A Study to Evaluate Efficacy in Subjects With Esophageal Cancer Treated With Nivolumab and Ipilimumab or Nivolumab Combined With Fluorouracil Plus Cisplatin Versus Fluorouracil Plus Cisplatin

NCT ID: NCT03143153

Last Updated: 2025-02-25

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

970 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-06-29

Study Completion Date

2025-01-13

Brief Summary

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The main purpose of this study is to compare how long subjects with esophageal cancer live overall or live without disease progression after receiving nivolumab and ipilimumab or nivolumab combined with fluorouracil plus cisplatin versus fluorouracil plus cisplatin

Detailed Description

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Conditions

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Various Advanced 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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Nivolumab + Ipilimumab

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Ipilimumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Nivolumab + Cisplatin + Fluorouacil

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Cisplatin

Intervention Type DRUG

Specified dose on specified days

Fluorouracil

Intervention Type DRUG

Specified dose on specified days

Cisplatin + Fluorouracil

Group Type ACTIVE_COMPARATOR

Cisplatin

Intervention Type DRUG

Specified dose on specified days

Fluorouracil

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

Cisplatin

Specified dose on specified days

Intervention Type DRUG

Fluorouracil

Specified dose on specified days

Intervention Type DRUG

Other Intervention Names

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BMS-936558 (Nivolumab) Opdivo (Nivolumab) BMS-734016 (Ipilimumab) Yervoy (Ipilimumab)

Eligibility Criteria

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Inclusion Criteria

* Must have histologically confirmed squamous cell carcinoma or adenosquamous cell carcinoma of esophagus
* Male or Female at least 18 years of age
* Must have esophageal cancer that cannot be operated on, or treated with definitive chemoradiation with curative intent, that is advanced, reoccurring or has spread out
* Must have full activity or, if limited, must be able to walk and carry out light activities such as light house work or office work
* Must agree to provide tumor tissue sample, either from a previous surgery or biopsy within 6 months or fresh, prior to the start of treatment in this study

Exclusion Criteria

* Presence of tumor cells in the brain or spinal cord which are symptomatic or require treatment
* Active known or suspected autoimmune disease
* Any serious or uncontrolled medical disorder or active infection
* Known history of positive test for human immunodeficiency virus (HIV) or known acquired immunodeficiency syndrome (AIDS)
* Any positive test result for hepatitis B or C indicating acute or chronic infection and/or detectable virus
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ono Pharmaceutical Co. Ltd

INDUSTRY

Sponsor Role collaborator

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 - 0191

Mobile, Alabama, United States

Site Status

Arizona Cancer Center

Tucson, Arizona, United States

Site Status

Usc/Norris Comprehensive Cancer Center

Los Angeles, California, United States

Site Status

Local Institution - 0188

Denver, Colorado, United States

Site Status

University Of Miami Sylvester Comprehensive Cancer Center

Miami, Florida, United States

Site Status

Local Institution - 0186

Miami, Florida, United States

Site Status

Local Institution - 0225

Tampa, Florida, United States

Site Status

Local Institution - 0074

Atlanta, Georgia, United States

Site Status

Local Institution - 0032

Marietta, Georgia, United States

Site Status

Hackensack Meridian Jersey Shore University Medical Center

Neptune City, New Jersey, United States

Site Status

Oncology Associates Of Oregon, Pc

Eugene, Oregon, United States

Site Status

Northwest Cancer Specialists, P.C.

Portland, Oregon, United States

Site Status

Local Institution - 0210

Dallas, Texas, United States

Site Status

Local Institution - 0028

Houston, Texas, United States

Site Status

Local Institution - 0190

Roanoke, Virginia, United States

Site Status

Local Institution - 0203

Morgantown, West Virginia, United States

Site Status

Local Institution - 0050

Capital Federal, Buenos Aires, Argentina

Site Status

Local Institution - 0086

Rosario, Santa Fe Province, Argentina

Site Status

Local Institution - 0048

Buenos Aires, , Argentina

Site Status

Local Institution - 0087

La Rioja, , Argentina

Site Status

Local Institution - 0232

Tamworth, New South Wales, Australia

Site Status

Local Institution - 0011

Douglas, Queensland, Australia

Site Status

Local Institution - 0010

Murdoch, Western Australia, Australia

Site Status

Local Institution - 0241

Salzburg, , Austria

Site Status

Local Institution - 0017

Salvador, Estado de Bahia, Brazil

Site Status

Local Institution - 0227

Ipatinga, Minas Gerais, Brazil

Site Status

Local Institution - 0021

Ijuí, Rio Grande do Sul, Brazil

Site Status

Local Institution - 0016

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Local Institution - 0019

Barretos, São Paulo, Brazil

Site Status

Local Institution - 0226

Jaú, São Paulo, Brazil

Site Status

Local Institution - 0018

São José do Rio Preto, São Paulo, Brazil

Site Status

Local Institution - 0228

Rio de Janeiro, , Brazil

Site Status

Local Institution - 0020

São Paulo, , Brazil

Site Status

Local Institution - 0095

Moncton, New Brunswick, Canada

Site Status

Local Institution - 0082

Montreal, Quebec, Canada

Site Status

Local Institution - 0222

Montreal, Quebec, Canada

Site Status

Local Institution - 0037

Trois-Rivières, Quebec, Canada

Site Status

Local Institution - 0053

Santiago, Santiago Metropolitan, Chile

Site Status

Local Institution - 0214

Santiago, Santiago Metropolitan, Chile

Site Status

Local Institution - 0207

Hefei, Anhui, China

Site Status

Local Institution - 0197

Hefei, Anhui, China

Site Status

Local Institution - 0182

Beijing, Beijing Municipality, China

Site Status

Local Institution - 0179

Beijing, Beijing Municipality, China

Site Status

Local Institution - 0216

Beijing, Beijing Municipality, China

Site Status

Local Institution - 0217

Fuzhou, Fujian, China

Site Status

Local Institution - 0219

Fuzhou, Fujian, China

Site Status

Local Institution - 0199

Shantou, Guangdong, China

Site Status

Local Institution - 0185

Harbin, Heilongjiang, China

Site Status

Local Institution - 0193

Zhengzhou, Henan, China

Site Status

Local Institution - 0195

Zhengzhou, Henan, China

Site Status

Local Institution - 0194

Zhengzhou, Henan, China

Site Status

Local Institution - 0249

Changsha, Hunan, China

Site Status

Local Institution - 0212

Changsha, Hunan, China

Site Status

Local Institution - 0201

Nanjing, Jiangsu, China

Site Status

Local Institution - 0180

Changchun, Jilin, China

Site Status

Local Institution - 0183

Xi'an, Shan3xi, China

Site Status

Local Institution - 0215

Shanghai, Shanghai Municipality, China

Site Status

Local Institution - 0200

Shanghai, Shanghai Municipality, China

Site Status

Local Institution - 0184

Hangzhou, Zhejiang, China

Site Status

Local Institution - 0247

Linhai, Zhejiang, China

Site Status

Local Institution - 0220

Shenyang, , China

Site Status

Local Institution - 0248

Xi'an, , China

Site Status

Local Institution - 0059

Bogotá, , Colombia

Site Status

Local Institution - 0058

Medellín, , Colombia

Site Status

Local Institution - 0224

Montería, , Colombia

Site Status

Local Institution - 0094

Pereira, , Colombia

Site Status

Local Institution - 0083

Brno, , Czechia

Site Status

Local Institution - 0008

Brno, , Czechia

Site Status

Local Institution - 0006

Nový Jičín, , Czechia

Site Status

Local Institution - 0099

Odense, , Denmark

Site Status

Local Institution - 0116

Lille, Nord, France

Site Status

Local Institution - 0114

Caen, , France

Site Status

Local Institution - 0112

Montpellier, , France

Site Status

Local Institution - 0113

Rennes, , France

Site Status

Local Institution - 0242

Toulouse, , France

Site Status

Local Institution - 0115

Villejuif, , France

Site Status

Local Institution - 0035

Hong Kong, , Hong Kong

Site Status

Local Institution - 0070

Kowloon, , Hong Kong

Site Status

Local Institution - 0085

Bergamo, , Italy

Site Status

Local Institution - 0039

Milan, , Italy

Site Status

Local Institution - 0084

Padua, , Italy

Site Status

Local Institution - 0240

Pisa, , Italy

Site Status

Local Institution - 0152

Akita, Akita, Japan

Site Status

Local Institution - 0104

Hirosaki-shi, Aomori, Japan

Site Status

Local Institution - 0173

Kashiwa-shi, Chiba, Japan

Site Status

Local Institution - 0169

Matsuyama, Ehime, Japan

Site Status

Local Institution - 0119

Matsuyama, Ehime, Japan

Site Status

Local Institution - 0174

Fukuoka, Fukuoka, Japan

Site Status

Local Institution - 0142

Fukuoka, Fukuoka, Japan

Site Status

Local Institution - 0103

Fukushima, Fukushima, Japan

Site Status

Local Institution - 0154

Gifu, Gifu, Japan

Site Status

Local Institution - 0176

Ōta, Gunma, Japan

Site Status

Local Institution - 0100

Hiroshima, Hiroshima, Japan

Site Status

Local Institution - 0111

Sapporo, Hokkaido, Japan

Site Status

Local Institution - 0170

Akashi-shi, Hyōgo, Japan

Site Status

Local Institution - 0172

Kobe, Hyōgo, Japan

Site Status

Local Institution - 0118

Kobe, Hyōgo, Japan

Site Status

Local Institution - 0171

Kanazawa, Ishikawa-ken, Japan

Site Status

Local Institution - 0229

Kagoshima, Kagoshima-ken, Japan

Site Status

Local Institution - 0127

Isehara, Kanagawa, Japan

Site Status

Local Institution - 0109

Kawasaki-shi, Kanagawa, Japan

Site Status

Local Institution - 0105

Sagamihara-shi, Kanagawa, Japan

Site Status

Local Institution - 0147

Yokohama, Kanagawa, Japan

Site Status

Local Institution - 0117

Yokohama, Kanagawa, Japan

Site Status

Local Institution - 0141

Kumamoto, Kumamoto, Japan

Site Status

Local Institution - 0120

Kamigyō-ku, Kyoto, Japan

Site Status

Local Institution - 0144

Sendai, Miyagi, Japan

Site Status

Local Institution - 0146

Niigata, Niigata, Japan

Site Status

Local Institution - 0135

Kurashiki-shi, Okayama-ken, Japan

Site Status

Local Institution - 0137

Okayama, Okayama-ken, Japan

Site Status

Local Institution - 0221

Hirakata, Osaka, Japan

Site Status

Local Institution - 0138

Osaka, Osaka, Japan

Site Status

Local Institution - 0098

Sayama, Osaka, Japan

Site Status

Local Institution - 0107

Suita, Osaka, Japan

Site Status

Local Institution - 0139

Takatsuki, Osaka, Japan

Site Status

Local Institution - 0230

Hidaka-shi, Saitama, Japan

Site Status

Local Institution - 0175

Kitaadachi-gun, Saitama, Japan

Site Status

Local Institution - 0143

Sunto-gun, Shizuoka, Japan

Site Status

Local Institution - 0148

Shimotsuga-gun, Tochigi, Japan

Site Status

Local Institution - 0106

Bunkyo-ku, Tokyo, Japan

Site Status

Local Institution - 0110

Bunkyo-ku, Tokyo, Japan

Site Status

Local Institution - 0136

Chuo-ku, Tokyo, Japan

Site Status

Local Institution - 0128

Chuo-ku, Tokyo, Japan

Site Status

Local Institution - 0126

Koto-ku, Tokyo, Japan

Site Status

Local Institution - 0156

Minato-ku, Tokyo, Japan

Site Status

Local Institution - 0245

Ōta-ku, Tokyo, Japan

Site Status

Local Institution - 0140

Shinagawa-ku, Tokyo, Japan

Site Status

Local Institution - 0196

Shinjuku-Ku, Tokyo, Japan

Site Status

Local Institution - 0155

Shinjuku-ku, Tokyo, Japan

Site Status

Local Institution - 0231

Toyama, Toyama, Japan

Site Status

Local Institution - 0178

Wakayama, Wakayama, Japan

Site Status

Local Institution - 0238

Ube-shi, Yamaguchi, Japan

Site Status

Local Institution - 0101

Chiba, , Japan

Site Status

Local Institution - 0153

Chiba, , Japan

Site Status

Local Institution - 0145

Kyoto, , Japan

Site Status

Local Institution - 0108

Shizuoka, , Japan

Site Status

Local Institution - 0090

Tuxtla Gutiérrez, Chiapas, Mexico

Site Status

Local Institution - 0102

Mexico City, Mexico City, Mexico

Site Status

Local Institution - 0071

Mérida, Yucatán, Mexico

Site Status

Local Institution - 0234

San Luis Potosí City, , Mexico

Site Status

Local Institution - 0092

Callao, , Peru

Site Status

Local Institution - 0060

Lima, , Peru

Site Status

Local Institution - 0093

Lima, , Peru

Site Status

Local Institution - 0024

Lublin, , Poland

Site Status

Local Institution - 0022

Warsaw, , Poland

Site Status

Local Institution - 0243

Porto, , Portugal

Site Status

Local Institution - 0081

Bucharest, , Romania

Site Status

Local Institution - 0079

Cluj-Napoca, , Romania

Site Status

Local Institution - 0076

Craiova, , Romania

Site Status

Local Institution - 0080

Suceava, , Romania

Site Status

Local Institution - 0089

Moscow, , Russia

Site Status

Local Institution - 0088

Saint Petersburg, , Russia

Site Status

Local Institution - 0033

Singapore, Central Singapore, Singapore

Site Status

Local Institution - 0034

Singapore, , Singapore

Site Status

Local Institution - 0129

Seongnam-si, Kyǒnggi-do, South Korea

Site Status

Local Institution - 0165

Seoul, Seoul-teukbyeolsi [Seoul], South Korea

Site Status

Local Institution - 0166

Busan, , South Korea

Site Status

Local Institution - 0150

Daegu, , South Korea

Site Status

Local Institution - 0149

Daejeon, , South Korea

Site Status

Local Institution - 0236

Jeonju, , South Korea

Site Status

Local Institution - 0235

Seoul, , South Korea

Site Status

Local Institution - 0130

Seoul, , South Korea

Site Status

Local Institution - 0177

Seoul, , South Korea

Site Status

Local Institution - 0168

Seoul, , South Korea

Site Status

Local Institution - 0151

Seoul, , South Korea

Site Status

Local Institution - 0131

Seoul, , South Korea

Site Status

Local Institution - 0123

Seoul, , South Korea

Site Status

Local Institution - 0157

Ulsan, , South Korea

Site Status

Local Institution - 0063

Barcelona, , Spain

Site Status

Local Institution - 0062

Madrid, , Spain

Site Status

Local Institution - 0158

Changhua County, Changhua, Taiwan

Site Status

Local Institution - 0161

Tainan City, TNN, Taiwan

Site Status

Local Institution - 0167

Kaohsiung City, , Taiwan

Site Status

Local Institution - 0133

Kaohsiung City, , Taiwan

Site Status

Local Institution - 0163

Kaohsiung County, , Taiwan

Site Status

Local Institution - 0164

Keelung, , Taiwan

Site Status

Local Institution - 0132

Taichung, , Taiwan

Site Status

Local Institution - 0160

Tainan City, , Taiwan

Site Status

Local Institution - 0124

Taipei, , Taiwan

Site Status

Local Institution - 0162

Taipei, , Taiwan

Site Status

Local Institution - 0134

Taipei, , Taiwan

Site Status

Local Institution - 0159

Taoyuan District, , Taiwan

Site Status

Local Institution - 0096

Ankara, , Turkey (Türkiye)

Site Status

Local Institution - 0125

Diyarbakır, , Turkey (Türkiye)

Site Status

Local Institution - 0122

Edrine, , Turkey (Türkiye)

Site Status

Local Institution - 0069

London, Greater London, United Kingdom

Site Status

Local Institution - 0066

London, Greater London, United Kingdom

Site Status

Local Institution - 0031

Manchester, Greater Manchester, United Kingdom

Site Status

Local Institution - 0237

London, , United Kingdom

Site Status

Local Institution - 0029

Surrey, , United Kingdom

Site Status

Countries

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United States Argentina Australia Austria Brazil Canada Chile China Colombia Czechia Denmark France Hong Kong Italy Japan Mexico Peru Poland Portugal Romania Russia Singapore South Korea Spain Taiwan Turkey (Türkiye) United Kingdom

References

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Zhang Y, Li C, Du K, Pengkhun N, Huang Z, Gong M, Li Y, Liu X, Li L, Wang D, Wang C, Chen F, Li J. Comparative analysis of immune checkpoint inhibitors in first-line treatment of esophageal squamous cell carcinoma: a network meta-analysis. Immunotherapy. 2023 Jul;15(10):737-750. doi: 10.2217/imt-2022-0236. Epub 2023 May 4.

Reference Type DERIVED
PMID: 37139963 (View on PubMed)

Kato K, Doki Y, Ogata T, Motoyama S, Kawakami H, Ueno M, Kojima T, Shirakawa Y, Okada M, Ishihara R, Kubota Y, Amaya-Chanaga C, Chen T, Matsumura Y, Kitagawa Y. First-line nivolumab plus ipilimumab or chemotherapy versus chemotherapy alone in advanced esophageal squamous cell carcinoma: a Japanese subgroup analysis of open-label, phase 3 trial (CheckMate 648/ONO-4538-50). Esophagus. 2023 Apr;20(2):291-301. doi: 10.1007/s10388-022-00970-1. Epub 2022 Nov 19.

Reference Type DERIVED
PMID: 36401133 (View on PubMed)

Doki Y, Ajani JA, Kato K, Xu J, Wyrwicz L, Motoyama S, Ogata T, Kawakami H, Hsu CH, Adenis A, El Hajbi F, Di Bartolomeo M, Braghiroli MI, Holtved E, Ostoich SA, Kim HR, Ueno M, Mansoor W, Yang WC, Liu T, Bridgewater J, Makino T, Xynos I, Liu X, Lei M, Kondo K, Patel A, Gricar J, Chau I, Kitagawa Y; CheckMate 648 Trial Investigators. Nivolumab Combination Therapy in Advanced Esophageal Squamous-Cell Carcinoma. N Engl J Med. 2022 Feb 3;386(5):449-462. doi: 10.1056/NEJMoa2111380.

Reference Type DERIVED
PMID: 35108470 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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2016-001514-20

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CA209-648

Identifier Type: -

Identifier Source: org_study_id

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