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Trial · NCT03036098

Study of Nivolumab in Combination With Ipilimumab or Standard of Care Chemotherapy Compared to the Standard of Care Chemotherapy Alone in Treatment of Participants With Untreated Inoperable or Metastatic Urothelial Cancer

NCT03036098, Phase 3, Completed, Bristol-Myers Squibb; results first posted 2025-09-18

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of Nivolumab in Combination With Ipilimumab or Standard of Care Chemotherapy Compared to the Standard of Care Chemotherapy Alone in Treatment of Participants With Untreated Inoperable or Metastatic Urothelial Cancer. Trials, record NCT03036098. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03036098

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of Nivolumab in Combination With Ipilimumab or Standard of Care Chemotherapy Compared to the Standard of Care Chemotherapy Alone in Treatment of Participants With Untreated Inoperable or Metastatic Urothelial Cancer
NCT number
NCT03036098
Status
Completed
Phases
Phase 3
Enrollment
1,314 participants, actual
Lead sponsor
Bristol-Myers Squibb
Conditions
Urothelial Cancer
Interventions
Nivolumab, Ipilimumab, Gemcitabine, Cisplatin, Carboplatin
First posted
2017-01-30
Last updated
2026-11-02
Other registries' IDs
eudract:2016-003881-14
Results first posted
2025-09-18

Source ClinicalTrials.gov

Registered outcomes12

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryOverall Survival (OS) in Cisplatin-ineligible Randomized Participants for Primary StudyFrom the date of randomization to the date of death from any cause, or data cut-off date, whichever occurred first (up to approximately 89 months)
This measure looks at how long participants who cannot receive cisplatin (a type of chemotherapy) live after being placed into a treatment group in the primary study. Overall Survival (OS) is defined as the time between the date a participant is randomized (assigned to a treatment group) and the date of death from any cause. For participants without documentation of death, OS will be measured up to the last date the participant was known to be alive. If a participant was randomized but had no follow-up information, OS will be counted from the date of randomization. This helps to understand if the treatment can help people who are unable to receive cisplatin chemotherapy live longer.
PrimaryOverall Survival (OS) in Programmed Death-Ligand 1 (PD-L1) Positive (≥ 1%) Randomized Participants by Immunohistochemistry (IHC) for Primary StudyFrom the date of randomization to the date of death from any cause, or data cut-off date, whichever occurred first (up to approximately 89 months)
This measure looks at how long participants with PD-L1 positive tumors (meaning their tumor cells have at least 1% PD-L1, as determined by a laboratory test called immunohistochemistry or IHC) live after being placed into a treatment group in the primary study. Overall Survival (OS) is defined as the time between the date a participant is randomized (assigned to a treatment group) and the date of death from any cause. For participants without documentation of death, OS will be measured up to the last date the participant was known to be alive. If a participant was randomized but had no follow-up information, OS will be counted from the date of randomization. This helps to understand whether the treatment can help people with PD-L1 positive tumors live longer.
PrimaryProgression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in Cisplatin-eligible Participants for Sub-studyFrom the date of randomization to the date of first documented disease progression or death due to any cause, whichever occurs first (up to approximately 89 months)
This measure looks at how long people who can receive cisplatin chemotherapy live without their cancer getting worse after being assigned to a treatment group in the sub-study. Progression-Free Survival (PFS) is the time from when a participant is assigned to a group (randomization) until their cancer is first shown to get worse (progress), based on reviews by independent experts who do not know which treatment was given. These experts use standard rules (RECIST 1.1) to decide if the cancer has progressed. If a participant dies before their cancer is shown to get worse, the date of death will be used as the time their disease progressed. If a participant's cancer does not get worse and they do not die during the study, their PFS will be measured up to the date of their last tumor check. This helps to understand if the treatment helps people eligible for cisplatin live longer without their cancer progressing.
PrimaryOverall Survival (OS) in Cisplatin-eligible Participants for Sub-studyFrom the date of randomization to the date of death from any cause, or data cut-off date, whichever occurred first (up to approximately 89 months)
This measure looks at how long people who are able to receive cisplatin (a type of chemotherapy) live after being placed into a treatment group in the sub-study. Overall Survival (OS) is defined as the time between the date a participant is randomized (assigned to a treatment group) and the date of death from any cause. For participants without documentation of death, OS will be measured up to the last date the participant was known to be alive. If a participant was randomized but had no follow-up information, OS will be counted from the date of randomization. This helps to understand if the treatment can help people who are eligible for cisplatin chemotherapy live longer.
SecondaryOverall Survival (OS) in All Randomized Participants for Primary StudyFrom the date of randomization to the date of death from any cause, or data cut-off date, whichever occurred first (up to approximately 89 months)
This measure looks at how long all participants live after being placed into a treatment group in the primary study. Overall Survival (OS) is defined as the time between the date a participant is randomized (assigned to a treatment group) and the date of death from any cause. For participants without documentation of death, OS will be measured up to the last date the participant was known to be alive. If a participant was randomized but had no follow-up information, OS will be counted from the date of randomization. This helps to understand whether the treatment can help all participants in the study live longer.
Secondary
Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in Cisplatin-ineligible Randomized Participants for Primary Study
From the date of randomization to the date of first documented disease progression or death due to any cause, whichever occurs first (up to approximately 89 months)
This measure looks at how long people who cannot receive cisplatin chemotherapy live without their cancer getting worse after being assigned to a treatment group in the primary study. Progression-Free Survival (PFS) is the time from when a participant is assigned to a group (randomization) until their cancer is first shown to get worse (progress), based on reviews by independent experts who do not know which treatment was given. These experts use standard rules (RECIST 1.1) to decide if the cancer has progressed. If a participant dies before their cancer is shown to get worse, the date of death will be used as the time their disease progressed. If a participant's cancer does not get worse and they do not die during the study, their PFS will be measured up to the date of their last tumor check. This helps to understand if the treatment helps people unable to receive cisplatin live longer without their cancer progressing.
Secondary
Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in Programmed Death-Ligand 1 (PD-L1) Positive (≥ 1%) Participants for Primary Study
From the date of randomization to the date of first documented disease progression or death due to any cause, whichever occurs first (up to approximately 89 months)
This measure looks at how long people with PD-L1 positive tumors (meaning their tumor cells have at least 1% PD-L1, as determined by a lab test) live without their cancer getting worse after being assigned to a treatment group in the primary study. Progression-Free Survival (PFS) is the time from when a participant is assigned to a group (randomization) until their cancer is first shown to get worse (progress), based on reviews by independent experts who do not know which treatment was given. These experts use standard rules (RECIST 1.1) to decide if the cancer has progressed. If a participant dies before their cancer is shown to get worse, the date of death will be used as the time their disease progressed. If a participant's cancer does not get worse and they do not die during the study, their PFS will be measured up to the date of their last tumor check. This helps to understand if the treatment helps people with PD-L1 positive tumors live longer without their cancer progressing.
SecondaryProgression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in All Randomized Participants for Primary StudyFrom the date of randomization to the date of first documented disease progression or death due to any cause, whichever occurs first (up to approximately 89 months)
This measure looks at how long all participants in the primary study live without their cancer getting worse after being assigned to a treatment group. Progression-Free Survival (PFS) is defined as the time from when a participant is assigned to a treatment group (randomization) until their cancer is first shown to get worse (progress), based on reviews by independent experts who do not know which treatment the participant received. These experts use standard rules (called RECIST 1.1) to decide if the cancer has progressed. If a participant dies before their cancer is shown to get worse, the date of death will be used as the time their disease progressed. If a participant's cancer does not get worse and they do not die during the study, their PFS will be measured up to the date of their last tumor check. This helps to understand whether the treatment can help participants live longer without their cancer progressing.
Secondary
Change From Baseline in the European Organization for Research and Treatment of Care Quality-of-Life Questionnaire (EORTC QLQ-C30) Global Health Status Score in All Randomized Participants for Primary Study
At Baseline, Week 4, Week 10, Week 16, Week 20, Week 24, Week 36, Week 48, Week 60, Week 72, Week 84, Week 96, Week 108, Week 120, Week 144, Week 156, Week 168, Week 180 and Week 192
The EORTC QLQ-C30 is a questionnaire used to assess the quality of life in cancer patients. It includes a global health status score, which is measured on a 4-point Likert scale: 1 = not at all, 2 = a little, 3 = quite a bit, and 4 = very much. Responses are combined and converted to scores ranging from 0 to 100. A high score for global health status or health-related quality of life (HRQoL) indicates a high overall HRQoL.
SecondaryChange From Baseline in the European Organization for Research and Treatment of Care Quality-of-Life Questionnaire (EORTC QLQ-C30) Global Health Status Score for Sub-studyAt Baseline, Week 4, Week 10, Week 16, Week 20, Week 24, Week 36, Week 48, Week 60, Week 72, Week 84, Week 96, Week 108, and Week 120
The EORTC QLQ-C30 is a questionnaire used to assess the quality of life in cancer patients. It includes a global health status score, which is measured on a 4-point Likert scale: 1 = not at all, 2 = a little, 3 = quite a bit, and 4 = very much. Responses are combined and converted to scores ranging from 0 to 100. A high score for global health status or health-related quality of life (HRQoL) indicates a high overall HRQoL.

Outcomes12

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYOverall Survival (OS) in Cisplatin-ineligible Randomized Participants for Primary StudyFrom the date of randomization to the date of death from any cause, or data cut-off date, whichever occurred first (up to approximately 89 months)All Cisplatin-ineligible Randomized Participants - Primary StudyMonthsMEDIAN
PRIMARYOverall Survival (OS) in Programmed Death-Ligand 1 (PD-L1) Positive (≥ 1%) Randomized Participants by Immunohistochemistry (IHC) for Primary StudyFrom the date of randomization to the date of death from any cause, or data cut-off date, whichever occurred first (up to approximately 89 months)All PD-L1 \>= 1% Randomized Participants - Primary StudyMonthsMEDIAN
SECONDARYOverall Survival (OS) in All Randomized Participants for Primary StudyFrom the date of randomization to the date of death from any cause, or data cut-off date, whichever occurred first (up to approximately 89 months)All Randomized Participants - Primary StudyMonthsMEDIAN
SECONDARY
Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in Cisplatin-ineligible Randomized Participants for Primary Study
From the date of randomization to the date of first documented disease progression or death due to any cause, whichever occurs first (up to approximately 89 months)All Cisplatin-ineligible Randomized Participants - Primary StudyMonthsMEDIAN
SECONDARY
Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in Programmed Death-Ligand 1 (PD-L1) Positive (≥ 1%) Participants for Primary Study
From the date of randomization to the date of first documented disease progression or death due to any cause, whichever occurs first (up to approximately 89 months)All PD-L1 \>= 1% Randomized Participants - Primary StudyMonthsMEDIAN
SECONDARYProgression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in All Randomized Participants for Primary StudyFrom the date of randomization to the date of first documented disease progression or death due to any cause, whichever occurs first (up to approximately 89 months)All Randomized Participants - Primary StudyMonthsMEDIAN
SECONDARY
Change From Baseline in the European Organization for Research and Treatment of Care Quality-of-Life Questionnaire (EORTC QLQ-C30) Global Health Status Score in All Randomized Participants for Primary Study
At Baseline, Week 4, Week 10, Week 16, Week 20, Week 24, Week 36, Week 48, Week 60, Week 72, Week 84, Week 96, Week 108, Week 120, Week 144, Week 156, Week 168, Week 180 and Week 192All Randomized Participants - Primary StudyScore on a ScaleMEAN
PRIMARYProgression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in Cisplatin-eligible Participants for Sub-studyFrom the date of randomization to the date of first documented disease progression or death due to any cause, whichever occurs first (up to approximately 89 months)All Cisplatin-eligible Randomized Participants - Sub-studyMonthsMEDIAN
PRIMARYOverall Survival (OS) in Cisplatin-eligible Participants for Sub-studyFrom the date of randomization to the date of death from any cause, or data cut-off date, whichever occurred first (up to approximately 89 months)All Cisplatin-eligible Randomized Participants - Sub-studyMonthsMEDIAN
SECONDARYChange From Baseline in the European Organization for Research and Treatment of Care Quality-of-Life Questionnaire (EORTC QLQ-C30) Global Health Status Score for Sub-studyAt Baseline, Week 4, Week 10, Week 16, Week 20, Week 24, Week 36, Week 48, Week 60, Week 72, Week 84, Week 96, Week 108, and Week 120All Randomized Participants - Sub-studyScore on a ScaleMEAN

Results by group70

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Overall Survival (OS) in Cisplatin-ineligible Randomized Participants for Primary StudyTreatment 119.0695% Confidence Interval 13.47 to 22.60Months
Overall Survival (OS) in Cisplatin-ineligible Randomized Participants for Primary StudyTreatment 213.2195% Confidence Interval 11.63 to 15.24Months
Overall Survival (OS) in Programmed Death-Ligand 1 (PD-L1) Positive (≥ 1%) Randomized Participants by Immunohistochemistry (IHC) for Primary StudyTreatment 116.3095% Confidence Interval 11.53 to 21.82Months
Overall Survival (OS) in Programmed Death-Ligand 1 (PD-L1) Positive (≥ 1%) Randomized Participants by Immunohistochemistry (IHC) for Primary StudyTreatment 214.3695% Confidence Interval 10.48 to 17.64Months
Overall Survival (OS) in All Randomized Participants for Primary StudyTreatment 118.7695% Confidence Interval 15.05 to 21.82Months
Overall Survival (OS) in All Randomized Participants for Primary StudyTreatment 214.3295% Confidence Interval 12.22 to 15.87Months
Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in Cisplatin-ineligible Randomized Participants for Primary Study
Treatment 15.2995% Confidence Interval 3.78 to 5.95Months
Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in Cisplatin-ineligible Randomized Participants for Primary Study
Treatment 25.8895% Confidence Interval 5.62 to 7.59Months
Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in Programmed Death-Ligand 1 (PD-L1) Positive (≥ 1%) Participants for Primary Study
Treatment 15.3995% Confidence Interval 3.75 to 7.39Months
Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) [Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1] in Programmed Death-Ligand 1 (PD-L1) Positive (≥ 1%) Participants for Primary Study
Treatment 25.7895% Confidence Interval 4.80 to 6.93Months

Participant flow28

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Pre-TreatmentSTARTEDTreatment 1349
Pre-TreatmentSTARTEDTreatment 2357
Pre-TreatmentSTARTEDTreatment 3304
Pre-TreatmentSTARTEDTreatment 4304
Pre-TreatmentCOMPLETEDTreatment 1345
Pre-TreatmentCOMPLETEDTreatment 2338
Pre-TreatmentCOMPLETEDTreatment 3304
Pre-TreatmentCOMPLETEDTreatment 4291
Pre-TreatmentNOT COMPLETEDTreatment 14
Pre-TreatmentNOT COMPLETEDTreatment 219

Adverse events1,788

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersTreatment 182345
otherAnaemiaBlood and lymphatic system disordersTreatment 2195328
otherAnaemiaBlood and lymphatic system disordersTreatment 3193304
otherAnaemiaBlood and lymphatic system disordersTreatment 4170301
otherLeukopeniaBlood and lymphatic system disordersTreatment 11345
otherLeukopeniaBlood and lymphatic system disordersTreatment 224328
otherLeukopeniaBlood and lymphatic system disordersTreatment 342304
otherLeukopeniaBlood and lymphatic system disordersTreatment 433301
otherNeutropeniaBlood and lymphatic system disordersTreatment 11345
otherNeutropeniaBlood and lymphatic system disordersTreatment 2104328

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityTreatment 1257349
Total, all-cause mortalityTreatment 2294357
Total, all-cause mortalityTreatment 3172304
Total, all-cause mortalityTreatment 4193304
Total, other adverse eventsTreatment 1322345
Total, other adverse eventsTreatment 2309328
Total, other adverse eventsTreatment 3298304
Total, other adverse eventsTreatment 4295301
Total, serious adverse eventsTreatment 1264345
Total, serious adverse eventsTreatment 2170328

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
37870949DERIVEDPubMed
41015742DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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