NCT02998528

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

98
On Track

Trial Health Score

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

Strong global presence with extensive site network
Enrollment
505

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Mar 2017

Longer than P75 for phase_3

Geographic Reach
15 countries

138 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

December 16, 2016

Completed
4 days until next milestone

First Posted

Study publicly available on registry

December 20, 2016

Completed
2 months until next milestone

Study Start

First participant enrolled

March 4, 2017

Completed
4.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 8, 2021

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

September 28, 2022

Completed
2.2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 6, 2024

Completed
Last Updated

January 6, 2026

Status Verified

January 1, 2026

Enrollment Period

4.5 years

First QC Date

December 16, 2016

Results QC Date

August 31, 2022

Last Update Submit

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 COMPARATOR

Specified dose on specified days

Drug: CisplatinDrug: VinorelbineDrug: GemcitabineDrug: DocetaxelDrug: PemetrexedDrug: CarboplatinDrug: Paclitaxel

Nivolumab plus platinum doublet chemotherapy

EXPERIMENTAL

Specified dose on specified days

Biological: NivolumabDrug: CisplatinDrug: GemcitabineDrug: PemetrexedDrug: CarboplatinDrug: Paclitaxel

Nivolumab plus Ipilimumab

EXPERIMENTAL

Specified dose on specified days

Biological: NivolumabBiological: Ipilimumab

Interventions

NivolumabBIOLOGICAL

Specified dose on specified days

Also known as: BMS-936558, Opdivo
Nivolumab plus IpilimumabNivolumab plus platinum doublet chemotherapy

Specified dose on specified days

Nivolumab plus platinum doublet chemotherapyPlatinum doublet chemotherapy

Specified dose on specified days

Platinum doublet chemotherapy

Specified dose on specified days

Nivolumab plus platinum doublet chemotherapyPlatinum doublet chemotherapy

Specified dose on specified days

Platinum doublet chemotherapy

Specified dose on specified days

Nivolumab plus platinum doublet chemotherapyPlatinum doublet chemotherapy

Specified dose on specified days

Nivolumab plus platinum doublet chemotherapyPlatinum doublet chemotherapy

Specified dose on specified days

Nivolumab plus platinum doublet chemotherapyPlatinum doublet chemotherapy
IpilimumabBIOLOGICAL

This arm is closed and no longer enrolling patients.

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

Eligibility Criteria

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

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

Study Sites (138)

Local Institution - 0121

Glendale, Arizona, 85308, United States

Location

Local Institution - 0081

Los Angeles, California, 90017, United States

Location

Local Institution - 0025

Denver, Colorado, 80218, United States

Location

Local Institution - 0007

Plainville, Connecticut, 06062, United States

Location

Local Institution - 0173

Hollywood, Florida, 33021, United States

Location

Local Institution - 0136

Miami, Florida, 33136, United States

Location

Local Institution - 0054

Orlando, Florida, 32804, United States

Location

Orlando Health, Inc.

Orlando, Florida, 32806, United States

Location

Indian River Medical Center

Vero Beach, Florida, 32960, United States

Location

Northwest Georgia Oncology Center, P.C.

Marietta, Georgia, 30060, United States

Location

Local Institution - 0015

Chicago, Illinois, 60611, United States

Location

Local Institution - 0002

Chicago, Illinois, 60637, United States

Location

Illinois Cancer Specialists

Niles, Illinois, 60714, United States

Location

Local Institution - 0171

Fort Wayne, Indiana, 46804, United States

Location

Local Institution - 0170

Lexington, Kentucky, 40536, United States

Location

Local Institution - 0186

Louisville, Kentucky, 40202, United States

Location

University Medical Center New Orleans

New Orleans, Louisiana, 70112, United States

Location

Local Institution - 0151

Baltimore, Maryland, 21237, United States

Location

Local Institution - 0001

Baltimore, Maryland, 21287, United States

Location

Local Institution - 0008

Boston, Massachusetts, 02215, United States

Location

Southcoast Center For Cancer

Fairhaven, Massachusetts, 02719, United States

Location

Local Institution - 0006

Newton, Massachusetts, 02459, United States

Location

Local Institution - 0012

Detroit, Michigan, 48202-2608, United States

Location

Local Institution - 0090

Hattiesburg, Mississippi, 39401, United States

Location

St Vincent Frontier Cancer Center

Billings, Montana, 59102, United States

Location

Local Institution - 0032

Las Vegas, Nevada, 89128, United States

Location

Local Institution - 0009

Hackensack, New Jersey, 07601, United States

Location

Valley Hospital Luckow Pavili

Westwood, New Jersey, 07675, United States

Location

Local Institution - 0027

Albany, New York, 12208, United States

Location

Local Institution - 0011

New York, New York, 10016, United States

Location

Local Institution - 0140

High Point, North Carolina, 27262, United States

Location

Christ Hospital

Cincinnati, Ohio, 45219, United States

Location

MetroHealth Medical Center

Cleveland, Ohio, 44109, United States

Location

Local Institution - 0149

Zanesville, Ohio, 43701, United States

Location

Kaiser Permanente

Portland, Oregon, 97227, United States

Location

Local Institution - 0139

Portland, Oregon, 97239, United States

Location

Local Institution - 0010

Philadelphia, Pennsylvania, 19111, United States

Location

Local Institution - 0018

Pittsburgh, Pennsylvania, 15212, United States

Location

Local Institution - 0013

Charleston, South Carolina, 29414, United States

Location

Local Institution - 0021

Charleston, South Carolina, 29425, United States

Location

Local Institution - 0146

Greenville, South Carolina, 29607, United States

Location

Local Institution - 0092

Nashville, Tennessee, 37203, United States

Location

Local Institution - 0005

Nashville, Tennessee, 37232, United States

Location

Local Institution - 0035

Austin, Texas, 78745, United States

Location

Texas Oncology

Bedford, Texas, 76022, United States

Location

Local Institution - 0153

Fort Bliss, Texas, 79918, United States

Location

Local Institution - 0106

Houston, Texas, 77090, United States

Location

Southwest Cancer Center

Lubbock, Texas, 79415, United States

Location

Texas Cancer Center - Sherman

Sherman, Texas, 75090-0504, United States

Location

Local Institution - 0143

Tyler, Texas, 75701, United States

Location

Local Institution - 0026

Waco, Texas, 76712, United States

Location

Intermountain Medical Center

Murray, Utah, 84107, United States

Location

Local Institution - 0003

Salt Lake City, Utah, 84112, United States

Location

Southwest Regional Cancer Clinic

St. George, Utah, 84770, United States

Location

Local Institution - 0135

Burlington, Vermont, 05405, United States

Location

Local Institution - 0125

Fairfax, Virginia, 22031, United States

Location

Local Institution - 0198

Fredericksburg, Virginia, 22408, United States

Location

Local Institution - 0022

Capital Federal, Buenos Aires, 1426, Argentina

Location

Local Institution - 0023

Ciudad Autonoma de Buenos Aire, Buenos Aires, 1181, Argentina

Location

Local Institution - 0079

Brasília, Federal District, 70200-730, Brazil

Location

Local Institution - 0077

Belo Horizonte, Minas Gerais, 30130-090, Brazil

Location

Local Institution - 0076

Ijuí, Rio Grande do Sul, 98700-000, Brazil

Location

Local Institution - 0073

Porto Alegre, Rio Grande do Sul, 90610-000, Brazil

Location

Fundacao Pio Xii Hosp Cancer De Barretos

Barretos, São Paulo, 14784-400, Brazil

Location

Local Institution - 0075

Rio de Janeiro, 22793-080, Brazil

Location

Local Institution - 0095

Gatineau, Quebec, J8P 7H2, Canada

Location

Local Institution - 0138

Montreal, Quebec, H2X 0A9, Canada

Location

Local Institution - 0017

Montreal, Quebec, H4A 3J1, Canada

Location

Local Institution - 0052

Trois-Rivières, Quebec, G8Z 3R9, Canada

Location

Local Institution - 0016

Saskatoon, Saskatchewan, S7N 4H4, Canada

Location

Local Institution - 0161

Beijing, Beijing Municipality, 100142, China

Location

Local Institution

Beijing, Beijing Municipality, 100730, China

Location

Local Institution - 0156

Beijing, Beijing Municipality, 100853, China

Location

Local Institution - 0190

Guangzhou, Guangdong, 510095, China

Location

Local Institution - 0192

Changsha, Hunan, 410008, China

Location

Local Institution - 0175

Changsha, Hunan, 410013, China

Location

Local Institution - 0193

Changsha, Hunan, 410013, China

Location

Local Institution - 0179

Nanchang, Jiangxi, 330006, China

Location

Local Institution - 0166

Nanchang, Jiangxi, 330200, China

Location

Local Institution

Changchun, Jilin, 130012, China

Location

Local Institution - 0159

Xi'an, Shan1xi, 710061, China

Location

Local Institution - 0180

Xi'an, Shan3xi, 710038, China

Location

Local Institution - 0160

Shanghai, Shanghai Municipality, 200032, China

Location

Local Institution - 0178

Chengdu, Sichuan, 610041, China

Location

Local Institution - 0163

Tianjin, Tianjin Municipality, 300060, China

Location

Local Institution - 0189

Hangzhou, Zhejiang, 310003, China

Location

Local Institution - 0183

Hangzhou, Zhejiang, 310016, China

Location

Local Institution - 0182

Hangzhou, Zhejiang, 310022, China

Location

Local Institution - 0165

Shanghai, 200030, China

Location

Local Institution - 0059

Marseille, 13915, France

Location

Local Institution - 0060

Paris, 75018, France

Location

Local Institution - 0112

Paris, 75248, France

Location

Local Institution - 0064

Pierre Benite Cedax, 69495, France

Location

Local Institution - 0061

Rennes, 35033, France

Location

Local Institution - 0113

Strasbourg, 67100, France

Location

Local Institution - 0058

Toulouse, 31059, France

Location

Local Institution - 0062

Tours, 37044, France

Location

Local Institution - 0019

Athens, 11527, Greece

Location

Local Institution - 0122

Thessaloniki, 57001, Greece

Location

Local Institution

Budapest, 1125, Hungary

Location

Local Institution

Székesfehérvár, 8000, Hungary

Location

Local Institution - 0068

Bari, 70124, Italy

Location

Local Institution - 0080

Genova, 16132, Italy

Location

Local Institution - 0070

Perugia, 06129, Italy

Location

Local Institution - 0066

Ravenna, 48121, Italy

Location

Local Institution - 0067

Roma, 00149, Italy

Location

Local Institution - 0131

Nagoya, Aichi-ken, 4640021, Japan

Location

Local Institution - 0118

Kashiwa-shi, Chiba, 2778577, Japan

Location

Local Institution - 0111

Kitakyushu-shi, Fukuoka, 8078555, Japan

Location

Local Institution - 0110

Fukushima, Fukushima, 9601295, Japan

Location

Local Institution - 0109

Hiroshima, Hiroshima, 7348551, Japan

Location

Local Institution - 0147

Sapporo, Hokkaido, 0030804, Japan

Location

Local Institution - 0133

Kobe, Hyōgo, 6500047, Japan

Location

Local Institution - 0123

Yokohama, Kanagawa, 2418515, Japan

Location

Local Institution - 0148

Sendai, Miyagi, 9800873, Japan

Location

Local Institution - 0127

Osaka, Osaka, 5418567, Japan

Location

Local Institution - 0119

Sakai-shi, Osaka, 5918555, Japan

Location

Local Institution - 0132

Sunto-gun, Shizuoka, 4118777, Japan

Location

Local Institution - 0126

Bunkyo-ku, Tokyo, 1138431, Japan

Location

Local Institution - 0120

Shinjuku-ku, Tokyo, 1600023, Japan

Location

Local Institution - 0108

Osaka, 589-8511, Japan

Location

Local Institution - 0124

Tokyo, 113-8603, Japan

Location

Local Institution - 0050

Craiova, 200347, Romania

Location

Local Institution - 0051

Romania, 400015, Romania

Location

Local Institution - 0069

Sector 2, 022328, Romania

Location

Local Institution - 0097

Busan, 49267, South Korea

Location

Local Institution - 0098

Hwasun, 58128, South Korea

Location

Local Institution - 0105

Seoul, 08308, South Korea

Location

Local Institution - 0028

Barcelona, 08035, Spain

Location

Local Institution - 0029

Madrid, 28041, Spain

Location

Local Institution - 0031

Majadahonda - Madrid, 28222, Spain

Location

Local Institution - 0102

New Taipei City, 235, Taiwan

Location

Local Institution - 0107

Taichung, 407219, Taiwan

Location

Local Institution - 0099

Taipei, 11031, Taiwan

Location

Local Institution - 0100

Taipei, 112, Taiwan

Location

Local Institution - 0093

Adana, 01060, Turkey (Türkiye)

Location

Local Institution - 0084

Ankara, 06100, Turkey (Türkiye)

Location

Local Institution - 0115

Istanbul, 34098, Turkey (Türkiye)

Location

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.

  • Awad 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.

  • Deutsch 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.

  • Akinboro 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.

  • Forde 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.

  • Forde 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.

Related Links

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell Lung

Interventions

NivolumabCisplatinVinorelbineGemcitabineDocetaxelPemetrexedCarboplatinPaclitaxelIpilimumab

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 GlobulinsGlobulinsChlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum CompoundsVinca AlkaloidsSecologanin Tryptamine AlkaloidsIndole AlkaloidsAlkaloidsHeterocyclic CompoundsIndolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingIndolizidinesIndolizinesDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingTaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsDiterpenesTerpenesGuanineHypoxanthinesPurinonesPurinesGlutamatesAmino Acids, AcidicAmino AcidsAmino Acids, DicarboxylicCoordination Complexes

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
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

Locations