A Randomized Phase 3 Open Label Study of Nivolumab Versus Bevacizumab and Multiple Phase 1 Safety Cohorts of Nivolumab or Nivolumab in Combination With Ipilimumab Across Different Lines of Glioblastoma
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- 入组人数
- 529
- 试验地点
- 87
- 主要终点
- Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses
研究概览
简要总结
The purpose of the study is to compare the efficacy and safety of nivolumab administered alone versus bevacizumab in patients diagnosed with recurrent glioblastoma (a type of brain cancer, also known as GBM), and to evaluate the safety and tolerability of nivolumab administered alone or in combination with ipilimumab in patients with different lines of GBM therapy.
详细描述
Allocation: Randomized (Cohorts 1, 2 and Part B of 1c/1d), Non-Randomized (Cohorts 1b, and Part A of 1c/1d)
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Participants with histologically confirmed Grade IV malignant glioma
- •Previous treatment with radiotherapy and temozolomide (Cohorts 1, 1b and 2 only)
- •First recurrence of GBM (Cohorts 1, 1b and 2 only)
- •First diagnosis of GBM with resectable disease (Cohorts 1c Part A only)
- •First diagnosis of unmethylated MGMT GBM (Cohort 1d and Cohort 1c Part B only)
- •Karnofsky performance score of 70 or higher
排除标准
- •More than 1 recurrence of GBM (Cohorts 1, 1b and 2 only)
- •Any recurrence of GBM (Cohorts 1c and 1d only)
- •Presence of extracranial metastatic or leptomeningeal disease
- •Active, known or suspected autoimmune disease
- •Clinically significant cardiovascular disease
- •Prior bevacizumab or other Vascular Endothelial Growth Factor (VEGF) or anti-angiogenic treatment (Cohort 2 only)
研究组 & 干预措施
Arm N:Nivolumab
Cohort 1, 1c, 1d and 2: Nivolumab specified dose on specified days
干预措施: Nivolumab (Biological)
Arm N + I:Nivolumab + Ipilimumab
Cohort 1: Nivolumab specified dose on specified days + Ipilimumab specified dose on specified days, then Nivolumab specified dose on specified days
Cohort 1b: Nivolumab specified dose on specified days + Ipilimumab specified dose on specified days, then Nivolumab specified dose on specified days
干预措施: Nivolumab (Biological)
Arm N + I:Nivolumab + Ipilimumab
Cohort 1: Nivolumab specified dose on specified days + Ipilimumab specified dose on specified days, then Nivolumab specified dose on specified days
Cohort 1b: Nivolumab specified dose on specified days + Ipilimumab specified dose on specified days, then Nivolumab specified dose on specified days
干预措施: Ipilimumab (Biological)
Arm B: Bevacizumab
Cohort 2: Bevacizumab specified dose on specified days
干预措施: Bevacizumab (Biological)
结局指标
主要结局
Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses
时间窗: Includes events reported between first dose and 30 days after last dose of study therapy (up to 3 doses, up to approximately 2 months)
The percentage of participants who experienced a drug-related adverse event leading to drug discontinuation by worst grade (grade 5 being the worst) prior to complete four-dose treatment. Toxicities were graded using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. MedDRA Version: 24.1
Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d
时间窗: From first dose to 30 days post last dose (up to approximately 34 months).
The percentage of participants who experienced an adverse event by worst grade in each treatment arm. Toxicities were graded using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. MedDRA Version: 24.1
Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d
时间窗: From first dose to 30 days post last dose (up to approximately 34 months).
The percentage of participants who experienced a serious adverse event by worst grade in each treatment arm. Toxicities were graded using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. MedDRA Version: 24.1
Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d
时间窗: From first dose to 30 days post last dose (up to approximately 34 months).
The percentage of participants who experienced a laboratory abnormality of the thyroid in each treatment arm. MedDRA Version: 24.1 Free T3 (FT3) Free T4 (FT4) Lower Limit of Normal (LLN) (A) Within a 2-week window after the abnormal TSH test date. (B) Includes participants with TSH abnormality and with no FT3/FT4 test values in the 2-week window or with non-abnormal value(s) from only one of the two tests and no value from the other test.
Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d
时间窗: From first dose to 30 days post last dose (up to approximately 34 months).
The percentage of participants who experienced a laboratory abnormality of the liver in each treatment arm. MedDRA Version: 24.1 Aspartate aminotransferase (AST) Alanine aminotransferase (ALT) Upper Limit of Normal (ULN) Denominator corresponds to participants with at least on one treatment measurement of the corresponding laboratory parameter. Includes laboratory results reported after the first dose and within 30 days of last dose of study therapy.
Overall Survival (OS) for Cohort 2
时间窗: Time between the date of randomization and the date of death due to any cause (up to up to 17Jun2019, approximately 5 years)
OS was measured in months from the time of randomization to the event date (death) due to any cause. A participant who has not died will be censored at the last known alive date. Based on Kaplan-Meier Estimates. Hazard ratio from Cox proportional hazard model stratified by presence of measurable lesions at baseline per IVRS. P-value from log-rank test stratified by presence of measurable lesions at baseline per IVRS.
次要结局
- Progression Free Survival (PFS) for Cohort 2(Time from randomization to the date of the first documented tumor progression or death due to any cause (up to approximately 10 years and 5 months))
- Objective Response Rate (ORR) for Cohort 2(Time from randomization to the date of the first documented tumor progression or death due to any cause (up to approximately 10 years and 5 months))
- Overall Survival (OS) for Cohorts 1c and 1d(Time between the date of randomization and the date of death due to any cause (up to approximately 10 years and 5 months))
- Overall Survival (OS) at 12 Months for Cohort 2(From randomization to 12 months following randomization)
