First-line nivolumab plus ipilimumab with short-course chemotherapy for metastatic non-small cell lung cancer
Official title: First-line Therapy With Nivolumab Plus Ipilimumab in Combination With Chemotherapy for Metatastatic Non-small Cell Lung Cancer: an Ambispective, Observational, Italian, Multicenter, Real World Study (NICReWo Trial)
Run by Fondazione IRCCS Policlinico San Matteo di Pavia · NCT07190677 · Data updated 2026-11-12
This project will collect real-world data to see if nivolumab plus ipilimumab combined with a short course of platinum chemotherapy works well as first-line treatment for adults with metastatic non-small cell lung cancer who do not have EGFR or ALK alterations.
Quick facts
| Study type | Observational |
|---|---|
| Sex | All |
| Enrollment | 300 (estimated) |
| Sponsor | Fondazione IRCCS Policlinico San Matteo di Pavia Academic / other |
| Drugs / interventions | nivolumab, ipilimumab, chemotherapy |
| Locations | 1 site (Pavia, Lombardy) |
| Status | Recruiting |
| Started | January 17, 2025 |
| Main results expected | December 31, 2025 |
| Study ends | December 31, 2027 |
| Registry record updated | September 24, 2025 |
| Trial ID | NCT07190677 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) with histologically or cytologically confirmed stage IV or recurrent NSCLC who are starting first-line nivolumab plus ipilimumab with two cycles of platinum-based chemotherapy per the Italian label, have no sensitizing EGFR mutation or ALK translocation, and provide informed consent.
✕Probably not a fit
Patients with prior treatment with nivolumab and/or ipilimumab, an active primary cancer other than NSCLC requiring treatment, enrollment in an interventional NSCLC trial, or tumors with EGFR or ALK driver alterations are unlikely to be included or to benefit from this real-world data collection.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
NICReWo is an Italy-wide, multicenter ambispective observational program that retrospectively collects data from January 2022 and prospectively through December 31, 2025. The co-primary outcomes are progression-free survival and overall survival measured in a routine clinical setting, with secondary endpoints including overall response rate, treatment duration, and incidence of treatment-related adverse events. Clinical and disease characteristics, treatment timelines, response, subsequent therapies, and adverse events (graded by CTCAE v5.0) are captured in electronic case report forms using a REDCap EDC system. Patients will have up to two years of follow-up after treatment initiation to capture survival and safety outcomes.
Why it matters
Potential benefit: If successful, the results could give doctors and patients clearer real-world information about how effective and tolerable the nivolumab-plus-ipilimumab-plus-chemotherapy approach is outside clinical trials.
How similar studies have gone: Randomized trials of nivolumab plus ipilimumab with limited chemotherapy (for example CheckMate 9LA) have shown improved overall survival, but prospective real-world evidence specifically on this combination remains limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Diagnosis of stage IV or recurrent NSCLC (histologically or cytologically confirmed stage); * Decision to initiate a first-line treatment with nivolumab plus ipilimumab in combination with 2 cycles of platinum-based chemotherapy for the treatment of NSCLC according to the Italian label, independently of the study, in patients whose tumors have no sensitising EGFR mutation or ALK translocation; * Patient is at least 18 years of age at time of treatment decision; * Patient provided written informed consent to participate in the study. Exclusion Criteria: * Current primary diagnosis of a cancer other than NSCLC that requires systemic or other treatment; * Previous treatment with nivolumab and/or ipilimumab; * Patient already included in an interventional clinical trial for their advanced or recurrent NSCLC.
Where it's running
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Fondazione IRCCS Policlinico San Matteo
Pavia, Lombardy, Italy Recruiting
Study contacts
- Study coordinator: Francesco Agustoni, MD
- Email: f.agustoni@smatteo.pv.it
- Phone: 0382501433
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.