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. 2023 May 4;2023(5):CD013798. doi: 10.1002/14651858.CD013798.pub2

NCT03873402.

Study name
Methods Study type: RCT, parallel assignment, phase IIIB
Blinding: quadruple blinding (participant, care provider, investigator, outcomes assessor)
Accrual period: April 29, 2019 ‐ April 19, 2025 (estimated study completion date)
Countries: multicentre (80 study locations)
Cross‐over study: no
Status: active, not recruiting (as of February 10, 2022)
Participants Estimated enrolment: N=418
Inclusion criteria:
  • histological confirmation of renal carcinoma with clear cell component including participants who may have sarcomatoid features

  • advanced (not amenable to curative surgery or radiation therapy) renal cell carcinoma (RCC) or metastatic RCC (mRCC)

  • measurable disease by computed tomography (CT) or magnetic resonance imaging (MRI) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) criteria

  • no prior systemic therapy for RCC

  • must be intermediate or poor risk as per International Metastatic RCC Database Consortium (IMDC)

  • all sexes, older than 18 years


Exclusion criteria:
  • any active central nervous system (CNS) metastases

  • active, known, or suspected autoimmune disease

  • prior treatment with an anti‐PD‐1, anti‐PD‐L1, anti‐PD‐L2, anti‐CD137, anti‐CTLA‐4 antibody, or any other agents specifically targeting T‐cell co‐stimulation or checkpoint pathways


*Other protocol‐defined inclusion/exclusion criteria apply
Interventions Experimental arm I: Nivolumab
Experimental arm II: Ipilimumab
Control arm: Ipilimumab placebo
Outcomes Primary outcome(s)
  • PFS by blinded independent central review (BICR) (time frame: up to 34 months)


Secondary outcome(s)
  • OS (time frame: up to 4 years)

  • PFS by investigator (time frame: up to 4 years)

  • Progression free survival secondary objective (PFS2) by investigator (time frame: up to 4 years9

  • Incidence of AEs (time frame: up to 4 years)

  • Incidence of SAEs (time frame: up to 4 years)


Relevant to this review but not reported: QoL, TFST, number of patients who discontinued treatment
Other outcomes (not relevant to this review): ORR, DCR, DoR, TTR, clinical laboratory results
Starting date April 29, 2019
Contact information
Notes Funding source: Bristol‐Myers Squibb