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Cancer, HepatocellularPhase 3CheckMate 74WNCT04340193

A Study of Nivolumab and Ipilimumab and Nivolumab Alone in Combination With Trans-arterial ChemoEmbolization (TACE) in Participants With Intermediate Stage Liver Cancer

A Phase 3 study testing nivolumab, ipilimumab and TACE in people with Cancer, Hepatocellular, run by Bristol-Myers Squibb at 107 sites in 19 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 evaluate the safety and tolerability of nivolumab with and without ipilimumab in combination with Trans-arterial ChemoEmbolization (TACE) to TACE alone in participants with intermediate liver cancer. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cancer, Hepatocellular
What is being tested?
nivolumab, ipilimumab and TACE
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
26 participants
Where
107 sitesin 19 countries
Study dates
14 Sep 2020to 12 Dec 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

  • Participant has intermediate-stage hepatocellular carcinoma (HCC) whose tumor characteristics exceed the Beyond Milan and Up-to-7 (BMU7) criteria and is eligible for trans-arterial ChemoEmbolization (TACE)
  • Participant has no extrahepatic spreading (EHS), no regional lymph node involvement, no main, left main, or right main portal vein thrombosis, and no macrovascular invasion (MVI)
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 or 1

Who cannot join

  • Known fibrolamellar HCC, sarcomatoid HCC, or mixed cholangiocarcinoma and HCC
  • Prior liver transplant or participants who are on the waiting list for liver transplantation
  • Active, known, or suspected autoimmune disease
  • Other protocol defined inclusion/exclusion criteria apply

Trial locations and contacts

107 sites in 19 countries.

107 sites in 19 countries

Japan15 sites
  • Local Institution - 0127

    Abeno-ku, Osaka, 545-8586

  • Local Institution - 0108

    Chiba, Chiba, 260-8677

  • Local Institution - 0119

    Hiroshima, 734-8551

  • Local Institution - 0125

    Izunokuni-Shi, Shizuoka, 4102295

  • Local Institution - 0118

    Kanazawa, Ishikawa-ken, 9208641

  • Local Institution - 0115

    Kyoto, Kyoto, 602-0841

  • Local Institution - 0122

    Matsuyama, Ehime, 790-0024

  • Local Institution - 0116

    Minato-ku, Tokyo, 105-8470

  • Local Institution - 0128

    Minato-ku, Tokyo, 105-8470

  • Local Institution - 0121

    Musashino-shi, Tokyo, 180-8610

  • Local Institution - 0117

    Osaka, 589-8511

  • Local Institution - 0123

    Saitama, 350-0495

  • Local Institution - 0148

    Sapporo, Hokkaido, 060-0033

  • Local Institution - 0120

    Yokohama, Kanagawa, 2320024

  • Local Institution - 0113

    Yokohama, Kanagawa, 241-0815

Other trials in Japan

China12 sites
  • Local Institution - 0184

    Beijing, Beijing Municipality, 100034

  • Local Institution

    Chengdu, Sichuan, 610041

  • Local Institution

    Guangzhou, Guangdong, 510060

  • Local Institution

    Guangzhou, Guangdong, 510095

  • Local Institution

    Hangzhou, Zhejiang, 310003

  • Local Institution

    Hangzhou, Zhejiang, 310022

  • Local Institution - 0176

    Nanchang, Jiangxi, 330006

  • Local Institution - 0196

    Nanjing, Jiangsu, 210009

  • Local Institution - 0151

    Shanghai, Shanghai Municipality, 200040

  • Local Institution

    Shenyang, Liaoning, 110042

  • Local Institution

    Tianjin, Hebei, 300060

  • Local Institution - 0209

    Xi'an, Shan3xi, 710100

Other trials in China

France12 sites
  • Local Institution - 0132

    Caen, 14033

  • Local Institution - 0021

    Clichy, 92110

  • Local Institution - 0064

    Dijon, 21000

  • Local Institution - 0082

    Englewood, 34295

  • Local Institution - 0052

    La Tronche, 38700

  • Local Institution - 0014

    Lille, Mount, 59037

  • Local Institution - 0061

    Marseil, 13285

  • Local Institution - 0087

    Nantes, 44093

  • Local Institution - 0012

    Nice, 6202

  • Local Institution - 0093

    Paris, 75013

  • Local Institution - 0046

    Reims, 51092

  • Local Institution - 0094

    Villejuif, 94805

Other trials in France

Spain9 sites
  • Local Institution - 0023

    Alicante, 03010

  • Local Institution - 0092

    Córdoba, 14004

  • Local Institution - 0101

    Madrid, 28007

  • Local Institution - 0183

    Madrid, 28027

  • Local Institution - 0084

    Madrid, 28034

  • Local Institution - 0018

    Madrid, 28041

  • Local Institution - 0099

    Pamplona, 31008

  • Local Institution - 0131

    Sabadell, 8208

  • Local Institution - 0102

    Santiago de Compostela, 15706

Other trials in Spain

Italy8 sites
  • Local Institution

    Messina, 98124

  • Local Institution - 0025

    Milan, 20122

  • Local Institution

    Monserrato, 9042

  • Local Institution - 0015

    Orbassano, TO, 10043

  • Local Institution

    Parma, 43126

  • Local Institution

    Roma, 78584

  • Local Institution - 0076

    Siena, 53100

  • Local Institution - 0070

    Vicenza, 36100

Other trials in Italy

South Korea8 sites
  • Local Institution - 0114

    Busan, 49241

  • Local Institution - 0135

    Daegu, 41944

  • Local Institution - 0047

    Gyeongsangnam-do, 050612

  • Local Institution - 0097

    Hwasun-Gun, 58128

  • Local Institution - 0161

    Seoul, 03080

  • Local Institution - 0186

    Seoul, 05505

  • Local Institution - 0160

    Seoul, 06351

  • Local Institution - 0164

    Seoul, 120-752

Other trials in South Korea

Taiwan7 sites
  • Local Institution - 0136

    Buzi, 613

  • Local Institution - 0141

    Kaohsiung City, 807

  • Local Institution - 0030

    Taichung, 40447

  • Local Institution - 0057

    Taichung, 40705

  • Local Institution - 0029

    Tainan, 704

  • Local Institution - 0002

    Taipei, 10002

  • Local Institution - 0044

    Tapei, 11217

Other trials in Taiwan

United States5 sites
  • Local Institution - 0189

    Coronado, California, 92118

  • Local Institution - 0109

    Dallas, Texas, 75203

  • Local Institution - 0005

    Louisville, Kentucky, 40202

  • Local Institution - 0059

    Louisville, Kentucky, 40217

  • Local Institution

    Washington D.C., District of Columbia, 20007

Other trials in United States

Australia5 sites
  • Local Institution - 0010

    Adelaide, South Australia, 5000

  • Local Institution - 0037

    Birtinya, Queensland, 4575

  • Local Institution - 0001

    Melbourne, Victoria, 3065

  • Local Institution - 0139

    Murdoch, Western Australia, 6150

  • Local Institution

    Wollongong, New South Wales, 2500

Other trials in Australia

Austria5 sites
  • Local Institution - 0026

    Graz, 8036

  • Local Institution - 0013

    Sankt Pölten, 3100

  • Local Institution

    Vienna, 1100

  • Local Institution - 0078

    West Springfield, 1090

  • Local Institution - 0048

    Wiener Neustadt, 2700

Other trials in Austria

Belgium4 sites
  • Local Institution - 0020

    Brussels, 1200

  • Local Institution

    Federal District, 72115700

  • Local Institution - 0053

    Ghent, 9000

  • Local Institution - 0050

    Plainfield, 1070

Other trials in Belgium

Germany4 sites
  • Local Institution - 0035

    Göttingen, 37075

  • Local Institution

    Hanover, 30625

  • Local Institution

    Heidelberg, 69120

  • Local Institution - 0071

    Leipzig, 4103

Other trials in Germany

Russia3 sites
  • Local Institution - 0016

    Barnaul, 656049

  • Local Institution - 0077

    Saint Petersburg, 197758

  • Local Institution - 0009

    Saint Petersburg, 198255

Other trials in Russia

Singapore3 sites
  • Local Institution - 0027

    Singapore, 119074

  • Local Institution - 0089

    Singapore, 217562

  • Local Institution - 0011

    Singapore, 308433

Other trials in Singapore

Czechia2 sites
  • Local Institution - 0055

    Olomouc, 779 00

  • Local Institution

    Prague, 15000

Other trials in Czechia

Hong Kong2 sites
  • Local Institution - 0004

    Hong Kong, 0

  • Local Institution - 0045

    Hong Kong, 0

Other trials in Hong Kong

Canada1 site
  • Local Institution - 0039

    Québec, Quebec, G1R 2J6

Other trials in Canada

Poland1 site
  • Local Institution

    Warsaw, 02-034

Other trials in Poland

Puerto Rico1 site
  • Local Institution - 0049

    San Juan, 00902

Other trials in Puerto Rico

About this study

Official title: A Randomized, Multi-center, Double-blinded, Placebo-controlled Phase 3 Study of Nivolumab and Ipilimumab, Nivolumab Monotherapy, or Placebo in Combination With Trans-arterial ChemoEmbolization (TACE) in Patients With Intermediate-stage Hepatocellular Carcinoma (HCC)

The purpose of this study is to evaluate the safety and tolerability of nivolumab with and without ipilimumab in combination with Trans-arterial ChemoEmbolization (TACE) to TACE alone in participants with intermediate liver cancer.

Being tested
nivolumab, ipilimumab, TACE
Medical subject headings
Liver Neoplasms

What participants receive

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

  • nivolumabDrug

    Also called Opdivo, BMS-936558

    Specified dose on specified days

  • ipilimumabDrug

    Also called Yervoy

    Specified dose on specified days

  • TACEProcedure or surgery

    TACE (Trans-arterial ChemoEmbolization)

Study groups in NCT04340193
Study groupRoleWhat they receive
Nivolumab + Ipilimumab + TACEExperimentalTACE (Trans-arterial ChemoEmbolization)
Receives: Drug: nivolumab; Drug: ipilimumab; Procedure: TACE
Nivolumab + TACEExperimentalNot described
Receives: Drug: nivolumab; Procedure: TACE
TACEActive comparatorNot described
Receives: Procedure: TACE

What is being measured

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

  1. Number of Participants With Adverse Events

    An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment.

    Measured: From first dose and 30 days after last dose of study therapy (up to approximately 25 months)

  2. Number of Participants With Serious Adverse Events (SAEs)

    Serious Adverse Event (SAE) is defined as any untoward medical occurrence that, at any dose that results in death, Is life-threatening (defined as an event in which the participant 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) or requires inpatient hospitalization or causes prolongation of existing hospitalization, or results in persistent or significant disability/incapacity or is a congenital anomaly/birth defect or is an important medical event.

    Measured: From first dose and 30 days after last dose of study therapy (up to approximately 25 months)

  3. Number of Participants Who Died

    Number of participants who died due to any cause are summarized.

    Measured: From first dose and 100 days after last dose of study therapy (up to approximately 27 months)

  4. Number of Participants With Adverse Events Leading to Study Drug Discontinuation

    An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment.

    Measured: From first dose and 30 days after last dose of study therapy (up to approximately 25 months)

  5. Number of Participants With Worst Grade (Grade 3/4) Laboratory Results

    Laboratory results were graded using the Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 (Grade 3 =Severe, Grade 4 = Life-threatening). Highest grade measured for hemoglobin and albumin was Grade 3.

    Measured: From first dose and 30 days after last dose of study therapy (up to approximately 25 months)

  6. Number of Participants With Laboratory Abnormalities in Specific Thyroid Tests

    Blood samples were collected for specific thyroid test.

    Measured: From first dose and 30 days after last dose of study therapy (up to approximately 25 months)

  7. Number of Participants With Clinical Laboratory Abnormalities in Specific Liver Tests

    Blood samples were collected for specific liver tests.

    Measured: From first dose and 30 days after last dose of study therapy (up to approximately 25 months)

Timeline

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

  1. First posted9 Apr 2020
  2. Study start14 Sep 2020
  3. Primary completion12 Dec 2023
  4. Study completion12 Dec 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
26 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04340193
Sponsor's protocol ID
CA209-74W
Acronym
CheckMate 74W
Status last verified
Nov 2024
First submitted
7 Apr 2020
Last updated
26 Nov 2024
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Expanded access
Available

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing nivolumab, ipilimumab and TACE in people with Cancer, Hepatocellular, run by Bristol-Myers Squibb at 107 sites in 19 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 4 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 26 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 107 sites in Japan, China, France, Spain, Italy and 14 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 26 Nov 2024). 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?

Number of Participants With Adverse Events (time frame: From first dose and 30 days after last dose of study therapy (up to approximately 25 months)). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 26 Nov 2024.

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