Carcinoma, Renal CellPhase 3CheckMate 914NCT03138512
A Study Comparing Nivolumab, Nivolumab in Combination With Ipilimumab and Placebo in Participants With Localized Kidney Cancer Who Underwent Surgery to Remove Part of a Kidney
A Phase 3 study testing nivolumab and ipilimumab in people with Carcinoma, Renal Cell, run by Bristol-Myers Squibb at 200 sites in 25 countries.
Trial summary
The purpose of this study is to determine whether nivolmab alone or the combination of nivolumab and ipilimumab versus placebo, is safe and effective for delaying or preventing recurrence of cancer in participants who have experienced partial or entire removal of a kidney. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma, Renal Cell
- What is being tested?
- nivolumab and ipilimumab
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,641 participants
- Where
- 200 sitesin 25 countries
- Study dates
- 7 Jul 2017to 1 Feb 2024
- 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
- Kidney tumor has been completely resected with negative surgical margins obtained. The randomization must occur greater than 4 weeks and less than (or equal to) 12 weeks from the date of nephrectomy
- Pathologic tumor, node, and metastasis (TNM) staging meeting one of the following: pT2a, G3 or G4, N0 M0; pT2b, G any, N0 M0; pT3, (a, b, c), G any, N0 M0; pT4, G any, N0 M0; pT any, G any, N1 M0
- Post-nephrectomy tumor shows renal cell cancer (RCC) with a predominantly clear cell histology, including participants with sarcomatoid features
- Participants must have no clinical or radiological evidence of macroscopic residual disease or distant metastases after nephrectomy
- Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0-1
- Women must agree to follow methods of contraception, if applicable
Who cannot join
- Participants with an active known or suspected autoimmune disease
- Known history of positive test for human immunodeficiency virus (HIV) or known acquired immunodeficiency syndrome (AIDS)
- Prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, or anti-CTLA-4 antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways
- Any severe or serious, acute or chronic medical or psychiatric condition, or laboratory abnormality that may increase the risk associated with study participation
- History of allergy or hypersensitivity to study drug components
- Participants with a condition requiring systemic treatment with corticosteroids
- Participants who have received a live/attenuated vaccine within 30 days of first treatment
- Other protocol-defined inclusion/exclusion criteria apply
Trial locations and contacts
200 sites in 25 countries.
200 sites in 25 countries
China24 sites
Local Institution - 0147
Beijing, Beijing Municipality, 100032
Local Institution - 0153
Beijing, Beijing Municipality, 100034
Local Institution - 0159
Beijing, Beijing Municipality, 100853
Local Institution - 0145
Changchun, Jilin, 130021
Local Institution - 0142
Chengdu, Sichuan, 610041
Local Institution - 0143
Chengdu, Sichuan, 610072
Local Institution - 0132
Fuzhou, Fujian, 350001
Local Institution - 0141
Guangzhou, Guangdong, 510120
Local Institution - 0134
Guangzhou, 0
Local Institution - 0157
Hangzhou, Zhejiang, 310009
Local Institution - 0131
Hangzhou, Zhejiang, 310014
Local Institution - 0140
Nanchang, Jiangxi, 0
Local Institution - 0138
Nanjing, Jiangsu, 210029
Local Institution - 0139
Nanjing, 210008
Local Institution - 0137
Shanghai, Shanghai Municipality, 200025
Local Institution - 0166
Shanghai, Shanghai Municipality, 200032
Local Institution - 0152
Shanghai, Shanghai Municipality, 200040
Local Institution - 0148
Shanghai, Shanghai Municipality, 200433
Local Institution - 0176
Shanghai, 200032
Local Institution - 0175
Tianjin, Tianjin Municipality, 300222
Local Institution - 0194
Wuhan, Hebei, 430030
Local Institution - 0133
Wuhan, Hubei, 430061
Local Institution - 0144
Xi'an, Shan3xi, 710061
Local Institution - 0146
Yantai, Shandong, 264000
Japan24 sites
Local Institution - 0188
Adachi-ku, Tokyo, 1230872
Local Institution - 0189
Bunkyo-ku, Tokyo, 113-8510
Local Institution - 0119
Bunkyo-ku, Tokyo, 1138603
Local Institution - 0158
Chiba, Chiba, 260-8717
Local Institution - 0121
Fukuoka, Fukuoka, 8128582
Local Institution - 0193
Hirosaki-shi, Aomori, 0368563
Local Institution - 0165
Hiroshima, 734-8551
Local Institution - 0130
Kamigyō-ku, Kyoto, 602-8566
Local Institution - 0167
Kobe, Hyōgo, 6500017
Local Institution - 0216
Kumamoto, Kumamoto, 860-0811
Local Institution - 0123
Nagasaki, Nagasaki, 8528102
Local Institution - 0120
Niigata, Niigata, 9518520
Local Institution - 0125
Osakasayama-shi, Osaka, 5898511
Local Institution - 0156
Sapporo, Hokkaido, 0608648
Local Institution - 0149
Shinjuku-ku, Tokyo, 1608582
Local Institution - 0168
Shiwa-gun, Iwate, 0283695
Local Institution - 0122
Suita-shi, Osaka, 565-0871
Local Institution - 0162
Tokushima, Tokushima, 770-8503
Local Institution - 0129
Toyoake Shi, Aichi-ken, 4701192
Local Institution - 0191
Tsukuba, Ibaraki, 3058576
Local Institution - 0163
Ube-shi, Yamaguchi, 7558505
Local Institution - 0192
Wakayama, 641-8510
Local Institution - 0127
Yamagata, 990-9585
Local Institution - 0128
Yokohama, Kanagawa, 2360004
United States21 sites
Local Institution - 0010
Allentown, Pennsylvania, 18103
Local Institution - 0016
Athens, Georgia, 30607
Local Institution - 0185
Aurora, Colorado, 80045
Local Institution - 0019
Birmingham, Alabama, 35205
Local Institution - 0007
Buffalo, New York, 14263
Local Institution - 0013
Chattanooga, Tennessee, 37404
Local Institution - 0005
Chicago, Illinois, 60611
Local Institution
Chicago, Illinois, 60612
Local Institution - 0008
Columbus, Ohio, 43210
Local Institution - 0057
Fairfax, Virginia, 22031
Local Institution - 0014
Greenville, South Carolina, 29607
Local Institution - 0012
Howell Township, New Jersey, 07731
Local Institution - 0186
Los Angeles, California, 90048
Local Institution - 0180
Los Angeles, California, 90095
Local Institution - 0183
Nashville, Tennessee, 37212
Local Institution - 0181
New York, New York, 10029
Local Institution - 0001
New York, New York, 10065
Local Institution - 0009
Portland, Oregon, 97213
Local Institution - 0002
San Francisco, California, 94115
Local Institution - 0056
Springdale, Arkansas, 72762
Local Institution - 0006
St Louis, Missouri, 63110
Argentina13 sites
Local Institution - 0232
Bariloche, Río Negro Province, 0
Local Institution - 0179
Buenos Aires, C1419AHN
Local Institution - 0099
CABA, 1199
Local Institution - 0178
Capital Federal, Buenos Aires, 1280
Local Institution - 0126
Ciudad Autonoma de Buenos Aires, Buenos Aires, 1425
Local Institution - 0203
Ciudad Autónoma de Buenos Aires, Buenos Aires, 1426
Local Institution - 0096
Córdoba, 5000
Local Institution - 0098
Córdoba, X5004FHP
Local Institution - 0095
Mar del Plata, Buenos Aires, 7600
Local Institution - 0208
Mar del Plata, Buenos Aires, B7600FZO
Local Institution - 0173
Río Cuarto, Córdoba Province, 5800
Local Institution - 0164
San Juan, 5402
Local Institution - 0097
San Miguel de Tucumán, 4000
France12 sites
Local Institution - 0083
Besançon, 25030
Local Institution - 0080
Bordeaux, 33000
Local Institution - 0082
La Roche-sur-Yon, 85925
Local Institution - 0116
Lyon, 69373
Local Institution - 0079
Marseille, 13273
Local Institution - 0198
Paris, 75015
Local Institution - 0081
Rennes, 35042
Local Institution - 0077
Strasbourg, 67200
Local Institution - 0115
Toulouse, 31059
Local Institution - 0150
Tours, 37044
Local Institution - 0078
Vandœuvre-lès-Nancy, 54511
Local Institution - 0076
Villejuif, 94800
Germany11 sites
Local Institution - 0053
Aachen, 52074
Local Institution - 0103
Essen, 45147
Local Institution - 0052
Hamburg, 22763
Local Institution - 0231
Hanover, 30559
Local Institution - 0061
Hanover, 30625
Local Institution - 0062
Jena, 07747
Local Institution - 0102
Munich, 81377
Local Institution - 0054
Nuremberg, 90419
Local Institution - 0055
Rostock, 18057
Local Institution - 0217
Tübingen, Baden-Wurttemberg, 72076
Local Institution - 0101
Würzburg, 97080
Mexico11 sites
Local Institution - 0089
Chihuahua City, 31000
Local Institution - 0104
Mazatlán, Sinaloa, 82110
Local Institution - 0196
Mérida, Yucatán, 97070
Local Institution - 0151
Mexico City, Mexico City, 03100
Local Institution - 0088
Monterrey, NL, 64060
Local Institution - 0169
San Luis Potosí City, 78250
Local Institution - 0242
Tijuana, Estado de Baja California, 22010
Local Institution - 0111
Tlalpan, Mexico City, 14080
Local Institution - 0195
Torreón, Coahuila, 27010
Local Institution - 0197
Tuxtla Gutiérrez, Chiapas, 29090
Local Institution - 0110
Zapopan, Jalisco, 45030
Australia10 sites
Local Institution - 0033
Clayton, Victoria, 0
Local Institution - 0034
Elizabeth Vale, South Australia, 5112
Local Institution - 0214
Heidelberg, Victoria, 3084
Local Institution - 0215
Macquarie Park, New South Wales, 2109
Local Institution - 0031
Murdoch, Western Australia, 6150
Local Institution - 0032
Northmead, New South Wales, 2152
Local Institution - 0036
Randwick, New South Wales, 2031
Local Institution - 0113
South Brisbane, Queensland, 4101
Local Institution - 0213
Southport, Queensland, 4215
Local Institution - 0035
St Leonards, New South Wales, 2065
Spain9 sites
Local Institution - 0204
Barcelona, 08035
Local Institution - 0206
Barcelona, 08036
Local Institution - 0124
Cáceres, 10003
Local Institution - 0207
Córdoba, 14004
Local Institution - 0118
Lugo, 27003
Local Institution - 0114
Madrid, 28034
Local Institution - 0205
Madrid, 28041
Local Institution - 0117
Sabadell, 08208
Local Institution - 0161
Seville, 41013
Brazil8 sites
Local Institution - 0043
Barretos, São Paulo, 14780-070
Local Institution - 0045
Belo Horizonte, Minas Gerais, 30130-090
Local Institution - 0047
Brasília, Federal District, 70200-730
Local Institution - 0046
Ijuí, Rio Grande do Sul, 98700-000
Local Institution - 0048
Porto Alegre, Rio Grande do Sul, 90610-000
Local Institution - 0160
Rio de Janeiro, 20775-001
Local Institution - 0044
São Paulo, São Paulo, 05652-900
Local Institution - 0050
São Paulo, 01246000
Canada6 sites
Local Institution - 0042
Montreal, Quebec, H2X 0C1
Local Institution - 0087
Oshawa, Ontario, L1G 2B9
Local Institution - 0040
Rimouski, Quebec, G5L 5T1
Local Institution - 0086
Saint John, New Brunswick, E2L 3L6
Local Institution - 0112
Toronto, Ontario, M5G 2M9
Local Institution - 0041
Vancouver, British Columbia, V5Z 4E6
Italy6 sites
Local Institution - 0105
Arezzo, 52100
Local Institution - 0172
Cremona, 26100
Local Institution - 0106
Naples, 80131
Local Institution - 0107
Parma, 43100
Local Institution - 0109
Roma, 00168
Local Institution - 0108
Verona, 37134
Chile5 sites
Local Institution - 0223
La Serena, Coquimbo Region, 1720430
Local Institution - 0246
Santiago, Santiago Metropolitan, 0
Local Institution
Santiago, Santiago Metropolitan, 7500713
Local Institution - 0221
Santiago, Santiago Metropolitan, 8420383
Local Institution - 0222
Viña del Mar, Valparaiso, 2520598
Colombia5 sites
Local Institution - 0229
Bogotá, 111511
Local Institution - 0230
Floridablanca, 0
Local Institution - 0227
Medellín, Antioquia, 050034
Local Institution - 0226
Pereira, 99999
Local Institution - 0228
Valledupar, Cesar Department, 200001
Romania5 sites
Local Institution - 0243
Bucharest, 022328
Local Institution - 0200
Cluj-Napoca, 400015
Local Institution - 0247
Cluj-Napoca, 400015
Local Institution - 0199
Craiova, 200542
Local Institution - 0202
Iași, 700483
United Kingdom5 sites
Local Institution - 0063
Manchester, M20 4BX
Local Institution - 0071
Northwood, HA6 2RN
Local Institution - 0073
Preston, PR2 9HT
Local Institution - 0075
Southampton, Hampshire, SO16 6YD
Local Institution - 0072
Swansea, SA2 8QA
Belgium4 sites
Local Institution - 0064
Anderlecht, 1070
Local Institution - 0058
Ghent, Oost-Vlaanderen, 9000
Local Institution - 0060
Hasselt, 3500
Local Institution - 0059
Liège, 4000
Russia4 sites
Local Institution - 0065
Moscow, 117997
Local Institution - 0170
Novosibirsk, 630099
Local Institution - 0171
Saint Petersburg, 194044
Local Institution - 0021
Saint Petersburg, 198255
Netherlands3 sites
Local Institution - 0066
Amsterdam, 1066 CX
Local Institution - 0067
Rotterdam, 3008 AE
Local Institution - 0092
Zwolle, 8025 AB
Switzerland3 sites
Local Institution - 0218
Chur, 7000
Local Institution - 0219
Sankt Gallen, 9007
Local Institution - 0225
Zurich, 8091
Turkey (Türkiye)3 sites
Local Institution - 0209
Ankara, 06590
Local Institution - 0210
Istanbul, 34098
Local Institution
Istanbul, 34214
Austria2 sites
Local Institution - 0068
Linz, 4020
Local Institution - 0084
Vienna, 1160
Czechia2 sites
Local Institution - 0094
Hradec Králové, 500 05
Local Institution - 0025
Olomouc, 779 00
Poland2 sites
Local Institution - 0155
Bydgoszcz, 85-796
Local Institution - 0038
Wroclaw, 53-413
Singapore2 sites
Local Institution - 0018
Singapore, Central Singapore, 168583
Local Institution - 0017
Singapore, 119074
About this study
Official title: A Phase 3 Randomized, Double-Blind Study of Nivolumab Monotherapy or Nivolumab Combined With Ipilimumab vs Placebo in Participants With Localized Renal Cell Carcinoma Who Underwent Radical or Partial Nephrectomy and Who Are at High Risk of Relapse
The purpose of this study is to determine whether nivolmab alone or the combination of nivolumab and ipilimumab versus placebo, is safe and effective for delaying or preventing recurrence of cancer in participants who have experienced partial or entire removal of a kidney.
Read the detailed description
The study has two primary endpoints. The first primary completion date is anticipated to be reached July 2022 (DFS in Part A). The second primary completion date is anticipated to be reached July 2024 (DFS in Part B).
- Conditions
- Carcinoma, Renal Cell
- Being tested
- nivolumab, ipilimumab, nivolumab placebo, ipilimumab placebo
- Keywords
- localized, resected, adjuvant, Renal Cell Carcinoma, Kidney Cancer, Nephrectomy, Clear cell, High Risk of Relapse/Recurrence
- Medical subject headings
- Carcinoma, Renal Cell, Kidney Neoplasms, Recurrence
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
nivolumabBiological
Also called Opdivo
Specified dose on specified days
ipilimumabBiological
Also called Yervoy
Specified dose on specified days
nivolumab placeboDrug
Specified dose on specified days
ipilimumab placeboDrug
Specified dose on specified days
| Study group | Role | What they receive |
|---|---|---|
| Part A, Arm A: nivolumab + ipilimumab | Experimental | Not described Receives: Biological: nivolumab; Biological: ipilimumab |
| Part A, Arm B: nivolumab placebo + ipilimumab placebo | Placebo comparator | Not described Receives: Drug: nivolumab placebo; Drug: ipilimumab placebo |
| Part B, Arm A: nivolumab + ipilimumab | Experimental | Not described Receives: Biological: nivolumab; Biological: ipilimumab |
| Part B, Arm B: nivolumab placebo + ipilimumab placebo | Placebo comparator | Not described Receives: Drug: nivolumab placebo; Drug: ipilimumab placebo |
| Part B, Arm C: nivolumab + ipilimumab placebo | Experimental | Not described Receives: Biological: nivolumab; Drug: ipilimumab placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Disease-Free Survival (DFS) by BICR - Treatment Part A and B
Disease-Free Survival (DFS) is defined as the time from randomization to development of local disease recurrence (ie, recurrence of primary tumor in situ or occurrence of a secondary renal cell carcinoma (RCC) primary cancer), distance metastasis, or death, whichever came first per Blinded Independent Central Review (BICR) based on Kaplan-Meier estimates.
Measured: From randomization to development of local disease recurrence, distance metastasis, or death, whichever came first (up to approximately 72 months)
Secondary outcomes (12)
Overall Survival (OS) - Treatment Part A and B
Overall Survival (OS) is defined as the time between the date of randomization and the date of death. For participants without documentation of death, OS will be censored on the last date the participants was known to be alive. Based on Kaplan-Meier estimates.
Measured: From randomization to the date of death (up to approximately 72 months)
Overall Survival (OS) Rate (5 Years) - Treatment Part A and B
Overall survival rate at 5 years is defined as the percentage of participants who are alive at 5 years.
Measured: At 5 years
Disease-Free Survival (DFS) Per BICR in Contemporaneously Randomized Combination and Monotherapy Participants - Treatment Part B
Disease-Free Survival (DFS) is defined as the time from randomization to development of local disease recurrence (ie, recurrence of primary tumor in situ or occurrence of a secondary renal cell carcinoma (RCC) primary cancer), distance metastasis, or death, whichever came first per Blinded Independent Central Review (BICR) based on Kaplan-Meier estimates.
Measured: From randomization to development of local disease recurrence, distance metastasis, or death, whichever came first (up to approximately 72 months)
Overall Survival (OS) in the Contemporaneously Randomized Combination and Monotherapy Participants - Treatment Part B
Overall Survival (OS) is defined as the time between the date of randomization and the date of death. For participants without documentation of death, OS will be censored on the last date the participants was known to be alive. Based on Kaplan-Meier estimates
Measured: From randomization to the date of death (up to approximately 72 months)
The Number of Participants With Adverse Events up to 30 Days After Last Dose of Study Therapy - Treatment Part A
An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. Graded according to NCI CTCAE (Version 4) guidelines where grade 1 = mild, grade 2 = moderate, grade 3 = severe, grade 4 = life threatening, grade 5 = death.
Measured: From first dose to 30 days post last dose (up to approximately 40 weeks)
The Number of Participants With Adverse Events up to 30 Days After Last Dose of Study Therapy - Treatment Part B
An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. Graded according to NCI CTCAE (Version 4) guidelines where grade 1 = mild, grade 2 = moderate, grade 3 = severe, grade 4 = life threatening, grade 5 = death.
Measured: From first dose to 30 days post last dose (up to approximately 40 weeks)
The Number of Participants With Adverse Events up to 100 Days After Last Dose of Study Therapy - Treatment Part A
An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. Graded according to NCI CTCAE (Version 4) guidelines where grade 1 = mild, grade 2 = moderate, grade 3 = severe, grade 4 = life threatening, grade 5 = death.
Measured: From first dose to 100 days post last dose (up to approximately 50 weeks)
The Number of Participants With Adverse Events up to 100 Days After Last Dose of Study Therapy - Treatment Part B
An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. Graded according to NCI CTCAE (Version 4) guidelines where grade 1 = mild, grade 2 = moderate, grade 3 = severe, grade 4 = life threatening, grade 5 = death.
Measured: From first dose to 100 days post last dose (up to approximately 50 weeks)
The Number of Participants Experiencing Laboratory Parameters by Worst CTC (Grade 3-4) That Worsened Relative to Baseline up to 30 Days - Treatment Part A
Graded by the National Cancer Institute [NCI] Common Terminology Criteria for Adverse Events [CTCAE, Version 4.0] where grade 3 = severe, and grade 4 = life-threatening. Baseline evaluations are defined as evaluations or events that occur before the date and time of the first dose of study treatment.
Measured: From first dose to 30 days post last dose (up to approximately 40 weeks)
The Number of Participants Experiencing Laboratory Parameters by Worst CTC (Grade 3-4) That Worsened Relative to Baseline up to 30 Days - Treatment Part B
Graded by the National Cancer Institute [NCI] Common Terminology Criteria for Adverse Events [CTCAE, Version 4.0] where grade 3 = severe, and grade 4 = life-threatening. Baseline evaluations are defined as evaluations or events that occur before the date and time of the first dose of study treatment.
Measured: From first dose to 30 days post last dose (up to approximately 40 weeks)
The Number of Participants Experiencing Laboratory Parameters by Worst CTC (Grade 3-4) That Worsened Relative to Baseline up to 100 Days - Treatment Part A
Graded by the National Cancer Institute [NCI] Common Terminology Criteria for Adverse Events [CTCAE, Version 4.0] where grade 3 = severe, and grade 4 = life-threatening. Baseline evaluations are defined as evaluations or events that occur before the date and time of the first dose of study treatment.
Measured: From first dose to 100 days post last dose (up to approximately 50 weeks)
The Number of Participants Experiencing Laboratory Parameters by Worst CTC (Grade 3-4) That Worsened Relative to Baseline up to 100 Days - Treatment Part B
Graded by the National Cancer Institute [NCI] Common Terminology Criteria for Adverse Events [CTCAE, Version 4.0] where grade 3 = severe, and grade 4 = life-threatening. Baseline evaluations are defined as evaluations or events that occur before the date and time of the first dose of study treatment.
Measured: From first dose to 100 days post last dose (up to approximately 50 weeks)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 May 2017
- Study start7 Jul 2017
- Primary completion28 Sep 2023
- Study completion1 Feb 2024
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 (3)Papers the sponsor has linked to this study.
- Other trials for Carcinoma, Renal CellStudies 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,641 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
- NCT03138512
- Sponsor's protocol ID
- CA209-914
- Other IDs
- 2016-004502-34, 2016
- Acronym
- CheckMate 914
- Status last verified
- Nov 2024
- First submitted
- 1 May 2017
- Last updated
- 18 Dec 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Motzer RJ, Bex A, Russo P, Tomita Y, Cutuli HJ, Rojas C, Gross-Goupil M, Schinzari G, Melichar B, Barthelemy P, Ruiz Garcia A, Sosman J, Grimm MO, Goh JC, Suarez C, Kollmannsberger CK, Nair SG, Shuch BM, Huang J, Simsek B, Spiridigliozzi J, Lee CW, van Kooten Losio M, Grunwald V. Adjuvant Nivolumab for Localized Renal Cell Carcinoma at High Risk of Recurrence After Nephrectomy: Part B of the Randomized, Placebo-Controlled, Phase III CheckMate 914 Trial. J Clin Oncol. 2025 Jan 10;43(2):189-200. doi: 10.1200/JCO.24.00773. Epub 2024 Sep 20.
PubMed 39303200Motzer RJ, Russo P, Grunwald V, Tomita Y, Zurawski B, Parikh O, Buti S, Barthelemy P, Goh JC, Ye D, Lingua A, Lattouf JB, Albiges L, George S, Shuch B, Sosman J, Staehler M, Vazquez Estevez S, Simsek B, Spiridigliozzi J, Chudnovsky A, Bex A. Adjuvant nivolumab plus ipilimumab versus placebo for localised renal cell carcinoma after nephrectomy (CheckMate 914): a double-blind, randomised, phase 3 trial. Lancet. 2023 Mar 11;401(10379):821-832. doi: 10.1016/S0140-6736(22)02574-0. Epub 2023 Feb 9.
PubMed 36774933Marconi L, Sun M, Beisland C, Klatte T, Ljungberg B, Stewart GD, Dabestani S, Choueiri TK, Bex A. Prevalence, Disease-free, and Overall Survival of Contemporary Patients With Renal Cell Carcinoma Eligible for Adjuvant Checkpoint Inhibitor Trials. Clin Genitourin Cancer. 2021 Apr;19(2):e92-e99. doi: 10.1016/j.clgc.2020.12.005. Epub 2021 Jan 7.
PubMed 33526329
Study at a glance
From the registry record, last updated by the sponsor on 18 Dec 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Randomized, Double-Blind Study of Nivolumab Monotherapy or Nivolumab Combined With Ipilimumab vs Placebo in Participants With Localized Renal Cell Carcinoma Who Underwent Radical or Partial Nephrectomy and Who Are at High Risk of Relapse
- ClinicalTrials.gov ID
- NCT03138512
- Acronym / sponsor ID
- CheckMate 914 / CA209-914
- Conditions
- Carcinoma, Renal Cell
- Keywords
- localized, resected, adjuvant, Renal Cell Carcinoma, Kidney Cancer, Nephrectomy, Clear cell, High Risk of Relapse/Recurrence
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,641 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- 7 Jul 2017 (actual)
- Primary completion
- 28 Sep 2023 (actual)
- Study completion
- 1 Feb 2024 (actual)
- First posted
- 3 May 2017 (actual)
- Results
- Posted 18 Dec 2024
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 nivolmab alone or the combination of nivolumab and ipilimumab versus placebo, is safe and effective for delaying or preventing recurrence of cancer in participants who have experienced partial or entire removal of a kidney.
Detailed description
The study has two primary endpoints. The first primary completion date is anticipated to be reached July 2022 (DFS in Part A). The second primary completion date is anticipated to be reached July 2024 (DFS in Part B).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Part A, Arm A: nivolumab + ipilimumab | Experimental | Biological: nivolumab, Biological: ipilimumab |
| Part A, Arm B: nivolumab placebo + ipilimumab placebo | Placebo comparator | Drug: nivolumab placebo, Drug: ipilimumab placebo |
| Part B, Arm A: nivolumab + ipilimumab | Experimental | Biological: nivolumab, Biological: ipilimumab |
| Part B, Arm B: nivolumab placebo + ipilimumab placebo | Placebo comparator | Drug: nivolumab placebo, Drug: ipilimumab placebo |
| Part B, Arm C: nivolumab + ipilimumab placebo | Experimental | Biological: nivolumab, Drug: ipilimumab placebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Kidney tumor has been completely resected with negative surgical margins obtained. The randomization must occur greater than 4 weeks and less than (or equal to) 12 weeks from the date of nephrectomy
- Pathologic tumor, node, and metastasis (TNM) staging meeting one of the following: pT2a, G3 or G4, N0 M0; pT2b, G any, N0 M0; pT3, (a, b, c), G any, N0 M0; pT4, G any, N0 M0; pT any, G any, N1 M0
- Post-nephrectomy tumor shows renal cell cancer (RCC) with a predominantly clear cell histology, including participants with sarcomatoid features
- Participants must have no clinical or radiological evidence of macroscopic residual disease or distant metastases after nephrectomy
- Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0-1
Key exclusion criteria (8 listed)
- Participants with an active known or suspected autoimmune disease
- Known history of positive test for human immunodeficiency virus (HIV) or known acquired immunodeficiency syndrome (AIDS)
- Prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, or anti-CTLA-4 antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways
- Any severe or serious, acute or chronic medical or psychiatric condition, or laboratory abnormality that may increase the risk associated with study participation
- History of allergy or hypersensitivity to study drug components
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: OpdivoSpecified dose on specified days | Biological | Part A, Arm A: nivolumab + ipilimumab, Part B, Arm A: nivolumab + ipilimumab, Part B, Arm C: nivolumab + ipilimumab placebo |
| ipilimumabAlso: YervoySpecified dose on specified days | Biological | Part A, Arm A: nivolumab + ipilimumab, Part B, Arm A: nivolumab + ipilimumab |
| nivolumab placeboSpecified dose on specified days | Drug | Part A, Arm B: nivolumab placebo + ipilimumab placebo, Part B, Arm B: nivolumab placebo + ipilimumab placebo |
| ipilimumab placeboSpecified dose on specified days | Drug | Part A, Arm B: nivolumab placebo + ipilimumab placebo, Part B, Arm B: nivolumab placebo + ipilimumab placebo, Part B, Arm C: nivolumab + ipilimumab placebo |
Primary outcome
Disease-Free Survival (DFS) by BICR - Treatment Part A and B
Time frame: From randomization to development of local disease recurrence, distance metastasis, or death, whichever came first (up to approximately 72 months)
Disease-Free Survival (DFS) is defined as the time from randomization to development of local disease recurrence (ie, recurrence of primary tumor in situ or occurrence of a secondary renal cell carcinoma (RCC) primary cancer), distance metastasis, or death, whichever came first per Blinded Independent Central Review (BICR) based on Kaplan-Meier estimates.
12 secondary outcomes
Overall Survival (OS) - Treatment Part A and B
Time frame: From randomization to the date of death (up to approximately 72 months)
Overall Survival (OS) Rate (5 Years) - Treatment Part A and B
Time frame: At 5 years
Disease-Free Survival (DFS) Per BICR in Contemporaneously Randomized Combination and Monotherapy Participants - Treatment Part B
Time frame: From randomization to development of local disease recurrence, distance metastasis, or death, whichever came first (up to approximately 72 months)
Overall Survival (OS) in the Contemporaneously Randomized Combination and Monotherapy Participants - Treatment Part B
Time frame: From randomization to the date of death (up to approximately 72 months)
The Number of Participants With Adverse Events up to 30 Days After Last Dose of Study Therapy - Treatment Part A
Time frame: From first dose to 30 days post last dose (up to approximately 40 weeks)
The Number of Participants With Adverse Events up to 30 Days After Last Dose of Study Therapy - Treatment Part B
Time frame: From first dose to 30 days post last dose (up to approximately 40 weeks)
The Number of Participants With Adverse Events up to 100 Days After Last Dose of Study Therapy - Treatment Part A
Time frame: From first dose to 100 days post last dose (up to approximately 50 weeks)
The Number of Participants With Adverse Events up to 100 Days After Last Dose of Study Therapy - Treatment Part B
Time frame: From first dose to 100 days post last dose (up to approximately 50 weeks)
The Number of Participants Experiencing Laboratory Parameters by Worst CTC (Grade 3-4) That Worsened Relative to Baseline up to 30 Days - Treatment Part A
Time frame: From first dose to 30 days post last dose (up to approximately 40 weeks)
The Number of Participants Experiencing Laboratory Parameters by Worst CTC (Grade 3-4) That Worsened Relative to Baseline up to 30 Days - Treatment Part B
Time frame: From first dose to 30 days post last dose (up to approximately 40 weeks)
The Number of Participants Experiencing Laboratory Parameters by Worst CTC (Grade 3-4) That Worsened Relative to Baseline up to 100 Days - Treatment Part A
Time frame: From first dose to 100 days post last dose (up to approximately 50 weeks)
The Number of Participants Experiencing Laboratory Parameters by Worst CTC (Grade 3-4) That Worsened Relative to Baseline up to 100 Days - Treatment Part B
Time frame: From first dose to 100 days post last dose (up to approximately 50 weeks)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Dec 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 39303200Motzer RJ, Bex A, Russo P, Tomita Y, Cutuli HJ, Rojas C, Gross-Goupil M, Schinzari G, Melichar B, Barthelemy P, Ruiz Garcia A, Sosman J, Grimm MO, Goh JC, Suarez C, Kollmannsberger CK, Nair SG, Shuch BM, Huang J, Simsek B, Spiridigliozzi J, Lee CW, van Kooten Losio M, Grunwald V. Adjuvant Nivolumab for Localized Renal Cell Carcinoma at High Risk of Recurrence After Nephrectomy: Part B of the Randomized, Placebo-Controlled, Phase III CheckMate 914 Trial. J Clin Oncol. 2025 Jan 10;43(2):189-200. doi: 10.1200/JCO.24.00773. Epub 2024 Sep 20.
- Derived from this study: PubMed 36774933Motzer RJ, Russo P, Grunwald V, Tomita Y, Zurawski B, Parikh O, Buti S, Barthelemy P, Goh JC, Ye D, Lingua A, Lattouf JB, Albiges L, George S, Shuch B, Sosman J, Staehler M, Vazquez Estevez S, Simsek B, Spiridigliozzi J, Chudnovsky A, Bex A. Adjuvant nivolumab plus ipilimumab versus placebo for localised renal cell carcinoma after nephrectomy (CheckMate 914): a double-blind, randomised, phase 3 trial. Lancet. 2023 Mar 11;401(10379):821-832. doi: 10.1016/S0140-6736(22)02574-0. Epub 2023 Feb 9.
- Derived from this study: PubMed 33526329Marconi L, Sun M, Beisland C, Klatte T, Ljungberg B, Stewart GD, Dabestani S, Choueiri TK, Bex A. Prevalence, Disease-free, and Overall Survival of Contemporary Patients With Renal Cell Carcinoma Eligible for Adjuvant Checkpoint Inhibitor Trials. Clin Genitourin Cancer. 2021 Apr;19(2):e92-e99. doi: 10.1016/j.clgc.2020.12.005. Epub 2021 Jan 7.
- BMS Clinical Trial InformationLink provided by the sponsor.
- BMS Clinical Trial Patient RecruitingLink provided by the sponsor.
- Individual participant dataSharing planned: No
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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
200 sites in 25 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 Carcinoma, Renal Cell, run by Bristol-Myers Squibb at 200 sites in 25 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 8 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 18 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 200 sites in China, Japan, United States, Argentina, France and 20 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. Some participants in this study may receive a placebo. 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 Dec 2024). 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?
Disease-Free Survival (DFS) by BICR - Treatment Part A and B (time frame: From randomization to development of local disease recurrence, distance metastasis, or death, whichever came first (up to approximately 72 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 NCT03138512, which also lists 3 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 18 Dec 2024.