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.
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
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
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
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
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
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
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
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
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
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
Belgium4 sites
Local Institution - 0020
Brussels, 1200
Local Institution
Federal District, 72115700
Local Institution - 0053
Ghent, 9000
Local Institution - 0050
Plainfield, 1070
Germany4 sites
Local Institution - 0035
Göttingen, 37075
Local Institution
Hanover, 30625
Local Institution
Heidelberg, 69120
Local Institution - 0071
Leipzig, 4103
Russia3 sites
Local Institution - 0016
Barnaul, 656049
Local Institution - 0077
Saint Petersburg, 197758
Local Institution - 0009
Saint Petersburg, 198255
Singapore3 sites
Local Institution - 0027
Singapore, 119074
Local Institution - 0089
Singapore, 217562
Local Institution - 0011
Singapore, 308433
Czechia2 sites
Local Institution - 0055
Olomouc, 779 00
Local Institution
Prague, 15000
Hong Kong2 sites
Local Institution - 0004
Hong Kong, 0
Local Institution - 0045
Hong Kong, 0
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.
- Conditions
- Cancer, Hepatocellular
- 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 group | Role | What they receive |
|---|---|---|
| Nivolumab + Ipilimumab + TACE | Experimental | TACE (Trans-arterial ChemoEmbolization) Receives: Drug: nivolumab; Drug: ipilimumab; Procedure: TACE |
| Nivolumab + TACE | Experimental | Not described Receives: Drug: nivolumab; Procedure: TACE |
| TACE | Active comparator | Not described Receives: Procedure: TACE |
What is being measured
The primary outcome is the main question the study is designed to answer.
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)
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)
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)
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)
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)
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)
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.
- First posted9 Apr 2020
- Study start14 Sep 2020
- Primary completion12 Dec 2023
- Study completion12 Dec 2023
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.
- Other trials for Cancer, HepatocellularStudies 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
- 26 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
- 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
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Expanded access
- Available
Study at a glance
From the registry record, last updated by the sponsor on 26 Nov 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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)
- ClinicalTrials.gov ID
- NCT04340193
- Acronym / sponsor ID
- CheckMate 74W / CA209-74W
- Conditions
- Cancer, Hepatocellular
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 26 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- 14 Sep 2020 (actual)
- Primary completion
- 12 Dec 2023 (actual)
- Study completion
- 12 Dec 2023 (actual)
- First posted
- 9 Apr 2020 (actual)
- Results
- Posted 26 Nov 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Nivolumab + Ipilimumab + TACE | Experimental | Drug: nivolumab, Drug: ipilimumab, Procedure: TACETACE (Trans-arterial ChemoEmbolization) |
| Nivolumab + TACE | Experimental | Drug: nivolumab, Procedure: TACE |
| TACE | Active comparator | Procedure: TACE |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- 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
Key exclusion criteria (4 listed)
- 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
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 |
|---|---|---|
| nivolumabAlso: Opdivo, BMS-936558Specified dose on specified days | Drug | Nivolumab + Ipilimumab + TACE, Nivolumab + TACE |
| ipilimumabAlso: YervoySpecified dose on specified days | Drug | Nivolumab + Ipilimumab + TACE |
| TACETACE (Trans-arterial ChemoEmbolization) | Procedure or surgery | Nivolumab + Ipilimumab + TACE, Nivolumab + TACE, TACE |
Primary outcome
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)
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.
Number of Participants With Serious Adverse Events (SAEs)
Time frame: From first dose and 30 days after last dose of study therapy (up to approximately 25 months)
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.
Number of Participants Who Died
Time frame: From first dose and 100 days after last dose of study therapy (up to approximately 27 months)
Number of participants who died due to any cause are summarized.
Number of Participants With Adverse Events Leading to Study Drug Discontinuation
Time frame: From first dose and 30 days after last dose of study therapy (up to approximately 25 months)
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.
Number of Participants With Worst Grade (Grade 3/4) Laboratory Results
Time frame: From first dose and 30 days after last dose of study therapy (up to approximately 25 months)
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.
Number of Participants With Laboratory Abnormalities in Specific Thyroid Tests
Time frame: From first dose and 30 days after last dose of study therapy (up to approximately 25 months)
Blood samples were collected for specific thyroid test.
Number of Participants With Clinical Laboratory Abnormalities in Specific Liver Tests
Time frame: From first dose and 30 days after last dose of study therapy (up to approximately 25 months)
Blood samples were collected for specific liver tests.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Nov 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- 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
107 sites in 19 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 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.