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A Study of Nivolumab in Combination with Ipilimumab Compared toNivolumab Alone in Treatment of Patients After Complete Resection ofStage IIIb/c/d or Stage IV Melanoma.

Phase 1
Conditions
Stage IIIb/c/d or Stage IV no evidence of disease (NED) melanomafollowing complete resection of the lesion(s) with high risk of relapse.
MedDRA version: 21.1Level: LLTClassification code 10053571Term: MelanomaSystem Organ Class: 100000004864
MedDRA version: 20.0Level: LLTClassification code 10040891Term: Skin melanomaSystem Organ Class: 100000004864
Therapeutic area: Diseases [C] - Cancer [C04]
Registration Number
EUCTR2016-003729-41-IT
Lead Sponsor
BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATIO
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
1844
Inclusion Criteria

- Completely surgically resected stage IIIb/c/d or stage IV melanoma
within 12 weeks of participation in study;
- Must have full activity or, if limited, must be able to walk and carry out
activities such as light house work or office work;
- No prior anti-cancer treatment for melanoma (except surgery for the
melanoma lesion(s) and/or except for adjuvant radiation therapy (RT)
after neurosurgical resection for central nervous system (CNS) lesions).
Are the trial subjects under 18? yes
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 2426
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 857

Exclusion Criteria

_History of ocular/uveal melanoma;
_Patients with active, known or suspected autoimmune disease;
_Prior treatment with interferon (if complete < 6 months prior to
participation in study), anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, or
anti-CTLA-4 antibody, or any other antibody or drug specifically
targeting T-cell co-stimulation or checkpoint pathways.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To compare the efficacy, as measured by recurrence-free survival (RFS),<br>provided by nivolumab plus ipilimumab versus nivolumab monotherapy<br>in participants with completely resected stage IIIb/c/d or stage IV no<br>evidence of disease (NED) melanoma. (in all randomized participants<br>with PD-L1 expression level < 1%. and all randomized participants);Secondary Objective: - To compare the overall survival provided by nivolumab plus ipilimumab<br>versus nivolumab monotherapy in participants with completely resected<br>stage IIIb/c/d or stage IV NED melanoma.<br>- To evaluate the association between PD-L1 expression and RFS.<br>(in all randomized participants with PD-L1 expression level < 1%. and<br>all randomized participants);Primary end point(s): Recurrence-free survival (RFS);Timepoint(s) of evaluation of this end point: approximately 3 years.
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): Overall Survival (OS); PD-L1 expression;Timepoint(s) of evaluation of this end point: Up to 5 years; Approximately 3 years
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