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Phase 3 N=582 Randomized Treatment

Study of BMS-936558 (Nivolumab) Compared to Docetaxel in Previously Treated Metastatic Non-squamous NSCLC

Non-Squamous Cell Non-small Cell Lung Cancer

Enrolled (actual)
582
Serious AEs
59.2%
Results posted
Feb 2016
Primary outcome: Primary: Overall Survival (OS) Time in Months for All Randomized Participants at Primary Endpoint — 12.19; 9.36 Months — p=0.0015

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Nivolumab (Biological); Docetaxel (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Bristol-Myers Squibb
Primary completion
Feb 2015

Outcome Measures

OutcomeResultp-value
PRIMARY
Overall Survival (OS) Time in Months for All Randomized Participants at Primary Endpoint
12.19; 9.36 0.0015 sig
SECONDARY
Objective Response Rate (ORR)
19.5; 12.8
SECONDARY
Time To Objective Response (TTOR)
2.10; 2.73
SECONDARY
Duration of Objective Response (DOOR)
17.15; 5.55
SECONDARY
Progression-Free Survival (PFS)
2.33; 4.44
SECONDARY
Percentage of Participants Experiencing Disease-Related Symptom Improvement by Week 12
17.8; 19.7
SECONDARY
Overall Survival (OS) by PD-L1 Expression at Baseline
19.91; 8.11; 9.86; 10.28
SECONDARY
Objective Response Rate (ORR) by PD-L1 Expression at Baseline
36.2; 12.8; 10.9; 14.5

Summary

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

Eligibility Criteria

Inclusion Criteria

  • Men & women ≥18 years of age
  • Subjects with histologically or cytologically-documented non-squamous cell NSCLC who present with Stage IIIB/IV disease or recurrent or progressive disease following multimodal therapy (radiation therapy, surgical resection, or definitive chemoradiation therapy for locally advanced disease) and who will receive study therapy as second or third line of treatment for 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 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 asymptomatic or 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 ≤10mg daily prednisone (or equivalent)
  • Subjects with carcinomatous meningitis
  • Subjects with active or recent history of known or suspected autoimmune disease. Subjects with Type 1 diabetes mellitus, hypothyroidism only requiring hormone replacement, or skin disorders (vitiligo, psoriasis, or alopecia) not requiring systemic treatment 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 (anti-PD-1), anti-programmed cell death ligand 1 (anti-PD-L1), anti-programmed cell death ligand 2 (anti-PD-L2), anti-cluster of differentiation 137 (anti-CD137), or anti-Cytotoxic T lymphocyte-associated antigen 4 (anti-CTLA-4) antibody (including Ipilimumab or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways)
  • Prior treatment with Docetaxel
  • Treatment with any investigational agent within 14 days of first administration of study treatment

Other protocol-defined inclusion/exclusion criteria apply

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01673867). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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