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A study of nivolumab and ipilimumab in combination with Transarterial ChemoEmbolization (TACE) in participants with intermediate stage liver cancer (CheckMate 74W)

A Randomized, Multi-center, Double-blinded, Placebo-controlled Phase 3 Study of Nivolumab and Ipilimumab, Nivolumab Monotherapy, or Placebo in Combination with Trans-arterial ChemoEmbolization (TACE) in Patients with Intermediate-stage Hepatocellular Carcinoma (HCC) - CheckMate 74W: CHECKpoint pathway and nivoluMAb clinical Trial Evaluation 74W

Status
Not yet recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2019-002790-58-FR
Enrollment
765
Registered
2020-08-24
Start date
2020-11-17
Completion date
Unknown
Last updated
2024-01-15

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

Conditions

Intermediate-stage Hepatocellular Carcinoma (HCC) MedDRA version: 21.1 Level: LLT Classification code 10049010 Term: Carcinoma hepatocellular System Organ Class: 100000004864

Interventions

Sponsors

Bristol-Myers Squibb International Corporation
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: a) Participant has intermediate-stage HCC (hepatocellular carcinoma) whose tumor characteristics exceed the BMU7 criteria and is eligible for TACE b) Participant has histologic confirmation of HCC c) Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 or 1 d) Men and Women must agree to follow methods of contraception e) Participants are eligible to enroll if they have non-viral related HCC, or if they have HBV-HCC, or HCV-HCC Other protocol defined inclusion/exclusion criteria could apply. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 650 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 115

Exclusion criteria

Exclusion criteria: a) Known fibrolamellar HCC, sarcomatoid HCC, or mixed cholangiocarcinoma and HCC b) Prior liver transplant or participants who are on the waiting list for liver transplantation c) Active, known, or suspected autoimmune disease d) Participants with a condition requiring systemic treatment with either corticosteroids or other immunosuppressive medications e) Any previous TACE or TAE (trans-arterial embolization without instillation of chemotherapy agent) procedure for HCC f) Known or suspected allergy to nivolumab, ipilimumab, or study drug components given in association with this trial Other protocol defined inclusion/exclusion criteria could apply

Design outcomes

Primary

MeasureTime frame
Main Objective: 1) To compare TTTP of nivolumab and ipilimumab plus TACE (Arm A) to nivolumab placebo and ipilimumab placebo plus TACE (Arm C) in all randomized participants. 2) To compare the OS of Arm A to Arm C in all randomized participants.;Secondary Objective: 1) To compare TTTP of nivolumab and ipilimumab placebo plus TACE (Arm B) to Arm C in all randomized participants. 2) To compare the OS of Arm B to Arm C in all randomized participants. 3) To compare EFS of Arm A vs Arm C and Arm B vs Arm C in all randomized participants. 4) To compare PFS of Arm A vs Arm C and Arm B vs Arm C in all randomized participants.;Primary end point(s): 1) Time to TACE progression (TTTP) will be assessed by the blinded independent central review (BICR): Arm A versus Arm C 2) Overall survival (OS): Arm A versus Arm C;Timepoint(s) of evaluation of this end point: 1) Time to TACE progression (TTTP) - up to 2 years 2) Overall survival (OS): up to 2.5 years

Secondary

MeasureTime frame
Secondary end point(s): 1) Time to TACE progression (TTTP) will be assessed by the blinded independent central review (BICR): Arm B versus Arm C 2) Overall Survival (OS): Arm B versus Arm C 3) Event-Free Survival (EFS) 4) Progression-free survival (PFS);Timepoint(s) of evaluation of this end point: 1) Time to TACE progression (TTTP): up to 2 years 2) Overall Survival (OS): up to 2.5 years 3) Event-Free Survival (EFS): up to 2 years 4) Progression-free survival (PFS): up to 2 years

Countries

Argentina, Australia, Austria, Belarus, Belgium, Brazil, Canada, China, Czech Republic, France, Germany, Hong Kong, Italy, Japan, Korea, Republic of, Poland, Puerto Rico, Russian Federation, Singapore, Spain, Switzerland, Taiwan, 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