NCT03036098

Brief Summary

The purpose of this study is to determine whether an investigational immunotherapy nivolumab in combination with ipilimumab or in combination with standard of care chemotherapy is more effective than standard of care chemotherapy alone in treating participants with previously untreated inoperable or metastatic urothelial cancer.

Trial Health

87
On Track

Trial Health Score

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

Strong global presence with extensive site network
Enrollment
1,314

participants targeted

Target at P75+ for phase_3

Timeline
1mo left

Started Mar 2017

Longer than P75 for phase_3

Geographic Reach
30 countries

174 active sites

Status
active not recruiting

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

Study Progress99%
Mar 2017May 2026

First Submitted

Initial submission to the registry

January 27, 2017

Completed
3 days until next milestone

First Posted

Study publicly available on registry

January 30, 2017

Completed
2 months until next milestone

Study Start

First participant enrolled

March 24, 2017

Completed
7.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 30, 2024

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

September 18, 2025

Completed
8 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 15, 2026

Expected
Last Updated

March 6, 2026

Status Verified

February 1, 2026

Enrollment Period

7.4 years

First QC Date

January 27, 2017

Results QC Date

August 28, 2025

Last Update Submit

February 22, 2026

Conditions

Outcome Measures

Primary Outcomes (4)

  • Overall Survival (OS) in Cisplatin-ineligible Randomized Participants for Primary Study

    This measure looks at how long participants who cannot receive cisplatin (a type of chemotherapy) live after being placed into a treatment group in the primary study. Overall Survival (OS) is defined as the time between the date a participant is randomized (assigned to a treatment group) and the date of death from any cause. For participants without documentation of death, OS will be measured up to the last date the participant was known to be alive. If a participant was randomized but had no follow-up information, OS will be counted from the date of randomization. This helps to understand if the treatment can help people who are unable to receive cisplatin chemotherapy live longer.

    From the date of randomization to the date of death from any cause, or data cut-off date, whichever occurred first (up to approximately 89 months)

  • Overall Survival (OS) in Programmed Death-Ligand 1 (PD-L1) Positive (≥ 1%) Randomized Participants by Immunohistochemistry (IHC) for Primary Study

    This measure looks at how long participants with PD-L1 positive tumors (meaning their tumor cells have at least 1% PD-L1, as determined by a laboratory test called immunohistochemistry or IHC) live after being placed into a treatment group in the primary study. Overall Survival (OS) is defined as the time between the date a participant is randomized (assigned to a treatment group) and the date of death from any cause. For participants without documentation of death, OS will be measured up to the last date the participant was known to be alive. If a participant was randomized but had no follow-up information, OS will be counted from the date of randomization. This helps to understand whether the treatment can help people with PD-L1 positive tumors live longer.

    From the date of randomization to the date of death from any cause, or data cut-off date, whichever occurred first (up to approximately 89 months)

  • Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in Cisplatin-eligible Participants for Sub-study

    This measure looks at how long people who can receive cisplatin chemotherapy live without their cancer getting worse after being assigned to a treatment group in the sub-study. Progression-Free Survival (PFS) is the time from when a participant is assigned to a group (randomization) until their cancer is first shown to get worse (progress), based on reviews by independent experts who do not know which treatment was given. These experts use standard rules (RECIST 1.1) to decide if the cancer has progressed. If a participant dies before their cancer is shown to get worse, the date of death will be used as the time their disease progressed. If a participant's cancer does not get worse and they do not die during the study, their PFS will be measured up to the date of their last tumor check. This helps to understand if the treatment helps people eligible for cisplatin live longer without their cancer progressing.

    From the date of randomization to the date of first documented disease progression or death due to any cause, whichever occurs first (up to approximately 89 months)

  • Overall Survival (OS) in Cisplatin-eligible Participants for Sub-study

    This measure looks at how long people who are able to receive cisplatin (a type of chemotherapy) live after being placed into a treatment group in the sub-study. Overall Survival (OS) is defined as the time between the date a participant is randomized (assigned to a treatment group) and the date of death from any cause. For participants without documentation of death, OS will be measured up to the last date the participant was known to be alive. If a participant was randomized but had no follow-up information, OS will be counted from the date of randomization. This helps to understand if the treatment can help people who are eligible for cisplatin chemotherapy live longer.

    From the date of randomization to the date of death from any cause, or data cut-off date, whichever occurred first (up to approximately 89 months)

Secondary Outcomes (8)

  • Overall Survival (OS) in All Randomized Participants for Primary Study

    From the date of randomization to the date of death from any cause, or data cut-off date, whichever occurred first (up to approximately 89 months)

  • Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in Cisplatin-ineligible Randomized Participants for Primary Study

    From the date of randomization to the date of first documented disease progression or death due to any cause, whichever occurs first (up to approximately 89 months)

  • Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in Programmed Death-Ligand 1 (PD-L1) Positive (≥ 1%) Participants for Primary Study

    From the date of randomization to the date of first documented disease progression or death due to any cause, whichever occurs first (up to approximately 89 months)

  • Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in All Randomized Participants for Primary Study

    From the date of randomization to the date of first documented disease progression or death due to any cause, whichever occurs first (up to approximately 89 months)

  • Change From Baseline in the European Organization for Research and Treatment of Care Quality-of-Life Questionnaire (EORTC QLQ-C30) Global Health Status Score in All Randomized Participants for Primary Study

    At Baseline, Week 4, Week 10, Week 16, Week 20, Week 24, Week 36, Week 48, Week 60, Week 72, Week 84, Week 96, Week 108, Week 120, Week 144, Week 156, Week 168, Week 180 and Week 192

  • +3 more secondary outcomes

Study Arms (4)

Arm A: Investigational immunotherapy

EXPERIMENTAL
Biological: NivolumabBiological: Ipilimumab

Arm B: Standard of care chemotherapy

ACTIVE COMPARATOR
Drug: GemcitabineDrug: CisplatinDrug: Carboplatin

Arm C: Investigational immunotherapy

EXPERIMENTAL
Biological: NivolumabDrug: GemcitabineDrug: Cisplatin

Arm D: Standard of care chemotherapy

ACTIVE COMPARATOR
Drug: GemcitabineDrug: Cisplatin

Interventions

NivolumabBIOLOGICAL

Specified Dose on Specified Days

Also known as: BMS-936558, Opdivo
Arm A: Investigational immunotherapyArm C: Investigational immunotherapy
IpilimumabBIOLOGICAL

Specified Dose on Specified Days

Also known as: BMS-734016, Yervoy
Arm A: Investigational immunotherapy

Specified Dose on Specified Days

Arm B: Standard of care chemotherapyArm C: Investigational immunotherapyArm D: Standard of care chemotherapy

Specified Dose on Specified Days

Arm B: Standard of care chemotherapyArm C: Investigational immunotherapyArm D: Standard of care chemotherapy

Specified Dose on Specified Days

Arm B: Standard of care chemotherapy

Eligibility Criteria

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

You may qualify if:

  • Histological or cytological evidence of metastatic or surgically inoperable transitional cell cancer (TCC) of the urothelium involving the renal pelvis, ureter, bladder or urethra
  • No prior systemic chemotherapy for metastatic or surgically inoperable urothelial cancer (UC)
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 or 1
  • Women and men must agree to follow specific methods of contraception, if applicable

You may not qualify if:

  • Disease that is suitable for local therapy administered with curative intent
  • Any serious or uncontrolled medical disorder in the opinion of the investigator that may increase the risk associated with study participation or study drug administration or interfere with the interpretation of study results
  • 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 (174)

Local Institution - 0001

Anchorage, Alaska, 99503, United States

Location

Local Institution - 0115

Fresno, California, 93703, United States

Location

St Joseph Heritage Healthcare

Santa Rosa, California, 95403, United States

Location

Local Institution - 0051

Boca Raton, Florida, 33486, United States

Location

Local Institution - 0087

Fort Lauderdale, Florida, 33308, United States

Location

Local Institution - 0062

Jacksonville, Florida, 32256, United States

Location

Local Institution - 0004

Athens, Georgia, 30607, United States

Location

Local Institution - 0033

Thomasville, Georgia, 31792, United States

Location

Local Institution - 0046

Chicago, Illinois, 60612, United States

Location

Local Institution - 0117

New Orleans, Louisiana, 70121, United States

Location

Local Institution - 0056

Boston, Massachusetts, 02210, United States

Location

Local Institution - 0073

Boston, Massachusetts, 02215, United States

Location

Local Institution - 0208

Boston, Massachusetts, 02215, United States

Location

Local Institution - 0207

Milford, Massachusetts, 01757, United States

Location

Local Institution - 0063

Ann Arbor, Michigan, 48197, United States

Location

Local Institution - 0002

Burnsville, Minnesota, 55337, United States

Location

Hattiesburg Clinic

Hattiesburg, Mississippi, 39401, United States

Location

Local Institution - 0032

Kansas City, Missouri, 64111-3220, United States

Location

Local Institution - 0095

St Louis, Missouri, 63110, United States

Location

Local Institution - 0057

Manchester, New Hampshire, 03103, United States

Location

Local Institution - 0084

Albuquerque, New Mexico, 87131, United States

Location

Local Institution - 0083

Buffalo, New York, 14263, United States

Location

Local Institution - 0014

Mineola, New York, 11501, United States

Location

Local Institution - 0072

New York, New York, 10029, United States

Location

Local Institution - 0116

Durham, North Carolina, 27710, United States

Location

Local Institution - 0082

Columbus, Ohio, 43210, United States

Location

Local Institution - 0104

Portland, Oregon, 97213, United States

Location

Local Institution - 0013

Pittsburgh, Pennsylvania, 15212, United States

Location

Local Institution - 0086

Kirkland, Washington, 98034, United States

Location

Local Institution - 0005

Capital Federal, Buenos Aires, 1426, Argentina

Location

Local Institution - 0007

Mar del Plata, Buenos Aires, 7600, Argentina

Location

Local Institution - 0009

Buenos Aires, 1120, Argentina

Location

Local Institution - 0134

Córdoba, 5000, Argentina

Location

Local Institution - 0006

Córdoba, 5004, Argentina

Location

Local Institution - 0008

Viedma, 8500, Argentina

Location

Local Institution - 0096

Waratah, New South Wales, 2298, Australia

Location

Local Institution - 0099

Westmead, New South Wales, 2145, Australia

Location

Local Institution - 0188

South Brisbane, Queensland, 4101, Australia

Location

Local Institution - 0120

Tugun, Queensland, 4224, Australia

Location

Local Institution - 0101

Heidelberg, Victoria, 3084, Australia

Location

Local Institution - 0100

Doubleview, Western Australia, 6018, Australia

Location

Local Institution - 0017

Brasília, Federal District, 70200-730, Brazil

Location

Local Institution - 0021

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

Location

Local Institution - 0119

Passo Fundo, Rio Grande do Sul, 99010-080, Brazil

Location

Local Institution - 0020

Porto Alegre, Rio Grande do Sul, 90610000, Brazil

Location

Local Institution - 0016

Florianópolis, Santa Catarina, 88034-000, Brazil

Location

Local Institution - 0018

Barretos, São Paulo, 14784-400, Brazil

Location

Local Institution - 0019

São José do Rio Preto, São Paulo, 15090-000, Brazil

Location

Local Institution - 0053

Halifax, Nova Scotia, B3H 2Y9, Canada

Location

Local Institution - 0064

London, Ontario, N6A 4L6, Canada

Location

Local Institution - 0054

Québec, Quebec, G1J 1Z4, Canada

Location

Local Institution - 0052

Sherbrooke, Quebec, J1H 5N4, Canada

Location

Local Institution - 0012

Viña del Mar, Región de Valparaíso, 2520598, Chile

Location

Local Institution - 0010

Santiago, Santiago Metropolitan, 8420383, Chile

Location

Local Institution - 0106

Vitacura, 0, Chile

Location

Local Institution - 0171

Beijing, Beijing Municipality, 100001, China

Location

Local Institution - 0169

Beijing, Beijing Municipality, 100034, China

Location

Local Institution - 0182

Chongqing, Chongqing Municipality, 400030, China

Location

Local Institution - 0217

Guiyang, Guizhou, 550002, China

Location

Local Institution - 0219

Harbin, Heilongjiang, 150000, China

Location

Local Institution - 0180

Wuhan, Hubei, 430030, China

Location

Local Institution - 0175

Nanjing, Jiangsu, 0, China

Location

Local Institution - 0177

Nanjing, Jiangsu, 210000, China

Location

Local Institution - 0176

Nanjing, Jiangsu, 210008, China

Location

Local Institution - 0186

Changchun, Jilin, 130021, China

Location

Local Institution - 0220

Taiyuan, Shan1xi, 030001, China

Location

Local Institution - 0216

Yantai, Shandong, 264000, China

Location

Local Institution - 0167

Shanghai, Shanghai Municipality, 200025, China

Location

Local Institution - 0162

Shanghai, Shanghai Municipality, 200032, China

Location

Local Institution - 0163

Shanghai, Shanghai Municipality, 200040, China

Location

Local Institution - 0184

Chengdu, Sichuan, 610041, China

Location

Local Institution - 0173

Hangzhou, Zhejiang, 0, China

Location

Local Institution - 0174

Hangzhou, Zhejiang, 310009, China

Location

Local Institution - 0172

Hangzhou, Zhejiang, 310014, China

Location

Local Institution - 0170

Beijing, 100083, China

Location

Local Institution - 0164

Shanghai, 200032, China

Location

Local Institution - 0160

Brno, 656 53, Czechia

Location

Local Institution - 0152

Hradec Králové, 500 05, Czechia

Location

Local Institution - 0190

Aalborg, 9210, Denmark

Location

Local Institution - 0196

Herlev, 2730, Denmark

Location

Local Institution - 0060

Helsinki, 00029, Finland

Location

Local Institution - 0091

Nîmes, Gard, 30029, France

Location

Local Institution - 0089

Lille, 59000, France

Location

Local Institution - 0088

Marseille, 13273, France

Location

Local Institution - 0090

Saint-Priest-en-Jarez, 42271, France

Location

Local Institution - 0092

Suresnes, 92151, France

Location

Local Institution - 0093

Tours, 37044, France

Location

Local Institution - 0094

Villejuif, 94805, France

Location

Local Institution - 0036

Dresden, 01307, Germany

Location

Local Institution - 0048

Essen, 45147, Germany

Location

Local Institution - 0047

Freiburg im Breisgau, 79106, Germany

Location

Local Institution - 0049

Hamburg, 22763, Germany

Location

Local Institution - 0037

Hanover, 30625, Germany

Location

Local Institution - 0041

Jena, 07747, Germany

Location

Local Institution - 0213

Mannheim, 68167, Germany

Location

Local Institution - 0038

Nuremberg, 90419, Germany

Location

Local Institution - 0040

Tübingen, 72076, Germany

Location

Local Institution - 0114

Weiden, 92637, Germany

Location

Local Institution - 0039

Würzburg, 97080, Germany

Location

Local Institution - 0102

Athens, 115 28, Greece

Location

Local Institution - 0103

Ioannina, Ípeiros, 455 00, Greece

Location

Local Institution - 0199

Kfar Saba, 44281, Israel

Location

Local Institution - 0198

Ramat Gan, 52621, Israel

Location

Local Institution - 0108

Arezzo, 52100, Italy

Location

Local Institution - 0197

Faenza, 48018, Italy

Location

Local Institution - 0111

Forlì, 47014, Italy

Location

Local Institution - 0109

Grosseto, 58100, Italy

Location

Local Institution - 0107

Milan, 20133, Italy

Location

Local Institution - 0110

Naples, 80131, Italy

Location

Local Institution - 0136

Hirosaki, Aomori, 036-8563, Japan

Location

Local Institution - 0135

Chiba, Chiba, 260-8717, Japan

Location

Local Institution - 0147

Matsuyama, Ehime, 7910280, Japan

Location

Local Institution - 0140

Fukuoka, Fukuoka, 8128582, Japan

Location

Local Institution - 0146

Sapporo, Hokkaido, 0608543, Japan

Location

Local Institution - 0150

Tsukuba, Ibaraki, 3058576, Japan

Location

Local Institution - 0214

Morioka, Iwate, 0208505, Japan

Location

Local Institution - 0137

Kita-Gun, Kagawa-ken, 7610793, Japan

Location

Local Institution - 0141

Niigata, Niigata, 9518520, Japan

Location

Local Institution - 0143

Okayama, Okayama-ken, 7008558, Japan

Location

Local Institution - 0144

Osaka, Osaka, 5418567, Japan

Location

Local Institution - 0139

Sayama, Osaka, 589-8511, Japan

Location

Local Institution - 0145

Takatsuki-shi, Osaka, 5698686, Japan

Location

Local Institution - 0201

Hamamatasu, Shizuoka, 431-3192, Japan

Location

Local Institution - 0149

Adachi-ku, Tokyo, 1168567, Japan

Location

Local Institution - 0148

Bunkyo-ku, Tokyo, 1138519, Japan

Location

Local Institution - 0142

Bunkyo-ku, Tokyo, 1138602, Japan

Location

Local Institution - 0138

Shinjuku-Ku, Tokyo, 1608582, Japan

Location

Local Institution - 0215

Wakayama, Wakayama, 641-8510, Japan

Location

Local Institution - 0200

Ube, Yamaguchi, 755-8505, Japan

Location

Local Institution - 0129

Mexico City, Mexico City, 06100, Mexico

Location

Local Institution - 0154

Mexico City, Mexico City, 07760, Mexico

Location

Local Institution - 0130

Tlalpan, Mexico City, 14080, Mexico

Location

Local Institution - 0131

Monterrey, Nuevo León, 64460, Mexico

Location

Local Institution - 0022

Amsterdam, North Holland, 1066 CX, Netherlands

Location

Local Institution - 0055

Enschede, 7512KZ, Netherlands

Location

Local Institution - 0024

Groningen, 9713 GZ, Netherlands

Location

Local Institution - 0026

Leeuwarden, 8934 AD, Netherlands

Location

Local Institution - 0074

Bergen, 5021, Norway

Location

Local Institution - 0081

Lorenskog, 1478, Norway

Location

Local Institution - 0031

Lima, 15076, Peru

Location

Local Institution - 0030

Lima, 34, Peru

Location

Local Institution - 0189

Bydgoszcz, 85-796, Poland

Location

Local Institution - 0205

Koszalin, 75-581, Poland

Location

Local Institution - 0202

Warsaw, 02-781, Poland

Location

Local Institution - 0191

Cluj-Napoca, Cluj, 400015, Romania

Location

Local Institution - 0187

Craiova, Dolj, 200542, Romania

Location

Local Institution

Moscow, 125367, Russia

Location

Local Institution - 0192

Singapore, Central Singapore, 168583, Singapore

Location

Local Institution - 0125

Goyang-si, Gyeonggido, 10408, South Korea

Location

Local Institution - 0126

Seongnam-si, 13620, South Korea

Location

Local Institution - 0124

Seoul, 03080, South Korea

Location

Local Institution - 0151

Seoul, 03722, South Korea

Location

Local Institution - 0128

Seoul, 05505, South Korea

Location

Local Institution - 0127

Seoul, 06351, South Korea

Location

Local Institution - 0070

A Coruña, 15006, Spain

Location

Local Institution - 0068

Barcelona, 08025, Spain

Location

Local Institution - 0065

Madrid, 28034, Spain

Location

Local Institution - 0066

Madrid, 28041, Spain

Location

Local Institution - 0209

Santander, 39008, Spain

Location

Local Institution - 0067

Seville, 41013, Spain

Location

Local Institution - 0069

Valencia, 46009, Spain

Location

Local Institution - 0075

Jönköping, 553 05, Sweden

Location

Local Institution - 0059

Linköping, 581 85, Sweden

Location

Local Institution - 0058

Lund, 221 85, Sweden

Location

Local Institution - 0061

Baden, Canton of Aargau, 5404, Switzerland

Location

Local Institution - 0042

Chur, 7000, Switzerland

Location

Local Institution - 0156

Kaohsiung City, 833, Taiwan

Location

Local Institution - 0159

Taichung, 40705, Taiwan

Location

Local Institution - 0158

Taipei, 100, Taiwan

Location

Local Institution - 0155

Taipei, 11217, Taiwan

Location

Local Institution - 0157

Taoyuan District, 333, Taiwan

Location

Local Institution - 0194

Ankara, 06590, Turkey (Türkiye)

Location

Local Institution - 0204

Istanbul, 34300, Turkey (Türkiye)

Location

Local Institution - 0193

Izmir, 35340, Turkey (Türkiye)

Location

Related Publications (2)

  • Tomita Y, Ye DW, Fujii A, Takeuchi N. Nivolumab plus gemcitabine-cisplatin for previously untreated unresectable or metastatic urothelial carcinoma: an Asian subgroup analysis from the global phase 3 CheckMate 901 trial. Urol Oncol. 2025 Dec;43(12):696.e9-696.e16. doi: 10.1016/j.urolonc.2025.08.022. Epub 2025 Sep 26.

  • van der Heijden MS, Sonpavde G, Powles T, Necchi A, Burotto M, Schenker M, Sade JP, Bamias A, Beuzeboc P, Bedke J, Oldenburg J, Chatta G, Urun Y, Ye D, He Z, Valderrama BP, Ku JH, Tomita Y, Filian J, Wang L, Purcea D, Patel MY, Nasroulah F, Galsky MD; CheckMate 901 Trial Investigators. Nivolumab plus Gemcitabine-Cisplatin in Advanced Urothelial Carcinoma. N Engl J Med. 2023 Nov 9;389(19):1778-1789. doi: 10.1056/NEJMoa2309863. Epub 2023 Oct 22.

Related Links

MeSH Terms

Interventions

NivolumabIpilimumabGemcitabineCisplatinCarboplatin

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulinsHeterocyclic CompoundsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingChlorine 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

January 27, 2017

First Posted

January 30, 2017

Study Start

March 24, 2017

Primary Completion

August 30, 2024

Study Completion (Estimated)

May 15, 2026

Last Updated

March 6, 2026

Results First Posted

September 18, 2025

Record last verified: 2026-02

Locations