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

Primary Purpose

Squamous Cell Non-small Cell Lung Cancer

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Nivolumab
Docetaxel
Sponsored by
Bristol-Myers Squibb
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Squamous Cell Non-small Cell Lung Cancer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Men and women ≥18 years of age
  • Subjects with histologically or cytologically-documented squamous cell NSCLC who present with Stage IIIB/IV disease or with recurrent or progressive disease following multimodal therapy (radiation therapy, surgical resection or definitive chemoradiation therapy for locally 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 Response Evaluation Criteria in Solid Tumors (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 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 ≤10 mg daily prednisone (or equivalent)
  • Subjects with carcinomatous meningitis
  • Subjects with active, known or suspected autoimmune disease. Subjects with type I diabetes mellitus, hypothyroidism only requiring hormone replacement, skin disorders (such as vitiligo, psoriasis, or alopecia) not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger 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 (PD-1), anti-Programmed cell death ligand 1 (PD-L1), anti-Programmed cell death ligand 2 (PD-L2), anti-CD137, or anti-Cytotoxic T lymphocyte-associated antigen 4 (CTLA-4) antibody (including ipilimumab or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways)
  • Prior treatment on the first line study CA184104 first line NSCLC study
  • Prior treatment with Docetaxel
  • Subjects with interstitial lung disease that is symptomatic or may interfere with the detection or management of suspected drug-related pulmonary toxicity
  • Treatment with any investigational agent within 14 days of first administration of study treatment

Sites / Locations

  • Mayo Clinic in Arizona - Scottsdale
  • City Of Hope
  • Local Institution - 0020
  • Local Institution - 0009
  • Yale University
  • H. Lee Moffitt Cancer Center
  • Local Institution - 0004
  • Local Institution - 0153
  • Local Institution - 0100
  • Johns Hopkins Sidney Kimmel Comprehensive Cancer Center
  • Local Institution - 0003
  • Local Institution - 0036
  • Local Institution - 0084
  • Local Institution - 0150
  • Local Institution - 0016
  • Winthrop University Hospital
  • Columbia University Medical Center
  • Local Institution - 0006
  • Memorial Sloan Kettering Nassau
  • Duke University Medical Center
  • Local Institution - 0008
  • Oncology Hematology Care, Inc.
  • St Mary Medical Center
  • Fox Chase Cancer Center
  • Local Institution - 0011
  • Guthrie Medical Group, Pc
  • Local Institution - 0082
  • Local Institution - 0087
  • Local Institution - 0005
  • Tennessee Oncology, PLLC
  • Local Institution - 0032
  • Local Institution - 0012
  • University Of Texas Southwestern Medical Center
  • Local Institution - 0086
  • Local Institution - 0017
  • Swedish Cancer Institute
  • Local Institution - 0001
  • University of Washington - Seattle Cancer Care Alliance
  • Local Institution - 0033
  • Local Institution - 0116
  • Local Institution - 0072
  • Local Institution - 0164
  • Local Institution - 0071
  • Local Institution - 0141
  • Local Institution - 0073
  • Local Institution - 0159
  • Local Institution - 0140
  • Local Institution - 0158
  • Local Institution - 0085
  • Local Institution - 0102
  • Local Institution - 0104
  • Local Institution - 0049
  • Local Institution - 0103
  • Local Institution - 0146
  • Local Institution - 0147
  • Local Institution - 0152
  • Local Institution - 0117
  • Local Institution - 0131
  • Local Institution - 0110
  • Local Institution - 0161
  • Local Institution - 0154
  • Local Institution - 0111
  • Local Institution - 0053
  • Local Institution - 0156
  • Local Institution - 0025
  • Local Institution
  • Local Institution - 0093
  • Local Institution - 0022
  • Local Institution
  • Local Institution - 0023
  • Local Institution
  • Local Institution - 0160
  • Local Institution - 0027
  • Local Institution
  • Local Institution - 0157
  • Local Institution - 0040
  • Local Institution - 0064
  • Local Institution - 0105
  • Local Institution - 0109
  • Local Institution - 0048
  • Local Institution - 0065
  • Local Institution - 0063
  • Local Institution - 0162
  • Local Institution - 0095
  • Local Institution - 0096
  • Local Institution - 0039
  • Local Institution - 0035
  • Local Institution - 0058
  • Local Institution - 0088
  • Local Institution - 0057
  • Local Institution - 0056
  • Local Institution - 0055
  • Local Institution - 0089
  • Local Institution - 0054
  • Local Institution - 0107
  • Local Institution - 0108
  • Local Institution - 0106
  • Local Institution - 0139
  • Local Institution - 0052
  • Local Institution - 0051
  • Local Institution - 0143
  • Local Institution - 0099
  • Local Institution - 0061
  • Local Institution - 0126
  • Local Institution - 0130
  • Local Institution - 0129
  • Local Institution - 0124
  • Local Institution - 0127
  • Local Institution - 0136
  • Local Institution - 0145
  • Local Institution - 0138
  • Local Institution - 0121
  • Local Institution - 0119
  • Local Institution - 0120
  • Local Institution - 0132
  • Local Institution - 0133
  • Local Institution - 0144
  • Local Institution - 0135
  • Local Institution - 0044
  • Local Institution - 0042
  • Local Institution - 0046
  • Local Institution - 0045
  • Local Institution - 0041
  • Local Institution - 0047
  • Local Institution - 0034
  • Local Institution - 0163
  • Local Institution - 0037

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Arm A: Nivolumab

Arm B: Docetaxel

Arm Description

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.

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.

Outcomes

Primary Outcome Measures

Overall Survival (OS) Time in Months for All Randomized Participants at Primary Endpoint
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.
Overall Survival (OS) Rate in All Randomized Participants
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.
Number of Deaths From Any Cause in All Randomized Participants at Primary Endpoint
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.

Secondary Outcome Measures

Objective Response Rate (ORR) in All Randomized Participants
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 = 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. CIs were computed using the Clopper and Pearson method.
Time To Response (TTR) in Months for All Confirmed Responders
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.
Duration of Objective Response (DOR) in Months for All Confirmed Responders
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.
Progression Free Survival Rate (PFSR)
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 prior to or on initiation of the subsequent anti-cancer therapy.
Progression-Free Survival (PFS) Time in Months for All Randomized Participants
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). 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 RT of non-target bone lesions or CNS lesions) without a prior reported progression were to be censored at the last evaluable tumor assessment prior to or on initiation of the subsequent anti-cancer therapy.
Percentage of Participants Experiencing Disease-related Symptom Improvement by 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.
Overall Survival (OS) Time in Months by Baseline PD-L1 Expression for All Randomized Participants
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.
Objective Response Rate (ORR) by Baseline PD-L1 Expression for All Randomized Participants
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.; PR = At least a 30% decrease in the sum of diameters of target lesions, taking, as reference, the baseline sum diameters. CIs were computed using the Clopper and Pearson method.
Progression Free Survival (PFS) Time in Months by Baseline PD-L1 Expression for All Randomized Participants
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 lesions) without a prior reported progression were censored at the last evaluable tumor assessment prior to subsequent anti-cancer therapy.

Full Information

First Posted
July 9, 2012
Last Updated
November 22, 2022
Sponsor
Bristol-Myers Squibb
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1. Study Identification

Unique Protocol Identification Number
NCT01642004
Brief Title
Study of BMS-936558 (Nivolumab) Compared to Docetaxel in Previously Treated Advanced or Metastatic Squamous Cell Non-small Cell Lung Cancer (NSCLC) (CheckMate 017)
Official Title
An Open-Label Randomized Phase III Trial of BMS-936558 (Nivolumab) Versus Docetaxel in Previously Treated Advanced or Metastatic Squamous Cell Non-small Cell Lung Cancer (NSCLC)
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Completed
Study Start Date
October 16, 2012 (Actual)
Primary Completion Date
November 17, 2014 (Actual)
Study Completion Date
August 16, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bristol-Myers Squibb

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Squamous Cell Non-small Cell Lung Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
272 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Arm A: Nivolumab
Arm Type
Experimental
Arm Description
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.
Arm Title
Arm B: Docetaxel
Arm Type
Experimental
Arm Description
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.
Intervention Type
Biological
Intervention Name(s)
Nivolumab
Other Intervention Name(s)
BMS-936558
Intervention Type
Drug
Intervention Name(s)
Docetaxel
Other Intervention Name(s)
Taxotere®
Primary Outcome Measure Information:
Title
Overall Survival (OS) Time in Months for All Randomized Participants at Primary Endpoint
Description
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.
Time Frame
Randomization until 199 deaths, up to November 2014, approximately 25 months
Title
Overall Survival (OS) Rate in All Randomized Participants
Description
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.
Time Frame
Randomization to 18 months post-randomization, up to June 2015
Title
Number of Deaths From Any Cause in All Randomized Participants at Primary Endpoint
Description
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.
Time Frame
Randomization until 199 deaths, up to November 2014, approximately 25 months
Secondary Outcome Measure Information:
Title
Objective Response Rate (ORR) in All Randomized Participants
Description
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 = 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. CIs were computed using the Clopper and Pearson method.
Time Frame
From the date of randomization up to the date of objectively documented progression, up to approximately 103 months
Title
Time To Response (TTR) in Months for All Confirmed Responders
Description
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.
Time Frame
From the date of randomization to the date of the first confirmed response, up to approximately 12 months
Title
Duration of Objective Response (DOR) in Months for All Confirmed Responders
Description
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.
Time Frame
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
Title
Progression Free Survival Rate (PFSR)
Description
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 prior to or on initiation of the subsequent anti-cancer therapy.
Time Frame
From randomization to specified timepoints, up to 84 months
Title
Progression-Free Survival (PFS) Time in Months for All Randomized Participants
Description
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). 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 RT of non-target bone lesions or CNS lesions) without a prior reported progression were to be censored at the last evaluable tumor assessment prior to or on initiation of the subsequent anti-cancer therapy.
Time Frame
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
Title
Percentage of Participants Experiencing Disease-related Symptom Improvement by Week 12
Description
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.
Time Frame
From randomization up to Week 12
Title
Overall Survival (OS) Time in Months by Baseline PD-L1 Expression for All Randomized Participants
Description
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.
Time Frame
From the date of randomization to the date of death from any cause, up to approximately 103 months
Title
Objective Response Rate (ORR) by Baseline PD-L1 Expression for All Randomized Participants
Description
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.; PR = At least a 30% decrease in the sum of diameters of target lesions, taking, as reference, the baseline sum diameters. CIs were computed using the Clopper and Pearson method.
Time Frame
From the date of randomization up to the date of objectively documented progression, up to approximately 103 months
Title
Progression Free Survival (PFS) Time in Months by Baseline PD-L1 Expression for All Randomized Participants
Description
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 lesions) without a prior reported progression were censored at the last evaluable tumor assessment prior to subsequent anti-cancer therapy.
Time Frame
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

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Men and women ≥18 years of age Subjects with histologically or cytologically-documented squamous cell NSCLC who present with Stage IIIB/IV disease or with recurrent or progressive disease following multimodal therapy (radiation therapy, surgical resection or definitive chemoradiation therapy for locally 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 Response Evaluation Criteria in Solid Tumors (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 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 ≤10 mg daily prednisone (or equivalent) Subjects with carcinomatous meningitis Subjects with active, known or suspected autoimmune disease. Subjects with type I diabetes mellitus, hypothyroidism only requiring hormone replacement, skin disorders (such as vitiligo, psoriasis, or alopecia) not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger 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 (PD-1), anti-Programmed cell death ligand 1 (PD-L1), anti-Programmed cell death ligand 2 (PD-L2), anti-CD137, or anti-Cytotoxic T lymphocyte-associated antigen 4 (CTLA-4) antibody (including ipilimumab or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways) Prior treatment on the first line study CA184104 first line NSCLC study Prior treatment with Docetaxel Subjects with interstitial lung disease that is symptomatic or may interfere with the detection or management of suspected drug-related pulmonary toxicity Treatment with any investigational agent within 14 days of first administration of study treatment
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bristol-Myers Squibb
Organizational Affiliation
Bristol-Myers Squibb
Official's Role
Study Director
Facility Information:
Facility Name
Mayo Clinic in Arizona - Scottsdale
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85259
Country
United States
Facility Name
City Of Hope
City
Duarte
State/Province
California
ZIP/Postal Code
91010-3000
Country
United States
Facility Name
Local Institution - 0020
City
Duarte
State/Province
California
ZIP/Postal Code
91010-3000
Country
United States
Facility Name
Local Institution - 0009
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06520
Country
United States
Facility Name
Yale University
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06520
Country
United States
Facility Name
H. Lee Moffitt Cancer Center
City
Tampa
State/Province
Florida
ZIP/Postal Code
33612
Country
United States
Facility Name
Local Institution - 0004
City
Tampa
State/Province
Florida
ZIP/Postal Code
33612
Country
United States
Facility Name
Local Institution - 0153
City
Marietta
State/Province
Georgia
ZIP/Postal Code
30060
Country
United States
Facility Name
Local Institution - 0100
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60637
Country
United States
Facility Name
Johns Hopkins Sidney Kimmel Comprehensive Cancer Center
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21287
Country
United States
Facility Name
Local Institution - 0003
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21287
Country
United States
Facility Name
Local Institution - 0036
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
Local Institution - 0084
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
Local Institution - 0150
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
Local Institution - 0016
City
Mineola
State/Province
New York
ZIP/Postal Code
11501
Country
United States
Facility Name
Winthrop University Hospital
City
Mineola
State/Province
New York
ZIP/Postal Code
11501
Country
United States
Facility Name
Columbia University Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Facility Name
Local Institution - 0006
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Facility Name
Memorial Sloan Kettering Nassau
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Facility Name
Duke University Medical Center
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Facility Name
Local Institution - 0008
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Facility Name
Oncology Hematology Care, Inc.
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45242
Country
United States
Facility Name
St Mary Medical Center
City
Langhorne
State/Province
Pennsylvania
ZIP/Postal Code
19047
Country
United States
Facility Name
Fox Chase Cancer Center
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19111
Country
United States
Facility Name
Local Institution - 0011
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19111
Country
United States
Facility Name
Guthrie Medical Group, Pc
City
Sayre
State/Province
Pennsylvania
ZIP/Postal Code
18840
Country
United States
Facility Name
Local Institution - 0082
City
Columbia
State/Province
South Carolina
ZIP/Postal Code
29210
Country
United States
Facility Name
Local Institution - 0087
City
Chattanooga
State/Province
Tennessee
ZIP/Postal Code
37404
Country
United States
Facility Name
Local Institution - 0005
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
Tennessee Oncology, PLLC
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
Local Institution - 0032
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37232
Country
United States
Facility Name
Local Institution - 0012
City
Dallas
State/Province
Texas
ZIP/Postal Code
75390
Country
United States
Facility Name
University Of Texas Southwestern Medical Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75390
Country
United States
Facility Name
Local Institution - 0086
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Local Institution - 0017
City
Seattle
State/Province
Washington
ZIP/Postal Code
98104
Country
United States
Facility Name
Swedish Cancer Institute
City
Seattle
State/Province
Washington
ZIP/Postal Code
98104
Country
United States
Facility Name
Local Institution - 0001
City
Seattle
State/Province
Washington
ZIP/Postal Code
98109
Country
United States
Facility Name
University of Washington - Seattle Cancer Care Alliance
City
Seattle
State/Province
Washington
ZIP/Postal Code
98109
Country
United States
Facility Name
Local Institution - 0033
City
Morgantown
State/Province
West Virginia
ZIP/Postal Code
26506-9162
Country
United States
Facility Name
Local Institution - 0116
City
Capital Federal
State/Province
Buenos Aires
ZIP/Postal Code
1431
Country
Argentina
Facility Name
Local Institution - 0072
City
Ciudad Autónoma De Buenos Aire
State/Province
Buenos Aires
ZIP/Postal Code
CP1426ANZ
Country
Argentina
Facility Name
Local Institution - 0164
City
San Miguel De Tucuman
State/Province
Tucuman
ZIP/Postal Code
CPT4000IAK
Country
Argentina
Facility Name
Local Institution - 0071
City
Buenos Aires
ZIP/Postal Code
C1280AEB
Country
Argentina
Facility Name
Local Institution - 0141
City
Cordoba
ZIP/Postal Code
X5002AOQ
Country
Argentina
Facility Name
Local Institution - 0073
City
Wollongong
State/Province
New South Wales
ZIP/Postal Code
2500
Country
Australia
Facility Name
Local Institution - 0159
City
Adelaide
State/Province
South Australia
ZIP/Postal Code
5000
Country
Australia
Facility Name
Local Institution - 0140
City
Elizabeth Vale
State/Province
South Australia
ZIP/Postal Code
5112
Country
Australia
Facility Name
Local Institution - 0158
City
Kurralta Park
State/Province
South Australia
ZIP/Postal Code
5037
Country
Australia
Facility Name
Local Institution - 0085
City
Clayton
State/Province
Victoria
ZIP/Postal Code
3168
Country
Australia
Facility Name
Local Institution - 0102
City
Linz
ZIP/Postal Code
4020
Country
Austria
Facility Name
Local Institution - 0104
City
Salzburg
ZIP/Postal Code
5020
Country
Austria
Facility Name
Local Institution - 0049
City
Vienna
ZIP/Postal Code
1130
Country
Austria
Facility Name
Local Institution - 0103
City
Wels
ZIP/Postal Code
4600
Country
Austria
Facility Name
Local Institution - 0146
City
Winnipeg
State/Province
Manitoba
ZIP/Postal Code
R3E 0V9
Country
Canada
Facility Name
Local Institution - 0147
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H3T 1E2
Country
Canada
Facility Name
Local Institution - 0152
City
Rimouski
State/Province
Quebec
ZIP/Postal Code
G5L 5T1
Country
Canada
Facility Name
Local Institution - 0117
City
Santiago
State/Province
Metropolitana
ZIP/Postal Code
7600448
Country
Chile
Facility Name
Local Institution - 0131
City
Santiago
State/Province
Metropolitana
ZIP/Postal Code
8420383
Country
Chile
Facility Name
Local Institution - 0110
City
Viña Del Mar
State/Province
Valparaiso
Country
Chile
Facility Name
Local Institution - 0161
City
Antofagasta
ZIP/Postal Code
240000
Country
Chile
Facility Name
Local Institution - 0154
City
Santiago
ZIP/Postal Code
7630370
Country
Chile
Facility Name
Local Institution - 0111
City
Praha 8
ZIP/Postal Code
180 81
Country
Czechia
Facility Name
Local Institution - 0053
City
Avignon Cedes 9
ZIP/Postal Code
84918
Country
France
Facility Name
Local Institution - 0156
City
Caen
ZIP/Postal Code
14000
Country
France
Facility Name
Local Institution - 0025
City
Dijon
ZIP/Postal Code
21000
Country
France
Facility Name
Local Institution
City
Dijon
ZIP/Postal Code
21000
Country
France
Facility Name
Local Institution - 0093
City
La Roche Sur Yon Cedex 9
ZIP/Postal Code
85925
Country
France
Facility Name
Local Institution - 0022
City
Lyon Cedex 08
ZIP/Postal Code
69373
Country
France
Facility Name
Local Institution
City
Lyon Cedex 08
ZIP/Postal Code
69373
Country
France
Facility Name
Local Institution - 0023
City
Marseille Cedex 20
ZIP/Postal Code
13915
Country
France
Facility Name
Local Institution
City
Marseille Cedex 20
ZIP/Postal Code
13915
Country
France
Facility Name
Local Institution - 0160
City
Pierre Benite
ZIP/Postal Code
69495
Country
France
Facility Name
Local Institution - 0027
City
Rennes Cedex 9
ZIP/Postal Code
35033
Country
France
Facility Name
Local Institution
City
Rennes Cedex 9
ZIP/Postal Code
35033
Country
France
Facility Name
Local Institution - 0157
City
Strasbourg
ZIP/Postal Code
67090
Country
France
Facility Name
Local Institution - 0040
City
Toulouse
ZIP/Postal Code
31300
Country
France
Facility Name
Local Institution - 0064
City
Bad Berka
ZIP/Postal Code
99437
Country
Germany
Facility Name
Local Institution - 0105
City
Essen
ZIP/Postal Code
45122
Country
Germany
Facility Name
Local Institution - 0109
City
Gerlingen
ZIP/Postal Code
70839
Country
Germany
Facility Name
Local Institution - 0048
City
Grosshansdorf
ZIP/Postal Code
22927
Country
Germany
Facility Name
Local Institution - 0065
City
Heidelberg
ZIP/Postal Code
69126
Country
Germany
Facility Name
Local Institution - 0063
City
Koeln
ZIP/Postal Code
51109
Country
Germany
Facility Name
Local Institution - 0162
City
Krefeld
ZIP/Postal Code
47805
Country
Germany
Facility Name
Local Institution - 0095
City
Budapest
ZIP/Postal Code
H-1121
Country
Hungary
Facility Name
Local Institution - 0096
City
Budapest
ZIP/Postal Code
H-1121
Country
Hungary
Facility Name
Local Institution - 0039
City
Dublin 8
State/Province
Dublin
Country
Ireland
Facility Name
Local Institution - 0035
City
Dublin 9
State/Province
Dublin
Country
Ireland
Facility Name
Local Institution - 0058
City
Bologna
ZIP/Postal Code
40138
Country
Italy
Facility Name
Local Institution - 0088
City
Meldola (fc)
ZIP/Postal Code
47014
Country
Italy
Facility Name
Local Institution - 0057
City
Milano
ZIP/Postal Code
20133
Country
Italy
Facility Name
Local Institution - 0056
City
Padova
ZIP/Postal Code
35128
Country
Italy
Facility Name
Local Institution - 0055
City
Perugia
ZIP/Postal Code
06132
Country
Italy
Facility Name
Local Institution - 0089
City
Ravenna
ZIP/Postal Code
48121
Country
Italy
Facility Name
Local Institution - 0054
City
Siena
ZIP/Postal Code
53100
Country
Italy
Facility Name
Local Institution - 0107
City
Mexico
State/Province
Distrito Federal
ZIP/Postal Code
06735
Country
Mexico
Facility Name
Local Institution - 0108
City
Mexico
State/Province
Distrito Federal
ZIP/Postal Code
14080
Country
Mexico
Facility Name
Local Institution - 0106
City
Leon, Guanajato
State/Province
Guanajuato
ZIP/Postal Code
37000
Country
Mexico
Facility Name
Local Institution - 0139
City
Hermosillo
State/Province
Sonora
ZIP/Postal Code
83280
Country
Mexico
Facility Name
Local Institution - 0052
City
Amsterdam
ZIP/Postal Code
1066 CX
Country
Netherlands
Facility Name
Local Institution - 0051
City
Rotterdam
ZIP/Postal Code
3000 CA
Country
Netherlands
Facility Name
Local Institution - 0143
City
Oslo
ZIP/Postal Code
0310
Country
Norway
Facility Name
Local Institution - 0099
City
Arequipa
ZIP/Postal Code
54
Country
Peru
Facility Name
Local Institution - 0061
City
Lima
ZIP/Postal Code
34
Country
Peru
Facility Name
Local Institution - 0126
City
Gdansk
ZIP/Postal Code
80-952
Country
Poland
Facility Name
Local Institution - 0130
City
Krakow
ZIP/Postal Code
31-202
Country
Poland
Facility Name
Local Institution - 0129
City
Olsztyn
ZIP/Postal Code
10-513
Country
Poland
Facility Name
Local Institution - 0124
City
Szczecin
ZIP/Postal Code
70-891
Country
Poland
Facility Name
Local Institution - 0127
City
Warszawa
ZIP/Postal Code
02-781
Country
Poland
Facility Name
Local Institution - 0136
City
Bucuresti
ZIP/Postal Code
010976
Country
Romania
Facility Name
Local Institution - 0145
City
Cluj-Napoca
ZIP/Postal Code
400352
Country
Romania
Facility Name
Local Institution - 0138
City
Constanta
ZIP/Postal Code
900591
Country
Romania
Facility Name
Local Institution - 0121
City
Craiova
ZIP/Postal Code
200385
Country
Romania
Facility Name
Local Institution - 0119
City
Iasi
ZIP/Postal Code
700106
Country
Romania
Facility Name
Local Institution - 0120
City
Timisoara
ZIP/Postal Code
300167
Country
Romania
Facility Name
Local Institution - 0132
City
Moscow
ZIP/Postal Code
115 478
Country
Russian Federation
Facility Name
Local Institution - 0133
City
Moscow
ZIP/Postal Code
115 478
Country
Russian Federation
Facility Name
Local Institution - 0144
City
Moscow
ZIP/Postal Code
115 478
Country
Russian Federation
Facility Name
Local Institution - 0135
City
St. Petersburg
ZIP/Postal Code
198255
Country
Russian Federation
Facility Name
Local Institution - 0044
City
Barakaldo
State/Province
Vizcaya
ZIP/Postal Code
48903
Country
Spain
Facility Name
Local Institution - 0042
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
Local Institution - 0046
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Facility Name
Local Institution - 0045
City
Madrid
ZIP/Postal Code
28050
Country
Spain
Facility Name
Local Institution - 0041
City
Sevilla
ZIP/Postal Code
41013
Country
Spain
Facility Name
Local Institution - 0047
City
Cottingham
State/Province
East Yorkshire
ZIP/Postal Code
HU16 5JQ
Country
United Kingdom
Facility Name
Local Institution - 0034
City
Southampton
State/Province
Hampshire
ZIP/Postal Code
SO16 6YD
Country
United Kingdom
Facility Name
Local Institution - 0163
City
Withington
State/Province
Manchester
ZIP/Postal Code
M20 4BX
Country
United Kingdom
Facility Name
Local Institution - 0037
City
Sheffield
State/Province
Yorkshire
ZIP/Postal Code
S10 2SJ
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
33449799
Citation
Borghaei H, Gettinger S, Vokes EE, Chow LQM, Burgio MA, de Castro Carpeno J, Pluzanski A, Arrieta O, Frontera OA, Chiari R, Butts C, Wojcik-Tomaszewska J, Coudert B, Garassino MC, Ready N, Felip E, Garcia MA, Waterhouse D, Domine M, Barlesi F, Antonia S, Wohlleber M, Gerber DE, Czyzewicz G, Spigel DR, Crino L, Eberhardt WEE, Li A, Marimuthu S, Brahmer J. Five-Year Outcomes From the Randomized, Phase III Trials CheckMate 017 and 057: Nivolumab Versus Docetaxel in Previously Treated Non-Small-Cell Lung Cancer. J Clin Oncol. 2021 Mar 1;39(7):723-733. doi: 10.1200/JCO.20.01605. Epub 2021 Jan 15. Erratum In: J Clin Oncol. 2021 Apr 1;39(10):1190.
Results Reference
derived
PubMed Identifier
32198149
Citation
Dercle L, Fronheiser M, Lu L, Du S, Hayes W, Leung DK, Roy A, Wilkerson J, Guo P, Fojo AT, Schwartz LH, Zhao B. Identification of Non-Small Cell Lung Cancer Sensitive to Systemic Cancer Therapies Using Radiomics. Clin Cancer Res. 2020 May 1;26(9):2151-2162. doi: 10.1158/1078-0432.CCR-19-2942. Epub 2020 Mar 20.
Results Reference
derived
PubMed Identifier
30215677
Citation
Long GV, Tykodi SS, Schneider JG, Garbe C, Gravis G, Rashford M, Agrawal S, Grigoryeva E, Bello A, Roy A, Rollin L, Zhao X. Assessment of nivolumab exposure and clinical safety of 480 mg every 4 weeks flat-dosing schedule in patients with cancer. Ann Oncol. 2018 Nov 1;29(11):2208-2213. doi: 10.1093/annonc/mdy408.
Results Reference
derived
PubMed Identifier
29408986
Citation
Vokes EE, Ready N, Felip E, Horn L, Burgio MA, Antonia SJ, Aren Frontera O, Gettinger S, Holgado E, Spigel D, Waterhouse D, Domine M, Garassino M, Chow LQM, Blumenschein G Jr, Barlesi F, Coudert B, Gainor J, Arrieta O, Brahmer J, Butts C, Steins M, Geese WJ, Li A, Healey D, Crino L. Nivolumab versus docetaxel in previously treated advanced non-small-cell lung cancer (CheckMate 017 and CheckMate 057): 3-year update and outcomes in patients with liver metastases. Ann Oncol. 2018 Apr 1;29(4):959-965. doi: 10.1093/annonc/mdy041.
Results Reference
derived
PubMed Identifier
29023213
Citation
Horn L, Spigel DR, Vokes EE, Holgado E, Ready N, Steins M, Poddubskaya E, Borghaei H, Felip E, Paz-Ares L, Pluzanski A, Reckamp KL, Burgio MA, Kohlhaeufl M, Waterhouse D, Barlesi F, Antonia S, Arrieta O, Fayette J, Crino L, Rizvi N, Reck M, Hellmann MD, Geese WJ, Li A, Blackwood-Chirchir A, Healey D, Brahmer J, Eberhardt WEE. 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). J Clin Oncol. 2017 Dec 10;35(35):3924-3933. doi: 10.1200/JCO.2017.74.3062. Epub 2017 Oct 12.
Results Reference
derived
PubMed Identifier
26028407
Citation
Brahmer J, Reckamp KL, Baas P, Crino L, Eberhardt WE, Poddubskaya E, Antonia S, Pluzanski A, Vokes EE, Holgado E, Waterhouse D, Ready N, Gainor J, Aren Frontera O, Havel L, Steins M, Garassino MC, Aerts JG, Domine M, Paz-Ares L, Reck M, Baudelet C, Harbison CT, Lestini B, Spigel DR. Nivolumab versus Docetaxel in Advanced Squamous-Cell Non-Small-Cell Lung Cancer. N Engl J Med. 2015 Jul 9;373(2):123-35. doi: 10.1056/NEJMoa1504627. Epub 2015 May 31.
Results Reference
derived
Links:
URL
https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html
Description
BMS Clinical Trial Information
URL
https://www.BMSStudyConnect.com
Description
BMS Clinical Trial Patient Recruiting

Learn more about this trial

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

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