Urothelial CancerPhase 3CheckMate901NCT03036098
Study of Nivolumab in Combination With Ipilimumab or Standard of Care Chemotherapy Compared to the Standard of Care Chemotherapy Alone in Treatment of Participants With Untreated Inoperable or Metastatic Urothelial Cancer
A Phase 3 study testing Nivolumab, Ipilimumab and Gemcitabine in people with Urothelial Cancer, run by Bristol-Myers Squibb at 174 sites in 30 countries.
Trial summary
The purpose of this study is to determine whether an investigational immunotherapy nivolumab in combination with ipilimumab or in combination with standard of care chemotherapy is more effective than standard of care chemotherapy alone in treating participants with previously untreated inoperable or metastatic… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Urothelial Cancer
- What is being tested?
- Nivolumab, Ipilimumab and Gemcitabine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,314 participants
- Where
- 174 sitesin 30 countries
- Study dates
- 24 Mar 2017to 15 May 2026
- 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
- Histological or cytological evidence of metastatic or surgically inoperable transitional cell cancer (TCC) of the urothelium involving the renal pelvis, ureter, bladder or urethra
- No prior systemic chemotherapy for metastatic or surgically inoperable urothelial cancer (UC)
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 or 1
- Women and men must agree to follow specific methods of contraception, if applicable
Who cannot join
- Disease that is suitable for local therapy administered with curative intent
- Any serious or uncontrolled medical disorder in the opinion of the investigator that may increase the risk associated with study participation or study drug administration or interfere with the interpretation of study results
- Prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, or anti-CTLA-4 antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways
- Other protocol-defined inclusion/exclusion criteria apply
Trial locations and contacts
174 sites in 30 countries.
174 sites in 30 countries
United States29 sites
Local Institution - 0084
Albuquerque, New Mexico, 87131
Local Institution - 0001
Anchorage, Alaska, 99503
Local Institution - 0063
Ann Arbor, Michigan, 48197
Local Institution - 0004
Athens, Georgia, 30607
Local Institution - 0051
Boca Raton, Florida, 33486
Local Institution - 0056
Boston, Massachusetts, 02210
Local Institution - 0073
Boston, Massachusetts, 02215
Local Institution - 0208
Boston, Massachusetts, 02215
Local Institution - 0083
Buffalo, New York, 14263
Local Institution - 0002
Burnsville, Minnesota, 55337
Local Institution - 0046
Chicago, Illinois, 60612
Local Institution - 0082
Columbus, Ohio, 43210
Local Institution - 0116
Durham, North Carolina, 27710
Local Institution - 0087
Fort Lauderdale, Florida, 33308
Local Institution - 0115
Fresno, California, 93703
Hattiesburg Clinic
Hattiesburg, Mississippi, 39401
Local Institution - 0062
Jacksonville, Florida, 32256
Local Institution - 0032
Kansas City, Missouri, 64111-3220
Local Institution - 0086
Kirkland, Washington, 98034
Local Institution - 0057
Manchester, New Hampshire, 03103
Local Institution - 0207
Milford, Massachusetts, 01757
Local Institution - 0014
Mineola, New York, 11501
Local Institution - 0117
New Orleans, Louisiana, 70121
Local Institution - 0072
New York, New York, 10029
Local Institution - 0013
Pittsburgh, Pennsylvania, 15212
Local Institution - 0104
Portland, Oregon, 97213
St Joseph Heritage Healthcare
Santa Rosa, California, 95403
Local Institution - 0095
St Louis, Missouri, 63110
Local Institution - 0033
Thomasville, Georgia, 31792
China21 sites
Local Institution - 0171
Beijing, Beijing Municipality, 100001
Local Institution - 0169
Beijing, Beijing Municipality, 100034
Local Institution - 0170
Beijing, 100083
Local Institution - 0186
Changchun, Jilin, 130021
Local Institution - 0184
Chengdu, Sichuan, 610041
Local Institution - 0182
Chongqing, Chongqing Municipality, 400030
Local Institution - 0217
Guiyang, Guizhou, 550002
Local Institution - 0173
Hangzhou, Zhejiang, 0
Local Institution - 0174
Hangzhou, Zhejiang, 310009
Local Institution - 0172
Hangzhou, Zhejiang, 310014
Local Institution - 0219
Harbin, Heilongjiang, 150000
Local Institution - 0175
Nanjing, Jiangsu, 0
Local Institution - 0177
Nanjing, Jiangsu, 210000
Local Institution - 0176
Nanjing, Jiangsu, 210008
Local Institution - 0167
Shanghai, Shanghai Municipality, 200025
Local Institution - 0162
Shanghai, Shanghai Municipality, 200032
Local Institution - 0163
Shanghai, Shanghai Municipality, 200040
Local Institution - 0164
Shanghai, 200032
Local Institution - 0220
Taiyuan, Shan1xi, 030001
Local Institution - 0180
Wuhan, Hubei, 430030
Local Institution - 0216
Yantai, Shandong, 264000
Japan20 sites
Local Institution - 0149
Adachi-ku, Tokyo, 1168567
Local Institution - 0148
Bunkyo-ku, Tokyo, 1138519
Local Institution - 0142
Bunkyo-ku, Tokyo, 1138602
Local Institution - 0135
Chiba, Chiba, 260-8717
Local Institution - 0140
Fukuoka, Fukuoka, 8128582
Local Institution - 0201
Hamamatasu, Shizuoka, 431-3192
Local Institution - 0136
Hirosaki, Aomori, 036-8563
Local Institution - 0137
Kita-Gun, Kagawa-ken, 7610793
Local Institution - 0147
Matsuyama, Ehime, 7910280
Local Institution - 0214
Morioka, Iwate, 0208505
Local Institution - 0141
Niigata, Niigata, 9518520
Local Institution - 0143
Okayama, Okayama-ken, 7008558
Local Institution - 0144
Osaka, Osaka, 5418567
Local Institution - 0146
Sapporo, Hokkaido, 0608543
Local Institution - 0139
Sayama, Osaka, 589-8511
Local Institution - 0138
Shinjuku-Ku, Tokyo, 1608582
Local Institution - 0145
Takatsuki-shi, Osaka, 5698686
Local Institution - 0150
Tsukuba, Ibaraki, 3058576
Local Institution - 0200
Ube, Yamaguchi, 755-8505
Local Institution - 0215
Wakayama, Wakayama, 641-8510
Germany11 sites
Local Institution - 0036
Dresden, 01307
Local Institution - 0048
Essen, 45147
Local Institution - 0047
Freiburg im Breisgau, 79106
Local Institution - 0049
Hamburg, 22763
Local Institution - 0037
Hanover, 30625
Local Institution - 0041
Jena, 07747
Local Institution - 0213
Mannheim, 68167
Local Institution - 0038
Nuremberg, 90419
Local Institution - 0040
Tübingen, 72076
Local Institution - 0114
Weiden, 92637
Local Institution - 0039
Würzburg, 97080
Brazil7 sites
Local Institution - 0018
Barretos, São Paulo, 14784-400
Local Institution - 0017
Brasília, Federal District, 70200-730
Local Institution - 0016
Florianópolis, Santa Catarina, 88034-000
Local Institution - 0021
Ijuí, Rio Grande do Sul, 98700-000
Local Institution - 0119
Passo Fundo, Rio Grande do Sul, 99010-080
Local Institution - 0020
Porto Alegre, Rio Grande do Sul, 90610000
Local Institution - 0019
São José do Rio Preto, São Paulo, 15090-000
France7 sites
Local Institution - 0089
Lille, 59000
Local Institution - 0088
Marseille, 13273
Local Institution - 0091
Nîmes, Gard, 30029
Local Institution - 0090
Saint-Priest-en-Jarez, 42271
Local Institution - 0092
Suresnes, 92151
Local Institution - 0093
Tours, 37044
Local Institution - 0094
Villejuif, 94805
Spain7 sites
Local Institution - 0070
A Coruña, 15006
Local Institution - 0068
Barcelona, 08025
Local Institution - 0065
Madrid, 28034
Local Institution - 0066
Madrid, 28041
Local Institution - 0209
Santander, 39008
Local Institution - 0067
Seville, 41013
Local Institution - 0069
Valencia, 46009
Argentina6 sites
Local Institution - 0009
Buenos Aires, 1120
Local Institution - 0005
Capital Federal, Buenos Aires, 1426
Local Institution - 0134
Córdoba, 5000
Local Institution - 0006
Córdoba, 5004
Local Institution - 0007
Mar del Plata, Buenos Aires, 7600
Local Institution - 0008
Viedma, 8500
Australia6 sites
Local Institution - 0100
Doubleview, Western Australia, 6018
Local Institution - 0101
Heidelberg, Victoria, 3084
Local Institution - 0188
South Brisbane, Queensland, 4101
Local Institution - 0120
Tugun, Queensland, 4224
Local Institution - 0096
Waratah, New South Wales, 2298
Local Institution - 0099
Westmead, New South Wales, 2145
Italy6 sites
Local Institution - 0108
Arezzo, 52100
Local Institution - 0197
Faenza, 48018
Local Institution - 0111
Forlì, 47014
Local Institution - 0109
Grosseto, 58100
Local Institution - 0107
Milan, 20133
Local Institution - 0110
Naples, 80131
South Korea6 sites
Local Institution - 0125
Goyang-si, Gyeonggido, 10408
Local Institution - 0126
Seongnam-si, 13620
Local Institution - 0124
Seoul, 03080
Local Institution - 0151
Seoul, 03722
Local Institution - 0128
Seoul, 05505
Local Institution - 0127
Seoul, 06351
Taiwan5 sites
Local Institution - 0156
Kaohsiung City, 833
Local Institution - 0159
Taichung, 40705
Local Institution - 0158
Taipei, 100
Local Institution - 0155
Taipei, 11217
Local Institution - 0157
Taoyuan, 333
Canada4 sites
Local Institution - 0053
Halifax, Nova Scotia, B3H 2Y9
Local Institution - 0064
London, Ontario, N6A 4L6
Local Institution - 0054
Québec, Quebec, G1J 1Z4
Local Institution - 0052
Sherbrooke, Quebec, J1H 5N4
Mexico4 sites
Local Institution - 0129
Mexico City, Mexico City, 06100
Local Institution - 0154
Mexico City, Mexico City, 07760
Local Institution - 0131
Monterrey, Nuevo León, 64460
Local Institution - 0130
Tlalpan, Mexico City, 14080
Netherlands4 sites
Local Institution - 0022
Amsterdam, North Holland, 1066 CX
Local Institution - 0055
Enschede, 7512KZ
Local Institution - 0024
Groningen, 9713 GZ
Local Institution - 0026
Leeuwarden, 8934 AD
Chile3 sites
Local Institution - 0010
Santiago, Santiago Metropolitan, 8420383
Local Institution - 0012
Viña del Mar, Valparaiso, 2520598
Local Institution - 0106
Vitacura, 0
Poland3 sites
Local Institution - 0189
Bydgoszcz, 85-796
Local Institution - 0205
Koszalin, 75-581
Local Institution - 0202
Warsaw, 02-781
Sweden3 sites
Local Institution - 0075
Jönköping, 553 05
Local Institution - 0059
Linköping, 581 85
Local Institution - 0058
Lund, 221 85
Turkey (Türkiye)3 sites
Local Institution - 0194
Ankara, 06590
Local Institution - 0204
Istanbul, 34300
Local Institution - 0193
Izmir, 35340
Czechia2 sites
Local Institution - 0160
Brno, 656 53
Local Institution - 0152
Hradec Králové, 500 05
Denmark2 sites
Local Institution - 0190
Aalborg, 9210
Local Institution - 0196
Herlev, 2730
Greece2 sites
Local Institution - 0102
Athens, 115 28
Local Institution - 0103
Ioannina, Ípeiros, 455 00
Israel2 sites
Local Institution - 0199
Kfar Saba, 44281
Local Institution - 0198
Ramat Gan, 52621
Norway2 sites
Local Institution - 0074
Bergen, 5021
Local Institution - 0081
Lorenskog, 1478
Peru2 sites
Local Institution - 0031
Lima, 15076
Local Institution - 0030
Lima, 34
Romania2 sites
Local Institution - 0191
Cluj-Napoca, Cluj, 400015
Local Institution - 0187
Craiova, Dolj, 200542
Switzerland2 sites
Local Institution - 0061
Baden, Canton of Aargau, 5404
Local Institution - 0042
Chur, 7000
Singapore1 site
Local Institution - 0192
Singapore, Central Singapore, 168583
About this study
Official title: A Phase 3, Open-label, Randomized Study of Nivolumab Combined With Ipilimumab, or With Standard of Care Chemotherapy, Versus Standard of Care Chemotherapy in Participants With Previously Untreated Unresectable or Metastatic Urothelial Cancer
The purpose of this study is to determine whether an investigational immunotherapy nivolumab in combination with ipilimumab or in combination with standard of care chemotherapy is more effective than standard of care chemotherapy alone in treating participants with previously untreated inoperable or metastatic urothelial cancer.
- Conditions
- Urothelial Cancer
- Being tested
- Nivolumab, Ipilimumab, Gemcitabine, Cisplatin, Carboplatin
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
NivolumabBiological
Also called BMS-936558, Opdivo
Specified Dose on Specified Days
IpilimumabBiological
Also called BMS-734016, Yervoy
Specified Dose on Specified Days
GemcitabineDrug
Specified Dose on Specified Days
CisplatinDrug
Specified Dose on Specified Days
CarboplatinDrug
Specified Dose on Specified Days
| Study group | Role | What they receive |
|---|---|---|
| Arm A: Investigational immunotherapy | Experimental | Not described Receives: Biological: Nivolumab; Biological: Ipilimumab |
| Arm B: Standard of care chemotherapy | Active comparator | Not described Receives: Drug: Gemcitabine; Drug: Cisplatin; Drug: Carboplatin |
| Arm C: Investigational immunotherapy | Experimental | Not described Receives: Biological: Nivolumab; Drug: Gemcitabine; Drug: Cisplatin |
| Arm D: Standard of care chemotherapy | Active comparator | Not described Receives: Drug: Gemcitabine; Drug: Cisplatin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival (OS) in Cisplatin-ineligible Randomized Participants for Primary Study
This measure looks at how long participants who cannot receive cisplatin (a type of chemotherapy) live after being placed into a treatment group in the primary study.
Overall Survival (OS) is defined as the time between the date a participant is randomized (assigned to a treatment group) and the date of death from any cause. For participants without documentation of death, OS will be measured up to the last date the participant was known to be alive. If a participant was randomized but had no follow-up information, OS will be counted from the date of randomization.
This helps to understand if the treatment can help people who are unable to receive cisplatin chemotherapy live longer.
Measured: From the date of randomization to the date of death from any cause, or data cut-off date, whichever occurred first (up to approximately 89 months)
Overall Survival (OS) in Programmed Death-Ligand 1 (PD-L1) Positive (≥ 1%) Randomized Participants by Immunohistochemistry (IHC) for Primary Study
This measure looks at how long participants with PD-L1 positive tumors (meaning their tumor cells have at least 1% PD-L1, as determined by a laboratory test called immunohistochemistry or IHC) live after being placed into a treatment group in the primary study.
Overall Survival (OS) is defined as the time between the date a participant is randomized (assigned to a treatment group) and the date of death from any cause. For participants without documentation of death, OS will be measured up to the last date the participant was known to be alive. If a participant was randomized but had no follow-up information, OS will be counted from the date of randomization.
This helps to understand whether the treatment can help people with PD-L1 positive tumors live longer.
Measured: From the date of randomization to the date of death from any cause, or data cut-off date, whichever occurred first (up to approximately 89 months)
Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in Cisplatin-eligible Participants for Sub-study
This measure looks at how long people who can receive cisplatin chemotherapy live without their cancer getting worse after being assigned to a treatment group in the sub-study. Progression-Free Survival (PFS) is the time from when a participant is assigned to a group (randomization) until their cancer is first shown to get worse (progress), based on reviews by independent experts who do not know which treatment was given. These experts use standard rules (RECIST 1.1) to decide if the cancer has progressed. If a participant dies before their cancer is shown to get worse, the date of death will be used as the time their disease progressed. If a participant's cancer does not get worse and they do not die during the study, their PFS will be measured up to the date of their last tumor check. This helps to understand if the treatment helps people eligible for cisplatin live longer without their cancer progressing.
Measured: From the date of randomization to the date of first documented disease progression or death due to any cause, whichever occurs first (up to approximately 89 months)
Overall Survival (OS) in Cisplatin-eligible Participants for Sub-study
This measure looks at how long people who are able to receive cisplatin (a type of chemotherapy) live after being placed into a treatment group in the sub-study.
Overall Survival (OS) is defined as the time between the date a participant is randomized (assigned to a treatment group) and the date of death from any cause. For participants without documentation of death, OS will be measured up to the last date the participant was known to be alive. If a participant was randomized but had no follow-up information, OS will be counted from the date of randomization.
This helps to understand if the treatment can help people who are eligible for cisplatin chemotherapy live longer.
Measured: From the date of randomization to the date of death from any cause, or data cut-off date, whichever occurred first (up to approximately 89 months)
Secondary outcomes (8)
Overall Survival (OS) in All Randomized Participants for Primary Study
This measure looks at how long all participants live after being placed into a treatment group in the primary study.
Overall Survival (OS) is defined as the time between the date a participant is randomized (assigned to a treatment group) and the date of death from any cause. For participants without documentation of death, OS will be measured up to the last date the participant was known to be alive. If a participant was randomized but had no follow-up information, OS will be counted from the date of randomization.
This helps to understand whether the treatment can help all participants in the study live longer.
Measured: From the date of randomization to the date of death from any cause, or data cut-off date, whichever occurred first (up to approximately 89 months)
Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in Cisplatin-ineligible Randomized Participants for Primary Study
This measure looks at how long people who cannot receive cisplatin chemotherapy live without their cancer getting worse after being assigned to a treatment group in the primary study. Progression-Free Survival (PFS) is the time from when a participant is assigned to a group (randomization) until their cancer is first shown to get worse (progress), based on reviews by independent experts who do not know which treatment was given. These experts use standard rules (RECIST 1.1) to decide if the cancer has progressed. If a participant dies before their cancer is shown to get worse, the date of death will be used as the time their disease progressed. If a participant's cancer does not get worse and they do not die during the study, their PFS will be measured up to the date of their last tumor check. This helps to understand if the treatment helps people unable to receive cisplatin live longer without their cancer progressing.
Measured: From the date of randomization to the date of first documented disease progression or death due to any cause, whichever occurs first (up to approximately 89 months)
Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in Programmed Death-Ligand 1 (PD-L1) Positive (≥ 1%) Participants for Primary Study
This measure looks at how long people with PD-L1 positive tumors (meaning their tumor cells have at least 1% PD-L1, as determined by a lab test) live without their cancer getting worse after being assigned to a treatment group in the primary study. Progression-Free Survival (PFS) is the time from when a participant is assigned to a group (randomization) until their cancer is first shown to get worse (progress), based on reviews by independent experts who do not know which treatment was given. These experts use standard rules (RECIST 1.1) to decide if the cancer has progressed. If a participant dies before their cancer is shown to get worse, the date of death will be used as the time their disease progressed. If a participant's cancer does not get worse and they do not die during the study, their PFS will be measured up to the date of their last tumor check. This helps to understand if the treatment helps people with PD-L1 positive tumors live longer without their cancer progressing.
Measured: From the date of randomization to the date of first documented disease progression or death due to any cause, whichever occurs first (up to approximately 89 months)
Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in All Randomized Participants for Primary Study
This measure looks at how long all participants in the primary study live without their cancer getting worse after being assigned to a treatment group.
Progression-Free Survival (PFS) is defined as the time from when a participant is assigned to a treatment group (randomization) until their cancer is first shown to get worse (progress), based on reviews by independent experts who do not know which treatment the participant received. These experts use standard rules (called RECIST 1.1) to decide if the cancer has progressed. If a participant dies before their cancer is shown to get worse, the date of death will be used as the time their disease progressed. If a participant's cancer does not get worse and they do not die during the study, their PFS will be measured up to the date of their last tumor check.
This helps to understand whether the treatment can help participants live longer without their cancer progressing.
Measured: From the date of randomization to the date of first documented disease progression or death due to any cause, whichever occurs first (up to approximately 89 months)
Change From Baseline in the European Organization for Research and Treatment of Care Quality-of-Life Questionnaire (EORTC QLQ-C30) Global Health Status Score in All Randomized Participants for Primary Study
The EORTC QLQ-C30 is a questionnaire used to assess the quality of life in cancer patients. It includes a global health status score, which is measured on a 4-point Likert scale: 1 = not at all, 2 = a little, 3 = quite a bit, and 4 = very much. Responses are combined and converted to scores ranging from 0 to 100. A high score for global health status or health-related quality of life (HRQoL) indicates a high overall HRQoL.
Measured: At Baseline, Week 4, Week 10, Week 16, Week 20, Week 24, Week 36, Week 48, Week 60, Week 72, Week 84, Week 96, Week 108, Week 120, Week 144, Week 156, Week 168, Week 180 and Week 192
Change From Baseline in the European Organization for Research and Treatment of Care Quality-of-Life Questionnaire (EORTC QLQ-C30) Global Health Status Score for Sub-study
The EORTC QLQ-C30 is a questionnaire used to assess the quality of life in cancer patients. It includes a global health status score, which is measured on a 4-point Likert scale: 1 = not at all, 2 = a little, 3 = quite a bit, and 4 = very much. Responses are combined and converted to scores ranging from 0 to 100. A high score for global health status or health-related quality of life (HRQoL) indicates a high overall HRQoL.
Measured: At Baseline, Week 4, Week 10, Week 16, Week 20, Week 24, Week 36, Week 48, Week 60, Week 72, Week 84, Week 96, Week 108, and Week 120
Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] by Programmed Death-Ligand 1 (PD-L1) Expression at ≥1% Expression by Immunohistochemistry (IHC) for Sub-study
This measure looks at how long participants with PD-L1 positive tumors (meaning their tumor cells have at least 1% PD-L1, as determined by a lab test called immunohistochemistry or IHC) live without their cancer getting worse after being assigned to a treatment group in the sub-study.
Progression-Free Survival (PFS) is the time from when a participant is assigned to a group (randomization) until their cancer is first shown to get worse (progress), based on reviews by independent experts who do not know which treatment was given. These experts use standard rules (RECIST 1.1) to decide if the cancer has progressed. If a participant dies before their cancer is shown to get worse, the date of death will be used as the time their disease progressed. If a participant's cancer does not get worse and they do not die during the study, their PFS will be measured up to the date of their last tumor check.
Measured: From the date of randomization to the date of first documented disease progression or death due to any cause, whichever occurs first (up to approximately 89 months)
Overall Survival (OS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] by Programmed Death-Ligand 1 (PD-L1) Expression at ≥1% Expression by Immunohistochemistry (IHC) for Sub-study
This measure looks at how long participants with PD-L1 positive tumors (meaning their tumor cells have at least 1% PD-L1, as determined by a laboratory test called immunohistochemistry or IHC) live after being placed into a treatment group in the sub-study.
Overall Survival (OS) is defined as the time between the date a participant is randomized (assigned to a treatment group) and the date of death from any cause. For participants without documentation of death, OS will be measured up to the last date the participant was known to be alive. If a participant was randomized but had no follow-up information, OS will be counted from the date of randomization.
This helps to understand whether the treatment can help people with PD-L1 positive tumors live longer. The results are reviewed by independent experts who do not know which treatment each participant received, using standard criteria for measuring tumor response.
Measured: From the date of randomization to the date of death from any cause, or data cut-off date, whichever occurred first (up to approximately 89 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Jan 2017 (estimated)
- Study start24 Mar 2017
- Primary completion30 Aug 2024
- Study completion15 May 2026 (estimated)
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 (2)Papers the sponsor has linked to this study.
- Other trials for Urothelial CancerStudies 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
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 1,314 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Ono Pharmaceutical Co., Ltd.
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03036098
- Sponsor's protocol ID
- CA209-901
- Other IDs
- 2016-003881-14, 2016
- Acronym
- CheckMate901
- Status last verified
- Feb 2026
- First submitted
- 27 Jan 2017
- Last updated
- 6 Mar 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Tomita Y, Ye DW, Fujii A, Takeuchi N. Nivolumab plus gemcitabine-cisplatin for previously untreated unresectable or metastatic urothelial carcinoma: an Asian subgroup analysis from the global phase 3 CheckMate 901 trial. Urol Oncol. 2025 Dec;43(12):696.e9-696.e16. doi: 10.1016/j.urolonc.2025.08.022. Epub 2025 Sep 26.
PubMed 41015742van der Heijden MS, Sonpavde G, Powles T, Necchi A, Burotto M, Schenker M, Sade JP, Bamias A, Beuzeboc P, Bedke J, Oldenburg J, Chatta G, Urun Y, Ye D, He Z, Valderrama BP, Ku JH, Tomita Y, Filian J, Wang L, Purcea D, Patel MY, Nasroulah F, Galsky MD; CheckMate 901 Trial Investigators. Nivolumab plus Gemcitabine-Cisplatin in Advanced Urothelial Carcinoma. N Engl J Med. 2023 Nov 9;389(19):1778-1789. doi: 10.1056/NEJMoa2309863. Epub 2023 Oct 22.
PubMed 37870949
Study at a glance
From the registry record, last updated by the sponsor on 6 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Open-label, Randomized Study of Nivolumab Combined With Ipilimumab, or With Standard of Care Chemotherapy, Versus Standard of Care Chemotherapy in Participants With Previously Untreated Unresectable or Metastatic Urothelial Cancer
- ClinicalTrials.gov ID
- NCT03036098
- Acronym / sponsor ID
- CheckMate901 / CA209-901
- Conditions
- Urothelial Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 1,314 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Collaborators
- Ono Pharmaceutical Co., Ltd.
- Study start
- 24 Mar 2017 (actual)
- Primary completion
- 30 Aug 2024 (actual)
- Study completion
- 15 May 2026 (estimated)
- First posted
- 30 Jan 2017 (estimated)
- Results
- Posted 18 Sep 2025
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 whether an investigational immunotherapy nivolumab in combination with ipilimumab or in combination with standard of care chemotherapy is more effective than standard of care chemotherapy alone in treating participants with previously untreated inoperable or metastatic urothelial cancer.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Arm A: Investigational immunotherapy | Experimental | Biological: Nivolumab, Biological: Ipilimumab |
| Arm B: Standard of care chemotherapy | Active comparator | Drug: Gemcitabine, Drug: Cisplatin, Drug: Carboplatin |
| Arm C: Investigational immunotherapy | Experimental | Biological: Nivolumab, Drug: Gemcitabine, Drug: Cisplatin |
| Arm D: Standard of care chemotherapy | Active comparator | Drug: Gemcitabine, Drug: Cisplatin |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Histological or cytological evidence of metastatic or surgically inoperable transitional cell cancer (TCC) of the urothelium involving the renal pelvis, ureter, bladder or urethra
- No prior systemic chemotherapy for metastatic or surgically inoperable urothelial cancer (UC)
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 or 1
- Women and men must agree to follow specific methods of contraception, if applicable
Key exclusion criteria (4 listed)
- Disease that is suitable for local therapy administered with curative intent
- Any serious or uncontrolled medical disorder in the opinion of the investigator that may increase the risk associated with study participation or study drug administration or interfere with the interpretation of study results
- Prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, or anti-CTLA-4 antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways
- Other protocol-defined inclusion/exclusion criteria apply
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 |
|---|---|---|
| NivolumabAlso: BMS-936558, OpdivoSpecified Dose on Specified Days | Biological | Arm A: Investigational immunotherapy, Arm C: Investigational immunotherapy |
| IpilimumabAlso: BMS-734016, YervoySpecified Dose on Specified Days | Biological | Arm A: Investigational immunotherapy |
| GemcitabineSpecified Dose on Specified Days | Drug | Arm B: Standard of care chemotherapy, Arm C: Investigational immunotherapy, Arm D: Standard of care chemotherapy |
| CisplatinSpecified Dose on Specified Days | Drug | Arm B: Standard of care chemotherapy, Arm C: Investigational immunotherapy, Arm D: Standard of care chemotherapy |
| CarboplatinSpecified Dose on Specified Days | Drug | Arm B: Standard of care chemotherapy |
Primary outcome
Overall Survival (OS) in Cisplatin-ineligible Randomized Participants for Primary Study
Time frame: From the date of randomization to the date of death from any cause, or data cut-off date, whichever occurred first (up to approximately 89 months)
This measure looks at how long participants who cannot receive cisplatin (a type of chemotherapy) live after being placed into a treatment group in the primary study. Overall Survival (OS) is defined as the time between the date a participant is randomized (assigned to a treatment group) and the date of death from any cause. For participants without documentation of death, OS will be measured up to the last date the participant was known to be alive. If a participant was randomized but had no follow-up information, OS will be counted from the date of randomization. This helps to understand if the treatment can help people who are unable to receive cisplatin chemotherapy live longer.
Overall Survival (OS) in Programmed Death-Ligand 1 (PD-L1) Positive (≥ 1%) Randomized Participants by Immunohistochemistry (IHC) for Primary Study
Time frame: From the date of randomization to the date of death from any cause, or data cut-off date, whichever occurred first (up to approximately 89 months)
This measure looks at how long participants with PD-L1 positive tumors (meaning their tumor cells have at least 1% PD-L1, as determined by a laboratory test called immunohistochemistry or IHC) live after being placed into a treatment group in the primary study. Overall Survival (OS) is defined as the time between the date a participant is randomized (assigned to a treatment group) and the date of death from any cause. For participants without documentation of death, OS will be measured up to the last date the participant was known to be alive. If a participant was randomized but had no follow-up information, OS will be counted from the date of randomization. This helps to understand whether the treatment can help people with PD-L1 positive tumors live longer.
Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in Cisplatin-eligible Participants for Sub-study
Time frame: From the date of randomization to the date of first documented disease progression or death due to any cause, whichever occurs first (up to approximately 89 months)
This measure looks at how long people who can receive cisplatin chemotherapy live without their cancer getting worse after being assigned to a treatment group in the sub-study. Progression-Free Survival (PFS) is the time from when a participant is assigned to a group (randomization) until their cancer is first shown to get worse (progress), based on reviews by independent experts who do not know which treatment was given. These experts use standard rules (RECIST 1.1) to decide if the cancer has progressed. If a participant dies before their cancer is shown to get worse, the date of death will be used as the time their disease progressed. If a participant's cancer does not get worse and they do not die during the study, their PFS will be measured up to the date of their last tumor check. This helps to understand if the treatment helps people eligible for cisplatin live longer without their cancer progressing.
Overall Survival (OS) in Cisplatin-eligible Participants for Sub-study
Time frame: From the date of randomization to the date of death from any cause, or data cut-off date, whichever occurred first (up to approximately 89 months)
This measure looks at how long people who are able to receive cisplatin (a type of chemotherapy) live after being placed into a treatment group in the sub-study. Overall Survival (OS) is defined as the time between the date a participant is randomized (assigned to a treatment group) and the date of death from any cause. For participants without documentation of death, OS will be measured up to the last date the participant was known to be alive. If a participant was randomized but had no follow-up information, OS will be counted from the date of randomization. This helps to understand if the treatment can help people who are eligible for cisplatin chemotherapy live longer.
8 secondary outcomes
Overall Survival (OS) in All Randomized Participants for Primary Study
Time frame: From the date of randomization to the date of death from any cause, or data cut-off date, whichever occurred first (up to approximately 89 months)
Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in Cisplatin-ineligible Randomized Participants for Primary Study
Time frame: From the date of randomization to the date of first documented disease progression or death due to any cause, whichever occurs first (up to approximately 89 months)
Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in Programmed Death-Ligand 1 (PD-L1) Positive (≥ 1%) Participants for Primary Study
Time frame: From the date of randomization to the date of first documented disease progression or death due to any cause, whichever occurs first (up to approximately 89 months)
Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in All Randomized Participants for Primary Study
Time frame: From the date of randomization to the date of first documented disease progression or death due to any cause, whichever occurs first (up to approximately 89 months)
Change From Baseline in the European Organization for Research and Treatment of Care Quality-of-Life Questionnaire (EORTC QLQ-C30) Global Health Status Score in All Randomized Participants for Primary Study
Time frame: At Baseline, Week 4, Week 10, Week 16, Week 20, Week 24, Week 36, Week 48, Week 60, Week 72, Week 84, Week 96, Week 108, Week 120, Week 144, Week 156, Week 168, Week 180 and Week 192
Change From Baseline in the European Organization for Research and Treatment of Care Quality-of-Life Questionnaire (EORTC QLQ-C30) Global Health Status Score for Sub-study
Time frame: At Baseline, Week 4, Week 10, Week 16, Week 20, Week 24, Week 36, Week 48, Week 60, Week 72, Week 84, Week 96, Week 108, and Week 120
Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] by Programmed Death-Ligand 1 (PD-L1) Expression at ≥1% Expression by Immunohistochemistry (IHC) for Sub-study
Time frame: From the date of randomization to the date of first documented disease progression or death due to any cause, whichever occurs first (up to approximately 89 months)
Overall Survival (OS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] by Programmed Death-Ligand 1 (PD-L1) Expression at ≥1% Expression by Immunohistochemistry (IHC) for Sub-study
Time frame: From the date of randomization to the date of death from any cause, or data cut-off date, whichever occurred first (up to approximately 89 months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Mar 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 41015742Tomita Y, Ye DW, Fujii A, Takeuchi N. Nivolumab plus gemcitabine-cisplatin for previously untreated unresectable or metastatic urothelial carcinoma: an Asian subgroup analysis from the global phase 3 CheckMate 901 trial. Urol Oncol. 2025 Dec;43(12):696.e9-696.e16. doi: 10.1016/j.urolonc.2025.08.022. Epub 2025 Sep 26.
- Derived from this study: PubMed 37870949van der Heijden MS, Sonpavde G, Powles T, Necchi A, Burotto M, Schenker M, Sade JP, Bamias A, Beuzeboc P, Bedke J, Oldenburg J, Chatta G, Urun Y, Ye D, He Z, Valderrama BP, Ku JH, Tomita Y, Filian J, Wang L, Purcea D, Patel MY, Nasroulah F, Galsky MD; CheckMate 901 Trial Investigators. Nivolumab plus Gemcitabine-Cisplatin in Advanced Urothelial Carcinoma. N Engl J Med. 2023 Nov 9;389(19):1778-1789. doi: 10.1056/NEJMoa2309863. Epub 2023 Oct 22.
- BMS Clinical Trial InformationLink provided by the sponsor.
- BMS Clinical Trial Patient RecruitingLink 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
174 sites in 30 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Nivolumab, Ipilimumab and Gemcitabine in people with Urothelial Cancer, run by Bristol-Myers Squibb at 174 sites in 30 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 4 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: under way, not looking for participants, as of the sponsor's last update on 6 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 174 sites in United States, China, Japan, Germany, Brazil and 25 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 18 Sep 2025). 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) in Cisplatin-ineligible Randomized Participants for Primary Study (time frame: From the date of randomization to the date of death from any cause, or data cut-off date, whichever occurred first (up to approximately 89 months)). The study lists 4 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 NCT03036098, 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 6 Mar 2026; AzTrials last refreshed its copy on 26 Oct 2026.