A Study of Subcutaneous Nivolumab Versus Intravenous Nivolumab in Participants With Previously Treated Clear Cell Renal Cell Carcinoma That is Advanced or Has Spread (CheckMate-67T)

August 26, 2026 updated by: Bristol-Myers Squibb

A Phase 3, Open-label, Randomized, Noninferiority Trial of Subcutaneous Formulation of Nivolumab Versus Intravenous Nivolumab in Participants With Advanced or Metastatic Clear Cell Renal Cell Carcinoma Who Have Received Prior Systemic Therapy

The purpose of this study is to evaluate the drug levels, efficacy, safety, and tolerability of subcutaneous nivolumab versus intravenous nivolumab in participants with previously treated clear cell renal cell carcinoma that is advanced or has spread. The purpose of this study's substudy is to evaluate drug level biocomparability of subcutaneous nivolumab manufactured using two different manufacturing processes.

Study Overview

Status

Active, not recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

681

Phase

  • Phase 3

Expanded Access

No longer available outside the clinical trial. See expanded access record.

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

    • Buenos Aires
      • Buenos Aires, Buenos Aires, Argentina, C1426ANZ
        • Local Institution - 0038
      • Capital Federal, Buenos Aires, Argentina, C1419AHN
        • Local Institution - 0095
      • Mar del Plata, Buenos Aires, Argentina, 7600
        • Local Institution - 0058
      • Pergamino, Buenos Aires, Argentina, B2700CPM
        • Local Institution - 0037
    • Córdoba Province
      • Parana, Córdoba Province, Argentina, 5000
        • Local Institution - 0079
      • Río Cuarto, Córdoba Province, Argentina, 5800
        • Local Institution - 0030
    • Río Negro Province
      • Viedma, Río Negro Province, Argentina, R8500ACE
        • Local Institution - 0066
    • San Juan Province
      • San Juan, San Juan Province, Argentina, J5402DIL
        • Local Institution - 0056
    • Paraná
      • Curitiba, Paraná, Brazil, 80520-174
        • Local Institution - 0064
    • Rio Grande do Sul
      • Ijuí, Rio Grande do Sul, Brazil, 98700-000
        • Local Institution - 0107
      • Porto Alegre, Rio Grande do Sul, Brazil, 91350-200
        • Local Institution - 0039
    • Rio de Janeiro
      • Rio de Janeiro, Rio de Janeiro, Brazil, 20230-130
        • Local Institution - 0090
    • São Paulo
      • Barretos, São Paulo, Brazil, 014784-000
        • Local Institution - 0071
      • São José do Rio Preto, São Paulo, Brazil, 15090-000
        • Local Institution - 0070
      • São Paulo, São Paulo, Brazil, 01246-000
        • Local Institution - 0081
      • São Paulo, São Paulo, Brazil, 01327-0001
        • Local Institution - 0096
    • Araucania
      • Temuco, Araucania, Chile
        • Local Institution - 0084
    • Santiago Metropolitan
      • Santiago, Santiago Metropolitan, Chile
        • Local Institution - 0005
      • Santiago, Santiago Metropolitan, Chile, 7500653
        • Local Institution - 0104
      • Santiago, Santiago Metropolitan, Chile, 7500921
        • Local Institution - 0076
    • Valparaiso
      • Viña del Mar, Valparaiso, Chile, 2520598
        • Local Institution - 0077
      • Brno, Czechia, 656 53
        • Local Institution - 0063
      • Hradec Králové, Czechia, 500 05
        • Local Institution - 0036
      • Olomouc, Czechia, 77900
        • Local Institution - 0020
      • Ostrava, Czechia, 708 52
        • Local Institution - 0099
      • Prague, Czechia, 140 59
        • Local Institution - 0010
      • Praha 8 Liben, Czechia, 18081
        • Local Institution - 0106
      • Tampere, Finland, 33521
        • Local Institution - 0017
      • Nice, France, 6189
        • Local Institution
      • Suresnes, France, 92151
        • Local Institution - 0051
      • Villejuif, France, 94800
        • Local Institution - 0068
    • Dublin
      • Tallaght, Dublin, Ireland
        • Local Institution - 0060
      • Cremona, Italy, 26100
        • Local Institution - 0033
      • Florence, Italy, 50134
        • Local Institution - 0008
      • Meldola, Italy, 47014
        • Local Institution - 0027
      • Milan, Italy, 20141
        • Local Institution - 0018
      • Milan, Italy, 20133
        • Local Institution
      • Padova, Italy, 35128
        • Local Institution - 0014
      • Parma, Italy, 43126
        • Local Institution - 0082
      • Pavia, Italy, 27100
        • Local Institution - 0092
      • Roma, Italy, 00168
        • Local Institution - 0100
      • Rome, Italy, 00152
        • Local Institution - 0091
      • Terni, Italy, 05100
        • Local Institution - 0057
    • Coahuila
      • Torreón, Coahuila, Mexico, 27010
        • Local Institution - 0101
    • Mexico City
      • Tlalpan, Mexico City, Mexico, 14080
        • Local Institution - 0089
    • Nuevo León
      • Monterrey, Nuevo León, Mexico, 64460
        • Local Institution - 0103
      • Monterrey, Nuevo León, Mexico, 64710
        • Local Institution - 0031
    • Querétaro
      • Querétaro City, Querétaro, Mexico, 76000
        • Local Institution - 0065
      • Querétaro City, Querétaro, Mexico, 76090
        • Local Institution - 0085
    • San Luis Potosí
      • San Luis Potosí City, San Luis Potosí, Mexico, 78200
        • Local Institution - 0105
      • Auckland, New Zealand, 1023
        • Local Institution - 0053
      • Hamilton, New Zealand, 3204
        • Local Institution - 0041
      • Palmerston North, New Zealand, 4414
        • Local Institution - 0078
      • Biała Podlaska, Poland, 21-500
        • Local Institution - 0055
      • Bydgoszcz, Poland, 85-796
        • Local Institution - 0062
      • Gdansk, Poland, 80-214
        • Local Institution - 0083
      • Krakow, Poland, 30-688
        • Local Institution - 0021
      • Krakow, Poland, 31-115
        • Local Institution - 0098
      • Poznan, Poland, 60-569
        • Local Institution - 0001
      • Warsaw, Poland, 02-781
        • Local Institution - 0023
      • Coimbra, Portugal, 3030-075
        • Local Institution - 0050
      • Lisbon, Portugal, 1500-650
        • Local Institution - 0052
      • Bucharest, Romania, 022238
        • Local Institution - 0024
      • Cluj-Napoca, Romania, 400132
        • Local Institution - 0002
      • Cluj-Napoca, Romania, 400641
        • Local Institution - 0040
      • Craiova, Romania, 200347
        • Local Institution - 0016
      • Chelyabinsk, Russia, 454087
        • SBIH Chelyabinsk Regional Clinical Centre of Oncology and Nuclear Medicine
      • Ivanovo, Russia, 153040
        • Ivanovo Regional Oncology Dispensary
      • Moscow, Russia, 125284
        • Hertzen Moscow Oncology Research Center
      • Nizghiy Novgorod, Russia, 603000
        • Local Institution
      • Omsk, Russia, 644013
        • Budgetary Healthcare Institution of Omsk Region - Clinical Oncological Dispensary
      • Saint Petersburg, Russia, 197022
        • LLC Eurocityclinic
      • Barcelona, Spain, 08003
        • Local Institution - 0048
      • Barcelona, Spain, 08035
        • Local Institution - 0102
      • Barcelona, Spain, 08041
        • Local Institution - 0049
      • Madrid, Spain, 28026
        • Local Institution - 0072
      • Madrid, Spain, 28033
        • Local Institution - 0067
      • Madrid, Spain, 28046
        • Local Institution - 0074
      • Madrid, Spain, 28050
        • Local Institution - 0075
      • Sabadell, Spain, 08208
        • Local Institution - 0032
      • Santander, Spain, 39008
        • Local Institution - 0086
      • Seville, Spain, 31013
        • Local Institution - 0059
      • Ankara, Turkey (Türkiye), 06230
        • Local Institution - 0026
      • Ankara, Turkey (Türkiye), 06590
        • Local Institution - 0097
      • Istanbul, Turkey (Türkiye), 34098
        • Local Institution - 0019
    • Bagcilar
      • Istanbul, Bagcilar, Turkey (Türkiye), 34284
        • Local Institution - 0035
    • Illinois
      • Chicago, Illinois, United States, 60611
        • Local Institution
    • New York
      • Buffalo, New York, United States, 14263
        • Local Institution - 0025
    • Pennsylvania
      • West Reading, Pennsylvania, United States, 19611
        • Local Institution - 0088

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

Genders Eligible for Study

All

Description

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

Inclusion Criteria:

  • Histological confirmation of renal cell carcinoma (RCC) with a clear cell component, including participants who may also have sarcomatoid features
  • Advanced RCC (not amenable to curative surgery or radiation therapy) or metastatic RCC (Stage IV)
  • Measurable disease as defined by Response Evaluation Criteria in Solid Tumor (RECIST) v1.1 criteria within 28 days prior to randomization
  • Received no more than 2 prior systemic treatment regimens
  • Intolerance or progression on or after the last treatment regimen received and within 6 months prior to randomization
  • Karnofsky PS ≥ 70 at screening
  • Must agree to follow specific methods of contraception, if applicable

Exclusion Criteria:

  • Untreated, symptomatic central nervous system (CNS) metastases

  • Concurrent malignancy (present during screening) requiring treatment or history of prior malignancy active within 2 years prior to randomization

  • Active, known, or suspected autoimmune disease

  • Known human immunodeficiency virus (HIV) positive with an acquired immunodeficiency syndrome (AIDS) defining opportunistic infection within the last year, or a current CD4 count < 350 cells/μL. Participants with HIV are eligible if:

    1. They have received established antiretroviral therapy (ART) for at least 4 weeks prior to randomization
    2. They continue on ART as clinically indicated while enrolled on study
    3. CD4 counts and viral load are monitored per standard of care by a local health care provider
    4. Inclusion of participants with HIV should be based on Investigator clinical judgment in consultation with the Medical Monitor NOTE: Testing for HIV must be performed at sites where mandated locally. HIV-positive participants must be excluded where mandated locally
  • Serious or uncontrolled medical disorders including for example, active severe acute respiratory syndrome coronavirus 2 (SAR-CoV-2) infection within approximately 4 weeks prior to screening. In the case of prior SARS-CoV-2 infection, acute symptoms must have resolved based on investigator clinical judgment and, in consultation with Medical Monitor, there are no sequelae that would place the participant at a higher risk of receiving investigational treatment to be eligible

  • Prior treatment with an programmed death receptor-1 (anti-PD-1), programmed death ligand-1 (anti-PD-L1), or cytotoxic T-lymphocyte-associated antigen-4 (anti-CTLA-4) antibody, or any other antibody or drug specifically targeting T-cell costimulation or checkpoint pathways

  • Treatment with any live attenuated vaccine within 30 days of first study treatment

Other protocol-defined inclusion/exclusion criteria 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: Quadruple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Arm A

Specified dose on specified days

Other Names:
  • BMS-986298
Active Comparator: Arm B

Specified dose on specified days

Other Names:
  • BMS-936558
  • Opdivo
Experimental: Arm C

Specified dose on specified days

Other Names:
  • BMS-986298
Experimental: Arm D

Specified dose on specified days

Other Names:
  • BMS-986298

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Adjusted Geometric Mean Serum Concentration of Nivolumab Over 28 Days (Cavgd28) on Original Scale
Time Frame: Pre-dose (Day 1 to Day 28)

Plasma samples were collected to assess the serum concentration.

Pre-dose (Day 1 to Day 28)
Adjusted Geometric Mean of Nivolumab Trough Serum Concentration at Steady State (Cminss) on Original Scale
Time Frame: Pre-dose (Day 1 to Day 28)

Plasma samples were collected to assess the serum concentration.

Pre-dose (Day 1 to Day 28)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Objective Response Rate (ORR) Per BICR
Time Frame: From first dose to the date of first objectively documented progression, per RECIST v1.1, or death due to any cause, whichever occurred first (up to approximately 26 months)

Objective response rate (ORR) is defined as the percentage of participants who achieve a best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR), based on blinded independent central review (BICR) assessments using Response Evaluation Criteria in Solid Tumors (RECIST 1.1), divided by the number of all randomized participants. Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

From first dose to the date of first objectively documented progression, per RECIST v1.1, or death due to any cause, whichever occurred first (up to approximately 26 months)
Trough Serum Concentration of Nivolumab at Day 28 (Cmind28)
Time Frame: Pre-dose at Day 28

Blood samples were collected to assess serum concentration.

Pre-dose at Day 28
Maximum Serum Concentration of Nivolumab After the First Dose (Cmax1)
Time Frame: Post dose (Day 1)

Blood samples were collected to assess serum concentration.

Post dose (Day 1)
Peak Serum Concentration of Nivolumab at Steady State (Cmaxss)
Time Frame: Pre-dose (Day 1 to Day 28)

Blood samples were collected to assess serum concentration.

Pre-dose (Day 1 to Day 28)
Time-averaged Serum Concentration of Nivolumab at Steady State (Cavgss)
Time Frame: Pre-dose (Day 1 to Day 28)

Blood samples were collected to assess serum concentration.

Pre-dose (Day 1 to Day 28)
Trough Serum Concentration of Nivolumab (Ctrough)
Time Frame: Pre-dose at Week 17

Blood samples were collected to assess serum concentration.

Pre-dose at Week 17
Time to Maximum Serum Concentration of Nivolumab at Day 1 (Tmax1)
Time Frame: Post dose (Day 1)

Blood samples were collected to assess serum concentration.

Post dose (Day 1)
Trough Serum Concentration of Nivolumab at Steady State (Cminss)
Time Frame: Pre dose (Day 1 to Day 28)

Blood samples were collected to assess serum concentration.

Pre dose (Day 1 to Day 28)
Number of Participants With Adverse Events, Serious Adverse Events, AEs Leading to Discontinuation and Death
Time Frame: First dose (Day 1) and 30 days after last dose of study therapy (up to approximately 25 months)

AE is defined as any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product; it does not necessarily have to have a causal relationship with this treatment. An SAE is defined as any untoward medical occurrence at any dose that: results in death, is immediately life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability or incapacity or substantial disruption of the ability to conduct normal life functions, results in a congenital abnormality or birth defect, or is an important medical event that may not result in death, be life-threatening, or require hospitalization, but may require medical or surgical intervention to prevent any of the outcomes listed above.

First dose (Day 1) and 30 days after last dose of study therapy (up to approximately 25 months)
Number of Participants With Grade 3/4 Laboratory Abnormalities
Time Frame: First dose (Day 1) and 30 days after last dose of study therapy (up to approximately 25 months)

Blood samples were collected for assessment of laboratory test results. All abnormalities were graded as per CTCAE v5.0 on a scale from 1 to 4, with Grade 1 being mild and asymptomatic; Grade 2 is moderate requiring minimal, local or noninvasive intervention; Grade 3 is severe or medically significant but not immediately life-threatening; Grade 4 events are usually severe enough to require hospitalization.

First dose (Day 1) and 30 days after last dose of study therapy (up to approximately 25 months)
Disease Control Rate (ORR) Per BICR
Time Frame: From first dose to the date of first objectively documented progression, per RECIST v1.1, or death due to any cause, whichever occurred first (up to approximately 26 months)

Disease control rate (DCR) is defined as the percentage of participants who achieve a BOR of confirmed Complete Response (CR), confirmed Partial Response (PR), or stable disease (SD), based on BICR assessments (using RECIST 1.1) divided by the number of all randomized participants. CR: Disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of target lesions. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum diameters while on study.

From first dose to the date of first objectively documented progression, per RECIST v1.1, or death due to any cause, whichever occurred first (up to approximately 26 months)
Time to Response (TTR) Per BICR
Time Frame: From first dose to the date of first objectively documented progression, per RECIST v1.1, or death due to any cause, whichever occurred first (up to approximately 26 months)

Time to response (TTR) assessed by BICR is defined as the time between the date of randomization and the first confirmed documented response (CR or PR) per RECIST 1.1 criteria.

CR: Disappearance of all target lesions, any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm.

PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

From first dose to the date of first objectively documented progression, per RECIST v1.1, or death due to any cause, whichever occurred first (up to approximately 26 months)
Duration of Response (DoR) Per BICR
Time Frame: From first dose to the date of first objectively documented progression, per RECIST v1.1, or death due to any cause, whichever occurred first (up to approximately 26 months)

Duration of Response (DOR) in months is defined as the time from date of the first documentation of objective response (CR or PR) to the first documentation of PD or to death due to any cause in the absence of documented PD. CR is complete disappearance of all target lesions except nodal disease; all target nodes must decrease to normal size (short axis < 10 mm). PR is ≥30% decrease under baseline of the sum of diameters of all target measurable lesions. Disease progression is defined as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed, with a minimum absolute increase of 5 mm.

From first dose to the date of first objectively documented progression, per RECIST v1.1, or death due to any cause, whichever occurred first (up to approximately 26 months)
Overall Survival
Time Frame: From first dose to the date of death (up to approximately 26 months)

Overall survival is defined as the time from the first dosing date (or from randomization/on treatment) to the date of death from any cause.

From first dose to the date of death (up to approximately 26 months)
Number of Participants With Drug-Related Local Injection- or Infusion-Site Reactions
Time Frame: First dose (Day 1) and 100 days after last dose of study therapy (up to approximately 27 months)
First dose (Day 1) and 100 days after last dose of study therapy (up to approximately 27 months)
Number of Participants With Incidence of Anti-nivolumab Antibodies
Time Frame: First dose (Day 1) and 30 days after last dose of study therapy (up to approximately 25 months)

ADA Positive is a subject with at least one ADA-positive sample relative to baseline (ADA negative at baseline or ADA titer to be at least 4-fold or greater [≥]than baseline positive titer) at any time after initiation of treatment.

First dose (Day 1) and 30 days after last dose of study therapy (up to approximately 25 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.

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)

May 21, 2021

Primary Completion (Actual)

July 29, 2025

Study Completion (Estimated)

May 10, 2027

Study Registration Dates

First Submitted

March 16, 2021

First Submitted That Met QC Criteria

March 19, 2021

First Posted (Actual)

March 22, 2021

Study Record Updates

Last Update Posted (Actual)

September 22, 2026

Last Update Submitted That Met QC Criteria

August 26, 2026

Last Verified

August 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • CA209-67T
  • 2020-003655-15 (EudraCT Number)
  • U1111-1255-9514 (Registry Identifier: WHO)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

BMS will provide access to individual anonymized participant data upon request from qualified researchers, and subject to certain criteria. Additional information regarding Bristol Myer Squibb's data sharing policy and process can be found at https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html

IPD Sharing Time Frame

See Plan Description

IPD Sharing Access Criteria

See Plan Description

IPD Sharing Supporting Information Type

  • STUDY_PROTOCOL
  • SAP
  • CSR

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.