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A Study of Nivolumab-relatlimab Fixed-dose Combination Versus Regorafenib or TAS-102 in Participants With Later-lines of Metastatic Colorectal Cancer

Phase 3
Active, not recruiting
Conditions
Colorectal Neoplasms
Interventions
Drug: Nivolumab-relatlimab FDC
Registration Number
NCT05328908
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

The purpose of this study is to evaluate relatlimab in combination with nivolumab, administered as a fixed-dose combination (nivolumab-relatlimab FDC, also referred to as BMS-986213) for the treatment of non-microsatellite instability high (MSI-H)/deficient mismatch repair (dMMR) metastatic colorectal cancer (mCRC) participants who failed at least 1 but no more than 4 prior lines of therapy for metastatic disease.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
700
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm A: Nivolumab + Relatlimab Fixed-dose Combination (FDC)Nivolumab-relatlimab FDC-
Arm B: Investigator's ChoiceRegorafenibTreatment with Regorafenib or TAS-102
Arm B: Investigator's ChoiceTAS-102Treatment with Regorafenib or TAS-102
Primary Outcome Measures
NameTimeMethod
Overall survival (OS) in randomized participants with programmed death-ligand 1 (PD-L1) combined positive score (CPS) ≥ 1Up to 5 years after last participant randomized
OS in all randomized participantsUp to 5 years after last participant randomized
Secondary Outcome Measures
NameTimeMethod
Objective response rate (ORR) by Blinded Independent Central Review (BICR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 in randomized participants with PD-L1 CPS ≥ 1Up to 5 years after last participant randomized
ORR by BICR per RECIST v1.1 in all randomized participantsUp to 5 years after last participant randomized
Progression-free survival (PFS) by BICR per RECIST v1.1 in randomized participants with PD-L1 CPS ≥ 1Up to 5 years after last participant randomized
PFS by BICR per RECIST v1.1 in all randomized participantsUp to 5 years after last participant randomized
Duration of response (DoR) by BICR per RECIST v1.1 in responders with PD-L1 CPS ≥ 1Up to 5 years after last participant randomized
DoR by BICR per RECIST v1.1 in all respondersUp to 5 years after last participant randomized
Number of participants with adverse events (AEs)Up to 135 days after participant's last dose
Number of participants with serious adverse events (SAEs)Up to 135 days after participant's last dose
Number of participants with immune-mediated adverse events (IMAEs)Up to 135 days after participant's last dose
Number of participants with AEs leading to discontinuationUp to 135 day's after participant's last dose
Number of participants with clinical laboratory abnormalitiesUp to 135 days after participant's last dose
Time Until Definitive Deterioration-Physical Function (TUDD-PF): The time from randomization until definitive deterioration in the EORTC QLQ-C30 physical function scale score in randomized participants with PD-L1 CPS ≥ 1Up to follow up visit 2 (approximately 135 days after last dose)

The EORTC (European Organisation for Research and Treatment of Cancer) Quality of Life Questionnaire-Core 30 (QLQ-C30) consists of 30 questions incorporated into 5 functional scales (physical, role, cognitive, emotional, and social functioning), 3 multi-item symptom scales (fatigue, pain, nausea and vomiting), a global health status / Quality of Life scale, and six single symptom items. All of the scale and single-item measures range in score from 0 to 100, where a higher score represents a higher response level. High functional scores indicates more favorable outcomes and a higher score on the symptom domains indicates higher symptom burden/less favorable patient outcome.

TUDD-PF: The time from randomization until definitive deterioration in the EORTC QLQ-C30 physical function scale score in all randomized participantsUp to follow up visit 2 (approximately 135 days after last dose)
TUDD-QoL: The time from randomization until definitive deterioration in the EORTC QLQ-C30 global health status/QoL scale score in randomized participants with PD-L1 CPS ≥ 1Up to follow up visit 2 (approximately 135 days after last dose)

QoL = Quality of Life. The EORTC (European Organisation for Research and Treatment of Cancer) Quality of Life Questionnaire-Core 30 (QLQ-C30) consists of 30 questions incorporated into 5 functional scales (physical, role, cognitive, emotional, and social functioning), 3 multi-item symptom scales (fatigue, pain, nausea and vomiting), a global health status / Quality of Life scale, and six single symptom items. All of the scale and single-item measures range in score from 0 to 100, where a higher score represents a higher response level. High functional scores indicates more favorable outcomes and a higher score on the symptom domains indicates higher symptom burden/less favorable patient outcome.

TUDD-QoL: The time from randomization until definitive deterioration in the EORTC QLQ-C30 global health status/QoL scale score in all randomized participantsUp to follow up visit 2 (approximately 135 days after last dose)
PFS by investigator per RECIST v1.1 in randomized participants with PD-L1 CPS ≥ 1Up to 5 years after last participant randomized
PFS by investigator per RECIST v1.1 in all randomized participantsUp to 5 years after last participant randomized
ORR by investigator per RECIST v1.1 in randomized participants with PD-L1 CPS ≥ 1Up to 5 years after last participant randomized
ORR by investigator per RECIST v1.1 in all randomized participantsUp to 5 years after last participant randomized
DoR by investigator per RECIST v1.1 in responders with PD-L1 CPS ≥ 1Up to 5 years after last participant randomized
DoR by investigator per RECIST v1.1 in all randomized participantsUp to 5 years after last participant randomized

Trial Locations

Locations (139)

Local Institution - 0044

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Springdale, Arkansas, United States

Local Institution - 0012

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Los Angeles, California, United States

Local Institution - 0117

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Norwich, Connecticut, United States

Local Institution - 0025

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Miami, Florida, United States

Local Institution - 0031

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Atlanta, Georgia, United States

Local Institution - 0071

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Boise, Idaho, United States

Local Institution - 0081

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Fort Wayne, Indiana, United States

Massachusetts General Hospital,

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Boston, Massachusetts, United States

Local Institution - 0042

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Ann Arbor, Michigan, United States

Local Institution - 0043

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East Brunswick, New Jersey, United States

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Local Institution - 0044
🇺🇸Springdale, Arkansas, United States

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