NCT02864251

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

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
367

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Mar 2017

Longer than P75 for phase_3

Geographic Reach
10 countries

109 active sites

Status
completed

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

Completed
2 days until next milestone

First Posted

Study publicly available on registry

August 11, 2016

Completed
7 months until next milestone

Study Start

First participant enrolled

March 17, 2017

Completed
4.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 20, 2022

Completed
9 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 17, 2022

Completed
4 months until next milestone

Results Posted

Study results publicly available

February 6, 2023

Completed
Last Updated

September 28, 2023

Status Verified

September 1, 2023

Enrollment Period

4.8 years

First QC Date

August 9, 2016

Results QC Date

January 10, 2023

Last Update Submit

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

EXPERIMENTAL
Biological: NivolumabDrug: PemetrexedDrug: CisplatinDrug: Carboplatin

Nivolumab + Ipilimumab

EXPERIMENTAL

Enrollment is closed for this arm

Biological: NivolumabBiological: Ipilimumab

Platinum doublet chemotherapy

ACTIVE COMPARATOR
Drug: PemetrexedDrug: CisplatinDrug: Carboplatin

Interventions

NivolumabBIOLOGICAL

Specified dose on specified days

Also known as: Opdivo, BMS-936558
Nivolumab + IpilimumabNivolumab+Platinum doublet chemotherapy
IpilimumabBIOLOGICAL

Specified dose on specified days

Also known as: Yervoy, BMS-734016
Nivolumab + Ipilimumab

Specified dose on specified days

Nivolumab+Platinum doublet chemotherapyPlatinum doublet chemotherapy

Specified dose on specified days

Nivolumab+Platinum doublet chemotherapyPlatinum doublet chemotherapy

Specified dose on specified days

Nivolumab+Platinum doublet chemotherapyPlatinum doublet chemotherapy

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

Study Sites (109)

Pacific Shores Medical Group

Long Beach, California, 90808, United States

Location

Local Institution - 0029

Los Angeles, California, 90017, United States

Location

Local Institution - 0033

Los Angeles, California, 90095, United States

Location

Local Institution - 0061

Orange, California, 92868, United States

Location

Torrance Memorial Physican Network

Redondo Beach, California, 90277, United States

Location

Local Institution - 0003

New Haven, Connecticut, 06520, United States

Location

Local Institution - 0004

Chicago, Illinois, 60637, United States

Location

Johns Hopkins University

Baltimore, Maryland, 21205, United States

Location

Local Institution - 0002

Boston, Massachusetts, 02114, United States

Location

Beth Israel Deaconess Medical Center

Boston, Massachusetts, 02215, United States

Location

Dana Farber Cancer Institute

Boston, Massachusetts, 02215, United States

Location

Local Institution - 0064

New York, New York, 10016, United States

Location

Duke University Medical Center

Butner, North Carolina, 27509-1626, United States

Location

Fox Chase Cancer Center

Philadelphia, Pennsylvania, 19111, United States

Location

Texas Health Physicians Group

Arlington, Texas, 76012, United States

Location

Baylor Scott and White Research Institute

Temple, Texas, 76508, United States

Location

Local Institution - 0063

Tyler, Texas, 75701, United States

Location

Local Institution - 0001

Salt Lake City, Utah, 84112, United States

Location

Local Institution - 0166

Edmonton, Alberta, T6G 1Z2, Canada

Location

Local Institution - 0168

Montreal, Quebec, H4A3J1, Canada

Location

Local Institution

Beijing, Beijing Municipality, 100730, China

Location

Local Institution

Beijing, Beijing Municipality, 100853, China

Location

Local Institution

Chongqing, Chongqing Municipality, 400042, China

Location

Local Institution

Guangzhou, Guangdong, 510000, China

Location

Local Institution

Zhengzhou, Henan, 450008, China

Location

Local Institution

Hong Kong, HONG KONG, China

Location

Local Institution - 0043

Changsha, Hunan, 410013, China

Location

Local Institution

Changchun, Jilin, 130012, China

Location

Local Institution

Changchun, Jilin, 130021, China

Location

Local Institution

Xi'an, Shan3xi, 710032, China

Location

Local Institution

Shanghai, Shanghai Municipality, 200025, China

Location

Local Institution

Shanghai, Shanghai Municipality, 200030, China

Location

Local Institution

Chengdu, Sichuan, 610041, China

Location

Local Institution - 0016

Hangzhou, Zhejiang, 310006, China

Location

Local Institution - 0017

Hangzhou, Zhejiang, 310011, China

Location

Local Institution

Hangzhou, Zhejiang, 310016, China

Location

Local Institution

Marseille, 13915, France

Location

Local Institution - 0156

Paris, 75005, France

Location

Local Institution

Rennes, 35033, France

Location

Local Institution

Toulouse, 31059, France

Location

Local Institution - 0027

Hong Kong, 0, Hong Kong

Location

Local Institution - 0024

Hong Kong, Hong Kong

Location

Local Institution

Shatin, Hong Kong

Location

Local Institution

Nagoya, Aichi-ken, 4648681, Japan

Location

Local Institution

Hirosaki-shi, Aomori, 036-8174, Japan

Location

Local Institution

Matsuyama, Ehime, 791-0280, Japan

Location

Local Institution

Iizuka, Fukuoka, 8208505, Japan

Location

Local Institution - 0059

Kurume, Fukuoka, 830-0011, Japan

Location

Local Institution

Fukushima, Fukushima, 9601295, Japan

Location

Local Institution

Kōriyama, Fukushima, 9630197, Japan

Location

Local Institution

Fukuyama, Hiroshima, 7210971, Japan

Location

Local Institution

Hiroshima, Hiroshima, 7348551, Japan

Location

Local Institution - 0070

Sapporo, Hokkaido, 003-0804, Japan

Location

Local Institution

Himeji-shi, Hyōgo, 6708520, Japan

Location

Local Institution - 0097

Itami, Hyōgo, 6648540, Japan

Location

Local Institution

Kobe, Hyōgo, 6500047, Japan

Location

Local Institution

Bunkyō City, Kanagawa, 1138603, Japan

Location

Local Institution - 0081

Yokohama, Kanagawa, 2210855, Japan

Location

Local Institution

Yokohama, Kanagawa, 236-0051, Japan

Location

Local Institution

Yokohama, Kanagawa, 241-8515, Japan

Location

Local Institution

Kumamoto, Kumamoto, 861-4193, Japan

Location

Local Institution

Natori-shi, Miyagi, 981-1293, Japan

Location

Local Institution - 0077

Sendai, Miyagi, 9800873, Japan

Location

Local Institution

Hirakata-shi, Osaka, 573-1191, Japan

Location

Local Institution

Kishiwada Shi, Osaka, 5968501, Japan

Location

Local Institution

Sakai, Osaka, 591-8555, Japan

Location

Local Institution - 0058

Sayama, Osaka, 589-8511, Japan

Location

Local Institution - 0076

Hidaka, Saitama, 350-1298, Japan

Location

Local Institution

Kitaadachi-gun, Saitama, 362-0806, Japan

Location

Local Institution - 0069

Chūō, Tokyo, 104-0045, Japan

Location

Local Institution - 0078

Koto-ku, Tokyo, 1358550, Japan

Location

Local Institution

Ube Shi, Yamaguchi, 7550241, Japan

Location

Local Institution

Chiba, 2608670, Japan

Location

Local Institution

Fukuoka, 810-0001, Japan

Location

Local Institution

Fukuoka, 812-8582, Japan

Location

Local Institution

Niigata, 990-9585, Japan

Location

Local Institution - 0079

Tokyo, 1600023, Japan

Location

Local Institution

Toyama, 930-8550, Japan

Location

Local Institution

Wakayama, 6418510, Japan

Location

Local Institution - 0042

Singapore, 119074, Singapore

Location

Local Institution - 0041

Singapore, 308433, Singapore

Location

Local Institution - 0038

Seoul, Seoul Teugbyeolsi, 03722, South Korea

Location

Local Institution - 0037

Seoul, Seoul Teugbyeolsi, 05505, South Korea

Location

Local Institution - 0035

Seoul, Seoul Teugbyeolsi, 06351, South Korea

Location

Local Institution

Cheogju-si, 361-711, South Korea

Location

Local Institution

Gyeonggi-do, 10408, South Korea

Location

Local Institution - 0036

Gyeonggi-do, 463-707, South Korea

Location

Local Institution

Inchoen, 405-760, South Korea

Location

Local Institution

Seoul, 06591, South Korea

Location

Local Institution - 0158

Barcelona, 08035, Spain

Location

Local Institution

L'Hospitalet de Llobregat, 08907, Spain

Location

Local Institution

Madrid, 28041, Spain

Location

Local Institution

Majadahonda, 28222, Spain

Location

Local Institution

Málaga, 29010, Spain

Location

Local Institution

Zaragoza, 50009, Spain

Location

Local Institution - 0021

Tainan, TNN, 704, Taiwan

Location

Local Institution - 0045

Chiayi City, 62247, Taiwan

Location

Local Institution

Kaohsiung City, 807, Taiwan

Location

Local Institution

Kaohsiung City, 82445, Taiwan

Location

Local Institution - 0019

Kaohsiung City, 83301, Taiwan

Location

Local Institution - 0018

Taichung, 40447, Taiwan

Location

Local Institution

Taichung, 40705, Taiwan

Location

Local Institution

Tainan, 736, Taiwan

Location

Local Institution

Taipei, 10002, Taiwan

Location

Local Institution - 0066

Taipei, 10449, Taiwan

Location

Local Institution - 0108

Taipei, 11031, Taiwan

Location

Local Institution - 0023

Taipei, 112, Taiwan

Location

Local Institution

Taipei, 114, Taiwan

Location

Local Institution

Taoyuan District, 333, Taiwan

Location

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.

Related Links

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell Lung

Interventions

NivolumabIpilimumabPemetrexedCisplatinCarboplatin

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulinsGuanineHypoxanthinesPurinonesPurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsGlutamatesAmino Acids, AcidicAmino AcidsAmino Acids, DicarboxylicChlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum CompoundsCoordination ComplexesOrganic Chemicals

Results Point of Contact

Title
Bristol-Myers Squibb Study Director
Organization
Bristol-Myers Squibb

Study Officials

  • Bristol-Myers Squibb

    Bristol-Myers Squibb

    STUDY DIRECTOR

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

Locations