A Phase 1/2 Study of Relatlimab (Anti-LAG-3 Monoclonal Antibody) Administered in Combination With Both Nivolumab (Anti-PD-1 Monoclonal Antibody) and BMS-986205 (IDO1 Inhibitor) or in Combination With Both Nivolumab and Ipilimumab (Anti-CTLA-4 Monoclonal Antibody) in Advanced Malignant Tumors
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 发起方
- 入组人数
- 229
- 试验地点
- 44
- 主要终点
- Number of Participants With Grade 3/Grade 4 Laboratory Test Results
研究概览
简要总结
The purpose of this study is to demonstrate the safety and preliminary activity with triple combinations of relatlimab in combination with nivolumab and BMS-986205, or in combination with nivolumab and ipilimumab in immunotherapy-naive and pretreated populations across select advanced tumor types.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Histologic or cytologic confirmation of select incurable solid malignancies that are advanced (metastatic and/or unresectable), with measurable disease per RECIST v1.1
- •Available tumor tissue for biomarker analysis
- •Eastern Cooperative Oncology Group Performance Status (ECOG) status of 0 or 1
排除标准
- •Known or suspected central nervous system (CNS) metastases or with the CNS as the only site of active disease
- •History of interstitial lung disease / pneumonitis
- •Prior malignancy active within the previous 2 years except for locally curable cancers that have been cured, such as basal or squamous cell skin cancer
- •Encephalitis, meningitis, or uncontrolled seizures in the year prior to informed consent
- •Other protocol-defined inclusion/exclusion criteria apply
研究组 & 干预措施
Arm A
Relatlimab + Nivolumab + BMS-986205
干预措施: Nivolumab (Biological)
Arm A
Relatlimab + Nivolumab + BMS-986205
干预措施: BMS-986205 (Drug)
Arm B
Relatlimab + Nivolumab + Ipilimumab
干预措施: Nivolumab (Biological)
Arm B
Relatlimab + Nivolumab + Ipilimumab
干预措施: Ipilimumab (Biological)
Arm A
Relatlimab + Nivolumab + BMS-986205
干预措施: Relatlimab (Biological)
Arm B
Relatlimab + Nivolumab + Ipilimumab
干预措施: Relatlimab (Biological)
结局指标
主要结局
Number of Participants With Grade 3/Grade 4 Laboratory Test Results
时间窗: From first dose (Day 1) and within 30 days of last dose of study therapy (up to approximately 69 months)
Laboratory test results are graded using the Common Terminology Criteria for Adverse Events (CTCAE), Version 3.0. Grade 3 = Severe or medically significant but not immediately life-threatening. Grade 4 = Life-threatening or disabling.
Number of Participants With Dose Limiting Toxicities
时间窗: From first dose (Day 1) and up to 42 days post first dose
Dose-Limiting Toxicities (DLTs) are treatment-related adverse events occurring during the first cycle (typically Days 1-28) that meet predefined severity criteria per NCI CTCAE v4.03. Hematologic DLTs include Grade 4 neutropenia \>5 days, Grade 3 neutropenia with fever, Grade 4 thrombocytopenia or Grade 3 with bleeding, and Grade 4 anemia. Non-hematologic DLTs include any toxicity ≥Grade 3 (except alopecia or controlled nausea) or treatment interruption ≥2 weeks due to adverse events.
Objective Response Rate (ORR)
时间窗: From the date of first dose (Day 1) to up to the date of objectively documented progression or the date of subsequent anti-cancer therapy, whichever occurs first (up to 80 months)
Objective Response Rate (ORR) is the percentage of participants whose best overall response is Complete Response (CR) or Partial Response (PR) per RECIST v1.1. CR is the disappearance of all target lesions and reduction of pathological lymph nodes to \<10 mm. PR is at least a 30% decrease in the sum of diameters of target lesions from baseline. ORR is calculated as: (Number of participants with CR or PR ÷ Total participants) × 100. Confidence intervals are typically estimated using the Clopper-Pearson method.
Disease Control Rate (DCR)
时间窗: From the date of first dose (Day 1) to up to the date of objectively documented progression or the date of subsequent anti-cancer therapy, whichever occurs first (up to 80 months)
Disease Control Rate (DCR) is the percentage of participants whose Best Overall Response (BOR) is Complete Response (CR), Partial Response (PR), or Stable Disease (SD) per RECIST v1.1. CR is the disappearance of all target lesions and reduction of any pathological lymph nodes to \<10 mm. PR is at least a 30% decrease in the sum of diameters of target lesions from baseline. SD is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for Progressive Disease, taking as reference the smallest sum diameters while on study. DCR is calculated as: (Number of participants with CR, PR, or SD ÷ Total participants) × 100.
Duration of Response (DoR)
时间窗: From the date of first dose (Day 1) to up to the date of objectively documented progression or the date of subsequent anti-cancer therapy, whichever occurs first (up to 80 months)
Duration of Response (mDOR) is the median time from the first documented occurrence of Complete Response (CR) or Partial Response (PR) until disease progression or death, assessed per RECIST v1.1. CR is the disappearance of all target lesions and reduction of pathological lymph nodes to \<10 mm. PR is at least a 30% decrease in the sum of diameters of target lesions from baseline. Progression is defined as at least a 20% increase in the sum of diameters of target lesions or appearance of new lesions.
Number of Participants With Adverse Events and Deaths
时间窗: From first dose (Day 1) and within 30 days of last dose of study therapy (up to approximately 69 months)
Adverse events are any unfavorable or unintended signs, symptoms, or diseases occurring in study participants during a clinical trial, regardless of whether they are related to the intervention. They include all-cause mortality, serious adverse events, and other events exceeding a set frequency threshold. Serious adverse events are a subset that result in significant outcomes such as death, life-threatening conditions, hospitalization or its prolongation, persistent or significant disability/incapacity, or other medically important conditions.
Number of Serious Adverse Events (SAEs)
时间窗: Approximately 4 years
Number of AEs meeting protocol defined dose-limiting toxicity (DLT) criteria
时间窗: Up to 6 weeks
Number of AEs leading to discontinuation
时间窗: Approximately 4 years
Number of clinical laboratory test abnormalities
时间窗: Approximately 4 years
Number of Adverse Events (AEs)
时间窗: Approximately 4 years
Number of AEs leading to death
时间窗: Approximately 4 years
Objective Response Rate (ORR)
时间窗: Approximately 4 years
Disease Control Rate (DCR)
时间窗: Approximately 4 years
Median Duration of Response (mDOR)
时间窗: Approximately 4 years
次要结局
- Progression Free Survival (PFS)(From the date of first dose (Day 1) to up to the date of the first documented disease progression or death (up to approximately 80 months))
- Progression Free Survival Rate at 6 and 12 Months(Month 6 and 12)
- Progression-Free Survival (PFS)(Up to 4 years)
