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No longer recruiting (closed or complete)Last updated: 15 September 2025

CA209-901: This phase III trial is trying to determine whether the combination of two investigational immunotherapies (ipilimumab and nivolumab) or the combination of an investigational immunotherapy (nivolumab) and chemotherapy is better than recieveing chemotherapy alone in treating patients with urothelial cancer that has spread to other parts of their bodyA Phase 3, Open-label, Randomized Study of Nivolumab Combined With Ipilimumab, or With Standard of Care Chemotherapy, Versus Standard of Care Chemotherapy in Participants With Previously Untreated Unresectable or Metastatic Urothelial Cancer

Trial purpose

Medical clipboardCancer treatment

Tumor type

Urinary System Cancers Genitourinary

Age

People18+

Trial acronym

CA209-901

Clinical summary

Summary

In this trial, participants will be randomized into four arms. In the first arm (Arm A), participants will receive a specified dose of nivolumab and ipilimumab on specified days. In the second arm (Arm B), participants will receive a specified dose of gemcitabine / cisplatin or gemcitabine / carboplatin chemotherapy on specified days. In the third arm (Arm C), participants will receive a specified dose of nivolumab, plus gemcitabine-cisplatin chemotherapy, followed by nivolumab on specified days. In the final arm (Arm D), participants will receive a specified dose of gemcitabine-cisplatin chemotherapy only on specified days.

Conditions

This trial is treating people with Urothelial Cancer

Eligibility

Inclusion

  • Histological or cytological evidence of metastatic or surgically inoperable transitional cell cancer (TCC) of the urothelium involving the renal pelvis, ureter, bladder or urethra
  • No prior systemic chemotherapy for metastatic or surgically inoperable urothelial cancer (UC)
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 or 1
  • Women and men must agree to follow specific methods of contraception, if applicable

Exclusion

  • Disease that is suitable for local therapy administered with curative intent
  • Any serious or uncontrolled medical disorder in the opinion of the investigator that may increase the risk associated with study participation or study drug administration or interfere with the interpretation of study results
  • Prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, or anti-CTLA-4 antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways

Other protocol-defined inclusion/exclusion criteria apply

Inclusion

  • Your cancer has spread to other parts of the body (metastatic) or has grown into nearby parts of the body (locally advanced).
  • You have been diagnosed with cancer, but have not received any treatment.

Exclusion

  • You have certain types of non-cancer medical conditions.
  • You have had certain treatments, surgical procedures or drugs.
Message

Clinical trials have complex eligibility criteria, and other criteria may apply for this trial. Ask your doctor about whether this trial could be right for you.

Participating hospitals

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More information

Trial Identifiers

Information on this page is partially produced from ClinicalTrials.gov *. View further details about this trial on the registry via the links below:

Trial sponsor

Bristol-Myers Squibb (BMS)

Scientific Title

A Phase 3, Open-label, Randomized Study of Nivolumab Combined With Ipilimumab, or With Standard of Care Chemotherapy, Versus Standard of Care Chemotherapy in Participants With Previously Untreated Unresectable or Metastatic Urothelial Cancer

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