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Nivolumab in Combination With Ipilimumab (Part 1); Nivolumab Plus Ipilimumab in Combination With Chemotherapy (Part 2) as First Line Therapy in Stage IV Non-Small Cell Lung Cancer

A Study of Nivolumab in Combination With Ipilimumab (Part 1); and Nivolumab Plus Ipilimumab in Combination With Chemotherapy (Part 2) as First Line Therapy in Stage IV Non-Small Cell Lung Cancer (NSCLC)

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02659059
Acronym
CheckMate 568
Enrollment
324
Registered
2016-01-20
Start date
2016-02-15
Completion date
2022-03-07
Last updated
2023-04-05

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

Conditions

Non-Small-Cell Lung Cancer

Brief summary

The purpose of part 1 of this study is to determine the objective response rate (ORR) in stage IV NSCLC subjects treated with nivolumab in combination with ipilimumab as first line therapy. The purpose of part 2 of this study is to determine the safety and tolerability of nivolumab and ipilimumab combined with a short course of chemotherapy in first line stage IV NSCLC.

Interventions

BIOLOGICALNivolumab

Specified Dose on Specified Days

BIOLOGICALIpilimumab

Specified Dose on Specified Days

Sponsors

Bristol-Myers Squibb
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Men and Women ≥ 18 years of age * Diagnosed with stage IV Non-Small Cell Lung Cancer * Diagnosed with recurrent stage IIIB non-small cell lung cancer and failed previous concurrent chemoradiation with no further curative options.

Exclusion criteria

* Subjects with untreated CNS metastases are excluded. * Subjects with carcinomatous meningitis * Subjects with an active, known or suspected autoimmune disease. * Subjects with a condition requiring systemic treatment with either corticosteroids ( \> 10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days of first treatment. * Women who are pregnant, plan to become pregnant, and/or breastfeed during the study. Other protocol defined inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Objective Response Rate (ORR) by PD-L1 Positive and Negative Levels - Part 1From first dose to database lock (Up to 18 months)Objective response rate (ORR) in PD-L1 positive (PD-L1 ≥1%) and PD-L1 negative (PD-L1 \<1%) participants was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment.
Number of Participants With Dose Limiting Toxicities (DLTs) - Part 29 weeks after first doseDose limiting toxicities (DLTs) were defined as any of the items listed below. 1. Any Grade 2 drug-related uveitis or eye pain that does not respond to topical therapy and does not improve to Grade 1 severity within the re-treatment period OR requires systemic treatment. 2. Any Grade 2 drug-related pneumonitis or interstitial lung disease that does not resolve to dose delay and systemic steroids in 14 days. 3. Any Grade 3 non-skin drug-related adverse event with the exception of laboratory abnormalities that cannot be alleviated or controlled by appropriate care within 14 days. 4. Any Grade 4 drug-related adverse event including laboratory abnormalities except Grade 4 leukopenia or neutropenia lasting \< 14 days and asymptomatic amylase/lipase elevation. 5. Drug-related hepatic function laboratory abnormalities.
Number of Participants With Adverse Events (AEs) - Part 2Deaths are from first dose to database lock (Up to 24 months). AEs and SAEs are from first dose to 30 days post last doseNumber of participants with adverse events (AEs) including serious adverse events (SAEs) and deaths graded by Common Terminology Criteria for Adverse Events (CTCAE v4.0) to determine the safety and tolerability of Nivolumab and Ipilimumab combined with chemotherapy.
Number of Participants With Laboratory Abnormalities in Hepatic Tests - Part 2From first dose to 30 days post last doseNumber of participant with specific liver laboratory abnormalities graded by Common Terminology Criteria for Adverse Events (CTCAE v4.0) to determine the safety and tolerability of Nivolumab and Ipilimumab combined with chemotherapy.
Number of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2From first dose to 30 days post last doseNumber of participants with specific thyroid laboratory abnormalities graded by Common Terminology Criteria for Adverse Events (CTCAE v4.0) to determine the safety and tolerability of Nivolumab and Ipilimumab combined with chemotherapy.

Secondary

MeasureTime frameDescription
Objective Response Rate (ORR) - Part 2From first dose up to approximately 59 monthsObjective response rate (ORR) was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on investigator assessment. CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Overall Survival (OS) by PD-L1 Expression Levels - Part 1From the date of first treatment to the date of death due to any cause (Up to approximately 72 months)Overall survival (OS) by PD-L1 expression levels was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive. PD-L1 ≥1% = PD-L1 positive (membranous staining in ≥ 1% tumor cells) PD-L1 \<1% = PD-L1 negative (membranous staining in \<1% tumor cells)
Progression Free Survival (PFS) by PD-L1 Expression Levels - Part 1From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 72 months)Progression Free Survival (PFS) by PD-L1 expression levels was defined as the time between the date of first dose and the first date of documented progression, as determined by blinded independent central review (BICR), or death due to any cause, whichever occurred first. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. PD-L1 ≥1% = PD-L1 positive (membranous staining in ≥ 1% tumor cells) PD-L1 \<1% = PD-L1 negative (membranous staining in \<1% tumor cells)
Overall Survival (OS) - Part 1From the date of first treatment to the date of death due to any cause (Up to approximately 72 months)Overall survival (OS) was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive.
Overall Survival (OS) by Tumor Mutation Burden (TMB) Levels - Part 1From the date of first treatment to the date of death due to any cause (Up to approximately 72 months)Overall survival (OS) by tumor mutational burden (TMB) using DNA derived from tumor specimens was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive. High TMB = ≥ 10 mutations per megabase Low TMB = \< 10 mutations per megabase
Progression Free Survival (PFS) by Tumor Mutation Burden (TMB) Levels - Part 1From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 72 months)Progression Free Survival (PFS) by tumor mutational burden (TMB) using DNA derived from tumor specimens was defined as the time between the date of first dose and the first date of documented progression, as determined by blinded independent central review (BICR), or death due to any cause, whichever occurred first. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. High TMB = ≥ 10 mutations per megabase Low TMB = \< 10 mutations per megabase
Objective Response Rate (ORR) by Tumor Mutation Burden (TMB) Levels - Part 1From first dose up to approximately 72 monthsObjective response rate (ORR) by tumor mutational burden (TMB) using DNA derived from tumor specimens was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment. CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. High TMB = ≥ 10 mutations per megabase Low TMB = \< 10 mutations per megabase
Objective Response Rate (ORR) by PD-L1 Expression Levels-Part 1From first dose up to approximately 72 monthsObjective response rate (ORR) by PD-L1 expression levels was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment. CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. PD-L1 ≥1% = PD-L1 positive (membranous staining in ≥ 1% tumor cells) PD-L1 \<1% = PD-L1 negative (membranous staining in \<1% tumor cells)
Overall Survival (OS) - Part 2From the date of first treatment to the date of death due to any cause (Up to approximately 59 months)Overall survival (OS) was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive.
Progression Free Survival (PFS) - Part 1From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 72 months)Progression Free Survival (PFS) was defined as the time between the date of first dose and the first date of documented progression, as determined by blinded independent central review (BICR), or death due to any cause, whichever occurred first. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
Progression Free Survival (PFS) - Part 2From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 59 months)Progression Free Survival (PFS) was defined as the time between the date of first dose and the first date of documented progression, as determined by investigator (per RECIST 1.1), or death due to any cause, whichever occurred first. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
Objective Response Rate (ORR) - Part 1From first dose up to approximately 72 monthsObjective response rate (ORR) was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment. CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Countries

Canada, United States

Participant flow

Pre-assignment details

324 participants treated

Participants by arm

ArmCount
Nivolumab+Ipilimumab
Part 1 Nivolumab IV 3 mg/kg Q2W + Ipilimumab IV 1 mg/kg Q6W
288
Nivolumab+Ipilimumab+Chemotherapy
Part 2 Nivolumab IV 360mg Q3W + Ipilimumab IV 1 mg/kg Q6W + 2 cycles Platinum Doublet Chemotherapy
36
Total324

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event unrelated to Study drug324
Overall StudyDeath31
Overall StudyDisease Progression14316
Overall StudyOther reasons61
Overall StudyParticipant request to discontinue study treatment50
Overall StudyParticipant withdrew consent61
Overall StudyStudy Drug toxicity569

Baseline characteristics

CharacteristicTotalNivolumab+Ipilimumab+ChemotherapyNivolumab+Ipilimumab
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
176 Participants23 Participants153 Participants
Age, Categorical
Between 18 and 65 years
148 Participants13 Participants135 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
12 Participants0 Participants12 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
294 Participants36 Participants258 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
18 Participants0 Participants18 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
3 Participants0 Participants3 Participants
Race (NIH/OMB)
Black or African American
23 Participants4 Participants19 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
7 Participants0 Participants7 Participants
Race (NIH/OMB)
White
291 Participants32 Participants259 Participants
Sex: Female, Male
Female
159 Participants13 Participants146 Participants
Sex: Female, Male
Male
165 Participants23 Participants142 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
209 / 28828 / 36
other
Total, other adverse events
282 / 28835 / 36
serious
Total, serious adverse events
171 / 28826 / 36

Outcome results

Primary

Number of Participants With Adverse Events (AEs) - Part 2

Number of participants with adverse events (AEs) including serious adverse events (SAEs) and deaths graded by Common Terminology Criteria for Adverse Events (CTCAE v4.0) to determine the safety and tolerability of Nivolumab and Ipilimumab combined with chemotherapy.

Time frame: Deaths are from first dose to database lock (Up to 24 months). AEs and SAEs are from first dose to 30 days post last dose

Population: All treated participants -Part 2

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Nivolumab+IpilimumabNumber of Participants With Adverse Events (AEs) - Part 2Adverse Events (AEs)36 Participants
Nivolumab+IpilimumabNumber of Participants With Adverse Events (AEs) - Part 2Serious Adverse Events (SAEs)26 Participants
Nivolumab+IpilimumabNumber of Participants With Adverse Events (AEs) - Part 2Deaths due to Disease progression9 Participants
Nivolumab+IpilimumabNumber of Participants With Adverse Events (AEs) - Part 2Deaths due to Study drug toxicity0 Participants
Nivolumab+IpilimumabNumber of Participants With Adverse Events (AEs) - Part 2Deaths due to unknown causes1 Participants
Nivolumab+IpilimumabNumber of Participants With Adverse Events (AEs) - Part 2Deaths due to other causes6 Participants
Primary

Number of Participants With Dose Limiting Toxicities (DLTs) - Part 2

Dose limiting toxicities (DLTs) were defined as any of the items listed below. 1. Any Grade 2 drug-related uveitis or eye pain that does not respond to topical therapy and does not improve to Grade 1 severity within the re-treatment period OR requires systemic treatment. 2. Any Grade 2 drug-related pneumonitis or interstitial lung disease that does not resolve to dose delay and systemic steroids in 14 days. 3. Any Grade 3 non-skin drug-related adverse event with the exception of laboratory abnormalities that cannot be alleviated or controlled by appropriate care within 14 days. 4. Any Grade 4 drug-related adverse event including laboratory abnormalities except Grade 4 leukopenia or neutropenia lasting \< 14 days and asymptomatic amylase/lipase elevation. 5. Drug-related hepatic function laboratory abnormalities.

Time frame: 9 weeks after first dose

Population: All treated participants -Part 2

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Nivolumab+IpilimumabNumber of Participants With Dose Limiting Toxicities (DLTs) - Part 21 Participants
Primary

Number of Participants With Laboratory Abnormalities in Hepatic Tests - Part 2

Number of participant with specific liver laboratory abnormalities graded by Common Terminology Criteria for Adverse Events (CTCAE v4.0) to determine the safety and tolerability of Nivolumab and Ipilimumab combined with chemotherapy.

Time frame: From first dose to 30 days post last dose

Population: All treated participants with at least one on-treatment measurement of the corresponding laboratory parameter -Part 2

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Nivolumab+IpilimumabNumber of Participants With Laboratory Abnormalities in Hepatic Tests - Part 2ALT OR AST >3XULN2 Participants
Nivolumab+IpilimumabNumber of Participants With Laboratory Abnormalities in Hepatic Tests - Part 2ALT OR AST >5XULN2 Participants
Nivolumab+IpilimumabNumber of Participants With Laboratory Abnormalities in Hepatic Tests - Part 2ALT OR AST >10XULN1 Participants
Nivolumab+IpilimumabNumber of Participants With Laboratory Abnormalities in Hepatic Tests - Part 2ALT OR AST >20XULN1 Participants
Nivolumab+IpilimumabNumber of Participants With Laboratory Abnormalities in Hepatic Tests - Part 2TOTAL BILIRUBIN >2XULN0 Participants
Nivolumab+IpilimumabNumber of Participants With Laboratory Abnormalities in Hepatic Tests - Part 2Concurrent ALT OR AST >3XULN & BILIRUBIN >2XULN within 1 day0 Participants
Nivolumab+IpilimumabNumber of Participants With Laboratory Abnormalities in Hepatic Tests - Part 2Concurrent ALT OR AST >3XULN & BILIRUBIN >2XULN within 30 days0 Participants
Primary

Number of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2

Number of participants with specific thyroid laboratory abnormalities graded by Common Terminology Criteria for Adverse Events (CTCAE v4.0) to determine the safety and tolerability of Nivolumab and Ipilimumab combined with chemotherapy.

Time frame: From first dose to 30 days post last dose

Population: All treated participants with at least one on-treatment TSH measurement -Part 2

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Nivolumab+IpilimumabNumber of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2TSH > ULN10 Participants
Nivolumab+IpilimumabNumber of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2TSH > ULN with TSH <= ULN at baseline7 Participants
Nivolumab+IpilimumabNumber of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2TSH > ULN with at least one FT3/FT4 test value < LLN8 Participants
Nivolumab+IpilimumabNumber of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2TSH > ULN with all other FT3/FT4 test values ≥ LLN1 Participants
Nivolumab+IpilimumabNumber of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2TSH > ULN with FT3/FT4 test missing1 Participants
Nivolumab+IpilimumabNumber of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2TSH < LLN13 Participants
Nivolumab+IpilimumabNumber of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2TSH < LLN with TSH >= LLN at baseline12 Participants
Nivolumab+IpilimumabNumber of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2TSH < LLN with at least one FT3/FT4 test value > ULN7 Participants
Nivolumab+IpilimumabNumber of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2TSH < LLN with all other FT3/FT4 test values <= ULN6 Participants
Nivolumab+IpilimumabNumber of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2TSH < LLN with FT3/Ft4 test missing0 Participants
Primary

Objective Response Rate (ORR) by PD-L1 Positive and Negative Levels - Part 1

Objective response rate (ORR) in PD-L1 positive (PD-L1 ≥1%) and PD-L1 negative (PD-L1 \<1%) participants was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment.

Time frame: From first dose to database lock (Up to 18 months)

Population: All PD-L1 evaluable participants -Part 1

ArmMeasureGroupValue (NUMBER)
Nivolumab+IpilimumabObjective Response Rate (ORR) by PD-L1 Positive and Negative Levels - Part 1PD-L1 ≥1%41.3 Percentage of participants
Nivolumab+IpilimumabObjective Response Rate (ORR) by PD-L1 Positive and Negative Levels - Part 1PD-L1 <1%14.9 Percentage of participants
Secondary

Objective Response Rate (ORR) by PD-L1 Expression Levels-Part 1

Objective response rate (ORR) by PD-L1 expression levels was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment. CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. PD-L1 ≥1% = PD-L1 positive (membranous staining in ≥ 1% tumor cells) PD-L1 \<1% = PD-L1 negative (membranous staining in \<1% tumor cells)

Time frame: From first dose up to approximately 72 months

Population: All PD-L1 evaluable participants in Part 1. Data was pre-specified to be collected only in Part 1 arm

ArmMeasureGroupValue (NUMBER)
Nivolumab+IpilimumabObjective Response Rate (ORR) by PD-L1 Expression Levels-Part 1PD-L1 ≥1%44.2 Percentage of participants
Nivolumab+IpilimumabObjective Response Rate (ORR) by PD-L1 Expression Levels-Part 1PD-L1 <1%17.1 Percentage of participants
Secondary

Objective Response Rate (ORR) by Tumor Mutation Burden (TMB) Levels - Part 1

Objective response rate (ORR) by tumor mutational burden (TMB) using DNA derived from tumor specimens was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment. CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. High TMB = ≥ 10 mutations per megabase Low TMB = \< 10 mutations per megabase

Time frame: From first dose up to approximately 72 months

Population: All TMB evaluable participants in Part 1. Data was pre-specified to be collected only in Part 1 arm

ArmMeasureGroupValue (NUMBER)
Nivolumab+IpilimumabObjective Response Rate (ORR) by Tumor Mutation Burden (TMB) Levels - Part 1High TMB (>=10 Mutations/MB)52.1 Percentage of participants
Nivolumab+IpilimumabObjective Response Rate (ORR) by Tumor Mutation Burden (TMB) Levels - Part 1Low TMB (<10 Mutations/MB)16.0 Percentage of participants
Secondary

Objective Response Rate (ORR) - Part 1

Objective response rate (ORR) was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment. CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Time frame: From first dose up to approximately 72 months

Population: All treated participants in Part 1

ArmMeasureValue (NUMBER)
Nivolumab+IpilimumabObjective Response Rate (ORR) - Part 132.3 Percentage of participants
Secondary

Objective Response Rate (ORR) - Part 2

Objective response rate (ORR) was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on investigator assessment. CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Time frame: From first dose up to approximately 59 months

Population: All treated participants in Part 2

ArmMeasureValue (NUMBER)
Nivolumab+IpilimumabObjective Response Rate (ORR) - Part 247.2 Percentage of participants
Secondary

Overall Survival (OS) by PD-L1 Expression Levels - Part 1

Overall survival (OS) by PD-L1 expression levels was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive. PD-L1 ≥1% = PD-L1 positive (membranous staining in ≥ 1% tumor cells) PD-L1 \<1% = PD-L1 negative (membranous staining in \<1% tumor cells)

Time frame: From the date of first treatment to the date of death due to any cause (Up to approximately 72 months)

Population: All PD-L1 evaluable participants in Part 1. Data was pre-specified to be collected only in Part 1 arm

ArmMeasureGroupValue (MEDIAN)
Nivolumab+IpilimumabOverall Survival (OS) by PD-L1 Expression Levels - Part 1PD-L1 ≥1%26.51 Months
Nivolumab+IpilimumabOverall Survival (OS) by PD-L1 Expression Levels - Part 1PD-L1 <1%13.70 Months
Secondary

Overall Survival (OS) by Tumor Mutation Burden (TMB) Levels - Part 1

Overall survival (OS) by tumor mutational burden (TMB) using DNA derived from tumor specimens was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive. High TMB = ≥ 10 mutations per megabase Low TMB = \< 10 mutations per megabase

Time frame: From the date of first treatment to the date of death due to any cause (Up to approximately 72 months)

Population: All TMB evaluable participants in Part 1. Data was pre-specified to be collected only in Part 1 arm

ArmMeasureGroupValue (MEDIAN)
Nivolumab+IpilimumabOverall Survival (OS) by Tumor Mutation Burden (TMB) Levels - Part 1High TMB (>=10 Mutations/MB)47.31 Months
Nivolumab+IpilimumabOverall Survival (OS) by Tumor Mutation Burden (TMB) Levels - Part 1Low TMB (<10 Mutations/MB)11.33 Months
Secondary

Overall Survival (OS) - Part 1

Overall survival (OS) was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive.

Time frame: From the date of first treatment to the date of death due to any cause (Up to approximately 72 months)

Population: All treated participants in Part 1

ArmMeasureValue (MEDIAN)
Nivolumab+IpilimumabOverall Survival (OS) - Part 120.83 Months
Secondary

Overall Survival (OS) - Part 2

Overall survival (OS) was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive.

Time frame: From the date of first treatment to the date of death due to any cause (Up to approximately 59 months)

Population: All treated participants in Part 2

ArmMeasureValue (MEDIAN)
Nivolumab+IpilimumabOverall Survival (OS) - Part 219.35 Months
Secondary

Progression Free Survival (PFS) by PD-L1 Expression Levels - Part 1

Progression Free Survival (PFS) by PD-L1 expression levels was defined as the time between the date of first dose and the first date of documented progression, as determined by blinded independent central review (BICR), or death due to any cause, whichever occurred first. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. PD-L1 ≥1% = PD-L1 positive (membranous staining in ≥ 1% tumor cells) PD-L1 \<1% = PD-L1 negative (membranous staining in \<1% tumor cells)

Time frame: From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 72 months)

Population: All PD-L1 evaluable participants in Part 1. Data was pre-specified to be collected only in Part 1 arm

ArmMeasureGroupValue (MEDIAN)
Nivolumab+IpilimumabProgression Free Survival (PFS) by PD-L1 Expression Levels - Part 1PD-L1 ≥1%6.80 Months
Nivolumab+IpilimumabProgression Free Survival (PFS) by PD-L1 Expression Levels - Part 1PD-L1 <1%2.92 Months
Secondary

Progression Free Survival (PFS) by Tumor Mutation Burden (TMB) Levels - Part 1

Progression Free Survival (PFS) by tumor mutational burden (TMB) using DNA derived from tumor specimens was defined as the time between the date of first dose and the first date of documented progression, as determined by blinded independent central review (BICR), or death due to any cause, whichever occurred first. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. High TMB = ≥ 10 mutations per megabase Low TMB = \< 10 mutations per megabase

Time frame: From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 72 months)

Population: All TMB evaluable participants in Part 1. Data was pre-specified to be collected only in Part 1 arm

ArmMeasureGroupValue (MEDIAN)
Nivolumab+IpilimumabProgression Free Survival (PFS) by Tumor Mutation Burden (TMB) Levels - Part 1High TMB (>=10 Mutations/MB)10.84 Months
Nivolumab+IpilimumabProgression Free Survival (PFS) by Tumor Mutation Burden (TMB) Levels - Part 1Low TMB (<10 Mutations/MB)2.79 Months
Secondary

Progression Free Survival (PFS) - Part 1

Progression Free Survival (PFS) was defined as the time between the date of first dose and the first date of documented progression, as determined by blinded independent central review (BICR), or death due to any cause, whichever occurred first. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.

Time frame: From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 72 months)

Population: All treated participants in Part 1

ArmMeasureValue (MEDIAN)
Nivolumab+IpilimumabProgression Free Survival (PFS) - Part 15.19 Months
Secondary

Progression Free Survival (PFS) - Part 2

Progression Free Survival (PFS) was defined as the time between the date of first dose and the first date of documented progression, as determined by investigator (per RECIST 1.1), or death due to any cause, whichever occurred first. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.

Time frame: From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 59 months)

Population: All treated participants in Part 2

ArmMeasureValue (MEDIAN)
Nivolumab+IpilimumabProgression Free Survival (PFS) - Part 210.81 Months

Source: ClinicalTrials.gov · Data processed: Feb 23, 2026