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Study of Nivolumab (BMS-936558) Plus Ipilimumab Compared With Ipilimumab Alone in the Treatment of Previously Untreated, Unresectable, or Metastatic Melanoma (CheckMate 069)

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ClinicalTrials.gov Identifier: NCT01927419
Recruitment Status : Completed
First Posted : August 22, 2013
Results First Posted : February 8, 2016
Last Update Posted : March 18, 2022
Sponsor:
Information provided by (Responsible Party):
Bristol-Myers Squibb

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor);   Primary Purpose: Treatment
Conditions Unresectable Melanoma
Metastatic Melanoma
Interventions Drug: Nivolumab
Drug: Ipilimumab
Drug: Placebo
Enrollment 142
Recruitment Details  
Pre-assignment Details 142 participants were randomized, and 140 participants received treatment.
Arm/Group Title Nivolumab + Ipilimumab Ipilimumab
Hide Arm/Group Description Participants received 1 mg/kg of nivolumab + 3 mg/kg of ipilimumab solution intravenously every 3 weeks for 4 doses (4 cycles), then 3 mg/kg of nivolumab intravenously every 2 weeks until documented disease progression, toxicity, withdrawal of consent, or study completion. Participants received placebo-matching nivolumab + 3 mg/kg of ipilimumab solution intravenously every 3 weeks for 4 doses (4 cycles), then placebo-matching nivolumab solution intravenously every 2 weeks until documented disease progression, toxicity, withdrawal of consent, or study completion.
Period Title: Pre-Treatment Period
Started 95 47
Completed 94 46
Not Completed 1 1
Reason Not Completed
Adverse event unrelated to study drug             0             1
Participants no longer meeting study criteria             1             0
Period Title: Treatment Period
Started 94 46
Completed 0 0
Not Completed 94 46
Reason Not Completed
Disease progression             17             20
Study drug toxicity             48             10
Death             0             1
Adverse event unrelated to study drug             6             3
Participant request to discontinue             12             4
Withdrawal by Subject             1             1
Maximum Clinical Benefit             6             2
Other reasons             3             4
Not Reported             1             1
Arm/Group Title Nivolumab + Ipilimumab Ipilimumab Total
Hide Arm/Group Description Participants received 1 mg/kg of nivolumab + 3 mg/kg of ipilimumab solution intravenously every 3 weeks for 4 doses (4 cycles), then 3 mg/kg of nivolumab intravenously every 2 weeks until documented disease progression, toxicity, withdrawal of consent, or study completion. Participants received placebo-matching nivolumab + 3 mg/kg of ipilimumab solution intravenously every 3 weeks for 4 doses (4 cycles), then placebo-matching nivolumab solution intravenously every 2 weeks until documented disease progression, toxicity, withdrawal of consent, or study completion. Total of all reporting groups
Overall Number of Baseline Participants 95 47 142
Hide Baseline Analysis Population Description
All randomized participants
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 95 participants 47 participants 142 participants
63.3  (11.0) 64.5  (10.2) 63.7  (10.7)
Age, Customized  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 95 participants 47 participants 142 participants
Younger than 65 years
48
  50.5%
20
  42.6%
68
  47.9%
65 years and older to younger than 75 years
35
  36.8%
22
  46.8%
57
  40.1%
75 years and older
12
  12.6%
5
  10.6%
17
  12.0%
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 95 participants 47 participants 142 participants
Female
32
  33.7%
15
  31.9%
47
  33.1%
Male
63
  66.3%
32
  68.1%
95
  66.9%
Ethnicity (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 95 participants 47 participants 142 participants
Hispanic or Latino
1
   1.1%
0
   0.0%
1
   0.7%
Not Hispanic or Latino
82
  86.3%
43
  91.5%
125
  88.0%
Unknown or Not Reported
12
  12.6%
4
   8.5%
16
  11.3%
Race (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 95 participants 47 participants 142 participants
American Indian or Alaska Native
0
   0.0%
0
   0.0%
0
   0.0%
Asian
1
   1.1%
0
   0.0%
1
   0.7%
Native Hawaiian or Other Pacific Islander
0
   0.0%
0
   0.0%
0
   0.0%
Black or African American
0
   0.0%
0
   0.0%
0
   0.0%
White
92
  96.8%
47
 100.0%
139
  97.9%
More than one race
0
   0.0%
0
   0.0%
0
   0.0%
Unknown or Not Reported
2
   2.1%
0
   0.0%
2
   1.4%
1.Primary Outcome
Title Objective Response Rate (ORR) - BRAF Wild-type (WT) Participants
Hide Description

Objective Response Rate is defined as the percentage of participants with a best overall response of Complete Response (CR) or Partial Response (PR), assessed by the investigator by using RECIST 1.1 criteria.

CR=all target and nontarget lesions have disappeared. Lymph nodes selected must have returned to normal size (<10 mm).

PR=at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD.

Time Frame From 12 weeks after Randomization, assessed every 6 weeks up to Week 49 of study treatment and then every 12 weeks until disease progression (up to approximately 76 months)
Hide Outcome Measure Data
Hide Analysis Population Description
All randomized BRAF wild-type participants .
Arm/Group Title Nivolumab + Ipilimumab Ipilimumab
Hide Arm/Group Description:
Participants received 1 mg/kg of nivolumab + 3 mg/kg of ipilimumab solution intravenously every 3 weeks for 4 doses (4 cycles), then 3 mg/kg of nivolumab intravenously every 2 weeks until documented disease progression, toxicity, withdrawal of consent, or study completion.
Participants received placebo-matching nivolumab + 3 mg/kg of ipilimumab solution intravenously every 3 weeks for 4 doses (4 cycles), then placebo-matching nivolumab solution intravenously every 2 weeks until documented disease progression, toxicity, withdrawal of consent, or study completion.
Overall Number of Participants Analyzed 73 37
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
60.3
(48.1 to 71.5)
10.8
(3.0 to 25.4)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Nivolumab + Ipilimumab, Ipilimumab
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Fisher Exact
Comments [Not Specified]
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 49.5
Confidence Interval (2-Sided) 95%
31.4 to 61.8
Estimation Comments Difference of ORR
Other Statistical Analysis Exact 95% CI for difference in ORR uses Newcombe's method
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Nivolumab + Ipilimumab, Ipilimumab
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Fisher Exact
Comments [Not Specified]
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 12.52
Confidence Interval (2-Sided) 95%
3.79 to 52.55
Estimation Comments [Not Specified]
2.Secondary Outcome
Title Progression-Free Survival (PFS) - BRAF Wild-type (WT) Participants
Hide Description

PFS is defined as the time between the date of randomization and the first date of documented progression, as assessed by the investigator, 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 died were censored on the date of their last evaluable tumor assessment.

PFS values are based on Kaplan-Meier Estimates.

Time Frame From randomization to progression or death (up to approximately 88 months)
Hide Outcome Measure Data
Hide Analysis Population Description
All randomized BRAF wild-type participants
Arm/Group Title Nivolumab + Ipilimumab Ipilimumab
Hide Arm/Group Description:
Participants received 1 mg/kg of nivolumab + 3 mg/kg of ipilimumab solution intravenously every 3 weeks for 4 doses (4 cycles), then 3 mg/kg of nivolumab intravenously every 2 weeks until documented disease progression, toxicity, withdrawal of consent, or study completion.
Participants received placebo-matching nivolumab + 3 mg/kg of ipilimumab solution intravenously every 3 weeks for 4 doses (4 cycles), then placebo-matching nivolumab solution intravenously every 2 weeks until documented disease progression, toxicity, withdrawal of consent, or study completion.
Overall Number of Participants Analyzed 73 37
Median (95% Confidence Interval)
Unit of Measure: Months
58.41 [1] 
(7.23 to NA)
4.30
(2.76 to 5.32)
[1]
Upper Limit value could not be determined to insufficient number of events.
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Nivolumab + Ipilimumab, Ipilimumab
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Unstratified Cox proportional hazard
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.36
Confidence Interval (2-Sided) 95%
0.21 to 0.59
Estimation Comments Nivolumab + Ipilimumab over Ipilimumab
3.Secondary Outcome
Title Objective Response Rate (ORR) - BRAF Mutant Participants
Hide Description

Objective Response Rate is defined as the percentage of participants with a best overall response of Complete Response (CR) or Partial Response (PR), assessed by the investigator by using RECIST 1.1 criteria.

CR=all target and nontarget lesions have disappeared. Lymph nodes selected must have returned to normal size (<10 mm).

PR=at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD.

Time Frame From 12 weeks after Randomization, assessed every 6 weeks up to Week 49 of study treatment and then every 12 weeks until disease progression (up to approximately 76 months)
Hide Outcome Measure Data
Hide Analysis Population Description
All randomized BRAF mutant participants
Arm/Group Title Nivolumab + Ipilimumab Ipilimumab
Hide Arm/Group Description:
Participants received 1 mg/kg of nivolumab + 3 mg/kg of ipilimumab solution intravenously every 3 weeks for 4 doses (4 cycles), then 3 mg/kg of nivolumab intravenously every 2 weeks until documented disease progression, toxicity, withdrawal of consent, or study completion.
Participants received placebo-matching nivolumab + 3 mg/kg of ipilimumab solution intravenously every 3 weeks for 4 doses (4 cycles), then placebo-matching nivolumab solution intravenously every 2 weeks until documented disease progression, toxicity, withdrawal of consent, or study completion.
Overall Number of Participants Analyzed 22 10
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
54.5
(32.2 to 75.6)
10.0
(0.3 to 44.5)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Nivolumab + Ipilimumab, Ipilimumab
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Fisher Exact
Comments [Not Specified]
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 44.5
Confidence Interval (2-Sided) 95%
8.2 to 64.8
Estimation Comments Difference of ORR
Other Statistical Analysis Exact 95% CI for difference in ORR uses Newcombe's method
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Nivolumab + Ipilimumab, Ipilimumab
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Fisher Exact
Comments [Not Specified]
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 10.80
Confidence Interval (2-Sided) 95%
1.07 to 511.89
Estimation Comments [Not Specified]
4.Secondary Outcome
Title Progression-Free Survival (PFS) - BRAF Mutant Participants
Hide Description

PFS is defined as the time between the date of randomization and the first date of documented progression, as assessed by the investigator, 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 died were censored on the date of their last evaluable tumor assessment.

PFS values are based on Kaplan-Meier Estimates.

Time Frame From randomization to progression or death (up to approximately 88 months)
Hide Outcome Measure Data
Hide Analysis Population Description
All randomized BRAF mutant participants
Arm/Group Title Nivolumab + Ipilimumab Ipilimumab
Hide Arm/Group Description:
Participants received 1 mg/kg of nivolumab + 3 mg/kg of ipilimumab solution intravenously every 3 weeks for 4 doses (4 cycles), then 3 mg/kg of nivolumab intravenously every 2 weeks until documented disease progression, toxicity, withdrawal of consent, or study completion.
Participants received placebo-matching nivolumab + 3 mg/kg of ipilimumab solution intravenously every 3 weeks for 4 doses (4 cycles), then placebo-matching nivolumab solution intravenously every 2 weeks until documented disease progression, toxicity, withdrawal of consent, or study completion.
Overall Number of Participants Analyzed 22 10
Median (95% Confidence Interval)
Unit of Measure: Months
8.61 [1] 
(2.79 to NA)
2.73
(0.99 to 5.42)
[1]
Upper Limit value could not be determined to insufficient number of events.
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Nivolumab + Ipilimumab, Ipilimumab
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Unstratified Cox proportional hazard
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.36
Confidence Interval (2-Sided) 95%
0.14 to 0.97
Estimation Comments Nivolumab + Ipilimumab over Ipilimumab
5.Secondary Outcome
Title Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Overall Quality of Life (QOL) C30 Score
Hide Description

The EORTC QLQ-C30 version 3 is a questionnaire developed to assess the QOL of cancer patients. The questionnaire is a 30-item tool, and it comprises 6 functional subscales (physical functioning, role functioning, cognitive functioning, emotional functioning, social functioning and global quality of life) as well as 9 symptom subscales (fatigue, pain, nausea/vomiting, dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties).

Scores for each subscale range from 0 to 100. For the 6 functional subscales, a higher score represents a better level of functioning/health status. For the 9 symptom subscales, a lower score represents a better outcome (low level of symptomatology).

Scores for the 15 subscales are presented individually.

Time Frame From Baseline (prior to start of study treatment) to Week 25 after first dose
Hide Outcome Measure Data
Hide Analysis Population Description
All randomized participants with available measurements at baseline and week 25
Arm/Group Title Nivolumab + Ipilimumab Ipilimumab
Hide Arm/Group Description:
Participants received 1 mg/kg of nivolumab + 3 mg/kg of ipilimumab solution intravenously every 3 weeks for 4 doses (4 cycles), then 3 mg/kg of nivolumab intravenously every 2 weeks until documented disease progression, toxicity, withdrawal of consent, or study completion.
Participants received placebo-matching nivolumab + 3 mg/kg of ipilimumab solution intravenously every 3 weeks for 4 doses (4 cycles), then placebo-matching nivolumab solution intravenously every 2 weeks until documented disease progression, toxicity, withdrawal of consent, or study completion.
Overall Number of Participants Analyzed 22 13
Mean (Standard Deviation)
Unit of Measure: Score on a scale
Physical Functioning Number Analyzed 22 participants 13 participants
2.12  (17.625) 1.03  (9.367)
Role Functioning Number Analyzed 22 participants 13 participants
-1.52  (22.950) 5.13  (21.926)
Emotional Functioning Number Analyzed 22 participants 13 participants
8.33  (10.603) 10.26  (17.063)
Cognitive Functioning Number Analyzed 22 participants 13 participants
-1.52  (15.352) -2.56  (11.479)
Social Functioning Number Analyzed 22 participants 13 participants
2.27  (22.593) 0.00  (16.667)
Global Health Status Number Analyzed 22 participants 13 participants
3.79  (11.422) -0.64  (29.357)
Fatigue Number Analyzed 22 participants 13 participants
-3.54  (21.520) -0.85  (17.836)
Nausea and Vomiting Number Analyzed 22 participants 13 participants
-3.03  (12.211) -2.56  (6.259)
Pain Number Analyzed 22 participants 13 participants
-2.27  (12.905) -8.97  (21.099)
Dyspnea Number Analyzed 22 participants 13 participants
-9.09  (23.417) -7.69  (27.735)
Insomnia Number Analyzed 22 participants 13 participants
-12.12  (31.782) -12.82  (16.879)
Appetite Loss Number Analyzed 22 participants 13 participants
-13.64  (30.271) -2.56  (16.452)
Constipation Number Analyzed 22 participants 13 participants
-3.03  (20.339) 0.00  (13.608)
Diarrhea Number Analyzed 22 participants 13 participants
-3.03  (14.213) 5.13  (12.518)
Financial Difficulties Number Analyzed 22 participants 12 participants
-3.03  (22.792) -2.78  (22.285)
Time Frame All-cause mortality was assessed from date of first dose to study completion (up to approximately 90 months). Serious Adverse events and other adverse events were assessed from date of first dose to 100 days following date of last dose (up to approximately 86 months).
Adverse Event Reporting Description All treated participants
 
Arm/Group Title Nivolumab + Ipilimumab Ipilimumab
Hide Arm/Group Description Participants received 1 mg/kg of nivolumab + 3 mg/kg of ipilimumab solution intravenously every 3 weeks for 4 doses (4 cycles), then 3 mg/kg of nivolumab intravenously every 2 weeks until documented disease progression, toxicity, withdrawal of consent, or study completion. Participants received placebo-matching nivolumab + 3 mg/kg of ipilimumab solution intravenously every 3 weeks for 4 doses (4 cycles), then placebo-matching nivolumab solution intravenously every 2 weeks until documented disease progression, toxicity, withdrawal of consent, or study completion.
All-Cause Mortality
Nivolumab + Ipilimumab Ipilimumab
Affected / at Risk (%) Affected / at Risk (%)
Total   44/94 (46.81%)   29/46 (63.04%) 
Hide Serious Adverse Events
Nivolumab + Ipilimumab Ipilimumab
Affected / at Risk (%) Affected / at Risk (%)
Total   69/94 (73.40%)   27/46 (58.70%) 
Blood and lymphatic system disorders     
Febrile neutropenia  1  1/94 (1.06%)  0/46 (0.00%) 
Haemolysis  1  1/94 (1.06%)  0/46 (0.00%) 
Leukocytosis  1  0/94 (0.00%)  1/46 (2.17%) 
Thrombocytopenia  1  2/94 (2.13%)  0/46 (0.00%) 
Cardiac disorders     
Angina pectoris  1  0/94 (0.00%)  1/46 (2.17%) 
Atrial fibrillation  1  2/94 (2.13%)  1/46 (2.17%) 
Cardiac failure  1  1/94 (1.06%)  0/46 (0.00%) 
Myocardial infarction  1  2/94 (2.13%)  0/46 (0.00%) 
Supraventricular tachycardia  1  1/94 (1.06%)  0/46 (0.00%) 
Ventricular arrhythmia  1  1/94 (1.06%)  0/46 (0.00%) 
Endocrine disorders     
Adrenal insufficiency  1  3/94 (3.19%)  0/46 (0.00%) 
Adrenocortical insufficiency acute  1  1/94 (1.06%)  0/46 (0.00%) 
Autoimmune thyroiditis  1  1/94 (1.06%)  0/46 (0.00%) 
Endocrine disorder  1  1/94 (1.06%)  0/46 (0.00%) 
Hypercalcaemia of malignancy  1  0/94 (0.00%)  1/46 (2.17%) 
Hypophysitis  1  2/94 (2.13%)  1/46 (2.17%) 
Hypopituitarism  1  1/94 (1.06%)  0/46 (0.00%) 
Gastrointestinal disorders     
Abdominal pain  1  1/94 (1.06%)  0/46 (0.00%) 
Abdominal pain lower  1  0/94 (0.00%)  1/46 (2.17%) 
Ascites  1  1/94 (1.06%)  0/46 (0.00%) 
Autoimmune colitis  1  3/94 (3.19%)  2/46 (4.35%) 
Colitis  1  13/94 (13.83%)  2/46 (4.35%) 
Constipation  1  2/94 (2.13%)  0/46 (0.00%) 
Diarrhoea  1  10/94 (10.64%)  5/46 (10.87%) 
Diarrhoea haemorrhagic  1  1/94 (1.06%)  0/46 (0.00%) 
Enterocolitis  1  1/94 (1.06%)  0/46 (0.00%) 
Gastrointestinal haemorrhage  1  0/94 (0.00%)  1/46 (2.17%) 
Immune-mediated enterocolitis  1  1/94 (1.06%)  0/46 (0.00%) 
Large intestine perforation  1  1/94 (1.06%)  0/46 (0.00%) 
Nausea  1  0/94 (0.00%)  2/46 (4.35%) 
Oesophageal pain  1  1/94 (1.06%)  0/46 (0.00%) 
Pancreatitis  1  2/94 (2.13%)  0/46 (0.00%) 
Small intestinal obstruction  1  2/94 (2.13%)  0/46 (0.00%) 
Upper gastrointestinal haemorrhage  1  1/94 (1.06%)  0/46 (0.00%) 
Vomiting  1  1/94 (1.06%)  2/46 (4.35%) 
General disorders     
Chills  1  0/94 (0.00%)  1/46 (2.17%) 
Generalised oedema  1  0/94 (0.00%)  1/46 (2.17%) 
Non-cardiac chest pain  1  2/94 (2.13%)  0/46 (0.00%) 
Pain  1  0/94 (0.00%)  1/46 (2.17%) 
Pyrexia  1  6/94 (6.38%)  4/46 (8.70%) 
Hepatobiliary disorders     
Hepatitis  1  3/94 (3.19%)  0/46 (0.00%) 
Hepatocellular injury  1  1/94 (1.06%)  0/46 (0.00%) 
Infections and infestations     
Abdominal abscess  1  1/94 (1.06%)  0/46 (0.00%) 
Abscess  1  1/94 (1.06%)  0/46 (0.00%) 
Cellulitis  1  1/94 (1.06%)  0/46 (0.00%) 
Diverticulitis  1  1/94 (1.06%)  0/46 (0.00%) 
Encephalitis  1  0/94 (0.00%)  1/46 (2.17%) 
Enterococcal bacteraemia  1  1/94 (1.06%)  0/46 (0.00%) 
Epididymitis  1  1/94 (1.06%)  0/46 (0.00%) 
Gastroenteritis viral  1  1/94 (1.06%)  0/46 (0.00%) 
Necrotising fasciitis  1  1/94 (1.06%)  0/46 (0.00%) 
Oral candidiasis  1  1/94 (1.06%)  0/46 (0.00%) 
Periorbital cellulitis  1  1/94 (1.06%)  0/46 (0.00%) 
Pneumonia  1  4/94 (4.26%)  3/46 (6.52%) 
Sepsis  1  3/94 (3.19%)  0/46 (0.00%) 
Septic shock  1  2/94 (2.13%)  0/46 (0.00%) 
Investigations     
Alanine aminotransferase increased  1  3/94 (3.19%)  0/46 (0.00%) 
Amylase increased  1  2/94 (2.13%)  0/46 (0.00%) 
Aspartate aminotransferase increased  1  1/94 (1.06%)  0/46 (0.00%) 
Blood creatinine increased  1  2/94 (2.13%)  0/46 (0.00%) 
Lipase increased  1  2/94 (2.13%)  1/46 (2.17%) 
Transaminases increased  1  2/94 (2.13%)  0/46 (0.00%) 
Metabolism and nutrition disorders     
Dehydration  1  2/94 (2.13%)  1/46 (2.17%) 
Diabetic ketoacidosis  1  2/94 (2.13%)  0/46 (0.00%) 
Hypercalcaemia  1  2/94 (2.13%)  0/46 (0.00%) 
Hyperglycaemia  1  1/94 (1.06%)  0/46 (0.00%) 
Hyperkalaemia  1  0/94 (0.00%)  1/46 (2.17%) 
Hyponatraemia  1  2/94 (2.13%)  0/46 (0.00%) 
Hypophosphataemia  1  0/94 (0.00%)  1/46 (2.17%) 
Type 1 diabetes mellitus  1  1/94 (1.06%)  0/46 (0.00%) 
Musculoskeletal and connective tissue disorders     
Arthralgia  1  0/94 (0.00%)  1/46 (2.17%) 
Back pain  1  0/94 (0.00%)  1/46 (2.17%) 
Myalgia  1  0/94 (0.00%)  1/46 (2.17%) 
Neoplasms benign, malignant and unspecified (incl cysts and polyps)     
Basal cell carcinoma  1  1/94 (1.06%)  0/46 (0.00%) 
Malignant neoplasm progression  1  10/94 (10.64%)  8/46 (17.39%) 
Metastatic malignant melanoma  1  1/94 (1.06%)  0/46 (0.00%) 
Squamous cell carcinoma  1  1/94 (1.06%)  1/46 (2.17%) 
Nervous system disorders     
Dizziness  1  1/94 (1.06%)  0/46 (0.00%) 
Embolic stroke  1  1/94 (1.06%)  0/46 (0.00%) 
Guillain-Barre syndrome  1  1/94 (1.06%)  0/46 (0.00%) 
Haemorrhagic stroke  1  0/94 (0.00%)  1/46 (2.17%) 
Meningoradiculitis  1  1/94 (1.06%)  0/46 (0.00%) 
Neuralgia  1  1/94 (1.06%)  0/46 (0.00%) 
Seizure  1  0/94 (0.00%)  2/46 (4.35%) 
Spinal cord compression  1  0/94 (0.00%)  1/46 (2.17%) 
Syncope  1  0/94 (0.00%)  1/46 (2.17%) 
Tremor  1  1/94 (1.06%)  0/46 (0.00%) 
Renal and urinary disorders     
Acute kidney injury  1  0/94 (0.00%)  1/46 (2.17%) 
Haematuria  1  0/94 (0.00%)  1/46 (2.17%) 
Urinary tract obstruction  1  1/94 (1.06%)  0/46 (0.00%) 
Respiratory, thoracic and mediastinal disorders     
Acute respiratory failure  1  1/94 (1.06%)  0/46 (0.00%) 
Bronchial obstruction  1  0/94 (0.00%)  1/46 (2.17%) 
Dyspnoea  1  3/94 (3.19%)  1/46 (2.17%) 
Hypoxia  1  0/94 (0.00%)  2/46 (4.35%) 
Pleural effusion  1  1/94 (1.06%)  1/46 (2.17%) 
Pleuritic pain  1  1/94 (1.06%)  0/46 (0.00%) 
Pneumonia aspiration  1  1/94 (1.06%)  0/46 (0.00%) 
Pneumonitis  1  7/94 (7.45%)  2/46 (4.35%) 
Pulmonary embolism  1  3/94 (3.19%)  0/46 (0.00%) 
Respiratory failure  1  1/94 (1.06%)  1/46 (2.17%) 
Skin and subcutaneous tissue disorders     
Rash  1  1/94 (1.06%)  0/46 (0.00%) 
Vascular disorders     
Deep vein thrombosis  1  3/94 (3.19%)  0/46 (0.00%) 
Embolism  1  0/94 (0.00%)  1/46 (2.17%) 
Hypertension  1  0/94 (0.00%)  1/46 (2.17%) 
Hypotension  1  0/94 (0.00%)  2/46 (4.35%) 
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 + Ipilimumab Ipilimumab
Affected / at Risk (%) Affected / at Risk (%)
Total   90/94 (95.74%)   45/46 (97.83%) 
Blood and lymphatic system disorders     
Anaemia  1  24/94 (25.53%)  15/46 (32.61%) 
Cardiac disorders     
Atrial fibrillation  1  6/94 (6.38%)  3/46 (6.52%) 
Sinus tachycardia  1  4/94 (4.26%)  3/46 (6.52%) 
Tachycardia  1  5/94 (5.32%)  5/46 (10.87%) 
Ear and labyrinth disorders     
Ear pain  1  5/94 (5.32%)  1/46 (2.17%) 
Endocrine disorders     
Adrenal insufficiency  1  7/94 (7.45%)  3/46 (6.52%) 
Hypophysitis  1  10/94 (10.64%)  2/46 (4.35%) 
Hypothyroidism  1  18/94 (19.15%)  7/46 (15.22%) 
Eye disorders     
Vision blurred  1  15/94 (15.96%)  0/46 (0.00%) 
Gastrointestinal disorders     
Abdominal discomfort  1  4/94 (4.26%)  3/46 (6.52%) 
Abdominal distension  1  9/94 (9.57%)  3/46 (6.52%) 
Abdominal pain  1  20/94 (21.28%)  12/46 (26.09%) 
Abdominal pain upper  1  9/94 (9.57%)  3/46 (6.52%) 
Colitis  1  9/94 (9.57%)  4/46 (8.70%) 
Constipation  1  32/94 (34.04%)  14/46 (30.43%) 
Diarrhoea  1  54/94 (57.45%)  24/46 (52.17%) 
Dry mouth  1  9/94 (9.57%)  6/46 (13.04%) 
Dyspepsia  1  7/94 (7.45%)  3/46 (6.52%) 
Flatulence  1  4/94 (4.26%)  4/46 (8.70%) 
Gastrooesophageal reflux disease  1  5/94 (5.32%)  2/46 (4.35%) 
Nausea  1  40/94 (42.55%)  25/46 (54.35%) 
Rectal haemorrhage  1  1/94 (1.06%)  4/46 (8.70%) 
Vomiting  1  29/94 (30.85%)  11/46 (23.91%) 
General disorders     
Asthenia  1  17/94 (18.09%)  11/46 (23.91%) 
Chills  1  21/94 (22.34%)  8/46 (17.39%) 
Fatigue  1  57/94 (60.64%)  34/46 (73.91%) 
Influenza like illness  1  5/94 (5.32%)  6/46 (13.04%) 
Malaise  1  2/94 (2.13%)  3/46 (6.52%) 
Mucosal inflammation  1  3/94 (3.19%)  5/46 (10.87%) 
Non-cardiac chest pain  1  5/94 (5.32%)  4/46 (8.70%) 
Oedema peripheral  1  26/94 (27.66%)  10/46 (21.74%) 
Pain  1  14/94 (14.89%)  10/46 (21.74%) 
Peripheral swelling  1  3/94 (3.19%)  3/46 (6.52%) 
Pyrexia  1  32/94 (34.04%)  17/46 (36.96%) 
Infections and infestations     
Pneumonia  1  2/94 (2.13%)  5/46 (10.87%) 
Upper respiratory tract infection  1  7/94 (7.45%)  5/46 (10.87%) 
Urinary tract infection  1  9/94 (9.57%)  2/46 (4.35%) 
Investigations     
Alanine aminotransferase increased  1  30/94 (31.91%)  7/46 (15.22%) 
Amylase increased  1  14/94 (14.89%)  3/46 (6.52%) 
Aspartate aminotransferase increased  1  31/94 (32.98%)  7/46 (15.22%) 
Blood alkaline phosphatase increased  1  13/94 (13.83%)  7/46 (15.22%) 
Blood bilirubin increased  1  12/94 (12.77%)  1/46 (2.17%) 
Blood creatinine increased  1  10/94 (10.64%)  4/46 (8.70%) 
Blood thyroid stimulating hormone decreased  1  7/94 (7.45%)  1/46 (2.17%) 
Blood thyroid stimulating hormone increased  1  8/94 (8.51%)  0/46 (0.00%) 
Lipase increased  1  22/94 (23.40%)  6/46 (13.04%) 
Platelet count decreased  1  5/94 (5.32%)  0/46 (0.00%) 
Weight decreased  1  16/94 (17.02%)  2/46 (4.35%) 
Weight increased  1  5/94 (5.32%)  3/46 (6.52%) 
Metabolism and nutrition disorders     
Decreased appetite  1  26/94 (27.66%)  17/46 (36.96%) 
Dehydration  1  22/94 (23.40%)  4/46 (8.70%) 
Hyperglycaemia  1  13/94 (13.83%)  3/46 (6.52%) 
Hyperkalaemia  1  8/94 (8.51%)  2/46 (4.35%) 
Hypoalbuminaemia  1  11/94 (11.70%)  6/46 (13.04%) 
Hypocalcaemia  1  5/94 (5.32%)  2/46 (4.35%) 
Hypokalaemia  1  15/94 (15.96%)  5/46 (10.87%) 
Hypomagnesaemia  1  11/94 (11.70%)  3/46 (6.52%) 
Hyponatraemia  1  22/94 (23.40%)  6/46 (13.04%) 
Musculoskeletal and connective tissue disorders     
Arthralgia  1  26/94 (27.66%)  11/46 (23.91%) 
Back pain  1  19/94 (20.21%)  7/46 (15.22%) 
Muscle spasms  1  6/94 (6.38%)  2/46 (4.35%) 
Muscular weakness  1  12/94 (12.77%)  2/46 (4.35%) 
Myalgia  1  14/94 (14.89%)  13/46 (28.26%) 
Pain in extremity  1  10/94 (10.64%)  9/46 (19.57%) 
Nervous system disorders     
Dizziness  1  17/94 (18.09%)  5/46 (10.87%) 
Dysgeusia  1  6/94 (6.38%)  1/46 (2.17%) 
Headache  1  35/94 (37.23%)  11/46 (23.91%) 
Paraesthesia  1  9/94 (9.57%)  0/46 (0.00%) 
Peripheral sensory neuropathy  1  4/94 (4.26%)  4/46 (8.70%) 
Taste disorder  1  5/94 (5.32%)  0/46 (0.00%) 
Psychiatric disorders     
Anxiety  1  7/94 (7.45%)  4/46 (8.70%) 
Depression  1  4/94 (4.26%)  4/46 (8.70%) 
Insomnia  1  20/94 (21.28%)  11/46 (23.91%) 
Renal and urinary disorders     
Pollakiuria  1  5/94 (5.32%)  1/46 (2.17%) 
Reproductive system and breast disorders     
Vaginal haemorrhage  1  0/94 (0.00%)  3/46 (6.52%) 
Respiratory, thoracic and mediastinal disorders     
Cough  1  30/94 (31.91%)  20/46 (43.48%) 
Dysphonia  1  7/94 (7.45%)  3/46 (6.52%) 
Dyspnoea  1  28/94 (29.79%)  14/46 (30.43%) 
Epistaxis  1  5/94 (5.32%)  1/46 (2.17%) 
Nasal congestion  1  9/94 (9.57%)  5/46 (10.87%) 
Oropharyngeal pain  1  9/94 (9.57%)  5/46 (10.87%) 
Pleural effusion  1  5/94 (5.32%)  4/46 (8.70%) 
Pneumonitis  1  5/94 (5.32%)  2/46 (4.35%) 
Productive cough  1  3/94 (3.19%)  4/46 (8.70%) 
Rhinorrhoea  1  2/94 (2.13%)  3/46 (6.52%) 
Skin and subcutaneous tissue disorders     
Dry skin  1  9/94 (9.57%)  5/46 (10.87%) 
Erythema  1  10/94 (10.64%)  1/46 (2.17%) 
Night sweats  1  8/94 (8.51%)  1/46 (2.17%) 
Pruritus  1  47/94 (50.00%)  17/46 (36.96%) 
Rash  1  45/94 (47.87%)  17/46 (36.96%) 
Rash erythematous  1  2/94 (2.13%)  4/46 (8.70%) 
Rash maculo-papular  1  16/94 (17.02%)  8/46 (17.39%) 
Rash pruritic  1  3/94 (3.19%)  4/46 (8.70%) 
Skin hypopigmentation  1  5/94 (5.32%)  0/46 (0.00%) 
Vitiligo  1  11/94 (11.70%)  4/46 (8.70%) 
Vascular disorders     
Flushing  1  5/94 (5.32%)  1/46 (2.17%) 
Hot flush  1  1/94 (1.06%)  3/46 (6.52%) 
Hypertension  1  12/94 (12.77%)  4/46 (8.70%) 
Hypotension  1  11/94 (11.70%)  5/46 (10.87%) 
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: NCT01927419    
Other Study ID Numbers: CA209-069
2013-002018-11 ( EudraCT Number )
First Submitted: August 20, 2013
First Posted: August 22, 2013
Results First Submitted: November 3, 2015
Results First Posted: February 8, 2016
Last Update Posted: March 18, 2022