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临床试验/NCT04730349
NCT04730349终止1 期

Phase 1/2 Study of Bempegaldesleukin in Combination With Nivolumab in Children, Adolescents, and Young Adults With Recurrent or Refractory Malignancies (PIVOT IO 020)

Bristol-Myers Squibb18 个研究点 分布在 6 个国家目标入组 15 人开始时间: 2021年6月3日最近更新:
适应症
干预措施

试验速览

阶段
1 期
状态
终止
发起方
入组人数
15
试验地点
18
主要终点
Number of Participants With Dose-Limiting Toxicities (DLTs) - Part A

研究概览

简要总结

The purpose of this study is to first, in Part A, assess the safety, tolerability and drug levels of Bempegaldesleukin (BEMPEG) in combination with nivolumab and then, in Part B, to estimate the preliminary efficacy in children, adolescents and young adults with recurrent or treatment-resistant cancer.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Sequential
主要目的
Treatment
盲法
None

入排标准

年龄范围
— 至 30 Years(Child, Adult)
性别
All
接受健康志愿者
否

入选标准

  • •Age < 18 years for Part A and Part B
  • •Age up to 30 years for Part B Cohorts B2, B3 and B4
  • •Must have received standard of care therapy and there must be no potentially curative treatment available
  • •Histologically confirmed with malignant neoplasms that are refractory, relapsed, or curative treatments are lacking
  • •Must have measurable or evaluable disease based on Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 for solid tumors, Response Assessment in Neuro-Oncology (RANO) or Response Assessment in Pediatric Neuro-Oncology (RAPNO) for central nervous system tumors, International Pediatric Non-Hodgkin Lymphoma Response Criteria for non-Hodgkin lymphoma (NHL), revised International Neuroblastoma Response Criteria (INRC) for neuroblastoma, modified National Comprehensive Cancer Network (NCCN) Criteria for acute lymphoblastic leukemia, and modified Cheson et al International Working Group criteria for acute myeloid leukemia
  • •Lansky play score for age ≤ 16 years or Karnofsky performance score for age > 16 years assessed within 2 weeks of enrollment must be ≥ 60

排除标准

  • •Osteosarcoma, T-cell/Natural Killer (NK) cell leukemia/lymphoma, and Hodgkin's lymphoma
  • •Need for > 2 antihypertensive medications for management of hypertension (including diuretics)
  • •Known cardiovascular history, including unstable or deteriorating cardiac disease, within the previous 12 months prior to screening
  • •Inadequately treated adrenal insufficiency
  • •Active, known, or suspected autoimmune disease
  • •Active infection requiring systemic therapy within 14 days prior to first dose
  • •Condition requiring systemic treatment with either corticosteroids or other immunosuppressive medications within 14 days of start of study treatment
  • •Prior allogeneic stem cell transplant
  • •Previous severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection either suspected or confirmed within 4 weeks prior to screening
  • •Other protocol-defined inclusion/exclusion criteria apply

研究组 & 干预措施

A2F Dosing schema

Experimental

干预措施: NKTR-214 (Biological)

A1W Dosing schema

Experimental

干预措施: NKTR-214 (Biological)

Part B: Cohort B8 Ependymoma

Experimental

干预措施: Nivolumab (Biological)

A1F Dosing schema

Experimental

干预措施: Nivolumab (Biological)

Part B: Cohort B1 Neuroblastoma

Experimental

干预措施: NKTR-214 (Biological)

Part B: Cohort B3 Rhabdomyosarcoma

Experimental

干预措施: Nivolumab (Biological)

Part B: Cohort B8 Ependymoma

Experimental

干预措施: NKTR-214 (Biological)

A2W Dosing schema

Experimental

干预措施: Nivolumab (Biological)

A1F Dosing schema

Experimental

干预措施: NKTR-214 (Biological)

A1W Dosing schema

Experimental

干预措施: Nivolumab (Biological)

Part B: Cohort B2 Ewing sarcoma

Experimental

干预措施: NKTR-214 (Biological)

Part B: Cohort B3 Rhabdomyosarcoma

Experimental

干预措施: NKTR-214 (Biological)

A2W Dosing schema

Experimental

干预措施: NKTR-214 (Biological)

Part B: Cohort B2 Ewing sarcoma

Experimental

干预措施: Nivolumab (Biological)

Part B: Cohort B1 Neuroblastoma

Experimental

干预措施: Nivolumab (Biological)

A2F Dosing schema

Experimental

干预措施: Nivolumab (Biological)

Part B: Cohort B9 Miscellaneous brain tumors

Experimental

干预措施: NKTR-214 (Biological)

Part B: Cohort B9 Miscellaneous brain tumors

Experimental

干预措施: Nivolumab (Biological)

Part B: Cohort B7 Medulloblastoma and Embryonal Tumors

Experimental

干预措施: NKTR-214 (Biological)

Part B: Cohort B7 Medulloblastoma and Embryonal Tumors

Experimental

干预措施: Nivolumab (Biological)

Part B: Cohort B6 High-grade glioma

Experimental

干预措施: NKTR-214 (Biological)

Part B: Cohort B6 High-grade glioma

Experimental

干预措施: Nivolumab (Biological)

Part B: Cohort B5 NHL/leukemia

Experimental

干预措施: NKTR-214 (Biological)

Part B: Cohort B5 NHL/leukemia

Experimental

干预措施: Nivolumab (Biological)

Part B: Cohort B4 Miscellaneous solid tumors

Experimental

干预措施: NKTR-214 (Biological)

Part B: Cohort B4 Miscellaneous solid tumors

Experimental

干预措施: Nivolumab (Biological)

结局指标

主要结局

Number of Participants With Dose-Limiting Toxicities (DLTs) - Part A

时间窗: From first dose to 42 days after first dose

Number of participants with dose-limiting toxicities (DLTs). DLTs were collected and evaluated for Part A within the DLT evaluation period, which started on Cycle 1 Day 1 (first dose) and ended at Day 42 (42 days after first dose of the study therapy).

Number of Participants With Adverse Events (AEs) - Part A

时间窗: From first dose to 30 days after last dose (up to approximately 6 months)

Number of participants with adverse events (AEs). An AE is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of study treatment, whether or not considered related to the study treatment.

Maximum Observed Plasma Concentration (Cmax) - Part A

时间窗: From first dose to 30 days after last dose (up to approximately 6 months)

Pharmacokinetics (PK) of bempegaldesleukin and nivolumab derived from serum concentration versus time data.

Number of Participants With Serious Adverse Events (SAEs) - Part A

时间窗: From first dose to 30 days after last dose (up to approximately 6 months)

Number of participants with serious adverse events (SAEs). SAE is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is an important medical event.

Number of Participants With Drug-Related Adverse Events - Part A

时间窗: From first dose to 30 days after last dose (up to approximately 6 months)

Number of participants with drug-related adverse events. An AE is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of study treatment, whether or not considered related to the study treatment.

Number of Participants With Adverse Events Leading to Discontinuation - Part A

时间窗: From first dose to 30 days after last dose (up to approximately 6 months)

Number of participants with adverse events leading to discontinuation. An AE is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of study treatment, whether or not considered related to the study treatment.

Number of Participants Who Died - Part A

时间窗: From first dose to 30 days after last dose (up to approximately 6 months)

Number of participants who died.

Trough Observed Concentration (Ctrough) - Part A

时间窗: From first dose to 30 days after last dose (up to approximately 6 months)

Pharmacokinetics (PK) of bempegaldesleukin and nivolumab derived from serum concentration versus time data.

Area Under the Plasma Concentration (AUC) - Part A

时间窗: From first dose to 30 days after last dose (up to approximately 6 months)

Pharmacokinetics (PK) of bempegaldesleukin and nivolumab derived from serum concentration versus time data.

次要结局

未报告次要终点

研究者

发起方
Bristol-Myers Squibb
申办方类型
Industry
责任方
Sponsor

研究点 (18)

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