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MelanomaPhase 3CheckMate 066NCT01721772

Study of Nivolumab (BMS-936558) Compared With Dacarbazine in Untreated, Unresectable, or Metastatic Melanoma

A Phase 3 study testing BMS-936558 (Nivolumab) and Dacarbazine in people with Melanoma, run by Bristol-Myers Squibb at 75 sites in 16 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to compare the clinical benefit, as measured by overall survival, of nivolumab with that of. dacarbazine in patients with previously untreated, unresectable, or metastatic melanoma Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Melanoma
What is being tested?
BMS-936558 (Nivolumab) and Dacarbazine
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
418 participants
Where
75 sitesin 16 countries
Study dates
18 Jan 2013to 14 May 2021
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men and women ≥18 years of age
  • Eastern Cooperative Oncology Group Performance Status of 0 or 1
  • Untreated and histologically confirmed unresectable Stage III or Stage IV melanoma, as per the staging system of the American Joint Committee on Cancer
  • Measurable disease as per Response Evaluation Criteria in Solid Tumors 1.1
  • Tumor tissue from an unresectable or metastatic site of disease must be provided for biomarker analyses
  • Known BRAF wild-type, as per regionally acceptable V600 mutational status testing. BRAF mutant patients and those with indeterminate or unknown BRAF status are not permitted to randomize

Who cannot join

  • Active brain metastases or leptomeningeal metastases
  • Ocular melanoma
  • Any active, known, or suspected autoimmune disease

Trial locations and contacts

75 sites in 16 countries.

75 sites in 16 countries

Germany12 sites
  • Local Institution

    Cologne, 50937

  • Local Institution

    Essen, 45122

  • Local Institution

    Gera, 07548

  • Local Institution

    Göttingen, 37075

  • Local Institution

    Heidelberg, 69120

  • Local Institution

    Kiel, 24105

  • Local Institution

    Magdeburg, 39120

  • Local Institution

    Mainz, 55131

  • Local Institution

    Nuremberg, 90419

  • Local Institution

    Recklinghausen, 45659

  • Local Institution

    Tübingen, 72076

  • Local Institution

    Würzburg, Bavaria, 97080

Other trials in Germany

Italy10 sites
  • Local Institution

    Bari, 70124

  • Local Institution

    Bergamo, 24127

  • Local Institution

    Genova, 16132

  • Local Institution

    Meldola (fc), 47014

  • Local Institution

    Milan, 20133

  • Local Institution

    Milan, 20141

  • Local Institution

    Naples, 80131

  • Local Institution

    Padova, 35128

  • Local Institution

    Roma, 00144

  • Local Institution

    Siena, 53100

Other trials in Italy

Australia9 sites
  • Royal Adelaide Hospital

    Adelaide, South Australia, 5000

  • Local Institution

    Camperdown, New South Wales, 2050

  • Coffs Harbour Health Campus

    Coffs Harbour, New South Wales, 2450

  • Greenslopes Private Hospital

    Greenslopes, Queensland, 4120

  • Cabrini Hospital

    Malvern, Victoria, 3144

  • Local Institution - 0006

    North Sydney, New South Wales, 2060

  • Local Institution

    Southport, Queensland, 4215

  • Local Institution

    Westmead, New South Wales, 2145

  • Princess Alexandra Hospital

    Woolloongabba, Queensland, 4102

Other trials in Australia

Canada6 sites
  • Tom Baker Cancer Centre

    Calgary, Alberta, T2N 4N2

  • Qe Ii Health Science Centre

    Halfax, Nova Scotia, B3H 2Y9

  • Local Institution - 0040

    Montreal, Quebec, H4A 3J1

  • Sunnybrook Health Sciences Centre

    Toronto, Ontario, M4N 3M5

  • Princess Margaret Hospital

    Toronto, Ontario, M5G 2M9

  • Local Institution - 0039

    Vancouver, British Columbia, V5Z 4E6

Other trials in Canada

France6 sites
  • Hopital Saint Andre

    Bordeaux, 33075

  • Chu Grenoble - Hopital Albert Michallon

    Grenoble, 38043

  • Chru De Lille - Hopital Claude Huriez

    Lille, 59037

  • Hopital St Eloi

    Montpellier, 34295

  • Hopital Saint Louis

    Paris, 75010

  • Local Institution - 0013

    Villejuif, 94805

Other trials in France

Spain6 sites
  • Local Institution - 0056

    Barcelona, 08036

  • Local Institution

    Donostia / San Sebastian, Guipuzcoa, 20014

  • Local Institution

    Madrid, 28033

  • Local Institution

    Madrid, 28034

  • Local Institution

    Seville, 41009

  • Local Institution

    Valencia, 46014

Other trials in Spain

Mexico4 sites
  • Local Institution

    Leon, Guanajato, Guanajuato, 37000

  • Local Institution

    Mexico City, Mexico City, 03310

  • Local Institution

    Morelia, Michoacán, 58240

  • Local Institution

    Tlalpan, Mexico City, 14080

Other trials in Mexico

Argentina3 sites
  • Fundacion Cidea

    Buenos Aires, Distrito Federal, 1121

  • Instituto Medico Especialazado Alexander Fleming

    Buenos Aires, C1426ANZ

  • Instituto Oncologico De Cordoba

    Córdoba, 5000

Other trials in Argentina

Chile3 sites
  • Local Institution

    Santiago, Santiago Metropolitan

  • Local Institution

    Santiago, 7630370

  • Local Institution

    Viña del Mar, Valparaiso

Other trials in Chile

Denmark3 sites
  • Aarhus Universitetshospital

    Aarhus, 8000

  • Herlev Hospital

    Herlev, 2730

  • Odense University Hospital

    Odense, 5000

Other trials in Denmark

Israel3 sites
  • Local Institution

    Haifa, 34362

  • Local Institution

    Jerusalem, 91120

  • Local Institution

    Tel HaShomer, 52621

Other trials in Israel

Poland3 sites
  • Local Institution

    Gdansk, 80-219

  • Local Institution

    Lodz, 93-513

  • Local Institution

    Warsaw, 02-781

Other trials in Poland

Sweden3 sites
  • Local Institution

    Gothenberg, 413 45

  • Local Institution

    Lund, 221 85

  • Local Institution

    Umeå, 901 85

Other trials in Sweden

Greece2 sites
  • Laiko Hospital

    Athens, 11527

  • Metropolitan Hospital

    Neo Faliro, 18547

Other trials in Greece

Finland1 site
  • Local Institution - 0035

    Helsinki, 00290

Other trials in Finland

Norway1 site
  • Local Institution

    Oslo, 0379

Other trials in Norway

About this study

Official title: A Phase 3, Randomized, Double-Blind Study of BMS-936558 vs Dacarbazine in Subjects With Previously Untreated, Unresectable or Metastatic Melanoma

The purpose of this study is to compare the clinical benefit, as measured by overall survival, of nivolumab with that of. dacarbazine in patients with previously untreated, unresectable, or metastatic melanoma

Conditions
Melanoma
Being tested
BMS-936558 (Nivolumab), Placebo matching BMS-936558 (Nivolumab), Dacarbazine, Placebo matching Dacarbazine
Medical subject headings
Melanoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BMS-936558 (Nivolumab)Biological

  • Placebo matching BMS-936558 (Nivolumab)Biological

  • DacarbazineDrug

  • Placebo matching DacarbazineDrug

Study groups in NCT01721772
Study groupRoleWhat they receive
Nivolumab, 3 mg/kgExperimentalParticipants received nivolumab, 3 mg/kg, solution administered Intravenously (IV) every 2 weeks until disease progression, discontinuation due to toxicity, withdrawal of consent, or study completion. Eligible participants may switch to nivolumab at 480mg every 4 weeks until documented disease progression, discontinuation, withdrawal of consent or the study ends.
Receives: Biological: BMS-936558 (Nivolumab); Drug: Placebo matching Dacarbazine
Dacarbazine, 1000 mg/m^2Active comparatorParticipants received dacarbazine, 1000 mg/m^2, solution administered IV every 3 weeks until disease progression, discontinuation due to toxicity, withdrawal of consent, or study completion. Eligible participants may cross-over to nivolumab open label treatment, either 3 mg/kg every 2 weeks or 480mg every 4 weeks until documented disease progression, discontinuation, withdrawal of consent or the study ends.
Receives: Biological: Placebo matching BMS-936558 (Nivolumab); Drug: Dacarbazine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall Survival (OS)

    OS is defined as the time between the date of randomization and the date of death or the last date the participant was known to be alive.

    Measured: From date of randomization to date of death. For those without documentation of death, to the last date the participant was known to be alive, assessed up to 17 months.

  2. Overall Survival (OS) Rate

    OS rate is calculated as the percentage of participants alive at the indicated timepoints

    Measured: From randomization to 6 months and or to 12 months

Secondary outcomes (5)
  1. Progression-free Survival (PFS)

    Investigator-assessed PFS is defined as the time from randomization to the date of the first documented progression, as determined by the investigator, or death due to any cause, whichever occurs first. Patients who died without progressing were considered to have progressed on the date of their death. Those who did not progress or die were documented on the date of their last evaluable tumor assessment. Patients who did not have any on-study tumor assessments and did not die were documented on their date of randomization. Those who started any subsequent anticancer therapy without a prior reported progression were documented on the date of their last evaluable tumor assessment prior to initiation of subsequent anticancer therapy.

    Measured: From date of randomization up to date of disease progression or death, up to approximately 84 months

  2. Progression-free Survival (PFS) Rate

    The PFS rate at a time point is the estimated percentage of patients who have not progressed and are alive at that time point following randomization and is estimated using the Kaplan-Meier methodology.

    Measured: From randomization to the specified timepoints, up to 84 months

  3. Objective Response Rate (ORR)

    ORR is defined as the percentage of participants with a best overall response of Response Evaluation Criteria in Solid Tumors (RECIST) defined complete response (CR) or partial response (PR). RECIST, volume 1.1 for target lesions: CR=disappearance of all target lesions; PR=at least a 30% decrease in the sum of the longest dimension (LD) of target lesions, taking as reference the baseline sum LD; stable disease=neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum LD since the treatment started; PD=at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions, and the sum LD must have an absolute increase of ≥5 mm.

    Measured: Tumor assessments beginning at 9 weeks following randomization and continuing every 6 weeks for the first year, then every 12 weeks thereafter until disease progression or death, assessed to 94 months

  4. Overall Survival by Programmed Cell Death Ligand 1 (PD-L1) Expression Level

    Overall Survival is defined as the time between the date of randomization and the date of death or the last date the participant was known to be alive. PD-L1 expression level is defined as the percent of tumor cells demonstrating plasma membrane PD-L1-staining in a minimum of 100 evaluable tumor cells per a Dako PD-L1 IHC (immunohistochemistry) assay (referred to as quantifiable PD-L1 expression). Assessment of OS by PD-L1 expression as measured by a validated assay and comparing OS in patients with tumor PD-L1 expression ≥5% (PD-L1 positive) versus patients with tumor PD-L1 expression <5% (PD-L1 negative). Tumor tissue samples for PD-L1 testing were collected at screening from metastatic or unresectable sites prior to randomization.

    Measured: From date of randomization to date of disease progression or death, up to approximately 94 months

  5. Change From Baseline in Health-related Quality of Life (HRQoL) Scores

    HRQoL is evaluated by mean changes from baseline in the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core 30 (QLQ-C30) global health status/quality of life composite scale in all randomized patients. The QLQ-30 is a cancer-specific, self-administered questionnaire that contains 30 questions, covering global, functional, and symptom scales. Scores range from 0 to 100. Higher scores on global and functional scales indicate better quality of life (QoL), while higher scores on the symptom scales indicate declining QoL.

    Measured: At baseline and every 6 weeks for 12 months and at follow-up visits 1 and 2, assessed up to 93 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Nov 2012 (estimated)
  2. Study start18 Jan 2013
  3. Primary completion24 Jun 2014
  4. Study completion14 May 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
418 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01721772
Sponsor's protocol ID
CA209-066
Other IDs
2012-003718-16
Acronym
CheckMate 066
Status last verified
Jun 2022
First submitted
2 Nov 2012
Last updated
12 Jul 2022
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Long GV, Larkin J, Schadendorf D, Grob JJ, Lao CD, Marquez-Rodas I, Wagstaff J, Lebbe C, Pigozzo J, Robert C, Ascierto PA, Atkinson V, Postow MA, Atkins MB, Sznol M, Callahan MK, Topalian SL, Sosman JA, Kotapati S, Thakkar PK, Ritchings C, Pe Benito M, Re S, Soleymani S, Hodi FS. Pooled Long-Term Outcomes With Nivolumab Plus Ipilimumab or Nivolumab Alone in Patients With Advanced Melanoma. J Clin Oncol. 2025 Mar 10;43(8):938-948. doi: 10.1200/JCO.24.00400. Epub 2024 Nov 6.

    PubMed 39504507
  • Robert C, Long GV, Brady B, Dutriaux C, Di Giacomo AM, Mortier L, Rutkowski P, Hassel JC, McNeil CM, Kalinka EA, Lebbe C, Charles J, Hernberg MM, Savage KJ, Chiarion-Sileni V, Mihalcioiu C, Mauch C, Arance A, Cognetti F, Ny L, Schmidt H, Schadendorf D, Gogas H, Zoco J, Re S, Ascierto PA, Atkinson V. Five-Year Outcomes With Nivolumab in Patients With Wild-Type BRAF Advanced Melanoma. J Clin Oncol. 2020 Nov 20;38(33):3937-3946. doi: 10.1200/JCO.20.00995. Epub 2020 Sep 30.

    PubMed 32997575
  • Ascierto PA, Long GV, Robert C, Brady B, Dutriaux C, Di Giacomo AM, Mortier L, Hassel JC, Rutkowski P, McNeil C, Kalinka-Warzocha E, Savage KJ, Hernberg MM, Lebbe C, Charles J, Mihalcioiu C, Chiarion-Sileni V, Mauch C, Cognetti F, Ny L, Arance A, Svane IM, Schadendorf D, Gogas H, Saci A, Jiang J, Rizzo J, Atkinson V. Survival Outcomes in Patients With Previously Untreated BRAF Wild-Type Advanced Melanoma Treated With Nivolumab Therapy: Three-Year Follow-up of a Randomized Phase 3 Trial. JAMA Oncol. 2019 Feb 1;5(2):187-194. doi: 10.1001/jamaoncol.2018.4514.

    PubMed 30422243
  • Long GV, Tykodi SS, Schneider JG, Garbe C, Gravis G, Rashford M, Agrawal S, Grigoryeva E, Bello A, Roy A, Rollin L, Zhao X. Assessment of nivolumab exposure and clinical safety of 480 mg every 4 weeks flat-dosing schedule in patients with cancer. Ann Oncol. 2018 Nov 1;29(11):2208-2213. doi: 10.1093/annonc/mdy408.

    PubMed 30215677
  • Long GV, Weber JS, Larkin J, Atkinson V, Grob JJ, Schadendorf D, Dummer R, Robert C, Marquez-Rodas I, McNeil C, Schmidt H, Briscoe K, Baurain JF, Hodi FS, Wolchok JD. Nivolumab for Patients With Advanced Melanoma Treated Beyond Progression: Analysis of 2 Phase 3 Clinical Trials. JAMA Oncol. 2017 Nov 1;3(11):1511-1519. doi: 10.1001/jamaoncol.2017.1588.

    PubMed 28662232
  • Robert C, Long GV, Brady B, Dutriaux C, Maio M, Mortier L, Hassel JC, Rutkowski P, McNeil C, Kalinka-Warzocha E, Savage KJ, Hernberg MM, Lebbe C, Charles J, Mihalcioiu C, Chiarion-Sileni V, Mauch C, Cognetti F, Arance A, Schmidt H, Schadendorf D, Gogas H, Lundgren-Eriksson L, Horak C, Sharkey B, Waxman IM, Atkinson V, Ascierto PA. Nivolumab in previously untreated melanoma without BRAF mutation. N Engl J Med. 2015 Jan 22;372(4):320-30. doi: 10.1056/NEJMoa1412082. Epub 2014 Nov 16.

    PubMed 25399552

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing BMS-936558 (Nivolumab) and Dacarbazine in people with Melanoma, run by Bristol-Myers Squibb at 75 sites in 16 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 12 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 75 sites in Germany, Italy, Australia, Canada, France and 11 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 25 Feb 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Overall Survival (OS) (time frame: From date of randomization to date of death. For those without documentation of death, to the last date the participant was known to be alive, assessed up to 17 months.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01721772, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Jul 2022; AzTrials last refreshed its copy on 8 Nov 2026.

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