A Phase I/IIa Trial With BMS-986158, a Small Molecule Inhibitor of the Bromodomain and Extra-Terminal (BET) Proteins, as Monotherapy or in Combination With Nivolumab in Subjects With Selected Advanced Solid Tumors or Hematologic Malignancies
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 发起方
- 入组人数
- 83
- 试验地点
- 12
- 主要终点
- Number of Participants Experiencing Adverse Events
研究概览
简要总结
The purpose of this study is to determine the safety, tolerability, pharmacokinetics, and pharmacodynamics of BMS-986158 in subjects with select advanced cancers
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 12 Years 至 —(Child, Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Must have select advanced cancers with specific genetic profiles
- •Must have received appropriate standard of care
- •At least one measurable lesion at baseline
- •Expected to have life expectancy of at least 3 months
- •Eastern Cooperative Oncology Group (ECOG) of 0 to 1
排除标准
- •Concomitant second malignancies
- •Uncontrolled or significant cardiovascular disease
- •Inadequate bone marrow function
- •Chronic gastrointestinal illness
- •Prior treatment with Bromodomain and Extra-Terminal (BET) inhibitor
- •Other protocol defined inclusion/exclusion criteria could apply
研究组 & 干预措施
Monotherapy Treatment
Patients treated at various doses and schedules
干预措施: BMS-986158 (Drug)
Combination Therapy
Patients treated at selected doses and schdules
干预措施: BMS-986158 (Drug)
Combination Therapy
Patients treated at selected doses and schdules
干预措施: Nivolumab (Biological)
结局指标
主要结局
Number of Participants Experiencing Adverse Events
时间窗: From first dose to 30 days following last dose (up to approximately 29 months)
Number of participants experiencing different types of events, including Adverse Events (AEs), Serious Adverse Events (SAEs), AEs leading to discontinuation and deaths. Events are classified based on the NCI Common Terminology Criteria for Adverse Events (CTCAE) version 4.03.
Number of Participants With Abnormal Hepatic Test Values
时间窗: From first dose to 30 days following last dose (up to approximately 29 months)
Number of participants experiencing abnormal hepatic function, as measured by different parameters. ALT = Alanine aminotransferase AST = Aspartate aminotransferase ULN = Upper Limit of Normal
次要结局
- Duration of Response (DOR)(From date of first response to date of first objectively documented disease progression or death (up to approximately 42 weeks))
- Maximum Observed Plasma Concentration (Cmax) - Single Dose Administration(From drug administration in Cycle 1 Day 1 to 168 hours post drug administration)
- Area Under the Plasma Concentration-Time Curve in One Dosing Interval (AUC(0-24)) - Single Dose Administration(From drug administration in Cycle 1 Day 1 to 168 hours post drug administration)
- Apparent Terminal Phase Half-Life (T-HALF) - Single Dose Administration(From drug administration in Cycle 1 Day 1 to 168 hours post drug administration)
- Best Overall Response (BOR)(From first dose to date of first documented progression or subsequent therapy (up to approximately 28 months))
- Objective Response Rate (ORR)(From first dose to date of first documented progression or subsequent therapy (up to approximately 28 months))
- Progression Free Survival (PFS)(From first dose to date of first objectively documented disease progression or death (up to approximately 28 months))
- Progression Free Survival Rate (PFSR)(From first dose to 12 weeks, to 24 weeks, and to 48 weeks after first dose)
- Time of Maximum Observed Plasma Concentration (Tmax) - Single Dose Administration(From drug administration in Cycle 1 Day 1 to 168 hours post drug administration)
- Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinite Time (AUC(INF)) - Single Dose Administration(From drug administration in Cycle 1 Day 1 to 168 hours post drug administration)
- Apparent Total Body Clearance (CLT/F) - Single Dose Administration(From drug administration in Cycle 1 Day 1 to 168 hours post drug administration)
- Apparent Volume of Distribution of Terminal Phase (Vz/F) - Single Dose Administration(From drug administration in Cycle 1 Day 1 to 168 hours post drug administration)
- Maximum Observed Plasma Concentration (Cmax) - Multiple Dose Administration(From Cycle 1 Day 1 to Cycle 2 Day 5 (Schedule A) or to Cycle 2 Day 14 (Schedule B) or to Cycle 2 Day 7 (Schedule C))
- Time to Maximum Observed Plasma Concentration (Tmax) - Multiple Dose Administration(From Cycle 1 Day 1 to Cycle 2 Day 5 (Schedule A) or to Cycle 2 Day 14 (Schedule B) or to Cycle 2 Day 7 (Schedule C))
- Area Under the Plasma Concentration-Time Curve From Time Zero to Time of Last Quantifiable Concentration (AUC(0-T)) - Multiple Dose Administration(From Cycle 1 Day 1 to Cycle 2 Day 5 (Schedule A) or to Cycle 2 Day 14 (Schedule B) or to Cycle 2 Day 7 (Schedule C))
- Area Under the Plasma Concentration-Time Curve in One Dosing Interval (AUC(0-24)) - Multiple Dose Administration(From Cycle 1 Day 1 to Cycle 2 Day 5 (Schedule A) or to Cycle 2 Day 14 (Schedule B) or to Cycle 2 Day 7 (Schedule C))
- Minimum Observed Concentration Within a Dosing Interval (Cmin) - Multiple Dose Administration(From Cycle 1 Day 1 to Cycle 2 Day 5 (Schedule A) or to Cycle 2 Day 14 (Schedule B) or to Cycle 2 Day 7 (Schedule C))
- Concentration at the End of Dosing Interval (C24) - Multiple Dose Administration(From Cycle 1 Day 1 to Cycle 2 Day 5 (Schedule A) or to Cycle 2 Day 14 (Schedule B) or to Cycle 2 Day 7 (Schedule C))
- Trough Observed Plasma Concentration (Ctrough) - Multiple Dose Administration(From Cycle (C)2 Day (D)2 to C2D5 (Schedule A) or from C2D14 to C4D8 (Schedule B) or from C2D7 to C8D8 (Schedule C))
- Accumulation Index (AI) - Multiple Dose Administration(Cycle 2 Day 5 (Schedule A) or Cycle 2 Day 14 (Schedule B) or Cycle 2 Day 7 (Schedule C))
- Effective Elimination Half-Life (Effective T-HALF) - Multiple Dose Administration(Cycle 2 Day 5 (Schedule A) or Cycle 2 Day 14 (Schedule B) or Cycle 2 Day 7 (Schedule C))
- Ratio of Metabolite (BMT-161485) Maximum Observed Plasma Concentration (Cmax) to Parent (BMS-986158) Cmax - Multiple Dose Administration(From Cycle 1 Day 1 to Cycle 2 Day 5 (Schedule A) or to Cycle 2 Day 14 (Schedule B) or to Cycle 2 Day 7 (Schedule C))
- Ratio of Metabolite (BMT-161485) Area Under the Plasma Concentration-Time Curve From Time Zero to Time of Last Quantifiable Concentration (AUC(0-T)) to Parent (BMS-986158) AUC(0-T) - Multiple Dose Administration(From Cycle 1 Day 1 to Cycle 2 Day 5 (Schedule A) or to Cycle 2 Day 14 (Schedule B) or to Cycle 2 Day 7 (Schedule C))
- Ratio of Metabolite (BMT-161485) Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinite Time (AUC(INF)) to Parent (BMS-986158) AUC(INF) - Multiple Dose Administration(Cycle 1 Day 1)
- Ratio of Metabolite (BMT-161485) Area Under the Plasma Concentration-Time Curve in One Dosing Interval (AUC(0-24)) to Parent (BMS-986158) AUC(0-24) - Multiple Dose Administration(From Cycle 1 Day 1 to Cycle 2 Day 5 (Schedule A) or to Cycle 2 Day 14 (Schedule B) or to Cycle 2 Day 7 (Schedule C))
- Change From Baseline in Electrocardiogram Parameter QTcF(From Cycle 1 Day 1 to last dosing day in Cycle 2 (C2D8 for Schedule A, C2D14 for Schedule B, C2D7 for Schedule C).)
