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Renal Cell CarcinomaPhase 4CHECKMATE 920NCT02982954

A Study to Evaluate the Safety of Nivolumab and Ipilimumab in Subjects With Previously Untreated Advanced or Metastatic Renal Cell Cancer

A Phase 4 study testing Nivolumab and Ipilimumab in people with Renal Cell Carcinoma, run by Bristol-Myers Squibb at 61 sites in United States.

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

To investigate the safety of Nivolumab in combination with Ipilimumab in subjects with previously untreated advanced or metastatic Renal Cell Cancer. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Renal Cell Carcinoma
What is being tested?
Nivolumab and Ipilimumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
211 participants
Where
61 sitesUnited States
Study dates
16 Jan 2017to 6 Oct 2021
Phase
Phase 4
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

  • 1. Type of Participant and Target Disease Characteristics
  • Advanced or metastatic RCC
  • Histologically confirmed, previously untreated (treatment-naive) RCC
  • No prior systemic therapy for RCC except for one prior adjuvant or neoadjuvant therapy for completely resectable RCC
  • Measurable disease as per RECIST 1.1. Subject must have extracranial metastasis as measurable disease
  • Karnofsky Performance Status (KPS) of at least 70% for Cohort 1, 2, and 3; KPS of 50-60% for Cohort 4
  • Tumor tissue need be received by the central vendor (block or unstained slides). Note: Fine Needle Aspiration (FNA)and bone metastases samples are not acceptable for submission.

Who cannot join

  • Medical Conditions
  • Subjects with any active autoimmune disease or a history of known autoimmune disease
  • Prior malignancy active within the previous 3 years except for locally curable cancers that have been apparently cured
  • Known HIV or AIDS-related illness
  • Any positive test for hepatitis B or hepatitis C virus indicating acute or chronic infection.
  • Prior/Concomitant Therapy
Show all 10Show fewer
  • Prior systemic treatment in the metastatic setting with Vascular epithelial growth factor(VEGF) or VEGF receptor targeted therapy
  • Prior treatment with an anti-Programmed Death (PD) -1, anti-PD-L1, anti-PD-L2, anti-cluster of differentiation 137 (CD137), or anti-cytotoxic T-lymphocyte-associated antigen 4(CTLA-4) antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways. This includes the utilization of these agents in the neo-adjuvant or adjuvant setting.
  • Anti-cancer therapy less than 28 days prior to the first dose of study drug or palliative, focal radiation therapy less than 14 days prior to the first dose of study drug.
  • Other protocol defined inclusion/exclusion criteria apply

Trial locations and contacts

61 sites in 1 country.

61 sites in 1 country

United States61 sites
  • University Of New Mexico

    Albuquerque, New Mexico, 87106

  • Alaska Urological Institute dba Alaska Clinical Research Center

    Anchorage, Alaska, 99503

  • Emory University - Winship Cancer Institute

    Atlanta, Georgia, 30322

  • Texas Oncology

    Austin, Texas, 78731

  • Maimonides Medical Center

    Brooklyn, New York, 11220

  • Southdale Cancer Clinic

    Burnsville, Minnesota, 55337

  • Ironwood Cancer And Research Centers, Pc

    Chandler, Arizona, 85224

  • Charleston Hematology Oncology Associates, Pa

    Charleston, South Carolina, 29414

  • Hollings Cancer Center

    Charleston, South Carolina, 29425

  • University of Virginia Health System

    Charlottesville, Virginia, 22936

  • Tennessee Oncology, PLLC - SCRI - PPDS

    Chattanooga, Tennessee, 37404

  • Local Institution - 0009

    Coon Rapids, Minnesota, 55433

  • Texas Oncology

    Dallas, Texas, 75246

  • Duke University Medical Center

    Durham, North Carolina, 27710

  • eCare

    Encinitas, California, 92024

  • Local Institution - 0042

    Fairfax, Virginia, 22031

  • Local Institution - 0028

    Fayetteville, Arkansas, 72703

  • Florida Cancer Specialists S.

    Fort Myers, Florida, 33901

  • Local Institution - 0012

    Fort Wayne, Indiana, 46845

  • Texas Oncology-Fort Worth 12th Ave

    Fort Worth, Texas, 76104

  • Southeastern Medical Oncology Center

    Goldsboro, North Carolina, 27534

  • St. Francis Cancer Treatment Center

    Grand Island, New York, 68803

  • Local Institution - 0023

    Hackensack, New Jersey, 07601

  • Hattiesburg Clinic

    Hattiesburg, Mississippi, 39401

  • Jackson Oncology Associates, Pllc

    Jackson, Mississippi, 39202

  • Broome Oncology

    Johnson City, New York, 13790

  • HCA Midwest Division

    Kansas City, Missouri, 64132

  • Comprehensive Cancer Centers of Nevada

    Las Vegas, Nevada, 89148

  • Pacific Shores Medical Group

    Long Beach, California, 90813

  • Los Angeles Cancer Network

    Los Angeles, California, 90017

  • UCLA Hematology Oncology

    Los Angeles, California, 90095

  • Norton Cancer Institute

    Louisville, Kentucky, 40202

  • University of Wisconsin Clinical Science Center

    Madison, Wisconsin, 53705

  • University Of Miami/Sylvester Cancer Center

    Miami, Florida, 33136

  • Texas Oncology-Midland Allison Cancer Center

    Midland, Texas, 79701

  • Bon Secours St Francis Hospital

    Midlothian, Virginia, 23114

  • Park Nicollet Clinic Cancer Center

    Minneapolis, Minnesota, 55416

  • Northwest Alabama Cancer Center, Pc

    Muscle Shoals, Alabama, 35661

  • Local Institution - 0002

    Nashville, Tennessee, 37203-1624

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232-6307

  • Local Institution - 0052

    New York, New York, 10016

  • Weill Cornell Medical College

    New York, New York, 10021

  • Illinois Cancer Specialists

    Niles, Illinois, 60714

  • UF Health Cancer Center at Orlando Health

    Orlando, Florida, 32806

  • Local Institution - 0071

    Pittsburgh, Pennsylvania, 15240

  • Torrance Health Association

    Redondo Beach, California, 90277

  • Virginia Cancer Institute

    Richmond, Virginia, 23226

  • Kaiser Permanente Medical Group - Southern California

    Riverside, California, 92505

  • Texas Oncology

    San Antonio, Texas, 78217

  • Sharp Memorial Hospital

    San Diego, California, 92123

  • Coastal Integrative Cancer Care

    San Luis Obispo, California, 93401

  • Central Coast Med Oncology

    Santa Maria, California, 93454

  • University of Washington - Seattle Cancer Care Alliance

    Seattle, Washington, 98109

  • Avera Cancer Institute

    Sioux Falls, South Dakota, 57105

  • Medical Oncology Associates

    Spokane, Washington, 99208

  • Florida Cancer Specialists

    St. Petersburg, Florida, 33705

  • SUNY Upstate Medical University

    Syracuse, New York, 13210

  • Montefiore Medical Center

    The Bronx, New York, 10461

  • Oklahoma Cancer Specialists and Research Institute, LLC-Clinical Research

    Tulsa, Oklahoma, 74146

  • Cancer Center Of Kansas

    Wichita, Kansas, 67214

  • Yakima Valley Memorial Hospital/North Star Lodge

    Yakima, Washington, 98902

Other trials in United States

About this study

Official title: Phase 3b/4 Safety Trial of Nivolumab Combined With Ipilimumab in Subjects With Previously Untreated, Advanced or Metastatic RCC (CheckMate 920: CHECKpoint Pathway and nivoluMAb Clinical Trial Evaluation 920)

To investigate the safety of Nivolumab in combination with Ipilimumab in subjects with previously untreated advanced or metastatic Renal Cell Cancer.

Being tested
Nivolumab, Ipilimumab
Medical subject headings
Carcinoma, Renal Cell

What participants receive

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

  • NivolumabDrug

    Also called BMS-936558, Opdivo

    Specified dose on specified day

  • IpilimumabDrug

    Also called Yervoy, BMS-734016

    Specified Dose on Specified Day

Study groups in NCT02982954
Study groupRoleWhat they receive
ccRCC KPS ≥ 70%ExperimentalClear-Cell Renal Cell Carcinoma (ccRCC) with Karnofsky Performance Status (KPS) ≥ 70%
Receives: Drug: Nivolumab; Drug: Ipilimumab
Non-ccRCC, KPS ≥ 70%ExperimentalNon Clear-Cell Renal Cell Carcinoma (nccRCC) with KPS ≥ 70%
Receives: Drug: Nivolumab; Drug: Ipilimumab
RCC with non-active Brain Mets, KPS ≥70%ExperimentalRenal Cell Carcinoma (RCC) with non-active Brain Metastases, with KPS ≥70%
Receives: Drug: Nivolumab; Drug: Ipilimumab
any RCC with KPS 50%-60%ExperimentalRenal Cell Carcinoma (RCC), regardless of any histology or existing non-active brain metastasis, with KPS 50%-60%
Receives: Drug: Nivolumab; Drug: Ipilimumab

What is being measured

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

  1. Number of Participants With High Grade (Grade 3-4) Immune Mediated Adverse Events (IMAEs)

    Number of participants with IMAEs in the following categories: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity

    Measured: Approximately 39 Months

  2. Number of Participants With High Grade (Grade 5) Immune Mediated Adverse Events (IMAEs)

    Number of participants with IMAEs in the following categories: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity

    Measured: Approximately 39 Months

Secondary outcomes (9)
  1. Time to Onset of Grade 3-5 Immune Mediated Adverse Events (IMAEs)

    Time to onset is defined as the duration of time in weeks from the first dosing to the immune modulating adverse event onset date. Participants experiencing all high grade (CTCAE v4 Grade 3-4 and Grade 5) Immune Mediated Adverse Events (IMAEs) in the following categories will be included: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity. IMAEs are specific events (or groups of preferred terms describing specific events) considered as potential immune-mediated events by investigator, that meet the following definition: (1) those occurring within 100 days of the last dose (2) regardless of causality (3) with no clear alternate etiology based on investigator assessment, or with an immune-mediated component and (4) treated with immune-modulating medication. Grade 3= Severe reaction, Grade 4 = Life-threatening, Grade 5 = Death

    Measured: From first dose to the earliest IMAE (grade 3-5) event onset date (up to approximately 116 weeks)

  2. Time to Resolution of Grade 3-5 Immune Mediated Adverse Events (IMAEs)

    Time to resolution is defined as the longest time from IMAE onset date to complete resolution or improvement to the grade at baseline experienced by the participant (the IMAE end date). Participants experiencing all high grade (CTCAE v4 Grade 3-4 and Grade 5) Immune Mediated Adverse Events (IMAEs) in the following categories will be included: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity. IMAEs are specific events (or groups of preferred terms describing specific events) considered as potential immune-mediated events by investigator, that meet the following definition: (1) those occurring within 100 days of the last dose (2) regardless of causality (3) with no clear alternate etiology based on investigator assessment, or with an immune-mediated component and (4) treated with immune-modulating medication. Grade 3= Severe reaction, Grade 4 = Life-threatening, Grade 5 = Death

    Measured: From the IMAE onset date to the IMAE end date, up to approximately 194 weeks

  3. Number of Participants Who Received Immune Modulating Medication for High Grade (Grades 3-5) Immune Mediated Adverse Events (IMAEs)

    The number of participants who received immune modulating medication for participants experiencing all high grade (CTCAE v4 Grade 3-4 and Grade 5) Immune Mediated Adverse Events (IMAEs) in the following categories will be included: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity. IMAEs are specific events (or groups of preferred terms describing specific events) considered as potential immune-mediated events by investigator, that meet the following definition: (1) those occurring within 100 days of the last dose (2) regardless of causality (3) with no clear alternate etiology based on investigator assessment, or with an immune-mediated component and (4) treated with immune-modulating medication. Grade 3= Severe reaction, Grade 4 = Life-threatening, Grade 5 = Death

    Measured: From first dose up to 100 days post last dose (up to approximately 29 months)

  4. Number of Participants Who Received Hormone Replacement Therapy for High Grade (Grades 3-5) Immune Mediated Adverse Events (IMAEs)

    The number of participants who received Hormone Replacement Therapy for experiencing all high grade (CTCAE v4 Grade 3-4 and Grade 5) Immune Mediated Adverse Events (IMAEs) in the following categories will be included: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity. IMAEs are specific events (or groups of preferred terms describing specific events) considered as potential immune-mediated events by investigator, that meet the following definition: (1) those occurring within 100 days of the last dose (2) regardless of causality (3) with no clear alternate etiology based on investigator assessment, or with an immune-mediated component and (4) treated with immune-modulating medication. Grade 3= Severe reaction, Grade 4 = Life-threatening, Grade 5 = Death

    Measured: From first dose up to 100 days post last dose (up to approximately 29 months)

  5. Number of Participants Who Received ≥ 40mg of Prednisone for High Grade (Grades 3-5) Immune Mediated Adverse Events (IMAEs)

    The number of participants who received ≥ 40mg of prednisone for high grade (grades 3-5) IMAEs. Participants experiencing all high grade (CTCAE v4 Grade 3-4 and Grade 5) Immune Mediated Adverse Events (IMAEs) in the following categories will be included: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity. IMAEs are specific events (or groups of preferred terms describing specific events) considered as potential immune-mediated events by investigator, that meet the following definition: (1) those occurring within 100 days of the last dose (2) regardless of causality (3) with no clear alternate etiology based on investigator assessment, or with an immune-mediated component and (4) treated with immune-modulating medication. Grade 3= Severe reaction, Grade 4 = Life-threatening, Grade 5 = Death

    Measured: From first dose up to 100 days post last dose (up to approximately 29 months)

  6. Median Progression Free Survival (PFS)

    PFS is defined as the time from first dose to the date of the first documented progressive disease (PD) as determined by the investigator (per RECIST 1.1 criteria or clinical) or death due to any cause whichever occur first. Progressive disease is defined as progression of existing non-target lesions or at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression.

    Measured: From first dose to the date of the first documented progressive disease, up to approximately 12 months

  7. Objective Response Rate (ORR)

    ORR is defined as the percentage of participants with a best overall response (BOR) of complete response (CR) or partial response (PR) divided by the number of response evaluable participants. Best overall response is defined as the best response recorded from the start of the study treatment until the end of treatment. The participant's best overall response assignment will depend on the findings of both target and non-target disease and will also take into consideration the appearance of new lesions. Partial response is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Complete response is defined as the disappearance of all lesions and normalization of tumor marker level. All lymph nodes (whether target or non-target) must be non-pathological in size (< 10mm short axis).

    Measured: From first dose up to the date of objectively documented progression or the date of subsequent therapy, whichever occurs first (up to approximately 26 months)

  8. Time to Response Rate (TRR)

    TTR is defined as the median percentage of participants with a best overall response (BOR) of complete response (CR) or partial response (PR) divided by the number of response evaluable participants. Best overall response is defined as the best response recorded from the start of the study treatment until the end of treatment. The participant's best overall response assignment will depend on the findings of both target and non-target disease and will also take into consideration the appearance of new lesions. Partial response is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Complete response is defined as the disappearance of all lesions and normalization of tumor marker level. All lymph nodes (whether target or non-target) must be non-pathological in size (< 10mm short axis).

    Measured: From the date of first dose to first documented CR or PR, up to approximately 15 months

  9. Duration of Response (DOR)

    DOR is defined as the time between the date of first confirmed response to the date of the first documented tumor progression per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1, or death due to any cause, whichever occurs first. DOR will be computed for participants who achieve partial response (PR) or complete response (CR) only. Partial response is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Complete response is defined as the disappearance of all lesions and normalization of tumor marker level. All lymph nodes (whether target or non-target) must be non-pathological in size (< 10mm short axis).

    Measured: From first confirmed response to the date of the first documented tumor progression or death, up to approximately 48 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 Dec 2016 (estimated)
  2. Study start16 Jan 2017
  3. Primary completion11 May 2020
  4. Study completion6 Oct 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 4
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
211 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02982954
Sponsor's protocol ID
CA209-920
Acronym
CHECKMATE 920
Status last verified
Oct 2022
First submitted
2 Dec 2016
Last updated
1 Nov 2022
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • George DJ, Spigel DR, Gordan LN, Kochuparambil ST, Molina AM, Yorio J, Rezazadeh Kalebasty A, McKean H, Tchekmedyian N, Tykodi SS, Zhang J, Askelson M, Johansen JL, Hutson TE. Safety and efficacy of first-line nivolumab plus ipilimumab alternating with nivolumab monotherapy in patients with advanced renal cell carcinoma: the non-randomised, open-label, phase IIIb/IV CheckMate 920 trial. BMJ Open. 2022 Sep 14;12(9):e058396. doi: 10.1136/bmjopen-2021-058396.

    PubMed 36104138
  • Tykodi SS, Gordan LN, Alter RS, Arrowsmith E, Harrison MR, Percent I, Singal R, Van Veldhuizen P, George DJ, Hutson T, Zhang J, Zoco J, Johansen JL, Rezazadeh Kalebasty A. Safety and efficacy of nivolumab plus ipilimumab in patients with advanced non-clear cell renal cell carcinoma: results from the phase 3b/4 CheckMate 920 trial. J Immunother Cancer. 2022 Feb;10(2):e003844. doi: 10.1136/jitc-2021-003844.

    PubMed 35210307

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Nivolumab and Ipilimumab in people with Renal Cell Carcinoma, run by Bristol-Myers Squibb at 61 sites in United States.

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 7 inclusion and 10 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 1 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 61 sites in United States. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 14 Oct 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?

Number of Participants With High Grade (Grade 3-4) Immune Mediated Adverse Events (IMAEs) (time frame: Approximately 39 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 NCT02982954, which also lists 2 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 1 Nov 2022.

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