Prostate CancerPhase 2CheckMate 9KDNCT03338790
An Investigational Immunotherapy Study of Nivolumab in Combination With Rucaparib, Docetaxel, or Enzalutamide in Metastatic Castration-resistant Prostate Cancer
A Phase 2 study testing nivolumab, docetaxel and enzalutamide in people with Prostate Cancer, run by Bristol-Myers Squibb at 66 sites in 11 countries.
Trial summary
The purpose of this study is to assess safety and efficacy of nivolumab in combination with rucaparib, docetaxel, or enzalutamide in participants with castration-resistant prostate cancer that has spread. Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- Prostate Cancer
- What is being tested?
- nivolumab, docetaxel and enzalutamide
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 292 participants
- Where
- 66 sitesin 11 countries
- Study dates
- 19 Dec 2017to 10 Jan 2025
- Phase
- Phase 2
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
- Men only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologic confirmation of adenocarcinoma of the prostate
- Evidence of stage IV disease on previous bone, CT, and/or MRI scan
- Ongoing androgen deprivation therapy (ADT) with a gonadotropin-releasing hormone (GnRH) analogue or bilateral orchiectomy
- Mandatory plasma and fresh or archival tumor tissue must be submitted
Who cannot join
- Prior malignancy active within the previous 3 years except for locally curable cancers that have been apparently cured, such as basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the breast
- Participants with active brain metastases
- Participants must have recovered from the effects of major surgery requiring general anesthesia or significant traumatic injury at least 14 days before treatment arm assignment
- Other protocol defined inclusion/exclusion criteria could apply
Trial locations and contacts
66 sites in 11 countries.
66 sites in 11 countries
United States19 sites
Local Institution - 0038
Albany, New York, 12208
Local Institution - 0053
Allentown, Pennsylvania, 18103
Boston Medical Center
Boston, Massachusetts, 02118
Local Institution - 0036
Daphne, Alabama, 36526
Local Institution - 0012
Detroit, Michigan, 48201
Local Institution - 0041
Durham, North Carolina, 27710
Local Institution - 0039
Fairfax, Virginia, 22031
Local Institution - 0069
Jackson, Mississippi, 39202
Local Institution - 0065
Louisville, Kentucky, 40207
Local Institution - 0009
Marietta, Georgia, 30060
Local Institution - 0037
Miami, Florida, 33176
Local Institution - 0049
New Haven, Connecticut, 06520
Tulane University
New Orleans, Louisiana, 70112
Local Institution - 0068
New York, New York, 10032
Local Institution - 0035
Omaha, Nebraska, 68130
Local Institution - 0024
Portland, Oregon, 97225
Local Institution - 0010
Rancho Mirage, California, 92270
Local Institution - 0040
Rockville, Maryland, 20850
Local Institution - 0011
St Louis, Missouri, 63110
Brazil9 sites
Local Institution - 0020
Belo Horizonte, Minas Gerais, 30110-022
Local Institution - 0074
Belo Horizonte, Minas Gerais, 30130-090
Local Institution - 0022
Campinas, São Paulo, 13075-460
Local Institution - 0075
Curitiba, Paraná, 81480-580
Local Institution - 0018
Ijuí, Rio Grande do Sul, 98700-000
Local Institution - 0021
Porto Alegre, Rio Grande do Sul, 90035001
Local Institution - 0019
Rio de Janeiro, Rio de Janeiro, 22793-080
Local Institution - 0073
São Paulo, São Paulo, 01308-050
Local Institution - 0071
São Paulo, São Paulo, 05652-900
Australia6 sites
Local Institution - 0015
Camperdown, New South Wales, 2050
Local Institution - 0050
Clayton, Victoria, 0
Local Institution - 0016
Elizabeth Vale, South Australia, 5112
Local Institution - 0013
Heidelberg, Victoria, 3084
Local Institution - 0014
South Brisbane, Queensland, 4101
Local Institution - 0017
Westmead, New South Wales, 2145
Germany6 sites
Local Institution - 0001
Essen, 45122
Local Institution - 0006
Göttingen, 37075
Local Institution - 0004
Heidelberg, D-69120
Local Institution - 0002
Jena, 07747
Local Institution - 0007
Koblenz, 56068
Local Institution - 0064
München, 81675
Argentina5 sites
Local Institution - 0044
Buenos Aires, Distrito Federal, C1280
Local Institution - 0052
CABA, Buenos Aires, 1426
Local Institution - 0043
CABA, 1199
Local Institution - 0042
Capital Federal, Buenos Aires, 1426
Local Institution - 0062
Villa Siburu, Córdoba Province, 5003
Canada5 sites
Local Institution - 0055
Hamilton, Ontario, L8V 5C2
Local Institution - 0067
Kelowna, British Columbia, V1Y 5L3
Local Institution - 0059
Moncton, New Brunswick, E1C 6Z8
Local Institution - 0066
Montreal, Quebec, H2X 0C1
Local Institution - 0056
Québec, Quebec, G1J 1Z4
France5 sites
Local Institution - 0033
Besançon, 25030
Local Institution - 0032
Clermont-Ferrand, 63000
Local Institution - 0031
Lyon, 69008
Local Institution - 0030
Marseille, 13273
Local Institution - 0029
Villejuif, 94800
Mexico4 sites
Local Institution - 0025
Culiacán, Sinaloa, 80230
Local Institution - 0061
Guadalajara, Jalisco, 44130
Local Institution - 0048
Guadalajara, Jalisco, 44280
Local Institution - 0054
León, Guanajuato, 37000
Spain3 sites
Local Institution - 0045
Madrid, 28041
Local Institution - 0046
Pamplona, 31008
Local Institution - 0047
Seville, 41013
Chile2 sites
Local Institution - 0034
Santiago, Santiago Metropolitan, 8420383
Local Institution - 0051
Viña del Mar, Valparaiso, 2540364
Colombia2 sites
Local Institution - 0026
Medellín, 0
Local Institution - 0027
Montería, Departamento de Córdoba, 0
About this study
Official title: A Phase 2 Study of Nivolumab in Combination With Either Rucaparib, Docetaxel, or Enzalutamide in Men With Castration-resistant Metastatic Prostate Cancer
The purpose of this study is to assess safety and efficacy of nivolumab in combination with rucaparib, docetaxel, or enzalutamide in participants with castration-resistant prostate cancer that has spread.
- Conditions
- Prostate Cancer
- Being tested
- nivolumab, docetaxel, enzalutamide, rucaparib, prednisone
- Medical subject headings
- Prostatic Neoplasms
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
docetaxelDrug
Specified dose on specified days
enzalutamideDrug
Specified dose on specified days
rucaparibDrug
Specified dose on specified days
prednisoneDrug
Specified dose on specified days
| Study group | Role | What they receive |
|---|---|---|
| nivolumab + rucaparib | Experimental | Specified dose on specified days Receives: Biological: nivolumab; Drug: rucaparib |
| nivolumab + docetaxel + prednisone | Experimental | Specified dose on specified days Receives: Biological: nivolumab; Drug: docetaxel; Drug: prednisone |
| nivolumab + enzalutamide | Experimental | Specified dose on specified days Receives: Biological: nivolumab; Drug: enzalutamide |
What is being measured
The primary outcome is the main question the study is designed to answer.
Objective Response Rate Per Prostate Cancer Clinical Trials Working Group 3 (ORR-PCWG3)
Objective response rate per prostate cancer clinical trials working group 3 (ORR-PCWG3) for target lesions and assessed by MRI is the percentage of participants who have a confirmed complete or partial best overall response (BOR) per PCWG3 among treated participants who have measurable disease
Measured: Up to approximately 36 months
Prostate-Specific Antigen Response Rate (RR-PSA)
Prostate-specific antigen response rate (RR-PSA) is the percentage of treated participants with a 50% or greater decrease in PSA from baseline to the lowest post-baseline PSA result
Measured: Up to approximately 36 months
Secondary outcomes (10)
Radiographic Progression-Free Survival (rPFS)
Radiographic progress-free survival (rPFS) is the time between treatment initiation and the first date of documented progression or death due to any cause, whichever occurs first assessed by the investigator per Prostate Cancer Clinical Trials Working Group 3 (PCWG3)
Measured: Up to approximately 84 months
Time to Response Per Prostate Cancer Clinical Trials Working Group 3 (TTR-PCWG3)
Time to response per prostate cancer clinical trials working group 3 (TTR-PCWG3) is the time from treatment initiation to the date of the first documented complete response (CR) or partial response (PR) per Prostate Cancer Clinical Trials Working Group 3 (PCWG3)
Measured: Up to approximately 84 months
Duration of Response Per Prostate Cancer Clinical Trials Working Group 3 (DOR-PCWG3)
Duration of response per prostate cancer clinical trials working group 3 (DOR-PCWG3) is the time between the date of first response (complete response/partial response per PCWG3) to the date of first documented radiographic progression per Prostate Cancer Clinical Trials Working Group 3 (PCWG3) or death due to any cause
Measured: Up to approximately 84 months
Prostate-Specific Antigen Time to Progression (TTP-PSA)
Prostate-specific antigen time to progression (TTP-PSA) is the time between treatment initiation to the date of PSA progression per prostate cancer clinical trials working group 3 (PCWG3)
Measured: Up to approximately 84 months
Overall Survival (OS)
Overall Survival (OS) is the time between treatment initiation and the date of death from any cause. For participants who are alive, their survival time will be censored at the last date that they were known to be alive. OS will be censored for participants at the date of treatment initiation if they had no follow-up
Measured: Up to approximately 84 months
Number of Participants With Adverse Events (AEs)
Number of Participants with any grade adverse events (AEs), serious adverse events (SAEs), AEs leading to discontinuation, and immune-mediated AEs using the Common Toxicity Criteria Grade for Adverse Events (CTCAE V4)
Measured: From first dose to up to 30 days post last dose (Up to 82 months)
Number of Participants Who Died
Number of participants who died due to any cause.
Measured: Up to 84 months
Number of Participants With Laboratory Abnormalities in Specific Liver Tests
Number of participants with laboratory abnormalities in specific liver tests based on SI conventional units to assess the overall safety and tolerability of BMS-986213 in combination with chemotherapy vs. Nivolumab in combination with chemotherapy. The number of participants with the following laboratory abnormalities from on-treatment evaluations will be summarized:
- ALT or AST > 3 x ULN, > 5 x ULN, > 10 x ULN and > 20 x ULN
- Total bilirubin > 2 x ULN
- ALP > 1.5 x ULN
- Concurrent (within 1 day) ALT or AST > 3 x ULN and total bilirubin > 1.5 x ULN
- Concurrent (within 30 days) ALT or AST > 3 x ULN and total bilirubin > 1.5 x ULN
- Concurrent (within 1 day) ALT or AST > 3 x ULN and total bilirubin > 2 x ULN
- Concurrent (within 30 days) ALT or AST > 3 x ULN and total bilirubin > 2 x ULN
Measured: From first dose to up to 30 days post last dose (up to 82 months)
Number of Participants With Laboratory Abnormalities in Specific Thyroid Tests
Number of participants with laboratory abnormalities in specific thyroid tests based on US conventional units. The number of participants with the following laboratory abnormalities from on-treatment evaluations will be summarized:
- TSH value > ULN and
- with baseline TSH value <= ULN
- with at least one FT3/FT4 test value < LLN within 2-week window after the abnormal TSH test
- with all FT3/FT4 test values >= LLN within 2-week window after the abnormal TSH test
- with FT3/FT4 missing within 2-week window after the abnormal TSH test.
- TSH < LLN and
- with baseline TSH value >= LLN
- with at least one FT3/FT4 test value > ULN within 2-week window after the abnormal TSH test
- with all FT3/FT4 test values <= ULN within 2-week window after the abnormal TSH test
- with FT3/FT4 missing within 2-week window after the abnormal TSH test
Measured: From first dose to up to 30 days post last dose (Up to 82 months)
Number of Participants With Laboratory Values Change From Baseline
Number of participants changed from baseline in laboratory values of worst toxicity grade (grade 0= wnl, grade 1= mild, grade 2= moderate, grade 3= severe) based on US conventional units by cohort
Measured: From first dose to up to 30 days post last dose (Up to 82 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Nov 2017
- Study start19 Dec 2017
- Primary completion13 Jan 2021
- Study completion10 Jan 2025
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 Prostate 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 2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 292 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Clovis Oncology, Inc., Astellas Pharma Inc
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03338790
- Sponsor's protocol ID
- CA209-9KD
- Acronym
- CheckMate 9KD
- Status last verified
- Jan 2026
- First submitted
- 8 Nov 2017
- Last updated
- 27 Jan 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Fizazi K, Retz M, Petrylak DP, Goh JC, Perez-Gracia J, Lacombe L, Zschabitz S, Burotto M, Mahammedi H, Gravis G, Bastos DA, McCune SL, Vazquez Limon JC, Kwan EM, Castellano D, Flechon A, Saad F, Grimm MO, Shaffer DR, Armstrong AJ, Bhagavatheeswaran P, Amin NP, Unsal-Kacmaz K, Wang X, Li J, Loehr A, Pachynski RK. Nivolumab plus rucaparib for metastatic castration-resistant prostate cancer: results from the phase 2 CheckMate 9KD trial. J Immunother Cancer. 2022 Aug;10(8):e004761. doi: 10.1136/jitc-2022-004761.
PubMed 35977756Fizazi K, Gonzalez Mella P, Castellano D, Minatta JN, Rezazadeh Kalebasty A, Shaffer D, Vazquez Limon JC, Sanchez Lopez HM, Armstrong AJ, Horvath L, Bastos DA, Amin NP, Li J, Unsal-Kacmaz K, Retz M, Saad F, Petrylak DP, Pachynski RK. Nivolumab plus docetaxel in patients with chemotherapy-naive metastatic castration-resistant prostate cancer: results from the phase II CheckMate 9KD trial. Eur J Cancer. 2022 Jan;160:61-71. doi: 10.1016/j.ejca.2021.09.043. Epub 2021 Nov 18.
PubMed 34802864