Non-Small Cell Lung Cancer (NSCLC)Phase 3CheckMate73LNCT04026412
A Study of Nivolumab and Ipilimumab in Untreated Participants With Stage 3 Non-small Cell Lung Cancer (NSCLC) That is Unable or Not Planned to be Removed by Surgery
A Phase 3 study testing nivolumab, ipilimumab and durvalumab in people with Non-Small Cell Lung Cancer (NSCLC), run by Bristol-Myers Squibb at 183 sites in 27 countries.
Trial summary
The primary purpose of the study is to compare the effectiveness of nivolumab plus concurrent chemoradiotherapy (CCRT) followed by nivolumab plus ipilimumab vs CCRT followed by durvalumab in participants with untreated Locally Advanced Non-small Cell Lung Cancer (LA NSCLC). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-Small Cell Lung Cancer (NSCLC)
- What is being tested?
- nivolumab, ipilimumab and durvalumab
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 925 participants
- Where
- 183 sitesin 27 countries
- Study dates
- 8 Oct 2019to 26 Nov 2024
- 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
- Eastern Cooperative Oncology Group (ECOG) performance status ≤1
- Locally advanced stage IIIA, IIIB, or IIIC (T1-2 N2-3 M0, T3 N1-3 M0, or T4 N0-3 M0) pathologically-confirmed NSCLC, according to 8th TNM classification. Participants who are not planned for potential curative surgical resection are eligible.
- Newly diagnosed and treatment-naïve, with no prior local or systemic anticancer therapy given as primary therapy for locally advanced disease
Who cannot join
- Any condition including medical, emotional, psychiatric, or logistical that, in the opinion of the Investigator would preclude the participant from adhering to the protocol or would increase the risk associated with study participation
- Active infection requiring systemic therapy within 14 days prior to randomization
- History of organ or tissue transplant that requires systemic use of immune suppressive agents
- Prior thoracic radiotherapy
- Other protocol-defined inclusion/exclusion criteria apply
Trial locations and contacts
183 sites in 27 countries.
183 sites in 27 countries
United States24 sites
Local Institution - 0125
Atlanta, Georgia, 30322
Local Institution - 0165
Augusta, Georgia, 30912
Local Institution - 0191
Austin, Texas, 78731
Local Institution - 0108
Bethesda, Maryland, 20817
Local Institution - 0079
Bryan, Texas, 77802
Local Institution - 0071
Burlington, Vermont, 05405
Local Institution - 0077
Charleston, South Carolina, 29414
Local Institution - 0053
Cincinnati, Ohio, 45220
Local Institution - 0131
Cincinnati, Ohio, 45242
Local Institution - 0188
Cincinnati, Ohio, 45267
Local Institution - 0112
Cleveland, Ohio, 44106
Local Institution - 0124
Cleveland, Ohio, 44106
Local Institution - 0047
Cleveland, Ohio, 44109
Local Institution - 0130
Dallas, Texas, 75203
Local Institution - 0218
Edgewood, Kentucky, 41017
Local Institution - 0233
Jacksonville, Florida, 32207
Local Institution - 0119
La Jolla, California, 92093
Local Institution - 0129
Lone Tree, Colorado, 80124
Local Institution - 0219
Orlando, Florida, 32804
Local Institution - 0039
Pensacola, Florida, 32504
Local Institution - 0207
San Francisco, California, 94115
Local Institution - 0166
San Francisco, California, 94143
Local Institution - 0116
Traverse City, Michigan, 49684
Local Institution - 0123
Youngstown, Ohio, 44501
China20 sites
Local Institution - 0146
Beijing, BEI, 100142
Local Institution - 0170
Changchun, Jilin, 130012
Local Institution - 0183
Changchun, Jilin, 130021
Local Institution - 0154
Changsha, Hunan, 410011
Local Institution - 0186
Chengdu, Sichuan, 610041
Local Institution - 0189
Chengdu, Sichuan, 610041
Local Institution - 0149
Chongqing, Chongqing Municipality, 400030
Local Institution - 0179
Fuzhou, Fujian, 350000
Local Institution - 0180
Gongzhuling, Jilin, 132000
Local Institution - 0192
Guiyang, Guizhou, 550002
Local Institution - 0140
Hangzhou, Zhejiang, 310000
Local Institution - 0147
Hankou, Hubei, 430023
Local Institution - 0138
Jinan, Shandong, 250117
Local Institution - 0184
Linhai, Zhejiang, 317000
Local Institution - 0178
Nanchang, Jiangxi, 330006
Local Institution - 0139
Nanjing, Jiangsu, 210009
Local Institution - 0145
Shanghai, Shanghai Municipality, 200443
Local Institution - 0148
Wuhan, Hubei, 210000
Local Institution - 0150
Wuhan, Hubei, 430060
Local Institution - 0164
Xiamen, Fujian, 361003
Japan20 sites
Local Institution - 0199
Bunkyo-ku, Tokyo, 113-8603
Local Institution - 0200
Chuo-ku, Tokyo, 1040045
Local Institution - 0212
Fukuoka, Fukuoka, 8128582
Local Institution - 0198
Hidaka-shi, Saitama, 3501298
Local Institution - 0203
Kanazawa, Ishikawa-ken, 9208641
Local Institution - 0174
Kitaadachi-gun, Saitama, 3620806
Local Institution - 0206
Kobe, Hyōgo, 6500047
Local Institution - 0211
Kurume-shi, Fukuoka, 8300011
Local Institution - 0204
Nagoya, Aichi-ken, 4648681
Local Institution - 0202
Niigata, Niigata, 9518566
Local Institution - 0205
Osaka, Osaka, 5458586
Local Institution - 0197
Ōta, Gunma, 373-8550
Local Institution - 0195
Sapporo, Hokkaido, 0030804
Local Institution - 0210
Sayama, Osaka, 589-8511
Local Institution - 0196
Sendai, Miyagi, 9800873
Local Institution - 0232
Ube, Yamaguchi, 755-0241
Local Institution - 0175
Wakayama, 641-8509
Local Institution - 0216
Yokohama, Kanagawa, 2210855
Local Institution - 0201
Yokohama, Kanagawa, 2360051
Local Institution - 0217
Yokohama, Kanagawa, 2418515
France10 sites
Local Institution - 0086
Bordeaux, 33076
Local Institution - 0087
Dijon, 21000
Local Institution - 0081
Lyon, 69008
Local Institution - 0082
Montpellier, 34070
Local Institution - 0084
Nantes, 44000
Local Institution - 0227
Paris, 75018
Local Institution - 0091
Paris, 75020
Local Institution - 0083
Paris, 75248
Local Institution - 0090
Paris, 75679
Local Institution - 0089
Tours, 37044
Germany10 sites
Local Institution - 0060
Berlin, 14165
Local Institution - 0063
Essen, 45136
Local Institution - 0076
Großhansdorf, 22927
Local Institution - 0101
Hamm, 59063
Local Institution - 0073
Heidelberg, 69126
Local Institution - 0061
Immenhausen, 34376
Local Institution - 0062
Kempten, 87439
Local Institution - 0075
Löwenstein, 74245
Local Institution - 0109
Mainz, 55131
Local Institution - 0072
Stuttgart, 70376
Australia9 sites
Local Institution - 0028
Adelaide, South Australia, 5000
Local Institution - 0224
Ballarat Central, Victoria, 3350
Local Institution - 0031
Darlinghurst, New South Wales, 2010
Local Institution - 0134
Gosford, New South Wales, 2250
Local Institution - 0029
Greenslopes, Queensland, 4120
Local Institution - 0033
Kingswood, New South Wales, 2747
Local Institution - 0052
Melbourne, Victoria, 3004
Local Institution
Melbourne, Victoria, 3199
Local Institution - 0030
Murdoch, Western Australia, 6150
Spain8 sites
Local Institution - 0106
Barcelona, 8025
Local Institution - 0099
L'Hospitalet de Llobregat, 08907
Local Institution - 0096
Madrid, 28007
Local Institution - 0095
Madrid, 28046
Local Institution - 0098
Pamplona, 31008
Local Institution - 0105
Santiago de Compostela, 15706
Local Institution - 0097
Seville, 41013
Local Institution - 0100
Zaragoza, 50009
Italy7 sites
Local Institution - 0068
Brescia, 25123
Aou Policlinico V. Emanuele Di Catania
Catania, 95100
Azienda Ospedaliero-Universitaria Mater Domini
Catanzaro, 88100
Local Institution - 0050
Lucca, 55100
Local Institution - 0115
Milan, 20141
Local Institution - 0114
Monza (MB), Monza (MB), 20900
Local Institution - 0048
Perugia, 06129
Brazil6 sites
Local Institution - 0036
Barretos, São Paulo, 14784-400
Local Institution - 0037
Blumenau, Santa Catarina, 89010-340
Local Institution - 0234
Ijuí, Rio Grande do Sul, 98700-000
Local Institution - 0038
Ipatinga, Minas Gerais, 35160-158
Local Institution - 0034
Porto Alegre, Rio Grande do Sul, 91350-200
Local Institution - 0035
Rio de Janeiro, 20230-130
Canada6 sites
Local Institution - 0237
Chicoutimi, Quebec, G7H 5H6
Local Institution - 0127
Kingston, Ontario, K7L 2V7
Local Institution - 0078
Oshawa, Ontario, L1G 2B9
Local Institution - 0126
Québec, Quebec, G1V 4G5
Local Institution - 0070
Rimouski, Quebec, G5L 5T1
Local Institution - 0092
Trois-Rivières, Quebec, G8Z 3R9
Romania6 sites
Local Institution - 0018
Bucharest, 022328
Local Institution - 0222
Bucharest, 022548
Local Institution - 0019
Cluj-Napoca, 400015
Local Institution - 0020
Constanța, 900591
Local Institution - 0017
Craiova, 200542
Local Institution - 0021
Floresti/ Cluj, 407280
Taiwan6 sites
Local Institution - 0208
KaohsiungCity, 83301
Local Institution - 0214
New Taipei City, 235
Local Institution - 0209
Tainan, 704
Local Institution - 0213
Taipei, 10099
Local Institution - 0133
Taipei, 100
Local Institution - 0143
Taipei, 112
Mexico5 sites
Local Institution - 0015
Culiacán, Sinaloa, 80230
Local Institution - 0067
Df, Mexico City, 06720
Local Institution - 0080
Guadalajara, Jalisco, 44340
Local Institution - 0027
La Paz, BAJA Californa SUR, 23040
Local Institution - 0014
Monterrey, Nuevo León, 64060
Netherlands5 sites
Local Institution - 0006
Amsterdam, 1081HV
Local Institution - 0025
Arnhem, 6815 AD
Local Institution - 0240
Leiden, 2333ZA
Local Institution - 0005
Maastrict, 6229 HX
Local Institution - 0026
Veldhoven, 5504 DB
United Kingdom5 sites
Local Institution - 0054
Aberdeen, AB25 2ZN
Local Institution - 0007
Bebington, CH63 4JY
Local Institution - 0009
Hull, HU16 5JQ
Local Institution - 0010
Poole, Dorset, BH15 2JB
Local Institution - 0012
Swansea, Glamorgan, SA2 8QA
Argentina4 sites
Local Institution - 0043
Buenos Aires, Distrito Federal, C1199ABB
Local Institution - 0042
Caba, Distrito Federal, 1430
Local Institution - 0044
CABA, Buenos Aires, C1426ANZ
Local Institution - 0045
Río Cuarto, Córdoba Province, 5800
Belgium4 sites
Local Institution - 0003
Brussels, 1200
Local Institution - 0001
Ghent, 9000
Local Institution - 0004
Liège, 4000
Local Institution - 0002
Yvoir, B-5530
Greece4 sites
Local Institution - 0161
Athens, 115 22
Local Institution - 0135
Athens, 11527
Local Institution - 0136
Larissa, 41110
Local Institution - 0162
N.Kifissia, 14564
Poland4 sites
Local Institution - 0107
Bydgoszcz, 85796
Local Institution - 0102
Gdansk, 80-214
Local Institution - 0104
Krakow, 31-826
Local Institution - 0235
Tomaszów Mazowiecki, 97-200
Russia4 sites
Local Institution
Moscow, 105229
Local Institution
Moscow, 115478
Local Institution
Moscow, 125367
Local Institution
Saint Petersburg, 197758
Switzerland4 sites
Local Institution - 0057
Basel, 4031
Local Institution - 0058
Lausanne, 1011
Local Institution - 0059
Sankt Gallen, 9007
Local Institution - 0056
Zurich, 8091
South Korea3 sites
Local Institution - 0167
Cheongju-si, Chungcheonbuk-do,, 361-711
Local Institution - 0152
Seoul, 03722
Local Institution - 0168
Seoul, 06351
Chile2 sites
Local Institution - 0041
Santiago, Santiago Metropolitan, 8420383
Local Institution - 0040
Viña del Mar, Valparaiso, 2520598
Ireland2 sites
Local Institution - 0024
Dublin, Dublin
Local Institution - 0023
Dublin, 00004
Puerto Rico2 sites
Local Institution - 0120
Hato Rey, 00917
GCM Medical Group, PSC - Hato Rey Site
San Juan, 917
Sweden2 sites
Local Institution - 0065
Gothenburg, Västra Götaland County, 41345
Local Institution - 0064
Stockholm, 171 76
About this study
Official title: A Phase 3, Randomized, Open Label Study to Compare Nivolumab Plus Concurrent Chemoradiotherapy (CCRT) Followed by Nivolumab Plus Ipilimumab or Nivolumab Plus CCRT Followed by Nivolumab vs CCRT Followed by Durvalumab in Previously Untreated, Locally Advanced Non-small Cell Lung Cancer (LA NSCLC)
The primary purpose of the study is to compare the effectiveness of nivolumab plus concurrent chemoradiotherapy (CCRT) followed by nivolumab plus ipilimumab vs CCRT followed by durvalumab in participants with untreated Locally Advanced Non-small Cell Lung Cancer (LA NSCLC).
- Conditions
- Non-Small Cell Lung Cancer (NSCLC)
- Being tested
- nivolumab, ipilimumab, durvalumab
- 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
Specified dose on specified days
ipilimumabBiological
Specified dose on specified days
durvalumabBiological
Specified dose on specified days
| Study group | Role | What they receive |
|---|---|---|
| Arm A: nivolumab + CCRT + ipilimumab | Experimental | Concurrent chemoradiotherapy (CCRT) Receives: Biological: nivolumab; Biological: ipilimumab |
| Arm B: nivolumab + CCRT | Experimental | Concurrent chemoradiotherapy (CCRT) Receives: Biological: nivolumab |
| Arm C: CCRT + durvalumab | Experimental | Concurrent chemoradiotherapy (CCRT) Receives: Biological: durvalumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Arm A Vs Arm C - Progression-Free Survival (PFS) by RECIST 1.1 Per Blinded Independent Central Review (BICR)
Progression-Free Survival then (PFS) is defined as the time between the date of randomization and the date of first documented disease progression, based on BICR assessments (per RECIST v1.1), or death due to any cause, whichever occurs first based on Kaplan-Meier estimates. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum during the study (this includes the baseline sum if that is the smallest 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 randomization untill disease progression or death, whichever occurs first (up to approximately 53 months)
Secondary outcomes (12)
Overall Survival (OS)
Overall Survival (OS) for all randomized participants is the time between randomization and the date of death from any cause based on Kaplan-Meier estimates. For participants who are alive, their survival time was censored at the last date that they were known to be alive. OS was censored for participants at the date of randomization if they had no follow-up.
Measured: From randomization untill death (up to approximately 61 months)
Arm B Vs Arm C and Arm A Vs Arm B- Progression-Free Survival (Irrespective of Subsequent Therapy) by RECIST 1.1 Per Blinded Independent Central Review (BICR)
Progression-Free Survival (PFS) is defined as the time between the date of randomization and the date of first documented disease progression, based on BICR assessments (per RECIST v1.1), or death due to any cause, whichever occurs first based on Kaplan-Meier estimates. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum during the study (this includes the baseline sum if that is the smallest 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 randomization untill disease progression or death, whichever occurs first (up to approximately 61 months)
Objective Response Rate (ORR) by BICR
Objective Response Rate (ORR) is defined as the percentage of participants whose best overall response (BOR) is either CR or PR by blinded independent central review (BICR) per response evaluation criteria in solid tumors (RECIST) v1.1.
Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.
Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum during the study (this includes the baseline sum if that is the smallest 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 randomization untill disease progression or death, whichever occurs first (up to approximately 61 months)
Duration of Response (DoR) by RECIST 1.1 Per BICR
Duration of objective response (DoR) is defined as the time between the date of first confirmed response (CR or PR) to the date of the first documented tumor progression (per RECIST 1.1) per BICR assessment, or death due to any cause, whichever occurs first.
Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.
Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum during the study (this includes the baseline sum if that is the smallest 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 randomization untill disease progression or death, whichever occurs first (up to approximately 61 months)
Time to Response (TTR) by RECIST 1.1 Per BICR
Time to response (TTR) is defined as the time, in months, from randomization to the first objective documentation of PR or better assessed per BICR.
Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum during the study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.
Measured: From randomization untill disease progression or death, whichever occurs first (up to approximately 61 months)
Progression Free Survival (PFS) by RECIST 1.1 Per Investigator Assessment
Progression-Free Survival then (PFS) is defined as the time between the date of randomization and the date of first documented disease progression, based on Investigator assessments (per RECIST v1.1), or death due to any cause, whichever occurs first Calculated using Kaplan-Meier estimates. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum during the study (this includes the baseline sum if that is the smallest 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 randomization untill disease progression or death, whichever occurs first (up to approximately 61 months)
Objective Response Rate (ORR) by RECIST 1.1 Per Investigator Assessment
ORR is defined as the percentage of participants whose best overall response (BOR) is either CR or PR by investigator assessment per response evaluation criteria in solid tumors (RECIST) v1.1.
Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.
Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum during the study (this includes the baseline sum if that is the smallest 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 randomization untill disease progression or death, whichever occurs first (up to approximately 61 months)
Duration of Response (DOR) by RECIST 1.1 Per Investigator Assessment
Duration of objective response (DoR) is defined as the time between the date of first confirmed response (CR or PR) to the date of the first documented tumor progression (per RECIST 1.1) per investigator assessment, or death due to any cause, whichever occurs first.
Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.
Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum during the study (this includes the baseline sum if that is the smallest 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 randomization untill disease progression or death, whichever occurs first (up to approximately 61 months)
Time to Response (TTR) by RECIST 1.1 Per Investigator Assessment
Time to response (TTR) is defined as the time, in months, from randomization to the first objective documentation of PR or better assessed per investigator assessment.
Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.
Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum during the study (this includes the baseline sum if that is the smallest 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 randomization untill disease progression or death, whichever occurs first (up to approximately 61 months)
Time to Death or Distant Metastases (TDDM)
Time to Death or Distant Metastases (TDDM) is defined as the time from the date of randomization until the first date of distant metastasis or death in the absence of distant metastasis based on Kaplan-Meier estimates. Distant metastasis is defined as any new lesion that is outside of the thorax (except for heart) according to RECIST 1.1, as assessed by the Investigator.
Measured: From randomization until metastases or death, whichever occurs first (up to approximately 61 months)
Number of Participants With Adverse Events (AEs), Serious AEs and Select AEs
An Adverse event (AE) is any untoward medical occurrence in a patient or clinical investigation patient administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease temporarily associated with the use of medicinal product, whether or not considered related to the investigational medicinal product. A Serious Adverse Event (SAE) is any untoward medical occurrence that at any dose results in death, is life-threatening (defined as an event in which the subject was at risk of death at the time of the event; it does not refer to an event which hypothetically might have caused death if it were more severe), requires inpatient hospitalization or causes prolongation of existing hospitalization.
Measured: From first dose (Day 1) till 30 days after the last dose (up to approximately 19 months)
Change From Baseline in Non-small Cell Lung Cancer (NSCLC)-Symptom Assessment Questionnaire (SAQ) Total Score at Week 48
The NSCLC-SAQ is a questionnaire used in clinical trials to understand how non-small cell lung cancer (NSCLC) affects your daily life and well-being. It has 7 questions that ask about your symptoms over the past 7 days, including cough, pain, shortness of breath, fatigue, and appetite loss. The total scores from the questionnaire range from 0 to 20. A higher score means you have more severe symptoms and are feeling worse, which is a bad outcome. A lower score means you have fewer symptoms and are feeling better, which is a good outcome.
Measured: Baseline (Day 1) and Week 48
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Jul 2019
- Study start8 Oct 2019
- Primary completion22 Mar 2024
- Study completion26 Nov 2024
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 Non-Small Cell Lung Cancer (NSCLC)Studies 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
- None (open label)
- Enrolment
- 925 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04026412
- Sponsor's protocol ID
- CA209-73L
- Other IDs
- 2019-001222-98, 2019
- Acronym
- CheckMate73L
- Status last verified
- Jul 2025
- First submitted
- 18 Jul 2019
- Last updated
- 24 Jul 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Peters S, Tan DSW, Gerber DE, Urbanic J, Ramalingam S, Yu J, Xing L, Rittmeyer A, Ciuleanu TE, de Menezes J, Kim HR, Rojas C, Syrigos K, Hayashi H, Haridass A, Cortinovis D, Bruno D, Kimmich M, Calles A, Nathani R, Pudussery G, Yang L, De Ruysscher D. Nivolumab plus chemoradiotherapy followed by nivolumab with or without ipilimumab for untreated locally advanced stage III NSCLC: a randomized phase 3 trial. Nat Cancer. 2026 Jul;7(7):1121-1132. doi: 10.1038/s43018-026-01161-y. Epub 2026 May 13.
PubMed 42129521De Ruysscher D, Ramalingam S, Urbanic J, Gerber DE, Tan DSW, Cai J, Li A, Peters S. CheckMate 73L: A Phase 3 Study Comparing Nivolumab Plus Concurrent Chemoradiotherapy Followed by Nivolumab With or Without Ipilimumab Versus Concurrent Chemoradiotherapy Followed by Durvalumab for Previously Untreated, Locally Advanced Stage III Non-Small-Cell Lung Cancer. Clin Lung Cancer. 2022 May;23(3):e264-e268. doi: 10.1016/j.cllc.2021.07.005. Epub 2021 Jul 19.
PubMed 34489161
Study at a glance
From the registry record, last updated by the sponsor on 24 Jul 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Open Label Study to Compare Nivolumab Plus Concurrent Chemoradiotherapy (CCRT) Followed by Nivolumab Plus Ipilimumab or Nivolumab Plus CCRT Followed by Nivolumab vs CCRT Followed by Durvalumab in Previously Untreated, Locally Advanced Non-small Cell Lung Cancer (LA NSCLC)
- ClinicalTrials.gov ID
- NCT04026412
- Acronym / sponsor ID
- CheckMate73L / CA209-73L
- Conditions
- Non-Small Cell Lung Cancer (NSCLC)
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 925 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- 8 Oct 2019 (actual)
- Primary completion
- 22 Mar 2024 (actual)
- Study completion
- 26 Nov 2024 (actual)
- First posted
- 19 Jul 2019 (actual)
- Results
- Posted 24 Jul 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary purpose of the study is to compare the effectiveness of nivolumab plus concurrent chemoradiotherapy (CCRT) followed by nivolumab plus ipilimumab vs CCRT followed by durvalumab in participants with untreated Locally Advanced Non-small Cell Lung Cancer (LA NSCLC).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Arm A: nivolumab + CCRT + ipilimumab | Experimental | Biological: nivolumab, Biological: ipilimumabConcurrent chemoradiotherapy (CCRT) |
| Arm B: nivolumab + CCRT | Experimental | Biological: nivolumabConcurrent chemoradiotherapy (CCRT) |
| Arm C: CCRT + durvalumab | Experimental | Biological: durvalumabConcurrent chemoradiotherapy (CCRT) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Eastern Cooperative Oncology Group (ECOG) performance status ≤1
- Locally advanced stage IIIA, IIIB, or IIIC (T1-2 N2-3 M0, T3 N1-3 M0, or T4 N0-3 M0) pathologically-confirmed NSCLC, according to 8th TNM classification. Participants who are not planned for potential curative surgical resection are eligible.
- Newly diagnosed and treatment-naïve, with no prior local or systemic anticancer therapy given as primary therapy for locally advanced disease
Key exclusion criteria (5 listed)
- Any condition including medical, emotional, psychiatric, or logistical that, in the opinion of the Investigator would preclude the participant from adhering to the protocol or would increase the risk associated with study participation
- Active infection requiring systemic therapy within 14 days prior to randomization
- History of organ or tissue transplant that requires systemic use of immune suppressive agents
- Prior thoracic radiotherapy
- 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 |
|---|---|---|
| nivolumabSpecified dose on specified days | Biological | Arm A: nivolumab + CCRT + ipilimumab, Arm B: nivolumab + CCRT |
| ipilimumabSpecified dose on specified days | Biological | Arm A: nivolumab + CCRT + ipilimumab |
| durvalumabSpecified dose on specified days | Biological | Arm C: CCRT + durvalumab |
Primary outcome
Arm A Vs Arm C - Progression-Free Survival (PFS) by RECIST 1.1 Per Blinded Independent Central Review (BICR)
Time frame: From randomization untill disease progression or death, whichever occurs first (up to approximately 53 months)
Progression-Free Survival then (PFS) is defined as the time between the date of randomization and the date of first documented disease progression, based on BICR assessments (per RECIST v1.1), or death due to any cause, whichever occurs first based on Kaplan-Meier estimates. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum during the study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
12 secondary outcomes
Overall Survival (OS)
Time frame: From randomization untill death (up to approximately 61 months)
Arm B Vs Arm C and Arm A Vs Arm B- Progression-Free Survival (Irrespective of Subsequent Therapy) by RECIST 1.1 Per Blinded Independent Central Review (BICR)
Time frame: From randomization untill disease progression or death, whichever occurs first (up to approximately 61 months)
Objective Response Rate (ORR) by BICR
Time frame: From randomization untill disease progression or death, whichever occurs first (up to approximately 61 months)
Duration of Response (DoR) by RECIST 1.1 Per BICR
Time frame: From randomization untill disease progression or death, whichever occurs first (up to approximately 61 months)
Time to Response (TTR) by RECIST 1.1 Per BICR
Time frame: From randomization untill disease progression or death, whichever occurs first (up to approximately 61 months)
Progression Free Survival (PFS) by RECIST 1.1 Per Investigator Assessment
Time frame: From randomization untill disease progression or death, whichever occurs first (up to approximately 61 months)
Objective Response Rate (ORR) by RECIST 1.1 Per Investigator Assessment
Time frame: From randomization untill disease progression or death, whichever occurs first (up to approximately 61 months)
Duration of Response (DOR) by RECIST 1.1 Per Investigator Assessment
Time frame: From randomization untill disease progression or death, whichever occurs first (up to approximately 61 months)
Time to Response (TTR) by RECIST 1.1 Per Investigator Assessment
Time frame: From randomization untill disease progression or death, whichever occurs first (up to approximately 61 months)
Time to Death or Distant Metastases (TDDM)
Time frame: From randomization until metastases or death, whichever occurs first (up to approximately 61 months)
Number of Participants With Adverse Events (AEs), Serious AEs and Select AEs
Time frame: From first dose (Day 1) till 30 days after the last dose (up to approximately 19 months)
Change From Baseline in Non-small Cell Lung Cancer (NSCLC)-Symptom Assessment Questionnaire (SAQ) Total Score at Week 48
Time frame: Baseline (Day 1) and Week 48
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Jul 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42129521Peters S, Tan DSW, Gerber DE, Urbanic J, Ramalingam S, Yu J, Xing L, Rittmeyer A, Ciuleanu TE, de Menezes J, Kim HR, Rojas C, Syrigos K, Hayashi H, Haridass A, Cortinovis D, Bruno D, Kimmich M, Calles A, Nathani R, Pudussery G, Yang L, De Ruysscher D. Nivolumab plus chemoradiotherapy followed by nivolumab with or without ipilimumab for untreated locally advanced stage III NSCLC: a randomized phase 3 trial. Nat Cancer. 2026 Jul;7(7):1121-1132. doi: 10.1038/s43018-026-01161-y. Epub 2026 May 13.
- Derived from this study: PubMed 34489161De Ruysscher D, Ramalingam S, Urbanic J, Gerber DE, Tan DSW, Cai J, Li A, Peters S. CheckMate 73L: A Phase 3 Study Comparing Nivolumab Plus Concurrent Chemoradiotherapy Followed by Nivolumab With or Without Ipilimumab Versus Concurrent Chemoradiotherapy Followed by Durvalumab for Previously Untreated, Locally Advanced Stage III Non-Small-Cell Lung Cancer. Clin Lung Cancer. 2022 May;23(3):e264-e268. doi: 10.1016/j.cllc.2021.07.005. Epub 2021 Jul 19.
- BMS Clinical Trial InformationLink provided by the sponsor.
- BMS Clinical Trial Patient RecruitingLink provided by the sponsor.
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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
183 sites in 27 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing nivolumab, ipilimumab and durvalumab in people with Non-Small Cell Lung Cancer (NSCLC), run by Bristol-Myers Squibb at 183 sites in 27 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 24 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 183 sites in United States, China, Japan, France, Germany and 22 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 24 Jul 2025). 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?
Arm A Vs Arm C - Progression-Free Survival (PFS) by RECIST 1.1 Per Blinded Independent Central Review (BICR) (time frame: From randomization untill disease progression or death, whichever occurs first (up to approximately 53 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 NCT04026412, 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 24 Jul 2025; AzTrials last refreshed its copy on 8 Nov 2026.