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An Investigational Immuno-therapy Study of Nivolumab, or Nivolumab in Combination With Ipilimumab, or Placebo in Patients With Extensive-Stage Disease Small Cell Lung Cancer (ED-SCLC) After Completion of Platinum-based Chemotherapy

A Randomized, Multicenter, Double-Blind, Phase 3 Study of Nivolumab, Nivolumab in Combination With Ipilimumab, or Placebo as Maintenance Therapy in Subjects With Extensive-Stage Disease Small Cell Lung Cancer (ED-SCLC) After Completion of Platinum-based First Line Chemotherapy (CheckMate 451: CHECKpoint Pathway and nivoluMAb Clinical Trial Evaluation 451)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02538666
Acronym
CheckMate 451
Enrollment
907
Registered
2015-09-02
Start date
2015-10-13
Completion date
2021-11-11
Last updated
2023-01-05

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

Conditions

Lung Cancer

Brief summary

In this study, all patients must have already completed first-line chemotherapy to treat extensive-stage disease small cell lung cancer. The purpose of this study is to show that nivolumab, or nivolumab plus ipilimumab followed by nivolumab by itself, will prolong overall survival when administered as consolidation treatment in patients that are stable or responding after chemotherapy. Patients receiving treatment will be compared with patients taking placebo.

Interventions

BIOLOGICALNivolumab
BIOLOGICALIpilimumab
OTHERPlacebo

Sponsors

Ono Pharmaceutical Co. Ltd
CollaboratorINDUSTRY
Bristol-Myers Squibb
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Subjects with histologically or cytologically confirmed extensive stage disease SCLC * Ongoing response of stable disease or better following 4 cycles of platinum-based first line chemotherapy * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1

Exclusion criteria

* Subjects with symptomatic Central Nervous System (CNS) metastases * Subjects receiving consolidative chest radiation * Subjects with active, known, or suspected autoimmune disease are excluded * All side effects attributed to prior anti-cancer therapy must have resolved to Grade 1 or baseline Other protocol-defined inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Overall Survival (OS) of Nivolumab + Ipilimumab Versus Placebo In The Global PopulationFrom randomization to 400 deaths across the two treatment groups (Nivo+Ipi vs Placebo) (up to approximately 37 months)OS was defined as the time from randomization to the date of death. A participant who had not died was censored at last known alive date. OS was followed up during the blinded study drug treatment and every 3 months via in-person or phone contact after participant discontinued the blinded study drug

Secondary

MeasureTime frameDescription
Overall Survival (OS) of Nivolumab Versus PlaceboFrom randomization to the date of death or last known alive date (up to approximately 73 months)Overall Survival (OS) comparing nivolumab monotherapy versus placebo. OS was defined as the time from randomization to the date of death. A participant who had not died was censored at last known alive date. OS was followed up during the blinded study drug treatment and every 3 months via in-person or phone contact after participant discontinued the blinded study drug.
Overall Survival (OS) of Nivolumab + Ipilimumab Versus NivolumabFrom randomization to the date of death or last known alive date (up to approximately 73 months)Overall Survival (OS) comparing Nivolumab + Ipilimumab Versus Nivolumab. OS was defined as the time from randomization to the date of death. A participant who had not died was censored at last known alive date. OS was followed up during the blinded study drug treatment and every 3 months via in-person or phone contact after participant discontinued the blinded study drug.
Progression Free Survival (PFS) Per BICRFrom randomization to the date of the first documented tumor progression or death due to any cause (up to approximately 73 months)PFS was defined as the time between the date of randomization and the first date of documented progression as determined by Blind Independent Central Review (BICR) or death due to any cause, whichever occurred first. Participants who died with no reported progression were considered to have progressed on the date of death. Participants who did not progress or die were censored on the date of their last evaluable tumor assessment on or prior to initiation of the subsequent anti-cancer therapy. Participants who did not have any on study tumor assessments and did not die (or died after initiation of the subsequent anti- cancer therapy) were censored on their date of randomization. Participants who started any subsequent anti- cancer therapy without a prior reported Progressive Disease (PD) per BICR were censored at the last evaluable tumor assessment on or prior to initiation of the subsequent anti-cancer therapy.
Overall Survival (OS) in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global PopulationFrom randomization to the date of death or last known alive date (up to approximately 73 months)Tumor mutational burden (TMB) is measured using FoundationOne CDxTM (F1CDx) assay, a comprehensive genomic profile (CGP) assay based on baseline tumor tissue. TMB is defined as the number of somatic, coding, base substitution, and indel mutations per megabase of genome examined. OS in TMB by the following cutoff points: ≥10 mutations/mb, \< 10 mutations/mb, ≥13 mutations/mb, \<13 mutations/mb
Progression Free Survival (PFS) Per BICR in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global PopulationFrom randomization to the date of the first documented tumor progression or death due to any cause (up to approximately 73 months)Tumor mutational burden (TMB) is measured using FoundationOne CDxTM (F1CDx) assay, a comprehensive genomic profile (CGP) assay based on baseline tumor tissue. TMB is defined as the number of somatic, coding, base substitution, and indel mutations per megabase of genome examined. PFS in TMB by the following cutoff points: ≥10 mutations/mb, \< 10 mutations/mb, ≥13 mutations/mb, \<13 mutations/mb.

Countries

Argentina, Australia, Austria, Belgium, Brazil, Canada, China, Colombia, Finland, France, Germany, Greece, Hong Kong, Ireland, Israel, Italy, Japan, Mexico, Netherlands, Peru, Poland, Romania, Russia, Singapore, South Africa, South Korea, Spain, Sweden, Switzerland, Taiwan, United Kingdom, United States

Participant flow

Pre-assignment details

907 participants were randomized and 903 were treated. 2 participants were in both the Global and China population.

Participants by arm

ArmCount
Placebo
100 mL of 0.9% Sodium Chloride Solution or 5% Dextrose administered as placebo for nivolumab and ipilimumab as an IV infusion
300
Nivolumab 240 mg
Nivolumab 240 mg administered every 2 weeks as a 30-minute IV infusion
304
Nivolumab 1 mg/kg + Ipilimumab 3 mg/kg
Nivolumab 1 mg/kg (30-minute IV infusion) + Ipilimumab 3 mg/kg (90-minute IV infusion) administered every 3 weeks for 4 doses, followed by nivolumab 240 mg every 2 weeks
303
Total907

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Pre-TreatmentDisease progression100
Pre-Treatmentno longer meets study criteria100
Pre-TreatmentWithdrew Consent011
TreatmentAdministrative reason by sponsor001
TreatmentAdverse event unrelated to study drug81015
TreatmentDeath023
TreatmentDisease progression270227165
TreatmentLost to Follow-up011
TreatmentMaximum clinical benefit434
TreatmentNot reported222
TreatmentOther reasons8155
TreatmentParticipant no longer meets study criteria020
TreatmentParticipant request to discontinue study treatment3611
TreatmentParticipant withdrew consent253
TreatmentPoor/non-compliance010
TreatmentStudy drug toxicity12992

Baseline characteristics

CharacteristicPlaceboNivolumab 240 mgNivolumab 1 mg/kg + Ipilimumab 3 mg/kgTotal
Age, Customized
< 65
161 Participants149 Participants152 Participants462 Participants
Age, Customized
≥ 65 and < 75
113 Participants120 Participants115 Participants348 Participants
Age, Customized
≥ 75 and < 85
26 Participants35 Participants35 Participants96 Participants
Age, Customized
≥ 85
0 Participants0 Participants1 Participants1 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
14 Participants11 Participants15 Participants40 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
160 Participants164 Participants171 Participants495 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
126 Participants129 Participants117 Participants372 Participants
Race/Ethnicity, Customized
Asian
94 Participants82 Participants82 Participants258 Participants
Race/Ethnicity, Customized
Black or African American
2 Participants6 Participants1 Participants9 Participants
Race/Ethnicity, Customized
Not Reported
0 Participants0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Other
6 Participants3 Participants3 Participants12 Participants
Race/Ethnicity, Customized
White
198 Participants213 Participants216 Participants627 Participants
Sex: Female, Male
Female
103 Participants105 Participants101 Participants309 Participants
Sex: Female, Male
Male
197 Participants199 Participants202 Participants598 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
250 / 275231 / 280240 / 27924 / 2623 / 2523 / 24
other
Total, other adverse events
228 / 273244 / 279263 / 27822 / 2623 / 2524 / 24
serious
Total, serious adverse events
117 / 273131 / 279198 / 2788 / 2610 / 2519 / 24

Outcome results

Primary

Overall Survival (OS) of Nivolumab + Ipilimumab Versus Placebo In The Global Population

OS was defined as the time from randomization to the date of death. A participant who had not died was censored at last known alive date. OS was followed up during the blinded study drug treatment and every 3 months via in-person or phone contact after participant discontinued the blinded study drug

Time frame: From randomization to 400 deaths across the two treatment groups (Nivo+Ipi vs Placebo) (up to approximately 37 months)

Population: All randomized participants in the nivolumab + ipilimumab and placebo arms in the global population

ArmMeasureValue (MEDIAN)
Global PlaceboOverall Survival (OS) of Nivolumab + Ipilimumab Versus Placebo In The Global Population9.56 Months
Global Nivolumab 1 mg/kg + Ipilimumab 3 mg/kgOverall Survival (OS) of Nivolumab + Ipilimumab Versus Placebo In The Global Population9.17 Months
Comparison: nivolumab + ipilimumab over placebop-value: 0.369395% CI: [0.75, 1.12]Stratified Log Rank
Secondary

Overall Survival (OS) in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population

Tumor mutational burden (TMB) is measured using FoundationOne CDxTM (F1CDx) assay, a comprehensive genomic profile (CGP) assay based on baseline tumor tissue. TMB is defined as the number of somatic, coding, base substitution, and indel mutations per megabase of genome examined. OS in TMB by the following cutoff points: ≥10 mutations/mb, \< 10 mutations/mb, ≥13 mutations/mb, \<13 mutations/mb

Time frame: From randomization to the date of death or last known alive date (up to approximately 73 months)

Population: All TMB evaluable participants in the global population

ArmMeasureGroupValue (MEDIAN)
Global PlaceboOverall Survival (OS) in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population≥10 mutations/mb11.96 Months
Global PlaceboOverall Survival (OS) in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population<13 mutations/mb10.02 Months
Global PlaceboOverall Survival (OS) in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population≥13 mutations/mb9.69 Months
Global PlaceboOverall Survival (OS) in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population< 10 mutations/mb9.20 Months
Global Nivolumab 1 mg/kg + Ipilimumab 3 mg/kgOverall Survival (OS) in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population< 10 mutations/mb9.76 Months
Global Nivolumab 1 mg/kg + Ipilimumab 3 mg/kgOverall Survival (OS) in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population≥13 mutations/mb12.98 Months
Global Nivolumab 1 mg/kg + Ipilimumab 3 mg/kgOverall Survival (OS) in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population<13 mutations/mb9.89 Months
Global Nivolumab 1 mg/kg + Ipilimumab 3 mg/kgOverall Survival (OS) in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population≥10 mutations/mb12.81 Months
China PlaceboOverall Survival (OS) in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population<13 mutations/mb7.85 Months
China PlaceboOverall Survival (OS) in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population≥10 mutations/mb10.55 Months
China PlaceboOverall Survival (OS) in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population≥13 mutations/mb13.47 Months
China PlaceboOverall Survival (OS) in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population< 10 mutations/mb8.11 Months
Comparison: TMB cutoff \<13 mutations/mb: Nivo over placebo95% CI: [0.72, 1.2]
Comparison: TMB cutoff ≥10 mutations/mb: Nivo+Ipi over placebo95% CI: [0.61, 1.15]
Comparison: TMB cutoff ≥10 mutations/mb: Nivo over placebo95% CI: [0.55, 1.04]
Comparison: TMB cutoff ≥13 mutations/mb: Nivo+Ipi over placebo95% CI: [0.42, 0.92]
Comparison: TMB cutoff ≥13 mutations/mb: Nivo over placebo95% CI: [0.44, 0.93]
Comparison: TMB cutoff \<10 mutations/mb: Nivo+Ipi over placebo95% CI: [0.68, 1.21]
Comparison: TMB cutoff \<10 mutations/mb: Nivo over placebo95% CI: [0.66, 1.18]
Comparison: TMB cutoff \<13 mutations/mb: Nivo+Ipi over placebo95% CI: [0.81, 1.35]
Secondary

Overall Survival (OS) of Nivolumab + Ipilimumab Versus Nivolumab

Overall Survival (OS) comparing Nivolumab + Ipilimumab Versus Nivolumab. OS was defined as the time from randomization to the date of death. A participant who had not died was censored at last known alive date. OS was followed up during the blinded study drug treatment and every 3 months via in-person or phone contact after participant discontinued the blinded study drug.

Time frame: From randomization to the date of death or last known alive date (up to approximately 73 months)

Population: All randomized participants in the Nivolumab + Ipilimumab and Nivolumab arms

ArmMeasureValue (MEDIAN)
Global PlaceboOverall Survival (OS) of Nivolumab + Ipilimumab Versus Nivolumab10.18 Months
Global Nivolumab 1 mg/kg + Ipilimumab 3 mg/kgOverall Survival (OS) of Nivolumab + Ipilimumab Versus Nivolumab9.17 Months
China PlaceboOverall Survival (OS) of Nivolumab + Ipilimumab Versus Nivolumab8.18 Months
China Nivolumab 240 mgOverall Survival (OS) of Nivolumab + Ipilimumab Versus Nivolumab10.48 Months
Comparison: Global nivolumab + ipilimumab over global nivolumab95% CI: [0.94, 1.36]
Comparison: China nivolumab + ipilimumab over China nivolumab95% CI: [0.56, 1.79]
Secondary

Overall Survival (OS) of Nivolumab Versus Placebo

Overall Survival (OS) comparing nivolumab monotherapy versus placebo. OS was defined as the time from randomization to the date of death. A participant who had not died was censored at last known alive date. OS was followed up during the blinded study drug treatment and every 3 months via in-person or phone contact after participant discontinued the blinded study drug.

Time frame: From randomization to the date of death or last known alive date (up to approximately 73 months)

Population: All randomized participants in the nivolumab monotherapy and placebo arms

ArmMeasureValue (MEDIAN)
Global PlaceboOverall Survival (OS) of Nivolumab Versus Placebo9.56 Months
Global Nivolumab 1 mg/kg + Ipilimumab 3 mg/kgOverall Survival (OS) of Nivolumab Versus Placebo10.18 Months
China PlaceboOverall Survival (OS) of Nivolumab Versus Placebo9.28 Months
China Nivolumab 240 mgOverall Survival (OS) of Nivolumab Versus Placebo8.18 Months
Comparison: Global nivolumab over global placebo95% CI: [0.68, 0.97]
Comparison: China nivolumab over China Placebo95% CI: [0.53, 1.66]
Secondary

Progression Free Survival (PFS) Per BICR

PFS was defined as the time between the date of randomization and the first date of documented progression as determined by Blind Independent Central Review (BICR) or death due to any cause, whichever occurred first. Participants who died with no reported progression were considered to have progressed on the date of death. Participants who did not progress or die were censored on the date of their last evaluable tumor assessment on or prior to initiation of the subsequent anti-cancer therapy. Participants who did not have any on study tumor assessments and did not die (or died after initiation of the subsequent anti- cancer therapy) were censored on their date of randomization. Participants who started any subsequent anti- cancer therapy without a prior reported Progressive Disease (PD) per BICR were censored at the last evaluable tumor assessment on or prior to initiation of the subsequent anti-cancer therapy.

Time frame: From randomization to the date of the first documented tumor progression or death due to any cause (up to approximately 73 months)

Population: All randomized participants

ArmMeasureValue (MEDIAN)
Global PlaceboProgression Free Survival (PFS) Per BICR1.41 Months
Global Nivolumab 1 mg/kg + Ipilimumab 3 mg/kgProgression Free Survival (PFS) Per BICR1.94 Months
China PlaceboProgression Free Survival (PFS) Per BICR1.74 Months
China Nivolumab 240 mgProgression Free Survival (PFS) Per BICR1.38 Months
China Nivolumab 240 mgProgression Free Survival (PFS) Per BICR1.58 Months
China Nivolumab 1 mg/kg + Ipilimumab 3 mg/kgProgression Free Survival (PFS) Per BICR1.54 Months
Comparison: Global nivolumab + ipilimumab over global placebo95% CI: [0.62, 0.88]
Comparison: Global nivolumab over global placebo95% CI: [0.55, 0.79]
Comparison: Global nivolumab+ ipilimumab over nivolumab95% CI: [0.94, 1.35]
Comparison: China Nivolumab + Ipilimumab over China placebo95% CI: [0.33, 1.12]
Comparison: China Nivolumab over China placebo95% CI: [0.24, 0.85]
Comparison: China Nivolumab + Ipilimumab over China Nivolumab95% CI: [0.72, 2.49]
Secondary

Progression Free Survival (PFS) Per BICR in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population

Tumor mutational burden (TMB) is measured using FoundationOne CDxTM (F1CDx) assay, a comprehensive genomic profile (CGP) assay based on baseline tumor tissue. TMB is defined as the number of somatic, coding, base substitution, and indel mutations per megabase of genome examined. PFS in TMB by the following cutoff points: ≥10 mutations/mb, \< 10 mutations/mb, ≥13 mutations/mb, \<13 mutations/mb.

Time frame: From randomization to the date of the first documented tumor progression or death due to any cause (up to approximately 73 months)

Population: All TMB evaluable participants in the global population

ArmMeasureGroupValue (MEDIAN)
Global PlaceboProgression Free Survival (PFS) Per BICR in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population≥10 mutations/mb1.58 Months
Global PlaceboProgression Free Survival (PFS) Per BICR in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population<13 mutations/mb1.41 Months
Global PlaceboProgression Free Survival (PFS) Per BICR in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population≥13 mutations/mb1.58 Months
Global PlaceboProgression Free Survival (PFS) Per BICR in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population< 10 mutations/mb1.41 Months
Global Nivolumab 1 mg/kg + Ipilimumab 3 mg/kgProgression Free Survival (PFS) Per BICR in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population<13 mutations/mb1.84 Months
Global Nivolumab 1 mg/kg + Ipilimumab 3 mg/kgProgression Free Survival (PFS) Per BICR in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population≥10 mutations/mb2.79 Months
Global Nivolumab 1 mg/kg + Ipilimumab 3 mg/kgProgression Free Survival (PFS) Per BICR in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population< 10 mutations/mb1.61 Months
Global Nivolumab 1 mg/kg + Ipilimumab 3 mg/kgProgression Free Survival (PFS) Per BICR in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population≥13 mutations/mb2.76 Months
China PlaceboProgression Free Survival (PFS) Per BICR in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population≥10 mutations/mb2.33 Months
China PlaceboProgression Free Survival (PFS) Per BICR in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population≥13 mutations/mb2.63 Months
China PlaceboProgression Free Survival (PFS) Per BICR in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population<13 mutations/mb1.48 Months
China PlaceboProgression Free Survival (PFS) Per BICR in Tumor Mutational Burden (TMB) High and Low Subgroups by TMB Cutoff In The Global Population< 10 mutations/mb1.48 Months
Comparison: TMB cutoff ≥10 mutations/mb: Nivo+Ipi over placebo95% CI: [0.58, 1.09]
Comparison: TMB cutoff ≥10 mutations/mb: Nivo over placebo95% CI: [0.5, 0.92]
Comparison: TMB cutoff ≥13 mutations/mb: Nivo+Ipi over placebo95% CI: [0.5, 1.07]
Comparison: TMB cutoff ≥13 mutations/mb: Nivo over placebo95% CI: [0.46, 0.95]
Comparison: TMB cutoff \<10 mutations/mb: Nivo+Ipi over placebo95% CI: [0.54, 0.96]
Comparison: TMB cutoff \<10 mutations/mb: Nivo over placebo95% CI: [0.49, 0.89]
Comparison: TMB cutoff \<13 mutations/mb: Nivo+Ipi over placebo95% CI: [0.6, 1.01]
Comparison: TMB cutoff \<13 mutations/mb: Nivo over placebo95% CI: [0.53, 0.89]
Post Hoc

Overall Survival (OS) of Nivolumab + Ipilimumab Versus Placebo - Extended Collection

Overall survival (OS) comparing nivolumab + ipilimumab versus placebo. OS was defined as the time from randomization to the date of death. A participant who had not died was censored at last known alive date. OS was followed up during the blinded study drug treatment and every 3 months via in-person or phone contact after participant discontinued the blinded study drug. Note: This outcome measure represents an updated version of the primary endpoint to include additional data collection that has occurred after the primary completion date. (Assessments were made until 11-Nov-2021).

Time frame: From randomization to the date of death or last known alive date (up to approximately 73 months)

Population: All randomized participants in the nivolumab + ipilimumab and placebo arms

ArmMeasureValue (MEDIAN)
Global PlaceboOverall Survival (OS) of Nivolumab + Ipilimumab Versus Placebo - Extended Collection9.56 Months
Global Nivolumab 1 mg/kg + Ipilimumab 3 mg/kgOverall Survival (OS) of Nivolumab + Ipilimumab Versus Placebo - Extended Collection9.17 Months
China PlaceboOverall Survival (OS) of Nivolumab + Ipilimumab Versus Placebo - Extended Collection9.28 Months
China Nivolumab 240 mgOverall Survival (OS) of Nivolumab + Ipilimumab Versus Placebo - Extended Collection10.48 Months
Comparison: Global nivolumab + ipilimumab over Global placebo95% CI: [0.76, 1.09]Stratified Log Rank
Comparison: China nivolumab + ipilimumab over China placebo95% CI: [0.52, 1.67]Stratified Log Rank

Source: ClinicalTrials.gov · Data processed: Mar 1, 2026