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Clear Cell Renal Cell CarcinomaPhase 3CheckMate-67TNCT04810078

A Study of Subcutaneous Nivolumab Versus Intravenous Nivolumab in Participants With Previously Treated Clear Cell Renal Cell Carcinoma That is Advanced or Has Spread

A Phase 3 study testing Nivolumab and rHuPH20 and Nivolumab in people with Clear Cell Renal Cell Carcinoma, run by Bristol-Myers Squibb at 89 sites in 17 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the drug levels, efficacy, safety, and tolerability of subcutaneous nivolumab versus intravenous nivolumab in participants with previously treated clear cell renal cell carcinoma that is advanced or has spread. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Clear Cell Renal Cell Carcinoma
What is being tested?
Nivolumab and rHuPH20 and Nivolumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
681 participants
Where
89 sitesin 17 countries
Study dates
21 May 2021to 10 May 2027
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

  • Histological confirmation of renal cell carcinoma (RCC) with a clear cell component, including participants who may also have sarcomatoid features
  • Advanced RCC (not amenable to curative surgery or radiation therapy) or metastatic RCC (Stage IV)
  • Measurable disease as defined by Response Evaluation Criteria in Solid Tumor (RECIST) v1.1 criteria within 28 days prior to randomization
  • Received no more than 2 prior systemic treatment regimens
  • Intolerance or progression on or after the last treatment regimen received and within 6 months prior to randomization
  • Karnofsky PS ≥ 70 at screening
  • Must agree to follow specific methods of contraception, if applicable

Who cannot join

  • Untreated, symptomatic central nervous system (CNS) metastases
  • Concurrent malignancy (present during screening) requiring treatment or history of prior malignancy active within 2 years prior to randomization
  • Active, known, or suspected autoimmune disease
  • Known human immunodeficiency virus (HIV) positive with an acquired immunodeficiency syndrome (AIDS) defining opportunistic infection within the last year, or a current CD4 count < 350 cells/μL. Participants with HIV are eligible if:
  • They have received established antiretroviral therapy (ART) for at least 4 weeks prior to randomization
  • They continue on ART as clinically indicated while enrolled on study
Show all 12Show fewer
  • CD4 counts and viral load are monitored per standard of care by a local health care provider
  • Inclusion of participants with HIV should be based on Investigator clinical judgment in consultation with the Medical Monitor NOTE: Testing for HIV must be performed at sites where mandated locally. HIV-positive participants must be excluded where mandated locally
  • Serious or uncontrolled medical disorders including for example, active severe acute respiratory syndrome coronavirus 2 (SAR-CoV-2) infection within approximately 4 weeks prior to screening. In the case of prior SARS-CoV-2 infection, acute symptoms must have resolved based on investigator clinical judgment and, in consultation with Medical Monitor, there are no sequelae that would place the participant at a higher risk of receiving investigational treatment to be eligible
  • Prior treatment with an programmed death receptor-1 (anti-PD-1), programmed death ligand-1 (anti-PD-L1), or cytotoxic T-lymphocyte-associated antigen-4 (anti-CTLA-4) antibody, or any other antibody or drug specifically targeting T-cell costimulation or checkpoint pathways
  • Treatment with any live attenuated vaccine within 30 days of first study treatment
  • Other protocol-defined inclusion/exclusion criteria apply

Trial locations and contacts

89 sites in 17 countries.

89 sites in 17 countries

Italy11 sites
  • Local Institution - 0033

    Cremona, 26100

  • Local Institution - 0008

    Florence, 50134

  • Local Institution - 0027

    Meldola, 47014

  • Local Institution - 0018

    Milan, 20141

  • Local Institution

    Milan, 20133

  • Local Institution - 0014

    Padova, 35128

  • Local Institution - 0082

    Parma, 43126

  • Local Institution - 0092

    Pavia, 27100

  • Local Institution - 0100

    Roma, 00168

  • Local Institution - 0091

    Rome, 00152

  • Local Institution - 0057

    Terni, 05100

Other trials in Italy

Spain10 sites
  • Local Institution - 0048

    Barcelona, 08003

  • Local Institution - 0102

    Barcelona, 08035

  • Local Institution - 0049

    Barcelona, 08041

  • Local Institution - 0072

    Madrid, 28026

  • Local Institution - 0067

    Madrid, 28033

  • Local Institution - 0074

    Madrid, 28046

  • Local Institution - 0075

    Madrid, 28050

  • Local Institution - 0032

    Sabadell, 08208

  • Local Institution - 0086

    Santander, 39008

  • Local Institution - 0059

    Seville, 31013

Other trials in Spain

Argentina8 sites
  • Local Institution - 0038

    Buenos Aires, Buenos Aires, C1426ANZ

  • Local Institution - 0095

    Capital Federal, Buenos Aires, C1419AHN

  • Local Institution - 0058

    Mar del Plata, Buenos Aires, 7600

  • Local Institution - 0079

    Parana, Córdoba Province, 5000

  • Local Institution - 0037

    Pergamino, Buenos Aires, B2700CPM

  • Local Institution - 0030

    Río Cuarto, Córdoba Province, 5800

  • Local Institution - 0056

    San Juan, San Juan Province, J5402DIL

  • Local Institution - 0066

    Viedma, Río Negro Province, R8500ACE

Other trials in Argentina

Brazil8 sites
  • Local Institution - 0071

    Barretos, São Paulo, 014784-000

  • Local Institution - 0064

    Curitiba, Paraná, 80520-174

  • Local Institution - 0107

    Ijuí, Rio Grande do Sul, 98700-000

  • Local Institution - 0039

    Porto Alegre, Rio Grande do Sul, 91350-200

  • Local Institution - 0090

    Rio de Janeiro, Rio de Janeiro, 20230-130

  • Local Institution - 0070

    São José do Rio Preto, São Paulo, 15090-000

  • Local Institution - 0081

    São Paulo, São Paulo, 01246-000

  • Local Institution - 0096

    São Paulo, São Paulo, 01327-0001

Other trials in Brazil

Mexico7 sites
  • Local Institution - 0103

    Monterrey, Nuevo León, 64460

  • Local Institution - 0031

    Monterrey, Nuevo León, 64710

  • Local Institution - 0065

    Querétaro City, Querétaro, 76000

  • Local Institution - 0085

    Querétaro City, Querétaro, 76090

  • Local Institution - 0105

    San Luis Potosí City, San Luis Potosí, 78200

  • Local Institution - 0089

    Tlalpan, Mexico City, 14080

  • Local Institution - 0101

    Torreón, Coahuila, 27010

Other trials in Mexico

Poland7 sites
  • Local Institution - 0055

    Biała Podlaska, 21-500

  • Local Institution - 0062

    Bydgoszcz, 85-796

  • Local Institution - 0083

    Gdansk, 80-214

  • Local Institution - 0021

    Krakow, 30-688

  • Local Institution - 0098

    Krakow, 31-115

  • Local Institution - 0001

    Poznan, 60-569

  • Local Institution - 0023

    Warsaw, 02-781

Other trials in Poland

Czechia6 sites
  • Local Institution - 0063

    Brno, 656 53

  • Local Institution - 0036

    Hradec Králové, 500 05

  • Local Institution - 0020

    Olomouc, 77900

  • Local Institution - 0099

    Ostrava, 708 52

  • Local Institution - 0010

    Prague, 140 59

  • Local Institution - 0106

    Praha 8 Liben, 18081

Other trials in Czechia

Russia6 sites
  • SBIH Chelyabinsk Regional Clinical Centre of Oncology and Nuclear Medicine

    Chelyabinsk, 454087

  • Ivanovo Regional Oncology Dispensary

    Ivanovo, 153040

  • Hertzen Moscow Oncology Research Center

    Moscow, 125284

  • Local Institution

    Nizghiy Novgorod, 603000

  • Budgetary Healthcare Institution of Omsk Region - Clinical Oncological Dispensary

    Omsk, 644013

  • LLC Eurocityclinic

    Saint Petersburg, 197022

Other trials in Russia

Chile5 sites
  • Local Institution - 0005

    Santiago, Santiago Metropolitan, 0

  • Local Institution - 0104

    Santiago, Santiago Metropolitan, 7500653

  • Local Institution - 0076

    Santiago, Santiago Metropolitan, 7500921

  • Local Institution - 0084

    Temuco, Araucania

  • Local Institution - 0077

    Viña del Mar, Valparaiso, 2520598

Other trials in Chile

Romania4 sites
  • Local Institution - 0024

    Bucharest, 022238

  • Local Institution - 0002

    Cluj-Napoca, 400132

  • Local Institution - 0040

    Cluj-Napoca, 400641

  • Local Institution - 0016

    Craiova, 200347

Other trials in Romania

Turkey (Türkiye)4 sites
  • Local Institution - 0026

    Ankara, 06230

  • Local Institution - 0097

    Ankara, 06590

  • Local Institution - 0035

    Istanbul, Bagcilar, 34284

  • Local Institution - 0019

    Istanbul, 34098

Other trials in Turkey (Türkiye)

United States3 sites
  • Local Institution - 0025

    Buffalo, New York, 14263

  • Local Institution

    Chicago, Illinois, 60611

  • Local Institution - 0088

    West Reading, Pennsylvania, 19611

Other trials in United States

France3 sites
  • Local Institution

    Nice, 6189

  • Local Institution - 0051

    Suresnes, 92151

  • Local Institution - 0068

    Villejuif, 94800

Other trials in France

New Zealand3 sites
  • Local Institution - 0053

    Auckland, 1023

  • Local Institution - 0041

    Hamilton, 3204

  • Local Institution - 0078

    Palmerston North, 4414

Other trials in New Zealand

Portugal2 sites
  • Local Institution - 0050

    Coimbra, 3030-075

  • Local Institution - 0052

    Lisbon, 1500-650

Other trials in Portugal

Finland1 site
  • Local Institution - 0017

    Tampere, 33521

Other trials in Finland

Ireland1 site
  • Local Institution - 0060

    Tallaght, Dublin, 0

Other trials in Ireland

About this study

Official title: A Phase 3, Open-label, Randomized, Noninferiority Trial of Subcutaneous Formulation of Nivolumab Versus Intravenous Nivolumab in Participants With Advanced or Metastatic Clear Cell Renal Cell Carcinoma Who Have Received Prior Systemic Therapy

The purpose of this study is to evaluate the drug levels, efficacy, safety, and tolerability of subcutaneous nivolumab versus intravenous nivolumab in participants with previously treated clear cell renal cell carcinoma that is advanced or has spread. The purpose of this study's substudy is to evaluate drug level biocomparability of subcutaneous nivolumab manufactured using two different manufacturing processes.

Being tested
Nivolumab and rHuPH20, Nivolumab
Keywords
BMS-936558, BMS-986298, Clear cell renal cell carcinoma, ccRCC, Nivolumab, Opdivo, rHuPH20, Subcutaneous
Medical subject headings
Carcinoma, Renal Cell

What participants receive

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

  • Nivolumab and rHuPH20Biological

    Also called BMS-986298

    Specified dose on specified days

  • NivolumabBiological

    Also called Opdivo, BMS-936558

    Specified dose on specified days

Study groups in NCT04810078
Study groupRoleWhat they receive
Arm AExperimentalNot described
Receives: Biological: Nivolumab and rHuPH20
Arm BActive comparatorNot described
Receives: Biological: Nivolumab
Arm CExperimentalNot described
Receives: Biological: Nivolumab and rHuPH20
Arm DExperimentalNot described
Receives: Biological: Nivolumab and rHuPH20

What is being measured

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

  1. Adjusted Geometric Mean Serum Concentration of Nivolumab Over 28 Days (Cavgd28) on Original Scale

    Plasma samples were collected to assess the serum concentration.

    Measured: Pre-dose (Day 1 to Day 28)

  2. Adjusted Geometric Mean of Nivolumab Trough Serum Concentration at Steady State (Cminss) on Original Scale

    Plasma samples were collected to assess the serum concentration.

    Measured: Pre-dose (Day 1 to Day 28)

Secondary outcomes (16)
  1. Objective Response Rate (ORR) Per BICR

    Objective response rate (ORR) is defined as the percentage of participants who achieve a best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR), based on blinded independent central review (BICR) assessments using Response Evaluation Criteria in Solid Tumors (RECIST 1.1), divided by the number of all randomized participants. 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.

    Measured: From first dose to the date of first objectively documented progression, per RECIST v1.1, or death due to any cause, whichever occurred first (up to approximately 26 months)

  2. Trough Serum Concentration of Nivolumab at Day 28 (Cmind28)

    Blood samples were collected to assess serum concentration.

    Measured: Pre-dose at Day 28

  3. Maximum Serum Concentration of Nivolumab After the First Dose (Cmax1)

    Blood samples were collected to assess serum concentration.

    Measured: Post dose (Day 1)

  4. Peak Serum Concentration of Nivolumab at Steady State (Cmaxss)

    Blood samples were collected to assess serum concentration.

    Measured: Pre-dose (Day 1 to Day 28)

  5. Time-averaged Serum Concentration of Nivolumab at Steady State (Cavgss)

    Blood samples were collected to assess serum concentration.

    Measured: Pre-dose (Day 1 to Day 28)

  6. Trough Serum Concentration of Nivolumab (Ctrough)

    Blood samples were collected to assess serum concentration.

    Measured: Pre-dose at Week 17

  7. Time to Maximum Serum Concentration of Nivolumab at Day 1 (Tmax1)

    Blood samples were collected to assess serum concentration.

    Measured: Post dose (Day 1)

  8. Trough Serum Concentration of Nivolumab at Steady State (Cminss)

    Blood samples were collected to assess serum concentration.

    Measured: Pre dose (Day 1 to Day 28)

  9. Number of Participants With Adverse Events, Serious Adverse Events, AEs Leading to Discontinuation and Death

    AE is defined as any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product; it does not necessarily have to have a causal relationship with this treatment. An SAE is defined as any untoward medical occurrence at any dose that: results in death, is immediately life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability or incapacity or substantial disruption of the ability to conduct normal life functions, results in a congenital abnormality or birth defect, or is an important medical event that may not result in death, be life-threatening, or require hospitalization, but may require medical or surgical intervention to prevent any of the outcomes listed above.

    Measured: First dose (Day 1) and 30 days after last dose of study therapy (up to approximately 25 months)

  10. Number of Participants With Grade 3/4 Laboratory Abnormalities

    Blood samples were collected for assessment of laboratory test results. All abnormalities were graded as per CTCAE v5.0 on a scale from 1 to 4, with Grade 1 being mild and asymptomatic; Grade 2 is moderate requiring minimal, local or noninvasive intervention; Grade 3 is severe or medically significant but not immediately life-threatening; Grade 4 events are usually severe enough to require hospitalization.

    Measured: First dose (Day 1) and 30 days after last dose of study therapy (up to approximately 25 months)

  11. Disease Control Rate (ORR) Per BICR

    Disease control rate (DCR) is defined as the percentage of participants who achieve a BOR of confirmed Complete Response (CR), confirmed Partial Response (PR), or stable disease (SD), based on BICR assessments (using RECIST 1.1) divided by the number of all randomized participants. CR: Disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of target lesions. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum diameters while on study.

    Measured: From first dose to the date of first objectively documented progression, per RECIST v1.1, or death due to any cause, whichever occurred first (up to approximately 26 months)

  12. Time to Response (TTR) Per BICR

    Time to response (TTR) assessed by BICR is defined as the time between the date of randomization and the first confirmed documented response (CR or PR) per RECIST 1.1 criteria.

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

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

    Measured: From first dose to the date of first objectively documented progression, per RECIST v1.1, or death due to any cause, whichever occurred first (up to approximately 26 months)

  13. Duration of Response (DoR) Per BICR

    Duration of Response (DOR) in months is defined as the time from date of the first documentation of objective response (CR or PR) to the first documentation of PD or to death due to any cause in the absence of documented PD. CR is complete disappearance of all target lesions except nodal disease; all target nodes must decrease to normal size (short axis < 10 mm). PR is ≥30% decrease under baseline of the sum of diameters of all target measurable lesions. Disease progression is defined as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed, with a minimum absolute increase of 5 mm.

    Measured: From first dose to the date of first objectively documented progression, per RECIST v1.1, or death due to any cause, whichever occurred first (up to approximately 26 months)

  14. Overall Survival

    Overall survival is defined as the time from the first dosing date (or from randomization/on treatment) to the date of death from any cause.

    Measured: From first dose to the date of death (up to approximately 26 months)

  15. Number of Participants With Drug-Related Local Injection- or Infusion-Site Reactions

    Measured: First dose (Day 1) and 100 days after last dose of study therapy (up to approximately 27 months)

  16. Number of Participants With Incidence of Anti-nivolumab Antibodies

    ADA Positive is a subject with at least one ADA-positive sample relative to baseline (ADA negative at baseline or ADA titer to be at least 4-fold or greater [≥]than baseline positive titer) at any time after initiation of treatment.

    Measured: First dose (Day 1) 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 posted22 Mar 2021
  2. Study start21 May 2021
  3. Primary completion29 Jul 2025
  4. Study completion10 May 2027 (estimated)

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
681 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04810078
Sponsor's protocol ID
CA209-67T
Other IDs
2020-003655-15, U1111-1255-9514
Acronym
CheckMate-67T
Status last verified
Aug 2026
First submitted
16 Mar 2021
Last updated
22 Sep 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: BMS will provide access to individual anonymized participant data upon request from qualified researchers, and subject to certain criteria. Additional information regarding Bristol Myer Squibb's data sharing policy and process can be found at https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html
Expanded access
Available

Publications

  • Albiges L, Bourlon MT, Chacon M, Cutuli HJ, Chuken YAL, Zurawski B, Mota JM, Magri I, Burotto M, Luz M, de Menezes J, Ruiz EPY, Fu S, Richardet M, Valderrama BP, Maruzzo M, Bracarda S, Breckenridge M, Vezina HE, Rathod D, Yu Z, Zhao Y, Dixon M, Perumal D, George S. Subcutaneous versus intravenous nivolumab for renal cell carcinoma. Ann Oncol. 2025 Jan;36(1):99-107. doi: 10.1016/j.annonc.2024.09.002. Epub 2024 Sep 15.

    PubMed 39288844

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Nivolumab and rHuPH20 and Nivolumab in people with Clear Cell Renal Cell Carcinoma, run by Bristol-Myers Squibb at 89 sites in 17 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 7 inclusion and 12 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: under way, not looking for participants, as of the sponsor's last update on 22 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 89 sites in Italy, Spain, Argentina, Brazil, Mexico and 12 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 22 Sep 2026). 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?

Adjusted Geometric Mean Serum Concentration of Nivolumab Over 28 Days (Cavgd28) on Original Scale (time frame: Pre-dose (Day 1 to Day 28)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04810078, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Sep 2026.

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CheckMate-67T Clinical Trial NCT04810078 | AzTrials