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Study of Nivolumab Combined With Ipilimumab Versus Pemetrexed and Cisplatin or Carboplatin as First Line Therapy in Unresectable Pleural Mesothelioma Patients (CheckMate743)

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ClinicalTrials.gov Identifier: NCT02899299
Recruitment Status : Completed
First Posted : September 14, 2016
Results First Posted : April 14, 2021
Last Update Posted : July 5, 2023
Sponsor:
Collaborator:
Ono Pharmaceutical Co. Ltd
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 Mesothelioma
Interventions Biological: Nivolumab
Biological: Ipilimumab
Drug: Pemetrexed
Drug: Cisplatin
Drug: Carboplatin
Enrollment 605
Recruitment Details  
Pre-assignment Details 605 participants randomized and 584 treated. Of the 21 participants not treated, 12 withdrew consent, 5 no longer met study criteria, 3 requested to discontinue study treatment and one was not reported.
Arm/Group Title Treatment A Treatment B
Hide Arm/Group Description Nivolumab 3 mg/kg IV Q2W + Ipilimumab 1 mg/kg IV Q6W Pemetrexed 500 mg/m^2 + Cisplatin 75 mg/m^2 or Carboplatin 5 AUC up to 6 cycles
Period Title: Pre-treatment
Started [1] 303 302
Completed [2] 300 284
Not Completed 3 18
Reason Not Completed
Participant request to discontinue study treatment             0             3
Participant withdrew consent             1             11
Participant no longer meets study criteria             2             3
Not reported             0             1
[1]
Started = Randomized
[2]
Completed = Entering treatment
Period Title: Treatment
Started [1] 300 284
Completed [2] 5 0
Not Completed 295 284
Reason Not Completed
Disease Progression             182             44
Study Drug Toxicity             59             24
Adverse Event unrelated to Study Drug             12             9
Participant request to discontinue Study treatment             4             10
Participant withdrew consent             6             3
Lost to Follow-up             0             1
Maximum Clinical Benefit             10             2
Poor/Non-compliance             1             0
Participant no longer meets Study criteria             4             0
Administrative reason by Sponsor             2             0
Other reasons             11             2
Not reported: Includes participants who achieved max duration of treatment             4             189
[1]
Started = Entering treatment
[2]
Completed = Continuing treatment
Arm/Group Title Treatment A Treatment B Total
Hide Arm/Group Description Nivolumab 3 mg/kg IV Q2W + Ipilimumab 1 mg/kg IV Q6W Pemetrexed 500 mg/m^2 + Cisplatin 75 mg/m^2 or Carboplatin 5 AUC up to 6 cycles Total of all reporting groups
Overall Number of Baseline Participants 303 302 605
Hide Baseline Analysis Population Description
[Not Specified]
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 303 participants 302 participants 605 participants
68.7  (8.5) 67.8  (9.7) 68.2  (9.1)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 303 participants 302 participants 605 participants
Female
69
  22.8%
69
  22.8%
138
  22.8%
Male
234
  77.2%
233
  77.2%
467
  77.2%
Ethnicity (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 303 participants 302 participants 605 participants
Hispanic or Latino
19
   6.3%
19
   6.3%
38
   6.3%
Not Hispanic or Latino
122
  40.3%
136
  45.0%
258
  42.6%
Unknown or Not Reported
162
  53.5%
147
  48.7%
309
  51.1%
Race (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 303 participants 302 participants 605 participants
American Indian or Alaska Native
2
   0.7%
4
   1.3%
6
   1.0%
Asian
26
   8.6%
39
  12.9%
65
  10.7%
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
266
  87.8%
250
  82.8%
516
  85.3%
More than one race
0
   0.0%
0
   0.0%
0
   0.0%
Unknown or Not Reported
9
   3.0%
9
   3.0%
18
   3.0%
1.Primary Outcome
Title Overall Survival (OS)
Hide Description Overall Survival was defined as the time from randomization to the date of death due to any cause. A participant who has not died was censored at last known date alive.
Time Frame From randomization to the date of death (Up to 40 Months)
Hide Outcome Measure Data
Hide Analysis Population Description
All Randomized Participants
Arm/Group Title Treatment A Treatment B
Hide Arm/Group Description:
Nivolumab 3 mg/kg IV Q2W + Ipilimumab 1 mg/kg IV Q6W
Pemetrexed 500 mg/m^2 + Cisplatin 75 mg/m^2 or Carboplatin 5 AUC up to 6 cycles
Overall Number of Participants Analyzed 303 302
Median (95% Confidence Interval)
Unit of Measure: Months
18.07
(16.82 to 21.45)
14.09
(12.45 to 16.23)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Treatment A, Treatment B
Comments [Not Specified]
Type of Statistical Test Superiority
Comments Treatment A over Treatment B
Statistical Test of Hypothesis P-Value 0.0020
Comments Boundary for statistical significance was a p-value < 0.0345
Method Stratified Log Rank
Comments This is 2 sided p-value from log-rank test stratified by histology and sex as entered in the IRT
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.74
Confidence Interval (2-Sided) 96.6%
0.60 to 0.91
Estimation Comments Stratified Cox proportional hazard model
2.Secondary Outcome
Title Objective Response Rate (ORR)
Hide Description Objective Response Rate is defined as the percentage of randomized participants who achieve a best overall response of complete response or partial response per Blinded Independent Central Review (BICR) assessments (Per adapted m-RECIST for pleural mesothelioma and RECIST 1.1, confirmation of response required).
Time Frame Up to 40 months
Hide Outcome Measure Data
Hide Analysis Population Description
All Randomized Participants
Arm/Group Title Treatment A Treatment B
Hide Arm/Group Description:
Nivolumab 3 mg/kg IV Q2W + Ipilimumab 1 mg/kg IV Q6W
Pemetrexed 500 mg/m^2 + Cisplatin 75 mg/m^2 or Carboplatin 5 AUC up to 6 cycles
Overall Number of Participants Analyzed 303 302
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of Participants
39.6
(34.1 to 45.4)
42.7
(37.1 to 48.5)
3.Secondary Outcome
Title Disease Control Rate (DCR)
Hide Description Disease Control Rate is defined as the percentage of all randomized participants whose Best Overall Response was Complete Response, Partial Response, Stable Disease or Non-CR/Non-PD per adapted m-RECIST and RECIST 1.1 as assessed by Blinded Independent Central Review (BICR).
Time Frame Up to 40 months
Hide Outcome Measure Data
Hide Analysis Population Description
All Randomized Participants
Arm/Group Title Treatment A Treatment B
Hide Arm/Group Description:
Nivolumab 3 mg/kg IV Q2W + Ipilimumab 1 mg/kg IV Q6W
Pemetrexed 500 mg/m^2 + Cisplatin 75 mg/m^2 or Carboplatin 5 AUC up to 6 cycles
Overall Number of Participants Analyzed 303 302
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of Participants
76.6
(71.4 to 81.2)
85.1
(80.6 to 88.9)
4.Secondary Outcome
Title Progression Free Survival (PFS)
Hide Description Progression Free Survival is defined as the time between the date of randomization and the date of first documented tumor progression per Blinded Independent Central Review (BICR) assessments (using adapted m-RECIST and RECIST 1.1), or death due to any cause, whichever occurs first. Participants who received subsequent anticancer therapy prior to documented progression were censored at the date of the last evaluable tumor assessment conducted on or prior to the date of initiation of the subsequent anticancer therapy.
Time Frame Up to 40 months
Hide Outcome Measure Data
Hide Analysis Population Description
All Randomized Participants
Arm/Group Title Treatment A Treatment B
Hide Arm/Group Description:
Nivolumab 3 mg/kg IV Q2W + Ipilimumab 1 mg/kg IV Q6W
Pemetrexed 500 mg/m^2 + Cisplatin 75 mg/m^2 or Carboplatin 5 AUC up to 6 cycles
Overall Number of Participants Analyzed 303 302
Median (95% Confidence Interval)
Unit of Measure: Months
6.77
(5.59 to 7.36)
7.20
(6.93 to 8.05)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Treatment A, Treatment B
Comments [Not Specified]
Type of Statistical Test Superiority
Comments Treatment A over Treatment B
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.00
Confidence Interval (2-Sided) 95%
0.82 to 1.21
Estimation Comments Stratified Cox proportional hazard model
5.Secondary Outcome
Title Overall Survival (OS) According to PD-L1 Expression Level
Hide Description PD-L1 Expression is defined as the percent of tumor cells membrane staining in a minimum of 100 evaluable tumor cells per validated Dako PD-L1 immunohistochemistry (IHC) assay. This is referred to as quantifiable PD-L1 expression and efficacy is determined by overall survival (OS) analysis.
Time Frame Up to 40 months
Hide Outcome Measure Data
Hide Analysis Population Description
All PD-L1 Evaluable Participants
Arm/Group Title Treatment A Treatment B
Hide Arm/Group Description:
Nivolumab 3 mg/kg IV Q2W + Ipilimumab 1 mg/kg IV Q6W
Pemetrexed 500 mg/m^2 + Cisplatin 75 mg/m^2 or Carboplatin 5 AUC up to 6 cycles
Overall Number of Participants Analyzed 289 297
Median (95% Confidence Interval)
Unit of Measure: Months
<1% PD-L1 Number Analyzed 57 participants 78 participants
17.28
(10.09 to 24.34)
16.49
(13.37 to 20.53)
≥1% PD-L1 Number Analyzed 232 participants 219 participants
18.04
(16.76 to 21.45)
13.27
(11.56 to 15.38)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Treatment A, Treatment B
Comments <1% PD-L1
Type of Statistical Test Superiority
Comments Treatment A vs Treatment B
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.94
Confidence Interval (2-Sided) 95%
0.62 to 1.40
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Treatment A, Treatment B
Comments ≥1% PD-L1
Type of Statistical Test Superiority
Comments Treatment A vs Treatment B
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.69
Confidence Interval (2-Sided) 95%
0.55 to 0.87
Estimation Comments [Not Specified]
6.Secondary Outcome
Title Progression Free Survival (PFS) According to PD-L1 Expression Level
Hide Description PD-L1 Expression is defined as the percent of tumor cells membrane staining in a minimum of 100 evaluable tumor cells per validated Dako PD-L1 immunohistochemistry (IHC) assay. This is referred to as quantifiable PD-L1 expression and efficacy is determined by progression free survival (PFS) analysis.
Time Frame Up to 40 months
Hide Outcome Measure Data
Hide Analysis Population Description
All PD-L1 Evaluable Participants
Arm/Group Title Treatment A Treatment B
Hide Arm/Group Description:
Nivolumab 3 mg/kg IV Q2W + Ipilimumab 1 mg/kg IV Q6W
Pemetrexed 500 mg/m^2 + Cisplatin 75 mg/m^2 or Carboplatin 5 AUC up to 6 cycles
Overall Number of Participants Analyzed 289 297
Median (95% Confidence Interval)
Unit of Measure: Months
<1% PD-L1 Number Analyzed 57 participants 78 participants
4.14
(2.69 to 5.59)
8.31
(7.00 to 11.07)
≥1% PD-L1 Number Analyzed 232 participants 219 participants
6.97
(5.78 to 8.54)
7.06
(6.24 to 7.59)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Treatment A, Treatment B
Comments < 1% PD-L1
Type of Statistical Test Superiority
Comments Treatment A vs Treatment B
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.79
Confidence Interval (2-Sided) 95%
1.21 to 2.64
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Treatment A, Treatment B
Comments ≥1% PD-L1
Type of Statistical Test Superiority
Comments Treatment A vs Treatment B
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.81
Confidence Interval (2-Sided) 95%
0.64 to 1.01
Estimation Comments [Not Specified]
7.Secondary Outcome
Title Objective Response Rate (ORR) According to PD-L1 Expression Level
Hide Description PD-L1 Expression is defined as the percent of tumor cells membrane staining in a minimum of 100 evaluable tumor cells per validated Dako PD-L1 immunohistochemistry (IHC) assay. This is referred to as quantifiable PD-L1 expression and efficacy is determined by objective response rate (ORR) analysis.
Time Frame Up to 40 months
Hide Outcome Measure Data
Hide Analysis Population Description
All PD-L1 Evaluable Participants
Arm/Group Title Treatment A Treatment B
Hide Arm/Group Description:
Nivolumab 3 mg/kg IV Q2W + Ipilimumab 1 mg/kg IV Q6W
Pemetrexed 500 mg/m^2 + Cisplatin 75 mg/m^2 or Carboplatin 5 AUC up to 6 cycles
Overall Number of Participants Analyzed 289 297
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of Participants
<1% PD-L1 Number Analyzed 57 participants 78 participants
21.1
(11.4 to 33.9)
38.5
(27.7 to 50.2)
≥1% PD-L1 Number Analyzed 232 participants 219 participants
43.5
(37.1 to 50.2)
44.3
(37.6 to 51.1)
Time Frame From first dose to 100 days after last dose of treatment (up to 40 months)
Adverse Event Reporting Description [Not Specified]
 
Arm/Group Title Treatment A Treatment B
Hide Arm/Group Description Nivolumab 3 mg/kg IV Q2W + Ipilimumab 1 mg/kg IV Q6W Pemetrexed 500 mg/m^2 + Cisplatin 75 mg/m^2 or Carboplatin 5 AUC up to 6 cycles
All-Cause Mortality
Treatment A Treatment B
Affected / at Risk (%) Affected / at Risk (%)
Total   198/300 (66.00%)   212/284 (74.65%) 
Hide Serious Adverse Events
Treatment A Treatment B
Affected / at Risk (%) Affected / at Risk (%)
Total   164/300 (54.67%)   72/284 (25.35%) 
Blood and lymphatic system disorders     
Anaemia  1  5/300 (1.67%)  8/284 (2.82%) 
Bone marrow failure  1  0/300 (0.00%)  1/284 (0.35%) 
Febrile neutropenia  1  0/300 (0.00%)  3/284 (1.06%) 
Haematotoxicity  1  0/300 (0.00%)  1/284 (0.35%) 
Neutropenia  1  1/300 (0.33%)  1/284 (0.35%) 
Pancytopenia  1  0/300 (0.00%)  3/284 (1.06%) 
Thrombocytopenia  1  0/300 (0.00%)  1/284 (0.35%) 
Thrombocytopenic purpura  1  1/300 (0.33%)  0/284 (0.00%) 
Cardiac disorders     
Acute coronary syndrome  1  1/300 (0.33%)  1/284 (0.35%) 
Aortic valve disease  1  0/300 (0.00%)  1/284 (0.35%) 
Atrial fibrillation  1  3/300 (1.00%)  1/284 (0.35%) 
Atrial thrombosis  1  1/300 (0.33%)  0/284 (0.00%) 
Cardiac arrest  1  1/300 (0.33%)  1/284 (0.35%) 
Cardiac failure  1  2/300 (0.67%)  0/284 (0.00%) 
Myocardial infarction  1  2/300 (0.67%)  1/284 (0.35%) 
Myocarditis  1  1/300 (0.33%)  0/284 (0.00%) 
Pleuropericarditis  1  1/300 (0.33%)  0/284 (0.00%) 
Tachycardia  1  1/300 (0.33%)  0/284 (0.00%) 
Ventricular tachycardia  1  1/300 (0.33%)  0/284 (0.00%) 
Endocrine disorders     
Adrenal insufficiency  1  2/300 (0.67%)  0/284 (0.00%) 
Adrenocorticotropic hormone deficiency  1  1/300 (0.33%)  0/284 (0.00%) 
Hypercalcaemia of malignancy  1  1/300 (0.33%)  0/284 (0.00%) 
Hypophysitis  1  1/300 (0.33%)  0/284 (0.00%) 
Hypopituitarism  1  4/300 (1.33%)  0/284 (0.00%) 
Eye disorders     
Opsoclonus myoclonus  1  1/300 (0.33%)  0/284 (0.00%) 
Retinal detachment  1  1/300 (0.33%)  0/284 (0.00%) 
Gastrointestinal disorders     
Abdominal distension  1  1/300 (0.33%)  0/284 (0.00%) 
Abdominal pain  1  4/300 (1.33%)  1/284 (0.35%) 
Anal fissure  1  1/300 (0.33%)  0/284 (0.00%) 
Ascites  1  1/300 (0.33%)  0/284 (0.00%) 
Colitis  1  9/300 (3.00%)  0/284 (0.00%) 
Constipation  1  1/300 (0.33%)  1/284 (0.35%) 
Diarrhoea  1  6/300 (2.00%)  1/284 (0.35%) 
Dysphagia  1  1/300 (0.33%)  0/284 (0.00%) 
Enteritis  1  1/300 (0.33%)  0/284 (0.00%) 
Enterocolitis  1  2/300 (0.67%)  0/284 (0.00%) 
Gastritis  1  1/300 (0.33%)  0/284 (0.00%) 
Gastritis erosive  1  1/300 (0.33%)  0/284 (0.00%) 
Gastrointestinal motility disorder  1  1/300 (0.33%)  0/284 (0.00%) 
Ileus  1  1/300 (0.33%)  0/284 (0.00%) 
Inguinal hernia  1  0/300 (0.00%)  1/284 (0.35%) 
Nausea  1  1/300 (0.33%)  1/284 (0.35%) 
Oesophagitis  1  1/300 (0.33%)  0/284 (0.00%) 
Pancreatitis  1  3/300 (1.00%)  0/284 (0.00%) 
Retroperitoneal haematoma  1  0/300 (0.00%)  1/284 (0.35%) 
Small intestinal obstruction  1  1/300 (0.33%)  0/284 (0.00%) 
Subileus  1  0/300 (0.00%)  1/284 (0.35%) 
Vomiting  1  0/300 (0.00%)  2/284 (0.70%) 
General disorders     
Asthenia  1  1/300 (0.33%)  2/284 (0.70%) 
Chest pain  1  4/300 (1.33%)  2/284 (0.70%) 
Fatigue  1  1/300 (0.33%)  0/284 (0.00%) 
General physical health deterioration  1  0/300 (0.00%)  1/284 (0.35%) 
Hyperpyrexia  1  1/300 (0.33%)  0/284 (0.00%) 
Malaise  1  1/300 (0.33%)  1/284 (0.35%) 
Mucosal inflammation  1  0/300 (0.00%)  1/284 (0.35%) 
Non-cardiac chest pain  1  4/300 (1.33%)  2/284 (0.70%) 
Oedema peripheral  1  1/300 (0.33%)  0/284 (0.00%) 
Pain  1  0/300 (0.00%)  1/284 (0.35%) 
Performance status decreased  1  0/300 (0.00%)  1/284 (0.35%) 
Pyrexia  1  13/300 (4.33%)  2/284 (0.70%) 
Hepatobiliary disorders     
Cholecystitis  1  3/300 (1.00%)  0/284 (0.00%) 
Drug-induced liver injury  1  1/300 (0.33%)  0/284 (0.00%) 
Hepatic function abnormal  1  5/300 (1.67%)  0/284 (0.00%) 
Hepatitis  1  2/300 (0.67%)  0/284 (0.00%) 
Immune-mediated hepatitis  1  3/300 (1.00%)  0/284 (0.00%) 
Immune system disorders     
Contrast media allergy  1  1/300 (0.33%)  0/284 (0.00%) 
Drug hypersensitivity  1  0/300 (0.00%)  1/284 (0.35%) 
Infections and infestations     
Abscess intestinal  1  1/300 (0.33%)  0/284 (0.00%) 
Arthritis bacterial  1  1/300 (0.33%)  0/284 (0.00%) 
Bronchitis  1  1/300 (0.33%)  0/284 (0.00%) 
Device related infection  1  1/300 (0.33%)  1/284 (0.35%) 
Empyema  1  1/300 (0.33%)  0/284 (0.00%) 
Encephalitis  1  1/300 (0.33%)  0/284 (0.00%) 
Escherichia urinary tract infection  1  0/300 (0.00%)  1/284 (0.35%) 
Gastroenteritis  1  1/300 (0.33%)  1/284 (0.35%) 
Gastroenteritis viral  1  0/300 (0.00%)  1/284 (0.35%) 
Infectious pleural effusion  1  1/300 (0.33%)  0/284 (0.00%) 
Influenza  1  0/300 (0.00%)  1/284 (0.35%) 
Lower respiratory tract infection  1  2/300 (0.67%)  1/284 (0.35%) 
Pleural infection  1  2/300 (0.67%)  1/284 (0.35%) 
Pleural infection bacterial  1  0/300 (0.00%)  1/284 (0.35%) 
Pneumocystis jirovecii pneumonia  1  1/300 (0.33%)  0/284 (0.00%) 
Pneumonia  1  11/300 (3.67%)  5/284 (1.76%) 
Respiratory tract infection  1  1/300 (0.33%)  1/284 (0.35%) 
Sepsis  1  1/300 (0.33%)  2/284 (0.70%) 
Skin infection  1  2/300 (0.67%)  0/284 (0.00%) 
Upper respiratory tract infection  1  1/300 (0.33%)  0/284 (0.00%) 
Urinary tract infection bacterial  1  1/300 (0.33%)  0/284 (0.00%) 
Injury, poisoning and procedural complications     
Fracture  1  0/300 (0.00%)  1/284 (0.35%) 
Head injury  1  1/300 (0.33%)  1/284 (0.35%) 
Infusion related reaction  1  7/300 (2.33%)  0/284 (0.00%) 
Spinal compression fracture  1  1/300 (0.33%)  0/284 (0.00%) 
Subdural haematoma  1  1/300 (0.33%)  0/284 (0.00%) 
Vascular access complication  1  0/300 (0.00%)  1/284 (0.35%) 
Investigations     
Alanine aminotransferase increased  1  1/300 (0.33%)  0/284 (0.00%) 
Aspartate aminotransferase increased  1  1/300 (0.33%)  0/284 (0.00%) 
Blood creatinine increased  1  1/300 (0.33%)  0/284 (0.00%) 
C-reactive protein increased  1  1/300 (0.33%)  0/284 (0.00%) 
Metabolism and nutrition disorders     
Cachexia  1  1/300 (0.33%)  0/284 (0.00%) 
Dehydration  1  1/300 (0.33%)  0/284 (0.00%) 
Diabetes mellitus  1  1/300 (0.33%)  1/284 (0.35%) 
Diabetes mellitus inadequate control  1  0/300 (0.00%)  1/284 (0.35%) 
Diabetic ketoacidosis  1  1/300 (0.33%)  0/284 (0.00%) 
Hypercalcaemia  1  3/300 (1.00%)  1/284 (0.35%) 
Hyperglycaemic hyperosmolar nonketotic syndrome  1  1/300 (0.33%)  0/284 (0.00%) 
Hyperkalaemia  1  0/300 (0.00%)  1/284 (0.35%) 
Hypoglycaemia  1  1/300 (0.33%)  0/284 (0.00%) 
Hypokalaemia  1  1/300 (0.33%)  1/284 (0.35%) 
Hypomagnesaemia  1  0/300 (0.00%)  1/284 (0.35%) 
Hyponatraemia  1  0/300 (0.00%)  1/284 (0.35%) 
Type 2 diabetes mellitus  1  0/300 (0.00%)  1/284 (0.35%) 
Musculoskeletal and connective tissue disorders     
Arthralgia  1  2/300 (0.67%)  0/284 (0.00%) 
Back pain  1  0/300 (0.00%)  1/284 (0.35%) 
Muscular weakness  1  1/300 (0.33%)  0/284 (0.00%) 
Musculoskeletal chest pain  1  1/300 (0.33%)  0/284 (0.00%) 
Musculoskeletal pain  1  1/300 (0.33%)  0/284 (0.00%) 
Myositis  1  2/300 (0.67%)  0/284 (0.00%) 
Neoplasms benign, malignant and unspecified (incl cysts and polyps)     
Basal cell carcinoma  1  1/300 (0.33%)  0/284 (0.00%) 
Breast neoplasm  1  1/300 (0.33%)  0/284 (0.00%) 
Malignant melanoma in situ  1  1/300 (0.33%)  0/284 (0.00%) 
Malignant neoplasm progression  1  32/300 (10.67%)  13/284 (4.58%) 
Mesothelioma malignant  1  1/300 (0.33%)  0/284 (0.00%) 
Neoplasm malignant  1  1/300 (0.33%)  0/284 (0.00%) 
Transitional cell carcinoma  1  1/300 (0.33%)  0/284 (0.00%) 
Nervous system disorders     
Cauda equina syndrome  1  1/300 (0.33%)  0/284 (0.00%) 
Cerebrovascular accident  1  2/300 (0.67%)  0/284 (0.00%) 
Cognitive disorder  1  1/300 (0.33%)  0/284 (0.00%) 
Limbic encephalitis  1  1/300 (0.33%)  0/284 (0.00%) 
Migraine  1  1/300 (0.33%)  0/284 (0.00%) 
Myasthenia gravis  1  1/300 (0.33%)  0/284 (0.00%) 
Myasthenic syndrome  1  1/300 (0.33%)  0/284 (0.00%) 
Myelitis transverse  1  1/300 (0.33%)  0/284 (0.00%) 
Presyncope  1  1/300 (0.33%)  0/284 (0.00%) 
Seizure  1  2/300 (0.67%)  0/284 (0.00%) 
Subarachnoid haemorrhage  1  1/300 (0.33%)  0/284 (0.00%) 
Syncope  1  3/300 (1.00%)  0/284 (0.00%) 
Transient ischaemic attack  1  1/300 (0.33%)  0/284 (0.00%) 
Psychiatric disorders     
Completed suicide  1  0/300 (0.00%)  1/284 (0.35%) 
Depression  1  1/300 (0.33%)  0/284 (0.00%) 
Insomnia  1  1/300 (0.33%)  0/284 (0.00%) 
Renal and urinary disorders     
Acute kidney injury  1  7/300 (2.33%)  1/284 (0.35%) 
Haematuria  1  1/300 (0.33%)  0/284 (0.00%) 
Nephrolithiasis  1  1/300 (0.33%)  0/284 (0.00%) 
Nephrotic syndrome  1  1/300 (0.33%)  0/284 (0.00%) 
Renal failure  1  2/300 (0.67%)  1/284 (0.35%) 
Renal impairment  1  1/300 (0.33%)  0/284 (0.00%) 
Urinary retention  1  2/300 (0.67%)  0/284 (0.00%) 
Respiratory, thoracic and mediastinal disorders     
Acute respiratory failure  1  3/300 (1.00%)  1/284 (0.35%) 
Aspiration  1  1/300 (0.33%)  0/284 (0.00%) 
Chronic obstructive pulmonary disease  1  1/300 (0.33%)  0/284 (0.00%) 
Dyspnoea  1  5/300 (1.67%)  6/284 (2.11%) 
Hypoxia  1  1/300 (0.33%)  2/284 (0.70%) 
Interstitial lung disease  1  2/300 (0.67%)  0/284 (0.00%) 
Pleural effusion  1  9/300 (3.00%)  2/284 (0.70%) 
Pleurisy  1  3/300 (1.00%)  0/284 (0.00%) 
Pleuritic pain  1  1/300 (0.33%)  0/284 (0.00%) 
Pneumonitis  1  7/300 (2.33%)  0/284 (0.00%) 
Pneumothorax  1  1/300 (0.33%)  1/284 (0.35%) 
Productive cough  1  1/300 (0.33%)  0/284 (0.00%) 
Pulmonary embolism  1  3/300 (1.00%)  3/284 (1.06%) 
Pulmonary oedema  1  2/300 (0.67%)  0/284 (0.00%) 
Respiratory failure  1  1/300 (0.33%)  0/284 (0.00%) 
Skin and subcutaneous tissue disorders     
Hypersensitivity vasculitis  1  1/300 (0.33%)  0/284 (0.00%) 
Rash maculo-papular  1  2/300 (0.67%)  0/284 (0.00%) 
Subcutaneous emphysema  1  1/300 (0.33%)  0/284 (0.00%) 
Vascular disorders     
Artery dissection  1  1/300 (0.33%)  0/284 (0.00%) 
Embolism  1  1/300 (0.33%)  0/284 (0.00%) 
Superior vena cava syndrome  1  1/300 (0.33%)  0/284 (0.00%) 
Temporal arteritis  1  1/300 (0.33%)  0/284 (0.00%) 
1
Term from vocabulary, 22.1
Indicates events were collected by systematic assessment
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 5%
Treatment A Treatment B
Affected / at Risk (%) Affected / at Risk (%)
Total   275/300 (91.67%)   262/284 (92.25%) 
Blood and lymphatic system disorders     
Anaemia  1  39/300 (13.00%)  117/284 (41.20%) 
Leukopenia  1  0/300 (0.00%)  24/284 (8.45%) 
Neutropenia  1  4/300 (1.33%)  79/284 (27.82%) 
Thrombocytopenia  1  3/300 (1.00%)  31/284 (10.92%) 
Endocrine disorders     
Hypothyroidism  1  38/300 (12.67%)  3/284 (1.06%) 
Eye disorders     
Lacrimation increased  1  0/300 (0.00%)  19/284 (6.69%) 
Gastrointestinal disorders     
Abdominal pain  1  28/300 (9.33%)  12/284 (4.23%) 
Constipation  1  56/300 (18.67%)  84/284 (29.58%) 
Diarrhoea  1  91/300 (30.33%)  32/284 (11.27%) 
Nausea  1  73/300 (24.33%)  123/284 (43.31%) 
Vomiting  1  43/300 (14.33%)  52/284 (18.31%) 
General disorders     
Asthenia  1  49/300 (16.33%)  57/284 (20.07%) 
Chest pain  1  21/300 (7.00%)  17/284 (5.99%) 
Fatigue  1  86/300 (28.67%)  77/284 (27.11%) 
Malaise  1  7/300 (2.33%)  18/284 (6.34%) 
Non-cardiac chest pain  1  38/300 (12.67%)  14/284 (4.93%) 
Oedema peripheral  1  45/300 (15.00%)  18/284 (6.34%) 
Pain  1  18/300 (6.00%)  9/284 (3.17%) 
Pyrexia  1  49/300 (16.33%)  11/284 (3.87%) 
Infections and infestations     
Nasopharyngitis  1  19/300 (6.33%)  8/284 (2.82%) 
Injury, poisoning and procedural complications     
Infusion related reaction  1  22/300 (7.33%)  2/284 (0.70%) 
Investigations     
Alanine aminotransferase increased  1  22/300 (7.33%)  3/284 (1.06%) 
Amylase increased  1  23/300 (7.67%)  3/284 (1.06%) 
Blood alkaline phosphatase increased  1  17/300 (5.67%)  3/284 (1.06%) 
Blood creatinine increased  1  26/300 (8.67%)  16/284 (5.63%) 
Lipase increased  1  27/300 (9.00%)  3/284 (1.06%) 
Weight decreased  1  16/300 (5.33%)  23/284 (8.10%) 
Metabolism and nutrition disorders     
Decreased appetite  1  71/300 (23.67%)  72/284 (25.35%) 
Hypoalbuminaemia  1  18/300 (6.00%)  10/284 (3.52%) 
Hyponatraemia  1  17/300 (5.67%)  11/284 (3.87%) 
Musculoskeletal and connective tissue disorders     
Arthralgia  1  40/300 (13.33%)  3/284 (1.06%) 
Back pain  1  21/300 (7.00%)  10/284 (3.52%) 
Musculoskeletal pain  1  16/300 (5.33%)  5/284 (1.76%) 
Myalgia  1  24/300 (8.00%)  6/284 (2.11%) 
Pain in extremity  1  18/300 (6.00%)  8/284 (2.82%) 
Nervous system disorders     
Dizziness  1  16/300 (5.33%)  9/284 (3.17%) 
Dysgeusia  1  13/300 (4.33%)  22/284 (7.75%) 
Headache  1  23/300 (7.67%)  11/284 (3.87%) 
Psychiatric disorders     
Insomnia  1  27/300 (9.00%)  15/284 (5.28%) 
Respiratory, thoracic and mediastinal disorders     
Cough  1  65/300 (21.67%)  22/284 (7.75%) 
Dyspnoea  1  77/300 (25.67%)  37/284 (13.03%) 
Hiccups  1  2/300 (0.67%)  17/284 (5.99%) 
Skin and subcutaneous tissue disorders     
Dry skin  1  16/300 (5.33%)  6/284 (2.11%) 
Pruritus  1  62/300 (20.67%)  4/284 (1.41%) 
Rash  1  60/300 (20.00%)  21/284 (7.39%) 
Rash maculo-papular  1  18/300 (6.00%)  5/284 (1.76%) 
1
Term from vocabulary, 22.1
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
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Layout table for additonal information
Responsible Party: Bristol-Myers Squibb
ClinicalTrials.gov Identifier: NCT02899299    
Other Study ID Numbers: CA209-743
2016-001859-43 ( EudraCT Number )
First Submitted: August 31, 2016
First Posted: September 14, 2016
Results First Submitted: March 24, 2021
Results First Posted: April 14, 2021
Last Update Posted: July 5, 2023