A Neoadjuvant Study of Nivolumab Plus Ipilimumab or Nivolumab Plus Chemotherapy Versus Chemotherapy Alone in Early Stage Non-Small Cell Lung Cancer (NSCLC)

Recruitment Status
COMPLETED - HAS RESULTS
(See Contacts and Locations)Verified December 2025 by Bristol-Myers Squibb
Sponsor
Bristol-Myers Squibb
Information Provided by (Responsible Party)
Bristol-Myers Squibb
Clinicaltrials.gov Identifier
NCT02998528
Other Study ID Numbers:
CA209-816
First Submitted
December 15, 2016
First Posted
December 19, 2016
Results First Posted
August 30, 2022
Last Update Posted
January 5, 2026
Last Verified
December 2025

ClinicalTrials.gov processed this data on January 2026Link to the current ClinicalTrials.gov record .

History of Changes

Study Details

Study Description

Condition or DiseaseIntervention/Treatment
Non Small Cell Lung Cancer
Drug: CisplatinBiological: NivolumabBiological: Nivolumab

Study Design

Study TypeInterventional
Actual Enrollment505 participants
Design AllocationRandomized
Interventional ModelParallel Assignment
MaskingNone (Open Label)
Primary PurposeTreatment
Official TitleRandomized, OpenLabel, Phase 3 Trial of Nivolumab Plus Ipilimumab or Nivolumab Plus Platinum Doublet Chemotherapy Versus Platinum Doublet Chemotherapy in Early Stage NSCLC
Study Start DateMarch 3, 2017
Actual Primary Completion DateSeptember 7, 2021
Actual Study Completion DateDecember 5, 2024

Groups and Cohorts

Group/CohortIntervention/Treatment
Platinum doublet chemotherapy
Specified dose on specified days
Drug: Cisplatin
Specified dose on specified days
Nivolumab plus platinum doublet chemotherapy
Specified dose on specified days
Biological: Nivolumab
Specified dose on specified days
Nivolumab plus Ipilimumab
Specified dose on specified days
Biological: Nivolumab
Specified dose on specified days

Outcome Measures

Primary Outcome Measures
  1. Event-Free Survival (EFS)
    Event-free survival (EFS) is defined as the length of time from randomization to any of the following events: any progression of disease precluding surgery, progression or recurrence disease based on blinded independent central review (BICR) assessment per response evaluation criteria in solid tumors (RECIST) 1.1 after surgery, or death due to any cause. Participants who don't undergo surgery for reason other than progression will be considered to have an event at progression or death. Progression is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progression).
  2. Pathologic Complete Response (pCR) Rate
    Pathologic complete response (pCR) rate is defined as the number of randomized participants with absence of residual tumor in lung and lymph nodes as evaluated by blinded independent pathological review (BIPR).
Secondary Outcome Measures
  1. Major Pathologic Response (MPR) Rate
    Major pathologic response (MPR) rate is defined as number of randomized participants with \</= 10% residual tumor in lung and lymph nodes as evaluated by blinded independent pathological review (BIPR). Viable tumors in situ carcinoma should not be included in MPR calculation.
  2. Overall Survival (OS)
    Overall survival (OS) is defined as the time between the date of randomization and the date of death. OS will be censored on the last date a participant was known to be alive.
  3. Time to Death or Distant Metastases (TTDM)
    TTDM is defined as the time between the date of randomization and the first date of distant metastasis or the date of death in the absence of distant metastasis. Distant metastasis is defined as any new lesion that is outside of the thorax using blinded independent central review (BICR) according to response evaluation criteria in solid tumors (RECIST) 1.1. Patients who have not developed distant metastasis or died at the time of analysis will be censored on the date of their last evaluable tumor assessment.

Eligibility Criteria

Ages Eligible for Study(Adult, Older Adult)
Sexes Eligible for StudyAll
Accepts Healthy VolunteersNo
Inclusion Criteria
Early stage IB-IIIA, operable non-small cell lung cancer, confirmed in tissue
Lung function capacity capable of tolerating the proposed lung surgery
Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1
Available tissue of primary lung tumor
Exclusion Criteria
Presence of locally advanced, inoperable or metastatic disease
Participants with active, known or suspected autoimmune disease
Prior treatment with any drug that targets T cell co-stimulations pathways (such as checkpoint inhibitors) Other protocol defined inclusion/exclusion criteria apply

Contacts and Locations

Sponsors and CollaboratorsBristol-Myers Squibb
Locations
Local Institution - 0121 | Glendale Arizona, United States, 85308Local Institution - 0081 | Los Angeles California, United States, 90017Local Institution - 0025 | Denver Colorado, United States, 80218Local Institution - 0007 | Plainville Connecticut, United States, 06062Local Institution - 0173 | Hollywood Florida, United States, 33021Local Institution - 0136 | Miami Florida, United States, 33136Local Institution - 0054 | Orlando Florida, United States, 32804Orlando Health, Inc. | Orlando Florida, United States, 32806Indian River Medical Center | Vero Beach Florida, United States, 32960Northwest Georgia Oncology Center, P.C. | Marietta Georgia, United States, 30060Local Institution - 0015 | Chicago Illinois, United States, 60611Local Institution - 0002 | Chicago Illinois, United States, 60637Illinois Cancer Specialists | Niles Illinois, United States, 60714Local Institution - 0171 | Fort Wayne Indiana, United States, 46804Local Institution - 0170 | Lexington Kentucky, United States, 40536Local Institution - 0186 | Louisville Kentucky, United States, 40202University Medical Center New Orleans | New Orleans Louisiana, United States, 70112Local Institution - 0151 | Baltimore Maryland, United States, 21237Local Institution - 0001 | Baltimore Maryland, United States, 21287Local Institution - 0008 | Boston Massachusetts, United States, 02215Southcoast Center For Cancer | Fairhaven Massachusetts, United States, 02719Local Institution - 0006 | Newton Massachusetts, United States, 02459Local Institution - 0012 | Detroit Michigan, United States, 48202-2608Local Institution - 0090 | Hattiesburg Mississippi, United States, 39401St Vincent Frontier Cancer Center | Billings Montana, United States, 59102Local Institution - 0032 | Las Vegas Nevada, United States, 89128Local Institution - 0009 | Hackensack New Jersey, United States, 07601Valley Hospital Luckow Pavili | Westwood New Jersey, United States, 07675Local Institution - 0027 | Albany New York, United States, 12208Local Institution - 0011 | New York New York, United States, 10016Local Institution - 0140 | High Point North Carolina, United States, 27262Christ Hospital | Cincinnati Ohio, United States, 45219MetroHealth Medical Center | Cleveland Ohio, United States, 44109Local Institution - 0149 | Zanesville Ohio, United States, 43701Kaiser Permanente | Portland Oregon, United States, 97227Local Institution - 0139 | Portland Oregon, United States, 97239Local Institution - 0010 | Philadelphia Pennsylvania, United States, 19111Local Institution - 0018 | Pittsburgh Pennsylvania, United States, 15212Local Institution - 0013 | Charleston South Carolina, United States, 29414Local Institution - 0021 | Charleston South Carolina, United States, 29425Local Institution - 0146 | Greenville South Carolina, United States, 29607Local Institution - 0092 | Nashville Tennessee, United States, 37203Local Institution - 0005 | Nashville Tennessee, United States, 37232Local Institution - 0035 | Austin Texas, United States, 78745Texas Oncology | Bedford Texas, United States, 76022Local Institution - 0153 | Fort Bliss Texas, United States, 79918Local Institution - 0106 | Houston Texas, United States, 77090Southwest Cancer Center | Lubbock Texas, United States, 79415Texas Cancer Center - Sherman | Sherman Texas, United States, 75090-0504Local Institution - 0143 | Tyler Texas, United States, 75701Local Institution - 0026 | Waco Texas, United States, 76712Intermountain Medical Center | Murray Utah, United States, 84107Local Institution - 0003 | Salt Lake City Utah, United States, 84112Southwest Regional Cancer Clinic | St. George Utah, United States, 84770Local Institution - 0135 | Burlington Vermont, United States, 05405Local Institution - 0125 | Fairfax Virginia, United States, 22031Local Institution - 0198 | Fredericksburg Virginia, United States, 22408Local Institution - 0022 | Capital Federal Buenos Aires, Argentina, 1426Local Institution - 0023 | Ciudad Autonoma de Buenos Aire Buenos Aires, Argentina, 1181Local Institution - 0079 | Brasília Federal District, Brazil, 70200-730Local Institution - 0077 | Belo Horizonte Minas Gerais, Brazil, 30130-090Local Institution - 0076 | Ijuí Rio Grande do Sul, Brazil, 98700-000Local Institution - 0073 | Porto Alegre Rio Grande do Sul, Brazil, 90610-000Fundacao Pio Xii Hosp Cancer De Barretos | Barretos São Paulo, Brazil, 14784-400Local Institution - 0075 | Rio de Janeiro , Brazil, 22793-080Local Institution - 0095 | Gatineau Quebec, Canada, J8P 7H2Local Institution - 0138 | Montreal Quebec, Canada, H2X 0A9Local Institution - 0017 | Montreal Quebec, Canada, H4A 3J1Local Institution - 0052 | Trois-Rivières Quebec, Canada, G8Z 3R9Local Institution - 0016 | Saskatoon Saskatchewan, Canada, S7N 4H4Local Institution - 0161 | Beijing Beijing Municipality, China, 100142Local Institution | Beijing Beijing Municipality, China, 100730Local Institution - 0156 | Beijing Beijing Municipality, China, 100853Local Institution - 0190 | Guangzhou Guangdong, China, 510095Local Institution - 0192 | Changsha Hunan, China, 410008Local Institution - 0175 | Changsha Hunan, China, 410013Local Institution - 0193 | Changsha Hunan, China, 410013Local Institution - 0179 | Nanchang Jiangxi, China, 330006Local Institution - 0166 | Nanchang Jiangxi, China, 330200Local Institution | Changchun Jilin, China, 130012Local Institution - 0159 | Xi'an Shan1xi, China, 710061Local Institution - 0180 | Xi'an Shan3xi, China, 710038Local Institution - 0160 | Shanghai Shanghai Municipality, China, 200032Local Institution - 0178 | Chengdu Sichuan, China, 610041Local Institution - 0163 | Tianjin Tianjin Municipality, China, 300060Local Institution - 0189 | Hangzhou Zhejiang, China, 310003Local Institution - 0183 | Hangzhou Zhejiang, China, 310016Local Institution - 0182 | Hangzhou Zhejiang, China, 310022Local Institution - 0165 | Shanghai , China, 200030Local Institution - 0059 | Marseille , France, 13915Local Institution - 0060 | Paris , France, 75018Local Institution - 0112 | Paris , France, 75248Local Institution - 0064 | Pierre Benite Cedax , France, 69495Local Institution - 0061 | Rennes , France, 35033Local Institution - 0113 | Strasbourg , France, 67100Local Institution - 0058 | Toulouse , France, 31059Local Institution - 0062 | Tours , France, 37044Local Institution - 0019 | Athens , Greece, 11527Local Institution - 0122 | Thessaloniki , Greece, 57001Local Institution | Budapest , Hungary, 1125Local Institution | Székesfehérvár , Hungary, 8000Local Institution - 0068 | Bari , Italy, 70124Local Institution - 0080 | Genova , Italy, 16132Local Institution - 0070 | Perugia , Italy, 06129Local Institution - 0066 | Ravenna , Italy, 48121Local Institution - 0067 | Roma , Italy, 00149Local Institution - 0131 | Nagoya Aichi-ken, Japan, 4640021Local Institution - 0118 | Kashiwa-shi Chiba, Japan, 2778577Local Institution - 0111 | Kitakyushu-shi Fukuoka, Japan, 8078555Local Institution - 0110 | Fukushima Fukushima, Japan, 9601295Local Institution - 0109 | Hiroshima Hiroshima, Japan, 7348551Local Institution - 0147 | Sapporo Hokkaido, Japan, 0030804Local Institution - 0133 | Kobe Hyōgo, Japan, 6500047Local Institution - 0123 | Yokohama Kanagawa, Japan, 2418515Local Institution - 0148 | Sendai Miyagi, Japan, 9800873Local Institution - 0127 | Osaka Osaka, Japan, 5418567Local Institution - 0119 | Sakai-shi Osaka, Japan, 5918555Local Institution - 0132 | Sunto-gun Shizuoka, Japan, 4118777Local Institution - 0126 | Bunkyo-ku Tokyo, Japan, 1138431Local Institution - 0120 | Shinjuku-ku Tokyo, Japan, 1600023Local Institution - 0108 | Osaka , Japan, 589-8511Local Institution - 0124 | Tokyo , Japan, 113-8603Local Institution - 0050 | Craiova , Romania, 200347Local Institution - 0051 | Romania , Romania, 400015Local Institution - 0069 | Sector 2 , Romania, 022328Local Institution - 0097 | Busan , South Korea, 49267Local Institution - 0098 | Hwasun , South Korea, 58128Local Institution - 0105 | Seoul , South Korea, 08308Local Institution - 0028 | Barcelona , Spain, 08035Local Institution - 0029 | Madrid , Spain, 28041Local Institution - 0031 | Majadahonda - Madrid , Spain, 28222Local Institution - 0102 | New Taipei City , Taiwan, 235Local Institution - 0107 | Taichung , Taiwan, 407219Local Institution - 0099 | Taipei , Taiwan, 11031Local Institution - 0100 | Taipei , Taiwan, 112Local Institution - 0093 | Adana , Turkey (Türkiye), 01060Local Institution - 0084 | Ankara , Turkey (Türkiye), 06100Local Institution - 0115 | Istanbul , Turkey (Türkiye), 34098
Investigators
Study Director: Bristol-Myers Squibb, Bristol-Myers Squibb
Study Documents (Full Text)
Documents provided by Bristol-Myers SquibbStudy Protocol  August 17, 2021Documents provided by Bristol-Myers SquibbStatistical Analysis Plan  August 10, 2021