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NCT01642004

Study of BMS-936558 (Nivolumab) Compared to Docetaxel in Previously Treated Advanced or Metastatic Squamous Cell Non-small Cell Lung Cancer (NSCLC) (CheckMate 017)

Completed Phase 3 Results posted Last updated 28 December 2022
What this trial tests

Phase 3 trial testing Nivolumab in Squamous Cell Non-small Cell Lung Cancer in 272 participants. Completed in 16 August 2021.

Timeline
16 October 2012
Primary endpoint
17 November 2014
16 August 2021

Quick facts

Lead sponsorBristol-Myers Squibb
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment272
Start date16 October 2012
Primary completion17 November 2014
Estimated completion16 August 2021
Sites127 locations across Italy, Ireland, Poland, Netherlands, Russia, Mexico, United States, France

Drugs / interventions tested

Conditions studied

Sponsor

Bristol-Myers Squibb — full company profile →

Who can join

18 and older, any sex, with Squamous Cell Non-small Cell Lung Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Overall Survival (OS) Time in Months for All Randomized Participants at Primary Endpoint Primary · Randomization until 199 deaths, up to November 2014, approximately 25 months

OS was defined as the time between the date of randomization and the date of death from any cause. Participants were censored at the date they were last known to be alive. Median OS time was calculated using Kaplan-Meier (KM) method. Hazard ratio (HR) and the corresponding Confidence Interval (CI) were estimated in a stratified Cox proportional hazards model for distribution of OS in each randomized arm. Interim analysis (Primary Endpoint) was planned to occur after at least 196 deaths, with the actual analysis occurring at 199 deaths.

GroupValue95% CI
Nivolumab9.237.33 – 13.27
Docetaxel6.015.13 – 7.33
Overall Survival (OS) Rate in All Randomized Participants Primary · Randomization to 18 months post-randomization, up to June 2015

The overall survival rate is the probability that a participant will be alive at 6, 12, and 18 months following randomization. Overall survival was defined as the time between the date of randomization and the date of death as a result of any cause. Survival rates were determined via Kaplan-Meier estimates.

6 months
GroupValue95% CI
Nivolumab63.755.0 – 71.2
Docetaxel50.742.1 – 58.8
12 months
GroupValue95% CI
Nivolumab42.233.8 – 50.4
Docetaxel24.317.4 – 31.7
18 months
GroupValue95% CI
Nivolumab28.120.8 – 35.8
Docetaxel12.57.6 – 18.7
Number of Deaths From Any Cause in All Randomized Participants at Primary Endpoint Primary · Randomization until 199 deaths, up to November 2014, approximately 25 months

The number of participants who died from any cause was reported for each arm. Interim analysis (Primary Endpoint) was planned to occur after at least 196 deaths, with the actual analysis occurring at 199 deaths.

GroupValue95% CI
Nivolumab86
Docetaxel113
Objective Response Rate (ORR) in All Randomized Participants Secondary · From the date of randomization up to the date of objectively documented progression, up to approximately 103 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). 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 = D

GroupValue95% CI
Nivolumab20.013.6 – 27.7
Docetaxel8.84.6 – 14.8
Time To Response (TTR) in Months for All Confirmed Responders Secondary · From the date of randomization to the date of the first confirmed response, up to approximately 12 months

Time to Response (TTR) 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.

GroupValue95% CI
Nivolumab2.231.6 – 11.8
Docetaxel2.091.8 – 9.5
Duration of Objective Response (DOR) in Months for All Confirmed Responders Secondary · From the date of first confirmed response to the date of the first documented tumor progression or death due to any cause, whichever occurred first, up to approximately 94 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. Part

GroupValue95% CI
Nivolumab24.519.76 – 69.65
Docetaxel8.413.58 – 14.03
Progression Free Survival Rate (PFSR) Secondary · From randomization to specified timepoints, up to 84 months

PFSR was defined as the percentage of participants who did not experience disease progression or death from any cause at a given time point following randomization. Progression was assessed by investigators according to RECIST v1.1. Participants who did not progress or die were censored on the date of their last evaluable tumor assessment. Participants who started any subsequent anti-cancer therapy (including on-treatment palliative radiation therapy (RT) of non-target bone lesions or CNS lesions) without a prior reported progression were to be censored at the last evaluable tumor assessment p

6 months
GroupValue95% CI
Nivolumab38.430.0 – 46.8
Docetaxel22.615.7 – 30.2
12 months
GroupValue95% CI
Nivolumab21.014.3 – 28.6
Docetaxel7.23.4 – 12.8
18 months
GroupValue95% CI
Nivolumab15.879.9 – 22.8
Docetaxel1.80.4 – 5.7
24 months
GroupValue95% CI
Nivolumab14.89.1 – 21.8
DocetaxelNANA – NA
36 months
GroupValue95% CI
Nivolumab11.06.1 – 17.5
DocetaxelNANA – NA
48 months
GroupValue95% CI
Nivolumab8.94.5 – 15.1
DocetaxelNANA – NA
60 months
GroupValue95% CI
Nivolumab8.94.5 – 15.1
DocetaxelNANA – NA
72 months
GroupValue95% CI
Nivolumab7.63.5 – 13.7
DocetaxelNANA – NA
Progression-Free Survival (PFS) Time in Months for All Randomized Participants Secondary · From randomization up to the first confirmed response to the date of the first documented tumor progression or death due to any cause, whichever occurred first, up to approximately 103 months

PFS was defined as the time from the date of randomization to the date of the first documented tumor progression as determined by the investigator per RECIST v1.1 criteria, or death due to any cause. Participants underwent radiographic tumor assessments every 6 weeks (+/- 5 days) from week 9 (+/- 5 days) for the first year on treatment, then every 12 weeks after the first year on treatment until documented disease progression. The PFS curves were estimated using KM method. Two-sided 95% CI for median PFS were computed by Brookmeyer and Crowley method (using log-log transformation). Participant

GroupValue95% CI
Nivolumab3.482.14 – 5.06
Docetaxel2.832.10 – 3.52
Percentage of Participants Experiencing Disease-related Symptom Improvement by Week 12 Secondary · From randomization up 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 representin

GroupValue95% CI
Nivolumab18.512.4 – 26.1
Docetaxel21.214.7 – 29.0
Overall Survival (OS) Time in Months by Baseline PD-L1 Expression for All Randomized Participants Secondary · From the date of randomization to the date of death from any cause, up to approximately 103 months

OS was measured in months for all randomized participants grouped by their baseline PD-L1 expression level. PD-L1 expression was defined as the percent of disease tumor cells demonstrating plasma membrane PD-L1 staining of any intensity using an immunohistochemistry (IHC) assay. OS was defined as the time between the date of randomization and the date of death from any cause. Participants were censored at the date they were last known to be alive. Median OS time was calculated using Kaplan-Meier (KM) method.

PD-L1 expression >= 5%
GroupValue95% CI
Nivolumab9.955.82 – 16.69
Docetaxel6.374.50 – 9.03
PD-L1 expression < 5%
GroupValue95% CI
Nivolumab8.545.49 – 12.62
Docetaxel6.145.13 – 8.28
PD-L1 not quantifiable at baseline
GroupValue95% CI
Nivolumab9.417.10 – 25.20
Docetaxel5.063.02 – 6.11
Objective Response Rate (ORR) by Baseline PD-L1 Expression for All Randomized Participants Secondary · From the date of randomization up to the date of objectively documented progression, up to approximately 103 months

ORR was reported for all randomized participants grouped by their baseline PD-L1 expression level. 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). 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. CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm.;

PD-L1 expression >= 5%
GroupValue95% CI
Nivolumab21.410.3 – 36.8
Docetaxel7.71.6 – 20.9
PD-L1 expression < 5%
GroupValue95% CI
Nivolumab14.77.6 – 24.7
Docetaxel11.65.1 – 21.6
PD-L1 not quantifiable at baseline
GroupValue95% CI
Nivolumab38.917.3 – 64.3
Docetaxel3.40.1 – 17.8
Progression Free Survival (PFS) Time in Months by Baseline PD-L1 Expression for All Randomized Participants Secondary · From the date of first confirmed response to the date of the first documented tumor progression or death due to any cause, whichever occurred first, up to approximately 103 months

PFS time was measured for all randomized participants grouped by their baseline PD-L1 expression levels. PFS was defined as the time from the date of randomization to the date of the first documented tumor progression as determined by the investigator per RECIST v1.1 criteria, or death due to any cause. The PFS curves were estimated using KM method. Participants who did not progress or die were censored on the date of their last evaluable tumor assessment. Participants who started subsequent anti-cancer therapy (including on-treatment palliative radiotherapy of non-target bone lesions or CNS l

PD-L1 expression >= 5%
GroupValue95% CI
Nivolumab5.062.10 – 7.56
Docetaxel3.061.94 – 4.63
PD-L1 expression < 5%
GroupValue95% CI
Nivolumab2.231.94 – 4.73
Docetaxel2.922.07 – 3.58
PD-L1 not quantifiable at baseline
GroupValue95% CI
Nivolumab5.392.10 – 10.45
Docetaxel2.232.04 – 4.40

Adverse events — posted to ClinicalTrials.gov

Time frame: Participants were assessed for all-cause mortality from their enrollment to study completion, (up to approximately 103 months). SAEs and Other AEs were assessed from first dose to 100 days following last dose (up to approximately 94 months).. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Nivolumab 3 mg/kg
Serious: 85/131 (65%)
Deaths: 119/135
Nivolumab 480 mg
Serious: 1/6 (17%)
Deaths: 2/6
Docetaxel
Serious: 92/129 (71%)
Deaths: 129/137
Extension Phase of Docetaxel Arm: Nivolumab 3 mg/kg
Serious: 4/6 (67%)
Deaths: 5/6
Extension Phase of Docetaxel Arm: Nivolumab 480 mg
Serious: 0/1 (0%)
Deaths: 1/1

Serious adverse events (119 terms)

ReactionSystemNivolumab 3 mg/kgNivolumab 480 mgDocetaxelExtension Phase of Docetax…Extension Phase of Docetax…
Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
PneumoniaInfections and infestations
Febrile neutropeniaBlood and lymphatic system disorders
PyrexiaGeneral disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Atrial fibrillationCardiac disorders
HypercalcaemiaMetabolism and nutrition disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Pulmonary haemorrhageRespiratory, thoracic and mediastinal disorders
NeutropeniaBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
DysphagiaGastrointestinal disorders
SepsisInfections and infestations
DehydrationMetabolism and nutrition disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
Cardio-respiratory arrestCardiac disorders
VomitingGastrointestinal disorders
AstheniaGeneral disorders
BronchitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
Cerebrovascular accidentNervous system disorders
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders
HaemoptysisRespiratory, thoracic and mediastinal disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
Other adverse events (96 terms — click to expand)

ReactionSystemNivolumab 3 mg/kgNivolumab 480 mgDocetaxelExtension Phase of Docetax…Extension Phase of Docetax…
FatigueGeneral disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
CoughRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
Decreased appetiteMetabolism and nutrition disorders
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
AlopeciaSkin and subcutaneous tissue disorders
AstheniaGeneral disorders
PyrexiaGeneral disorders
ConstipationGastrointestinal disorders
VomitingGastrointestinal disorders
ArthralgiaMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
Oedema peripheralGeneral disorders
MyalgiaMusculoskeletal and connective tissue disorders
BronchitisInfections and infestations
Back painMusculoskeletal and connective tissue disorders
Neuropathy peripheralNervous system disorders
Mucosal inflammationGeneral disorders
Weight decreasedInvestigations
DizzinessNervous system disorders
RashSkin and subcutaneous tissue disorders
LeukopeniaBlood and lymphatic system disorders
PruritusSkin and subcutaneous tissue disorders
Abdominal painGastrointestinal disorders
Chest painGeneral disorders
HyperglycaemiaMetabolism and nutrition disorders
DysphoniaRespiratory, thoracic and mediastinal disorders
HaemoptysisRespiratory, thoracic and mediastinal disorders
ChillsGeneral disorders
ParaesthesiaNervous system disorders
InsomniaPsychiatric disorders
Non-cardiac chest painGeneral disorders
PainGeneral disorders
Upper respiratory tract infectionInfections and infestations
Blood alkaline phosphatase increasedInvestigations
Neutrophil count decreasedInvestigations
White blood cell count decreasedInvestigations

Most-reported serious reactions: Malignant neoplasm progression, Pneumonia, Febrile neutropenia, Pyrexia, Respiratory failure, Atrial fibrillation, Hypercalcaemia, Dyspnoea.

Data from ClinicalTrials.gov NCT01642004 adverse events section.

Sponsor's own description

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

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Nivolumab versus Docetaxel in Advanced Squamous-Cell Non-Small-Cell Lung Cancer.
    Brahmer J, Reckamp KL, Baas P, Crinò L, et al · · 2015 · cited 6618× · PMID 26028407 · DOI 10.1056/nejmoa1504627
  2. Survival, durable tumor remission, and long-term safety in patients with advanced melanoma receiving nivolumab.
    Topalian SL, Sznol M, McDermott DF, Kluger HM, et al · · 2014 · cited 1751× · PMID 24590637 · DOI 10.1200/jco.2013.53.0105
  3. Immune checkpoint inhibitors: recent progress and potential biomarkers.
    Darvin P, Toor SM, Sasidharan Nair V, Elkord E. · · 2018 · cited 1495× · PMID 30546008 · DOI 10.1038/s12276-018-0191-1
  4. Hallmarks of response, resistance, and toxicity to immune checkpoint blockade.
    Morad G, Helmink BA, Sharma P, Wargo JA. · · 2021 · cited 1197× · PMID 34624224 · DOI 10.1016/j.cell.2021.09.020
  5. Anti-PD-1/PD-L1 therapy of human cancer: past, present, and future.
    Chen L, Han X. · · 2015 · cited 1133× · PMID 26325035 · DOI 10.1172/jci80011
  6. Lung cancer immunotherapy: progress, pitfalls, and promises.
    Lahiri A, Maji A, Potdar PD, Singh N, et al · · 2023 · cited 737× · PMID 36810079 · DOI 10.1186/s12943-023-01740-y
  7. Nivolumab Versus Docetaxel in Previously Treated Patients With Advanced Non-Small-Cell Lung Cancer: Two-Year Outcomes From Two Randomized, Open-Label, Phase III Trials (CheckMate 017 and CheckMate 057).
    Horn L, Spigel DR, Vokes EE, Holgado E, et al · · 2017 · cited 687× · PMID 29023213 · DOI 10.1200/jco.2017.74.3062
  8. New horizons in tumor microenvironment biology: challenges and opportunities.
    Chen F, Zhuang X, Lin L, Yu P, et al · · 2015 · cited 521× · PMID 25857315 · DOI 10.1186/s12916-015-0278-7

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