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Um estudo de nivolumab subcutâneo versus nivolumab intravenoso em participantes com carcinoma de células renais de células claras previamente tratado que é avançado ou se espalhou (CheckMate-67T)

26 de agosto de 2026 atualizado por: Bristol-Myers Squibb

Um estudo de fase 3, aberto, randomizado, de não inferioridade da formulação subcutânea de nivolumab versus nivolumab intravenoso em participantes com carcinoma de células renais de células claras avançado ou metastático que receberam terapia sistêmica prévia

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.

Visão geral do estudo

Status

Ativo, não recrutando

Condições

Intervenção / Tratamento

Tipo de estudo

Intervencional

Inscrição (Real)

681

Estágio

  • Fase 3

Acesso expandido

Não está mais disponível fora do ensaio clínico. Consulte registro de acesso expandido.

Contactos e Locais

Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.

Locais de estudo

    • 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, Brasil, 80520-174
        • Local Institution - 0064
    • Rio Grande do Sul
      • Ijuí, Rio Grande do Sul, Brasil, 98700-000
        • Local Institution - 0107
      • Porto Alegre, Rio Grande do Sul, Brasil, 91350-200
        • Local Institution - 0039
    • Rio de Janeiro
      • Rio de Janeiro, Rio de Janeiro, Brasil, 20230-130
        • Local Institution - 0090
    • São Paulo
      • Barretos, São Paulo, Brasil, 014784-000
        • Local Institution - 0071
      • São José do Rio Preto, São Paulo, Brasil, 15090-000
        • Local Institution - 0070
      • São Paulo, São Paulo, Brasil, 01246-000
        • Local Institution - 0081
      • São Paulo, São Paulo, Brasil, 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
      • Barcelona, Espanha, 08003
        • Local Institution - 0048
      • Barcelona, Espanha, 08035
        • Local Institution - 0102
      • Barcelona, Espanha, 08041
        • Local Institution - 0049
      • Madrid, Espanha, 28026
        • Local Institution - 0072
      • Madrid, Espanha, 28033
        • Local Institution - 0067
      • Madrid, Espanha, 28046
        • Local Institution - 0074
      • Madrid, Espanha, 28050
        • Local Institution - 0075
      • Sabadell, Espanha, 08208
        • Local Institution - 0032
      • Santander, Espanha, 39008
        • Local Institution - 0086
      • Seville, Espanha, 31013
        • Local Institution - 0059
    • Illinois
      • Chicago, Illinois, Estados Unidos, 60611
        • Local Institution
    • New York
      • Buffalo, New York, Estados Unidos, 14263
        • Local Institution - 0025
    • Pennsylvania
      • West Reading, Pennsylvania, Estados Unidos, 19611
        • Local Institution - 0088
      • Tampere, Finlândia, 33521
        • Local Institution - 0017
      • Nice, França, 6189
        • Local Institution
      • Suresnes, França, 92151
        • Local Institution - 0051
      • Villejuif, França, 94800
        • Local Institution - 0068
    • Dublin
      • Tallaght, Dublin, Irlanda
        • Local Institution - 0060
      • Cremona, Itália, 26100
        • Local Institution - 0033
      • Florence, Itália, 50134
        • Local Institution - 0008
      • Meldola, Itália, 47014
        • Local Institution - 0027
      • Milan, Itália, 20141
        • Local Institution - 0018
      • Milan, Itália, 20133
        • Local Institution
      • Padova, Itália, 35128
        • Local Institution - 0014
      • Parma, Itália, 43126
        • Local Institution - 0082
      • Pavia, Itália, 27100
        • Local Institution - 0092
      • Roma, Itália, 00168
        • Local Institution - 0100
      • Rome, Itália, 00152
        • Local Institution - 0091
      • Terni, Itália, 05100
        • Local Institution - 0057
    • Coahuila
      • Torreón, Coahuila, México, 27010
        • Local Institution - 0101
    • Mexico City
      • Tlalpan, Mexico City, México, 14080
        • Local Institution - 0089
    • Nuevo León
      • Monterrey, Nuevo León, México, 64460
        • Local Institution - 0103
      • Monterrey, Nuevo León, México, 64710
        • Local Institution - 0031
    • Querétaro
      • Querétaro City, Querétaro, México, 76000
        • Local Institution - 0065
      • Querétaro City, Querétaro, México, 76090
        • Local Institution - 0085
    • San Luis Potosí
      • San Luis Potosí City, San Luis Potosí, México, 78200
        • Local Institution - 0105
      • Auckland, Nova Zelândia, 1023
        • Local Institution - 0053
      • Hamilton, Nova Zelândia, 3204
        • Local Institution - 0041
      • Palmerston North, Nova Zelândia, 4414
        • Local Institution - 0078
      • Biała Podlaska, Polônia, 21-500
        • Local Institution - 0055
      • Bydgoszcz, Polônia, 85-796
        • Local Institution - 0062
      • Gdansk, Polônia, 80-214
        • Local Institution - 0083
      • Krakow, Polônia, 30-688
        • Local Institution - 0021
      • Krakow, Polônia, 31-115
        • Local Institution - 0098
      • Poznan, Polônia, 60-569
        • Local Institution - 0001
      • Warsaw, Polônia, 02-781
        • Local Institution - 0023
      • Coimbra, Portugal, 3030-075
        • Local Institution - 0050
      • Lisbon, Portugal, 1500-650
        • Local Institution - 0052
      • Bucharest, Romênia, 022238
        • Local Institution - 0024
      • Cluj-Napoca, Romênia, 400132
        • Local Institution - 0002
      • Cluj-Napoca, Romênia, 400641
        • Local Institution - 0040
      • Craiova, Romênia, 200347
        • Local Institution - 0016
      • Chelyabinsk, Rússia, 454087
        • SBIH Chelyabinsk Regional Clinical Centre of Oncology and Nuclear Medicine
      • Ivanovo, Rússia, 153040
        • Ivanovo Regional Oncology Dispensary
      • Moscow, Rússia, 125284
        • Hertzen Moscow Oncology Research Center
      • Nizghiy Novgorod, Rússia, 603000
        • Local Institution
      • Omsk, Rússia, 644013
        • Budgetary Healthcare Institution of Omsk Region - Clinical Oncological Dispensary
      • Saint Petersburg, Rússia, 197022
        • LLC Eurocityclinic
      • Brno, Tcheca, 656 53
        • Local Institution - 0063
      • Hradec Králové, Tcheca, 500 05
        • Local Institution - 0036
      • Olomouc, Tcheca, 77900
        • Local Institution - 0020
      • Ostrava, Tcheca, 708 52
        • Local Institution - 0099
      • Prague, Tcheca, 140 59
        • Local Institution - 0010
      • Praha 8 Liben, Tcheca, 18081
        • Local Institution - 0106
      • Ankara, Turquia (Türkiye), 06230
        • Local Institution - 0026
      • Ankara, Turquia (Türkiye), 06590
        • Local Institution - 0097
      • Istanbul, Turquia (Türkiye), 34098
        • Local Institution - 0019
    • Bagcilar
      • Istanbul, Bagcilar, Turquia (Türkiye), 34284
        • Local Institution - 0035

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

18 anos e mais velhos (Adulto, Adulto mais velho)

Aceita Voluntários Saudáveis

Não

Gêneros Elegíveis para o Estudo

Tudo

Descrição

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

Plano de estudo

Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.

Como o estudo é projetado?

Detalhes do projeto

  • Finalidade Principal: Tratamento
  • Alocação: Randomizado
  • Modelo Intervencional: Atribuição Paralela
  • Mascaramento: Quadruplicar

Armas e Intervenções

Grupo de Participantes / Braço
Intervenção / Tratamento
Experimental: Braço A

Specified dose on specified days

Outros nomes:
  • BMS-986298
Comparador Ativo: Braço B

Specified dose on specified days

Outros nomes:
  • BMS-936558
  • Opdivo
Experimental: Braço C

Specified dose on specified days

Outros nomes:
  • BMS-986298
Experimental: Braço D

Specified dose on specified days

Outros nomes:
  • BMS-986298

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Descrição da medida
Prazo
Adjusted Geometric Mean Serum Concentration of Nivolumab Over 28 Days (Cavgd28) on Original Scale
Prazo: 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
Prazo: Pre-dose (Day 1 to Day 28)

Plasma samples were collected to assess the serum concentration.

Pre-dose (Day 1 to Day 28)

Medidas de resultados secundários

Medida de resultado
Descrição da medida
Prazo
Objective Response Rate (ORR) Per BICR
Prazo: 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)
Prazo: 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)
Prazo: 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)
Prazo: 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)
Prazo: 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)
Prazo: 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)
Prazo: 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)
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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)

Colaboradores e Investigadores

É aqui que você encontrará pessoas e organizações envolvidas com este estudo.

Patrocinador

Investigadores

  • Diretor de estudo: Bristol-Myers Squibb, Bristol-Myers Squibb

Publicações e links úteis

A pessoa responsável por inserir informações sobre o estudo fornece voluntariamente essas publicações. Estes podem ser sobre qualquer coisa relacionada ao estudo.

Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados ​​pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo (Real)

21 de maio de 2021

Conclusão Primária (Real)

29 de julho de 2025

Conclusão do estudo (Estimado)

10 de maio de 2027

Datas de inscrição no estudo

Enviado pela primeira vez

16 de março de 2021

Enviado pela primeira vez que atendeu aos critérios de CQ

19 de março de 2021

Primeira postagem (Real)

22 de março de 2021

Atualizações de registro de estudo

Última Atualização Postada (Real)

22 de setembro de 2026

Última atualização enviada que atendeu aos critérios de controle de qualidade

26 de agosto de 2026

Última verificação

1 de agosto de 2026

Mais Informações

Termos relacionados a este estudo

Outros números de identificação do estudo

  • CA209-67T
  • 2020-003655-15 (Número EudraCT)
  • U1111-1255-9514 (Identificador de registro: WHO)

Plano para dados de participantes individuais (IPD)

Planeja compartilhar dados de participantes individuais (IPD)?

SIM

Descrição do plano IPD

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

Prazo de Compartilhamento de IPD

See Plan Description

Critérios de acesso de compartilhamento IPD

See Plan Description

Tipo de informação de suporte de compartilhamento de IPD

  • PROTOCOLO DE ESTUDO
  • SEIVA
  • CSR

Informações sobre medicamentos e dispositivos, documentos de estudo

Estuda um medicamento regulamentado pela FDA dos EUA

Sim

Estuda um produto de dispositivo regulamentado pela FDA dos EUA

Não

Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .