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An Open-Label, trial of Nivolumab, or Nivolumab plus Ipilimumab, or Nivolumab plus platinum-doublet chemotherapy versus platinum-doublet chemotherapy in Subjects with Stage IV Non-Small Cell Lung Cancer (NSCLC)

An Open-Label, Randomized Phase 3 Trial of Nivolumab, or Nivolumab plus Ipilimumab, or Nivolumab plus platinum doublet chemotherapy versus platinum doublet chemotherapy in Subjects with Chemotherapy-Naïve Stage IV or Recurrent Non-Small Cell Lung Cancer (NSCLC) - CheckMate 227, CHECKpoint pathway and nivoluMAb clinical Trial Evaluation 227)

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2014-003630-23-AT
Enrollment
3830
Registered
2015-09-16
Start date
2015-10-23
Completion date
Unknown
Last updated
2025-01-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Stage IV or Recurrent Non-Small Cell Lung Cancer (NSCLC) MedDRA version: 21.1 Level: PT Classification code 10029522 Term: Non-small cell lung cancer stage IV System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) MedDRA version: 20.1 Level: LLT Classification code 10025048 Term: Lung cancer non-small cell recurrent System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)

Interventions

Sponsors

Bristol-Myers Squibb International Corporation
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: - Subjects with histologically confirmed Stage IV or recurrent NSCLC squamous or non-squamous histology, with no prior systemic anticancer therapy - Subjects must have PD-L1 IHC testing, with results, performed by the central lab during the screening period - ECOG Performance Status of ==65 years) yes F.1.3.1 Number of subjects for this age range 575

Exclusion criteria

Exclusion criteria: - Subjects with untreated CNS metastases are excluded - Subjects with an active, known or suspected autoimmune disease are excluded - Any positive test for hepatitis B virus or hepatitis C virus or human immunodeficiency virus (HIV) indicating acute or chronic infection

Design outcomes

Primary

MeasureTime frame
Main Objective: The purpose of this study is to show that nivolumab or nivolumab plus ipilimumab or nivolumab plus chemotherapy, improves progression free survival and/or overall survival compared with chemotherapy in subjects with advanced lung cancer. See also section 1.4 of the protocol;Secondary Objective: - To compare the objective response rate (ORR) assessment, overall survival and/or progression free survival of nivolumab monotherapy and/or nivolumab in combination with ipilimumab and/or nivolumab in combination with platinum-doublet chemotherapy to platinum-doublet chemotherapy in subjects with advanced lung cancer. See also section 1.4 of the protocol;Primary end point(s): In Part 1 the co-primary objectives will be measured by OS and PFS assessed by BICR. In Part 2 the primary endpoint is OS. The definitions for OS and PFS are described in Section 8.3.1 of the protocol.;Timepoint(s) of evaluation of this end point: PFS Time Frame: 25 months from randomization of the first subject OS Time Frame: 40 months from randomization of the first subject (25 months for part 2)

Secondary

MeasureTime frame
Secondary end point(s): - OS and PFS are also used to evaluate secondary objectives in Part 1 and Part 2. - ORR (see definition in section 8.3.2. of the protocol) -Time to Response and Duration of Response are secondary endpoints to support ORR endpoint (see definition in section 8.3.2. of the protocol);Timepoint(s) of evaluation of this end point: - Same timepoints as for OS and PFS

Countries

Argentina, Australia, Austria, Belgium, Brazil, Canada, Chile, Colombia, Czechia, Czech Republic, Finland, France, Germany, Greece, Hungary, Ireland, Israel, Italy, Japan, Korea, Republic of, Lebanon, Mexico, Netherlands, Peru, Poland, Romania, Russian Federation, Saudi Arabia, Singapore, South Africa, Spain, Switzerland, Taiwan, Turkey, United Arab Emirates, United Kingdom, United States

Contacts

Public ContactGCT-SU

Bristol-Myers Squibb International Corporation

clinical.trials@bms.com

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026