A Study to Compare Chemotherapy Alone Versus Chemotherapy Plus Nivolumab or Nivolumab and BMS-986205, Followed by Continued Therapy After Surgery With Nivolumab or Nivolumab and BMS-986205 in Participants With Muscle Invasive Bladder Cancer
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ClinicalTrials.gov Identifier: NCT03661320 |
Recruitment Status :
Active, not recruiting
First Posted : September 7, 2018
Last Update Posted : January 26, 2023
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Urinary Bladder Neoplasms Muscle-Invasive Bladder Cancer | Biological: Nivolumab Drug: Gemcitabine Drug: Cisplatin | Phase 3 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 861 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | A Phase 3, Randomized, Study of Neoadjuvant Chemotherapy Alone Versus Neoadjuvant Chemotherapy Plus Nivolumab or Nivolumab and BMS-986205, Followed by Continued Post- Surgery Therapy With Nivolumab or Nivolumab and BMS-986205 in Participants With Muscle- Invasive Bladder Cancer |
Actual Study Start Date : | November 6, 2018 |
Estimated Primary Completion Date : | November 3, 2023 |
Estimated Study Completion Date : | December 30, 2027 |

Arm | Intervention/treatment |
---|---|
Active Comparator: Arm A: Gemcitabine/Cisplatin (GC) Chemotherapy |
Drug: Gemcitabine
Specified dose on specified days
Other Name: Chemotherapy Drug: Cisplatin Specified dose on specified days
Other Name: Chemotherapy |
Experimental: Arm B: Nivolumab + GC Chemotherapy |
Biological: Nivolumab
Specified dose on specified days
Other Names:
Drug: Gemcitabine Specified dose on specified days
Other Name: Chemotherapy Drug: Cisplatin Specified dose on specified days
Other Name: Chemotherapy |
- Pathological Complete Response (pCR) rate, in all randomized participants [ Time Frame: Approximately 43 months ]Arm B vs. Arm A
- Event-Free Survival (EFS), in all randomized participants [ Time Frame: Approximately 51 months ]Arm B vs. Arm A
- Overall Survival (OS) in all randomized participants [ Time Frame: Approximately 60 months ]Arm B vs. Arm A
- Incidence of Adverse Events (AE) in participants who received at least one treatment dose [ Time Frame: Approximately 60 months ]
- Incidence of Serious Adverse Events (SAE) in participants who received at least one treatment dose [ Time Frame: Approximately 60 months ]
- Incidence of deaths in participants who received at least one treatment dose [ Time Frame: Approximately 60 months ]
- Incidence of laboratory abnormalities in participants who received at least one treatment dose [ Time Frame: Approximately 60 months ]
- pCR rate, descriptively in all concurrently randomized participants [ Time Frame: Approximately 43 months ]Arm C vs. Arm B and Arm A
- EFS, descriptively in all concurrently randomized participants [ Time Frame: Approximately 51 months ]Arm C vs. Arm B and Arm A
- OS, descriptively in all concurrently randomized participants [ Time Frame: Approximately 60 months ]Arm C vs. Arm B and Arm A

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Participant must be deemed eligible for Radial Cystectomy (RC) by his/her oncologist and/or urologist, and must agree to undergo Radial Cystectomy (RC) after completion of neoadjuvant therapy.
- Eastern Cooperative Oncology Group (ECOG) Performance Status 0 or 1
Exclusion Criteria:
- Clinical evidence of positive lymph node(s) (LN) (≥ 10 mm in short axis) or metastatic bladder cancer
- Prior systemic therapy, radiation therapy, or surgery for bladder cancer other than trans urethral resection of bladder tumor (TURBT) or biopsies is also not permitted

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03661320

Study Director: | Bristol-Myers Squibb | Bristol-Myers Squibb |
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | Bristol-Myers Squibb |
ClinicalTrials.gov Identifier: | NCT03661320 |
Other Study ID Numbers: |
CA017-078 2017-004692-31 ( EudraCT Number ) |
First Posted: | September 7, 2018 Key Record Dates |
Last Update Posted: | January 26, 2023 |
Last Verified: | January 2023 |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Urinary Bladder Neoplasms Urologic Neoplasms Urogenital Neoplasms Neoplasms by Site Neoplasms Female Urogenital Diseases Female Urogenital Diseases and Pregnancy Complications Urogenital Diseases Urinary Bladder Diseases Urologic Diseases |
Male Urogenital Diseases Gemcitabine Nivolumab Antineoplastic Agents Antimetabolites, Antineoplastic Antimetabolites Molecular Mechanisms of Pharmacological Action Antineoplastic Agents, Immunological Immune Checkpoint Inhibitors |