Phase 3 Study of Nivolumab or Nivolumab Plus Ipilimumab Versus Ipilimumab Alone in Previously Untreated Advanced Melanoma (CheckMate 067)
A Phase 3, Randomized, Double-Blind Study of Nivolumab Monotherapy or Nivolumab Combined With Ipilimumab Versus Ipilimumab Monotherapy in Subjects With Previously Untreated Unresectable or Metastatic Melanoma
2 other identifiers
interventional
945
21 countries
136
Brief Summary
The purpose of this study is to show that Nivolumab and/or Nivolumab in combination with Ipilimumab will extend progression free survival and overall survival compared to Ipilimumab alone.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Jun 2013
Longer than P75 for phase_3
136 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 29, 2013
CompletedFirst Posted
Study publicly available on registry
May 1, 2013
CompletedStudy Start
First participant enrolled
June 11, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2016
CompletedResults Posted
Study results publicly available
September 26, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
April 19, 2024
CompletedMay 21, 2025
May 1, 2025
3.1 years
April 29, 2013
July 14, 2017
May 5, 2025
Conditions
Outcome Measures
Primary Outcomes (4)
Progression Free Survival (PFS)
PFS was defined as the time between the date of randomization and the first date of documented progression, as determined by the Investigator, or death due to any cause, whichever occurred first. Participants who died without a reported progression were considered to have progressed on the date of their death. Participants who did not progress or die were censored on the date of their last evaluable tumor assessment. Participants who did not have any on study tumor assessments and did not die were censored on their date of randomization. Participants treated beyond progression were considered to have progressive disease at the time of the initial progression event regardless of subsequent tumor response. Particpants who started anti-cancer therapy without a prior reported progression were censored on the date of their last evaluable tumor assessment prior to the initiation of subsequent anti-cancer therapy.
From randomization until disease progression or death, whichever occurred first (assessed up to February 2015, approximately 20 months)
Overall Survival (OS)
OS was defined as the time between the date of randomization and the date of death. For participants without documentation of death, OS was censored on the last date the participant was known to be alive.
From randomization to date of death (Assessed up to September 2016, approximately 39 months)
Rate of Overall Survival
OS was defined as the time between the date of randomization and the date of death. For participants without documentation of death, OS was censored on the last date the participant was known to be alive. The overall survival rate at time T (6, 12, or 24 months) was defined as the probability that a participant was alive at time T following randomization.
24 months
Rate of Progression-Free Survival
PFS was defined as the time between the date of randomization and the first date of documented progression, as determined by the Investigator, or death due to any cause, whichever occurred first. Participants who died without a reported progression were considered to have progressed on the date of their death. Participants who did not progress or die were censored on the date of their last evaluable tumor assessment. Participants who did not have any on study tumor assessments and did not die were censored on their date of randomization. Participants treated beyond progression were considered to have progressive disease at the time of the initial progression event regardless of subsequent tumor response. Participants who started anti-cancer therapy without a prior reported progression were censored on the date of their last evaluable tumor assessment prior to the initiation of subsequent anti-cancer therapy.
24 months
Secondary Outcomes (11)
Progression Free Survival (PFS)
From randomization until disease progression or death, whichever occurred first (assessed up to approximately 128 months)
Overall Survival (OS)
From randomization until death (assessed up to approximately 128 months)
Objective Response Rate (ORR) Per Investigator Assessment
From randomization until disease progression or death, whichever occurred first (assessed up to approximately 128 months)
Progression-Free Survival Based on PD-L1 Expression Level
From randomization until disease progression or death from any cause, whichever occurs first (Assessed up to September 2016, approximately 39 months)
Overall Survival Based on PD-L1 Expression Level
From randomization until death (assessed up to approximately 128 months)
- +6 more secondary outcomes
Study Arms (3)
Arm A: Nivolumab+Placebo for Ipilimumab+Placebo for Nivolumab
EXPERIMENTALNivolumab 3 mg/kg solution intravenously every 2 weeks plus Placebo matching with Ipilimumab 0 mg/kg solution intravenously on weeks 1, 4 and Placebo matching with Nivolumab on weeks 4 for cycles 1 and 2, until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends
Arm B: Nivolumab+Ipilimumab+Placebo for Nivolumab
EXPERIMENTALNivolumab 1 mg/kg solution intravenously combined with Ipilimumab 3 mg/kg solution intravenously every 3 weeks for 4 doses then Nivolumab 3 mg/kg solution intravenously every 2 weeks plus Placebo matching with Nivolumab on weeks 3 and 5 for cycles 1 and 2, until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends
Arm C: Ipilimumab+Placebo for Nivolumab
EXPERIMENTALIpilimumab 3 mg/kg solution intravenously every 3 weeks for a total of 4 doses plus Placebo matching with Nivolumab 0 mg/kg solution intravenously on weeks 3 and 5 for cycles 1 and 2, until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends (Placebo matching with Nivolumab is no longer required)
Interventions
Eligibility Criteria
You may qualify if:
- Histologically confirmed stage III (unresectable) or stage IV melanoma
- Treatment naïve patients
- Measurable disease by computed tomography (CT) or Magnetic Resonance Imaging (MRI) per RECIST 1.1 criteria
- Tumor tissue from an unresectable or metastatic site of disease for biomarker analyses
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 or 1
You may not qualify if:
- Active brain metastases or leptomeningeal metastases
- Ocular melanoma
- Subjects with active, known or suspected autoimmune disease
- Subjects with a condition requiring systemic treatment with either corticosteroids (\>10 mg daily prednisone equivalents) or other immunosuppressive medications within 14 days of treatment
- Prior treatment with an anti-Programmed Death receptor-1 (PD-1), anti-Programmed Death-1 ligand-1 (PD-L1), anti-PD-L2, or anti-cytotoxic T lymphocyte associated antigen-4 (anti-CTLA-4) antibody
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (150)
Local Institution - 0085
Gilbert, Arizona, 85234, United States
University of Arizona Cancer Center
Tucson, Arizona, 85724, United States
Local Institution - 0046
La Jolla, California, 92093-0698, United States
Local Institution - 0053
Los Angeles, California, 90025, United States
Local Institution - 0014
Los Angeles, California, 90095, United States
Comprehensive Cancer Center At Desert Regional Medical Ctr
Palm Springs, California, 92262, United States
Local Institution - 0066
Rancho Mirage, California, 92270, United States
California Pacific Medical Center Research Institute
San Francisco, California, 94115, United States
Local Institution - 0049
San Francisco, California, 94143, United States
Local Institution - 0052
Aurora, Colorado, 80045, United States
Local Institution - 0084
New Haven, Connecticut, 06520, United States
Local Institution - 0098
Washington D.C., District of Columbia, 20007, United States
Local Institution - 0183
Washington D.C., District of Columbia, 20010, United States
Local Institution - 0042
Jacksonville, Florida, 32207, United States
Local Institution - 0008
Orlando, Florida, 32806, United States
Local Institution - 0051
Atlanta, Georgia, 30322, United States
Maine Center For Cancer Medicine
Scarborough, Maine, 04074, United States
Local Institution - 0080
Lutherville, Maryland, 21093, United States
Local Institution - 0081
Boston, Massachusetts, 02215, United States
Local Institution - 0082
Boston, Massachusetts, 02215, United States
Local Institution - 0083
Boston, Massachusetts, 02215, United States
Local Institution - 0087
Ann Arbor, Michigan, 48109, United States
Local Institution - 0187
Minneapolis, Minnesota, 55407, United States
Local Institution - 0065
Jackson, Mississippi, 39216, United States
Local Institution - 0067
St Louis, Missouri, 63110, United States
Local Institution - 0015
Las Vegas, Nevada, 89148, United States
Local Institution - 0188
Morristown, New Jersey, 07962, United States
Local Institution - 0068
Albuquerque, New Mexico, 87106, United States
Local Institution - 0079
Albany, New York, 12206, United States
Local Institution - 0174
New York, New York, 10016, United States
Local Institution - 0070
New York, New York, 10020, United States
Local Institution - 0047
Charlotte, North Carolina, 28204, United States
Local Institution - 0048
Durham, North Carolina, 27710, United States
Local Institution - 0007
Cleveland, Ohio, 44106, United States
Local Institution - 0045
Portland, Oregon, 97213, United States
Local Institution - 0061
Allentown, Pennsylvania, 18102, United States
Local Institution - 0112
Bethlehem, Pennsylvania, 18015, United States
Local Institution - 0069
Pittsburgh, Pennsylvania, 15232, United States
Local Institution - 0154
Greenville, South Carolina, 29605, United States
Local Institution - 0062
Nashville, Tennessee, 37203, United States
Local Institution - 0064
Nashville, Tennessee, 37232, United States
Local Institution - 0044
Dallas, Texas, 75246, United States
Texas Oncology
Dallas, Texas, 75246, United States
Local Institution - 0088
Houston, Texas, 77210, United States
Local Institution - 0089
Salt Lake City, Utah, 84112, United States
Local Institution - 0054
Seattle, Washington, 98109, United States
Local Institution - 0017
Camperdown, New South Wales, 2050, Australia
Local Institution - 0031
Coffs Harbour, New South Wales, 2450, Australia
Local Institution - 0028
Gateshead, New South Wales, 2290, Australia
Local Institution - 0023
Macquarie University, New South Wales, 2109, Australia
Local Institution - 0138
North Sydney, New South Wales, 2060, Australia
Local Institution - 0019
Brisbane, Queensland, 4120, Australia
Local Institution - 0022
Southport, Queensland, 4215, Australia
Local Institution - 0018
Woolloongabba, Queensland, 4102, Australia
Local Institution - 0020
Adelaide, South Australia, 5000, Australia
Local Institution - 0025
Kurralta Park, South Australia, 5037, Australia
Local Institution - 0024
Box Hill, Victoria, 3128, Australia
Local Institution - 0016
Heidelberg, Victoria, 3084, Australia
Local Institution - 0026
Melbourne, Victoria, 3000, Australia
Local Institution - 0021
Nedlands, Western Australia, 6009, Australia
Local Institution - 0148
Salzburg, 5020, Austria
Local Institution - 0145
Vienna, 1090, Austria
Local Institution - 0003
Brussels, 1090, Belgium
Local Institution - 0002
Brussels, 1200, Belgium
Local Institution - 0004
Edegem, 2650, Belgium
Local Institution - 0005
Ghent, 9000, Belgium
Local Institution - 0103
Leuven, 3000, Belgium
Local Institution - 0140
Edmonton, Alberta, T6G 1Z2, Canada
Local Institution - 0165
Vancouver, British Columbia, V5Z 4E6, Canada
Local Institution - 0141
London, Ontario, N6A 4L6, Canada
Local Institution - 0143
Ottawa, Ontario, K1H 8L6, Canada
Local Institution - 0166
Toronto, Ontario, M5G 2M9, Canada
Local Institution - 0139
Montreal, Quebec, H2X 3E4, Canada
Local Institution - 0142
Québec, Quebec, G1J 1Z4, Canada
Local Institution - 0092
Brno, 656 53, Czechia
Local Institution - 0091
Hradec Králové, 500 05, Czechia
Local Institution - 0090
Prague, 128 08, Czechia
Local Institution - 0167
Prague, 180 81, Czechia
Local Institution - 0076
Aarhus, 8200, Denmark
Local Institution - 0078
Herlev, 2730, Denmark
Local Institution - 0077
Odense, 5000, Denmark
Local Institution - 0071
Helsinki, Uusimaa, 00290, Finland
Local Institution - 0169
Tampere, 33521, Finland
Local Institution - 0125
Boulogne-Billancourt, 92104, France
Local Institution - 0126
Marseille, 13385, France
Local Institution - 0056
Nantes, 44093, France
Local Institution - 0058
Paris, 75475, France
Local Institution - 0124
Pierre-Bénite, 69310, France
Local Institution - 0127
Rennes, 35042, France
Local Institution
Villejuif, 94805, France
Local Institution - 0162
Buxtehude, 21614, Germany
Local Institution - 0161
Erfurt, 99089, Germany
Local Institution - 0171
Erlangen, 91054, Germany
Local Institution - 0156
Essen, 45147, Germany
Local Institution - 0159
Hanover, 30625, Germany
Local Institution - 0157
Heidelberg, 69120, Germany
Local Institution - 0158
Kiel, 24105, Germany
Local Institution - 0178
Leipzig, 04103, Germany
Local Institution - 0160
München, 80337, Germany
Local Institution - 0134
Tübingen, 72076, Germany
Local Institution - 0035
Dublin, Dublin, Ireland
Local Institution - 0033
Cork, T12DFK4, Ireland
Local Institution - 0168
Dublin, 01, Ireland
Local Institution - 0036
Dublin, 7, Ireland
Local Institution - 0034
Dublin, Ireland
Local Institution - 0032
Galway, 0, Ireland
Local Institution - 0120
Jerusalem, 91120, Israel
Local Institution - 0121
Tel Litwinsky, 52621, Israel
Local Institution - 0176
Bergamo, 24127, Italy
Local Institution - 0115
Genova, 16132, Italy
Local Institution - 0113
Meldola (FC), 47014, Italy
Local Institution - 0172
Milan, 20133, Italy
Local Institution - 0117
Milan, 20141, Italy
Local Institution - 0114
Napoli, 80131, Italy
Local Institution - 0118
Padua, Padova, Italy
Local Institution - 0177
Roma, 00144, Italy
Local Institution - 0116
Siena, 53100, Italy
Local Institution - 0010
Amsterdam, 1066 CX, Netherlands
Local Institution - 0012
Leiden, 2333 ZA, Netherlands
Local Institution - 0013
Nijmegen, 6525 GC, Netherlands
Local Institution - 0029
Auckland, 1142, New Zealand
Local Institution - 0123
Oslo, 0424, Norway
Local Institution - 0109
Gdansk, 80-952, Poland
Local Institution - 0133
Krakow, 31-115, Poland
Local Institution - 0060
Lodz, 93-513, Poland
Local Institution - 0059
Warsaw, 02-781, Poland
Local Institution - 0130
Moscow, 115478, Russia
Local Institution - 0132
Saint Petersburg, 197758, Russia
Local Institution - 0128
Saint Petersburg, 198255, Russia
Local Institution - 0131
Samara, 443031, Russia
Local Institution - 0152
Badalona-Barcelona, 08916, Spain
Local Institution - 0151
Barcelona, 08035, Spain
Local Institution - 0175
Barcelona, 08036, Spain
Local Institution - 0150
Madrid, 28007, Spain
Local Institution - 0149
Madrid, 28046, Spain
Local Institution - 0153
Málaga, 29010, Spain
Local Institution - 0147
Pamplona, 31008, Spain
Local Institution - 0182
Gothenberg, 413 45, Sweden
Local Institution - 0184
Stockholm, 171 76, Sweden
Local Institution - 0164
Geneva, 1211, Switzerland
Local Institution - 0189
Lausanne, 1011, Switzerland
Local Institution - 0186
Sankt Gallen, 9007, Switzerland
Local Institution - 0163
Zurich, 8091, Switzerland
Local Institution - 0039
Glasgow, Dumfries & Galloway, G12 0YN, United Kingdom
Local Institution - 0038
London, Greater London, SW3 6JJ, United Kingdom
Local Institution - 0119
Manchester, Greater Manchester, M20 4XB, United Kingdom
Local Institution - 0041
Northwood, Middlesex, HA6 2JR, United Kingdom
Local Institution - 0122
Nottingham, Nottinghamshire, NG5 1PB, United Kingdom
Local Institution - 0037
Cambridge, CB2 2QQ, United Kingdom
Local Institution - 0040
Swansea, SA2 8QA, United Kingdom
Related Publications (10)
Long GV, Larkin J, Schadendorf D, Grob JJ, Lao CD, Marquez-Rodas I, Wagstaff J, Lebbe C, Pigozzo J, Robert C, Ascierto PA, Atkinson V, Postow MA, Atkins MB, Sznol M, Callahan MK, Topalian SL, Sosman JA, Kotapati S, Thakkar PK, Ritchings C, Pe Benito M, Re S, Soleymani S, Hodi FS. Pooled Long-Term Outcomes With Nivolumab Plus Ipilimumab or Nivolumab Alone in Patients With Advanced Melanoma. J Clin Oncol. 2025 Mar 10;43(8):938-948. doi: 10.1200/JCO.24.00400. Epub 2024 Nov 6.
PMID: 39504507DERIVEDWolchok JD, Chiarion-Sileni V, Rutkowski P, Cowey CL, Schadendorf D, Wagstaff J, Queirolo P, Dummer R, Butler MO, Hill AG, Postow MA, Gaudy-Marqueste C, Medina T, Lao CD, Walker J, Marquez-Rodas I, Haanen JBAG, Guidoboni M, Maio M, Schoffski P, Carlino MS, Sandhu S, Lebbe C, Ascierto PA, Long GV, Ritchings C, Nassar A, Askelson M, Benito MP, Wang W, Hodi FS, Larkin J; CheckMate 067 Investigators. Final, 10-Year Outcomes with Nivolumab plus Ipilimumab in Advanced Melanoma. N Engl J Med. 2025 Jan 2;392(1):11-22. doi: 10.1056/NEJMoa2407417. Epub 2024 Sep 15.
PMID: 39282897DERIVEDMantia CM, Werner L, Stwalley B, Ritchings C, Tarhini AA, Atkins MB, McDermott DF, Regan MM. Sensitivity of treatment-free survival to subgroup analyses in patients with advanced melanoma treated with immune checkpoint inhibitors. Melanoma Res. 2022 Feb 1;32(1):35-44. doi: 10.1097/CMR.0000000000000793.
PMID: 34855329DERIVEDWolchok JD, Chiarion-Sileni V, Gonzalez R, Grob JJ, Rutkowski P, Lao CD, Cowey CL, Schadendorf D, Wagstaff J, Dummer R, Ferrucci PF, Smylie M, Butler MO, Hill A, Marquez-Rodas I, Haanen JBAG, Guidoboni M, Maio M, Schoffski P, Carlino MS, Lebbe C, McArthur G, Ascierto PA, Daniels GA, Long GV, Bas T, Ritchings C, Larkin J, Hodi FS. Long-Term Outcomes With Nivolumab Plus Ipilimumab or Nivolumab Alone Versus Ipilimumab in Patients With Advanced Melanoma. J Clin Oncol. 2022 Jan 10;40(2):127-137. doi: 10.1200/JCO.21.02229. Epub 2021 Nov 24.
PMID: 34818112DERIVEDLarkin J, Chiarion-Sileni V, Gonzalez R, Grob JJ, Rutkowski P, Lao CD, Cowey CL, Schadendorf D, Wagstaff J, Dummer R, Ferrucci PF, Smylie M, Hogg D, Hill A, Marquez-Rodas I, Haanen J, Guidoboni M, Maio M, Schoffski P, Carlino MS, Lebbe C, McArthur G, Ascierto PA, Daniels GA, Long GV, Bastholt L, Rizzo JI, Balogh A, Moshyk A, Hodi FS, Wolchok JD. Five-Year Survival with Combined Nivolumab and Ipilimumab in Advanced Melanoma. N Engl J Med. 2019 Oct 17;381(16):1535-1546. doi: 10.1056/NEJMoa1910836. Epub 2019 Sep 28.
PMID: 31562797DERIVEDHodi FS, Chiarion-Sileni V, Gonzalez R, Grob JJ, Rutkowski P, Cowey CL, Lao CD, Schadendorf D, Wagstaff J, Dummer R, Ferrucci PF, Smylie M, Hill A, Hogg D, Marquez-Rodas I, Jiang J, Rizzo J, Larkin J, Wolchok JD. Nivolumab plus ipilimumab or nivolumab alone versus ipilimumab alone in advanced melanoma (CheckMate 067): 4-year outcomes of a multicentre, randomised, phase 3 trial. Lancet Oncol. 2018 Nov;19(11):1480-1492. doi: 10.1016/S1470-2045(18)30700-9. Epub 2018 Oct 22.
PMID: 30361170DERIVEDWolchok JD, Chiarion-Sileni V, Gonzalez R, Rutkowski P, Grob JJ, Cowey CL, Lao CD, Wagstaff J, Schadendorf D, Ferrucci PF, Smylie M, Dummer R, Hill A, Hogg D, Haanen J, Carlino MS, Bechter O, Maio M, Marquez-Rodas I, Guidoboni M, McArthur G, Lebbe C, Ascierto PA, Long GV, Cebon J, Sosman J, Postow MA, Callahan MK, Walker D, Rollin L, Bhore R, Hodi FS, Larkin J. Overall Survival with Combined Nivolumab and Ipilimumab in Advanced Melanoma. N Engl J Med. 2017 Oct 5;377(14):1345-1356. doi: 10.1056/NEJMoa1709684. Epub 2017 Sep 11.
PMID: 28889792DERIVEDLong GV, Weber JS, Larkin J, Atkinson V, Grob JJ, Schadendorf D, Dummer R, Robert C, Marquez-Rodas I, McNeil C, Schmidt H, Briscoe K, Baurain JF, Hodi FS, Wolchok JD. Nivolumab for Patients With Advanced Melanoma Treated Beyond Progression: Analysis of 2 Phase 3 Clinical Trials. JAMA Oncol. 2017 Nov 1;3(11):1511-1519. doi: 10.1001/jamaoncol.2017.1588.
PMID: 28662232DERIVEDSchadendorf D, Larkin J, Wolchok J, Hodi FS, Chiarion-Sileni V, Gonzalez R, Rutkowski P, Grob JJ, Cowey CL, Lao C, Wagstaff J, Callahan MK, Postow MA, Smylie M, Ferrucci PF, Dummer R, Hill A, Taylor F, Sabater J, Walker D, Kotapati S, Abernethy A, Long GV. Health-related quality of life results from the phase III CheckMate 067 study. Eur J Cancer. 2017 Sep;82:80-91. doi: 10.1016/j.ejca.2017.05.031. Epub 2017 Jun 23.
PMID: 28651159DERIVEDLarkin J, Chiarion-Sileni V, Gonzalez R, Grob JJ, Cowey CL, Lao CD, Schadendorf D, Dummer R, Smylie M, Rutkowski P, Ferrucci PF, Hill A, Wagstaff J, Carlino MS, Haanen JB, Maio M, Marquez-Rodas I, McArthur GA, Ascierto PA, Long GV, Callahan MK, Postow MA, Grossmann K, Sznol M, Dreno B, Bastholt L, Yang A, Rollin LM, Horak C, Hodi FS, Wolchok JD. Combined Nivolumab and Ipilimumab or Monotherapy in Untreated Melanoma. N Engl J Med. 2015 Jul 2;373(1):23-34. doi: 10.1056/NEJMoa1504030. Epub 2015 May 31.
PMID: 26027431DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Bristol-Myers Squibb Study Director
- Organization
- Bristol-Myers Squibb
Study Officials
- STUDY DIRECTOR
Bristol-Myers Squibb
Bristol-Myers Squibb
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 29, 2013
First Posted
May 1, 2013
Study Start
June 11, 2013
Primary Completion
August 1, 2016
Study Completion
April 19, 2024
Last Updated
May 21, 2025
Results First Posted
September 26, 2017
Record last verified: 2025-05