A Study of Nivolumab + Chemotherapy or Nivolumab + Ipilimumab Versus Chemotherapy in Non-Small Cell Lung Cancer (NSCLC) Participants With Epidermal Growth Factor Receptor (EGFR) Mutation Who Failed 1L or 2L EGFR Tyrosine Kinase Inhibitor (TKI) Therapy
CheckMate722
Open-Label, Randomized Trial of Nivolumab (BMS-936558) Plus Pemetrexed/Platinum or Nivolumab Plus Ipilimumab (BMS-734016) vs Pemetrexed Plus Platinum in Stage IV or Recurrent Non-Small Cell Lung Cancer (NSCLC) Subjects With Epidermal Growth Factor Receptor (EGFR) Mutation Who Failed 1L or 2L EGFR Tyrosine Kinase Inhibitor Therapy
2 other identifiers
interventional
367
10 countries
109
Brief Summary
The main purpose of this study is to determine whether nivolumab + chemotherapy is effective as compared to chemotherapy in the treatment of patients with EGFR mutation, NSCLC who failed first line (1L) or second-line (2L) EGFR TKI therapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Mar 2017
Longer than P75 for phase_3
109 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
August 9, 2016
CompletedFirst Posted
Study publicly available on registry
August 11, 2016
CompletedStudy Start
First participant enrolled
March 17, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 20, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
October 17, 2022
CompletedResults Posted
Study results publicly available
February 6, 2023
CompletedSeptember 28, 2023
September 1, 2023
4.8 years
August 9, 2016
January 10, 2023
September 6, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Progression Free Survival (PFS) by Blinded Independent Centralized Review (BICR)
PFS is defined as the time between the date of randomization and the date of first documented tumor progression, as determined by BICR (per RECIST v1.1 criteria), or death due to any cause, whichever occurs first. Participants who died without reported progression will be considered to have progressed on the date of their death. Subsequent therapy was accounted for by censoring at the last evaluable tumor assessment on or prior to the date of subsequent therapy. Progression is the appearance of one or more new lesions. RECIST - "response evaluation criteria in solid tumors" is a standard system to measure tumor response to treatment. Based on Kaplan-Meier estimates
From randomization to the date of first documented tumor progression or death (approximately 58 months)
Secondary Outcomes (5)
Overall Survival (OS)
From randomization to the date of death due to any cause (up to approximately 67 months)
Objective Response Rate (ORR) by Blinded Independent Centralized Review (BICR)
From randomization to the date of objectively documented progression, date of death, or the date of subsequent therapy (up to approximately 67 months)
Duration of Response (DOR) by Blinded Independent Centralized Review (BICR)
From randomization to the date of first documented disease progression or death due to any cause (approximately 67 months)
9 Month Progression Free Survival Rates (PFSR) by Blinded Independent Centralized Review (BICR)
9 months after first treatment dose
12 Month Progression Free Survival Rates (PFSR) by Blinded Independent Centralized Review (BICR)
12 Months after first treatment dose
Study Arms (3)
Nivolumab+Platinum doublet chemotherapy
EXPERIMENTALNivolumab + Ipilimumab
EXPERIMENTALEnrollment is closed for this arm
Platinum doublet chemotherapy
ACTIVE COMPARATORInterventions
Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
Eligibility Criteria
You may qualify if:
- Confirmed stage IV or recurrent EGFR mutated NSCLC with disease progression on one or two prior lines of treatment with EGFR TKIs (allowed TKIs must be approved by the local health authority, including but not limited to erlotinib, gefitinib, afatinib, dacomitinib and osimertinib). In osimertinib treated subjects, T790 testing is not required.
- No evidence of exon 20 T790M mutation obtained at progression on prior first- or second-generation EGFR TKI therapy. For participants who were treated with osimertinib, T790M testing is not required.
- Measurable disease according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1)
- Available tumor sample for Programmed death-ligand 1 (PD-L1) immunohistochemical (IHC).
- Participants are eligible if central nervous system (CNS) metastases are considered to be adequately controlled/treated before or during the screening period and participants are neurologically returned to baseline (except for residual signs or symptoms related to the CNS treatment) for at least 2 weeks prior to randomization. In addition, participants must be either off corticosteroids, or on a stable or decreasing dose of ≤10 mg daily prednisone (or equivalent) for at least 2 weeks prior to randomization). Participants with asymptomatic CNS metastasis are eligible.
- Eastern Cooperative Group (ECOG) Performance Status 0-1
- Life expectancy is at least 3 months
You may not qualify if:
- Known EGFR mutation, T790M positive who failed 1L first- or second-generation TKI should receive osimertinib first as the standard of care (SOC). These participants are only eligible if they fail osimertinib as 2L.
- who have progressed within 3 months of the first dose of 1L or 2L EGFR TKI.
- Carcinomatous meningitis
- Active, known or suspected autoimmune disease are excluded
- ALK translocation
- Known SCLC transformation
- Prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, or anti-CTLA-4 antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Bristol-Myers Squibblead
- Ono Pharmaceutical Co. Ltdcollaborator
Study Sites (109)
Pacific Shores Medical Group
Long Beach, California, 90808, United States
Local Institution - 0029
Los Angeles, California, 90017, United States
Local Institution - 0033
Los Angeles, California, 90095, United States
Local Institution - 0061
Orange, California, 92868, United States
Torrance Memorial Physican Network
Redondo Beach, California, 90277, United States
Local Institution - 0003
New Haven, Connecticut, 06520, United States
Local Institution - 0004
Chicago, Illinois, 60637, United States
Johns Hopkins University
Baltimore, Maryland, 21205, United States
Local Institution - 0002
Boston, Massachusetts, 02114, United States
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215, United States
Dana Farber Cancer Institute
Boston, Massachusetts, 02215, United States
Local Institution - 0064
New York, New York, 10016, United States
Duke University Medical Center
Butner, North Carolina, 27509-1626, United States
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111, United States
Texas Health Physicians Group
Arlington, Texas, 76012, United States
Baylor Scott and White Research Institute
Temple, Texas, 76508, United States
Local Institution - 0063
Tyler, Texas, 75701, United States
Local Institution - 0001
Salt Lake City, Utah, 84112, United States
Local Institution - 0166
Edmonton, Alberta, T6G 1Z2, Canada
Local Institution - 0168
Montreal, Quebec, H4A3J1, Canada
Local Institution
Beijing, Beijing Municipality, 100730, China
Local Institution
Beijing, Beijing Municipality, 100853, China
Local Institution
Chongqing, Chongqing Municipality, 400042, China
Local Institution
Guangzhou, Guangdong, 510000, China
Local Institution
Zhengzhou, Henan, 450008, China
Local Institution
Hong Kong, HONG KONG, China
Local Institution - 0043
Changsha, Hunan, 410013, China
Local Institution
Changchun, Jilin, 130012, China
Local Institution
Changchun, Jilin, 130021, China
Local Institution
Xi'an, Shan3xi, 710032, China
Local Institution
Shanghai, Shanghai Municipality, 200025, China
Local Institution
Shanghai, Shanghai Municipality, 200030, China
Local Institution
Chengdu, Sichuan, 610041, China
Local Institution - 0016
Hangzhou, Zhejiang, 310006, China
Local Institution - 0017
Hangzhou, Zhejiang, 310011, China
Local Institution
Hangzhou, Zhejiang, 310016, China
Local Institution
Marseille, 13915, France
Local Institution - 0156
Paris, 75005, France
Local Institution
Rennes, 35033, France
Local Institution
Toulouse, 31059, France
Local Institution - 0027
Hong Kong, 0, Hong Kong
Local Institution - 0024
Hong Kong, Hong Kong
Local Institution
Shatin, Hong Kong
Local Institution
Nagoya, Aichi-ken, 4648681, Japan
Local Institution
Hirosaki-shi, Aomori, 036-8174, Japan
Local Institution
Matsuyama, Ehime, 791-0280, Japan
Local Institution
Iizuka, Fukuoka, 8208505, Japan
Local Institution - 0059
Kurume, Fukuoka, 830-0011, Japan
Local Institution
Fukushima, Fukushima, 9601295, Japan
Local Institution
Kōriyama, Fukushima, 9630197, Japan
Local Institution
Fukuyama, Hiroshima, 7210971, Japan
Local Institution
Hiroshima, Hiroshima, 7348551, Japan
Local Institution - 0070
Sapporo, Hokkaido, 003-0804, Japan
Local Institution
Himeji-shi, Hyōgo, 6708520, Japan
Local Institution - 0097
Itami, Hyōgo, 6648540, Japan
Local Institution
Kobe, Hyōgo, 6500047, Japan
Local Institution
Bunkyō City, Kanagawa, 1138603, Japan
Local Institution - 0081
Yokohama, Kanagawa, 2210855, Japan
Local Institution
Yokohama, Kanagawa, 236-0051, Japan
Local Institution
Yokohama, Kanagawa, 241-8515, Japan
Local Institution
Kumamoto, Kumamoto, 861-4193, Japan
Local Institution
Natori-shi, Miyagi, 981-1293, Japan
Local Institution - 0077
Sendai, Miyagi, 9800873, Japan
Local Institution
Hirakata-shi, Osaka, 573-1191, Japan
Local Institution
Kishiwada Shi, Osaka, 5968501, Japan
Local Institution
Sakai, Osaka, 591-8555, Japan
Local Institution - 0058
Sayama, Osaka, 589-8511, Japan
Local Institution - 0076
Hidaka, Saitama, 350-1298, Japan
Local Institution
Kitaadachi-gun, Saitama, 362-0806, Japan
Local Institution - 0069
Chūō, Tokyo, 104-0045, Japan
Local Institution - 0078
Koto-ku, Tokyo, 1358550, Japan
Local Institution
Ube Shi, Yamaguchi, 7550241, Japan
Local Institution
Chiba, 2608670, Japan
Local Institution
Fukuoka, 810-0001, Japan
Local Institution
Fukuoka, 812-8582, Japan
Local Institution
Niigata, 990-9585, Japan
Local Institution - 0079
Tokyo, 1600023, Japan
Local Institution
Toyama, 930-8550, Japan
Local Institution
Wakayama, 6418510, Japan
Local Institution - 0042
Singapore, 119074, Singapore
Local Institution - 0041
Singapore, 308433, Singapore
Local Institution - 0038
Seoul, Seoul Teugbyeolsi, 03722, South Korea
Local Institution - 0037
Seoul, Seoul Teugbyeolsi, 05505, South Korea
Local Institution - 0035
Seoul, Seoul Teugbyeolsi, 06351, South Korea
Local Institution
Cheogju-si, 361-711, South Korea
Local Institution
Gyeonggi-do, 10408, South Korea
Local Institution - 0036
Gyeonggi-do, 463-707, South Korea
Local Institution
Inchoen, 405-760, South Korea
Local Institution
Seoul, 06591, South Korea
Local Institution - 0158
Barcelona, 08035, Spain
Local Institution
L'Hospitalet de Llobregat, 08907, Spain
Local Institution
Madrid, 28041, Spain
Local Institution
Majadahonda, 28222, Spain
Local Institution
Málaga, 29010, Spain
Local Institution
Zaragoza, 50009, Spain
Local Institution - 0021
Tainan, TNN, 704, Taiwan
Local Institution - 0045
Chiayi City, 62247, Taiwan
Local Institution
Kaohsiung City, 807, Taiwan
Local Institution
Kaohsiung City, 82445, Taiwan
Local Institution - 0019
Kaohsiung City, 83301, Taiwan
Local Institution - 0018
Taichung, 40447, Taiwan
Local Institution
Taichung, 40705, Taiwan
Local Institution
Tainan, 736, Taiwan
Local Institution
Taipei, 10002, Taiwan
Local Institution - 0066
Taipei, 10449, Taiwan
Local Institution - 0108
Taipei, 11031, Taiwan
Local Institution - 0023
Taipei, 112, Taiwan
Local Institution
Taipei, 114, Taiwan
Local Institution
Taoyuan District, 333, Taiwan
Related Publications (1)
Mok T, Nakagawa K, Park K, Ohe Y, Girard N, Kim HR, Wu YL, Gainor J, Lee SH, Chiu CH, Kim SW, Yang CT, Wu CL, Wu L, Lin MC, Samol J, Ichikado K, Wang M, Zhang X, Sylvester J, Li S, Forslund A, Yang JC. Nivolumab Plus Chemotherapy in Epidermal Growth Factor Receptor-Mutated Metastatic Non-Small-Cell Lung Cancer After Disease Progression on Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitors: Final Results of CheckMate 722. J Clin Oncol. 2024 Apr 10;42(11):1252-1264. doi: 10.1200/JCO.23.01017. Epub 2024 Jan 22.
PMID: 38252907DERIVED
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
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 9, 2016
First Posted
August 11, 2016
Study Start
March 17, 2017
Primary Completion
January 20, 2022
Study Completion
October 17, 2022
Last Updated
September 28, 2023
Results First Posted
February 6, 2023
Record last verified: 2023-09