The main purpose of this study is to compare how long subjects with esophageal cancer live overall or live without disease progression after receiving nivolumab and ipilimumab or nivolumab combined with fluorouracil plus cisplatin versus fluorouracil plus cisplatin
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
970
Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
Overall Survival (OS) in Participants With Tumor Cell PD-L1
Overall Survival (OS) is defined as the time between the date of randomization and the date of death. For participants without documentation of death, OS will be censored on the last date the subject was known to be alive.
Time frame: From the date of randomization to up to the date of death (up to approximately 20 months)
Progression-free Survival (PFS) as Assessed by BICR in Participants With Tumor Cell PD-L1
Progression-free survival (PFS) is defined as the time from randomization to the date of the first documented progressive disease (PD) per Blinded Independent Central Review (BICR) or death due to any cause. Participants who die without a reported prior PD per BICR (and die without start of subsequent therapy) will be considered to have progressed on the date of death. Participants who did not have documented PD per BICR per RECIST1.1 criteria and who did not die, will be censored at the date of the last evaluable tumor assessment on or prior to initiation of the subsequent anti-cancer therapy. Participants who did not have any on-study tumor assessments and did not die (or died after initiation of the subsequent anti-cancer therapy) will be censored at the randomization date. Participants who started any subsequent anti-cancer therapy without a prior reported PD per BICR will be censored at the last tumor assessment on or prior to initiation of the subsequent anti-cancer therapy.
Time frame: From the date of randomization to up to the date of the first documented disease progression or death (up to approximately 9 months)
Overall Survival (OS) in All Randomized Participants
Overall Survival (OS) is defined as the time between the date of randomization and the date of death. For participants without documentation of death, OS will be censored on the last date the subject was known to be alive.
Time frame: From the date of randomization to up to the date of death (up to approximately 16 months)
Progression-free Survival (PFS) in All Randomized Participants as Assessed by BICR
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Specified dose on specified days
Local Institution - 0191
Mobile, Alabama, United States
Arizona Cancer Center
Tucson, Arizona, United States
Usc/Norris Comprehensive Cancer Center
Los Angeles, California, United States
Local Institution - 0188
Denver, Colorado, United States
University Of Miami Sylvester Comprehensive Cancer Center
Miami, Florida, United States
Local Institution - 0186
Miami, Florida, United States
Local Institution - 0225
Tampa, Florida, United States
Local Institution - 0074
Atlanta, Georgia, United States
Local Institution - 0032
Marietta, Georgia, United States
Hackensack Meridian Jersey Shore University Medical Center
Neptune City, New Jersey, United States
...and 180 more locations
Progression-free survival (PFS) is defined as the time from randomization to the date of the first documented progressive disease (PD) per Blinded Independent Central Review (BICR) or death due to any cause. Participants who die without a reported prior PD per BICR (and die without start of subsequent therapy) will be considered to have progressed on the date of death. Participants who did not have documented PD per BICR per RECIST1.1 criteria and who did not die, will be censored at the date of the last evaluable tumor assessment on or prior to initiation of the subsequent anti-cancer therapy. Participants who did not have any on-study tumor assessments and did not die (or died after initiation of the subsequent anti-cancer therapy) will be censored at the randomization date. Participants who started any subsequent anti-cancer therapy without a prior reported PD per BICR will be censored at the last tumor assessment on or prior to initiation of the subsequent anti-cancer therapy.
Time frame: From the date of randomization to up to the date of the first documented disease progression or death (up to approximately 7 months)
Objective Response Rate (ORR) as Assessed by BICR
Objective response rate (ORR) is defined as the percentage of participants with a best overall response (BOR) of complete response (CR) or partial response (PR). Best overall response (BOR) is defined as the best response designation as determined by BICR, recorded between the date of randomization and the date of objectively documented progression (per RECIST 1.1) or the date of subsequent anti-cancer therapy (including tumor-directed radiotherapy and tumor-directed surgery), whichever occurs first. Partial response is defined as at least a 30% decrease in the sum of diameters of target lesions. Complete response is defined as the disappearance of all target lesions and the reduction of any pathological lymph nodes to \<10 mm.
Time frame: From the date of randomization to up to the date of objectively documented progression or the date of subsequent anti-cancer therapy, whichever occurs first (up to 40 months)