MelanomaPhase 3CheckMate 401NCT02599402
Nivolumab Combined With Ipilimumab Followed by Nivolumab Monotherapy as First-Line Treatment for Patients With Advanced Melanoma
A Phase 3 study testing Nivolumab and Ipilimumab in people with Melanoma, run by Bristol-Myers Squibb at 111 sites in 12 countries.
Trial summary
The purpose of this study is to determine the effects of combination treatment of Nivolumab with Ipilimumab followed by Nivolumab monotherapy in patients with previously untreated advanced 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?
- Nivolumab and Ipilimumab
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 533 participants
- Where
- 111 sitesin 12 countries
- Study dates
- 20 Dec 2015to 10 Feb 2020
- 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
- Potential subjects must have advanced Melanoma (stage III or IV as confirmed by biopsy) with spread to other sites in the body and unable to be removed by surgery.
- Potential subjects must be newly diagnosed with advanced melanoma and received no treatment for the advanced disease.
- NOTE: Prior adjuvant or neoadjuvant melanoma therapy (including anti-CTLA-4, anti-PD-1, anti-PD-L1, anti-PD-L2, or any other antibody or drug specifically targeting T-cell costimulation or checkpoint pathways, such as anti-CD-137) is permitted if the therapy was used in the adjuvant or neoadjuvant setting but not in the metastatic setting. These drugs must be discontinued 6 months prior to study entry and the side effects related to the prior therapy resolved.
- Potential subjects (with disease spread to brain) who previously received primary treatment are permitted if there was no evidence of disease as confirmed by the MRI (at least 2 weeks after the primary treatment is complete and with in 6 weeks of the first dose of the study drug). Potential subjects must not have received intravenous steroid treatment (>10 mg/day) intravenously for at least 2 weeks prior to study drug administration.
Who cannot join
- Leptomenigeal metastases
- Subjects with autoimmune disease. Subjects with Type I diabetes mellitus, hypothyroidism only requiring hormone replacement, skin disorders (such as vitiligo, psoriasis, or alopecia) not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger are permitted to enroll.
- All side effects from previous primary treatments other than alopecia, fatigue, or peripheral neuropathy must have resolved to Grade 1 or baseline before administration of study drug.
Trial locations and contacts
111 sites in 12 countries.
111 sites in 12 countries
France19 sites
Local Institution
Angers, 49933
Local Institution
Bordeaux, 33075
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Boulogne-Billancourt, 92104
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Clermont-Ferrand, 63003
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Dijon, 21079
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Grenoble, 38043
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Le Mans, 72037
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Lille, 59037
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Marseille, 13385
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Montpellier, 34295
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Nantes, 44093
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Nice, 06202
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Paris, 75010
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Pierre Benite Cedax, 69495
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Rennes, 35042
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Rouen, 76031
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Toulouse, 31059
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Vandœuvre-lès-Nancy, 54511
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Villejuif, 94805
Australia18 sites
Local Institution
Adelaide, South Australia, 5000
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Bedford Park, South Australia, 5402
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Brisbane, Queensland, 4102
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Cairns, Queensland, 4870
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Camperdown, New South Wales, 2050
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Coffs Harbour, New South Wales, 2450
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Garran, Australian Capital Territory, 2605
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Gateshead, New South Wales, 2290
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Greenslopes, Queensland, 4120
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Hobart, Tasmania, 7000
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Melbourne, Victoria, 3004
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Melbourne, Victoria, 3128
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Melbourne, Victoria, 3144
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Murdoch, Western Australia, 6150
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Nedlands, Western Australia, 6009
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North Sydney, New South Wales, 2060
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Southport, Queensland, 4215
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Tiwi, Northern Territory, 0810
Germany17 sites
Local Institution
Berlin, 10117
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Dresden, 01277
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Erfurt, 99028
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Erlangen, 91054
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Frankfurt, 60590
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Freiburg im Breisgau, 79104
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Göttingen, 37075
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Hanover, 30625
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Kiel, 24105
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Leipzig, 04103
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Lübeck, 23538
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Ludwigshafen, 67063
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Mainz, Rhineland-palladium, 55131
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Mannheim, 68167
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Regensburg, 93053
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Schwerin, 19049
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Stade, 21682
United Kingdom15 sites
Local Institution
Cambridge, CB2 0QQ
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Cottingham, HU16 5JQ
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Glasgow, G12 0YN
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Headington, OX3 7LE
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London, Greater London, SW3 6JJ
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London, SE1 9RT
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Manchester, M20 4BX
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Newcastle upon Tyne, Tyne and Wear, NE7 7DN
Mount Vernon Hospital
Northwood, HA6 2RN
Local Institution
Nottingham, NG5 1PB
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Preston, PR2 9HT
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Sheffield, S10 2SJ
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Southampton, SO16 6YD
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Swansea, SA2 8QA
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Truro, TR1 3LJ
Italy14 sites
Local Institution
Bari, 70124
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Bergamo, 24127
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Genova, 16132
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Meldola, 47014
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Milan, 20141
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Milan, 20133
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Naples, 80131
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Padova, 35128
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Pisa, 56126
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Roma, 00144
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Roma
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Siena, 53100
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Terni, 05100
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Torino, 10126
Sweden8 sites
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Eskilstuna, 631 88
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Gävle, SE-80187
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Karlskrona, 371 85
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Linköping, SE-58185
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Stockholm, 17176
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Sundsvall, 164 40
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Västerås, 721 89
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Vaxjo, SE-35185
Ireland6 sites
Local Institution
Cork
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Dublin, 4
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Dublin, 7
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Dublin, 8
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Dublin, 9
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Galway, ST4 6QG
Austria4 sites
Local Institution
Graz, 8036
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Innsbruck, 6020
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Salzburg, 5020
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Vienna, 1090
Finland4 sites
Local Institution
Helsinki, 00290
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Oulu, 90029
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Tampere, 33520
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Turku, FIN-20520
Belgium2 sites
Local Institution
Brussels, 1090
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Brussels, 1200
Switzerland2 sites
Local Institution
Basel, 4031
Local Institution
Lausanne, 1005
About this study
Official title: Clinical Trial of Nivolumab (BMS-936558) Combined With Ipilimumab Followed by Nivolumab Monotherapy as First-Line Therapy of Subjects With Histologically Confirmed Stage III (Unresectable) or Stage IV Melanoma CheckMate 401: CHECKpoint Pathway and nivoluMAb Clinical Trial Evaluation 401
The purpose of this study is to determine the effects of combination treatment of Nivolumab with Ipilimumab followed by Nivolumab monotherapy in patients with previously untreated advanced Melanoma.
- Conditions
- Melanoma
- Being tested
- Nivolumab, Ipilimumab
- Medical subject headings
- Melanoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
NivolumabDrug
IpilimumabDrug
| Study group | Role | What they receive |
|---|---|---|
| Combination therapy: Nivolumab + Ipilimumab | Experimental | Nivolumab + Ipilimumab specified dose on specified days Receives: Drug: Nivolumab; Drug: Ipilimumab |
| Monotherapy: Nivolumab | Experimental | Nivolumab specified dose on specified days Receives: Drug: Nivolumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of Participants With High-Grade (CTCAE v4.0 Grade 3-5) Treatment-Related Select Adverse Events
Incidence of participants with high-grade (CTCAE v4.0 grade 3-5) treatment-related, select adverse events of potentially immune-mediated etiology including pulmonary, gastrointestinal, skin, renal, hepatic, endocrine, infusion-related, or hypersensitivity
Measured: From first dose to 30 days after last dose (up to approximately 37 months)
Secondary outcomes (11)
Incidence of Participants With All High-Grade (Grades 3-5) Select Adverse Events
Incidence of participants with high-grade (grade 3-5) select adverse events including pulmonary, gastrointestinal, skin, renal, hepatic, infusion-related, or hypersensitivity
Measured: From first dose to 30 days after last dose (up to approximately 37 months)
Median Time to Onset (Grades 3-4) of Select Adverse Events
Median time to onset (grades 3-4) of select adverse events including pulmonary, gastrointestinal, skin, renal, hepatic, endocrine, infusion-related, or hypersensitivity
Measured: From first dose to 30 days after last dose (up to approximately 37 months)
Median Time to Resolution (Grades 3-4) of Select Adverse Events
Median time to resolution (Grades 3-4) of select adverse events including pulmonary, gastrointestinal, skin, renal, hepatic, endocrine, infusion-related, or hypersensitivity
Measured: From first dose to 30 days after last dose (up to approximately 37 months)
Time to Resolution of an Adverse Event (AE)
Resolution of an adverse event (AE) is defined as a participant experiencing complete resolution or improvement to the baseline of any grade AE including pulmonary, gastrointestinal, skin, renal, hepatic, endocrine, infusion-related, or hypersensitivity
Measured: From first dose to 30 days after last dose (up to approximately 37 months)
Overall Survival (OS)
Overall survival is defined from the time of first dosing date to the date of death. A participant who has not died will be censored at the last known date alive
Measured: Up to approximately 37 months
Incidence of Participants With Adverse Events
The assessment of safety is measured by the incidence of participants who experienced any grade of adverse events (AEs), treatment-related AEs, serious adverse events (SAEs), and deaths
Measured: From first dose to 30 days after last dose (up to approximately 37 months)
Incidence of Participants With Select Adverse Events
The assessment of safety is measured by the incidence of participants who experienced any grade of select adverse events including pulmonary, gastrointestinal, skin, renal, hepatic, endocrine, infusion-related, or hypersensitivity
Measured: From first dose to 30 days after last dose (up to approximately 37 months)
Incidence of Participants With Laboratory Abnormalities - Liver
Safety assessment is measured by the incidence of participants who experienced a liver laboratory abnormality in Aspartate aminotransferase (AST), Alanine aminotransferase (ALT), Upper Limit of Normal (ULN)
Measured: From first dose to 30 days after last dose (up to approximately 37 months)
Incidence of Participants With Laboratory Abnormalities - Thyroid
Safety assessment is measured by the incidence of participants who experienced a thyroid laboratory abnormality in Free T3 (FT3), Free T4 (FT4), Lower Limit of Normal (LLN)
Measured: From first dose to 30 days after last dose (up to approximately 37 months)
Objective Response Rate (ORR)
Objective response rate is defined as the percentage of participants with a best overall response (BOR) of a complete response (CR) or partial response (PR) divided by the number of all treated participants
Measured: Up to approximately 37 months
Progression Free Survival (PFS)
Progression free survival per investigator assessment is defined as radiological evidence of progression, significant clinical symptomatic progression, or the need to introduce a non-study drug therapy.
Measured: Up to approximately 37 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Nov 2015 (estimated)
- Study start20 Dec 2015
- Primary completion10 Feb 2020
- Study completion10 Feb 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for MelanomaStudies of the same condition, open and under way.
- More trials run by Bristol-Myers SquibbThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 533 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02599402
- Sponsor's protocol ID
- CA209-401
- Other IDs
- 2015-001274-17, 2015
- Acronym
- CheckMate 401
- Status last verified
- May 2021
- First submitted
- 5 Nov 2015
- Last updated
- 15 Jun 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Dummer R, Corrie P, Gutzmer R, Meniawy TM, Del Vecchio M, Lebbe C, Guida M, Dutriaux C, Dreno B, Meyer N, Ferrucci PF, Dalle S, Khattak MA, Grob JJ, Briscoe K, Larkin J, Mansard S, Lesimple T, Guidoboni M, Sabatini S, Richtig E, Herbst R, Lobo M, Askelson M, Ascierto PA, Maio M. First-Line, Fixed-Duration Nivolumab Plus Ipilimumab Followed by Nivolumab in Clinically Diverse Patient Populations With Unresectable Stage III or IV Melanoma: CheckMate 401. J Clin Oncol. 2023 Aug 10;41(23):3917-3929. doi: 10.1200/JCO.22.02199. Epub 2023 Jun 12.
PubMed 37307514
Study at a glance
From the registry record, last updated by the sponsor on 15 Jun 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Clinical Trial of Nivolumab (BMS-936558) Combined With Ipilimumab Followed by Nivolumab Monotherapy as First-Line Therapy of Subjects With Histologically Confirmed Stage III (Unresectable) or Stage IV Melanoma CheckMate 401: CHECKpoint Pathway and nivoluMAb Clinical Trial Evaluation 401
- ClinicalTrials.gov ID
- NCT02599402
- Acronym / sponsor ID
- CheckMate 401 / CA209-401
- Conditions
- Melanoma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 533 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- 20 Dec 2015 (actual)
- Primary completion
- 10 Feb 2020 (actual)
- Study completion
- 10 Feb 2020 (actual)
- First posted
- 6 Nov 2015 (estimated)
- Results
- Posted 15 Jun 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine the effects of combination treatment of Nivolumab with Ipilimumab followed by Nivolumab monotherapy in patients with previously untreated advanced Melanoma.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Combination therapy: Nivolumab + Ipilimumab | Experimental | Drug: Nivolumab, Drug: IpilimumabNivolumab + Ipilimumab specified dose on specified days |
| Monotherapy: Nivolumab | Experimental | Drug: NivolumabNivolumab specified dose on specified days |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Potential subjects must have advanced Melanoma (stage III or IV as confirmed by biopsy) with spread to other sites in the body and unable to be removed by surgery.
- Potential subjects must be newly diagnosed with advanced melanoma and received no treatment for the advanced disease.
- NOTE: Prior adjuvant or neoadjuvant melanoma therapy (including anti-CTLA-4, anti-PD-1, anti-PD-L1, anti-PD-L2, or any other antibody or drug specifically targeting T-cell costimulation or checkpoint pathways, such as anti-CD-137) is permitted if the therapy was used in the adjuvant or neoadjuvant setting but not in the metastatic setting. These drugs must be discontinued 6 months prior to study entry and the side effects related to the prior therapy resolved.
- Potential subjects (with disease spread to brain) who previously received primary treatment are permitted if there was no evidence of disease as confirmed by the MRI (at least 2 weeks after the primary treatment is complete and with in 6 weeks of the first dose of the study drug). Potential subjects must not have received intravenous steroid treatment (>10 mg/day) intravenously for at least 2 weeks prior to study drug administration.
Key exclusion criteria (3 listed)
- Leptomenigeal metastases
- Subjects with autoimmune disease. Subjects with Type I diabetes mellitus, hypothyroidism only requiring hormone replacement, skin disorders (such as vitiligo, psoriasis, or alopecia) not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger are permitted to enroll.
- All side effects from previous primary treatments other than alopecia, fatigue, or peripheral neuropathy must have resolved to Grade 1 or baseline before administration of study drug.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Nivolumab | Drug | Combination therapy: Nivolumab + Ipilimumab, Monotherapy: Nivolumab |
| Ipilimumab | Drug | Combination therapy: Nivolumab + Ipilimumab |
Primary outcome
Incidence of Participants With High-Grade (CTCAE v4.0 Grade 3-5) Treatment-Related Select Adverse Events
Time frame: From first dose to 30 days after last dose (up to approximately 37 months)
Incidence of participants with high-grade (CTCAE v4.0 grade 3-5) treatment-related, select adverse events of potentially immune-mediated etiology including pulmonary, gastrointestinal, skin, renal, hepatic, endocrine, infusion-related, or hypersensitivity
11 secondary outcomes
Incidence of Participants With All High-Grade (Grades 3-5) Select Adverse Events
Time frame: From first dose to 30 days after last dose (up to approximately 37 months)
Median Time to Onset (Grades 3-4) of Select Adverse Events
Time frame: From first dose to 30 days after last dose (up to approximately 37 months)
Median Time to Resolution (Grades 3-4) of Select Adverse Events
Time frame: From first dose to 30 days after last dose (up to approximately 37 months)
Time to Resolution of an Adverse Event (AE)
Time frame: From first dose to 30 days after last dose (up to approximately 37 months)
Overall Survival (OS)
Time frame: Up to approximately 37 months
Incidence of Participants With Adverse Events
Time frame: From first dose to 30 days after last dose (up to approximately 37 months)
Incidence of Participants With Select Adverse Events
Time frame: From first dose to 30 days after last dose (up to approximately 37 months)
Incidence of Participants With Laboratory Abnormalities - Liver
Time frame: From first dose to 30 days after last dose (up to approximately 37 months)
Incidence of Participants With Laboratory Abnormalities - Thyroid
Time frame: From first dose to 30 days after last dose (up to approximately 37 months)
Objective Response Rate (ORR)
Time frame: Up to approximately 37 months
Progression Free Survival (PFS)
Time frame: Up to approximately 37 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Jun 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 37307514Dummer R, Corrie P, Gutzmer R, Meniawy TM, Del Vecchio M, Lebbe C, Guida M, Dutriaux C, Dreno B, Meyer N, Ferrucci PF, Dalle S, Khattak MA, Grob JJ, Briscoe K, Larkin J, Mansard S, Lesimple T, Guidoboni M, Sabatini S, Richtig E, Herbst R, Lobo M, Askelson M, Ascierto PA, Maio M. First-Line, Fixed-Duration Nivolumab Plus Ipilimumab Followed by Nivolumab in Clinically Diverse Patient Populations With Unresectable Stage III or IV Melanoma: CheckMate 401. J Clin Oncol. 2023 Aug 10;41(23):3917-3929. doi: 10.1200/JCO.22.02199. Epub 2023 Jun 12.
- BMS Clinical Trial InformationLink provided by the sponsor.
- BMS Clinical Trial Patient RecruitingLink provided by the sponsor.
- FDA Safety Alerts and RecallsLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bristol Myers Squibb study director
Bristol-Myers Squibb
111 sites in 12 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Nivolumab and Ipilimumab in people with Melanoma, run by Bristol-Myers Squibb at 111 sites in 12 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 4 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 15 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 111 sites in France, Australia, Germany, United Kingdom, Italy and 7 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 15 Jun 2021). 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?
Incidence of Participants With High-Grade (CTCAE v4.0 Grade 3-5) Treatment-Related Select Adverse Events (time frame: From first dose to 30 days after last dose (up to approximately 37 months)). 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 NCT02599402, which also lists 1 linked publication.
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 15 Jun 2021.