A Phase 2 Randomized Study of Relatlimab Plus Nivolumab in Combination With Chemotherapy vs. Nivolumab in Combination With Chemotherapy as First Line Treatment for Participants With Stage IV or Recurrent Non-small Cell Lung Cancer (NSCLC)
Overview
- Phase
- Phase 2
- Intervention
- Nivolumab
- Conditions
- Non-small Cell Lung Cancer
- Sponsor
- Bristol-Myers Squibb
- Enrollment
- 468
- Locations
- 125
- Primary Endpoint
- TRAEs Leading to Discontinuation Within 12 Weeks of First Dose in Part 1
- Status
- Active, not recruiting
- Last Updated
- 6 months ago
Overview
Brief Summary
The purpose of this study is to assess the safety profile of relatlimab plus nivolumab in combination with platinum doublet chemotherapy (PDCT) and to determine if nivolumab plus relatlimab in combination with PDCT improves overall response rate (ORR) when compared to nivolumab plus PDCT in participants with previously untreated Stage IV or recurrent non-small cell lung cancer (NSCLC).
Investigators
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Arms & Interventions
Part 1: Arm A (Nivolumab + Relatlimab Dose 1 + Platinum Doublet Chemotherapy (PDCT))
Intervention: Nivolumab
Part 1: Arm A (Nivolumab + Relatlimab Dose 1 + Platinum Doublet Chemotherapy (PDCT))
Intervention: Relatlimab
Part 1: Arm A (Nivolumab + Relatlimab Dose 1 + Platinum Doublet Chemotherapy (PDCT))
Intervention: Carboplatin
Part 1: Arm A (Nivolumab + Relatlimab Dose 1 + Platinum Doublet Chemotherapy (PDCT))
Intervention: Cisplatin
Part 1: Arm A (Nivolumab + Relatlimab Dose 1 + Platinum Doublet Chemotherapy (PDCT))
Intervention: Paclitaxel
Part 1: Arm A (Nivolumab + Relatlimab Dose 1 + Platinum Doublet Chemotherapy (PDCT))
Intervention: Nab-Paclitaxel
Part 1: Arm A (Nivolumab + Relatlimab Dose 1 + Platinum Doublet Chemotherapy (PDCT))
Intervention: Pemetrexed
Part 1: Arm B (Nivolumab + Relatlimab Dose 2 + PDCT))
Intervention: Nivolumab
Part 1: Arm B (Nivolumab + Relatlimab Dose 2 + PDCT))
Intervention: Relatlimab
Part 1: Arm B (Nivolumab + Relatlimab Dose 2 + PDCT))
Intervention: Carboplatin
Part 1: Arm B (Nivolumab + Relatlimab Dose 2 + PDCT))
Intervention: Cisplatin
Part 1: Arm B (Nivolumab + Relatlimab Dose 2 + PDCT))
Intervention: Paclitaxel
Part 1: Arm B (Nivolumab + Relatlimab Dose 2 + PDCT))
Intervention: Nab-Paclitaxel
Part 1: Arm B (Nivolumab + Relatlimab Dose 2 + PDCT))
Intervention: Pemetrexed
Part 2: Arm C (Nivolumab + Relatlimab Dose 2 + PDCT)
Intervention: Nivolumab
Part 2: Arm C (Nivolumab + Relatlimab Dose 2 + PDCT)
Intervention: Relatlimab
Part 2: Arm C (Nivolumab + Relatlimab Dose 2 + PDCT)
Intervention: Carboplatin
Part 2: Arm C (Nivolumab + Relatlimab Dose 2 + PDCT)
Intervention: Cisplatin
Part 2: Arm C (Nivolumab + Relatlimab Dose 2 + PDCT)
Intervention: Paclitaxel
Part 2: Arm C (Nivolumab + Relatlimab Dose 2 + PDCT)
Intervention: Pemetrexed
Part 2: Arm D (Nivolumab + PDCT)
Intervention: Nivolumab
Part 2: Arm D (Nivolumab + PDCT)
Intervention: Carboplatin
Part 2: Arm D (Nivolumab + PDCT)
Intervention: Cisplatin
Part 2: Arm D (Nivolumab + PDCT)
Intervention: Paclitaxel
Part 2: Arm D (Nivolumab + PDCT)
Intervention: Pemetrexed
Outcomes
Primary Outcomes
TRAEs Leading to Discontinuation Within 12 Weeks of First Dose in Part 1
Time Frame: from first dose to 12 weeks after first dose
Percentage of participants with treatment related adverse events (TRAEs) leading to discontinuation within 12 weeks of first dose. AE is defined as any new untoward medical occurrence or worsenig of a preexising medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. Grading will be determined for severity according to the NCI CTCAE v5.0.
ORR Per RECISTS v1.1 by BICR in Part 2
Time Frame: Approximately 14.8 Months
Objective Response Rate (ORR) per RECIST v1.1 by BICR is defined as the number of participants in the randomized population who achieve a best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR) based on BICR assessments (using RECIST v1.1) divided by the number of participants in the population. BOR is defined as the best response, as determined by the BICR, recorded between the date of randomization and the date of first objectively documented progression per RECIST v1.1 or the date of subsequent therapy, whichever occurs first.
Secondary Outcomes
- TRAEs Leading to Discontinuation in Part 1(From first dose to 30 days post last dose of study therapy (Approximately 32.8 Months))
- Number of Participants With a Treatment Related AEs in Part 1(From first dose to 30 days post last dose of study therapy (Approximately 32.8 Months))
- Number of Participants With Treatment Releted SAEs in Part 1(From first dose to 30 days post last dose of study therapy (Approximately 32.8 Months))
- Number of Participants With Treatment Releted Select AEs in Part 1(From first dose to 30 days post last dose of study therapy (Approximately 32.8 Months))
- ORR by PD-L1 Expression Per RECISTS v1.1 by BICR in Part 2(Approximately 14.8 Months)
- DoR Per RECISTS v1.1 by BICR in Part 2(Approximately up to 13.7 months)
- Number of Participants With a AE in Part 2(From first dose to 30 days post last dose of study therapy (Approximately 14.8 Months))
- Number of Participants With a Treatment Related AEs in Part 2(From first dose to 30 days post last dose of study therapy (Approximately 14.8 Months))
- PFS Per RECISTS v1.1 by BICR in Part 2(Ongoing)
- PFS by PD-L1 Expression Per RECISTS v1.1 by BICR in Part 2(Ongoing)
- PFS by LAG-3 Expression Per RECISTS v1.1 by BICR in Part 2(Ongoing)
- PFS by FG-L1 Expression Per RECISTS v1.1 by BICR in Part 2(Ongoing)
- Number of Participants With Treatment Releted Select AEs in Part 2(Ongoing)
- Number of Participants With a Treatment Related SAEs in Part 2(From first dose to 30 days post last dose of study therapy (Approximately 14.8 Months))
- Number of Participants With Endocrine Immune-mediated Adverse Events in Part 2(From first dose to 30 days post last dose of study therapy (Approximately 14.8 Months))
- ORR by LAG-3 Expression Per RECISTS v1.1 by BICR in Part 2(On Going)
- ORR by FG-L1 Expression Per RECISTS v1.1 by BICR in Part 2(Ongoing)