NCT04623775

Brief Summary

The purpose of this study is to assess the safety profile of relatlimab plus nivolumab in combination with platinum doublet chemotherapy (PDCT) and to determine if nivolumab plus relatlimab in combination with PDCT improves overall response rate (ORR) when compared to nivolumab plus PDCT in participants with previously untreated Stage IV or recurrent non-small cell lung cancer (NSCLC).

Trial Health

67
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Strong global presence with extensive site network
Enrollment
468

participants targeted

Target at P75+ for phase_2 nonsmall-cell-lung-cancer

Timeline
Completed

Started Feb 2021

Typical duration for phase_2 nonsmall-cell-lung-cancer

Geographic Reach
18 countries

123 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

First Submitted

Initial submission to the registry

November 5, 2020

Completed
5 days until next milestone

First Posted

Study publicly available on registry

November 10, 2020

Completed
3 months until next milestone

Study Start

First participant enrolled

February 17, 2021

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 11, 2024

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

March 18, 2025

Completed
12 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 27, 2026

Completed
Last Updated

October 20, 2025

Status Verified

October 1, 2025

Enrollment Period

2.9 years

First QC Date

November 5, 2020

Results QC Date

January 10, 2025

Last Update Submit

October 10, 2025

Conditions

Keywords

Stage IV Non-small Cell Lunch CancerRecurrent Non-small Cell Lung CancerMetastatic Non-small Cell Lung CancerRelatlimabNivolumabChemotherapy

Outcome Measures

Primary Outcomes (2)

  • TRAEs Leading to Discontinuation Within 12 Weeks of First Dose in Part 1

    Percentage of participants with treatment related adverse events (TRAEs) leading to discontinuation within 12 weeks of first dose. AE is defined as any new untoward medical occurrence or worsenig of a preexising medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. Grading will be determined for severity according to the NCI CTCAE v5.0.

    from first dose to 12 weeks after first dose

  • ORR Per RECISTS v1.1 by BICR in Part 2

    Objective Response Rate (ORR) per RECIST v1.1 by BICR is defined as the number of participants in the randomized population who achieve a best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR) based on BICR assessments (using RECIST v1.1) divided by the number of participants in the population. BOR is defined as the best response, as determined by the BICR, recorded between the date of randomization and the date of first objectively documented progression per RECIST v1.1 or the date of subsequent therapy, whichever occurs first.

    Approximately 14.8 Months

Secondary Outcomes (17)

  • TRAEs Leading to Discontinuation in Part 1

    From first dose to 30 days post last dose of study therapy (Approximately 32.8 Months)

  • Number of Participants With a Treatment Related AEs in Part 1

    From first dose to 30 days post last dose of study therapy (Approximately 32.8 Months)

  • Number of Participants With Treatment Releted SAEs in Part 1

    From first dose to 30 days post last dose of study therapy (Approximately 32.8 Months)

  • Number of Participants With Treatment Releted Select AEs in Part 1

    From first dose to 30 days post last dose of study therapy (Approximately 32.8 Months)

  • ORR by PD-L1 Expression Per RECISTS v1.1 by BICR in Part 2

    Approximately 14.8 Months

  • +12 more secondary outcomes

Study Arms (4)

Part 1: Arm A (Nivolumab + Relatlimab Dose 1 + Platinum Doublet Chemotherapy (PDCT))

EXPERIMENTAL
Biological: NivolumabBiological: RelatlimabDrug: CarboplatinDrug: CisplatinDrug: PaclitaxelDrug: Nab-PaclitaxelDrug: Pemetrexed

Part 1: Arm B (Nivolumab + Relatlimab Dose 2 + PDCT))

EXPERIMENTAL
Biological: NivolumabBiological: RelatlimabDrug: CarboplatinDrug: CisplatinDrug: PaclitaxelDrug: Nab-PaclitaxelDrug: Pemetrexed

Part 2: Arm C (Nivolumab + Relatlimab Dose 2 + PDCT)

EXPERIMENTAL
Biological: NivolumabBiological: RelatlimabDrug: CarboplatinDrug: CisplatinDrug: PaclitaxelDrug: Pemetrexed

Part 2: Arm D (Nivolumab + PDCT)

ACTIVE COMPARATOR
Biological: NivolumabDrug: CarboplatinDrug: CisplatinDrug: PaclitaxelDrug: Pemetrexed

Interventions

NivolumabBIOLOGICAL

Specified dose on specified days

Part 1: Arm A (Nivolumab + Relatlimab Dose 1 + Platinum Doublet Chemotherapy (PDCT))Part 1: Arm B (Nivolumab + Relatlimab Dose 2 + PDCT))Part 2: Arm C (Nivolumab + Relatlimab Dose 2 + PDCT)Part 2: Arm D (Nivolumab + PDCT)
RelatlimabBIOLOGICAL

Specified dose on specified days

Part 1: Arm A (Nivolumab + Relatlimab Dose 1 + Platinum Doublet Chemotherapy (PDCT))Part 1: Arm B (Nivolumab + Relatlimab Dose 2 + PDCT))Part 2: Arm C (Nivolumab + Relatlimab Dose 2 + PDCT)

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Part 1: Arm A (Nivolumab + Relatlimab Dose 1 + Platinum Doublet Chemotherapy (PDCT))Part 1: Arm B (Nivolumab + Relatlimab Dose 2 + PDCT))Part 2: Arm C (Nivolumab + Relatlimab Dose 2 + PDCT)Part 2: Arm D (Nivolumab + PDCT)

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Part 1: Arm A (Nivolumab + Relatlimab Dose 1 + Platinum Doublet Chemotherapy (PDCT))Part 1: Arm B (Nivolumab + Relatlimab Dose 2 + PDCT))Part 2: Arm C (Nivolumab + Relatlimab Dose 2 + PDCT)Part 2: Arm D (Nivolumab + PDCT)

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Part 1: Arm A (Nivolumab + Relatlimab Dose 1 + Platinum Doublet Chemotherapy (PDCT))Part 1: Arm B (Nivolumab + Relatlimab Dose 2 + PDCT))Part 2: Arm C (Nivolumab + Relatlimab Dose 2 + PDCT)Part 2: Arm D (Nivolumab + PDCT)

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Part 1: Arm A (Nivolumab + Relatlimab Dose 1 + Platinum Doublet Chemotherapy (PDCT))Part 1: Arm B (Nivolumab + Relatlimab Dose 2 + PDCT))

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Part 1: Arm A (Nivolumab + Relatlimab Dose 1 + Platinum Doublet Chemotherapy (PDCT))Part 1: Arm B (Nivolumab + Relatlimab Dose 2 + PDCT))Part 2: Arm C (Nivolumab + Relatlimab Dose 2 + PDCT)Part 2: Arm D (Nivolumab + PDCT)

Eligibility Criteria

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

You may qualify if:

  • Histologically confirmed metastatic non-small cell lung cancer (NSCLC) of squamous (SQ) or non-squamous (NSQ) histology with Stage IV A/B (as defined by the 8th International Association for the Study of Lung Cancer Classification) or recurrent disease following multi-modal therapy for locally advanced disease.
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) of less than or equal to 1 at screening and confirmed prior to randomization.
  • Measurable disease by computed tomography (CT) or magnetic resonance resources (MRI) per response evaluation criteria in solid tumor version 1.1 (RECIST 1.1) criteria.
  • No prior systemic anti-cancer treatment (including epidermal growth factor receptor (EGFR) and anaplastic lymphoma kinase (ALK) inhibitors) given as primary therapy for advanced or metastatic disease.

You may not qualify if:

  • Participants with EGFR, ALK, ROS-1, or known B-rapidly accelerated fibrosarcoma proto-oncogene (BRAF V600E) mutations that are sensitive to available targeted therapy.
  • Untreated CNS metastases.
  • Leptomeningeal metastases (carcinomatous meningitis).
  • Concurrent malignancy requiring treatment or history of prior malignancy active within 2 years prior to randomization (ie, participants with a history of prior malignancy are eligible if treatment was completed at least 2 years before randomization and the participant has no evidence of disease).
  • Prior treatment with an anti-programmed cell death protein 1 (PD-1), anti-programmed death-ligand 1 (PD-L1), anti-programmed death-ligand 2 (PD-L2), or anti-cytotoxic T-lymphocyte-associated protein 4 (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 (125)

Local Institution - 0160

Duarte, California, 91010, United States

Location

Local Institution - 0081

Orange, California, 92868, United States

Location

Local Institution - 0139

New Haven, Connecticut, 06520, United States

Location

Local Institution - 0153

Jacksonville, Florida, 32204, United States

Location

Local Institution - 0011

Port Saint Lucie, Florida, 34952, United States

Location

Local Institution - 0089

Athens, Georgia, 30607, United States

Location

Local Institution - 0121

Wichita, Kansas, 67214, United States

Location

Local Institution - 0159

Lexington, Kentucky, 40503, United States

Location

Local Institution - 0002

Louisville, Kentucky, 40241, United States

Location

Local Institution - 0082

Scarborough, Maine, 04074, United States

Location

Local Institution - 0129

Omaha, Nebraska, 68130, United States

Location

Local Institution - 0152

Howell Township, New Jersey, 07731, United States

Location

Local Institution - 0124

Johnson City, New York, 13790, United States

Location

Local Institution - 0162

Mineola, New York, 11501, United States

Location

Local Institution - 0128

New York, New York, 10016, United States

Location

Local Institution - 0165

New York, New York, 10021, United States

Location

Local Institution - 0097

The Bronx, New York, 10461, United States

Location

Local Institution - 0117

Durham, North Carolina, 27710, United States

Location

Local Institution - 0156

Cincinnati, Ohio, 45219, United States

Location

Local Institution - 0155

Cleveland, Ohio, 44109, United States

Location

Local Institution - 0084

Lancaster, Pennsylvania, 17604, United States

Location

Local Institution - 0147

Pittsburgh, Pennsylvania, 15212, United States

Location

Local Institution - 0148

Providence, Rhode Island, 02903, United States

Location

Local Institution - 0083

Greenville, South Carolina, 29607, United States

Location

Local Institution - 0149

Dallas, Texas, 75390-9179, United States

Location

Local Institution - 0091

Harlingen, Texas, 78550, United States

Location

Local Institution - 0001

Tyler, Texas, 75701, United States

Location

Local Institution - 0092

Spokane, Washington, 99208, United States

Location

Local Institution - 0157

Morgantown, West Virginia, 26506, United States

Location

Local Institution - 0037

Río Cuarto, Córdoba Province, 5800, Argentina

Location

Local Institution - 0021

Buenos Aires, Distrito Federal, C1426, Argentina

Location

Local Institution - 0014

Cuiudad Autonoma de Buenos Aires, Distrito Federal, C1430EGF, Argentina

Location

Local Institution - 0039

Viedma, Río Negro Province, 8500, Argentina

Location

Local Institution - 0029

Rosario, Santa Fe Province, 2000, Argentina

Location

Local Institution - 0060

Córdoba, 5006, Argentina

Location

Local Institution - 0038

Córdoba, X5004FHP, Argentina

Location

Local Institution - 0073

La Rioja, F5300COE, Argentina

Location

Local Institution - 0055

Camperdown, New South Wales, 2050, Australia

Location

Local Institution - 0086

Gosford, New South Wales, 2250, Australia

Location

Local Institution - 0132

Tamworth, New South Wales, 2340, Australia

Location

Local Institution - 0057

Adelaide, South Australia, 5087, Australia

Location

Local Institution - 0130

Ballarat, Victoria, 3350, Australia

Location

Local Institution - 0138

Bendigo, Victoria, 3550, Australia

Location

Local Institution - 0141

Box Hill, Victoria, 3128, Australia

Location

Local Institution - 0109

Frankston, Victoria, 3199, Australia

Location

Local Institution - 0119

Murdoch, Western Australia, 6150, Australia

Location

Local Institution - 0085

Nedlands, Western Australia, 6009, Australia

Location

Local Institution - 0090

Graz, 8036, Austria

Location

Local Institution - 0126

Vienna, 1090, Austria

Location

Local Institution - 0127

Ghent, 9000, Belgium

Location

Local Institution - 0131

Ghent, 9000, Belgium

Location

Local Institution - 0125

Roeselare, 8800, Belgium

Location

Local Institution - 0063

Natal, Rio Grande do Norte, 59062 000, Brazil

Location

Local Institution - 0161

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

Location

Local Institution - 0116

Porto Alegre, Rio Grande do Sul, 90050-170, Brazil

Location

Local Institution - 0112

Porto Alegre, Rio Grande do Sul, 91350-200, Brazil

Location

Local Institution - 0107

Barretos, São Paulo, 14784-400, Brazil

Location

Local Institution - 0111

Santo André, São Paulo, 09060-870, Brazil

Location

Local Institution - 0072

Rio de Janeiro, 20220-410, Brazil

Location

Local Institution - 0163

São Paulo, 04014-002, Brazil

Location

Local Institution - 0120

São Paulo, 08270-120, Brazil

Location

Local Institution - 0079

Santiago, Santiago Metropolitan, 0, Chile

Location

Local Institution - 0041

Santiago, Santiago Metropolitan, 7500713, Chile

Location

Local Institution - 0016

Santiago, Santiago Metropolitan, 7500921, Chile

Location

Local Institution - 0008

Rennes, Ille-Et-Vilaine, 35000, France

Location

Local Institution - 0007

Dijon, 21 000, France

Location

Local Institution - 0144

Le Mans, 72037, France

Location

Local Institution - 0102

Paris, 75014, France

Location

Local Institution - 0035

Paris, 75018, France

Location

Local Institution - 0006

Saint-Mandé, 94160, France

Location

Local Institution - 0110

Paris, Île-de-France Region, 75005, France

Location

Local Institution - 0065

Essen, North Rhine-Westphalia, 45136, Germany

Location

Local Institution - 0103

Berlin, 12351, Germany

Location

Local Institution - 0045

Berlin, 13585, Germany

Location

Local Institution - 0062

Großhansdorf, 22927, Germany

Location

Local Institution - 0058

Homburg, 66421, Germany

Location

Local Institution - 0108

Löwenstein, 74245, Germany

Location

Local Institution - 0071

Marburg, 35043, Germany

Location

Local Institution - 0050

Paderborn, 33098, Germany

Location

Local Institution - 0030

Ravensburg, 88212, Germany

Location

Local Institution - 0133

Elm Park, Dublin, 4, Ireland

Location

Local Institution - 0023

Dublin, 00009, Ireland

Location

Local Institution - 0106

Rome, RA, 00144, Italy

Location

Local Institution - 0028

Candiolo, 10060, Italy

Location

Local Institution - 0009

Catania, 95125, Italy

Location

Local Institution - 0032

Genova, 16149, Italy

Location

Local Institution - 0059

Milan, 20141, Italy

Location

Local Institution - 0164

Pesaro, 61122, Italy

Location

Local Institution - 0019

Siena, 53100, Italy

Location

Local Institution - 0070

Mexico City, Mexico City, 14050, Mexico

Location

Local Institution - 0115

Monterrey, Nuevo León, 64710, Mexico

Location

Local Institution - 0013

San Pedro Garza García, Nuevo León, 66220, Mexico

Location

Local Institution - 0020

Toluca, State of Mexico, 50090, Mexico

Location

Local Institution - 0053

Harderwijk, Gelderland, 3844, Netherlands

Location

Local Institution - 0158

Arnhem, 6815, Netherlands

Location

Local Institution - 0145

Gdynia, 81-519, Poland

Location

Local Institution - 0036

Lublin, 20-090, Poland

Location

Local Institution - 0031

Lublin, 20-093, Poland

Location

Local Institution - 0080

Olsztyn, 10-357, Poland

Location

Local Institution - 0088

Warsaw, 02-781, Poland

Location

Local Institution - 0099

Cluj-Napoca, Cluj, 400015, Romania

Location

Local Institution - 0017

Craiova, Dolj, 200385, Romania

Location

Local Institution - 0012

Craiova, Jud. Dolj, 200094, Romania

Location

Local Institution - 0069

Timișoara, Timiș County, 300166, Romania

Location

Local Institution - 0052

Craiova, 200347, Romania

Location

Arkhangelsk Clinical Oncological Dispensary

Arkhangelsk, 163045, Russia

Location

LLC Eurocityclinic

Saint Petersburg, 197022, Russia

Location

FSBI &quot,Research Institute of Influenza named after A.A. Smorodintsev &quot,of the MoH of the Rus

Saint Petersburg, 197376, Russia

Location

Local Institution - 0075

Seville, Andalusia, 41013, Spain

Location

Local Institution - 0137

Badalona, Barcelona, 08916, Spain

Location

Local Institution - 0024

Barcelona, Catalonia, 08008, Spain

Location

Local Institution - 0051

A Coruña, 15006, Spain

Location

Local Institution - 0154

Barcelona, 08025, Spain

Location

Local Institution - 0048

Barcelona, 08035, Spain

Location

Local Institution - 0061

Las Palmas, 35016, Spain

Location

Local Institution - 0074

Madrid, 28041, Spain

Location

Local Institution - 0123

Madrid, 28046, Spain

Location

Local Institution - 0042

Málaga, 29011, Spain

Location

Local Institution - 0043

Valencia, 46026, Spain

Location

Local Institution - 0015

Basel, 4031, Switzerland

Location

Local Institution - 0104

Sankt Gallen, 9007, Switzerland

Location

Local Institution - 0135

Middlesbrough, Cleveland, TS4 3BW, United Kingdom

Location

Local Institution - 0101

London, Greater London, NW1 2PG, United Kingdom

Location

Local Institution - 0095

Manchester, Lancashire, M20 4BX, United Kingdom

Location

Local Institution - 0067

Leicester, LE15WW, United Kingdom

Location

Related Links

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell Lung

Interventions

NivolumabrelatlimabCarboplatinCisplatinPaclitaxel130-nm albumin-bound paclitaxelPemetrexed

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 2
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 5, 2020

First Posted

November 10, 2020

Study Start

February 17, 2021

Primary Completion

January 11, 2024

Study Completion

February 27, 2026

Last Updated

October 20, 2025

Results First Posted

March 18, 2025

Record last verified: 2025-10

Locations