A Neoadjuvant Study of Nivolumab Plus Ipilimumab or Nivolumab Plus Chemotherapy Versus Chemotherapy Alone in Early Stage Non-Small Cell Lung Cancer (NSCLC)
CheckMate 816
Randomized, OpenLabel, Phase 3 Trial of Nivolumab Plus Ipilimumab or Nivolumab Plus Platinum Doublet Chemotherapy Versus Platinum Doublet Chemotherapy in Early Stage NSCLC
2 other identifiers
interventional
505
15 countries
138
Brief Summary
The purpose of this neoadjuvant study is to compare nivolumab plus chemotherapy and chemotherapy alone in terms of safety and effectiveness, and to describe nivolumab plus ipilimumab's safety and effectiveness in treating resectable NSCLC. This study has multiple primary endpoints.
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
138 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
December 16, 2016
CompletedFirst Posted
Study publicly available on registry
December 20, 2016
CompletedStudy Start
First participant enrolled
March 4, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 8, 2021
CompletedResults Posted
Study results publicly available
September 28, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
December 6, 2024
CompletedJanuary 6, 2026
January 1, 2026
4.5 years
December 16, 2016
August 31, 2022
January 2, 2026
Conditions
Outcome Measures
Primary Outcomes (2)
Event-Free Survival (EFS)
Event-free survival (EFS) is defined as the length of time from randomization to any of the following events: any progression of disease precluding surgery, progression or recurrence disease based on blinded independent central review (BICR) assessment per response evaluation criteria in solid tumors (RECIST) 1.1 after surgery, or death due to any cause. Participants who don't undergo surgery for reason other than progression will be considered to have an event at progression or death. Progression is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progression).
From randomization to disease progression, reoccurrence, or death due to any cause. (Up to a median of 30 months)
Pathologic Complete Response (pCR) Rate
Pathologic complete response (pCR) rate is defined as the number of randomized participants with absence of residual tumor in lung and lymph nodes as evaluated by blinded independent pathological review (BIPR).
From randomization up to a median of 30 months after randomization.
Secondary Outcomes (3)
Major Pathologic Response (MPR) Rate
From randomization up to a median of 30 months after randomization.
Overall Survival (OS)
From randomization to the date of death (Up to approximately 93 months)
Time to Death or Distant Metastases (TTDM)
From randomization to the first date of distant metastasis or the date of death in the absence of distant metastasis (Up to approximately 84 months)
Study Arms (3)
Platinum doublet chemotherapy
ACTIVE COMPARATORSpecified dose on specified days
Nivolumab plus platinum doublet chemotherapy
EXPERIMENTALSpecified dose on specified days
Nivolumab plus Ipilimumab
EXPERIMENTALSpecified dose on specified days
Interventions
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
Specified dose on specified days
This arm is closed and no longer enrolling patients.
Eligibility Criteria
You may qualify if:
- Early stage IB-IIIA, operable non-small cell lung cancer, confirmed in tissue
- Lung function capacity capable of tolerating the proposed lung surgery
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1
- Available tissue of primary lung tumor
You may not qualify if:
- Presence of locally advanced, inoperable or metastatic disease
- Participants with active, known or suspected autoimmune disease
- Prior treatment with any drug that targets T cell co-stimulations pathways (such as checkpoint inhibitors)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Bristol-Myers Squibblead
- Ono Pharmaceutical Co. Ltdcollaborator
Study Sites (138)
Local Institution - 0121
Glendale, Arizona, 85308, United States
Local Institution - 0081
Los Angeles, California, 90017, United States
Local Institution - 0025
Denver, Colorado, 80218, United States
Local Institution - 0007
Plainville, Connecticut, 06062, United States
Local Institution - 0173
Hollywood, Florida, 33021, United States
Local Institution - 0136
Miami, Florida, 33136, United States
Local Institution - 0054
Orlando, Florida, 32804, United States
Orlando Health, Inc.
Orlando, Florida, 32806, United States
Indian River Medical Center
Vero Beach, Florida, 32960, United States
Northwest Georgia Oncology Center, P.C.
Marietta, Georgia, 30060, United States
Local Institution - 0015
Chicago, Illinois, 60611, United States
Local Institution - 0002
Chicago, Illinois, 60637, United States
Illinois Cancer Specialists
Niles, Illinois, 60714, United States
Local Institution - 0171
Fort Wayne, Indiana, 46804, United States
Local Institution - 0170
Lexington, Kentucky, 40536, United States
Local Institution - 0186
Louisville, Kentucky, 40202, United States
University Medical Center New Orleans
New Orleans, Louisiana, 70112, United States
Local Institution - 0151
Baltimore, Maryland, 21237, United States
Local Institution - 0001
Baltimore, Maryland, 21287, United States
Local Institution - 0008
Boston, Massachusetts, 02215, United States
Southcoast Center For Cancer
Fairhaven, Massachusetts, 02719, United States
Local Institution - 0006
Newton, Massachusetts, 02459, United States
Local Institution - 0012
Detroit, Michigan, 48202-2608, United States
Local Institution - 0090
Hattiesburg, Mississippi, 39401, United States
St Vincent Frontier Cancer Center
Billings, Montana, 59102, United States
Local Institution - 0032
Las Vegas, Nevada, 89128, United States
Local Institution - 0009
Hackensack, New Jersey, 07601, United States
Valley Hospital Luckow Pavili
Westwood, New Jersey, 07675, United States
Local Institution - 0027
Albany, New York, 12208, United States
Local Institution - 0011
New York, New York, 10016, United States
Local Institution - 0140
High Point, North Carolina, 27262, United States
Christ Hospital
Cincinnati, Ohio, 45219, United States
MetroHealth Medical Center
Cleveland, Ohio, 44109, United States
Local Institution - 0149
Zanesville, Ohio, 43701, United States
Kaiser Permanente
Portland, Oregon, 97227, United States
Local Institution - 0139
Portland, Oregon, 97239, United States
Local Institution - 0010
Philadelphia, Pennsylvania, 19111, United States
Local Institution - 0018
Pittsburgh, Pennsylvania, 15212, United States
Local Institution - 0013
Charleston, South Carolina, 29414, United States
Local Institution - 0021
Charleston, South Carolina, 29425, United States
Local Institution - 0146
Greenville, South Carolina, 29607, United States
Local Institution - 0092
Nashville, Tennessee, 37203, United States
Local Institution - 0005
Nashville, Tennessee, 37232, United States
Local Institution - 0035
Austin, Texas, 78745, United States
Texas Oncology
Bedford, Texas, 76022, United States
Local Institution - 0153
Fort Bliss, Texas, 79918, United States
Local Institution - 0106
Houston, Texas, 77090, United States
Southwest Cancer Center
Lubbock, Texas, 79415, United States
Texas Cancer Center - Sherman
Sherman, Texas, 75090-0504, United States
Local Institution - 0143
Tyler, Texas, 75701, United States
Local Institution - 0026
Waco, Texas, 76712, United States
Intermountain Medical Center
Murray, Utah, 84107, United States
Local Institution - 0003
Salt Lake City, Utah, 84112, United States
Southwest Regional Cancer Clinic
St. George, Utah, 84770, United States
Local Institution - 0135
Burlington, Vermont, 05405, United States
Local Institution - 0125
Fairfax, Virginia, 22031, United States
Local Institution - 0198
Fredericksburg, Virginia, 22408, United States
Local Institution - 0022
Capital Federal, Buenos Aires, 1426, Argentina
Local Institution - 0023
Ciudad Autonoma de Buenos Aire, Buenos Aires, 1181, Argentina
Local Institution - 0079
Brasília, Federal District, 70200-730, Brazil
Local Institution - 0077
Belo Horizonte, Minas Gerais, 30130-090, Brazil
Local Institution - 0076
Ijuí, Rio Grande do Sul, 98700-000, Brazil
Local Institution - 0073
Porto Alegre, Rio Grande do Sul, 90610-000, Brazil
Fundacao Pio Xii Hosp Cancer De Barretos
Barretos, São Paulo, 14784-400, Brazil
Local Institution - 0075
Rio de Janeiro, 22793-080, Brazil
Local Institution - 0095
Gatineau, Quebec, J8P 7H2, Canada
Local Institution - 0138
Montreal, Quebec, H2X 0A9, Canada
Local Institution - 0017
Montreal, Quebec, H4A 3J1, Canada
Local Institution - 0052
Trois-Rivières, Quebec, G8Z 3R9, Canada
Local Institution - 0016
Saskatoon, Saskatchewan, S7N 4H4, Canada
Local Institution - 0161
Beijing, Beijing Municipality, 100142, China
Local Institution
Beijing, Beijing Municipality, 100730, China
Local Institution - 0156
Beijing, Beijing Municipality, 100853, China
Local Institution - 0190
Guangzhou, Guangdong, 510095, China
Local Institution - 0192
Changsha, Hunan, 410008, China
Local Institution - 0175
Changsha, Hunan, 410013, China
Local Institution - 0193
Changsha, Hunan, 410013, China
Local Institution - 0179
Nanchang, Jiangxi, 330006, China
Local Institution - 0166
Nanchang, Jiangxi, 330200, China
Local Institution
Changchun, Jilin, 130012, China
Local Institution - 0159
Xi'an, Shan1xi, 710061, China
Local Institution - 0180
Xi'an, Shan3xi, 710038, China
Local Institution - 0160
Shanghai, Shanghai Municipality, 200032, China
Local Institution - 0178
Chengdu, Sichuan, 610041, China
Local Institution - 0163
Tianjin, Tianjin Municipality, 300060, China
Local Institution - 0189
Hangzhou, Zhejiang, 310003, China
Local Institution - 0183
Hangzhou, Zhejiang, 310016, China
Local Institution - 0182
Hangzhou, Zhejiang, 310022, China
Local Institution - 0165
Shanghai, 200030, China
Local Institution - 0059
Marseille, 13915, France
Local Institution - 0060
Paris, 75018, France
Local Institution - 0112
Paris, 75248, France
Local Institution - 0064
Pierre Benite Cedax, 69495, France
Local Institution - 0061
Rennes, 35033, France
Local Institution - 0113
Strasbourg, 67100, France
Local Institution - 0058
Toulouse, 31059, France
Local Institution - 0062
Tours, 37044, France
Local Institution - 0019
Athens, 11527, Greece
Local Institution - 0122
Thessaloniki, 57001, Greece
Local Institution
Budapest, 1125, Hungary
Local Institution
Székesfehérvár, 8000, Hungary
Local Institution - 0068
Bari, 70124, Italy
Local Institution - 0080
Genova, 16132, Italy
Local Institution - 0070
Perugia, 06129, Italy
Local Institution - 0066
Ravenna, 48121, Italy
Local Institution - 0067
Roma, 00149, Italy
Local Institution - 0131
Nagoya, Aichi-ken, 4640021, Japan
Local Institution - 0118
Kashiwa-shi, Chiba, 2778577, Japan
Local Institution - 0111
Kitakyushu-shi, Fukuoka, 8078555, Japan
Local Institution - 0110
Fukushima, Fukushima, 9601295, Japan
Local Institution - 0109
Hiroshima, Hiroshima, 7348551, Japan
Local Institution - 0147
Sapporo, Hokkaido, 0030804, Japan
Local Institution - 0133
Kobe, Hyōgo, 6500047, Japan
Local Institution - 0123
Yokohama, Kanagawa, 2418515, Japan
Local Institution - 0148
Sendai, Miyagi, 9800873, Japan
Local Institution - 0127
Osaka, Osaka, 5418567, Japan
Local Institution - 0119
Sakai-shi, Osaka, 5918555, Japan
Local Institution - 0132
Sunto-gun, Shizuoka, 4118777, Japan
Local Institution - 0126
Bunkyo-ku, Tokyo, 1138431, Japan
Local Institution - 0120
Shinjuku-ku, Tokyo, 1600023, Japan
Local Institution - 0108
Osaka, 589-8511, Japan
Local Institution - 0124
Tokyo, 113-8603, Japan
Local Institution - 0050
Craiova, 200347, Romania
Local Institution - 0051
Romania, 400015, Romania
Local Institution - 0069
Sector 2, 022328, Romania
Local Institution - 0097
Busan, 49267, South Korea
Local Institution - 0098
Hwasun, 58128, South Korea
Local Institution - 0105
Seoul, 08308, South Korea
Local Institution - 0028
Barcelona, 08035, Spain
Local Institution - 0029
Madrid, 28041, Spain
Local Institution - 0031
Majadahonda - Madrid, 28222, Spain
Local Institution - 0102
New Taipei City, 235, Taiwan
Local Institution - 0107
Taichung, 407219, Taiwan
Local Institution - 0099
Taipei, 11031, Taiwan
Local Institution - 0100
Taipei, 112, Taiwan
Local Institution - 0093
Adana, 01060, Turkey (Türkiye)
Local Institution - 0084
Ankara, 06100, Turkey (Türkiye)
Local Institution - 0115
Istanbul, 34098, Turkey (Türkiye)
Related Publications (6)
Forde PM, Spicer JD, Provencio M, Mitsudomi T, Awad MM, Wang C, Lu S, Felip E, Swanson SJ, Brahmer JR, Kerr K, Taube JM, Ciuleanu TE, Tanaka F, Saylors GB, Chen KN, Ito H, Liberman M, Martin C, Broderick S, Wang L, Cai J, Duong Q, Meadows-Shropshire S, Fiore J, Bhatia S, Girard N; CheckMate 816 Investigators. Overall Survival with Neoadjuvant Nivolumab plus Chemotherapy in Lung Cancer. N Engl J Med. 2025 Aug 21;393(8):741-752. doi: 10.1056/NEJMoa2502931. Epub 2025 Jun 2.
PMID: 40454642DERIVEDAwad MM, Forde PM, Girard N, Spicer J, Wang C, Lu S, Mitsudomi T, Felip E, Broderick SR, Swanson SJ, Brahmer J, Kerr K, Saylors GB, Chen KN, Gharpure V, Neely J, Balli D, Hu N, Provencio Pulla M. Neoadjuvant Nivolumab Plus Ipilimumab Versus Chemotherapy in Resectable Lung Cancer. J Clin Oncol. 2025 Apr 20;43(12):1453-1462. doi: 10.1200/JCO-24-02239. Epub 2025 Jan 8.
PMID: 39778121DERIVEDDeutsch JS, Cimino-Mathews A, Thompson E, Provencio M, Forde PM, Spicer J, Girard N, Wang D, Anders RA, Gabrielson E, Illei P, Jedrych J, Danilova L, Sunshine J, Kerr KM, Tran M, Bushong J, Cai J, Devas V, Neely J, Balli D, Cottrell TR, Baras AS, Taube JM. Association between pathologic response and survival after neoadjuvant therapy in lung cancer. Nat Med. 2024 Jan;30(1):218-228. doi: 10.1038/s41591-023-02660-6. Epub 2023 Oct 30.
PMID: 37903504DERIVEDAkinboro O, Drezner N, Amatya A, Runyan J, Fourie-Zirkelbach J, Zhao M, Bi Y, Korsah K, Mixter B, Tang S, Larkins E, Pazdur R, Beaver JA, Singh H. US Food and Drug Administration Approval Summary: Nivolumab Plus Platinum-Doublet Chemotherapy for the Neoadjuvant Treatment of Patients With Resectable Non-Small-Cell Lung Cancer. J Clin Oncol. 2023 Jun 10;41(17):3249-3259. doi: 10.1200/JCO.22.02509. Epub 2023 May 4.
PMID: 37141544DERIVEDForde PM, Spicer J, Lu S, Provencio M, Mitsudomi T, Awad MM, Felip E, Broderick SR, Brahmer JR, Swanson SJ, Kerr K, Wang C, Ciuleanu TE, Saylors GB, Tanaka F, Ito H, Chen KN, Liberman M, Vokes EE, Taube JM, Dorange C, Cai J, Fiore J, Jarkowski A, Balli D, Sausen M, Pandya D, Calvet CY, Girard N. Plain language summary of the CheckMate 816 study results: nivolumab plus chemotherapy given before surgery for non-small-cell lung cancer. Future Oncol. 2023 Mar;19(8):549-557. doi: 10.2217/fon-2023-0007. Epub 2023 Feb 23.
PMID: 36815433DERIVEDForde PM, Spicer J, Lu S, Provencio M, Mitsudomi T, Awad MM, Felip E, Broderick SR, Brahmer JR, Swanson SJ, Kerr K, Wang C, Ciuleanu TE, Saylors GB, Tanaka F, Ito H, Chen KN, Liberman M, Vokes EE, Taube JM, Dorange C, Cai J, Fiore J, Jarkowski A, Balli D, Sausen M, Pandya D, Calvet CY, Girard N; CheckMate 816 Investigators. Neoadjuvant Nivolumab plus Chemotherapy in Resectable Lung Cancer. N Engl J Med. 2022 May 26;386(21):1973-1985. doi: 10.1056/NEJMoa2202170. Epub 2022 Apr 11.
PMID: 35403841DERIVED
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
- Expanded Access
- Yes
Study Record Dates
First Submitted
December 16, 2016
First Posted
December 20, 2016
Study Start
March 4, 2017
Primary Completion
September 8, 2021
Study Completion
December 6, 2024
Last Updated
January 6, 2026
Results First Posted
September 28, 2022
Record last verified: 2026-01