    Cape Town, Western Cape, 7570

  • Local Institution - 0060

    Pretoria, Gauteng, 0075

Other trials in South Africa

Chile1 site
  • Local Institution - 0018

    Santiago, Santiago Metropolitan, 8420383

Other trials in Chile

About this study

Official title: A Phase III, Randomized, Open Label Trial of Nivolumab in Combination With Ipilimumab Versus Pemetrexed With Cisplatin or Carboplatin as First Line Therapy in Unresectable Pleural Mesothelioma

The purpose of this study is to test the effectiveness and tolerability of the combination of Nivolumab and Ipilimumab compared to Pemetrexed and Cisplatin or Carboplatin in patients with unresectable pleural mesothelioma.

Conditions
Mesothelioma
Medical subject headings
Mesothelioma

What participants receive

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

Study groups in NCT02899299
Study groupRoleWhat they receive
Nivolumab and IpilimumabExperimentalSpecified dose on specified days
Receives: Biological: Nivolumab; Biological: Ipilimumab
Pemetrexed and Cisplatin (or Carboplatin)Active comparatorSpecified dose on specified days
Receives: Drug: Pemetrexed; Drug: Cisplatin; Drug: Carboplatin

What is being measured

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

  1. Overall Survival (OS)

    Overall Survival was defined as the time from randomization to the date of death due to any cause. A participant who has not died was censored at last known date alive.

    Measured: From randomization to the date of death (Up to 40 Months)

Secondary outcomes (6)
  1. Objective Response Rate (ORR)

    Objective Response Rate is defined as the percentage of randomized participants who achieve a best overall response of complete response (CR) or partial response (PR) per Blinded Independent Central Review (BICR) assessments. Per adapted m-RECIST for pleural mesothelioma, each single tumor measurement must be at least 10 mm in length to qualify as measureable disease and contribute to the sum that defines the pleural uni-variate measure. Per RECIST 1.1 for solid tumors, confirmation of response required:

    CR=Disappearance of all target lesions; PR=At least a 30% decrease in the sum of the Total Tumor Measurement; Progressive disease (PD)=At least a 20% increase in the sum of the Total Tumor Measurement.

    Measured: From randomization date to the date of objectively documented progression or the date of subsequent anti-cancer therapy, whichever occurs first (Up to 76 months)

  2. Disease Control Rate (DCR)

    Disease Control Rate is defined as the percentage of all randomized participants whose Best Overall Response was complete response (CR), partial response (PR), stable disease (SD) or Non-CR/Non-PD as assessed by Blinded Independent Central Review (BICR). Per adapted m-RECIST for pleural mesothelioma, each single tumor measurement must be at least 10 mm in length to qualify as measureable disease and contribute to the sum that defines the pleural uni-variate measure. Per RECIST 1.1 for solid tumors, confirmation of response required:

    CR=Disappearance of all target lesions; PR=At least a 30% decrease in the sum of the Total Tumor Measurement; Progressive disease (PD)=At least a 20% increase in the sum of the Total Tumor Measurement; SD=Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD; Non-CR/Non-PD: Persistence of one or more non-target lesion(s).

    Measured: From randomization date to the date of objectively documented progression or the date of subsequent anti-cancer therapy, whichever occurs first (Up to 76 months

  3. Progression Free Survival (PFS)

    Progression Free Survival is defined as the time between the date of randomization and the date of first documented tumor progression per Blinded Independent Central Review (BICR) assessments (using adapted m-RECIST and RECIST 1.1), or death due to any cause, whichever occurs first. Participants who received subsequent anticancer therapy prior to documented progression were censored at the date of the last evaluable tumor assessment conducted on or prior to the date of initiation of the subsequent anticancer therapy.

    Progressive disease (PD)=At least a 20% increase in the sum of the Total Tumor Measurement.

    Measured: From randomization date to the date of first documented tumor progression or death due to any cause, whichever occurs first. (up to 76 months)

  4. Overall Survival (OS) According to PD-L1 Expression Level

    PD-L1 Expression is defined as the percent of tumor cells membrane staining in a minimum of 100 evaluable tumor cells per validated Dako PD-L1 immunohistochemistry (IHC) assay. This is referred to as quantifiable PD-L1 expression and efficacy is determined by overall survival (OS) analysis. OS was defined as the time from randomization to the date of death due to any cause. A participant who has not died was censored at last known date alive.

    Measured: From randomization date to the date of death (Up to 76 Months)

  5. Progression Free Survival (PFS) According to PD-L1 Expression Level

    PD-L1 Expression is defined as the percent of tumor cells membrane staining in a minimum of 100 evaluable tumor cells per validated Dako PD-L1 immunohistochemistry (IHC) assay. This is referred to as quantifiable PD-L1 expression and efficacy is determined by progression free survival (PFS) analysis. PFS is defined as the time between the date of randomization and the date of first documented tumor progression per Blinded Independent Central Review (BICR) assessments (using adapted m-RECIST and RECIST 1.1), or death due to any cause, whichever occurs first. Participants who received subsequent anticancer therapy prior to documented progression were censored at the date of the last evaluable tumor assessment conducted on or prior to the date of initiation of the subsequent anticancer therapy.

    Progressive disease (PD)=At least a 20% increase in the sum of the Total Tumor Measurement.

    Measured: From randomization date to the date of first documented tumor progression or death due to any cause, whichever occurs first. (up to 76 months)

  6. Objective Response Rate (ORR) According to PD-L1 Expression Level

    PD-L1 Expression is defined as the percent of tumor cells membrane staining in a minimum of 100 evaluable tumor cells per validated Dako PD-L1 immunohistochemistry (IHC) assay. This is referred to as quantifiable PD-L1 expression and efficacy is determined by objective response rate (ORR) analysis. ORR is defined as the percentage of participants who achieve a best overall response of complete response (CR) or partial response (PR) per Blinded Independent Central Review (BICR) assessments. Per adapted m-RECIST for pleural mesothelioma, each single tumor measurement must be at least 10 mm in length to qualify as measureable disease and contribute to the sum that defines the pleural uni-variate measure.

    per RECIST 1.1 for solid tumors, confirmation of response required: CR=Disappearance of all target lesions; PR=At least a 30% decrease in the sum of the Total Tumor Measurement; Progressive disease (PD)=At least a 20% increase in the sum of the Total Tumor Measurement.

    Measured: From randomization date to the date of objectively documented progression or the date of subsequent anti-cancer therapy, whichever occurs first (Up to 76 months)

Timeline

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

  1. First posted14 Sep 2016 (estimated)
  2. Study start29 Nov 2016
  3. Primary completion25 Mar 2020
  4. Study completion28 Apr 2023

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
605 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02899299
Sponsor's protocol ID
CA209-743
Other IDs
2016-001859-43, 2016
Acronym
CheckMate743
Status last verified
Apr 2024
First submitted
31 Aug 2016
Last updated
21 May 2024
Data monitoring committee
Yes
Expanded access
Available

Publications

  • Scherpereel A, Baas P, Nowak AK, Tsao AS, Fujimoto N, Peters S, Mansfield AS, Popat S, Bautista Aragon Y, Talbot T, Grossi F, Kowalski D, Kaplan MA, Cardona AF, Soomro R, Hu N, Lee A, Ip V, Hung YH, Zalcman G. Five-Year Clinical Outcomes With Nivolumab Plus Ipilimumab Versus Chemotherapy as First-Line Treatment for Unresectable Pleural Mesothelioma in CheckMate 743. J Clin Oncol. 2026 Mar 20;44(9):742-749. doi: 10.1200/JCO-25-01328. Epub 2026 Feb 24.

    PubMed 41734361
  • Scherpereel A, Antonia S, Bautista Y, Grossi F, Kowalski D, Zalcman G, Nowak AK, Fujimoto N, Peters S, Tsao AS, Mansfield AS, Popat S, Sun X, Lawrance R, Zhang X, Daumont MJ, Bennett B, McKenna M, Baas P. First-line nivolumab plus ipilimumab versus chemotherapy for the treatment of unresectable malignant pleural mesothelioma: patient-reported outcomes in CheckMate 743. Lung Cancer. 2022 May;167:8-16. doi: 10.1016/j.lungcan.2022.03.012. Epub 2022 Mar 21.

    PubMed 35367910
  • Peters S, Scherpereel A, Cornelissen R, Oulkhouir Y, Greillier L, Kaplan MA, Talbot T, Monnet I, Hiret S, Baas P, Nowak AK, Fujimoto N, Tsao AS, Mansfield AS, Popat S, Zhang X, Hu N, Balli D, Spires T, Zalcman G. First-line nivolumab plus ipilimumab versus chemotherapy in patients with unresectable malignant pleural mesothelioma: 3-year outcomes from CheckMate 743. Ann Oncol. 2022 May;33(5):488-499. doi: 10.1016/j.annonc.2022.01.074. Epub 2022 Feb 3.

    PubMed 35124183
  • Baas P, Scherpereel A, Nowak AK, Fujimoto N, Peters S, Tsao AS, Mansfield AS, Popat S, Jahan T, Antonia S, Oulkhouir Y, Bautista Y, Cornelissen R, Greillier L, Grossi F, Kowalski D, Rodriguez-Cid J, Aanur P, Oukessou A, Baudelet C, Zalcman G. First-line nivolumab plus ipilimumab in unresectable malignant pleural mesothelioma (CheckMate 743): a multicentre, randomised, open-label, phase 3 trial. Lancet. 2021 Jan 30;397(10272):375-386. doi: 10.1016/S0140-6736(20)32714-8. Epub 2021 Jan 21.

    PubMed 33485464
  • Wright K. FDA Approves Nivolumab Plus Ipilimumab for Previously Untreated Unresectable Malignant Pleural Mesothelioma. Oncology (Williston Park). 2020 Nov 12;34(11):502-503. doi: 10.46883/ONC.2020.3411.0502.

    PubMed 33206991

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Nivolumab, Ipilimumab and Pemetrexed in people with Mesothelioma, run by Bristol-Myers Squibb at 109 sites in 21 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 5 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 21 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 109 sites in Japan, United States, France, Germany, Italy and 16 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 14 Apr 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?

Overall Survival (OS) (time frame: From randomization to the date of death (Up to 40 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 NCT02899299, which also lists 5 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 21 May 2024.

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