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Neoadjuvant nivolumab

Phase 3

Renal Cell Carcinoma | Small molecule | Oncology |Bristol-Myers Squibb Company|Last Updated: Jan 21, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials8
Total Enrollment1,822
FDA Designations
BREAKTHROUGH_THERAPYPRIORITY_REVIEW
Clinical Trials (8)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03873402A Study of Nivolumab Combined With Ipilimumab Versus Nivolumab Alone in Participants With Advanced Kidney CancerPHASE3 ACTIVE NOT_RECRUITING 437Jun 21, 2019Mar 11, 2027Jan 21, 202678 United States, Argentina +12
NCT03141177A Study of Nivolumab Combined With Cabozantinib Compared to Sunitinib in Previously Untreated Advanced or Metastatic Renal Cell CarcinomaPHASE3 ACTIVE NOT_RECRUITING 701Jul 23, 2017Jan 16, 2026Jun 6, 2025135 United States, Argentina +16
NCT05148546Neoadjuvant Study With Combination Immuno-oncology for Primary Clear Cell Renal Cell CancerPHASE2 ACTIVE NOT_RECRUITING 69Apr 28, 2022Apr 1, 2029Sep 30, 20252 Netherlands, United Kingdom
NCT03029780An Investigational Immuno-Therapy Safety and Efficacy Study of Multiple Administration Regimens for Nivolumab Plus Ipilimumab in Subjects With Renal Cell CarcinomaPHASE2 COMPLETED 104Feb 16, 2017Jun 15, 2021Jun 29, 202211 United States, Australia +1
NCT01354431BMS-936558 (MDX-1106) In Subjects With Advanced/Metastatic Clear-Cell Renal Cell Carcinoma (RCC)PHASE2 COMPLETED 168May 31, 2011Apr 15, 2021May 12, 202241 United States, Canada +2
NCT04540705A Study to Compare Bempegaldesleukin (BEMPEG: NKTR-214) Combined With Nivolumab and Tyrosine Kinase Inhibitor (TKI) to Nivolumab and TKI Alone in Participants With Previously Untreated Kidney Cancer That is Advanced or Has SpreadPHASE1 COMPLETED 30Sep 11, 2020Jan 18, 2024Feb 28, 202439 United States, Argentina +6
NCT01472081Nivolumab (BMS-936558; MDX-1106) in Combination With Sunitinib, Pazopanib, or Ipilimumab in Subjects With Metastatic Renal Cell Carcinoma (RCC) (CheckMate 016)PHASE1 COMPLETED 194Feb 9, 2012Jun 3, 2021Dec 2, 202114 United States, Canada
NCT01358721Phase I Biomarker Study (BMS-936558)PHASE1 COMPLETED 119Sep 23, 2011May 22, 2019Oct 28, 202114 United States, France +1
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Study Endpoints
Primary Endpoints
Progression free survival (PFS) by blinded independent central review (BICR)
Up to 34 months
Objective response rate (ORR) by BICR
Up to 23 months
Progression Free Survival (PFS)
From randomization date to date of first documented tumor progression or death, whichever occurs first (Up to 31 months)

PFS is defined as the time from date of randomization to the first documented tumor progression date or death due to any cause, whichever occurs first based on BICR assessment using RECIST v1.1. Participants who die without a reported progression will be considered to have progressed on the date of their death. Participants who did not progress or die will be censored on the date of their last evaluable tumor assessment on or prior to initiation of subsequent anti-cancer therapy. Progressive disease (PD); 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study

Pathologic response rate
At 6 weeks

Pathologic response rate is defined as the proportion of patients demonstrating a complete pathologic or partial pathologic response, according to central revision (pathology of NKI)

The Percentage of Participant With Adverse Events (AEs) in the Broad Scope MedDRA Anaphylactic Reaction Standardized MedDRA Queries (SMQ) Within 2 Days After Any Dose in the Combination Period
From randomization to 2 days following any dose in the combination period (assessed up to November 24th, 2017, approximately 9 months)

The percentage of participants who experienced at least 1 adverse event in the MedDRA Anaphylactic Reaction broad scope SMQ with onset on the day of or within 2 days after any study therapy infusion during the combination period (Part 1).

Incidence of adverse events (AEs) by severity (Part 1)
Up to 2.5 years
Incidence of serious adverse events (SAEs) (Part 1)
Up to 2.5 years
Incidence of dose-limiting toxicities (DLTs) (Part 1)
Up to 2.5 years
Incidence of AEs leading to discontinuation (Part 1)
Up to 5 years
Incidence of immune-mediated adverse events (imAEs) (Part 1)
Up to 5 years
Incidence of changes in clinical laboratory results by severity: Hematology tests (Part 1)
Up to 2.5 years
Incidence of changes in clinical laboratory results by severity: Clinical Chemistry tests (Part 1)
Up to 2.5 years
Incidence of changes in clinical laboratory results by severity: Urinalysis tests (Part 1)
Up to 2.5 years
Number of Participants With AEs, SAEs, and AEs Leading to Discontinuation
From date of first dose to date of last dose plus 100 days (assessed up to March 2016, approximately 49 months)

Safety assessments by treatment arm and dose level were based on incidence of AEs, and the incidence of serious adverse events (SAEs). AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Treatment-related=having certain, probable, possible, or missing relationship to study drug. Grade (Gr) 1=Mild, Gr 2=Moderate, Gr 3=Severe, Gr 4= Potentially Life-threatening or disabling.

Percent Change From Baseline in Activated and Memory T Cells
Baseline, Cycle 1 Day 1, Cycle 1 Day 2, Cycle 1 Day 8, Cycle 2 Day 8, Cycle 4 Day 1

The objective of the study was to investigate the pharmacodynamic immunomodulatory activity of anti-PD-1 antibody in activated and memory T cells with metastatic clear-cell Renal Cell Carcinoma (RCC)

Mean Serum Cytokines: CXCL9
Baseline, Cycle 1 Day 1 3 Hrs Post, Cycle 1 Day 1 7 Hr Post, Cycle 1 Day 2 24 Hr Post, Cycle 2 Day 1 0 Hr Pre, Cycle 2 Day 8 168 Hrs Post, Cycle 4 Day 1 O Hr Pre (~39 months)

Objective is to investigate the pharmacodynamic immunomodulatory activity of serum chemokines (CXCL9, CXCL10)

Mean Serum Cytokines CXCL10 (IP10)
Baseline, Cycle 1 Day 1 3 Hrs Post, Cycle 1 Day 1 7 Hr Post, Cycle 1 Day 2 24 Hr Post, Cycle 2 Day 1 0 Hr Pre, Cycle 2 Day 8 168 Hrs Post, Cycle 4 Day 1 O Hr Pre (~39 months)

Objective is to investigate the pharmacodynamic immunomodulatory activity of serum chemokines (CXCL9, CXCL10)

Mean CD4 T Cell Infiltration
Cycle 2 Day 8 168 Hr post dose

The objective of the study was to investigate the pharmacodynamic immunomodulatory activity of anti-PD-1 antibody on circulating CD4 infiltrations in tumors in participants with metastatic clear-cell Renal Cell Carcinoma (RCC).

Mean CD8 T Cell Infiltration
168 hour post does Cycle 2 Day 8 in evaluable participates (First active dose of study medication to cycle two day eight post injection)

The objective of the study was to investigate the pharmacodynamic immunomodulatory activity of anti-PD-1 antibody on circulating CD8 infiltrations in tumors in participants with metastatic clear-cell Renal Cell Carcinoma (RCC).

Secondary Endpoints
Overall survival (OS)
Up to 4 years
Overall response rate (ORR) by investigator
Up to 4 years
Disease control rate (DCR) by investigator
Up to 4 years
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Nivolumab + ipilimumabEXPERIMENTAL -
Nivolumab + ipilimumab placeboEXPERIMENTAL -
DoubletEXPERIMENTALNivolumab and Cabozantinib
MonotherapyACTIVE_COMPARATORSunitinib
TripletEXPERIMENTALNivolumab, Ipilimumab, Cabozantinib \*Enrollment to the triplet arm was discontinued by protocol amendment
A: Neoadjuvant nivolumabEXPERIMENTALNeoadjuvant 2 cycles of nivolumab 360mg every 3 weeks
B: Neoadjuvant nivolumab + ipilimumabEXPERIMENTALNeoadjuvant 2 cycles of nivolumab 3 mg/kg + ipilimumab 1 mg/kg every 3 weeks
C: Neoadjuvant nivolumab + relatlimabEXPERIMENTALNeoadjuvant 2 cycles of nivolumab 360mg + relatlimab 360mg every 3 weeks
Co-AdministrationEXPERIMENTALNivolumab and Ipilimumab Co-Administration
Sequential AdministrationEXPERIMENTALNivolumab and Ipilimumab Sequential Administration
Arm 1: nivolumab - 0.3 mg/kgEXPERIMENTAL -
Arm 2: nivolumab - 2.0 mg/kgEXPERIMENTAL -
Arm 3: nivolumab - 10.0 mg/kgEXPERIMENTAL -
Part 1A (Part 1): Nivolumab + AxitinibEXPERIMENTAL -
Part 1B (Part 1): Nivolumab + CabozantinibEXPERIMENTAL -
Arm S: Nivolumab + SunitinibEXPERIMENTALNivolumab 0.3, 2.0 (starting dose), 5.0 mg/kg solution intravenously every 21 days until Progressive disease (PD), toxicity or discontinue for other reasons Sunitinib 50 mg capsule by mouth on Days 1-28 of 42 day cycle until Progressive disease (PD), toxicity or discontinue for other reasons
Arm P: Nivolumab + PazopanibEXPERIMENTALNivolumab 0.3, 2.0 (starting dose), 5.0 mg/kg solution intravenously every 21 days until Progressive disease (PD), toxicity or discontinue for other reasons Pazopanib 800 mg tablet by mouth daily until Progressive disease (PD), toxicity or discontinue for other reasons
Arm I-1: Nivolumab + IpilimumabEXPERIMENTALNivolumab 3 mg/kg solution intravenously (IV) every 21 days during Induction phase and every 14 days during Maintenance phase until Progressive disease (PD), toxicity or discontinue for other reasons Ipilimumab 1mg/kg solution intravenously (IV) every 21 days during Induction phase (Ipilimumab will not be administered during Maintenance phase) until Progressive disease (PD), toxicity or discontinue for other reasons
Arm I-3: Nivolumab + IpilimumabEXPERIMENTALNivolumab 1mg/kg solution intravenously (IV) every 21 days during Induction phase and 3mg/kg solution intravenously (IV) every 14 days during Maintenance phase Ipilimumab 3mg/kg solution intravenously (IV) every 21 days during Induction phase. Ipilimumab will not be administered during Maintenance phase
Arm IN-3: Nivolumab+IpilimumabEXPERIMENTALNivolumab 3mg/kg solution intravenously (IV) every 21 days during Induction phase and 3mg/kg solution intravenously (IV) every 14 days during Maintenance phase Ipilimumab 3mg/kg solution intravenously (IV) every 21 days during Induction phase. Ipilimumab will not be administered during Maintenance phase
Arm 1: BMS-936558EXPERIMENTAL -
Arm 2: BMS-936558EXPERIMENTAL -
Arm 3: BMS-936558EXPERIMENTAL -
Arm 4: BMS-936558EXPERIMENTAL(treatment naive)
Interventions
NameTypeDescription
NivolumabBIOLOGICALSpecified dose on specified days
IpilimumabBIOLOGICALSpecified dose on specified days
Ipilimumab placeboOTHERSpecified dose on specified days
CabozantinibDRUGSpecified dose on specified days
SunitinibDRUGSpecified dose on specified days.
Neoadjuvant nivolumabDRUGPatients will receive 2 cycles of nivolumab 360mg (arm A and C) or 3mg/kg (arm B) every 3 weeks followed by a nephrectomy.
Neoadjuvant ipilimumabDRUGPatients will receive 2 cycles of ipilimumab 1mg/kg every 3 weeks followed by a nephrectomy.
Neoadjuvant relatlimabDRUGPatients will receive 2 cycles of relatlimab 360mg every 3 weeks followed by a nephrectomy.
OpdivoBIOLOGICALSpecified dose on specified days
YervoyBIOLOGICALSpecified dose on specified days
AxitinibDRUGSpecified dose on specified days
PazopanibBIOLOGICAL -
BMS-936558 (Anti-PD-1)DRUGSolution, Intravenous infusion, 0.3 mg/kg, Every 3 weeks, Indefinitely depending on response
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites78

For more information regarding Bristol-Myers Squibb Clinical Trial participation, please visit www.BMSStudyConnect.com Inclusion Criteria: * Histological confirmation of renal carcinoma with clear cell component including participants who may have sarcomatoid features. * Advanced (not amenable to ...

Countries:United StatesArgentinaAustriaChileCzechiaFranceGreeceItalyMexicoPolandPortugalRomaniaRussiaSpainAustraliaBrazilGermanyIsraelJapanTurkey (Türkiye)United KingdomNetherlandsCanadaFinland
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT03141177primaryCompletionDate: changed
LOWMay 26, 2026NCT03873402primaryCompletionDate: changed
LOWMay 24, 2026NCT05148546studyFirstPostDate: changed
LOWMay 24, 2026NCT03141177studyFirstPostDate: changed
LOWMay 24, 2026NCT03873402studyFirstPostDate: changed