A Phase 2, Real-time Assessment of Combination Therapies in Immuno-Oncology Study in Participants With Advanced Renal Cell Carcinoma (FRACTION-RCC)
Overview
- Phase
- Phase 2
- Intervention
- BMS-813160
- Conditions
- Advanced Cancer
- Sponsor
- Bristol-Myers Squibb
- Enrollment
- 182
- Locations
- 30
- Primary Endpoint
- Median Duration of Response (DOR) Per Investigator
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The purpose of this study is to test the effectiveness and safety of various nivolumab combinations compared to nivolumab and ipilimumab in participants with advanced kidney cancer
Investigators
Eligibility Criteria
Inclusion Criteria
- •Advanced Renal Cell Carcinoma
- •Must have at least 1 lesion with measurable disease
- •Life expectancy of at least 3 months
- •Karnofsky Performance Status (KPS) must be =\>70%
Exclusion Criteria
- •Patients/subjects with suspected or known central nervous system metastases unless adequately treated
- •Patients/subjects with autoimmune disease
- •Patients/subjects who need daily oxygen therapy
- •Other protocol defined inclusion/exclusion criteria apply
Arms & Interventions
Nivolumab + BMS-813160
Nivolumab + BMS-813160 (CCR2/5 dual antagonist)
Intervention: BMS-813160
Nivolumab + Ipilimumab
Nivolumab + Ipilimumab
Intervention: Nivolumab
Nivolumab + Ipilimumab
Nivolumab + Ipilimumab
Intervention: Ipilimumab
Nivolumab + Relatlimab
Nivolumab + Relatlimab
Intervention: Nivolumab
Nivolumab + Relatlimab
Nivolumab + Relatlimab
Intervention: Relatlimab
Nivolumab + BMS-986205
Nivolumab + BMS-986205
Intervention: Nivolumab
Nivolumab + BMS-986205
Nivolumab + BMS-986205
Intervention: BMS-986205
Nivolumab + BMS-813160
Nivolumab + BMS-813160 (CCR2/5 dual antagonist)
Intervention: Nivolumab
Outcomes
Primary Outcomes
Median Duration of Response (DOR) Per Investigator
Time Frame: From first dose to the date of first documented disease progression or death due to any cause (assessed from an average of 22 weeks up to approximately 247 weeks)
Duration of Response is defined as the time between the date of first response and the date of first documented disease progression as determined by RECIST 1.1 or death due to any cause (death occurring after re-treatment or randomization to new combination treatment was not considered), whichever occurred first. Complete Response (CR) is the disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. Partial Response (PR) is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Median computed using Kaplan -Meier method
Progression Free Survival Rate (PFSR) at 24 Weeks.
Time Frame: 24 weeks after first treatment dose.
The PFSR at 24 weeks is defined as the proportion of treated participants remaining progression free and surviving at 24 weeks since the first dosing date. Progressive Disease (PD) is at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progression). Point estimates are derived from Kaplan-Meier analyses, the 95% CIs are derived from Greenwood formula
Objective Response Rate (ORR) Per Investigator
Time Frame: From first dose of study treatment until progression or subsequent anticancer therapy, whichever occurs first (assessed up to approximately 247 weeks)
ORR is percent of participants whose best overall response (BOR) is complete response (CR) or partial response (PR). BOR is the best response from the start of the study treatment until objectively documented progression per RECIST v1.1 or subsequent anticancer therapy, whichever occurs first. For participants who received re-treatment or were re-randomized, the re-treatment and re-randomized therapies were considered subsequent anticancer therapy. CR is the disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) have reduction in short axis to \<10 mm. PR is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. The Response Evaluation Criteria in Solid Tumors (RECIST) is a standard way to measure the response of a tumor to treatment. CR+PR, confidence interval based on Clopper and Pearson method.
Secondary Outcomes
- Number of Participants With Abnormal Thyroid Test Results - Track 1(From first dose to 30 days after last dose of study therapy (approximately 108 weeks))
- Number of Participants With Abnormal Hepatic Test Results - Track 2(From first dose to 30 days after last dose of study therapy (approximately 108 weeks))
- Number of Participants With Adverse Events (AEs) Leading to Discontinuation(From first dose to 100 days after last dose of study therapy (assessed up to approximately 118 weeks))
- Number of Participants Who Died(From first dose to 100 days after last dose of study therapy (assessed up to approximately 118 weeks))
- Number of Participants With Adverse Events (AEs)(From first dose to 100 days after last dose of study therapy (assessed up to approximately 118 weeks))
- Number of Participants With Serious Adverse Events (SAEs)(From first dose to 100 days after last dose of study therapy (assessed up to approximately 118 weeks))
- Number of Participants With Abnormal Thyroid Test Results - Track 2(From first dose to 30 days after last dose of study therapy (approximately 108 weeks))
- Number of Participants With Abnormal Hepatic Test Results - Track 1(From first dose to 30 days after last dose of study therapy (approximately 108 weeks))