A Study of Nivolumab Plus Ipilimumab, Ipilimumab Alone, or Cabazitaxel in Men With Metastatic Castration-Resistant Prostate Cancer (CheckMate 650)

NCT ID: NCT02985957

Last Updated: 2025-12-22

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

351 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-26

Study Completion Date

2025-01-07

Brief Summary

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The purpose of this study is to evaluate the effectiveness, safety and tolerability of nivolumab followed by ipilimumab, in subjects with metastatic castration resistant prostate cancer (mCRPC).

Detailed Description

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Conditions

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Prostate Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cohort A (Arm A)

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Ipilimumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Cohort B (Arm B)

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Ipilimumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Cohort C (Arm C)

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Ipilimumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Cohort D (Arm D1)

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Ipilimumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Cohort D (Arm D2)

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Ipilimumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Cohort D (Arm D3)

Group Type EXPERIMENTAL

Ipilimumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Cohort D (Arm D4)

Group Type EXPERIMENTAL

Cabazitaxel

Intervention Type DRUG

Specified dose on specified days

Prednisone

Intervention Type DRUG

Specified dose on specified days

Interventions

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Nivolumab

Specified dose on specified days

Intervention Type BIOLOGICAL

Ipilimumab

Specified dose on specified days

Intervention Type BIOLOGICAL

Cabazitaxel

Specified dose on specified days

Intervention Type DRUG

Prednisone

Specified dose on specified days

Intervention Type DRUG

Other Intervention Names

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BMS-936558 Opdivo BMS-734016 Yervoy

Eligibility Criteria

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Inclusion Criteria

* Eastern Cooperative Oncology Group (ECOG) performance status 0-1
* Current evidence of metastatic disease documented by either bone lesions on radionuclide bone scan and/or soft tissue lesions on computerized tomography/magnetic resonance imaging (CT/MRI).
* Ongoing androgen deprivation therapy (ADT) with a Gonadotropin-releasing hormone (GnRH) analogue or a surgical/medical castration with testosterone level of ≤1.73nmol/L (50ng/dL)

For crossover phase for participants originally randomized to Arm D3 or Arm D4 only:

* Previously randomized to Arm D3 or D4; had histologic confirmation of adenocarcinoma of the prostate and evidence of Stage IV disease (as defined by American Joint Committee of Cancer criteria (AJCC criteria) prior to randomization

Exclusion Criteria

* Presence of visceral metastases in the liver
* Active brain metastases or leptomeningeal metastases
* Active, known, or suspected autoimmune disease or infection
* 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

For crossover phase for participants originally randomized to Arm D3 or Arm D4 only:

* Prior radiation therapy within 14 days prior to first dose of nivolumab combined with ipilimumab
* Have received systemic anti-cancer therapy after the last dose of study treatment (ipilimumab or cabazitaxel)
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bristol-Myers Squibb

Role: STUDY_DIRECTOR

Bristol-Myers Squibb

Locations

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Local Institution - 0074

Tucson, Arizona, United States

Site Status

Local Institution - 0046

Marietta, Georgia, United States

Site Status

Local Institution - 0011

Chicago, Illinois, United States

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Local Institution - 0076

Minneapolis, Minnesota, United States

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Local Institution - 0008

St Louis, Missouri, United States

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Local Institution - 0075

Las Vegas, Nevada, United States

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Local Institution - 0078

Albany, New York, United States

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Local Institution - 0065

Lake Success, New York, United States

Site Status

Local Institution - 0001

New York, New York, United States

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Local Institution - 0077

Tigard, Oregon, United States

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Local Institution - 0047

Allentown, Pennsylvania, United States

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Local Institution - 0010

Philadelphia, Pennsylvania, United States

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Local Institution - 0067

Charleston, South Carolina, United States

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Local Institution - 0079

Austin, Texas, United States

Site Status

Local Institution - 0002

Houston, Texas, United States

Site Status

Local Institution - 0027

Gosford, New South Wales, Australia

Site Status

Local Institution - 0059

Wahroonga, New South Wales, Australia

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Local Institution - 0029

Westmead, New South Wales, Australia

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Local Institution - 0028

Southport, Queensland, Australia

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Local Institution - 0043

Woolloongabba, Queensland, Australia

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Local Institution - 0030

Elizabeth Vale, South Australia, Australia

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Local Institution - 0031

Clayton, Victoria, Australia

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Local Institution - 0048

Vienna, , Austria

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Local Institution - 0044

Montreal, Quebec, Canada

Site Status

Local Institution - 0063

Aarhus N, Central Jutland, Denmark

Site Status

Local Institution - 0062

Aalborg, , Denmark

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Local Institution - 0061

København Ø, , Denmark

Site Status

Local Institution - 0060

Odense, , Denmark

Site Status

Local Institution - 0009

Clermont-Ferrand, , France

Site Status

Local Institution - 0005

Lyon, , France

Site Status

Local Institution - 0004

Marseille, , France

Site Status

Local Institution - 0003

Villejuif, , France

Site Status

Local Institution - 0038

Göttingen, Lower Saxony, Germany

Site Status

Local Institution - 0041

Braunschweig, , Germany

Site Status

Local Institution - 0032

Dresden, , Germany

Site Status

Local Institution - 0019

Herne, , Germany

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Local Institution - 0017

Jena, , Germany

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Local Institution - 0034

Munich, , Germany

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Local Institution - 0018

Münster, , Germany

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Local Institution - 0037

Nuremberg, , Germany

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Local Institution - 0042

Nürtingen, , Germany

Site Status

Local Institution - 0036

Rostock, , Germany

Site Status

Local Institution - 0033

Tübingen, , Germany

Site Status

Local Institution - 0035

Wesel, , Germany

Site Status

Local Institution - 0071

Arezzo, , Italy

Site Status

Local Institution - 0052

Milan, , Italy

Site Status

Local Institution - 0053

Napoli, , Italy

Site Status

Local Institution - 0072

Parma, , Italy

Site Status

Local Institution - 0051

Terni, , Italy

Site Status

Local Institution - 0055

Krakow, Lesser Poland Voivodeship, Poland

Site Status

Local Institution - 0066

Koszalin, , Poland

Site Status

Local Institution - 0054

Warsaw, , Poland

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Local Institution - 0022

Madrid, Sede Madrid, Spain

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Local Institution - 0026

Badajoz, , Spain

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Local Institution - 0025

Barcelona, , Spain

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Local Institution - 0020

Madrid, , Spain

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Local Institution - 0021

Madrid, , Spain

Site Status

Local Institution - 0024

Málaga, , Spain

Site Status

Local Institution - 0023

Santiago Compostela, , Spain

Site Status

Countries

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United States Australia Austria Canada Denmark France Germany Italy Poland Spain

References

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Sharma P, Pachynski RK, Narayan V, Flechon A, Gravis G, Galsky MD, Mahammedi H, Patnaik A, Subudhi SK, Ciprotti M, Simsek B, Saci A, Hu Y, Han GC, Fizazi K. Nivolumab Plus Ipilimumab for Metastatic Castration-Resistant Prostate Cancer: Preliminary Analysis of Patients in the CheckMate 650 Trial. Cancer Cell. 2020 Oct 12;38(4):489-499.e3. doi: 10.1016/j.ccell.2020.08.007. Epub 2020 Sep 10.

Reference Type DERIVED
PMID: 32916128 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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2016-001928-54

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CA209-650

Identifier Type: -

Identifier Source: org_study_id