A Study of Nivolumab and Ipilimumab Combined With Chemotherapy Compared to Chemotherapy Alone in First Line NSCLC (CheckMate 9LA)

December 2, 2025 updated by: Bristol-Myers Squibb

A Phase 3, Randomized Study of Nivolumab Plus Ipilimumab in Combination With Chemotherapy vs Chemotherapy Alone as First Line Therapy in Stage IV Non-Small Cell Lung Cancer

The purpose of this study is to determine whether Nivolumab, Ipilimumab combined with chemotherapy is more effective than chemotherapy by itself when treating stage IV NSCLC as the first treatment given for the disease

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

719

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Córdoba, Argentina, 5000
        • Local Institution - 0030
    • Buenos Aires
      • Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina, C1426ANZ
        • Local Institution - 0014
    • Córdoba Province
      • Río Cuarto, Córdoba Province, Argentina, 5800
        • Local Institution - 0028
    • Río Negro Province
      • Viedma, Río Negro Province, Argentina, 8500
        • Local Institution - 0026
    • Santa Fe Province
      • Rosario, Santa Fe Province, Argentina, S2000DSV
        • Local Institution - 0027
    • New South Wales
      • Gosford, New South Wales, Australia, 2250
        • Local Institution - 0086
    • South Australia
      • Bedford Park, South Australia, Australia, 5042
        • Local Institution - 0040
    • Victoria
      • Box Hill, Victoria, Australia, 3128
        • Local Institution - 0089
      • Heidelberg, Victoria, Australia, 3084
        • Local Institution - 0036
    • Western Australia
      • Murdoch, Western Australia, Australia, 6150
        • Local Institution - 0078
      • Gilly, Belgium, 6060
        • Local Institution - 0002
      • Leuven, Belgium, 3000
        • Local Institution - 0033
      • Roeselare, Belgium, 8800
        • Local Institution - 0001
      • Rio de Janeiro, Brazil, 20231-050
        • Local Institution - 0066
      • São Paulo, Brazil, 01327-001
        • Local Institution - 0070
    • Rio Grande do Norte
      • Natal, Rio Grande do Norte, Brazil, 59075-740
        • Local Institution - 0068
    • Rio Grande do Sul
      • Ijuí, Rio Grande do Sul, Brazil, 98700-000
        • Local Institution - 0063
      • Porto Alegre, Rio Grande do Sul, Brazil, 91350-200
        • Local Institution - 0067
    • Santa Catarina
      • Blumenau, Santa Catarina, Brazil, 89010-340
        • Local Institution - 0069
    • São Paulo
      • Barretos, São Paulo, Brazil, 14780-070
        • Local Institution - 0064
      • São José do Rio Preto, São Paulo, Brazil, 15090-000
        • Local Institution - 0065
    • Quebec
      • Montreal, Quebec, Canada, H1T 2M4
        • Local Institution - 0090
      • Montreal, Quebec, Canada, H3T 1E2
        • Local Institution - 0083
      • Montreal, Quebec, Canada, H4A 3J1
        • Local Institution - 0082
      • Rimouski, Quebec, Canada, G5L 5T1
        • Local Institution - 0080
    • Región de Valparaíso
      • Viña del Mar, Región de Valparaíso, Chile, 2520612
        • Local Institution - 0079
    • Santiago Metropolitan
      • Santiago, Santiago Metropolitan, Chile, 7500921
        • Local Institution - 0059
      • Santiago, Santiago Metropolitan, Chile, 8420383
        • Local Institution - 0084
      • Beijing, China, 102206
        • Local Institution - 0113
      • Shanghai, China, 200030
        • Local Institution - 0112
    • BEI
      • Beijing, BEI, China, 100142
        • Local Institution - 0139
    • Hainan
      • Haikou, Hainan, China, 570311
        • Local Institution - 0146
    • Henan
      • Zhengzhou, Henan, China, 450003
        • Local Institution - 0148
      • Zhengzhou, Henan, China, 450052
        • Local Institution - 0120
    • Hunan
      • Changsha, Hunan, China, 410000
        • Local Institution - 0144
    • Jilin
      • Changchun, Jilin, China, 130012
        • Local Institution - 0106
    • Shan3xi
      • Xi'an, Shan3xi, China, 710038
        • Local Institution - 0108
    • Zhejiang
      • Hangzhou, Zhejiang, China, 310016
        • Local Institution - 0110
      • Zhejiang, Zhejiang, China, 310022
        • Local Institution - 0111
      • Caen, France, 14033
        • Local Institution - 0013
      • Lille, France, 59037
        • Local Institution - 0071
      • Montpellier, France, 34295
        • Local Institution - 0012
      • Nantes, France, 44093
        • Local Institution - 0035
      • Paris, France, 75970
        • Local Institution - 0011
      • Saint-Brieuc, France, 22027
        • Local Institution - 0097
    • Auvergne-Rhône-Alpes
      • Bron, Auvergne-Rhône-Alpes, France, 69500
        • Local Institution - 0010
      • Lyon Cedex08, Auvergne-Rhône-Alpes, France, 69373
        • Local Institution - 0009
      • Berlin, Germany, 14165
        • Local Institution - 0073
      • Gauting, Germany, 82131
        • Local Institution - 0016
      • Großhansdorf, Germany, 22927
        • Local Institution - 0072
      • Hemer, Germany, 58675
        • Local Institution - 0019
      • Immenhausen, Germany, 34376
        • Local Institution - 0017
      • Magdeburg, Germany, 39120
        • Local Institution - 0074
      • München, Germany, 81925
        • Local Institution - 0015
      • Stuttgart, Germany, 70376
        • Local Institution - 0018
      • Dublin, Ireland, 8
        • Local Institution - 0021
      • Limerick, Ireland, V94 F858
        • Local Institution - 0020
      • Lucca, Italy, 5510
        • Local Institution - 0042
      • Milan, Italy, 20132
        • Local Institution - 0041
      • Napoli, Italy, 80131
        • Local Institution - 0043
      • Osaka, Japan, 545-8586
        • Local Institution - 0130
    • Fukushima
      • Fukushima, Fukushima, Japan, 9601295
        • Local Institution - 0101
    • Gunma
      • Maebashi, Gunma, Japan, 3718511
        • Local Institution - 0118
      • Ota-shi, Gunma, Japan, 3738550
        • Local Institution - 0128
    • Hiroshima
      • Hiroshima, Hiroshima, Japan, 7308518
        • Local Institution - 0138
      • Hiroshima, Hiroshima, Japan, 7348511
        • Local Institution - 0137
    • Hokkaido
      • Sapporo, Hokkaido, Japan, 0608648
        • Local Institution - 0127
    • Hyōgo
      • Akashi-shi, Hyōgo, Japan, 6738558
        • Local Institution - 0131
      • Himeji-shi, Hyōgo, Japan, 6708520
        • Local Institution - 0119
      • Kobe, Hyōgo, Japan, 6500047
        • Local Institution - 0104
    • Ishikawa-ken
      • Kanazawa, Ishikawa-ken, Japan, 9208641
        • Local Institution - 0115
    • Iwate
      • Shiwa-gun, Iwate, Japan, 0283695
        • Local Institution - 0100
    • Kanagawa
      • Yokohama, Kanagawa, Japan, 2210855
        • Local Institution - 0129
      • Yokohama, Kanagawa, Japan, 2360051
        • Local Institution - 0114
      • Yokohama, Kanagawa, Japan, 2418515
        • Local Institution - 0134
    • Niigata
      • Niigata, Niigata, Japan, 9518566
        • Local Institution - 0116
    • Okayama-ken
      • Okayama, Okayama-ken, Japan, 7008558
        • Local Institution - 0136
    • Osaka
      • Habikino-shi, Osaka, Japan, 5838588
        • Local Institution - 0135
      • Ōsaka-sayama, Osaka, Japan, 5898511
        • Local Institution - 0103
    • Saitama
      • Kitaadachi-gun, Saitama, Japan, 3620806
        • Local Institution - 0102
    • Yamaguchi
      • Ube-shi, Yamaguchi, Japan, 7550241
        • Local Institution - 0132
      • Veracruz, Veracruz, Mexico, 91900
        • Local Institution - 0075
    • BAJA Californa SUR
      • La Paz, BAJA Californa SUR, Mexico, 23040
        • Local Institution - 0077
    • Jalisco
      • Guadalajara, Jalisco, Mexico, 44280
        • Local Institution - 0061
      • Bydgoszcz, Poland, 85-796
        • Local Institution - 0087
      • Bytom, Poland, 41-902
        • Local Institution - 0022
      • Gdansk, Poland, 80-952
        • Local Institution - 0085
      • Bucharest, Romania, 020122
        • Local Institution - 0034
      • Cluj-Napoca, Romania, 400015
        • Local Institution - 0031
      • Craiova, Romania, 200542
        • Local Institution - 0032
      • Moscow, Russia, 115478
        • Local Institution - 0024
      • Saint Petersburg, Russia, 197758
        • Local Institution - 0025
      • A Coruña, Spain, 15006
        • Local Institution - 0054
      • Barcelona, Spain, 08035
        • Local Institution - 0053
      • Madrid, Spain, 28041
        • Local Institution - 0052
      • Málaga, Spain, 29010
        • Local Institution - 0055
      • Valencia, Spain, 46026
        • Local Institution - 0056
      • Guildford, United Kingdom, GU2 7XX
        • Local Institution - 0050
      • London, United Kingdom, SE1 9RT
        • Local Institution - 0049
      • Tauton, United Kingdom, TA1 5DA
        • Local Institution - 0048
    • Colorado
      • Colorado Springs, Colorado, United States, 80909
        • Memorial Health Systems
    • Connecticut
      • Plainville, Connecticut, United States, 06062
        • Local Institution - 0044
    • Florida
      • Jacksonville, Florida, United States, 32207
        • Local Institution - 0045
    • Georgia
      • Marietta, Georgia, United States, 30060
        • Local Institution - 0029
    • Kansas
      • Wichita, Kansas, United States, 67214
        • Local Institution - 0091
    • Kentucky
      • Lexington, Kentucky, United States, 40503
        • Local Institution - 0004
    • Michigan
      • Detroit, Michigan, United States, 48202
        • Local Institution - 0105
    • New York
      • Johnson City, New York, United States, 13790
        • Local Institution - 0058
      • Mineola, New York, United States, 11501
        • Local Institution - 0098
    • Ohio
      • Columbus, Ohio, United States, 43210
        • Local Institution - 0095
    • Pennsylvania
      • Lancaster, Pennsylvania, United States, 17602
        • Local Institution - 0006
      • Pittsburgh, Pennsylvania, United States, 15224
        • Local Institution - 0093
      • Pittsburgh, Pennsylvania, United States, 15213
        • Local Institution - 0047
    • South Carolina
      • Charleston, South Carolina, United States, 29414
        • Local Institution - 0094
    • Utah
      • St. George, Utah, United States, 84770
        • Southwest Regional Cancer Clinic
    • Wisconsin
      • Madison, Wisconsin, United States, 53705
        • Local Institution - 0099

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Description

For more information regarding Bristol-Myers Squibb Clinical Trial participation, please visit www.BMSStudyConnect.com

Inclusion Criteria:

  • Participants with histologically confirmed Stage IV or recurrent NSCLC squamous or non-squamous histology, with no prior systemic anticancer therapy
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of ≤ 1
  • Measurable disease by CT or MRI per response evaluation criteria in solid tumors version 1.1 (RECIST 1.1) criteria
  • Participants must have PD-L1 IHC testing with results performed by a central laboratory during the screening period

Exclusion Criteria:

  • Participants with known epidermal growth factor receptor (EGFR) mutations which are sensitive to available targeted inhibitor therapy (including, but not limited to, deletions in exon 19 and exon 21 [L858R] substitution mutations) are excluded
  • Participants with known anaplastic lymphoma kinase (ALK) translocations which are sensitive to available targeted inhibitor therapy are excluded
  • Participants with untreated CNS metastases are excluded. Participants are eligible if CNS metastases are adequately treated and participants are neurologically returned to baseline (except for residual signs or symptoms related to the CNS treatment) for at least 2 weeks prior to first treatment

Other protocol inclusion/exclusion criteria may apply

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Module A
Chemotherapy/Biologics combined
Specified dose on specified day
Other Names:
  • Yervoy, BMS734016
Specified dose on specified day
Other Names:
  • Opdivo, BMS936558
Specified dose on specified day
Specified dose on specified day
Other Names:
  • Taxol
Specified dose on specified day
Other Names:
  • Alimta
Specified dose on specified day
Other Names:
  • Platinol
Active Comparator: Module B
Chemotherapy Combination
Specified dose on specified day
Specified dose on specified day
Other Names:
  • Taxol
Specified dose on specified day
Other Names:
  • Alimta
Specified dose on specified day
Other Names:
  • Platinol

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Overall Survival (OS)
Time Frame: From date of randomization to date of death (assessed up to October 2019, approximately 23 months)
OS was defined as the time from randomization to the date of death from any cause. OS was censored on the last date a subject was known to be alive. Survival follow-up was to be conducted every 3 months after participants's off-treatment date.
From date of randomization to date of death (assessed up to October 2019, approximately 23 months)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Progression Free Survival (PFS) by BICR
Time Frame: From date of randomization until date of documented tumor progression or death due to any cause, whichever occurs first (assessed up to October 2024, approximately 72 months)
PFS (primary definition) was defined as the time from the randomization date to the date of the first documented tumor progression based on BICR assessment (per RECIST 1.1), or death from any cause, whichever occurred first. Participants who died without a reported prior progression were considered to have progressed on the date of their death. Participants who had not progressed or died were censored on the date of their last evaluable tumor assessment. Participants who did not have any on-study tumor assessments and did not die were censored on the randomization date. Participants who started any palliative local therapy or subsequent anticancer therapy without a prior reported progression were censored at the last evaluable tumor assessment prior to initiation of the palliative local therapy or subsequent anti-cancer therapy, whichever procedure occurred first.
From date of randomization until date of documented tumor progression or death due to any cause, whichever occurs first (assessed up to October 2024, approximately 72 months)
Objective Response Rate (ORR) by BICR
Time Frame: From date of randomization until date of documented tumor progression or death due to any cause, whichever occurs first (assessed up to October 2024, approximately 72 months)
ORR was defined as the number of randomized participants with a best overall response (BOR) of confirmed CR or PR based on BICR assessments (using RECIST v1.1 criteria), divided by the number of all randomized participants. BOR was recorded between the date of randomization and the date of objectively documented progression per RECIST 1.1 or the date of initiation of palliative local therapy or the date of initiation of subsequent anti-cancer therapy, whichever occurred first. For participants without documented progression or palliative local therapy or subsequent anti-cancer therapy, all available response designations contributed to the BOR determination. For participants who continued treatment beyond progression, the BOR was determined based on response designations recorded up to the time of the initial RECIST 1.1 defined progression.
From date of randomization until date of documented tumor progression or death due to any cause, whichever occurs first (assessed up to October 2024, approximately 72 months)
Duration of Response (DoR)
Time Frame: From date of randomization until date of documented tumor progression or death due to any cause, whichever occurs first (assessed up to October 2024, approximately 72 months)
DoR was defined as the time between the date of first confirmed documented response (CR or PR) to the date of the first documented BICR-assessed tumor progression (per RECIST 1.1), or death from any cause, whichever occurred first. Participants who started subsequent therapy (including palliative local therapy) without a prior reported progression were censored at the last evaluable tumor assessments prior to initiation of the subsequent anticancer therapy (including palliative local therapy). Participants who died without a reported prior progression were considered to have progressed on the date of their death. For subjects who neither progressed nor died, DoR was censored on the date of their last evaluable tumor assessment. DoR was evaluated for responders (confirmed CR or PR) only.
From date of randomization until date of documented tumor progression or death due to any cause, whichever occurs first (assessed up to October 2024, approximately 72 months)
Time to Response (TTR)
Time Frame: From date of randomization until date of documented tumor progression or death due to any cause, whichever occurs first (assessed up to October 2024, approximately 72 months)
TTR was defined as the time from randomization to the date of the first confirmed documented response (CR or PR), as assessed by the BICR. TTR was evaluated for responders (confirmed CR or PR) only.
From date of randomization until date of documented tumor progression or death due to any cause, whichever occurs first (assessed up to October 2024, approximately 72 months)
Objective Response Rate (ORR) by BICR by PD-LI Tumor Cell Expression
Time Frame: From date of randomization until date of documented tumor progression or death due to any cause, whichever occurs first (assessed up to October 2024, approximately 72 months)
ORR was defined as the proportion of randomized participants with a best overall response (BOR) of confirmed complete or partial response per BICR using RECIST v1.1. BOR was assessed from randomization until documented progression, start of palliative local or subsequent anti-cancer therapy-whichever came first. If none occurred, all response data contributed to BOR. For those treated beyond progression, BOR was based on responses before initial RECIST-defined progression. PD-L1 expression was measured via Dako PD-L1 IHC 28-8 pharmDx test as the percentage of tumor cells with membrane staining among ≥100 evaluable cells. Expression was categorized as ≥1%, <1%, not quantifiable, ≥50%, or 1-49%.
From date of randomization until date of documented tumor progression or death due to any cause, whichever occurs first (assessed up to October 2024, approximately 72 months)
PFS by BICR by PD-L1 Tumor Cell Expression
Time Frame: From date of randomization until date of documented tumor progression or death due to any cause, whichever occurs first (assessed up to October 2024, approximately 72 months)
PFS (primary definition) was defined as the time from the randomization date to the date of the first documented tumor progression based on BICR assessment (per RECIST 1.1), or death from any cause, whichever occurred first. Participants who died without a reported prior progression were considered to have progressed on the date of their death. Participants who had not progressed or died were censored on the date of their last evaluable tumor assessment. Participants who did not have any on-study tumor assessments and did not die were censored on the randomization date. Participants who started any palliative local therapy or subsequent anticancer therapy without a prior reported progression were censored at the last evaluable tumor assessment prior to initiation of the palliative local therapy or subsequent anti-cancer therapy, whichever procedure occurred first.
From date of randomization until date of documented tumor progression or death due to any cause, whichever occurs first (assessed up to October 2024, approximately 72 months)
OS by PD-L1 Tumor Cell Expression
Time Frame: From date of randomization to date of death (assessed up to October 2024, approximately 72 months)
OS was defined as the time from randomization to the date of death from any cause. OS was censored on the last date a subject was known to be alive. Survival follow-up was to be conducted every 3 months after participants's off-treatment date.
From date of randomization to date of death (assessed up to October 2024, approximately 72 months)
PFS by BICR by Tumor Mutational Burden
Time Frame: From date of randomization until date of documented tumor progression or death due to any cause, whichever occurs first (assessed up to October 2024, approximately 72 months)
PFS (primary definition) was defined as the time from the randomization date to the date of the first documented tumor progression based on BICR assessment (per RECIST 1.1), or death from any cause, whichever occurred first. Participants who died without a reported prior progression were considered to have progressed on the date of their death. Participants who had not progressed or died were censored on the date of their last evaluable tumor assessment. Participants who did not have any on-study tumor assessments and did not die were censored on the randomization date. Participants who started any palliative local therapy or subsequent anticancer therapy without a prior reported progression were censored at the last evaluable tumor assessment prior to initiation of the palliative local therapy or subsequent anti-cancer therapy, whichever procedure occurred first.
From date of randomization until date of documented tumor progression or death due to any cause, whichever occurs first (assessed up to October 2024, approximately 72 months)
ORR by BICR by Tumor Mutational Burden
Time Frame: From date of randomization until date of documented tumor progression or death due to any cause, whichever occurs first (assessed up to October 2024, approximately 72 months)
ORR was defined as the number of randomized participants with a best overall response (BOR) of confirmed CR or PR based on BICR assessments (using RECIST v1.1 criteria), divided by the number of all randomized participants. BOR was recorded between the date of randomization and the date of objectively documented progression per RECIST 1.1 or the date of initiation of palliative local therapy or the date of initiation of subsequent anti-cancer therapy, whichever occurred first. For participants without documented progression or palliative local therapy or subsequent anti-cancer therapy, all available response designations contributed to the BOR determination. For participants who continued treatment beyond progression, the BOR was determined based on response designations recorded up to the time of the initial RECIST 1.1 defined progression.
From date of randomization until date of documented tumor progression or death due to any cause, whichever occurs first (assessed up to October 2024, approximately 72 months)
OS by Tumor Mutational Burden
Time Frame: From date of randomization to date of death (assessed up to October 2024, approximately 72 months)
OS was defined as the time from randomization to the date of death from any cause. OS was censored on the last date a subject was known to be alive. Survival follow-up was to be conducted every 3 months after participants's off-treatment date.
From date of randomization to date of death (assessed up to October 2024, approximately 72 months)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Study Director: Bristol-Myers Squibb, Bristol-Myers Squibb

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

August 24, 2017

Primary Completion (Actual)

August 16, 2019

Study Completion (Actual)

October 18, 2024

Study Registration Dates

First Submitted

July 11, 2017

First Submitted That Met QC Criteria

July 11, 2017

First Posted (Actual)

July 12, 2017

Study Record Updates

Last Update Posted (Estimated)

December 17, 2025

Last Update Submitted That Met QC Criteria

December 2, 2025

Last Verified

December 1, 2025

More Information

Terms related to this study

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

Clinical Trials on Non-Small Cell Lung Cancer

Clinical Trials on Ipilimumab

Search Similar Trials