NCT04025879

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

87
On Track

Trial Health Score

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

Strong global presence with extensive site network
Enrollment
461

participants targeted

Target at P50-P75 for phase_3

Timeline
14mo left

Started Nov 2019

Longer than P75 for phase_3

Geographic Reach
22 countries

108 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 Progress85%
Nov 2019Jul 2027

First Submitted

Initial submission to the registry

July 17, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

July 19, 2019

Completed
4 months until next milestone

Study Start

First participant enrolled

November 5, 2019

Completed
3.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 26, 2023

Completed
12 months until next milestone

Results Posted

Study results publicly available

July 23, 2024

Completed
3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

July 30, 2027

Expected
Last Updated

October 16, 2025

Status Verified

January 1, 2025

Enrollment Period

3.7 years

First QC Date

July 17, 2019

Results QC Date

June 26, 2024

Last Update Submit

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

EXPERIMENTAL
Biological: NivolumabDrug: CarboplatinDrug: CisplatinDrug: PaclitaxelDrug: PemetrexedDrug: Docetaxel

Neoadj. Plac. + Pt-based Doublet Chemo followed by Adj.Plac.

PLACEBO COMPARATOR
Drug: CarboplatinDrug: CisplatinDrug: PaclitaxelDrug: PemetrexedDrug: PlaceboDrug: Docetaxel

Interventions

NivolumabBIOLOGICAL

Specified dose on specified days

Also known as: Opdivo, BMS936558
Neoadj. Nivo+ Pt-based Doublet Chemo followed by Adj. Nivo

Specified dose on specified days

Neoadj. Nivo+ Pt-based Doublet Chemo followed by Adj. NivoNeoadj. Plac. + Pt-based Doublet Chemo followed by Adj.Plac.

Specified dose on specified days

Neoadj. Nivo+ Pt-based Doublet Chemo followed by Adj. NivoNeoadj. Plac. + Pt-based Doublet Chemo followed by Adj.Plac.

Specified dose on specified days

Neoadj. Nivo+ Pt-based Doublet Chemo followed by Adj. NivoNeoadj. Plac. + Pt-based Doublet Chemo followed by Adj.Plac.

Specified dose on specified days

Neoadj. Nivo+ Pt-based Doublet Chemo followed by Adj. NivoNeoadj. Plac. + Pt-based Doublet Chemo followed by Adj.Plac.

Specified dose on specified days

Neoadj. Plac. + Pt-based Doublet Chemo followed by Adj.Plac.

Specified dose on specified days

Neoadj. Nivo+ Pt-based Doublet Chemo followed by Adj. NivoNeoadj. Plac. + Pt-based Doublet Chemo followed by Adj.Plac.

Eligibility Criteria

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

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

Location

Local Institution - 0040

Atlanta, Georgia, 30342, United States

Location

Local Institution - 0120

Augusta, Georgia, 30912, United States

Location

Local Institution - 0145

Chicago, Illinois, 60611, United States

Location

Local Institution - 0078

Chicago, Illinois, 60612, United States

Location

Local Institution - 0121

Orland Park, Illinois, 60462, United States

Location

Rcca Md Llc

Bethesda, Maryland, 20817, United States

Location

Local Institution - 0076

Boston, Massachusetts, 02215, United States

Location

Local Institution - 0074

Newton, Massachusetts, 02459, United States

Location

Local Institution - 0086

Traverse City, Michigan, 49684, United States

Location

Local Institution - 0100

Lebanon, New Hampshire, 03756, United States

Location

Local Institution - 0055

Cincinnati, Ohio, 45220, United States

Location

Local Institution - 0102

Cleveland, Ohio, 44106, United States

Location

Local Institution - 0054

Houston, Texas, 77030, United States

Location

Local Institution - 0103

Fredericksburg, Virginia, 22408, United States

Location

Local Institution - 0032

Ciudad Autonoma Beunos Aires, Buenos Aires, 1431, Argentina

Location

Local Institution - 0031

ABB, Buenos Aires F.D., C1199ABB, Argentina

Location

Local Institution - 0043

Buenos Aires, CP1280AEB, Argentina

Location

Local Institution - 0030

CABA, 1426, Argentina

Location

Local Institution - 0020

Sydney, New South Wales, 2050, Australia

Location

Local Institution - 0033

Heidelberg, Victoria, 3084, Australia

Location

Local Institution - 0122

Melbourne, Victoria, 3065, Australia

Location

Local Institution - 0023

North Ballarat, Victoria, 33500, Australia

Location

Local Institution - 0002

Edegem, 2650, Belgium

Location

Local Institution - 0005

Liège, 4000, Belgium

Location

Local Institution - 0001

Roeselare, 8800, Belgium

Location

Local Institution - 0035

Belo Horizonte, Minas Gerais, 30130-090, Brazil

Location

Local Institution - 0029

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

Location

Local Institution - 0036

São Paulo, São Paulo, 01509-010, Brazil

Location

Local Institution - 0034

São Paulo, São Paulo, 05652-900, Brazil

Location

Local Institution - 0106

São Paulo, 01321-001, Brazil

Location

Local Institution - 0062

Oshawa, Ontario, L1G 2B9, Canada

Location

Local Institution - 0115

Beijing, Beijing Municipality, 100021, China

Location

Local Institution - 0096

Beijing, BEI, 100142, China

Location

Local Institution - 0137

Fuzhou, Fujian, 350001, China

Location

Local Institution - 0136

Fuzhou, Fujian, 350014, China

Location

Local Institution - 0151

Hubei Sheng, Hubei, 430079, China

Location

Local Institution - 0092

Changsha, Hunan, 410000, China

Location

Local Institution - 0093

Changsha, Hunan, 410000, China

Location

Local Institution - 0091

Changsha, Hunan, 410008, China

Location

Local Institution - 0098

Shanghai, Shanghai Municipality, 200010, China

Location

Local Institution - 0165

Shanghai, Shanghai Municipality, 200030, China

Location

Local Institution - 0113

Shanghai, Shanghai Municipality, 200433, China

Location

Local Institution - 0088

Chengdu, Sichuan, 610041, China

Location

Local Institution - 0099

Hangzhou, Zhejiang, 310016, China

Location

Local Institution - 0095

Shanghai, 200032, China

Location

Local Institution - 0041

Prague, 128 08, Czechia

Location

Local Institution - 0042

Prague, 140 59, Czechia

Location

Local Institution - 0073

Besançon, 25030, France

Location

Local Institution - 0037

La Tronche, 38700, France

Location

Local Institution - 0050

Montpellier, 34295, France

Location

Local Institution - 0038

Paris, 75018, France

Location

Local Institution - 0051

Paris, 75970, France

Location

Local Institution - 0083

Rennes, 35033, France

Location

Local Institution - 0146

Rouen, 76000, France

Location

Local Institution - 0109

Immenstadt im Allgäu, Bavaria, 87509, Germany

Location

Local Institution - 0110

Cologne, North Rhine-Westphalia, 51109, Germany

Location

Local Institution - 0085

Berlin, 13353, Germany

Location

Local Institution - 0065

Frankfurt, 60488, Germany

Location

Local Institution - 0072

Georgsmarienhütte, 49124, Germany

Location

Local Institution - 0071

Hamm, 59063, Germany

Location

Local Institution - 0108

Heidelberg, 69126, Germany

Location

Local Institution - 0064

Löwenstein, 74245, Germany

Location

Local Institution - 0147

Ludwigsburg, 71640, Germany

Location

Local Institution - 0063

Lübeck, 23538, Germany

Location

Local Institution - 0070

Moers, 47441, Germany

Location

Local Institution - 0066

München, 81675, Germany

Location

Local Institution - 0016

Dublin, D24 DH74, Ireland

Location

Local Institution - 0024

Forlì, 47014, Italy

Location

Local Institution - 0026

Milan, 20122, Italy

Location

Local Institution - 0025

Parma, 43126, Italy

Location

Local Institution - 0135

Nagoya, Aichi-ken, 4640021, Japan

Location

Local Institution - 0124

Kashiwa-shi, Chiba, 2778577, Japan

Location

Local Institution - 0129

Kitakyushu-shi, Fukuoka, 8078556, Japan

Location

Local Institution - 0127

Kobe, Hyōgo, 6500047, Japan

Location

Local Institution - 0144

Kanazawa, Ishikawa-ken, 9208641, Japan

Location

Local Institution - 0125

Yokohama, Kanagawa, 241-8515, Japan

Location

Local Institution - 0131

Sendai, Miyagi, 9800873, Japan

Location

Local Institution - 0126

Sakai-shi, Osaka, 5918555, Japan

Location

Local Institution - 0130

Kitaadachigun, Saitama, 3620806, Japan

Location

Local Institution - 0142

Bunkyo-ku, Tokyo, 1138431, Japan

Location

Local Institution - 0133

Bunkyo-ku, Tokyo, 1138603, Japan

Location

Local Institution - 0143

Chuo-ku, Tokyo, 1040045, Japan

Location

Local Institution - 0134

Chuo-ku, Tokyo, 5418567, Japan

Location

Local Institution - 0132

Fukushima, 960-1295, Japan

Location

Local Institution - 0128

Hiroshima, 734-8551, Japan

Location

Local Institution - 0077

Guadalajara, Jalisco, 44280, Mexico

Location

Local Institution - 0027

Monterrey, Nuevo León, 64460, Mexico

Location

Local Institution - 0028

Chihuahua City, 31000, Mexico

Location

Local Institution - 0004

Groningen, 9700RB, Netherlands

Location

Local Institution - 0003

Rotterdam, 3015 GD, Netherlands

Location

Local Institution - 0049

Krakow, Lesser Poland Voivodeship, 31-202, Poland

Location

Local Institution - 0117

Hato Rey, 00917, Puerto Rico

Location

Local Institution - 0013

Cluj-Napoca, Cluj, 400015, Romania

Location

Local Institution - 0011

Bucharest, 022328, Romania

Location

Local Institution - 0012

Floreşti, 407280, Romania

Location

Local Institution

Moscow, 115478, Russia

Location

Local Institution

Saint Petersburg, 194291, Russia

Location

Local Institution

Saint Petersburg, 197758, Russia

Location

Local Institution

Saint Petersburg, 198255, Russia

Location

Local Institution - 0046

Madrid, 28006, Spain

Location

Local Institution - 0044

Majadahonda - Madrid, 28222, Spain

Location

Local Institution - 0045

Valencia, 46026, Spain

Location

Local Institution - 0149

Kaohsiung City, 807, Taiwan

Location

Local Institution - 0119

Kaohsiung City, 833, Taiwan

Location

Local Institution - 0116

New Taipei City, 235, Taiwan

Location

Local Institution - 0112

Taipei, 100225, Taiwan

Location

Local Institution - 0007

Taunton, TA1 5DA, United Kingdom

Location

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.

  • Tanaka 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.

  • Cascone 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.

  • Leal 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.

  • Hong 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.

Related Links

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell Lung

Interventions

NivolumabCarboplatinCisplatinPaclitaxelPemetrexedDocetaxel

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 GlobulinsGlobulinsCoordination ComplexesOrganic ChemicalsChlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum CompoundsTaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsDiterpenesTerpenesGuanineHypoxanthinesPurinonesPurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsGlutamatesAmino Acids, AcidicAmino AcidsAmino Acids, Dicarboxylic

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
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

Locations