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An Investigational Immuno-therapy Study to Test Combination Treatments in Patients With Advanced Non-Small Cell Lung Cancer

Phase 2
Terminated
Conditions
Advanced Cancer
Interventions
Biological: Nivolumab
Biological: Relatlimab
Biological: Ipilimumab
Registration Number
NCT02750514
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

The purpose of this study is to determine whether Nivolumab, in combination with other therapies, is effective in patients with advanced Non-Small Cell lung cancer

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
295
Inclusion Criteria
  • Advanced Non Small Cell Lung Cancer (NSCLC)
  • Eastern Cooperative Oncology Group (ECOG) Performance status of ≤ 1
  • Life expectancy of at least 3 months from most recent chemotherapy or immunotherapy treatment
  • Must have at least 1 lesion with measurable disease
Exclusion Criteria
  • Subjects with certain mutations that have not been treated with a targeted therapy prior to enrollment
  • Subjects who need daily oxygen therapy
  • People with autoimmune disease

Other protocol defined inclusion/exclusion criteria could apply

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Nivolumab & RelatlimabRelatlimabNivolumab in combination with Relatlimab
NivolumabNivolumabNivolumab Monotherapy - Arm associated with this intervention is closed. Nivolumab is no longer given as an active comparator
Nivolumab & DasatinibNivolumabNivolumab in combination with Dasatinib
Nivolumab & RelatlimabNivolumabNivolumab in combination with Relatlimab
Nivolumab & BMS-986205NivolumabNivolumab in combination with BMS- 986205
Nivolumab & IpilimumabNivolumabNivolumab in combination with Ipilimumab
Nivolumab & IpilimumabIpilimumabNivolumab in combination with Ipilimumab
Nivolumab & BMS-986205BMS-986205Nivolumab in combination with BMS- 986205
Nivolumab & DasatinibDasatinibNivolumab in combination with Dasatinib
Primary Outcome Measures
NameTimeMethod
Objective Response Rate (ORR)From first dose to 2 years following last dose (up to 30 months)

ORR is defined as the percentage of participants whose confirmed best overall response (BOR) is either a complete response (CR) or partial response (PR). BOR was assessed by investigator per RECIST1.1.

Results are presented by study track. Track 1 = participants naive for prior immuno-oncology (IO) therapy and PD-L1 positive Track 2 = participants naive for prior immuno-oncology (IO) therapy and PD-L1 negative Track 3 = participants with prior anti-PD-1/PD-L1 therapy Track 4 = participants naive for prior anti-PD-1/PD-L1 therapy (established upon enrollment closure of tracks 1,2 and 3) Track 5 = participants with prior anti-PD-1/PD-L1 therapy (established upon enrollment closure of tracks 1,2 and 3).

Results for each study track are presented only for treatment groups who received a treatment in that specific track.

Duration of Response (DOR)From first dose to 2 years following last dose (up to 30 months)

DOR, computed for all treated participants with a confirmed BOR of CR or PR, 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.

Results are presented by study track. Track 1 = participants naive for prior immuno-oncology (IO) therapy and PD-L1 positive Track 2 = participants naive for prior immuno-oncology (IO) therapy and PD-L1 negative Track 3 = participants with prior anti-PD-1/PD-L1 therapy Track 4 = participants naive for prior anti-PD-1/PD-L1 therapy (established upon enrollment closure of tracks 1,2 and 3) Track 5 = participants with prior anti-PD-1/PD-L1 therapy (established upon enrollment closure of tracks 1,2 and 3).

Results for each study track are presented only for treatment groups who received a treatment in that specific track.

Progression Free Survival Rate (PFSR) at 24 WeeksFrom first dose to 24 weeks after first 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.

Results are presented by study track. Track 1 = participants naive for prior immuno-oncology (IO) therapy and PD-L1 positive (\>=1%) Track 2 = participants naive for prior immuno-oncology (IO) therapy and PD-L1 negative (\<1%) Track 3 = participants with prior anti-PD-1/PD-L1 therapy Track 4 = participants naive for prior anti-PD-1/PD-L1 therapy (established upon enrollment closure of tracks 1,2 and 3) Track 5 = participants with prior anti-PD-1/PD-L1 therapy (established upon enrollment closure of tracks 1,2 and 3).

Results for each study track are presented only for treatment groups who received a treatment in that specific track.

Secondary Outcome Measures
NameTimeMethod
Number of Participants Experiencing Laboratory Abnormalities in Hepatic TestsFrom first dose to 100 days following last dose (approximately 9 months)

The following measurements will be considered laboratory abnormalities for hepatic tests:

* ALT or AST \> 3 x ULN, \> 5 x ULN, \> 10 x ULN and \> 20 x ULN

* Total bilirubin \> 2 x ULN

* Concurrent (within 1 day) ALT or AST \> 3 x ULN and total bilirubin \> 2 x ULN

* Concurrent (within 30 days) ALT or AST \> 3 x ULN and total bilirubin \> 2 x ULN ALT=Alanine aminotransferase AST=Aspartate aminotransferase ULN=Upper Limit of Normal

Percentage of Participants Experiencing DeathFrom first dose to up to 45 months following first dose

This outcome measure describes the percentage of participants who died (due to any cause) during the specified time frame

Number of Participants Experiencing Laboratory Abnormalities in Thyroid TestsFrom first dose to 100 days following last dose (approximately 9 months)

The following measurements will be considered laboratory abnormalities for thyroid tests:

* TSH value \> ULN and

* With baseline TSH value ≤ ULN

* At least one T3/T4 test value \< LLN

* Low TSH \< LLN and

* With baseline TSH value ≥ LLN

* At least one T3/T4 test value \> ULN TSH = thyroid stimulating hormone ULN=Upper Limit of Normal LLN=Lower Limit of Normal T3=Triiodothyronine T4=Thyroxine

Percentage of Participants Experiencing Serious Adverse Events (SAEs)From first dose to 100 days following last dose

This outcome measure describes the percentage of participants who experienced any grade, all causality SAEs during the specified time frame

Percentage of Participants Experiencing Adverse Events (AEs) Leading to DiscontinuationFrom first dose to 100 days following last dose

This outcome measure describes the percentage of participants who experienced all causality AEs leading to discontinuation of study therapy during the specified time frame

Percentage of Participants Experiencing Adverse Events (AEs)From first dose to 100 days following last dose

This outcome measure describes the percentage of participants who experienced any grade, all causality AEs during the specified time frame

Trial Locations

Locations (38)

City of Hope National Medical Center

🇺🇸

Duarte, California, United States

University of Southern California (USC)

🇺🇸

Los Angeles, California, United States

Cedars-Sinai Medical Center

🇺🇸

Los Angeles, California, United States

University of Californa, Los Angeles (UCLA)

🇺🇸

Los Angeles, California, United States

Hoag Memorial Hospital Presbyterian

🇺🇸

Newport Beach, California, United States

University of California San Diego

🇺🇸

San Diego, California, United States

University of Colorado Denver

🇺🇸

Aurora, Colorado, United States

Yale Cancer Center

🇺🇸

New Haven, Connecticut, United States

University of Kansas Cancer Center

🇺🇸

Westwood, Kansas, United States

University of Maryland - Marlene and Stewart Greenebaum Cancer Center

🇺🇸

Baltimore, Maryland, United States

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City of Hope National Medical Center
🇺🇸Duarte, California, United States

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