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NCT02569242

Study of Nivolumab in Unresectable Advanced or Recurrent Esophageal Cancer

Completed Phase 3 Results posted Last updated 6 July 2022
What this trial tests

Phase 3 trial testing Nivolumab in Esophageal Cancer in 419 participants. Completed in 23 October 2020.

Timeline
14 December 2015
Primary endpoint
23 October 2020
23 October 2020

Quick facts

Lead sponsorOno Pharmaceutical Co., Ltd.
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment419
Start date14 December 2015
Primary completion23 October 2020
Estimated completion23 October 2020
Sites89 locations across Denmark, Italy, Japan, Taiwan, United Kingdom, Germany, South Korea, United States

Drugs / interventions tested

Conditions studied

Sponsor

Ono Pharmaceutical Co., Ltd.

Who can join

20 and older, any sex, with Esophageal 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 Primary · ("Date of death from any cause" - "Date of randomization" + 1) / 30.4375. For subjects lost to follow-up and subjects who are alive at the time of data cutoff date, data will be censored at the time the subject was last confirmed to be alive.
GroupValue95% CI
Nivolumab Arm10.99.2 – 13.3
Active Comparator Arm (Docetaxel/Paclitaxel)8.47.2 – 9.9
Progression-free Survival Secondary · ("Earlier date on which either the overall response was assessed as PD or the subject died of any cause" - "Date of randomization" + 1) / 30.4375.

Please refer to the protocol, overall response and best overall response will be determined solely by imaging assessment according to the RECIST Guideline Version 1.1, and will not take into account any clinical/symptomatic progression. Evaluable imaging data will be overall response without an overall response of "Not Evaluable (NE)."

GroupValue95% CI
Nivolumab Arm1.71.5 – 2.7
Active Comparator Arm (Docetaxel/Paclitaxel)3.43.0 – 4.2
Duration of Response Secondary · ("Earlier date on which either the overall response was assessed as PD for the first time after confirmed response or the subject died of any cause" - "Date of first assessment of confirmed CR or PR" + 1) / 30.4375.

Please refer to the protocol, overall response and best overall response will be determined solely by imaging assessment according to the RECIST Guideline Version 1.1, and will not take into account any clinical/symptomatic progression. Evaluable imaging data will be overall response without an overall response of "Not Evaluable (NE)."

GroupValue95% CI
Nivolumab Arm6.95.4 – 11.1
Active Comparator Arm (Docetaxel/Paclitaxel)3.92.8 – 4.2

Adverse events — posted to ClinicalTrials.gov

Time frame: Monitoring for any AEs will be continued until 28 days after the end of the treatment phase. In subjects who, at the time of initiation of the follow-up investigation, have any AE for which a causal relationship to the investigational product cannot be ruled out or which led to discontinuation, investigation of the AE will be continued until the event is judged not to require further follow-up. SAEs are to be collected during the treatment period and for 100 days following the last dose.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Nivolumab Arm
Serious: 68/209 (33%)
Deaths: 7/209
Active Comparator Arm (Docetaxel/Paclitaxel)
Serious: 77/208 (37%)
Deaths: 5/208

Serious adverse events (95 terms)

ReactionSystemNivolumab ArmActive Comparator Arm (Doc…
Febrile neutropeniaBlood and lymphatic system disorders
PneumoniaInfections and infestations
PyrexiaGeneral disorders
Decreased appetiteMetabolism and nutrition disorders
Lung infectionInfections and infestations
HypercalcaemiaMetabolism and nutrition disorders
Interstitial lung diseaseRespiratory, thoracic and mediastinal disorders
Neutrophil count decreasedInvestigations
Tumour haemorrhageNeoplasms benign, malignant and unspecified (incl cysts and polyps)
DyspnoeaRespiratory, thoracic and mediastinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Pneumonia aspirationRespiratory, thoracic and mediastinal disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
PneumothoraxRespiratory, thoracic and mediastinal disorders
AnemiaBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
DysphagiaGastrointestinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
BacteraemiaInfections and infestations
InfectionInfections and infestations
SepsisInfections and infestations
Urinary tract infectionInfections and infestations
Infectious pleural effusionInfections and infestations
Other adverse events (35 terms — click to expand)

ReactionSystemNivolumab ArmActive Comparator Arm (Doc…
AlopeciaSkin and subcutaneous tissue disorders
Neutrophil count decreasedInvestigations
White blood cell count decreasedInvestigations
Decreased appetiteMetabolism and nutrition disorders
AnaemiaBlood and lymphatic system disorders
FatigueGeneral disorders
MalaiseGeneral disorders
Peripheral sensory neuropathyNervous system disorders
NeutropeniaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
NauseaGastrointestinal disorders
RashSkin and subcutaneous tissue disorders
PyrexiaGeneral disorders
DiarrhoeaGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
StomatitisGastrointestinal disorders
PruritusSkin and subcutaneous tissue disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Neuropathy peripheralNervous system disorders
MyalgiaMusculoskeletal and connective tissue disorders
HypothyroidismEndocrine disorders
Lymphocyte count decreasedInvestigations
LeukopeniaBlood and lymphatic system disorders
VomitingGastrointestinal disorders
Upper respiratory tract infectionInfections and infestations
DysgeusiaNervous system disorders
DysphagiaGastrointestinal disorders
Chest painGeneral disorders
NasopharyngitisInfections and infestations
Aspartate aminotransferase increasedInvestigations
InsomniaPsychiatric disorders
Abdominal painGastrointestinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Alanine aminotransferase increasedInvestigations
Weight decreasedInvestigations

Most-reported serious reactions: Febrile neutropenia, Pneumonia, Pyrexia, Decreased appetite, Lung infection, Hypercalcaemia, Interstitial lung disease, Neutrophil count decreased.

Data from ClinicalTrials.gov NCT02569242 adverse events section.

Sponsor's own description

The purpose of study is to evaluate the efficacy and safety of Nivolumab in unresectable advanced or recurrent esophageal cancer patients who have failed in standard chemotherapies.

Publications & conference data

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

  1. 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
  2. Nivolumab versus chemotherapy in patients with advanced oesophageal squamous cell carcinoma refractory or intolerant to previous chemotherapy (ATTRACTION-3): a multicentre, randomised, open-label, phase 3 trial.
    Kato K, Cho BC, Takahashi M, Okada M, et al · · 2019 · cited 895× · PMID 31582355 · DOI 10.1016/s1470-2045(19)30626-6
  3. Immune checkpoint therapy for solid tumours: clinical dilemmas and future trends.
    Sun Q, Hong Z, Zhang C, Wang L, et al · · 2023 · cited 387× · PMID 37635168 · DOI 10.1038/s41392-023-01522-4
  4. Recent progress in multidisciplinary treatment for patients with esophageal cancer.
    Watanabe M, Otake R, Kozuki R, Toihata T, et al · · 2020 · cited 330× · PMID 31535225 · DOI 10.1007/s00595-019-01878-7
  5. Role of tumor microenvironment in cancer progression and therapeutic strategy.
    Wang Q, Shao X, Zhang Y, Zhu M, et al · · 2023 · cited 260× · PMID 36807772 · DOI 10.1002/cam4.5698
  6. Genetic, transcriptional and post-translational regulation of the programmed death protein ligand 1 in cancer: biology and clinical correlations.
    Zerdes I, Matikas A, Bergh J, Rassidakis GZ, et al · · 2018 · cited 223× · PMID 29765155 · DOI 10.1038/s41388-018-0303-3
  7. The immune landscape of esophageal cancer.
    Huang TX, Fu L. · · 2019 · cited 189× · PMID 31771653 · DOI 10.1186/s40880-019-0427-z
  8. Palliative chemotherapy and targeted therapies for esophageal and gastroesophageal junction cancer.
    Janmaat VT, Steyerberg EW, van der Gaast A, Mathijssen RH, et al · · 2017 · cited 74× · PMID 29182797 · DOI 10.1002/14651858.cd004063.pub4

Verify or expand the search:

Other trials of Nivolumab

Trials testing the same drug.

Other recruiting trials for Esophageal Cancer

Currently open trials in the same condition.

Other Ono Pharmaceutical Co., Ltd. trials

Trials by the same sponsor.

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