A Study of Neoadjuvant Chemotherapy Plus Nivolumab Versus Neoadjuvant Chemotherapy Plus Placebo, Followed by Surgical Removal and Adjuvant Treatment With Nivolumab or Placebo for Participants With Surgically Removable Early Stage Non-small Cell Lung Cancer
A Phase 3, Randomized, Double-blind Study of Neoadjuvant Chemotherapy Plus Nivolumab Versus Neoadjuvant Chemotherapy Plus Placebo, Followed by Surgical Resection and Adjuvant Treatment With Nivolumab or Placebo for Participants With Resectable Stage II-IIIB Non-small Cell Lung Cancer
2 other identifiers
interventional
461
22 countries
108
Brief Summary
The main purpose of the study is to examine if periadjuvant (neoadjuvant, then adjuvant) immunotherapy will prolong event free survival in participants with early stage non-small cell lung cancer.
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 Nov 2019
Longer than P75 for phase_3
108 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
July 17, 2019
CompletedFirst Posted
Study publicly available on registry
July 19, 2019
CompletedStudy Start
First participant enrolled
November 5, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 26, 2023
CompletedResults Posted
Study results publicly available
July 23, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
July 30, 2027
ExpectedOctober 16, 2025
January 1, 2025
3.7 years
July 17, 2019
June 26, 2024
October 7, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Event-Free Survival (EFS) by BICR
The length of time from randomization to any of the following events: progression of disease or worsening of disease precluding surgery, if surgery is attempted but gross resection is abandoned due to unresectable tumor or worsening of disease, progression or recurrence of disease after surgery, progression or recurrence of disease without surgery, or death due to any cause. Progression/recurrence will be assessed by BICR per RECIST 1.1. Participants who do not undergo surgery for reason other than progression will be considered to have an event at RECIST 1.1 progression or death
From randomization to disease progression, worsening, recurrence, or death due to any cause (up to approximately 44 months)
Secondary Outcomes (6)
Overall Survival (OS)
From randomization and the date of death due to any cause.
Pathologic Complete Response (pCR) Rate
From randomization up to approximately 44 months
Major Pathological Response (MPR) Rate
From randomization up to approximately 44 months
The Number of Participants With Adverse Events (AEs)
From first treatment to 30 days after last treatment of study therapy including definitive surgery and radiotherapy (up to approximately 28 months)
The Number of Participants With Serious Adverse Events (SAEs)
From first treatment to 30 days after last treatment of study therapy including definitive surgery and radiotherapy (up to approximately 28 months)
- +1 more secondary outcomes
Study Arms (2)
Neoadj. Nivo+ Pt-based Doublet Chemo followed by Adj. Nivo
EXPERIMENTALNeoadj. Plac. + Pt-based Doublet Chemo followed by Adj.Plac.
PLACEBO COMPARATORInterventions
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
Specified dose on specified days
Eligibility Criteria
You may qualify if:
- Participants with suspected or histologically confirmed Stage IIA (\> 4 cm) to IIIB (T3N2) non-small cell lung carcinoma (NSCLC) with disease that is considered resectable
- No brain metastasis
- Treatment-naive for NSCLC (no prior systemic anti-cancer treatment)
- Ability to provide surgical or biopsy tumor tissue for biomarkers
- Eastern Cooperative Oncology Group (ECOG) Performance Status of ≤ 1
You may not qualify if:
- Participants with an active, known or suspected autoimmune disease
- Any positive test for hepatitis B virus or hepatitis C virus or human immunodeficiency virus (HIV)
- Any previous anti-cancer treatment including cytotoxic, IO treatment, targeted agents, or radiotherapy for NSCLC
- Prior treatment with any anti-PD-1, anti-PD-L1, anti-PD-L2, 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 (108)
Local Institution - 0104
Tampa, Florida, 33612, United States
Local Institution - 0040
Atlanta, Georgia, 30342, United States
Local Institution - 0120
Augusta, Georgia, 30912, United States
Local Institution - 0145
Chicago, Illinois, 60611, United States
Local Institution - 0078
Chicago, Illinois, 60612, United States
Local Institution - 0121
Orland Park, Illinois, 60462, United States
Rcca Md Llc
Bethesda, Maryland, 20817, United States
Local Institution - 0076
Boston, Massachusetts, 02215, United States
Local Institution - 0074
Newton, Massachusetts, 02459, United States
Local Institution - 0086
Traverse City, Michigan, 49684, United States
Local Institution - 0100
Lebanon, New Hampshire, 03756, United States
Local Institution - 0055
Cincinnati, Ohio, 45220, United States
Local Institution - 0102
Cleveland, Ohio, 44106, United States
Local Institution - 0054
Houston, Texas, 77030, United States
Local Institution - 0103
Fredericksburg, Virginia, 22408, United States
Local Institution - 0032
Ciudad Autonoma Beunos Aires, Buenos Aires, 1431, Argentina
Local Institution - 0031
ABB, Buenos Aires F.D., C1199ABB, Argentina
Local Institution - 0043
Buenos Aires, CP1280AEB, Argentina
Local Institution - 0030
CABA, 1426, Argentina
Local Institution - 0020
Sydney, New South Wales, 2050, Australia
Local Institution - 0033
Heidelberg, Victoria, 3084, Australia
Local Institution - 0122
Melbourne, Victoria, 3065, Australia
Local Institution - 0023
North Ballarat, Victoria, 33500, Australia
Local Institution - 0002
Edegem, 2650, Belgium
Local Institution - 0005
Liège, 4000, Belgium
Local Institution - 0001
Roeselare, 8800, Belgium
Local Institution - 0035
Belo Horizonte, Minas Gerais, 30130-090, Brazil
Local Institution - 0029
Ijuí, Rio Grande do Sul, 98700-000, Brazil
Local Institution - 0036
São Paulo, São Paulo, 01509-010, Brazil
Local Institution - 0034
São Paulo, São Paulo, 05652-900, Brazil
Local Institution - 0106
São Paulo, 01321-001, Brazil
Local Institution - 0062
Oshawa, Ontario, L1G 2B9, Canada
Local Institution - 0115
Beijing, Beijing Municipality, 100021, China
Local Institution - 0096
Beijing, BEI, 100142, China
Local Institution - 0137
Fuzhou, Fujian, 350001, China
Local Institution - 0136
Fuzhou, Fujian, 350014, China
Local Institution - 0151
Hubei Sheng, Hubei, 430079, China
Local Institution - 0092
Changsha, Hunan, 410000, China
Local Institution - 0093
Changsha, Hunan, 410000, China
Local Institution - 0091
Changsha, Hunan, 410008, China
Local Institution - 0098
Shanghai, Shanghai Municipality, 200010, China
Local Institution - 0165
Shanghai, Shanghai Municipality, 200030, China
Local Institution - 0113
Shanghai, Shanghai Municipality, 200433, China
Local Institution - 0088
Chengdu, Sichuan, 610041, China
Local Institution - 0099
Hangzhou, Zhejiang, 310016, China
Local Institution - 0095
Shanghai, 200032, China
Local Institution - 0041
Prague, 128 08, Czechia
Local Institution - 0042
Prague, 140 59, Czechia
Local Institution - 0073
Besançon, 25030, France
Local Institution - 0037
La Tronche, 38700, France
Local Institution - 0050
Montpellier, 34295, France
Local Institution - 0038
Paris, 75018, France
Local Institution - 0051
Paris, 75970, France
Local Institution - 0083
Rennes, 35033, France
Local Institution - 0146
Rouen, 76000, France
Local Institution - 0109
Immenstadt im Allgäu, Bavaria, 87509, Germany
Local Institution - 0110
Cologne, North Rhine-Westphalia, 51109, Germany
Local Institution - 0085
Berlin, 13353, Germany
Local Institution - 0065
Frankfurt, 60488, Germany
Local Institution - 0072
Georgsmarienhütte, 49124, Germany
Local Institution - 0071
Hamm, 59063, Germany
Local Institution - 0108
Heidelberg, 69126, Germany
Local Institution - 0064
Löwenstein, 74245, Germany
Local Institution - 0147
Ludwigsburg, 71640, Germany
Local Institution - 0063
Lübeck, 23538, Germany
Local Institution - 0070
Moers, 47441, Germany
Local Institution - 0066
München, 81675, Germany
Local Institution - 0016
Dublin, D24 DH74, Ireland
Local Institution - 0024
Forlì, 47014, Italy
Local Institution - 0026
Milan, 20122, Italy
Local Institution - 0025
Parma, 43126, Italy
Local Institution - 0135
Nagoya, Aichi-ken, 4640021, Japan
Local Institution - 0124
Kashiwa-shi, Chiba, 2778577, Japan
Local Institution - 0129
Kitakyushu-shi, Fukuoka, 8078556, Japan
Local Institution - 0127
Kobe, Hyōgo, 6500047, Japan
Local Institution - 0144
Kanazawa, Ishikawa-ken, 9208641, Japan
Local Institution - 0125
Yokohama, Kanagawa, 241-8515, Japan
Local Institution - 0131
Sendai, Miyagi, 9800873, Japan
Local Institution - 0126
Sakai-shi, Osaka, 5918555, Japan
Local Institution - 0130
Kitaadachigun, Saitama, 3620806, Japan
Local Institution - 0142
Bunkyo-ku, Tokyo, 1138431, Japan
Local Institution - 0133
Bunkyo-ku, Tokyo, 1138603, Japan
Local Institution - 0143
Chuo-ku, Tokyo, 1040045, Japan
Local Institution - 0134
Chuo-ku, Tokyo, 5418567, Japan
Local Institution - 0132
Fukushima, 960-1295, Japan
Local Institution - 0128
Hiroshima, 734-8551, Japan
Local Institution - 0077
Guadalajara, Jalisco, 44280, Mexico
Local Institution - 0027
Monterrey, Nuevo León, 64460, Mexico
Local Institution - 0028
Chihuahua City, 31000, Mexico
Local Institution - 0004
Groningen, 9700RB, Netherlands
Local Institution - 0003
Rotterdam, 3015 GD, Netherlands
Local Institution - 0049
Krakow, Lesser Poland Voivodeship, 31-202, Poland
Local Institution - 0117
Hato Rey, 00917, Puerto Rico
Local Institution - 0013
Cluj-Napoca, Cluj, 400015, Romania
Local Institution - 0011
Bucharest, 022328, Romania
Local Institution - 0012
Floreşti, 407280, Romania
Local Institution
Moscow, 115478, Russia
Local Institution
Saint Petersburg, 194291, Russia
Local Institution
Saint Petersburg, 197758, Russia
Local Institution
Saint Petersburg, 198255, Russia
Local Institution - 0046
Madrid, 28006, Spain
Local Institution - 0044
Majadahonda - Madrid, 28222, Spain
Local Institution - 0045
Valencia, 46026, Spain
Local Institution - 0149
Kaohsiung City, 807, Taiwan
Local Institution - 0119
Kaohsiung City, 833, Taiwan
Local Institution - 0116
New Taipei City, 235, Taiwan
Local Institution - 0112
Taipei, 100225, Taiwan
Local Institution - 0007
Taunton, TA1 5DA, United Kingdom
Related Publications (5)
Provencio M, Awad MM, Spicer JD, Janssens A, Moiseyenko F, Gao Y, Watanabe Y, Alexandru A, Guisier F, Frost N, Franke F, Hiltermann TJN, He J, Tanaka F, Lu S, Coronado Erdmann C, Sathyanarayana P, Tran P, Devas V, Cascone T. Clinical outcomes with perioperative nivolumab by nodal status in patients with stage III resectable NSCLC: phase 3 CheckMate 77T exploratory analysis. Nat Cancer. 2026 Jan 8. doi: 10.1038/s43018-025-01104-z. Online ahead of print.
PMID: 41507539DERIVEDTanaka F, Watanabe Y, Sugawara S, Okami J, Muto S, Okada M, Horio Y, Tsuboi M, Sato Y, Takamochi K, Horinouchi H, Tambo Y, Seike M, Okishio K, Coronado Erdmann C, Sathyanarayana P, Meadows-Shropshire S, Ito H. Perioperative Nivolumab in Resectable Non-Small Cell Lung Cancer: A Subanalysis of Japanese Patients From CheckMate 77T. Cancer Sci. 2025 Dec 23. doi: 10.1111/cas.70300. Online ahead of print.
PMID: 41431434DERIVEDCascone T, Awad MM, Spicer JD, He J, Lu S, Sepesi B, Tanaka F, Taube JM, Cornelissen R, Havel L, Karaseva N, Kuzdzal J, Petruzelka LB, Wu L, Pujol JL, Ito H, Ciuleanu TE, de Oliveira Muniz Koch L, Janssens A, Alexandru A, Bohnet S, Moiseyenko FV, Gao Y, Watanabe Y, Coronado Erdmann C, Sathyanarayana P, Meadows-Shropshire S, Blum SI, Provencio Pulla M; CheckMate 77T Investigators. Perioperative Nivolumab in Resectable Lung Cancer. N Engl J Med. 2024 May 16;390(19):1756-1769. doi: 10.1056/NEJMoa2311926.
PMID: 38749033DERIVEDLeal TA, Ramalingam SS. Neoadjuvant therapy gains FDA approval in non-small cell lung cancer. Cell Rep Med. 2022 Jul 19;3(7):100691. doi: 10.1016/j.xcrm.2022.100691.
PMID: 35858590DERIVEDHong WX, Sagiv-Barfi I, Czerwinski DK, Sallets A, Levy R. Neoadjuvant Intratumoral Immunotherapy with TLR9 Activation and Anti-OX40 Antibody Eradicates Metastatic Cancer. Cancer Res. 2022 Apr 1;82(7):1396-1408. doi: 10.1158/0008-5472.CAN-21-1382.
PMID: 35135810DERIVED
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
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 17, 2019
First Posted
July 19, 2019
Study Start
November 5, 2019
Primary Completion
July 26, 2023
Study Completion (Estimated)
July 30, 2027
Last Updated
October 16, 2025
Results First Posted
July 23, 2024
Record last verified: 2025-01