A Study of Neoadjuvant Chemotherapy Plus Nivolumab Versus Neoadjuvant Chemotherapy Plus Placebo, Followed by Surgical Removal and Adjuvant Treatment With Nivolumab or Placebo for Participants With Surgically Removable Early Stage Non-small Cell Lung Cancer

NCT ID: NCT04025879

Last Updated: 2025-10-16

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

461 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-11-05

Study Completion Date

2027-07-30

Brief Summary

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The main purpose of the study is to examine if periadjuvant (neoadjuvant, then adjuvant) immunotherapy will prolong event free survival in participants with early stage non-small cell lung cancer.

Detailed Description

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Conditions

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Carcinoma, Non-Small-Cell Lung

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Neoadj. Nivo+ Pt-based Doublet Chemo followed by Adj. Nivo

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Carboplatin

Intervention Type DRUG

Specified dose on specified days

Cisplatin

Intervention Type DRUG

Specified dose on specified days

Paclitaxel

Intervention Type DRUG

Specified dose on specified days

Pemetrexed

Intervention Type DRUG

Specified dose on specified days

Docetaxel

Intervention Type DRUG

Specified dose on specified days

Neoadj. Plac. + Pt-based Doublet Chemo followed by Adj.Plac.

Group Type PLACEBO_COMPARATOR

Carboplatin

Intervention Type DRUG

Specified dose on specified days

Cisplatin

Intervention Type DRUG

Specified dose on specified days

Paclitaxel

Intervention Type DRUG

Specified dose on specified days

Pemetrexed

Intervention Type DRUG

Specified dose on specified days

Placebo

Intervention Type DRUG

Specified dose on specified days

Docetaxel

Intervention Type DRUG

Specified dose on specified days

Interventions

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Nivolumab

Specified dose on specified days

Intervention Type BIOLOGICAL

Carboplatin

Specified dose on specified days

Intervention Type DRUG

Cisplatin

Specified dose on specified days

Intervention Type DRUG

Paclitaxel

Specified dose on specified days

Intervention Type DRUG

Pemetrexed

Specified dose on specified days

Intervention Type DRUG

Placebo

Specified dose on specified days

Intervention Type DRUG

Docetaxel

Specified dose on specified days

Intervention Type DRUG

Other Intervention Names

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Opdivo, BMS936558

Eligibility Criteria

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Inclusion Criteria

* Participants with suspected or histologically confirmed Stage IIA (\> 4 cm) to IIIB (T3N2) non-small cell lung carcinoma (NSCLC) with disease that is considered resectable
* No brain metastasis
* Treatment-naive for NSCLC (no prior systemic anti-cancer treatment)
* Ability to provide surgical or biopsy tumor tissue for biomarkers
* Eastern Cooperative Oncology Group (ECOG) Performance Status of ≤ 1

Exclusion Criteria

* Participants with an active, known or suspected autoimmune disease
* Any positive test for hepatitis B virus or hepatitis C virus or human immunodeficiency virus (HIV)
* Any previous anti-cancer treatment including cytotoxic, IO treatment, targeted agents, or radiotherapy for NSCLC
* Prior treatment with any 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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

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 - 0104

Tampa, Florida, United States

Site Status

Local Institution - 0040

Atlanta, Georgia, United States

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Local Institution - 0120

Augusta, Georgia, United States

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Local Institution - 0145

Chicago, Illinois, United States

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Local Institution - 0078

Chicago, Illinois, United States

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Local Institution - 0121

Orland Park, Illinois, United States

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Rcca Md Llc

Bethesda, Maryland, United States

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Local Institution - 0076

Boston, Massachusetts, United States

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Local Institution - 0074

Newton, Massachusetts, United States

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Local Institution - 0086

Traverse City, Michigan, United States

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Local Institution - 0100

Lebanon, New Hampshire, United States

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Local Institution - 0055

Cincinnati, Ohio, United States

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Local Institution - 0102

Cleveland, Ohio, United States

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Local Institution - 0054

Houston, Texas, United States

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Local Institution - 0103

Fredericksburg, Virginia, United States

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Local Institution - 0032

Ciudad Autonoma Beunos Aires, Buenos Aires, Argentina

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Local Institution - 0031

ABB, Buenos Aires F.D., Argentina

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Local Institution - 0043

Buenos Aires, , Argentina

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Local Institution - 0030

CABA, , Argentina

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Local Institution - 0020

Sydney, New South Wales, Australia

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Local Institution - 0033

Heidelberg, Victoria, Australia

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Local Institution - 0122

Melbourne, Victoria, Australia

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Local Institution - 0023

North Ballarat, Victoria, Australia

Site Status

Local Institution - 0002

Edegem, , Belgium

Site Status

Local Institution - 0005

Liège, , Belgium

Site Status

Local Institution - 0001

Roeselare, , Belgium

Site Status

Local Institution - 0035

Belo Horizonte, Minas Gerais, Brazil

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Local Institution - 0029

Ijuí, Rio Grande do Sul, Brazil

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Local Institution - 0036

São Paulo, São Paulo, Brazil

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Local Institution - 0034

São Paulo, São Paulo, Brazil

Site Status

Local Institution - 0106

São Paulo, , Brazil

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Local Institution - 0062

Oshawa, Ontario, Canada

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Local Institution - 0115

Beijing, Beijing Municipality, China

Site Status

Local Institution - 0096

Beijing, BEI, China

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Local Institution - 0137

Fuzhou, Fujian, China

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Local Institution - 0136

Fuzhou, Fujian, China

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Local Institution - 0151

Hubei Sheng, Hubei, China

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Local Institution - 0092

Changsha, Hunan, China

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Local Institution - 0093

Changsha, Hunan, China

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Local Institution - 0091

Changsha, Hunan, China

Site Status

Local Institution - 0098

Shanghai, Shanghai Municipality, China

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Local Institution - 0165

Shanghai, Shanghai Municipality, China

Site Status

Local Institution - 0113

Shanghai, Shanghai Municipality, China

Site Status

Local Institution - 0088

Chengdu, Sichuan, China

Site Status

Local Institution - 0099

Hangzhou, Zhejiang, China

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Local Institution - 0095

Shanghai, , China

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Local Institution - 0041

Prague, , Czechia

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Local Institution - 0042

Prague, , Czechia

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Local Institution - 0073

Besançon, , France

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Local Institution - 0037

La Tronche, , France

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Local Institution - 0050

Montpellier, , France

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Local Institution - 0038

Paris, , France

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Local Institution - 0051

Paris, , France

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Local Institution - 0083

Rennes, , France

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Local Institution - 0146

Rouen, , France

Site Status

Local Institution - 0109

Immenstadt im Allgäu, Bavaria, Germany

Site Status

Local Institution - 0110

Cologne, North Rhine-Westphalia, Germany

Site Status

Local Institution - 0085

Berlin, , Germany

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Local Institution - 0065

Frankfurt, , Germany

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Local Institution - 0072

Georgsmarienhütte, , Germany

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Local Institution - 0071

Hamm, , Germany

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Local Institution - 0108

Heidelberg, , Germany

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Local Institution - 0064

Löwenstein, , Germany

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Local Institution - 0147

Ludwigsburg, , Germany

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Local Institution - 0063

Lübeck, , Germany

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Local Institution - 0070

Moers, , Germany

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Local Institution - 0066

München, , Germany

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Local Institution - 0016

Dublin, , Ireland

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Local Institution - 0024

Forlì, , Italy

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Local Institution - 0026

Milan, , Italy

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Local Institution - 0025

Parma, , Italy

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Local Institution - 0135

Nagoya, Aichi-ken, Japan

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Local Institution - 0124

Kashiwa-shi, Chiba, Japan

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Local Institution - 0129

Kitakyushu-shi, Fukuoka, Japan

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Local Institution - 0127

Kobe, Hyōgo, Japan

Site Status

Local Institution - 0144

Kanazawa, Ishikawa-ken, Japan

Site Status

Local Institution - 0125

Yokohama, Kanagawa, Japan

Site Status

Local Institution - 0131

Sendai, Miyagi, Japan

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Local Institution - 0126

Sakai-shi, Osaka, Japan

Site Status

Local Institution - 0130

Kitaadachigun, Saitama, Japan

Site Status

Local Institution - 0142

Bunkyo-ku, Tokyo, Japan

Site Status

Local Institution - 0133

Bunkyo-ku, Tokyo, Japan

Site Status

Local Institution - 0143

Chuo-ku, Tokyo, Japan

Site Status

Local Institution - 0134

Chuo-ku, Tokyo, Japan

Site Status

Local Institution - 0132

Fukushima, , Japan

Site Status

Local Institution - 0128

Hiroshima, , Japan

Site Status

Local Institution - 0077

Guadalajara, Jalisco, Mexico

Site Status

Local Institution - 0027

Monterrey, Nuevo León, Mexico

Site Status

Local Institution - 0028

Chihuahua City, , Mexico

Site Status

Local Institution - 0004

Groningen, , Netherlands

Site Status

Local Institution - 0003

Rotterdam, , Netherlands

Site Status

Local Institution - 0049

Krakow, Lesser Poland Voivodeship, Poland

Site Status

Local Institution - 0117

Hato Rey, , Puerto Rico

Site Status

Local Institution - 0013

Cluj-Napoca, Cluj, Romania

Site Status

Local Institution - 0011

Bucharest, , Romania

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Local Institution - 0012

Floreşti, , Romania

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Moscow, , Russia

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Saint Petersburg, , Russia

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Local Institution

Saint Petersburg, , Russia

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Local Institution

Saint Petersburg, , Russia

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Local Institution - 0046

Madrid, , Spain

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Local Institution - 0044

Majadahonda - Madrid, , Spain

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Local Institution - 0045

Valencia, , Spain

Site Status

Local Institution - 0149

Kaohsiung City, , Taiwan

Site Status

Local Institution - 0119

Kaohsiung City, , Taiwan

Site Status

Local Institution - 0116

New Taipei City, , Taiwan

Site Status

Local Institution - 0112

Taipei, , Taiwan

Site Status

Local Institution - 0007

Taunton, , United Kingdom

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Countries

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United States Argentina Australia Belgium Brazil Canada China Czechia France Germany Ireland Italy Japan Mexico Netherlands Poland Puerto Rico Romania Russia Spain Taiwan United Kingdom

References

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Cascone T, Awad MM, Spicer JD, He J, Lu S, Sepesi B, Tanaka F, Taube JM, Cornelissen R, Havel L, Karaseva N, Kuzdzal J, Petruzelka LB, Wu L, Pujol JL, Ito H, Ciuleanu TE, de Oliveira Muniz Koch L, Janssens A, Alexandru A, Bohnet S, Moiseyenko FV, Gao Y, Watanabe Y, Coronado Erdmann C, Sathyanarayana P, Meadows-Shropshire S, Blum SI, Provencio Pulla M; CheckMate 77T Investigators. Perioperative Nivolumab in Resectable Lung Cancer. N Engl J Med. 2024 May 16;390(19):1756-1769. doi: 10.1056/NEJMoa2311926.

Reference Type DERIVED
PMID: 38749033 (View on PubMed)

Leal TA, Ramalingam SS. Neoadjuvant therapy gains FDA approval in non-small cell lung cancer. Cell Rep Med. 2022 Jul 19;3(7):100691. doi: 10.1016/j.xcrm.2022.100691.

Reference Type DERIVED
PMID: 35858590 (View on PubMed)

Hong WX, Sagiv-Barfi I, Czerwinski DK, Sallets A, Levy R. Neoadjuvant Intratumoral Immunotherapy with TLR9 Activation and Anti-OX40 Antibody Eradicates Metastatic Cancer. Cancer Res. 2022 Apr 1;82(7):1396-1408. doi: 10.1158/0008-5472.CAN-21-1382.

Reference Type DERIVED
PMID: 35135810 (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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2019-000262-38

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CA209-77T

Identifier Type: -

Identifier Source: org_study_id

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