A Phase 1/2 First-in-Human Study of BMS-986249 Alone and in Combination With Nivolumab in Advanced Solid Tumors
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 发起方
- 入组人数
- 356
- 试验地点
- 45
- 主要终点
- Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) - Part 1 A and 1 B
研究概览
简要总结
The purpose of this study is to determine whether BMS-986249 both by itself and in combination with Nivolumab is safe and tolerable in the treatment of advanced solid tumors
研究设计
- 研究类型
- Interventional
- 分配方式
- 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 a solid tumor that is advanced (metastatic, recurrent, and/or unresectable) with measurable disease or metastatic disease documented by either bone lesions on radionuclide bone scan and/or soft tissue lesions on CT/MRI for prostate cancer and have at least 1 lesion accessible for biopsy. For Part 2B participants with HCC, intermediate disease is allowed.
- •Eastern Cooperative Oncology Group Performance Status of 0 or 1
- •Must have received, and then progressed, relapsed, or been intolerant to, at least 1 standard treatment regimen in the advanced or metastatic setting according to tumor type, if such a therapy exists
- •Prior anti-cancer treatments such as chemotherapy, radiotherapy, or hormonal are permitted for some participants
- •Willing and able to comply with all study procedures
排除标准
- •Primary central nervous system (CNS) malignancies, tumors with CNS metastases as the only site of disease or active brain metastases will be excluded
- •Other active malignancy requiring concurrent intervention
- •Prior organ allograft
- •Active, known, or suspected autoimmune disease
- •Other protocol-defined inclusion/exclusion criteria apply
研究组 & 干预措施
Part 1A: BMS-986249
干预措施: BMS-986249 (Biological)
Part 1B: BMS-986249 + nivolumab (nivo)
干预措施: BMS-986249 (Biological)
Part 1B: BMS-986249 + nivolumab (nivo)
干预措施: Nivolumab (Biological)
Part 2A Arm C: BMS-986249 + nivo
Previously untreated unresectable stage III-IV melanoma
干预措施: BMS-986249 (Biological)
Part 2A Arm C: BMS-986249 + nivo
Previously untreated unresectable stage III-IV melanoma
干预措施: Nivolumab (Biological)
Part 2B Cohort 1: BMS-986249 + nivo
Advanced or intermediate hepatocellular carcinoma (HCC)
干预措施: BMS-986249 (Biological)
Part 2B Cohort 3: BMS-986249 + nivo
Unresectable locally advanced or metastatic triple-negative breast cancer (TNBC)
干预措施: Nivolumab (Biological)
Part 2A Arm D: ipilimumab + nivo then nivo
Previously untreated unresectable stage III-IV melanoma
干预措施: Nivolumab (Biological)
Part 2A Arm D: ipilimumab + nivo then nivo
Previously untreated unresectable stage III-IV melanoma
干预措施: Ipilimumab (Biological)
Part 2A Arm F: BMS-986249 + nivo
Previously untreated unresectable stage III-IV melanoma
干预措施: BMS-986249 (Biological)
Part 2A Arm F: BMS-986249 + nivo
Previously untreated unresectable stage III-IV melanoma
干预措施: Nivolumab (Biological)
Part 2B Cohort 1: BMS-986249 + nivo
Advanced or intermediate hepatocellular carcinoma (HCC)
干预措施: Nivolumab (Biological)
Part 2B Cohort 2: BMS-986249 + nivo
Metastatic castration-resistant prostate cancer (CRPC)
干预措施: BMS-986249 (Biological)
Part 2B Cohort 2: BMS-986249 + nivo
Metastatic castration-resistant prostate cancer (CRPC)
干预措施: Nivolumab (Biological)
Part 2B Cohort 3: BMS-986249 + nivo
Unresectable locally advanced or metastatic triple-negative breast cancer (TNBC)
干预措施: BMS-986249 (Biological)
Part 2A Arm A: BMS-986249 + nivo then nivo
- Previously untreated unresectable stage III-IV melanoma
- Enrollment is closed for this Arm
干预措施: BMS-986249 (Biological)
Part 2A Arm A: BMS-986249 + nivo then nivo
- Previously untreated unresectable stage III-IV melanoma
- Enrollment is closed for this Arm
干预措施: Nivolumab (Biological)
Part 2A Arm B: BMS-986249 + nivo
- Previously untreated unresectable stage III-IV melanoma
- Enrollment is closed for this Arm
干预措施: BMS-986249 (Biological)
Part 2A Arm B: BMS-986249 + nivo
- Previously untreated unresectable stage III-IV melanoma
- Enrollment is closed for this Arm
干预措施: Nivolumab (Biological)
Part 2A Arm E: Nivo
- Previously untreated unresectable stage III-IV melanoma
- Enrollment is closed for this Arm
干预措施: Nivolumab (Biological)
结局指标
主要结局
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) - Part 1 A and 1 B
时间窗: From first dose until 100 days after last dose of study therapy (up to approximately 38 weeks)
Adverse Events (AEs): Adverse events are any unwanted or harmful medical occurrences in a participant who receives a study drug or intervention. These events may or may not be related to the treatment. Serious Adverse Events (SAEs): Serious adverse events are adverse events that result in death, are life-threatening, require hospitalization or prolong existing hospitalization, cause significant disability or incapacity, or result in a birth defect.
Number of Participants With Adverse Events (AEs) Meeting Protocol-Defined Dose-Limiting Toxicity (DLT) Criteria - Part 1 A and 1 B
时间窗: From first dose until 5 weeks after first dose of study medicine (up to approximately 5 weeks)
Dose-limiting toxicities (DLTs) were defined by the incidence, intensity, and duration of adverse events (AEs) possibly related to study treatment during the 5-week (35-day) DLT evaluation period for both BMS-986249 monotherapy and combination therapy. Participants who received at least 2 doses and completed or discontinued due to a DLT within this period were considered DLT-evaluable. Those who withdrew or received less than 2 doses for reasons other than a DLT were not DLT-evaluable and could be replaced. Any drug-related AE meeting DLT criteria resulted in discontinuation of study treatment. DLTs guided dose escalation and helped define the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D).
Number of Participants Who Died - Part 1 A and 1 B
时间窗: From enrollment until the date of death from any cause (up to approximately 83 months)
Number of Participants who Died
Number of Participants With Shifts From Baseline in Laboratory Tests Results - Part 1 A and 1 B
时间窗: From first dose until 100 days after last dose of study therapy (up to approximately 38 weeks)
Number of Participants with Shifts from Baseline in Laboratory Tests
Number of Participants With Treatment-Related Grade 3-5 Adverse Events (AEs) Within 24 Weeks - Part 2 A Arms C, D and F, and Part 2 B
时间窗: From first dose until 24 weeks after first dose (up to approximately 24 weeks)
Adverse Events (AEs): Adverse events are any unwanted or harmful medical occurrences in a participant who receives a study drug or intervention. These events may or may not be related to the treatment. Grade 1: Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; no intervention needed. Grade 2: Moderate; minimal, local, or noninvasive intervention indicated; limiting age-appropriate activities. Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling. Grade 4: Life-threatening consequences; urgent intervention required. Grade 5: Death related to the adverse event.
Objective Response Rate (ORR) as Assessed by Investigator - Part 2 A Arm C and F
时间窗: From randomization until progression or death from any cause (up to approximately 83 months)
Objective response rate (ORR) is defined as the percent of participants whose best overall response (BOR) is either complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1: Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must also have reduction in the short axis to \<10mm. Partial Response (PR): At least a30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters.
次要结局
- Time to Deterioration in Part 2A (Arm C, D and F)(Approximately up to 6 months)
- Safety Related Events in Part 2A (Arm C, D and F) and 2B(From first dose until 100 days after last dose of study therapy (up to approximately 38 weeks))
- BOR of PSA and PCWG3 Response Rate in Part 2B Cohort 2(From first dose (Parts 1 A and B) or randomization (Part 2 B) progression or death from any cause (up to approximately 83 months))
- Progression Free Survival(From first dose (Parts 1 A and B) or randomization (Part 2 B) progression or death from any cause (up to approximately 83 months))
- Duration of Response(From first dose (Parts 1 A and B) or randomization (Part 2 B) progression or death from any cause (up to approximately 83 months))
- Time to Response(From first dose to first objective response (Approximately up to 3 Months))
- Objective Response Rate (ORR) as Assessed by Investigator - Part 1 A, 1B, 2A (Arms C,D,F) and 2B(From first dose (Parts 1 A and B) or randomization (Part 2 B) progression or death from any cause (up to approximately 83 months))
- Cmax and Ctau of BMS-986249 - Part 1 A and B, Part 2 A Arms C and F, Part 2 B(On Cycle 1 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 (each cycle=28 days))
- AUC(0-T) and AUC(TAU) of BMS-986249 - Part 1 A and B, Part 2 A Arms C and F, Part 2 B(On Cycle 1 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 (each cycle=28 days))
- Accumulation Index for Cmax (AI_Cmax) and Accumulation Index for AUC (AI_AUC) of BMS-986249 - Part 1 A and B, Part 2 A Arms C, D and F, Part 2 B(On Cycle 1 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 (each cycle=28 days))
- Number of Participants With Shifts From Baseline in Laboratory Test Results - Part 2A (Arms C and F) and 2B(From first dose until 100 days after last dose of study therapy (up to approximately 38 weeks))
