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A Study of BMS-986249 Alone and in Combination With Nivolumab in Advanced Solid Tumors

Phase 1
Completed
Conditions
Advanced Cancer
Interventions
Registration Number
NCT03369223
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

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

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
607
Inclusion Criteria
  • 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
Exclusion Criteria
  • 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

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Part 2A Arm D: ipilimumab + nivo then nivoIpilimumabPreviously untreated unresectable stage III-IV melanoma
Part 2A Arm D: ipilimumab + nivo then nivoNivolumabPreviously untreated unresectable stage III-IV melanoma
Part 1A: BMS-986249BMS-986249-
Part 1B: BMS-986249 + nivolumab (nivo)Nivolumab-
Part 2A Arm C: BMS-986249 + nivoBMS-986249Previously untreated unresectable stage III-IV melanoma
Part 2A Arm A: BMS-986249 + nivo then nivoBMS-986249* Previously untreated unresectable stage III-IV melanoma * Enrollment is closed for this Arm
Part 2A Arm B: BMS-986249 + nivoBMS-986249* Previously untreated unresectable stage III-IV melanoma * Enrollment is closed for this Arm
Part 2A Arm B: BMS-986249 + nivoNivolumab* Previously untreated unresectable stage III-IV melanoma * Enrollment is closed for this Arm
Part 2A Arm E: NivoNivolumab* Previously untreated unresectable stage III-IV melanoma * Enrollment is closed for this Arm
Part 1B: BMS-986249 + nivolumab (nivo)BMS-986249-
Part 2A Arm C: BMS-986249 + nivoNivolumabPreviously untreated unresectable stage III-IV melanoma
Part 2A Arm F: BMS-986249 + nivoBMS-986249Previously untreated unresectable stage III-IV melanoma
Part 2A Arm F: BMS-986249 + nivoNivolumabPreviously untreated unresectable stage III-IV melanoma
Part 2B Cohort 1: BMS-986249 + nivoBMS-986249Advanced or intermediate hepatocellular carcinoma (HCC)
Part 2B Cohort 1: BMS-986249 + nivoNivolumabAdvanced or intermediate hepatocellular carcinoma (HCC)
Part 2B Cohort 2: BMS-986249 + nivoBMS-986249Metastatic castration-resistant prostate cancer (CRPC)
Part 2B Cohort 2: BMS-986249 + nivoNivolumabMetastatic castration-resistant prostate cancer (CRPC)
Part 2B Cohort 3: BMS-986249 + nivoBMS-986249Unresectable locally advanced or metastatic triple-negative breast cancer (TNBC)
Part 2B Cohort 3: BMS-986249 + nivoNivolumabUnresectable locally advanced or metastatic triple-negative breast cancer (TNBC)
Part 2A Arm A: BMS-986249 + nivo then nivoNivolumab* Previously untreated unresectable stage III-IV melanoma * Enrollment is closed for this Arm
Primary Outcome Measures
NameTimeMethod
Incidence of AEs leading to discontinuationUp to 2.5 years
Incidence of treatment-related Grade 3-5 AEsWithin 24 weeks
Objective Response Rate (ORR) as assessed by investigator using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1Up to 2.5 years
Incidence of deathUp to 4 years
Number of participants with laboratory abnormalitiesUp to 2.5 years
Incidence of Serious Adverse Events (SAEs)Up to 2.5 years
Incidence of Adverse Events (AEs)Up to 2.5 years
Incidence of AEs meeting protocol-defined dose-limiting toxicity (DLT) criteriaUp to 2.5 years
Secondary Outcome Measures
NameTimeMethod
Cmax (Maximum observed serum concentration)Up to 2 years
Tmax (Time of maximum observed concentration)Up to 2 years
AUC(0-T) (Area under the serum concentration-time curve from time zero to time of last quantifiable concentration)Up to 2 years
Progression-Free survival (PFS) as assessed by investigator using RECIST v1.1 or PCWG3 (for prostate cancer)Up to 4 years
Incidence of SAEs in Part 2 of StudyUp to 2.5 years
ORR as assessed by investigator using RECIST v1.1 or Prostate Cancer Working Group 3 (PCWG3) (for prostate cancer)Up to 4 years
Duration of response (DOR) as assessed by investigator using RECIST v1.1 or PCWG3 (for prostate cancer)Up to 4 years
Incidence of AEs leading to discontinuation in Part 2 of studyUp to 2.5 years
Time to response (TTR) as assessed by investigator using RECIST v1.1 or PCWG3 (for prostate cancer)Up to 4 years
Incidence of AEs in Part 2 of StudyUp to 2.5 years
Time to Deterioration (TTD) in Part 2 of studyUp to 4 Years
Incidence of death in Part 2 of studyUp to 4 years
Number of participants with clinical laboratory abnormalities Part 2 of studyUp to 2.5 years

Trial Locations

Locations (45)

Local Institution - 0025

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Frankston, Victoria, Australia

Local Institution - 0056

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Ottawa, Ontario, Canada

Local Institution - 0020

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Napoli, Italy

Local Institution - 0049

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Siena, Italy

Local Institution - 0005

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Aurora, Colorado, United States

Local Institution - 0006

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Denver, Colorado, United States

Local Institution - 0017

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Miami, Florida, United States

Local Institution - 0024

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Baltimore, Maryland, United States

Local Institution - 0001

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Hackensack, New Jersey, United States

Local Institution - 0002

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New York, New York, United States

Local Institution - 0003

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New York, New York, United States

Local Institution - 0029

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Cincinnati, Ohio, United States

Local Institution - 0013

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Eugene, Oregon, United States

Local Institution - 0004

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Philadelphia, Pennsylvania, United States

Local Institution - 0008

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Greenville, South Carolina, United States

Local Institution - 0010

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Austin, Texas, United States

Local Institution - 0009

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Dallas, Texas, United States

Local Institution - 0021

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Houston, Texas, United States

Local Institution - 0016

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San Antonio, Texas, United States

Local Institution - 0011

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Tyler, Texas, United States

Local Institution - 0012

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Leesburg, Virginia, United States

Local Institution - 0007

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Norfolk, Virginia, United States

Local Institution - 0018

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Vancouver, Washington, United States

Local Institution - 0038

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Buenos Aires, Distrito Federal, Argentina

Local Institution - 0052

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Caba, Distrito Federal, Argentina

Local Institution - 0037

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Buenos Aires, Argentina

Local Institution - 0015

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North Sydney, New South Wales, Australia

Local Institution - 0014

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Adelaide, South Australia, Australia

Local Institution - 0047

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Heidelberg, Victoria, Australia

Local Institution - 0026

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Edmonton, Alberta, Canada

Local Institution - 0036

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Santiago, Metropolitana, Chile

Local Institution - 0039

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Helsinki, Finland

Local Institution - 0030

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Essen, Germany

Local Institution - 0035

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Hamburg, Germany

Local Institution - 0031

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Heidelberg, Germany

Local Institution - 0048

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Milan, Italy

Local Institution - 0040

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Warszawa, Poland

Local Institution - 0045

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Bucharest, Romania

Local Institution - 0041

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Craiova, Romania

Local Institution - 0042

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Badalona, Barcelona [Barcelona], Spain

Local Institution - 0022

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Madrid, Madrid, Comunidad De, Spain

Local Institution - 0044

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Barcelona, Spain

Local Institution - 0023

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Madrid, Spain

Local Institution - 0050

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Madrid, Spain

Local Institution - 0043

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Malaga, Spain

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