Study of Nivolumab in Combination With Ipilimumab or Standard of Care Chemotherapy Compared to the Standard of Care Chemotherapy Alone in Treatment of Participants With Untreated Inoperable or Metastatic Urothelial Cancer
CheckMate901
A Phase 3, Open-label, Randomized Study of Nivolumab Combined With Ipilimumab, or With Standard of Care Chemotherapy, Versus Standard of Care Chemotherapy in Participants With Previously Untreated Unresectable or Metastatic Urothelial Cancer
2 other identifiers
interventional
1,314
30 countries
174
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Mar 2017
Longer than P75 for phase_3
174 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
January 27, 2017
CompletedFirst Posted
Study publicly available on registry
January 30, 2017
CompletedStudy Start
First participant enrolled
March 24, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 30, 2024
CompletedResults Posted
Study results publicly available
September 18, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
May 15, 2026
ExpectedMarch 6, 2026
February 1, 2026
7.4 years
January 27, 2017
August 28, 2025
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
EXPERIMENTALArm B: Standard of care chemotherapy
ACTIVE COMPARATORArm C: Investigational immunotherapy
EXPERIMENTALArm D: Standard of care chemotherapy
ACTIVE COMPARATORInterventions
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:
- 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
- Ono Pharmaceutical Co. Ltdcollaborator
- Bristol-Myers Squibblead
Study Sites (174)
Local Institution - 0001
Anchorage, Alaska, 99503, United States
Local Institution - 0115
Fresno, California, 93703, United States
St Joseph Heritage Healthcare
Santa Rosa, California, 95403, United States
Local Institution - 0051
Boca Raton, Florida, 33486, United States
Local Institution - 0087
Fort Lauderdale, Florida, 33308, United States
Local Institution - 0062
Jacksonville, Florida, 32256, United States
Local Institution - 0004
Athens, Georgia, 30607, United States
Local Institution - 0033
Thomasville, Georgia, 31792, United States
Local Institution - 0046
Chicago, Illinois, 60612, United States
Local Institution - 0117
New Orleans, Louisiana, 70121, United States
Local Institution - 0056
Boston, Massachusetts, 02210, United States
Local Institution - 0073
Boston, Massachusetts, 02215, United States
Local Institution - 0208
Boston, Massachusetts, 02215, United States
Local Institution - 0207
Milford, Massachusetts, 01757, United States
Local Institution - 0063
Ann Arbor, Michigan, 48197, United States
Local Institution - 0002
Burnsville, Minnesota, 55337, United States
Hattiesburg Clinic
Hattiesburg, Mississippi, 39401, United States
Local Institution - 0032
Kansas City, Missouri, 64111-3220, United States
Local Institution - 0095
St Louis, Missouri, 63110, United States
Local Institution - 0057
Manchester, New Hampshire, 03103, United States
Local Institution - 0084
Albuquerque, New Mexico, 87131, United States
Local Institution - 0083
Buffalo, New York, 14263, United States
Local Institution - 0014
Mineola, New York, 11501, United States
Local Institution - 0072
New York, New York, 10029, United States
Local Institution - 0116
Durham, North Carolina, 27710, United States
Local Institution - 0082
Columbus, Ohio, 43210, United States
Local Institution - 0104
Portland, Oregon, 97213, United States
Local Institution - 0013
Pittsburgh, Pennsylvania, 15212, United States
Local Institution - 0086
Kirkland, Washington, 98034, United States
Local Institution - 0005
Capital Federal, Buenos Aires, 1426, Argentina
Local Institution - 0007
Mar del Plata, Buenos Aires, 7600, Argentina
Local Institution - 0009
Buenos Aires, 1120, Argentina
Local Institution - 0134
Córdoba, 5000, Argentina
Local Institution - 0006
Córdoba, 5004, Argentina
Local Institution - 0008
Viedma, 8500, Argentina
Local Institution - 0096
Waratah, New South Wales, 2298, Australia
Local Institution - 0099
Westmead, New South Wales, 2145, Australia
Local Institution - 0188
South Brisbane, Queensland, 4101, Australia
Local Institution - 0120
Tugun, Queensland, 4224, Australia
Local Institution - 0101
Heidelberg, Victoria, 3084, Australia
Local Institution - 0100
Doubleview, Western Australia, 6018, Australia
Local Institution - 0017
Brasília, Federal District, 70200-730, Brazil
Local Institution - 0021
Ijuí, Rio Grande do Sul, 98700-000, Brazil
Local Institution - 0119
Passo Fundo, Rio Grande do Sul, 99010-080, Brazil
Local Institution - 0020
Porto Alegre, Rio Grande do Sul, 90610000, Brazil
Local Institution - 0016
Florianópolis, Santa Catarina, 88034-000, Brazil
Local Institution - 0018
Barretos, São Paulo, 14784-400, Brazil
Local Institution - 0019
São José do Rio Preto, São Paulo, 15090-000, Brazil
Local Institution - 0053
Halifax, Nova Scotia, B3H 2Y9, Canada
Local Institution - 0064
London, Ontario, N6A 4L6, Canada
Local Institution - 0054
Québec, Quebec, G1J 1Z4, Canada
Local Institution - 0052
Sherbrooke, Quebec, J1H 5N4, Canada
Local Institution - 0012
Viña del Mar, Región de Valparaíso, 2520598, Chile
Local Institution - 0010
Santiago, Santiago Metropolitan, 8420383, Chile
Local Institution - 0106
Vitacura, 0, Chile
Local Institution - 0171
Beijing, Beijing Municipality, 100001, China
Local Institution - 0169
Beijing, Beijing Municipality, 100034, China
Local Institution - 0182
Chongqing, Chongqing Municipality, 400030, China
Local Institution - 0217
Guiyang, Guizhou, 550002, China
Local Institution - 0219
Harbin, Heilongjiang, 150000, China
Local Institution - 0180
Wuhan, Hubei, 430030, China
Local Institution - 0175
Nanjing, Jiangsu, 0, China
Local Institution - 0177
Nanjing, Jiangsu, 210000, China
Local Institution - 0176
Nanjing, Jiangsu, 210008, China
Local Institution - 0186
Changchun, Jilin, 130021, China
Local Institution - 0220
Taiyuan, Shan1xi, 030001, China
Local Institution - 0216
Yantai, Shandong, 264000, China
Local Institution - 0167
Shanghai, Shanghai Municipality, 200025, China
Local Institution - 0162
Shanghai, Shanghai Municipality, 200032, China
Local Institution - 0163
Shanghai, Shanghai Municipality, 200040, China
Local Institution - 0184
Chengdu, Sichuan, 610041, China
Local Institution - 0173
Hangzhou, Zhejiang, 0, China
Local Institution - 0174
Hangzhou, Zhejiang, 310009, China
Local Institution - 0172
Hangzhou, Zhejiang, 310014, China
Local Institution - 0170
Beijing, 100083, China
Local Institution - 0164
Shanghai, 200032, China
Local Institution - 0160
Brno, 656 53, Czechia
Local Institution - 0152
Hradec Králové, 500 05, Czechia
Local Institution - 0190
Aalborg, 9210, Denmark
Local Institution - 0196
Herlev, 2730, Denmark
Local Institution - 0060
Helsinki, 00029, Finland
Local Institution - 0091
Nîmes, Gard, 30029, France
Local Institution - 0089
Lille, 59000, France
Local Institution - 0088
Marseille, 13273, France
Local Institution - 0090
Saint-Priest-en-Jarez, 42271, France
Local Institution - 0092
Suresnes, 92151, France
Local Institution - 0093
Tours, 37044, France
Local Institution - 0094
Villejuif, 94805, France
Local Institution - 0036
Dresden, 01307, Germany
Local Institution - 0048
Essen, 45147, Germany
Local Institution - 0047
Freiburg im Breisgau, 79106, Germany
Local Institution - 0049
Hamburg, 22763, Germany
Local Institution - 0037
Hanover, 30625, Germany
Local Institution - 0041
Jena, 07747, Germany
Local Institution - 0213
Mannheim, 68167, Germany
Local Institution - 0038
Nuremberg, 90419, Germany
Local Institution - 0040
Tübingen, 72076, Germany
Local Institution - 0114
Weiden, 92637, Germany
Local Institution - 0039
Würzburg, 97080, Germany
Local Institution - 0102
Athens, 115 28, Greece
Local Institution - 0103
Ioannina, Ípeiros, 455 00, Greece
Local Institution - 0199
Kfar Saba, 44281, Israel
Local Institution - 0198
Ramat Gan, 52621, Israel
Local Institution - 0108
Arezzo, 52100, Italy
Local Institution - 0197
Faenza, 48018, Italy
Local Institution - 0111
Forlì, 47014, Italy
Local Institution - 0109
Grosseto, 58100, Italy
Local Institution - 0107
Milan, 20133, Italy
Local Institution - 0110
Naples, 80131, Italy
Local Institution - 0136
Hirosaki, Aomori, 036-8563, Japan
Local Institution - 0135
Chiba, Chiba, 260-8717, Japan
Local Institution - 0147
Matsuyama, Ehime, 7910280, Japan
Local Institution - 0140
Fukuoka, Fukuoka, 8128582, Japan
Local Institution - 0146
Sapporo, Hokkaido, 0608543, Japan
Local Institution - 0150
Tsukuba, Ibaraki, 3058576, Japan
Local Institution - 0214
Morioka, Iwate, 0208505, Japan
Local Institution - 0137
Kita-Gun, Kagawa-ken, 7610793, Japan
Local Institution - 0141
Niigata, Niigata, 9518520, Japan
Local Institution - 0143
Okayama, Okayama-ken, 7008558, Japan
Local Institution - 0144
Osaka, Osaka, 5418567, Japan
Local Institution - 0139
Sayama, Osaka, 589-8511, Japan
Local Institution - 0145
Takatsuki-shi, Osaka, 5698686, Japan
Local Institution - 0201
Hamamatasu, Shizuoka, 431-3192, Japan
Local Institution - 0149
Adachi-ku, Tokyo, 1168567, Japan
Local Institution - 0148
Bunkyo-ku, Tokyo, 1138519, Japan
Local Institution - 0142
Bunkyo-ku, Tokyo, 1138602, Japan
Local Institution - 0138
Shinjuku-Ku, Tokyo, 1608582, Japan
Local Institution - 0215
Wakayama, Wakayama, 641-8510, Japan
Local Institution - 0200
Ube, Yamaguchi, 755-8505, Japan
Local Institution - 0129
Mexico City, Mexico City, 06100, Mexico
Local Institution - 0154
Mexico City, Mexico City, 07760, Mexico
Local Institution - 0130
Tlalpan, Mexico City, 14080, Mexico
Local Institution - 0131
Monterrey, Nuevo León, 64460, Mexico
Local Institution - 0022
Amsterdam, North Holland, 1066 CX, Netherlands
Local Institution - 0055
Enschede, 7512KZ, Netherlands
Local Institution - 0024
Groningen, 9713 GZ, Netherlands
Local Institution - 0026
Leeuwarden, 8934 AD, Netherlands
Local Institution - 0074
Bergen, 5021, Norway
Local Institution - 0081
Lorenskog, 1478, Norway
Local Institution - 0031
Lima, 15076, Peru
Local Institution - 0030
Lima, 34, Peru
Local Institution - 0189
Bydgoszcz, 85-796, Poland
Local Institution - 0205
Koszalin, 75-581, Poland
Local Institution - 0202
Warsaw, 02-781, Poland
Local Institution - 0191
Cluj-Napoca, Cluj, 400015, Romania
Local Institution - 0187
Craiova, Dolj, 200542, Romania
Local Institution
Moscow, 125367, Russia
Local Institution - 0192
Singapore, Central Singapore, 168583, Singapore
Local Institution - 0125
Goyang-si, Gyeonggido, 10408, South Korea
Local Institution - 0126
Seongnam-si, 13620, South Korea
Local Institution - 0124
Seoul, 03080, South Korea
Local Institution - 0151
Seoul, 03722, South Korea
Local Institution - 0128
Seoul, 05505, South Korea
Local Institution - 0127
Seoul, 06351, South Korea
Local Institution - 0070
A Coruña, 15006, Spain
Local Institution - 0068
Barcelona, 08025, Spain
Local Institution - 0065
Madrid, 28034, Spain
Local Institution - 0066
Madrid, 28041, Spain
Local Institution - 0209
Santander, 39008, Spain
Local Institution - 0067
Seville, 41013, Spain
Local Institution - 0069
Valencia, 46009, Spain
Local Institution - 0075
Jönköping, 553 05, Sweden
Local Institution - 0059
Linköping, 581 85, Sweden
Local Institution - 0058
Lund, 221 85, Sweden
Local Institution - 0061
Baden, Canton of Aargau, 5404, Switzerland
Local Institution - 0042
Chur, 7000, Switzerland
Local Institution - 0156
Kaohsiung City, 833, Taiwan
Local Institution - 0159
Taichung, 40705, Taiwan
Local Institution - 0158
Taipei, 100, Taiwan
Local Institution - 0155
Taipei, 11217, Taiwan
Local Institution - 0157
Taoyuan District, 333, Taiwan
Local Institution - 0194
Ankara, 06590, Turkey (Türkiye)
Local Institution - 0204
Istanbul, 34300, Turkey (Türkiye)
Local Institution - 0193
Izmir, 35340, Turkey (Türkiye)
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.
PMID: 41015742DERIVEDvan 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.
PMID: 37870949DERIVED
Related Links
MeSH Terms
Interventions
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
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