- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03470922
A Study of Relatlimab Plus Nivolumab Versus Nivolumab Alone in Participants With Advanced Melanoma (RELATIVITY-047)
A Randomized, Double-Blind Phase 2/3 Study of Relatlimab Combined With Nivolumab Versus Nivolumab in Participants With Previously Untreated Metastatic or Unresectable Melanoma
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Locations
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Buenos Aires, Argentina, 1199
- Local Institution - 0004
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Buenos Aires, Argentina, 4102-4200
- Local Institution - 0005
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Buenos Aires, Argentina, 1426
- Local Institution - 0003
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Distrito Federal
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Buenos Aires, Distrito Federal, Argentina, 1121
- Local Institution - 0135
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Capital Federal, Distrito Federal, Argentina, C1280AEB
- Local Institution - 0002
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New South Wales
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North Sydney, New South Wales, Australia, 2060
- Local Institution - 0042
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Waratah, New South Wales, Australia, 2298
- Local Institution - 0043
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Queensland
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Greenslopes, Queensland, Australia, 4120
- Local Institution - 0041
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Southport, Queensland, Australia, 4215
- Local Institution - 0045
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South Australia
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Bedford Park, South Australia, Australia, 5042
- Local Institution - 0133
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Western Australia
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Murdoch, Western Australia, Australia, 6150
- Local Institution - 0044
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Salzburg, Austria, 5020
- Local Institution - 0037
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Vienna, Austria, 1090
- Local Institution - 0035
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Styria
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Graz, Styria, Austria, 8036
- Local Institution - 0036
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Brussels, Belgium, 1090
- Local Institution - 0047
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Brussels, Belgium, 1200
- Local Institution - 0049
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Ghent, Belgium, 9000
- Local Institution - 0048
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Rio de Janiro, Brazil, 20220-410
- Local Institution - 0059
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São Paulo, Brazil, 01246-000
- Local Institution - 0060
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São Paulo, Brazil, 01509-010
- Local Institution - 0062
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Minas Gerais
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Belo Horizonte, Minas Gerais, Brazil, 30130-090
- Local Institution - 0058
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Rio Grande do Sul
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Porto Alegre, Rio Grande do Sul, Brazil, 90035-903
- Local Institution - 0057
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Porto Alegre, Rio Grande do Sul, Brazil, 91350-200
- Local Institution - 0061
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Santa Cruz do Sul, Rio Grande do Sul, Brazil, 96810-110
- Local Institution - 0073
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São Paulo
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São Paulo, São Paulo, Brazil, 05651-901
- Local Institution - 0063
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Nova Scotia
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Halifax, Nova Scotia, Canada, B3H 2Y9
- Local Institution - 0124
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Ontario
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Ottawa, Ontario, Canada, K1H 8L6
- Local Institution - 0068
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Toronto, Ontario, Canada, M5G 2M9
- Local Institution - 0128
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Quebec
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Montreal, Quebec, Canada, H3T 1E2
- Local Institution - 0123
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Montreal, Quebec, Canada, H4A 3J1
- Local Institution - 0075
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Santiago Metropolitan
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Santiago, Santiago Metropolitan, Chile
- Local Institution - 0001
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Bogotá, Colombia, 110321
- Local Institution - 0095
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Antioquia
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Medellín, Antioquia, Colombia, 050030
- Local Institution - 0096
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Herlev, Denmark, 2730
- Local Institution - 0103
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Odense, Denmark, 5000
- Local Institution - 0104
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Central Jutland
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Aarhus N, Central Jutland, Denmark, 8200
- Local Institution - 0105
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Oulu, Finland, 90220
- Local Institution - 0102
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Tampere, Finland, 33521
- Local Institution - 0119
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Turku, Finland, 20520
- Local Institution - 0101
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Uusimaa
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Helsinki, Uusimaa, Finland, 00290
- Local Institution - 0100
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Bordeaux, France, 33075
- Local Institution - 0080
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Lille, France, 59000
- Local Institution - 0085
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Marseille, France, 13011
- Local Institution - 0081
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Paris, France, 75010
- Local Institution - 0083
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Pierre-Bénite, France, 69310
- Local Institution - 0078
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Poitiers, France, 86000
- Local Institution - 0082
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Ille-et-Vilaine
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Rennes, Ille-et-Vilaine, France, 35042
- Local Institution - 0084
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Somme
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Amiens, Somme, France, 80000
- Local Institution - 0079
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Buxtehude, Germany, 21614
- Local Institution - 0032
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Cologne, Germany, 50937
- Local Institution - 0029
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Erfurt, Germany, 99089
- Local Institution - 0030
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Essen, Germany, 45147
- Local Institution - 0027
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Hanover, Germany, 30625
- Local Institution - 0033
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Homburg / Saar, Germany, 66421
- Local Institution - 0074
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Lübeck, Germany, 23538
- Local Institution - 0028
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Mannheim, Germany, 68167
- Local Institution - 0072
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München, Germany, 81675
- Local Institution - 0034
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Würzburg, Germany, 97080
- Local Institution - 0031
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Baden-Wurttemberg
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Heidelberg, Baden-Wurttemberg, Germany, 69120
- Local Institution - 0132
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Tübingen, Baden-Wurttemberg, Germany, 72076
- Local Institution - 0131
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Saxony-Anhalt
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Quedlinburg, Saxony-Anhalt, Germany, 06484
- Local Institution - 0071
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Athens, Greece, 11526
- Local Institution - 0064
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Thessaloniki, Greece, 54622
- Local Institution - 0065
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Haifa, Israel, 3109601
- Local Institution - 0086
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Jerusalem, Israel, 91120
- Local Institution - 0088
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Ramat Gan, Israel, 52621
- Local Institution - 0087
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Bergamo, Italy, 24127
- Local Institution - 0109
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Milan, Italy, 20133
- Local Institution - 0108
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Napoli, Italy, 80131
- Local Institution - 0106
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Padua, Italy, 35128
- Local Institution - 0110
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Siena, Italy, 53100
- Local Institution - 0107
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Piedmont
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Turin, Piedmont, Italy, 10126
- Local Institution - 0111
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Veracruz, Mexico, 91900
- Local Institution - 0129
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Jalisco
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Zapopan, Jalisco, Mexico, 45070
- Local Institution - 0094
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Nuevo León
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Monterrey, Nuevo León, Mexico, 64060
- Local Institution - 0091
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Quintana Roo
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Cancún, Quintana Roo, Mexico, 77500
- Local Institution - 0093
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Yucatán
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Mérida, Yucatán, Mexico, 97130
- Local Institution - 0092
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Dunedin, New Zealand, 9012
- Local Institution - 0090
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Hamilton, New Zealand, 3240
- Local Institution - 0125
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Tauranga, New Zealand, 3112
- Local Institution - 0089
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Oslo, Norway, 0310
- Local Institution - 0121
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Poznan, Poland, 60-780
- Local Institution - 0040
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Warsaw, Poland, 02-781
- Local Institution - 0039
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Bucharest, Romania, 022328
- Local Institution - 0066
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Craiova, Romania, 200542
- Local Institution - 0067
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Iași, Romania, 700483
- Local Institution - 0069
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Cluj
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Cluj-Napoca, Cluj, Romania, 400015
- Local Institution - 0070
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Krasnodar, Russia, 350040
- Local Institution - 0113
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Krasnoyarsk, Russia, 660133
- Local Institution - 0127
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Moscow, Russia, 115478
- Local Institution - 0112
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A Coruña, Spain, 15006
- Local Institution - 0023
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Barcelona, Spain, 08035
- Local Institution - 0024
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Barcelona, Spain, 08036
- Local Institution - 0025
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Madrid, Spain, 28034
- Local Institution - 0026
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San Sabastian Gipuzkoa, Spain, 20014
- Local Institution - 0021
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Seville, Spain, 41009
- Local Institution - 0022
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Gothenburg, Sweden, 413 45
- Local Institution - 0098
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Lund, Sweden, 221 85
- Local Institution - 0099
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Solna, Sweden, 171 64
- Local Institution - 0118
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Uppsala, Sweden, 751 85
- Local Institution - 0122
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Avon
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Bristol, Avon, United Kingdom, BS2 8ED
- Local Institution - 0052
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Dumfries & Galloway
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Glasgow, Dumfries & Galloway, United Kingdom, G12 0YN
- Local Institution - 0054
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Glamorgan
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Swansea, Glamorgan, United Kingdom, SA2 8QA
- Local Institution - 0056
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Greater London
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London, Greater London, United Kingdom, SE1 9RT
- Local Institution - 0051
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Inverness-shire
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Inverness, Inverness-shire, United Kingdom, IV2 3UJ
- Local Institution - 0126
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Arizona
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Tucson, Arizona, United States, 85724-5024
- Local Institution - 0010
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California
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Los Angeles, California, United States, 90095
- Local Institution - 0020
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San Luis Obispo, California, United States, 93401
- Coastal Integrative Cancer Care
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Santa Barbara, California, United States, 93105
- Local Institution - 0116
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District of Columbia
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Washington D.C., District of Columbia, United States, 20007
- Local Institution - 0012
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Florida
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Jacksonville, Florida, United States, 32224
- Local Institution - 0013
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Orlando, Florida, United States, 32806
- Local Institution - 0117
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Tampa, Florida, United States, 33612
- Local Institution - 0007
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Georgia
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Atlanta, Georgia, United States, 30342
- Local Institution - 0038
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Illinois
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Chicago, Illinois, United States, 60611
- Local Institution - 0016
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Indiana
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Fort Wayne, Indiana, United States, 46804
- Local Institution - 0114
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Maryland
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Baltimore, Maryland, United States, 21237
- Local Institution - 0077
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Baltimore, Maryland, United States, 21287
- Local Institution - 0120
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Massachusetts
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Boston, Massachusetts, United States, 02215
- Local Institution - 0014
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Boston, Massachusetts, United States, 02215
- Local Institution - 0134
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Michigan
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Ann Arbor, Michigan, United States, 48109
- Local Institution - 0015
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Minnesota
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Minneapolis, Minnesota, United States, 55407
- Local Institution - 0009
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Rochester, Minnesota, United States, 55905
- Local Institution - 0011
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North Carolina
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Charlotte, North Carolina, United States, 28204
- Local Institution - 0018
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Pennsylvania
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Allentown, Pennsylvania, United States, 18103
- Local Institution - 0019
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Texas
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Dallas, Texas, United States, 75246
- Local Institution - 0076
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Houston, Texas, United States, 77030
- Local Institution - 0008
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
For more information regarding Bristol-Myers Squibb Clinical Trial participation, please visit www.BMSStudyConnect.com
Inclusion Criteria:
- Participants must have histologically confirmed Stage III (unresectable) or Stage IV melanoma, per the AJCC staging system
- Participants must not have had prior systemic anticancer therapy for unresectable or metastatic melanoma
- Tumor tissue from an unresectable or metastatic site of disease must be provided for biomarker analyses
Exclusion Criteria:
- Participants must not have active brain metastases or leptomeningeal metastases
- Participants must not have uveal melanoma
- Participants must not have an active, known, or suspected autoimmune disease
Other protocol defined inclusion/exclusion criteria could apply
Study Plan
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 |
|---|---|
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Experimental: Arm B: Nivolumab
Monotherapy
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Specified dose on specified days
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Experimental: Arm A: Relatlimab + Nivolumab
Combination
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Specified dose on specified days
Specified dose on specified day
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Progression Free Survival (PFS)
Time Frame: From randomization to date of first documented tumor progression or death (up to approximately 33 months)
|
Progression Free Survival (PFS) is defined as the time between the date of randomization and the date of first documented tumor progression, assessed by a blinded independent central review (BICR) (per RECIST v1.1 criteria), or death due to any cause, whichever occurs first.
Subjects who die without a reported progression will be considered to have progressed on the date of their death.
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From randomization to date of first documented tumor progression or death (up to approximately 33 months)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall Survival (OS)
Time Frame: From randomization to the date of death (up to approximately 3 years)
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Overall Survival (OS) is defined as the time between the date of randomization and the date of death due to any cause.
For subjects that are alive, their survival time will be censored at the date of last contact ("last known alive date").
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From randomization to the date of death (up to approximately 3 years)
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Overall Response Rate (ORR)
Time Frame: From randomization up to approximately 3 years
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Objective response rate (ORR) is defined as the number of randomized subjects who achieve a best response of complete response (CR) or partial response (PR) based on BICR assessments (using RECIST v1.1 criteria).
|
From randomization up to approximately 3 years
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The Number of Participants Experiencing Adverse Events (AEs)
Time Frame: From first dose to 30 days after last dose of study therapy (up to approximately 33 months)
|
The number of participants experiencing adverse events (AEs). An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. |
From first dose to 30 days after last dose of study therapy (up to approximately 33 months)
|
|
The Number of Participants Experiencing Serious Adverse Events (SAEs)
Time Frame: From first dose to 30 days after last dose of study therapy (up to approximately 33 months)
|
The number of participants experiencing serious adverse events (SAEs). A serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose: Results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is an important medical event. |
From first dose to 30 days after last dose of study therapy (up to approximately 33 months)
|
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The Number of Participants Experiencing Adverse Events (AEs) Leading to Discontinuation
Time Frame: From first dose to 30 days after last dose of study therapy (up to approximately 33 months)
|
The number of participants experiencing adverse events (AEs) leading to discontinuation. An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. |
From first dose to 30 days after last dose of study therapy (up to approximately 33 months)
|
|
The Number of Participant Deaths in the Study
Time Frame: From first dose up to approximately 33 months
|
The number of participant deaths in the study.
|
From first dose up to approximately 33 months
|
|
The Number of Participants Experiencing Laboratory Abnormalities in Specific Liver Tests
Time Frame: From first dose to 30 days after last dose of study therapy (up to approximately 33 months)
|
The number of participants with clinical laboratory test abnormalities in specific liver tests based on US conventional units.
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From first dose to 30 days after last dose of study therapy (up to approximately 33 months)
|
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The Number of Participants Experiencing Laboratory Abnormalities in Specific Thyroid Tests
Time Frame: From first dose to 30 days after last dose of study therapy (up to approximately 33 months)
|
The number of participants with clinical laboratory test abnormalities in specific thyroid tests based on US conventional units.
|
From first dose to 30 days after last dose of study therapy (up to approximately 33 months)
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Bristol-Myers Squibb, Bristol-Myers Squibb
Publications and helpful links
General Publications
- Tawbi HA, Schadendorf D, Lipson EJ, Ascierto PA, Matamala L, Castillo Gutierrez E, Rutkowski P, Gogas HJ, Lao CD, De Menezes JJ, Dalle S, Arance A, Grob JJ, Srivastava S, Abaskharoun M, Hamilton M, Keidel S, Simonsen KL, Sobiesk AM, Li B, Hodi FS, Long GV; RELATIVITY-047 Investigators. Relatlimab and Nivolumab versus Nivolumab in Untreated Advanced Melanoma. N Engl J Med. 2022 Jan 6;386(1):24-34. doi: 10.1056/NEJMoa2109970.
- Lipson EJ, Stephen Hodi F, Tawbi H, Schadendorf D, Ascierto PA, Matamala L, Gutierrez EC, Rutkowski P, Gogas HJ, Lao CD, Menezes JJ, Dalle S, Arance A, Gaudy-Marqueste C, Chen B, Jackson W, Mukherjee S, Dolfi S, Long GV. Nivolumab plus relatlimab in advanced melanoma: RELATIVITY-047 4-year update. Eur J Cancer. 2025 Jul 25;225:115547. doi: 10.1016/j.ejca.2025.115547. Epub 2025 Jun 3.
- Tawbi HA, Hodi FS, Lipson EJ, Schadendorf D, Ascierto PA, Matamala L, Castillo Gutierrez E, Rutkowski P, Gogas H, Lao CD, Janoski De Menezes J, Dalle S, Arance AM, Grob JJ, Ratto B, Rodriguez S, Mazzei A, Dolfi S, Long GV. Three-Year Overall Survival With Nivolumab Plus Relatlimab in Advanced Melanoma From RELATIVITY-047. J Clin Oncol. 2025 May;43(13):1546-1552. doi: 10.1200/JCO.24.01124. Epub 2024 Dec 13.
- Long GV, Stephen Hodi F, Lipson EJ, Schadendorf D, Ascierto PA, Matamala L, Salman P, Castillo Gutierrez E, Rutkowski P, Gogas HJ, Lao CD, Janoski De Menezes J, Dalle S, Arance A, Grob JJ, Keidel S, Shaikh A, Sobiesk AM, Dolfi S, Tawbi HA. Overall Survival and Response with Nivolumab and Relatlimab in Advanced Melanoma. NEJM Evid. 2023 Apr;2(4):EVIDoa2200239. doi: 10.1056/EVIDoa2200239. Epub 2023 Mar 22.
- Schadendorf D, Tawbi H, Lipson EJ, Stephen Hodi F, Rutkowski P, Gogas H, Lao CD, Grob JJ, Moshyk A, Lord-Bessen J, Hamilton M, Guo S, Shi L, Keidel S, Long GV. Health-related quality of life with nivolumab plus relatlimab versus nivolumab monotherapy in patients with previously untreated unresectable or metastatic melanoma: RELATIVITY-047 trial. Eur J Cancer. 2023 Jul;187:164-173. doi: 10.1016/j.ejca.2023.03.014. Epub 2023 Mar 22.
- Raschi E, Comito F, Massari F, Gelsomino F. Relatlimab and nivolumab in untreated advanced melanoma: insight into RELATIVITY. Immunotherapy. 2023 Feb;15(2):85-91. doi: 10.2217/imt-2022-0172. Epub 2023 Jan 11.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neoplasms by Site
- Neoplasms by Histologic Type
- Skin Diseases
- Neuroectodermal Tumors
- Neoplasms, Germ Cell and Embryonal
- Neoplasms, Nerve Tissue
- Neuroendocrine Tumors
- Nevi and Melanomas
- Skin Neoplasms
- Skin and Connective Tissue Diseases
- Neoplasms
- Melanoma
- Amino Acids, Peptides, and Proteins
- Proteins
- Antibodies, Monoclonal, Humanized
- Antibodies, Monoclonal
- Antibodies
- Immunoglobulins
- Immunoproteins
- Blood Proteins
- Serum Globulins
- Globulins
- Nivolumab
- relatlimab
Other Study ID Numbers
- CA224-047
- 2024-510913-13 (Other Identifier: EU CT Number)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
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