AzTrials
AzTrials

Colorectal CancerPhase 1/2CheckMate 9N9NCT03377361

An Investigational Immuno-therapy Study Of Nivolumab In Combination With Trametinib With Or Without Ipilimumab In Participants With Previously Treated Cancer of the Colon or Rectum That Has Spread

A Phase 1/2 study testing Nivolumab, Trametinib and Ipilimumab in people with Colorectal Cancer and Colorectal Tumors, run by Bristol-Myers Squibb at 47 sites in 10 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to investigate treatment with nivolumab in combination with trametinib with or without ipilimumab in participants with previously treated cancer of the colon or rectum that has spread. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Nivolumab, Trametinib and Ipilimumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
325 participants
Where
47 sitesin 10 countries
Study dates
31 Jan 2018to 4 Nov 2024
Phase
Phase 1/2
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

  • Histologically or cytologically confirmed previously treated metastatic colorectal cancer with adenocarcinoma histology and in Stage IV per American Joint Committee on Cancer (version 4.0) at study entry
  • Microsatellite status should be performed per local standard of practice, immunohistochemistry (IHC) and/or PCR. If IHC results are equivocal, PCR is required for determining microsatellite stable (MSS) status
  • Must have measurable disease per RECIST 1.1. Participants with lesions in a previously irradiated field as the sole site of measurable disease will be permitted to enroll provided the lesion(s) have demonstrated clear progression and can be measured accurately
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1 at screening and on cycle 1 day 1 (C1D1)

Who cannot join

  • BRAF V600 mutant colorectal cancer
  • Active brain metastases or leptomeningeal metastases
  • Active, known or suspected autoimmune disease
  • Participants with a condition requiring systemic treatment with either corticosteroids (> 10 mg daily prednisone equivalents) or other immunosuppressive medications within 14 days of study treatment administration
  • History of interstitial lung disease or pneumonitis
  • Prior treatment with immune checkpoint inhibitors and mitogen-activated protein kinase enzymes (MEK) inhibitors
  • History of allergy or hypersensitivity to study drug components
  • Other protocol defined inclusion/exclusion criteria apply

Trial locations and contacts

47 sites in 10 countries.

47 sites in 10 countries

United States16 sites
  • Local Institution - 0028

    Baltimore, Maryland, 21287

  • Local Institution - 0022

    Birmingham, Alabama, 35249

  • Local Institution - 0029

    Charlotte, North Carolina, 28204

  • Local Institution - 0107

    Gainesville, Florida, 32610

  • Local Institution - 0116

    Hattiesburg, Mississippi, 39401-7233

  • Local Institution - 0100

    Lancaster, Pennsylvania, 17604

  • Local Institution - 0027

    Los Angeles, California, 90033

  • Local Institution - 0067

    Los Angeles, California, 90089

  • Local Institution - 0002

    Madison, Wisconsin, 53792-0001

  • Local Institution - 0111

    Miami, Florida, 33136

  • Local Institution - 0104

    New York, New York, 10016

  • Local Institution - 0003

    Philadelphia, Pennsylvania, 19104

  • Thomas Jefferson University - Clinical Research Institute

    Philadelphia, Pennsylvania, 19107

  • Local Institution - 0001

    San Francisco, California, 94158

  • Local Institution - 0103

    St Louis, Missouri, 63110

  • Local Institution - 0101

    Temple, Texas, 76508

Other trials in United States

Spain7 sites
  • Local Institution - 0079

    Badalona, Barcelona [Barcelona], 08916

  • Local Institution - 0052

    Barcelona, 08035

  • Local Institution - 0114

    Madrid, 28007

  • Local Institution - 0051

    Madrid, 28041

  • Local Institution - 0115

    Madrid, 28050

  • Local Institution - 0080

    Pamplona, Navarre, 31009

  • Local Institution - 0096

    Seville, 41013

Other trials in Spain

Australia5 sites
  • Local Institution - 0044

    Blacktown, New South Wales, 2148

  • Local Institution - 0055

    Clayton, Victoria, 0

  • Local Institution - 0068

    Elizabeth Vale, South Australia, 05112

  • Local Institution - 0069

    Heidelberg, Victoria, 3084

  • Local Institution - 0043

    Southport, Queensland, 4215

Other trials in Australia

Argentina4 sites
  • Local Institution - 0123

    Buenos Aires, Distrito Federal, 1181

  • Local Institution - 0122

    Buenos Aires, Distrito Federal, C1096AAS

  • Local Institution - 0119

    Buenos Aires, 1431

  • Local Institution - 0120

    Ciudad Autónoma de Buenos Aires, Buenos Aires, C1426ANZ

Other trials in Argentina

Canada4 sites
  • Local Institution - 0113

    Edmonton, Alberta, T6G 1Z2

  • Local Institution - 0077

    Montreal, Quebec, H2X 0A9

  • Local Institution - 0076

    Ottawa, K1H 8L6

  • Local Institution - 0070

    Toronto, Ontario, M5G 2M9

Other trials in Canada

Italy4 sites
  • Local Institution - 0095

    Catania, 95124

  • Local Institution - 0093

    Milan, 20133

  • Local Institution - 0092

    Padova, 35128

  • Local Institution - 0094

    Rozzano, 20089

Other trials in Italy

Czechia3 sites
  • Local Institution - 0071

    Brno, 65653

  • Local Institution - 0073

    Hradec Králové, 500 05

  • Local Institution - 0072

    Olomouc, Olomouc Region, 779 00

Other trials in Czechia

Chile2 sites
  • Local Institution - 0117

    Santiago, Santiago Metropolitan, 000000

  • Local Institution - 0118

    Santiago, Santiago Metropolitan, 8420383

Other trials in Chile

Belgium1 site
  • Local Institution

    Woluwe-Saint-Lambert, 1200

Other trials in Belgium

Germany1 site
  • Local Institution - 0004

    Hanover, 30625

Other trials in Germany

About this study

Official title: A Study Of Nivolumab In Combination With Trametinib With Or Without Ipilimumab In Participants With Previously Treated Metastatic Colorectal Cancers

The purpose of this study is to investigate treatment with nivolumab in combination with trametinib with or without ipilimumab in participants with previously treated cancer of the colon or rectum that has spread.

Medical subject headings
Colorectal Neoplasms

What participants receive

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

  • NivolumabBiological

    Also called Opdivo, BMS-936558

    Specified dose on specified days

  • TrametinibDrug

    Also called Mekinist

    Specified dose on specified days

  • IpilimumabBiological

    Also called Yervoy, BMS-734016

    Specified dose on specified days

  • RegorafenibDrug

    Specified dose on specified days

Study groups in NCT03377361
Study groupRoleWhat they receive
Part 1 Cohort 1 3rd Line (3L): nivolumab + trametinibExperimentalNot described
Receives: Biological: Nivolumab; Drug: Trametinib
Part 1A Cohort 2 2nd Line (2L): nivolumab + ipilimumab + trametinibExperimentalNot described
Receives: Biological: Nivolumab; Drug: Trametinib; Biological: Ipilimumab
Part 1A Cohort 3 (2L): nivolumab + ipilimumab + trametinibExperimentalNot described
Receives: Biological: Nivolumab; Drug: Trametinib; Biological: Ipilimumab
Part 2 Cohort 4 (3L): nivolumab + ipilimumab + trametinibExperimentalNot described
Receives: Biological: Nivolumab; Drug: Trametinib; Biological: Ipilimumab
Part 2 Cohort 5 (3L): RegorafenibExperimentalNot described
Receives: Drug: Regorafenib
Part 1B Cohort 6 (2L): nivolumab + ipilimumab + trametinibExperimentalNot described
Receives: Biological: Nivolumab; Drug: Trametinib; Biological: Ipilimumab

What is being measured

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

  1. Dose Limiting Toxicities in Part 1 and Part 1A

    Dose Limiting Toxicities are defined as adverse events have to be at least possibly related to study treatment, and not to disease progression, be clinically relevant and a clinically relevant shift from baseline.

    Measured: 4 weeks for Doublet Reginmen and 8 weeks for triplet Regimen

  2. Safety Related Events in Part 1 and Part 1 A

    Safety-related events in clinical trials include Adverse Events (AEs), Serious Adverse Events (SAEs), and deaths. An AE is any new or worsening medical issue in a participant receiving the study drug, regardless of its relation to the drug. This includes abnormal lab results, symptoms, or diseases. An SAE is a more severe AE that results in death, is life-threatening, requires or prolongs hospitalization, causes significant disability, involves a birth defect, or is deemed medically important-potentially jeopardizing the participant or requiring intervention, even if not immediately life-threatening. These definitions help ensure consistent reporting and evaluation of safety during clinical studies.

    Measured: Assessed from first dose date to 100 days after last dose of study therapy. (Approximately: Part 1: ~ 6.5 Months Part 1A: ~ 5.5 Months)

  3. Clinical Laboratory Abnormalities in Part 1 and Part 1A: Specific Thyroid Tests

    Number of participants with clinical laboratory abnormalities in specific thyroid tests

    Measured: Assessed from first dose date to 100 days after last dose of study therapy. (Approximately: Part 1: ~ 6.5 Months Part 1A: ~ 5.5 Months)

  4. Clinical Laboratory Abnormalities in Part 1 and Part 1A: Specific Liver Tests

    Number of participants with clinical laboratory abnormalities in specific liver tests.

    Measured: Assessed from first dose date to 100 days after last dose of study therapy. (Approximately: Part 1: ~ 6.5 Months Part 1A: ~ 5.5 Months)

  5. Overal Response Rate in Part 1B and Part 2

    ORR is defined as the proportion of all treated participants whose BOR is either confirmed complete response (CR) or confirmed partial response (PR).

    Measured: Approximately up to 30 Months

Secondary outcomes (9)
  1. Objective Response Rate in Part 1 and Part 1A

    ORR is defined as the proportion of all treated participants whose BOR is either confirmed complete response (CR) or confirmed partial response (PR).

    Measured: From the first dosing date and the date of the initial objectively documented tumor progression or subsequent therapy date (Approximately up to 21 Months)

  2. Disease Control Rate in Part 1 and Part 1A

    The disease control rate (DCR) is defined as the percentage of participants whose BOR is either confirmed CR or confirmed PR or stable disease (SD)

    Measured: From the first dosing date and the date of the initial objectively documented tumor progression or subsequent therapy date (Approximately up to 21 Months)

  3. Duration of Response in Part 1 and Part 1A

    DOR for a participant with a BOR of confirmed CR or PR, is defined as the time between the date of first confirmed response and the date of the first objectively documented tumor progression per RECIST 1.1 or death, whichever occurs first.

    Measured: Approximately up to 20 Months

  4. Time to Response in Part 1 and Part 1A

    Time to response (TTR) is defined for participants who had a confirmed CR or PR as the time from the first dosing date to the date of first documented CR or PR per RECIST 1.1.

    Measured: From the first dosing date to the date of first documented CR or PR per RECIST 1.1. (Approximately on average 10 months)

  5. Progression Free Survival in Part 1 and Part 1A

    PFS for a participant is defined as the time from the first dosing date to the date of first objectively documented disease progression per RECIST 1.1 (ie, radiologic) or death due to any cause, whichever occurs first.

    Measured: from the first dosing date to the date of first objectively documented disease progression or death, whichever occurs first (Approximately up to 21 months)

  6. Overall Survival in Part 1 and Part 1A

    OS for a participant is defined as the time from the first dosing date to the date of death due to any cause. A participant who has not died will be censored at last known date alive.

    Measured: Approximately up to 69 Months

  7. Safety Related Events in Part 1B and Part 2

    Safety-related events in clinical trials include Adverse Events (AEs), Serious Adverse Events (SAEs), and deaths. An AE is any new or worsening medical issue in a participant receiving the study drug, regardless of its relation to the drug. This includes abnormal lab results, symptoms, or diseases. An SAE is a more severe AE that results in death, is life-threatening, requires or prolongs hospitalization, causes significant disability, involves a birth defect, or is deemed medically important-potentially jeopardizing the participant or requiring intervention, even if not immediately life-threatening. These definitions help ensure consistent reporting and evaluation of safety during clinical studies.

    Measured: Assessed from first dose date to 100 days after last dose of study therapy. (Approximately: 6.8 Months)

  8. Clinical Laboratory Abnormalities in Part 1B and Part 2: Specific Thyroid Tests

    Number of participants with clinical laboratory abnormalities in specific thyroid tests

    Measured: Assessed from first dose date to 100 days after last dose of study therapy. (Approximately: 6.8 Months)

  9. Clinical Laboratory Abnormalities in Part 1B and Part 2: Specific Liver Tests

    Number of participants with clinical laboratory abnormalities in specific liver tests.

    Measured: Assessed from first dose date to 100 days after last dose of study therapy. (Approximately: 6.8 Months)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Dec 2017
  2. Study start31 Jan 2018
  3. Primary completion4 Nov 2024
  4. Study completion4 Nov 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
325 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03377361
Sponsor's protocol ID
CA209-9N9
Other IDs
2017-001830-24, 2017
Acronym
CheckMate 9N9
Status last verified
Nov 2025
First submitted
14 Dec 2017
Last updated
3 Dec 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Nivolumab, Trametinib and Ipilimumab in people with Colorectal Cancer and Colorectal Tumors, run by Bristol-Myers Squibb at 47 sites in 10 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 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 3 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 47 sites in United States, Spain, Australia, Argentina, Canada and 5 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 3 Dec 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?

Dose Limiting Toxicities in Part 1 and Part 1A (time frame: 4 weeks for Doublet Reginmen and 8 weeks for triplet Regimen). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 3 Dec 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in