A study of nivolumab or placebo in patients following removal of their esophageal or gastroesophageal junction cancer.

2023-509360-24-00 Protocol CA209-577 Therapeutic confirmatory (Phase III) Ended

Start 16 Jun 2016 · End 8 Nov 2024 · Status Ended · 10 EU/EEA countries · 41 sites · Protocol CA209-577

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ended
Participants planned 1,082
Countries 10
Sites 41

Subjects with resected adenocarcinoma or squamous cell carcinoma esophageal or gastroesophageal junction cancer

To compare disease-free survival (DFS) of nivolumab versus placebo in subjects with resected esophageal cancer (EC), or gastro-esophageal junction (GEJ) cancer

Key facts

Sponsor
Bristol Myers Squibb International Corporation
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
16 Jun 2016 → 8 Nov 2024
Decision date (initial)
2024-04-19
Transition trial
Yes
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
Yes

External identifiers

EU CT number
2023-509360-24-00
EudraCT number
2015-005556-10
WHO UTN
U1111-1177-2665
ClinicalTrials.gov
NCT02743494

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacokinetic, Safety, Others, Therapy, Prophylaxis, Efficacy

To compare disease-free survival (DFS) of nivolumab versus placebo in subjects with resected esophageal cancer (EC), or gastro-esophageal junction (GEJ) cancer

Secondary objectives 2

  1. To compare overall survival (OS) of nivolumab versus placebo in subjects with resected EC or GEJ cancer.
  2. To evaluate 1, 2, and 3 year survival rates of nivolumab versus placebo in subjects with resected EC or GEJ cancer.

Conditions and MedDRA coding

Subjects with resected adenocarcinoma or squamous cell carcinoma esophageal or gastroesophageal junction cancer

VersionLevelCodeTermSystem organ class
20.1 PT 10062878 Gastrooesophageal cancer 100000004864
25.1 PT 10030191 Oesophageal squamous cell carcinoma stage III 100000004864
20.0 PT 10030143 Oesophageal adenocarcinoma stage II 100000004864
20.0 PT 10030144 Oesophageal adenocarcinoma stage III 100000004864
21.0 LLT 10015362 Esophageal cancer 10029104
25.1 PT 10030190 Oesophageal squamous cell carcinoma stage II 100000004864

Regulatory references

Scientific advice from competent authorities
EMA Regulatory Submissions Expediter Limited
Plan to share IPD
Yes

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. subjects diagnosed with Stage II/III carcinoma of the esophagus or gastroesophageal junction
  2. subjects completed pre-operative chemoradiotherapy followed by surgery
  3. subjects diagnosed with residual pathologic disease after being surgically rendered free of disease with negative margins following complete resection

Exclusion criteria 3

  1. subjects diagnosed with cervical esophageal carcinoma
  2. subjects diagnosed with Stage IV resectable disease
  3. subjects who did not receive concurrent chemoradiotherapy prior to surgery

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Disease-free survival is the primary endpoint of this study. Disease-free survival is the time between randomization date and first date of recurrence or death, whichever occurs first.

Secondary endpoints 1

  1. Overall survival and overall survival rates are secondary endpoints. -Overall Survival is time between the date of randomization and the date of death. For subjects without documentation of death, OS will be censored on the last date the subject was known to be alive. -The overall survival rate at 1, 2, and 3 years is defined as the probability that a subject is alive at 1, 2, and 3 years, respectively, following randomization.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

OPDIVO 10 mg/mL concentrate for solution for infusion.

PRD2941375 · Product

Active substance
Nivolumab
Substance synonyms
BMS936558, ABP 206
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
480 mg milligram(s)
Max total dose
6240 mg milligram(s)
Max treatment duration
12 Week(s)
Authorisation status
Authorised
ATC code
L01FF01 — -
Marketing authorisation
EU/1/15/1014/002
MA holder
BRISTOL-MYERS SQUIBB PHARMA EEIG
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Placebo for BMS-936558

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Bristol Myers Squibb International Corporation

Sponsor organisation
Bristol Myers Squibb International Corporation
Address
Terhulpsesteenweg 185
City
Watermaal-Bosvoorde
Postcode
1170
Country
Belgium

Scientific contact point

Organisation
Bristol Myers Squibb International Corporation
Contact name
GSM-CT

Public contact point

Organisation
Bristol Myers Squibb International Corporation
Contact name
GSM-CT

Third parties 5

OrganisationCity, countryDuties
Accenture Solutions Private Limited
ORG-100032592
Chennai, India Other
PPD Development LP
ORG-100011560
Richmond, United States Other
Myriad RBM Inc.
ORG-100045698
Austin, United States Other
Icon Laboratory Services Inc.
ORG-100037135
Farmingdale, United States Other
Accenture Solutions Private Limited
ORG-100032592
Bangaluru, India Data management, E-data capture

Locations

10 EU/EEA countries · 41 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ended 38 6
Czechia Ended 8 2
Denmark Ended 6 1
France Ended 60 8
Germany Ended 53 7
Ireland Ended 9 3
Netherlands Ended 21 3
Poland Ended 50 5
Romania Ended 15 2
Spain Ended 15 4
Rest of world
United Kingdom, Singapore, Israel, Brazil, New Zealand, Australia, Hong Kong, Argentina, United States, Russian Federation, Mexico, China, Canada, Switzerland, Peru
807

Investigational sites

Belgium

6 sites · Ended
Universitair Ziekenhuis Gent
Gastro-Enterology, Corneel Heymanslaan 10, 9000, Gent
Centre Hospitalier Universitaire Dinant Godinne Sainte-Elisabeth-UCL-Namur
Oncology, Place Louise Godin 15, 5000, Namur
UZ Leuven
Gastro-enterology, Herestraat 49, 3000, Leuven
Antwerp University Hospital
Medical Oncology, Drie Eikenstraat 655, 2650, Edegem
CHU De Liege
Gastro-Enterology, Bld Du Douzieme-De-Ligne 1, 4000, Liege
Cliniques Universitaires Saint-Luc
Medical Oncology, Hippokrateslaan 10, Batiment 54, Sint-Lambrechts-Woluwe

Czechia

2 sites · Ended
Masarykuv Onkologicky Ustav
Klinika komplexni onkologicke pece, Zluty Kopec 543/7, Stare Brno, Brno-Stred
University Hospital Olomouc
Onkologicka klinika, Zdravotniku 248/7, 779 00, Olomouc

Denmark

1 site · Ended
Aarhus Universitetshospital
Oncology, Palle Juul-Jensens Boulevard 99, 8200, Aarhus N

France

8 sites · Ended
Assistance Publique Hopitaux De Paris
Hepato-Gastroenterology, 184 Rue Du Faubourg Saint Antoine, 75012, Paris
Centre Hospitalier Universitaire De Toulouse
Digestive medical Oncology, 1 Avenue Du Professeur Jean Poulhes, Tsa 50032, Toulouse Cedex 9
Sainte Catherine Institut Du Cancer Avignon-Provence
Radiation Oncology, 250 Chemin De Baigne Pieds, 84918, Avignon Cedex 9
Centre Hospitalier Universitaire De Lille
Digestive Surgery, 1 Place De Verdun, 59000, Lille
CHU De Rouen
Hepato-Gastroenterology, 1 Rue De Germont, Bp 96031, Rouen Cedex
Centr Georges Francois Leclerc
Medical Oncology, 1 Rue Professeur Marion, 21000, Dijon
Groupe D’Etude Des Lymphomes De L’Adulte
General and oncological surgery, 165 Chemin Du Grand Revoyet, 69495, Pierre Benite Cedex
Centre Hospitalier Universitaire De Rennes
Digestive System Diseases, 2 Rue Henri Le Guilloux, 35000, Rennes

Germany

7 sites · Ended
Klinikum rechts der Isar der TU Muenchen AöR
III. Medizinische Klinik, Ismaninger Strasse 22, Au-Haidhausen, Munich
University Medical Center Hamburg-Eppendorf
Onkologisches Zentrum, Martinistrasse 52, Eppendorf, Hamburg
Charite Universitaetsmedizin Berlin KöR
Tumormedizin, Medizinische Klinik mit Schwerpunkt Hämatologie, Onkologie und Tumorimmunologie, Augustenburger Platz 1, Wedding, Berlin
Philipps-Universitaet Marburg
Klinik für Innere Medizin Schwerpunkt Hämatologie, Onkologie und Immunologie, Baldingerstrasse, 35043, Marburg
Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz KöR
Ambulanz für Gastrointestinale Tumore, I. Medizinische Klinik und Poliklinik, Langenbeckstrasse 1, Oberstadt, Mainz
KEM I Evang. Kliniken Essen-Mitte gGmbH
Lehrkrankenhaus der Universität Duisburg-Essen, Henricistrasse 92, Huttrop, Essen
University Hospital Cologne AöR
Klinik I für Innere Medizin, Kerpener Strasse 62, Lindenthal, Cologne

Ireland

3 sites · Ended
National University Of Ireland
Clinical Trials Unit, Newcastle Road, H91 YR71, Galway
Beaumont Hospital
Cancer Clinical Trials & Research Unit, Beaumont Road, Beaumont, Dublin 9
Cork University Hospital
Oncology, Wilton, T12 DC4A, Cork

Netherlands

3 sites · Ended
University Hospital Maastricht
Medical Oncology, P Debyelaan 25, 6229 HX, Maastricht
Universitair Medisch Centrum Groningen
Oncology, Hanzeplein 1, 9713 GZ, Groningen
Het Nederlands Kanker Instituut-Antoni van Leeuwenhoek Ziekenhuis Stichting
Oncology, Plesmanlaan 121, 1066 CX, Amsterdam

Poland

5 sites · Ended
Krakowski Szpital Specjalistyczny Im. Sw. Jana Pawla II
Oddział Kliniczny Chirurgii Klatki Piersiowej, Ul. Pradnicka 80, 31-202, Cracow
Uniwersytecki Szpital Kliniczny W Poznaniu
Oddzial Onkologii Klinicznej i Doswiadczalnej, Ul. Grunwaldzka 16/18, 60-780, Poznan
Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
II Klinika Radioterapii i Chemioterapii, Ul. Wybrzeze Armii Krajowej 15, 44-102, Gliwice
Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
Klinika Gastroenterologii Onkologicznej, Ul. Wilhelma Konrada Roentgena 5, 02-781, Warsaw
Uniwersytecki Szpital Kliniczny Nr 1 W Lublinie
II Katedra i Klinika Chirurgii Ogolnej, Gastroenterologicznej i Nowotworow Ukladu Pokarmowego, Al. Solidarnosci 8, 20-841, Lublin

Romania

2 sites · Ended
Radiotherapy Center Cluj S.R.L.
Oncologie Medicala, Strada Oitelor 7, 040278, Bucharest
Focus Lab Plus S.R.L.
Oncologie Medicala, Strada Petre Negulescu 30 Section 2, 22548, Bucharest

Spain

4 sites · Ended
Hospital Universitario Hm Sanchinarro
Oncologia, Calle Ona 10, 28050, Madrid
Hospital Universitari Vall D Hebron
Oncologia, Edificio Materno-Infantil, Passeig De La Vall D'hebron 119-129, Barcelona
Hospital General Universitario Gregorio Maranon
Oncologia, Calle Del Doctor Esquerdo 46, 28009, Madrid
Hospital General Universitario Reina Sofia
Oncologia, Avenida Menendez Pidal S/n, 14004, Cordoba

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2016-12-06 2024-11-07 2016-12-12 2019-08-01
Czechia 2016-06-16 2024-10-25 2016-08-03 2019-08-09
Denmark 2016-10-13 2024-10-24 2017-01-25 2019-11-07
France 2016-08-30 2024-11-07 2016-09-27 2019-08-08
Germany 2016-10-28 2024-11-07 2016-11-08 2019-08-20
Ireland 2016-11-04 2024-11-07 2017-01-11 2020-07-16
Netherlands 2016-11-07 2024-11-05 2016-12-05 2019-07-01
Poland 2016-09-12 2024-11-06 2016-09-14 2019-08-08
Romania 2016-11-18 2024-11-07 2016-11-21 2019-07-05
Spain 2016-10-28 2024-11-05 2018-09-21

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
2023-509360-24-00_Final Summary of Results
SUM-104960
2025-11-04T17:19:34 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
2023-509360-24-00_Lay Person Summary of Results 2025-09-15T18:19:19 Submitted Laypersons Summary of Results
2023-509360-24-00_Lay Person Summary of Results_GER_DE 2025-09-23T13:47:26 Submitted Laypersons Summary of Results
2023-509360-24-00_Lay Person Summary of Results_DK_DAN 2025-09-24T15:49:23 Submitted Laypersons Summary of Results
2023-509360-24-00_Lay Person Summary of Results_PL 2025-09-30T17:32:00 Submitted Laypersons Summary of Results
2023-509360-24-00_Lay Person Summary of Results_DU_BE 2025-10-31T14:34:11 Submitted Laypersons Summary of Results
2023-509360-24-00_Lay Person Summary of Results_FR_BE 2025-10-31T14:36:29 Submitted Laypersons Summary of Results
2023-509360-24-00_Lay Person Summary of Results_FR_FR 2025-10-31T14:37:31 Submitted Laypersons Summary of Results
2023-509360-24-00_Lay Person Summary of Results_DU_NL 2025-10-31T14:38:52 Submitted Laypersons Summary of Results
2023-509360-24-00_Lay person summary of results_CZ 2025-11-07T18:21:45 Submitted Laypersons Summary of Results

Documents 21 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) 2023-509360-24-00_Lay Person Summary of Results N/A
Laypersons summary of results (for publication) 2023-509360-24-00_Lay person summary of results_CZ NA
Laypersons summary of results (for publication) 2023-509360-24-00_Lay Person Summary of Results_DK_DAN 1
Laypersons summary of results (for publication) 2023-509360-24-00_Lay Person Summary of Results_DU_BE 1
Laypersons summary of results (for publication) 2023-509360-24-00_Lay Person Summary of Results_DU_NL 1
Laypersons summary of results (for publication) 2023-509360-24-00_Lay Person Summary of Results_FR_BE 1
Laypersons summary of results (for publication) 2023-509360-24-00_Lay Person Summary of Results_FRA 1
Laypersons summary of results (for publication) 2023-509360-24-00_Lay Person Summary of Results_GER_DE 1
Laypersons summary of results (for publication) 2023-509360-24-00_Lay Person Summary of Results_PL N/A
Protocol (for publication) D1_Protocol_2023-509360-24-00_redacted 04
Summary of results (for publication) 2023-509360-24-00_Final Summary of Results N/A
Synopsis of the protocol (for publication) D1 Protocol synopsis EU CT 2023-509360-24_PL 1
Synopsis of the protocol (for publication) D1 Protocol synopsis_ENG 2023-509360-24-00_Redacted 1
Synopsis of the protocol (for publication) D1_ Protocol synopsis_ES 2023-509360-24-00 1
Synopsis of the protocol (for publication) D1_Protocol synopsis 2023-509360-24_CZ_CS_public 01
Synopsis of the protocol (for publication) D1_Protocol Synopsis BE_EU CT_2023-509360-24-00_DE 1
Synopsis of the protocol (for publication) D1_Protocol Synopsis BE_EU CT_2023-509360-24-00_FR 1
Synopsis of the protocol (for publication) D1_Protocol Synopsis BE_EU CT_2023-509360-24-00_NL 1
Synopsis of the protocol (for publication) D1_Protocol Synopsis NL_EU CT_2023-509360-24-00_NL 1
Synopsis of the protocol (for publication) D1_Protocol synopsis_2023-509360-24_FR 1
Synopsis of the protocol (for publication) D1_Protocol synopsis_RO_EU CT 2023-509360-24 1

Application history

4 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-02-09 Poland Acceptable
2024-03-13
2024-03-13
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-04-29 Acceptable
2024-03-13
2024-04-29
3 SUBSTANTIAL MODIFICATION SM-1 2024-06-13 Poland Acceptable
2024-09-20
2024-09-20
4 SUBSTANTIAL MODIFICATION SM-2 2024-10-08 Poland Acceptable
2024-11-25
2024-11-28