Study of BMS-936558 (Nivolumab) Compared to Docetaxel in Previously Treated Metastatic Non-squamous NSCLC (CheckMate057)

January 13, 2023 updated by: Bristol-Myers Squibb

An Open-Label Randomized Phase III Trial of BMS-936558 (Nivolumab) Versus Docetaxel in Previously Treated Metastatic Non-squamous Non-small Cell Lung Cancer (NSCLC)

The purpose of the study is to compare the overall survival of BMS-936558 (Nivolumab) as compared with Docetaxel in subjects with non-squamous cell non-small cell lung cancer (NSCLC) after failure of prior platinum-based chemotherapy

Study Overview

Detailed Description

CheckMate 057: CHECKpoint pathway and nivoluMAb clinical Trial Evaluation 057

Study Type

Interventional

Enrollment (Actual)

582

Phase

  • Phase 3

Expanded Access

Approved for sale to the public. 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, Argentina, C1280AEB
        • Local Institution - 0011
      • La Rioja, Argentina, 5300
        • Local Institution - 0125
    • Buenos Aires
      • Capital Federal, Buenos Aires, Argentina, 1426
        • Local Institution - 0010
      • Capital Federal, Buenos Aires, Argentina, 1431
        • Local Institution - 0057
      • Ciudad De Buenos Aires, Buenos Aires, Argentina, C1181ACH
        • Local Institution - 0124
    • New South Wales
      • Tweed Heads, New South Wales, Australia, 2485
        • Local Institution
    • Queensland
      • Woolloongabba, Queensland, Australia, 4102
        • Local Institution
    • South Australia
      • Adelaide, South Australia, Australia, 5000
        • Local Institution
      • Kurralta Park, South Australia, Australia, 5037
        • Local Institution
    • Victoria
      • Frankston, Victoria, Australia, 3199
        • Local Institution
      • Melbourne, Victoria, Australia, 3065
        • Local Institution
      • Linz, Austria, 4020
        • Local Institution
      • Salzburg, Austria, 5020
        • Local Institution
      • Vienna, Austria, 1130
        • Local Institution
      • Wels, Austria, 4600
        • Local Institution
      • Rio De Janeiro, Brazil, 20231-050
        • Local Institution - 0051
    • Bahia
      • Salvador, Bahia, Brazil, 40170-110
        • Local Institution - 0054
    • Ceara
      • Fortaleza, Ceara, Brazil, 60336550
        • Local Institution - 0056
    • Rio Grande Do Sul
      • Porto Alegre, Rio Grande Do Sul, Brazil, 90020-090
        • Local Institution - 0053
      • Porto Alegre, Rio Grande Do Sul, Brazil, 90610-000
        • Local Institution - 0055
    • Sao Paulo
      • Barretos, Sao Paulo, Brazil, 14784-400
        • Local Institution - 0052
    • Alberta
      • Edmonton, Alberta, Canada, T6G 1Z2
        • Local Institution - 0133
    • Ontario
      • London, Ontario, Canada, N6A 4L6
        • Local Institution
    • Quebec
      • Rimouski, Quebec, Canada, G5L 5T1
        • Local Institution - 0110
    • Metropolitana
      • Santiago, Metropolitana, Chile, 7600448
        • Local Institution - 0058
      • Santiago, Metropolitana, Chile, 8420383
        • Local Institution - 0077
      • Santiago, Metropolitana, Chile
        • Local Institution - 0134
    • Valparaiso
      • Viña Del Mar, Valparaiso, Chile
        • Local Institution - 0012
      • Praha 8, Czechia, 180 81
        • Local Institution - 0018
      • Creteil, France, 94010
        • Local Institution
      • Dijon Cedex, France, 21079
        • Local Institution
      • La Roche Sur Yon Cedex 9, France, 85925
        • Local Institution - 0119
      • Lyon Cedex 08, France, 69373
        • Local Institution - 0113
      • Marseille Cedex 20, France, 13915
        • Local Institution - 0112
      • Poitiers, France, 86000
        • Local Institution
      • Rennes Cedex 9, France, 35033
        • Local Institution - 0114
      • Toulouse, France, 31300
        • Local Institution
      • Bad Berka, Germany, 99437
        • Local Institution
      • Grosshansdorf, Germany, 22927
        • Local Institution
      • Heidelberg, Germany, 69126
        • Local Institution
      • Koeln, Germany, 51109
        • Local Institution - 0090
      • Mainz, Germany, 55131
        • Local Institution
      • Recklinghausen, Germany, 45657
        • Local Institution
      • Stuttgart, Germany, 70376
        • Local Institution
      • Ulm, Germany, 89081
        • Local Institution
      • Hong Kong, Hong Kong
        • Local Institution
      • Hong Kong, Hong Kong
        • Local Institution - 0043
      • Budapest, Hungary, H-1121
        • Local Institution - 0074
      • Bergamo, Italy, 24127
        • Local Institution - 0122
      • Bologna, Italy, 40138
        • Local Institution - 0086
      • Meldola (fc), Italy, 47014
        • Local Institution - 0087
      • Milano, Italy, 20133
        • Local Institution - 0085
      • Padova, Italy, 35128
        • Local Institution - 0084
      • Parma, Italy, 43100
        • Local Institution - 0121
      • Perugia, Italy, 06132
        • Local Institution - 0083
      • Ravenna, Italy, 48121
        • Local Institution - 0088
      • Siena, Italy, 53100
        • Local Institution - 0082
    • Distrito Federal
      • Mexico, Distrito Federal, Mexico, 06735
        • Local Institution - 0107
      • Mexico, Distrito Federal, Mexico, 14080
        • Local Institution - 0108
    • Nuevo Leon
      • Monterrey, Nuevo Leon, Mexico, 64060
        • Local Institution
    • Sonora
      • Hermosillo, Sonora, Mexico, 83280
        • Local Institution
      • Oslo, Norway, 0424
        • Local Institution - 0141
      • Arequipa, Peru, 54
        • Local Institution - 0050
      • Lima, Peru, 34
        • Local Institution - 0048
      • Lima, Peru, L-27
        • Local Institution - 0049
    • Lima
      • Miraflores, Lima, Peru, 18
        • Local Institution - 0131
      • Gdansk, Poland, 80-19
        • Local Institution - 0068
      • Olsztyn, Poland, 10-513
        • Local Institution - 0072
      • Szczecin, Poland, 70891
        • Local Institution - 0067
      • Warszawa, Poland, 02-781
        • Local Institution - 0070
    • Małopolskie
      • Krakow, Małopolskie, Poland, 30-002
        • Local Institution - 0073
      • Bucuresti, Romania, 010976
        • Local Institution - 0099
      • Cluj-Napoca, Romania, 400352
        • Local Institution - 0123
      • Craiova, Romania, 200385
        • Local Institution - 0063
      • Iasi, Romania, 700106
        • Local Institution - 0061
      • Timisoara, Romania, 300167
        • Local Institution - 0062
      • Moscow, Russian Federation, 115 478
        • Local Institution - 0078
      • Moscow, Russian Federation, 115 478
        • Local Institution - 0079
      • Moscow, Russian Federation, 115 478
        • Local Institution - 0120
      • St. Petersburg, Russian Federation, 197022
        • Local Institution - 0080
      • Singapore, Singapore, 308433
        • Local Institution
      • Singapore, Singapore, 169610
        • Local Institution
      • Barcelona, Spain, 08035
        • Local Institution
      • Madrid, Spain, 28050
        • Local Institution
      • Madrid, Spain, 28040
        • Local Institution
      • Sevilla, Spain, 41013
        • Local Institution - 0001
      • Vizcaya, Spain, 48903
        • Local Institution
      • Basel, Switzerland, 4031
        • Local Institution
      • Chur, Switzerland, 7000
        • Local Institution
    • Arizona
      • Scottsdale, Arizona, United States, 85259
        • Mayo Clinic Arizona
    • California
      • Duarte, California, United States, 91010
        • Local Institution - 0009
      • San Diego, California, United States, 92123
        • Local Institution - 0042
      • San Francisco, California, United States, 94115
        • San Francisco Oncology Associates
    • Connecticut
      • New Haven, Connecticut, United States, 06520
        • Yale University
    • Florida
      • Tampa, Florida, United States, 33612
        • Local Institution - 0034
    • Georgia
      • Marietta, Georgia, United States, 30060
        • Northwest Georgia Oncology Center, P.C.
    • Illinois
      • Chicago, Illinois, United States, 60637
        • Local Institution - 0030
    • Maryland
      • Baltimore, Maryland, United States, 21287
        • The Johns Hopkins University
    • Massachusetts
      • Boston, Massachusetts, United States, 02215
        • Local Institution - 0031
      • Boston, Massachusetts, United States, 02215
        • Local Institution - 0040
      • Boston, Massachusetts, United States, 02215
        • Local Institution - 0138
    • New Hampshire
      • Lebanon, New Hampshire, United States, 03756
        • Dartmouth-Hitchcock Medical Center
    • New York
      • Mineola, New York, United States, 11501
        • Local Institution - 0008
      • New York, New York, United States, 10065
        • Local Institution - 0020
    • North Carolina
      • Durham, North Carolina, United States, 27710
        • Local Institution - 0027
    • Ohio
      • Cincinnati, Ohio, United States, 45242
        • Local Institution - 0026
    • Pennsylvania
      • Langhorne, Pennsylvania, United States, 19047
        • St. Mary Medical Center
      • Philadelphia, Pennsylvania, United States, 19111
        • Fox Chase Cancer Center
      • Sayre, Pennsylvania, United States, 18840
        • Local Institution - 0035
    • South Carolina
      • Columbia, South Carolina, United States, 29210
        • Local Institution - 0025
    • Tennessee
      • Chattanooga, Tennessee, United States, 37404
        • Local Institution - 0024
      • Nashville, Tennessee, United States, 37232
        • Vanderbilt University Medical Center
      • Nashville, Tennessee, United States, 37203
        • Local Institution - 0028
    • Texas
      • Dallas, Texas, United States, 75390
        • Local Institution - 0033
      • Houston, Texas, United States, 77030
        • Local Institution - 0032
    • Washington
      • Kennewick, Washington, United States, 99336
        • Local Institution - 0041
      • Seattle, Washington, United States, 98104
        • Swedish Cancer Institute
      • Seattle, Washington, United States, 98109
        • Local Institution - 0007
    • West Virginia
      • Morgantown, West Virginia, United States, 26506-9162
        • Local Institution - 0019

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

Inclusion Criteria:

  • Men & women ≥18 years of age
  • Subjects with histologically or cytologically-documented non-squamous cell NSCLC who present with Stage IIIB/IV disease or recurrent or progressive disease following multimodal therapy (radiation therapy, surgical resection, or definitive chemoradiation therapy for locally advanced disease) and who will receive study therapy as second or third line of treatment for advanced disease
  • Disease recurrence or progression during/after one prior platinum doublet-based chemotherapy regimen for advanced or metastatic disease
  • Measurable disease by Computed tomography (CT)/Magnetic resonance imaging (MRI) per RECIST 1.1 criteria
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤1
  • A formalin fixed, paraffin-embedded (FFPE) tumor tissue block or unstained slides of tumor sample (archival or recent) must be available for biomarker evaluation. Specimens must be received by the central lab prior to randomization. Biopsy should be excisional, incisional or core needle. Fine needle aspiration is insufficient

Exclusion Criteria:

  • Subjects with untreated central nervous system (CNS) metastases are excluded. Subjects are eligible if CNS metastases are asymptomatic or treated and subjects are neurologically returned to baseline for at least 2 weeks prior to enrollment. In addition, subjects must be either off corticosteroids, or on a stable or decreasing dose of ≤10mg daily prednisone (or equivalent)
  • Subjects with carcinomatous meningitis
  • Subjects with active or recent history of known or suspected autoimmune disease. Subjects with Type 1 diabetes mellitus, hypothyroidism only requiring hormone replacement, or skin disorders (vitiligo, psoriasis, or alopecia) not requiring systemic treatment are permitted to enroll
  • Subjects with a condition requiring systemic treatment with either corticosteroids or other immunosuppressive medications within 14 days of randomization
  • Prior therapy with anti-programmed death-1 (anti-PD-1), anti-programmed cell death ligand 1 (anti-PD-L1), anti-programmed cell death ligand 2 (anti-PD-L2), anti-cluster of differentiation 137 (anti-CD137), or anti-Cytotoxic T lymphocyte-associated antigen 4 (anti-CTLA-4) antibody (including Ipilimumab or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways)
  • Prior treatment with Docetaxel
  • Treatment with any investigational agent within 14 days of first administration of 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
  • Masking: NONE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
EXPERIMENTAL: Arm A: Nivolumab
Nivolumab 3 mg/kg solution intravenously (IV) every 2 weeks until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends. Eligible patients may receive nivolumab at 480mg every 4 weeks until documented disease progression, discontinuation, withdrawal of consent or the study ends.
Other Names:
  • BMS-936558 (Anti-PD1)
ACTIVE_COMPARATOR: Arm B: Docetaxel
Docetaxel 75 mg/m^2 concentrate for solution for intravenous infusion every 3 weeks until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends. Eligible patients may receive nivolumab at 480mg every 4 weeks until documented disease progression, discontinuation, withdrawal of consent or the study ends.
Other Names:
  • Taxotere®

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Overall Survival (OS) Time in Months for All Randomized Participants at Primary Endpoint
Time Frame: Randomization until 413 deaths, up to March 2015 (approximately 29 months)
Overall survival was defined as the time from randomization to the date of death. A participant who has not died will be censored at last known date alive. OS will be followed continuously while participants are on the study drug and every 3 months via in-person or phone contact after participants discontinue the study drug. Median and hazard ratio computed using Kaplan-Meier method.
Randomization until 413 deaths, up to March 2015 (approximately 29 months)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Objective Response Rate (ORR)
Time Frame: From randomization to date of objectively documented progression (up to approximately 110 months)
ORR was defined as the percentage of participants whose Best Overall Response (BOR) was a confirmed Complete Response (CR) or Partial Response (PR). BOR was defined as the best investigator-assessed response designation, recorded between the date of randomization and the date of objectively documented progression per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) or the date of subsequent anti-cancer therapy (excluding on-treatment palliative radiotherapy of non-target bone lesions or Central Nervous System (CNS) lesions), whichever occurred first. 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. CR+PR, confidence interval based on the Clopper and Pearson method.
From randomization to date of objectively documented progression (up to approximately 110 months)
Time To Objective Response (TTOR)
Time Frame: From randomization to the date of first confirmed response (up to approximately 110 months)
Time to Objective Response for participants demonstrating a response (either CR or PR) was defined as the time from the date of randomization to the date of the first confirmed 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.; PR = At least a 30% decrease in the sum of diameters of target lesions, taking, as reference, the baseline sum diameters.
From randomization to the date of first confirmed response (up to approximately 110 months)
Duration of Objective Response (DOOR)
Time Frame: From randomization to date of first documented tumor progression or death due to any cause, whichever occurred first (up to approximately 110 months)
DOR was defined as the time from the date of first confirmed response to the date of the first documented tumor progression (per RECIST v1.1), as determined by the investigator, or death due to any cause, whichever occurred first. DOR was evaluated only for confirmed responders (i.e. participants with confirmed CR or PR). 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. Participants who neither progressed nor died were censored on the date of their last evaluable tumor assessment. Median computed using Kaplan-Meier method.
From randomization to date of first documented tumor progression or death due to any cause, whichever occurred first (up to approximately 110 months)
Progression-Free Survival (PFS)
Time Frame: From randomization to first confirmed response to the date of the first documented tumor progression or death due to any cause, whichever occurred first (up to approximately 110 months)
PFS was defined as the time from randomization to the date of the first documented tumor progression (per RECIST 1.1) or death due to any cause. Participants who died without a reported prior progression were considered to have progressed on the date of their death. Progression will be assessed every 6 weeks (from the first on-study radiographic assessment) until disease progression is noted. Progressive disease was defined as least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression. Median computed using the Kaplan-Meier method.
From randomization to first confirmed response to the date of the first documented tumor progression or death due to any cause, whichever occurred first (up to approximately 110 months)
Percentage of Participants Experiencing Disease-Related Symptom Improvement by Week 12
Time Frame: Randomization to Week 12
Disease-related symptom improvement rate by Week 12 was defined as the percentage of randomized participants who had a 10 point or greater decrease from baseline in average symptom burden index score at any time between randomization and Week 12. The participant portion of the Lung Cancer Symptom Scale (LCSS) consisted of 6 symptom-specific questions that addressed cough, dyspnea, fatigue, pain, hemoptysis, and anorexia, plus 3 summary items on symptom distress, interference with activity level, and global health-related Quality of Life (QoL). The scores range from 0 to 100, with 0 representing the best possible score and 100 being the worst possible score. The average symptom burden index score at each assessment was defined as the mean of the 6 symptom-specific questions of the LCSS. 95% CIs were computed using Clopper-Pearson Method.
Randomization to Week 12
Overall Survival (OS) by PD-L1 Expression at Baseline
Time Frame: From randomization to the date of death or last known date alive (up to approximately 110 months)
Overall survival was defined as the time from randomization to the date of death. A participant who has not died will be censored at last known date alive. Overall Survival time was measured in months for all randomized participants grouped by their baseline PD-L1 expression level. PD-L1 expression in participants was defined as the percent of disease tumor cells demonstrating plasma membrane PD-L1 staining of any intensity using an immunohistochemistry (IHC) assay. Median computed using the Kaplan-Meier method.
From randomization to the date of death or last known date alive (up to approximately 110 months)
Objective Response Rate (ORR) by PD-L1 Expression at Baseline
Time Frame: From randomization to date of objectively documented progression (up to approximately 110 months)
ORR was defined as the percentage of all randomized participants whose Best Overall Response (BOR) was a confirmed Complete Response (CR) or Partial Response (PR). 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. CR+PR, confidence interval based on the Clopper and Pearson method. ORR was reported for all randomized participants grouped by their baseline PD-L1 expression level. PD-L1 expression in participants was defined as the percent of disease tumor cells demonstrating plasma membrane PD-L1 staining of any intensity using an immunohistochemistry (IHC) assay.
From randomization to date of objectively documented progression (up to approximately 110 months)

Collaborators and Investigators

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

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)

November 2, 2012

Primary Completion (ACTUAL)

February 5, 2015

Study Completion (ACTUAL)

December 17, 2021

Study Registration Dates

First Submitted

August 24, 2012

First Submitted That Met QC Criteria

August 24, 2012

First Posted (ESTIMATE)

August 28, 2012

Study Record Updates

Last Update Posted (ACTUAL)

February 8, 2023

Last Update Submitted That Met QC Criteria

January 13, 2023

Last Verified

January 1, 2023

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-Squamous Cell Non-small Cell Lung Cancer

Clinical Trials on Docetaxel

3
Subscribe