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A Study of Nivolumab and Ipilimumab in Untreated Participants With Stage 3 Non-small Cell Lung Cancer (NSCLC) That is Unable or Not Planned to be Removed by Surgery

Phase 3
Completed
Conditions
Non-Small Cell Lung Cancer (NSCLC)
Interventions
Registration Number
NCT04026412
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

The primary purpose of the study is to compare the effectiveness of nivolumab plus concurrent chemoradiotherapy (CCRT) followed by nivolumab plus ipilimumab vs CCRT followed by durvalumab in participants with untreated Locally Advanced Non-small Cell Lung Cancer (LA NSCLC).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
925
Inclusion Criteria
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤1
  • Locally advanced stage IIIA, IIIB, or IIIC (T1-2 N2-3 M0, T3 N1-3 M0, or T4 N0-3 M0) pathologically-confirmed NSCLC, according to 8th TNM classification. Participants who are not planned for potential curative surgical resection are eligible.
  • Newly diagnosed and treatment-naïve, with no prior local or systemic anticancer therapy given as primary therapy for locally advanced disease
Exclusion Criteria
  • Any condition including medical, emotional, psychiatric, or logistical that, in the opinion of the Investigator would preclude the participant from adhering to the protocol or would increase the risk associated with study participation
  • Active infection requiring systemic therapy within 14 days prior to randomization
  • History of organ or tissue transplant that requires systemic use of immune suppressive agents
  • Prior thoracic radiotherapy

Other protocol-defined inclusion/exclusion criteria apply

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm C: CCRT + durvalumabdurvalumabConcurrent chemoradiotherapy (CCRT)
Arm A: nivolumab + CCRT + ipilimumabnivolumabConcurrent chemoradiotherapy (CCRT)
Arm A: nivolumab + CCRT + ipilimumabipilimumabConcurrent chemoradiotherapy (CCRT)
Arm B: nivolumab + CCRTnivolumabConcurrent chemoradiotherapy (CCRT)
Primary Outcome Measures
NameTimeMethod
Progression-free survival (PFS) by RECIST 1.1 per Blinded Independent Central Review (BICR) for Arm A vs Arm CUp to 7 years
Secondary Outcome Measures
NameTimeMethod
Incidence of Adverse Events (AEs)Up to 7 years
Time to Death or Distant Metastases (TTDM) by RECIST 1.1 per Investigator assessmentUp to 7 years
Overall Survival (OS) for Arm A vs Arm CUp to 7 years
OS for Arm B vs Arm CUp to 7 years
OS for Arm A vs Arm BUp to 7 years
PFS by RECIST 1.1 per BICR for Arm B vs Arm CUp to 7 years
Time to Response (TTR) by RECIST 1.1 per BICRUp to 7 years
PFS by RECIST 1.1 per BICR for Arm A vs Arm BUp to 7 years
Objective Response Rate (ORR) by RECIST 1.1 per BICRUp to 7 years
Duration of Response (DoR) by RECIST 1.1 per BICRUp to 7 years
PFS by RECIST 1.1 per Investigator assessmentUp to 7 years
ORR by RECIST 1.1 per Investigator assessmentUp to 7 years
Incidence of select AEsUp to 7 years
Incidence of Serious Adverse Events (SAEs)Up to 7 years
DoR by RECIST 1.1 per Investigator assessmentUp to 7 years
TTR by RECIST 1.1 per Investigator assessmentUp to 7 years
Proportion of participants without symptom deterioration based on NSCLC-SAQUp to 7 years

Non-Small Cell Lung Cancer-Symptom Assessment Questionnaire (NSCLC-SAQ)

Trial Locations

Locations (179)

Local Institution - 0071

🇺🇸

Burlington, Vermont, United States

Local Institution - 0124

🇺🇸

Cleveland, Ohio, United States

Local Institution - 0053

🇺🇸

Cincinnati, Ohio, United States

Local Institution - 0119

🇺🇸

La Jolla, California, United States

Local Institution - 0129

🇺🇸

Lone Tree, Colorado, United States

Local Institution - 0233

🇺🇸

Jacksonville, Florida, United States

Local Institution - 0125

🇺🇸

Atlanta, Georgia, United States

Local Institution - 0039

🇺🇸

Pensacola, Florida, United States

Local Institution - 0165

🇺🇸

Augusta, Georgia, United States

Local Institution - 0116

🇺🇸

Traverse City, Michigan, United States

Local Institution - 0218

🇺🇸

Edgewood, Kentucky, United States

Local Institution - 0131

🇺🇸

Cincinnati, Ohio, United States

Local Institution - 0112

🇺🇸

Cleveland, Ohio, United States

Local Institution - 0047

🇺🇸

Cleveland, Ohio, United States

Local Institution - 0188

🇺🇸

Cincinnati, Ohio, United States

Local Institution - 0123

🇺🇸

Youngstown, Ohio, United States

Local Institution - 0191

🇺🇸

Austin, Texas, United States

Local Institution - 0079

🇺🇸

Bryan, Texas, United States

Local Institution - 0130

🇺🇸

Dallas, Texas, United States

Local Institution - 0044

🇦🇷

Caba, Buenos Aires, Argentina

Local Institution - 0045

🇦🇷

Río Cuarto, Cordoba, Argentina

Local Institution - 0043

🇦🇷

Buenos Aires, Distrito Federal, Argentina

Local Institution - 0042

🇦🇷

Caba, Distrito Federal, Argentina

Local Institution - 0031

🇦🇺

Darlinghurst, New South Wales, Australia

Local Institution - 0134

🇦🇺

Gosford, New South Wales, Australia

Local Institution - 0033

🇦🇺

Kingswood, New South Wales, Australia

Local Institution - 0029

🇦🇺

Greenslopes, Queensland, Australia

Local Institution - 0224

🇦🇺

Ballarat Central, Victoria, Australia

Local Institution - 0028

🇦🇺

Adelaide, South Australia, Australia

Local Institution - 0052

🇦🇺

Melbourne, Victoria, Australia

Local Institution - 0003

🇧🇪

Bruxelles, Belgium

Local Institution

🇷🇺

St. Petersburg, Russian Federation

Local Institution - 0030

🇦🇺

Murdoch, Western Australia, Australia

Local Institution - 0001

🇧🇪

Gent, Belgium

Local Institution - 0002

🇧🇪

Yvoir, Belgium

Local Institution - 0234

🇧🇷

Ijui, RIO Grande DO SUL, Brazil

Local Institution - 0004

🇧🇪

Liege, Belgium

Local Institution - 0127

🇨🇦

Kingston, Ontario, Canada

Local Institution - 0036

🇧🇷

Barretos, SAO Paulo, Brazil

Local Institution - 0035

🇧🇷

Rio de Janeiro, Brazil

Local Institution - 0078

🇨🇦

Oshawa, Ontario, Canada

Local Institution - 0126

🇨🇦

Quebec, Canada

Local Institution - 0092

🇨🇦

Trois-Rivieres, Quebec, Canada

Local Institution - 0087

🇫🇷

Dijon, France

Local Institution - 0086

🇫🇷

Bordeaux, France

Local Institution - 0082

🇫🇷

Montpellier, France

Local Institution - 0084

🇫🇷

Nantes, France

Local Institution - 0090

🇫🇷

Paris Cedex 14, France

Local Institution - 0083

🇫🇷

Paris Cedex 5, France

Local Institution - 0227

🇫🇷

Paris, France

Local Institution - 0089

🇫🇷

Tours Cedex 09, France

Local Institution - 0060

🇩🇪

Berlin, Germany

Local Institution - 0091

🇫🇷

Paris, France

Local Institution - 0063

🇩🇪

Essen, Germany

Local Institution - 0076

🇩🇪

Grosshansdorf, Germany

Local Institution - 0061

🇩🇪

Immenhausen, Germany

Local Institution - 0073

🇩🇪

Heidelberg, Germany

Local Institution - 0101

🇩🇪

Hamm, Germany

Local Institution - 0062

🇩🇪

Kempten, Germany

Local Institution - 0075

🇩🇪

Loewenstein, Germany

Local Institution - 0109

🇩🇪

Mainz, Germany

Local Institution - 0072

🇩🇪

Stuttgart, Germany

Local Institution - 0161

🇬🇷

Athens, Greece

Local Institution - 0135

🇬🇷

Athens, Greece

Local Institution - 0023

🇮🇪

Dublin, Ireland

Local Institution - 0068

🇮🇹

Brescia, Italy

Local Institution - 0136

🇬🇷

Larissa, Greece

Local Institution - 0162

🇬🇷

N.Kifissia, Greece

Azienda Ospedaliero-Universitaria Mater Domini

🇮🇹

Catanzaro, Italy

Aou Policlinico V. Emanuele Di Catania

🇮🇹

Catania, Italy

Local Institution - 0050

🇮🇹

Lucca, Italy

Local Institution - 0115

🇮🇹

Milano, Italy

Local Institution - 0114

🇮🇹

Monza (MB), Italy

Local Institution - 0048

🇮🇹

Perugia, Italy

Local Institution - 0204

🇯🇵

Nagoya, Aichi, Japan

Local Institution - 0212

🇯🇵

Fukuoka-shi, Fukuoka, Japan

Local Institution - 0211

🇯🇵

Kurume-shi, Fukuoka, Japan

Local Institution - 0197

🇯🇵

Ota, Gunma, Japan

Local Institution - 0195

🇯🇵

Sapporo-shi, Hokkaido, Japan

Local Institution - 0206

🇯🇵

Kobe, Hyogo, Japan

Local Institution - 0203

🇯🇵

Kanazawa-shi, Ishikawa, Japan

Local Institution - 0216

🇯🇵

Yokohama-shi, Kanagawa, Japan

Local Institution - 0201

🇯🇵

Yokohama-Shi, Kanagawa, Japan

Local Institution - 0217

🇯🇵

Yokohama, Kanagawa, Japan

Local Institution - 0196

🇯🇵

Sendai-shi, Miyagi, Japan

Local Institution - 0202

🇯🇵

Niigata-shi, Niigata, Japan

Local Institution - 0210

🇯🇵

Osakasayama, Osaka, Japan

Local Institution - 0205

🇯🇵

Osaka-shi, Osaka, Japan

Local Institution - 0174

🇯🇵

Kitaadachi-gun, Saitama, Japan

Local Institution - 0198

🇯🇵

Hidaka-shi, Saitama, Japan

Local Institution - 0200

🇯🇵

Chuo-ku, Tokyo, Japan

Local Institution - 0232

🇯🇵

Ube, Yamaguchi, Japan

Local Institution - 0175

🇯🇵

Wakayama, Japan

Local Institution - 0167

🇰🇷

Cheongju-si, Chungcheonbuk-do,, Korea, Republic of

Local Institution - 0152

🇰🇷

Seoul, Korea, Republic of

Local Institution - 0168

🇰🇷

Seoul, Korea, Republic of

Local Institution - 0027

🇲🇽

La Paz, BAJA Californa SUR, Mexico

Local Institution - 0005

🇳🇱

Maastrict, Netherlands

Local Institution - 0006

🇳🇱

Amsterdam, Netherlands

Local Institution - 0025

🇳🇱

Arnhem, Netherlands

Local Institution - 0240

🇳🇱

Leiden, Netherlands

Local Institution - 0026

🇳🇱

Veldhoven, Netherlands

Local Institution - 0107

🇵🇱

Bydgoszcz, Poland

Local Institution - 0102

🇵🇱

Gdansk, Poland

Local Institution - 0104

🇵🇱

Krakow, Poland

Local Institution - 0235

🇵🇱

Tomaszow Mazowiecki, Poland

Local Institution - 0120

🇵🇷

Hato Rey, Puerto Rico

GCM Medical Group, PSC - Hato Rey Site

🇵🇷

San Juan, Puerto Rico

Local Institution - 0222

🇷🇴

Bucuresti, Romania

Local Institution - 0018

🇷🇴

Bucharest, Romania

Local Institution - 0019

🇷🇴

Cluj-Napoca, Romania

Local Institution - 0020

🇷🇴

Constanta, Romania

Local Institution - 0017

🇷🇴

Craiova, Romania

Local Institution - 0021

🇷🇴

Floresti/ Cluj, Romania

Local Institution - 0171

🇸🇬

Singapore, Singapore

Local Institution - 0106

🇪🇸

Barcelona, Spain

Local Institution - 0095

🇪🇸

Madrid, Spain

Local Institution - 0099

🇪🇸

Hospitalet de Llobregat, Spain

Local Institution - 0096

🇪🇸

Madrid, Spain

Local Institution - 0098

🇪🇸

Pamplona, Spain

Local Institution - 0097

🇪🇸

Sevilla, Spain

Local Institution - 0105

🇪🇸

Santiago de Compostela, Spain

Local Institution - 0064

🇸🇪

Stockholm, Sweden

Local Institution - 0065

🇸🇪

Goteborg, Vastra Gotalands Lan, Sweden

Local Institution - 0057

🇨🇭

Basel, Switzerland

Local Institution - 0058

🇨🇭

Lausanne, Switzerland

Local Institution - 0059

🇨🇭

St.Gallen, Switzerland

Local Institution - 0214

🇨🇳

New Taipei City, Taiwan

Local Institution - 0209

🇨🇳

Tainan, Taiwan

Local Institution - 0133

🇨🇳

Taipei City, Taiwan

Local Institution - 0213

🇨🇳

Taipei, Taiwan

Local Institution - 0010

🇬🇧

Poole, Dorset, United Kingdom

Local Institution - 0012

🇬🇧

Swansea, Glamorgan, United Kingdom

Local Institution - 0143

🇨🇳

Taipei, Taiwan

Local Institution - 0007

🇬🇧

Bebington, United Kingdom

Local Institution - 0054

🇬🇧

Aberdeen, United Kingdom

Local Institution - 0009

🇬🇧

Hull, United Kingdom

Local Institution - 0038

🇧🇷

Ipatinga, Minas Gerais, Brazil

Local Institution - 0024

🇮🇪

Dublin 8, Dublin, Ireland

Local Institution - 0015

🇲🇽

Culiacan, Sinaloa, Mexico

Local Institution - 0034

🇧🇷

Porto Alegre, RIO Grande DO SUL, Brazil

Local Institution - 0037

🇧🇷

Blumenau, Santa Catarina, Brazil

Local Institution - 0040

🇨🇱

Vina del Mar, Valparaiso, Chile

Local Institution - 0067

🇲🇽

Df, Distrito Federal, Mexico

Local Institution - 0041

🇨🇱

Santiago, Metropolitana, Chile

Local Institution - 0199

🇯🇵

Bunkyo-ku, Tokyo, Japan

Local Institution - 0014

🇲🇽

Monterrey, Nuevo LEON, Mexico

Local Institution - 0056

🇨🇭

Zuerich, Switzerland

Local Institution - 0080

🇲🇽

Guadalajara, Jalisco, Mexico

Local Institution - 0208

🇨🇳

KaohsiungCity, Taiwan

Local Institution - 0148

🇨🇳

Wuhan, Hubei, China

Local Institution - 0192

🇨🇳

Guiyang, Guizhou, China

Local Institution - 0147

🇨🇳

Hankou, Hubei, China

Local Institution - 0150

🇨🇳

Wuhan, Hubei, China

Local Institution - 0146

🇨🇳

Beijing, BEI, China

Local Institution - 0149

🇨🇳

Chongqing, Chongqing, China

Local Institution - 0179

🇨🇳

Fuzhou, Fujian, China

Local Institution - 0164

🇨🇳

Xiamen, Fujian, China

Local Institution - 0154

🇨🇳

Changsha, Hunan, China

Local Institution - 0139

🇨🇳

Nanjing, Jiangsu, China

Local Institution - 0178

🇨🇳

Nanchang, Jiangxi, China

Local Institution - 0170

🇨🇳

Changchun, Jilin, China

Local Institution - 0183

🇨🇳

Changchun, Jilin, China

Local Institution - 0180

🇨🇳

Gongzhuling, Jilin, China

Local Institution - 0138

🇨🇳

Jinan, Shandong, China

Local Institution - 0186

🇨🇳

Chengdu, Sichuan, China

Local Institution - 0145

🇨🇳

Shanghai, Shanghai, China

Local Institution - 0189

🇨🇳

Chengdu, Sichuan, China

Local Institution - 0140

🇨🇳

Hangzhou, Zhejiang, China

Local Institution - 0184

🇨🇳

Linhai, Zhejiang, China

Local Institution - 0207

🇺🇸

San Francisco, California, United States

Local Institution - 0166

🇺🇸

San Francisco, California, United States

Local Institution - 0070

🇨🇦

Rimouski, Quebec, Canada

Local Institution - 0237

🇨🇦

Chicoutimi, Quebec, Canada

Local Institution - 0081

🇫🇷

Lyon, France

Local Institution - 0100

🇪🇸

Zaragoza, Spain

Local Institution - 0219

🇺🇸

Orlando, Florida, United States

Local Institution - 0077

🇺🇸

Charleston, South Carolina, United States

Local Institution - 0108

🇺🇸

Bethesda, Maryland, United States

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