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A Study to Compare BMS-936558 to the Physician's Choice of Either Dacarbazine or Carboplatin and Paclitaxel in Advanced Melanoma Patients That Have Progressed Following Anti-CTLA-4 Therapy (CheckMate 037)

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ClinicalTrials.gov Identifier: NCT01721746
Recruitment Status : Completed
First Posted : November 6, 2012
Results First Posted : March 22, 2017
Last Update Posted : April 19, 2022
Sponsor:
Information provided by (Responsible Party):
Bristol-Myers Squibb

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: None (Open Label);   Primary Purpose: Treatment
Condition Unresectable or Metastatic Melanoma
Interventions Biological: BMS-936558
Drug: Dacarbazine
Drug: Carboplatin
Drug: Paclitaxel
Enrollment 405
Recruitment Details  
Pre-assignment Details 405 participants randomized and 370 treated.
Arm/Group Title Nivolumab Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
Hide Arm/Group Description Nivolumab 3 mg/kg IV over 60 minutes Q2W Dacarbazine: 1000 mg/m^2 IV over 30 to 60 minutes Q3W, or Carboplatin: Area under the concentration-time curve (AUC) 6 IV over 30 minutes Q3W, and Paclitaxel: 175 mg/m^2 IV over 180 minutes Q3W
Period Title: Pre-Treatment
Started [1] 272 133
Completed [2] 268 102
Not Completed 4 31
Reason Not Completed
Participant request to discontinue Study treatment             0             13
Withdrawal by Subject             1             16
Poor/Non-compliance             1             0
Participant no longer met study criteria             2             2
[1]
Started = Randomized
[2]
Completed = Received Treatment
Period Title: Treatment
Started [1] 268 102
Completed [2] 0 0
Not Completed 268 102
Reason Not Completed
Disease Progression             192             74
Study Drug Toxicity             19             11
Adverse Event unrelated to Study Drug             6             3
Participant request to discontinue Study treatment             26             7
Participant withdrew consent             4             2
Maximum Clinical Benefit             9             3
Poor/Non-compliance             2             0
Participant no longer met Study criteria             4             0
Other reasons             6             2
[1]
Started = Received treatment
[2]
Completed = Completed treatment
Arm/Group Title Nivolumab Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel) Total
Hide Arm/Group Description Nivolumab 3 mg/kg IV over 60 minutes Q2W Dacarbazine: 1000 mg/m^2 IV over 30 to 60 minutes Q3W, or Carboplatin: Area under the concentration-time curve (AUC) 6 IV over 30 minutes Q3W, and Paclitaxel: 175 mg/m^2 IV over 180 minutes Q3W Total of all reporting groups
Overall Number of Baseline Participants 272 133 405
Hide Baseline Analysis Population Description
All randomized participants
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 272 participants 133 participants 405 participants
58.7  (14.1) 60.3  (12.4) 59.2  (13.6)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 272 participants 133 participants 405 participants
Female
96
  35.3%
48
  36.1%
144
  35.6%
Male
176
  64.7%
85
  63.9%
261
  64.4%
Ethnicity (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 272 participants 133 participants 405 participants
Hispanic or Latino
4
   1.5%
1
   0.8%
5
   1.2%
Not Hispanic or Latino
116
  42.6%
61
  45.9%
177
  43.7%
Unknown or Not Reported
152
  55.9%
71
  53.4%
223
  55.1%
Race/Ethnicity, Customized  
Measure Type: Number
Unit of measure:  Participants
Number Analyzed 272 participants 133 participants 405 participants
White 269 129 398
Black or African American 1 2 3
Asian 2 0 2
American Indian or Alaska Native 0 0 0
Native Hawaiian or Other Pacific Islander 0 0 0
Other 0 2 2
1.Primary Outcome
Title Objective Response Rate (ORR)
Hide Description Objective response rate (ORR) per Independent Review Committee (IRC) is defined as the number of participants with a best overall response (BOR) of complete response (CR) or partial response (PR) divided by the number of randomized participants using RECIST 1.1
Time Frame From date of randomization to the date of objectively documented progression, date of death, or the date of subsequent therapy (Up to approximately 38 months)
Hide Outcome Measure Data
Hide Analysis Population Description
All randomized participants
Arm/Group Title Nivolumab Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
Hide Arm/Group Description:
Nivolumab 3 mg/kg IV over 60 minutes Q2W
Dacarbazine: 1000 mg/m^2 IV over 30 to 60 minutes Q3W, or Carboplatin: Area under the concentration-time curve (AUC) 6 IV over 30 minutes Q3W, and Paclitaxel: 175 mg/m^2 IV over 180 minutes Q3W
Overall Number of Participants Analyzed 272 133
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
27.2
(22.0 to 32.9)
9.8
(5.3 to 16.1)
2.Primary Outcome
Title Overall Survival (OS)
Hide Description Overall Survival (OS) was defined the time between the date of randomization to the date of death. For participants without documentation of death, OS was censored on the last date the participant was known to be alive. Unit of measure (months) is the median survival time.
Time Frame Up to 96 months
Hide Outcome Measure Data
Hide Analysis Population Description
All randomized participants
Arm/Group Title Nivolumab Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
Hide Arm/Group Description:
Nivolumab 3 mg/kg IV over 60 minutes Q2W
Dacarbazine: 1000 mg/m^2 IV Q3W Carboplatin: Area under the concentration-time curve (AUC) 6 IV Q3W Paclitaxel: 175 mg/m^2 IV Q3W
Overall Number of Participants Analyzed 272 133
Median (95% Confidence Interval)
Unit of Measure: Months
15.74
(12.88 to 19.88)
14.39
(11.66 to 18.17)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Nivolumab, Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
Comments Hazard Ratio is Nivolumab 3 mg/kg (IV) over Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
Type of Statistical Test Superiority
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.86
Confidence Interval (2-Sided) 95%
0.68 to 1.08
Estimation Comments From stratified cox proportional hazard model with treatment group as a single covariate, stratified by BRAF status, prior anti-CTLA-4 benefit, and PD-L1 status (IVRS source)
3.Secondary Outcome
Title Progression Free Survival (PFS)
Hide Description Progression Free Survival (PFS) is defined as the time from randomization to the date of the first documented progression, as determined by the Independent Review Committee (IRC) using RECIST 1.1, or death due to any cause, whichever occurs first. Participants who died without a reported progression were considered to have progressed on the date of their death. Participants who did not progress or die were censored on the date of their last evaluable tumor assessment before subsequent anti-cancer therapy. Unit of measure (months) is the median survival time.
Time Frame From the date of randomization to the date of the first documented progression or death (Up to approximately 38 months)
Hide Outcome Measure Data
Hide Analysis Population Description
All randomized participants
Arm/Group Title Nivolumab Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
Hide Arm/Group Description:
Nivolumab 3 mg/kg IV over 60 minutes Q2W
Dacarbazine: 1000 mg/m^2 IV Q3W Carboplatin: Area under the concentration-time curve (AUC) 6 IV Q3W Paclitaxel: 175 mg/m^2 IV Q3W
Overall Number of Participants Analyzed 272 133
Median (95% Confidence Interval)
Unit of Measure: months
3.12
(2.33 to 3.52)
3.65
(2.30 to 5.29)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Nivolumab, Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
Comments Hazard Ratio is Nivolumab 3 mg/kg (IV) over Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
Type of Statistical Test Superiority
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.03
Confidence Interval (2-Sided) 95.1%
0.78 to 1.36
Estimation Comments Stratified Cox proportional hazard model.
4.Secondary Outcome
Title Objective Response Rate (ORR) by Baseline PD-L1 Expression
Hide Description Objective Response Rate (ORR) is defined as the number of participants with a Best Overall Response (BOR) of complete response (CR) or partial response (PR) divided by number of randomized participants. PD-L1 expression evaluated for ORR.
Time Frame From date of randomization to the date of objectively documented progression or the date of subsequent therapy (Up to approximately 38 months)
Hide Outcome Measure Data
Hide Analysis Population Description
All PD-L1 Evaluable Participants for ORR
Arm/Group Title Nivolumab Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
Hide Arm/Group Description:
Nivolumab 3 mg/kg IV over 60 minutes Q2W
Dacarbazine: 1000 mg/m^2 IV Q3W Carboplatin: Area under the concentration-time curve (AUC) 6 IV Q3W Paclitaxel: 175 mg/m^2 IV Q3W
Overall Number of Participants Analyzed 267 131
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
<5% PD-L1 expression Number Analyzed 137 participants 58 participants
15.3
(9.7 to 22.5)
13.8
(6.1 to 25.4)
>=5% PD-L1 expression Number Analyzed 111 participants 41 participants
43.2
(33.9 to 53.0)
12.2
(4.1 to 26.2)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Nivolumab, Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
Comments For <5% PD-L1 expression. Ratio of Nivolumab over Investigator's Choice
Type of Statistical Test Superiority
Comments [Not Specified]
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 1.13
Confidence Interval (2-Sided) 95%
0.44 to 3.16
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Nivolumab, Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
Comments For >=5% PD-L1 expression. Ratio of Nivolumab over Investigator's Choice
Type of Statistical Test Superiority
Comments [Not Specified]
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 5.49
Confidence Interval (2-Sided) 95%
1.92 to 19.08
Estimation Comments [Not Specified]
5.Secondary Outcome
Title Overall Survival (OS) by PD-L1 Positive
Hide Description Overall Survival (OS) by PD-L1 expression was defined the time between the date of randomization to the date of death. For participants without documentation of death, OS was censored on the last date the participant was known to be alive.
Time Frame Up to 96 months
Hide Outcome Measure Data
Hide Analysis Population Description
All PD-L1 positive evaluable participants for OS
Arm/Group Title Nivolumab Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
Hide Arm/Group Description:
Nivolumab 3 mg/kg IV over 60 minutes Q2W
Dacarbazine: 1000 mg/m^2 IV Q3W Carboplatin: Area under the concentration-time curve (AUC) 6 IV Q3W Paclitaxel: 175 mg/m^2 IV Q3W
Overall Number of Participants Analyzed 135 67
Median (95% Confidence Interval)
Unit of Measure: Months
31.44
(20.57 to 46.69)
16.72
(11.83 to 31.44)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Nivolumab, Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
Comments PD-L1 Positive
Type of Statistical Test Superiority
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.71
Confidence Interval (2-Sided) 95%
0.50 to 1.01
Estimation Comments From unstratified Cox proportional hazard model
6.Secondary Outcome
Title Overall Survival (OS) by PD-L1 Negative
Hide Description Overall Survival (OS) by PD-L1 expression was defined the time between the date of randomization to the date of death. For participants without documentation of death, OS was censored on the last date the participant was known to be alive.
Time Frame Up to 96 months
Hide Outcome Measure Data
Hide Analysis Population Description
All PD-L1 negative evaluable participants for OS
Arm/Group Title Nivolumab Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
Hide Arm/Group Description:
Nivolumab 3 mg/kg IV over 60 minutes Q2W
Dacarbazine: 1000 mg/m^2 IV Q3W Carboplatin: Area under the concentration-time curve (AUC) 6 IV Q3W Paclitaxel: 175 mg/m^2 IV Q3W
Overall Number of Participants Analyzed 137 66
Median (95% Confidence Interval)
Unit of Measure: Months
11.14
(7.72 to 13.21)
11.76
(8.05 to 17.81)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Nivolumab, Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
Comments PD-L1 Negative
Type of Statistical Test Superiority
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.03
Confidence Interval (2-Sided) 95%
0.75 to 1.41
Estimation Comments From unstratified Cox proportional hazard model
7.Secondary Outcome
Title Mean Change From Baseline in Health-related Quality of Life (HRQoL)
Hide Description

Health-related Quality of Life (HRQoL) was assessed with the EORTC QLQ-C30 questionnaire, which is the most commonly used quality-of-life instrument in oncology trials. The instrument's 30 items were divided among 5 functional scales (physical, role, cognitive, emotional, and social), 9 symptom scales (fatigue, pain, nausea/vomiting, dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties), and a global health/quality of life scale. Raw scores for the EORTC QLQ-C30 were transformed to a 0-100 metric.

Higher scores for all functional scales and Global Health Status=better HRQoL Increase from baseline indicates improvement in HRQoL. Lower scores for symptom scales=better HRQoL Decline from baseline for symptom scales =improvement in symptoms compared to baseline.

A 10 point difference on a 100 point scale between treatments was considered clinically significant.

Time Frame From Baseline (Day1) to second Follow-Up (Up to 96 months)
Hide Outcome Measure Data
Hide Analysis Population Description
All randomized participants
Arm/Group Title Nivolumab Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
Hide Arm/Group Description:
Nivolumab 3 mg/kg IV over 60 minutes Q2W
Dacarbazine: 1000 mg/m^2 IV Q3W Carboplatin: Area under the concentration-time curve (AUC) 6 IV Q3W Paclitaxel: 175 mg/m^2 IV Q3W
Overall Number of Participants Analyzed 272 133
Mean (Standard Deviation)
Unit of Measure: Units on a scale
Physical Functioning Follow-Up 1 Number Analyzed 77 participants 22 participants
-7.97  (20.49) -12.73  (21.47)
Physical Functioning Follow-Up 2 Number Analyzed 62 participants 28 participants
-3.66  (16.05) -7.14  (16.02)
Role Functioning Follow-Up 1 Number Analyzed 77 participants 22 participants
-14.94  (31.13) -15.91  (29.76)
Role Functioning Follow-Up 2 Number Analyzed 62 participants 28 participants
-7.80  (25.56) -8.33  (21.52)
Emotional Functioning Follow-Up 1 Number Analyzed 77 participants 21 participants
-5.09  (21.59) -15.48  (24.48)
Emotional Functioning Follow-Up 2 Number Analyzed 62 participants 28 participants
-0.94  (19.15) -5.36  (25.98)
Cognitive Functioning Follow-Up 1 Number Analyzed 77 participants 21 participants
-7.58  (16.79) -7.94  (17.17)
Cognitive Functioning Follow-Up 2 Number Analyzed 62 participants 28 participants
-3.49  (15.43) -1.19  (13.55)
Social Functioning Follow-Up 1 Number Analyzed 77 participants 21 participants
-8.66  (29.45) -18.25  (26.82)
Social Functioning Follow-Up 2 Number Analyzed 62 participants 28 participants
-1.61  (29.52) -4.17  (24.69)
Global Health Status Follow-Up 1 Number Analyzed 77 participants 21 participants
-8.23  (22.44) -10.71  (17.71)
Global Health Status Follow-Up 2 Number Analyzed 62 participants 28 participants
-1.61  (18.53) -3.27  (12.07)
Dyspnea Follow-Up 1 Number Analyzed 77 participants 22 participants
6.06  (27.96) 16.67  (24.67)
Dyspnea Follow-Up 2 Number Analyzed 62 participants 28 participants
5.91  (22.20) 7.14  (24.61)
Insomnia Follow-Up 1 Number Analyzed 77 participants 22 participants
3.46  (32.26) 0.00  (30.86)
Insomnia Follow-Up 2 Number Analyzed 62 participants 28 participants
-4.84  (25.50) 0.00  (30.09)
Apatite loss Follow-Up 1 Number Analyzed 77 participants 22 participants
6.93  (28.79) 13.64  (24.47)
Apatite loss Follow-Up 2 Number Analyzed 62 participants 28 participants
5.91  (30.49) 2.38  (22.09)
Constipation Follow-Up 1 Number Analyzed 77 participants 21 participants
7.36  (28.93) 0.00  (23.57)
Constipation Follow-Up 2 Number Analyzed 62 participants 28 participants
2.15  (22.48) -2.38  (29.99)
Diarrhea Follow-Up 1 Number Analyzed 77 participants 21 participants
-0.43  (19.86) 6.35  (22.65)
Diarrhea Follow-Up 2 Number Analyzed 62 participants 28 participants
1.08  (20.88) 1.19  (16.93)
Financial Difficulties Follow-Up 1 Number Analyzed 77 participants 21 participants
-1.73  (25.87) 4.76  (39.84)
Financial Difficulties Follow-Up 2 Number Analyzed 62 participants 28 participants
-1.08  (22.56) -2.38  (28.59)
Fatigue Follow-Up 1 Number Analyzed 77 participants 22 participants
8.95  (23.78) 15.66  (28.00)
Fatigue Follow-Up 2 Number Analyzed 62 participants 28 participants
4.84  (22.55) 7.14  (21.85)
Nausea and Vomiting Follow-Up 1 Number Analyzed 77 participants 22 participants
2.81  (17.19) 10.61  (25.48)
Nausea and Vomiting Follow-Up 2 Number Analyzed 272 participants 133 participants
0.00  (15.39) 2.98  (18.73)
Pain Follow-Up 1 Number Analyzed 77 participants 22 participants
6.06  (31.17) 6.82  (25.02)
Pain Follow-Up 2 Number Analyzed 272 participants 133 participants
5.38  (24.84) -1.79  (14.59)
Time Frame From first dose to 100 days post last dose (Up to 96 months)
Adverse Event Reporting Description [Not Specified]
 
Arm/Group Title Nivolumab Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
Hide Arm/Group Description Nivolumab 3 mg/kg IV over 60 minutes Q2W Dacarbazine: 1000 mg/m^2 IV over 30 to 60 minutes Q3W, or Carboplatin: Area under the concentration-time curve (AUC) 6 IV over 30 minutes Q3W, and Paclitaxel: 175 mg/m^2 IV over 180 minutes Q3W
All-Cause Mortality
Nivolumab Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
Affected / at Risk (%) Affected / at Risk (%)
Total   206/268 (76.87%)   88/102 (86.27%) 
Hide Serious Adverse Events
Nivolumab Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
Affected / at Risk (%) Affected / at Risk (%)
Total   191/268 (71.27%)   37/102 (36.27%) 
Blood and lymphatic system disorders     
Anaemia  1  1/268 (0.37%)  2/102 (1.96%) 
Blood loss anaemia  1  1/268 (0.37%)  0/102 (0.00%) 
Febrile bone marrow aplasia  1  0/268 (0.00%)  1/102 (0.98%) 
Febrile neutropenia  1  1/268 (0.37%)  2/102 (1.96%) 
Lymphadenopathy  1  2/268 (0.75%)  0/102 (0.00%) 
Splenic haematoma  1  1/268 (0.37%)  0/102 (0.00%) 
Splenic lesion  1  1/268 (0.37%)  0/102 (0.00%) 
Thrombocytopenia  1  1/268 (0.37%)  1/102 (0.98%) 
Cardiac disorders     
Acute myocardial infarction  1  1/268 (0.37%)  0/102 (0.00%) 
Atrial fibrillation  1  4/268 (1.49%)  0/102 (0.00%) 
Atrial flutter  1  2/268 (0.75%)  0/102 (0.00%) 
Cardiac arrest  1  3/268 (1.12%)  0/102 (0.00%) 
Cardiac failure  1  1/268 (0.37%)  0/102 (0.00%) 
Cardio-respiratory arrest  1  1/268 (0.37%)  0/102 (0.00%) 
Myocardial infarction  1  1/268 (0.37%)  1/102 (0.98%) 
Pericarditis  1  1/268 (0.37%)  0/102 (0.00%) 
Sinus tachycardia  1  1/268 (0.37%)  0/102 (0.00%) 
Ventricular arrhythmia  1  2/268 (0.75%)  0/102 (0.00%) 
Endocrine disorders     
Adrenal haemorrhage  1  1/268 (0.37%)  0/102 (0.00%) 
Adrenal insufficiency  1  2/268 (0.75%)  0/102 (0.00%) 
Hypothyroidism  1  1/268 (0.37%)  0/102 (0.00%) 
Eye disorders     
Retinal detachment  1  1/268 (0.37%)  0/102 (0.00%) 
Gastrointestinal disorders     
Abdominal pain  1  5/268 (1.87%)  1/102 (0.98%) 
Abdominal pain upper  1  1/268 (0.37%)  0/102 (0.00%) 
Ascites  1  1/268 (0.37%)  0/102 (0.00%) 
Colitis  1  2/268 (0.75%)  1/102 (0.98%) 
Constipation  1  1/268 (0.37%)  0/102 (0.00%) 
Diarrhoea  1  4/268 (1.49%)  2/102 (1.96%) 
Diverticular perforation  1  1/268 (0.37%)  0/102 (0.00%) 
Dysphagia  1  1/268 (0.37%)  0/102 (0.00%) 
Food poisoning  1  0/268 (0.00%)  1/102 (0.98%) 
Gastrointestinal haemorrhage  1  2/268 (0.75%)  0/102 (0.00%) 
Haematemesis  1  1/268 (0.37%)  0/102 (0.00%) 
Inguinal hernia  1  1/268 (0.37%)  0/102 (0.00%) 
Intestinal fistula  1  1/268 (0.37%)  0/102 (0.00%) 
Lower gastrointestinal haemorrhage  1  1/268 (0.37%)  0/102 (0.00%) 
Nausea  1  3/268 (1.12%)  1/102 (0.98%) 
Pancreatitis  1  2/268 (0.75%)  0/102 (0.00%) 
Small intestinal obstruction  1  3/268 (1.12%)  0/102 (0.00%) 
Small intestinal perforation  1  0/268 (0.00%)  1/102 (0.98%) 
Upper gastrointestinal haemorrhage  1  1/268 (0.37%)  0/102 (0.00%) 
Vomiting  1  3/268 (1.12%)  3/102 (2.94%) 
General disorders     
Asthenia  1  1/268 (0.37%)  0/102 (0.00%) 
Chest pain  1  1/268 (0.37%)  0/102 (0.00%) 
Fatigue  1  2/268 (0.75%)  2/102 (1.96%) 
Gait disturbance  1  1/268 (0.37%)  0/102 (0.00%) 
General physical health deterioration  1  6/268 (2.24%)  0/102 (0.00%) 
Infusion site extravasation  1  1/268 (0.37%)  0/102 (0.00%) 
Multiple organ dysfunction syndrome  1  0/268 (0.00%)  1/102 (0.98%) 
Non-cardiac chest pain  1  1/268 (0.37%)  0/102 (0.00%) 
Pain  1  1/268 (0.37%)  2/102 (1.96%) 
Pelvic mass  1  1/268 (0.37%)  0/102 (0.00%) 
Pyrexia  1  5/268 (1.87%)  2/102 (1.96%) 
Ulcer  1  1/268 (0.37%)  0/102 (0.00%) 
Hepatobiliary disorders     
Biliary obstruction  1  1/268 (0.37%)  0/102 (0.00%) 
Hepatic haemorrhage  1  1/268 (0.37%)  0/102 (0.00%) 
Hepatitis  1  2/268 (0.75%)  0/102 (0.00%) 
Hepatocellular injury  1  1/268 (0.37%)  0/102 (0.00%) 
Jaundice cholestatic  1  1/268 (0.37%)  0/102 (0.00%) 
Immune system disorders     
Hypersensitivity  1  1/268 (0.37%)  0/102 (0.00%) 
Infections and infestations     
Bacterial infection  1  1/268 (0.37%)  0/102 (0.00%) 
Bronchitis  1  1/268 (0.37%)  0/102 (0.00%) 
Bronchitis bacterial  1  1/268 (0.37%)  0/102 (0.00%) 
Cellulitis  1  2/268 (0.75%)  1/102 (0.98%) 
Clostridium difficile colitis  1  1/268 (0.37%)  0/102 (0.00%) 
Clostridium difficile infection  1  1/268 (0.37%)  0/102 (0.00%) 
Cystitis  1  1/268 (0.37%)  0/102 (0.00%) 
Device related infection  1  1/268 (0.37%)  0/102 (0.00%) 
Diverticulitis  1  1/268 (0.37%)  0/102 (0.00%) 
Erysipelas  1  2/268 (0.75%)  1/102 (0.98%) 
Febrile infection  1  0/268 (0.00%)  1/102 (0.98%) 
Gastroenteritis  1  1/268 (0.37%)  0/102 (0.00%) 
Herpes zoster  1  1/268 (0.37%)  0/102 (0.00%) 
Infection  1  1/268 (0.37%)  0/102 (0.00%) 
Localised infection  1  0/268 (0.00%)  1/102 (0.98%) 
Lower respiratory tract infection  1  1/268 (0.37%)  0/102 (0.00%) 
Neutropenic sepsis  1  0/268 (0.00%)  1/102 (0.98%) 
Pneumocystis jirovecii pneumonia  1  1/268 (0.37%)  0/102 (0.00%) 
Pneumonia  1  8/268 (2.99%)  0/102 (0.00%) 
Pneumonia pseudomonal  1  1/268 (0.37%)  0/102 (0.00%) 
Sepsis  1  4/268 (1.49%)  0/102 (0.00%) 
Urinary tract infection  1  3/268 (1.12%)  0/102 (0.00%) 
Urosepsis  1  1/268 (0.37%)  0/102 (0.00%) 
Vascular device infection  1  1/268 (0.37%)  0/102 (0.00%) 
Wound infection  1  1/268 (0.37%)  0/102 (0.00%) 
Injury, poisoning and procedural complications     
Femur fracture  1  2/268 (0.75%)  1/102 (0.98%) 
Hip fracture  1  1/268 (0.37%)  0/102 (0.00%) 
Humerus fracture  1  1/268 (0.37%)  0/102 (0.00%) 
Infusion related reaction  1  1/268 (0.37%)  0/102 (0.00%) 
Open fracture  1  1/268 (0.37%)  0/102 (0.00%) 
Post procedural haemorrhage  1  1/268 (0.37%)  0/102 (0.00%) 
Postoperative ileus  1  1/268 (0.37%)  0/102 (0.00%) 
Radiation necrosis  1  1/268 (0.37%)  0/102 (0.00%) 
Rib fracture  1  1/268 (0.37%)  0/102 (0.00%) 
Spinal fracture  1  1/268 (0.37%)  0/102 (0.00%) 
Subdural haematoma  1  1/268 (0.37%)  0/102 (0.00%) 
Toxicity to various agents  1  1/268 (0.37%)  1/102 (0.98%) 
Vascular access site thrombosis  1  1/268 (0.37%)  0/102 (0.00%) 
Wound dehiscence  1  1/268 (0.37%)  0/102 (0.00%) 
Investigations     
Alanine aminotransferase increased  1  2/268 (0.75%)  0/102 (0.00%) 
Aspartate aminotransferase increased  1  1/268 (0.37%)  0/102 (0.00%) 
Blood alkaline phosphatase increased  1  1/268 (0.37%)  0/102 (0.00%) 
Ejection fraction abnormal  1  1/268 (0.37%)  0/102 (0.00%) 
General physical condition abnormal  1  1/268 (0.37%)  0/102 (0.00%) 
Hepatic enzyme increased  1  1/268 (0.37%)  0/102 (0.00%) 
Influenza B virus test positive  1  1/268 (0.37%)  0/102 (0.00%) 
Lipase increased  1  2/268 (0.75%)  0/102 (0.00%) 
Liver function test abnormal  1  1/268 (0.37%)  0/102 (0.00%) 
Liver function test increased  1  2/268 (0.75%)  0/102 (0.00%) 
Metabolism and nutrition disorders     
Dehydration  1  5/268 (1.87%)  0/102 (0.00%) 
Diabetes mellitus  1  1/268 (0.37%)  0/102 (0.00%) 
Failure to thrive  1  1/268 (0.37%)  0/102 (0.00%) 
Hypercalcaemia  1  1/268 (0.37%)  0/102 (0.00%) 
Hyperglycaemia  1  3/268 (1.12%)  0/102 (0.00%) 
Hypertriglyceridaemia  1  1/268 (0.37%)  0/102 (0.00%) 
Hypoglycaemia  1  1/268 (0.37%)  1/102 (0.98%) 
Hypokalaemia  1  1/268 (0.37%)  0/102 (0.00%) 
Hyponatraemia  1  1/268 (0.37%)  0/102 (0.00%) 
Musculoskeletal and connective tissue disorders     
Arthralgia  1  1/268 (0.37%)  1/102 (0.98%) 
Arthritis  1  1/268 (0.37%)  0/102 (0.00%) 
Back pain  1  7/268 (2.61%)  2/102 (1.96%) 
Flank pain  1  0/268 (0.00%)  1/102 (0.98%) 
Lumbar spinal stenosis  1  1/268 (0.37%)  0/102 (0.00%) 
Muscle spasms  1  1/268 (0.37%)  0/102 (0.00%) 
Osteoarthritis  1  4/268 (1.49%)  0/102 (0.00%) 
Pathological fracture  1  2/268 (0.75%)  0/102 (0.00%) 
Spondylolisthesis  1  1/268 (0.37%)  0/102 (0.00%) 
Neoplasms benign, malignant and unspecified (incl cysts and polyps)     
Basal cell carcinoma  1  1/268 (0.37%)  0/102 (0.00%) 
Cancer pain  1  3/268 (1.12%)  1/102 (0.98%) 
Keratoacanthoma  1  1/268 (0.37%)  0/102 (0.00%) 
Malignant melanoma  1  5/268 (1.87%)  1/102 (0.98%) 
Malignant neoplasm progression  1  86/268 (32.09%)  18/102 (17.65%) 
Melanoma recurrent  1  1/268 (0.37%)  0/102 (0.00%) 
Metastases to adrenals  1  2/268 (0.75%)  0/102 (0.00%) 
Metastases to central nervous system  1  1/268 (0.37%)  1/102 (0.98%) 
Metastases to lung  1  1/268 (0.37%)  0/102 (0.00%) 
Metastases to pleura  1  1/268 (0.37%)  0/102 (0.00%) 
Metastatic malignant melanoma  1  8/268 (2.99%)  0/102 (0.00%) 
Neoplasm malignant  1  1/268 (0.37%)  0/102 (0.00%) 
Neoplasm progression  1  0/268 (0.00%)  1/102 (0.98%) 
Parathyroid tumour benign  1  1/268 (0.37%)  0/102 (0.00%) 
Prostate cancer  1  2/268 (0.75%)  0/102 (0.00%) 
Skin neoplasm bleeding  1  0/268 (0.00%)  1/102 (0.98%) 
Squamous cell carcinoma  1  4/268 (1.49%)  0/102 (0.00%) 
Squamous cell carcinoma of skin  1  1/268 (0.37%)  0/102 (0.00%) 
Tonsil cancer  1  1/268 (0.37%)  0/102 (0.00%) 
Tumour associated fever  1  0/268 (0.00%)  1/102 (0.98%) 
Tumour fistulisation  1  2/268 (0.75%)  0/102 (0.00%) 
Tumour pain  1  2/268 (0.75%)  0/102 (0.00%) 
Nervous system disorders     
Aphasia  1  1/268 (0.37%)  0/102 (0.00%) 
Autoimmune neuropathy  1  1/268 (0.37%)  0/102 (0.00%) 
Brain oedema  1  1/268 (0.37%)  0/102 (0.00%) 
Cerebrovascular accident  1  2/268 (0.75%)  1/102 (0.98%) 
Demyelination  1  1/268 (0.37%)  0/102 (0.00%) 
Dizziness  1  1/268 (0.37%)  0/102 (0.00%) 
Epilepsy  1  1/268 (0.37%)  0/102 (0.00%) 
Facial paresis  1  1/268 (0.37%)  0/102 (0.00%) 
Haemorrhage intracranial  1  3/268 (1.12%)  0/102 (0.00%) 
Headache  1  1/268 (0.37%)  0/102 (0.00%) 
Incoherent  1  0/268 (0.00%)  1/102 (0.98%) 
Monoplegia  1  1/268 (0.37%)  0/102 (0.00%) 
Paraplegia  1  1/268 (0.37%)  0/102 (0.00%) 
Post herpetic neuralgia  1  1/268 (0.37%)  0/102 (0.00%) 
Seizure  1  2/268 (0.75%)  0/102 (0.00%) 
Status epilepticus  1  1/268 (0.37%)  0/102 (0.00%) 
Transient ischaemic attack  1  0/268 (0.00%)  1/102 (0.98%) 
VIth nerve paralysis  1  1/268 (0.37%)  0/102 (0.00%) 
Psychiatric disorders     
Burnout syndrome  1  1/268 (0.37%)  0/102 (0.00%) 
Confusional state  1  3/268 (1.12%)  0/102 (0.00%) 
Renal and urinary disorders     
Acute kidney injury  1  1/268 (0.37%)  2/102 (1.96%) 
Hydronephrosis  1  2/268 (0.75%)  0/102 (0.00%) 
Nephrolithiasis  1  1/268 (0.37%)  0/102 (0.00%) 
Renal failure  1  2/268 (0.75%)  0/102 (0.00%) 
Renal impairment  1  1/268 (0.37%)  0/102 (0.00%) 
Tubulointerstitial nephritis  1  1/268 (0.37%)  0/102 (0.00%) 
Respiratory, thoracic and mediastinal disorders     
Chronic obstructive pulmonary disease  1  1/268 (0.37%)  0/102 (0.00%) 
Dyspnoea  1  5/268 (1.87%)  3/102 (2.94%) 
Haemoptysis  1  2/268 (0.75%)  0/102 (0.00%) 
Hypoxia  1  2/268 (0.75%)  0/102 (0.00%) 
Interstitial lung disease  1  1/268 (0.37%)  0/102 (0.00%) 
Pleural effusion  1  2/268 (0.75%)  2/102 (1.96%) 
Pneumonitis  1  2/268 (0.75%)  0/102 (0.00%) 
Pulmonary embolism  1  2/268 (0.75%)  0/102 (0.00%) 
Skin and subcutaneous tissue disorders     
Erythema multiforme  1  1/268 (0.37%)  0/102 (0.00%) 
Rash  1  2/268 (0.75%)  0/102 (0.00%) 
Skin haemorrhage  1  0/268 (0.00%)  1/102 (0.98%) 
Vascular disorders     
Deep vein thrombosis  1  1/268 (0.37%)  0/102 (0.00%) 
Embolism  1  2/268 (0.75%)  0/102 (0.00%) 
Hypertension  1  1/268 (0.37%)  0/102 (0.00%) 
Hypotension  1  3/268 (1.12%)  1/102 (0.98%) 
Peripheral embolism  1  0/268 (0.00%)  1/102 (0.98%) 
Peripheral ischaemia  1  1/268 (0.37%)  0/102 (0.00%) 
Superior vena cava syndrome  1  1/268 (0.37%)  0/102 (0.00%) 
1
Term from vocabulary, 23.1
Indicates events were collected by systematic assessment
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 5%
Nivolumab Investigator's Choice (Dacarbazine or Carboplatin+Paclitaxel)
Affected / at Risk (%) Affected / at Risk (%)
Total   255/268 (95.15%)   95/102 (93.14%) 
Blood and lymphatic system disorders     
Anaemia  1  65/268 (24.25%)  31/102 (30.39%) 
Leukopenia  1  4/268 (1.49%)  10/102 (9.80%) 
Neutropenia  1  3/268 (1.12%)  24/102 (23.53%) 
Thrombocytopenia  1  8/268 (2.99%)  11/102 (10.78%) 
Endocrine disorders     
Hypothyroidism  1  27/268 (10.07%)  0/102 (0.00%) 
Gastrointestinal disorders     
Abdominal pain  1  50/268 (18.66%)  13/102 (12.75%) 
Abdominal pain upper  1  21/268 (7.84%)  6/102 (5.88%) 
Constipation  1  53/268 (19.78%)  23/102 (22.55%) 
Diarrhoea  1  90/268 (33.58%)  18/102 (17.65%) 
Dry mouth  1  14/268 (5.22%)  3/102 (2.94%) 
Dyspepsia  1  21/268 (7.84%)  4/102 (3.92%) 
Nausea  1  91/268 (33.96%)  43/102 (42.16%) 
Vomiting  1  57/268 (21.27%)  24/102 (23.53%) 
General disorders     
Asthenia  1  35/268 (13.06%)  11/102 (10.78%) 
Chills  1  18/268 (6.72%)  3/102 (2.94%) 
Fatigue  1  135/268 (50.37%)  52/102 (50.98%) 
Influenza like illness  1  20/268 (7.46%)  4/102 (3.92%) 
Oedema peripheral  1  44/268 (16.42%)  5/102 (4.90%) 
Pain  1  27/268 (10.07%)  4/102 (3.92%) 
Pyrexia  1  52/268 (19.40%)  10/102 (9.80%) 
Infections and infestations     
Nasopharyngitis  1  26/268 (9.70%)  4/102 (3.92%) 
Upper respiratory tract infection  1  25/268 (9.33%)  2/102 (1.96%) 
Urinary tract infection  1  24/268 (8.96%)  4/102 (3.92%) 
Injury, poisoning and procedural complications     
Infusion related reaction  1  3/268 (1.12%)  9/102 (8.82%) 
Investigations     
Alanine aminotransferase increased  1  29/268 (10.82%)  4/102 (3.92%) 
Aspartate aminotransferase increased  1  38/268 (14.18%)  6/102 (5.88%) 
Blood alkaline phosphatase increased  1  22/268 (8.21%)  3/102 (2.94%) 
Blood creatinine increased  1  20/268 (7.46%)  2/102 (1.96%) 
Neutrophil count decreased  1  1/268 (0.37%)  8/102 (7.84%) 
Platelet count decreased  1  11/268 (4.10%)  9/102 (8.82%) 
Weight decreased  1  25/268 (9.33%)  8/102 (7.84%) 
White blood cell count decreased  1  7/268 (2.61%)  9/102 (8.82%) 
Metabolism and nutrition disorders     
Decreased appetite  1  54/268 (20.15%)  21/102 (20.59%) 
Hyperglycaemia  1  14/268 (5.22%)  1/102 (0.98%) 
Hyperkalaemia  1  14/268 (5.22%)  3/102 (2.94%) 
Hypoalbuminaemia  1  20/268 (7.46%)  1/102 (0.98%) 
Hypocalcaemia  1  15/268 (5.60%)  0/102 (0.00%) 
Hypokalaemia  1  15/268 (5.60%)  1/102 (0.98%) 
Hyponatraemia  1  25/268 (9.33%)  2/102 (1.96%) 
Musculoskeletal and connective tissue disorders     
Arthralgia  1  76/268 (28.36%)  21/102 (20.59%) 
Back pain  1  55/268 (20.52%)  1/102 (0.98%) 
Muscle spasms  1  16/268 (5.97%)  1/102 (0.98%) 
Myalgia  1  31/268 (11.57%)  10/102 (9.80%) 
Neck pain  1  15/268 (5.60%)  3/102 (2.94%) 
Pain in extremity  1  37/268 (13.81%)  13/102 (12.75%) 
Nervous system disorders     
Dizziness  1  30/268 (11.19%)  5/102 (4.90%) 
Headache  1  47/268 (17.54%)  11/102 (10.78%) 
Neuropathy peripheral  1  10/268 (3.73%)  11/102 (10.78%) 
Paraesthesia  1  13/268 (4.85%)  13/102 (12.75%) 
Psychiatric disorders     
Anxiety  1  19/268 (7.09%)  1/102 (0.98%) 
Depression  1  8/268 (2.99%)  6/102 (5.88%) 
Insomnia  1  34/268 (12.69%)  6/102 (5.88%) 
Respiratory, thoracic and mediastinal disorders     
Cough  1  73/268 (27.24%)  8/102 (7.84%) 
Dyspnoea  1  52/268 (19.40%)  14/102 (13.73%) 
Skin and subcutaneous tissue disorders     
Alopecia  1  8/268 (2.99%)  30/102 (29.41%) 
Dry skin  1  24/268 (8.96%)  3/102 (2.94%) 
Pruritus  1  73/268 (27.24%)  2/102 (1.96%) 
Rash  1  57/268 (21.27%)  6/102 (5.88%) 
Rash maculo-papular  1  22/268 (8.21%)  2/102 (1.96%) 
Vitiligo  1  31/268 (11.57%)  1/102 (0.98%) 
Vascular disorders     
Hypertension  1  21/268 (7.84%)  4/102 (3.92%) 
1
Term from vocabulary, 23.1
Indicates events were collected by systematic assessment
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
Bristol-Myers Squibb Co. agreements with investigators vary; constant is our right to embargo communications regarding trial results prior to public release for a period ≤60 days from submittal for review. We will not prohibit investigators from publishing, but will prohibit the disclosure of previously undisclosed confidential information other than study results, and request postponement of single-center publications until after disclosure of the clinical trial's primary publication.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Bristol-Myers Squibb Study Director
Organization: Bristol-Myers Squibb
Phone: Please Email:
EMail: Clinical.Trials@bms.com
Layout table for additonal information
Responsible Party: Bristol-Myers Squibb
ClinicalTrials.gov Identifier: NCT01721746    
Other Study ID Numbers: CA209-037
2012-001828-35 ( EudraCT Number )
First Submitted: November 2, 2012
First Posted: November 6, 2012
Results First Submitted: February 1, 2017
Results First Posted: March 22, 2017
Last Update Posted: April 19, 2022