A Phase 1 Study of the Safety, Tolerability, and Efficacy of Anti-LAG-3 Monoclonal Antibody (BMS-986016) Administered Alone and in Combination With Anti-PD-1 Monoclonal Antibody (Nivolumab, BMS-936558) in Advanced Solid Tumors
Overview
- Phase
- Phase 1
- Intervention
- Relatlimab
- Conditions
- Cancer
- Sponsor
- Bristol-Myers Squibb
- Enrollment
- 35
- Locations
- 1
- Primary Endpoint
- Number of laboratory abnormalities
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
This study will be used to determine the safety and tolerability of BMS-986016 administered alone and in combination with Nivolumab in subjects with advanced solid tumors.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Must have histologic or cytologic confirmation of an incurable solid malignancy that is advanced (metastatic and/or unresectable)
- •Must have received, and then progressed or been intolerant to, standard treatment regimen in the advanced or metastatic setting, if such a therapy exists
- •Presence of at least one lesion with measurable disease as defined by RECIST v1.1 criteria for response assessment
- •Males and Females, ages 20 years or older, inclusive
Exclusion Criteria
- •Known or suspected CNS (central nervous system) metastases or with the CNS as the only site of active disease
- •Other concomitant malignancies (with some exceptions per protocol)
- •Any active autoimmune disease or history of known or suspected autoimmune disease
- •History of uncontrolled or significant cardiovascular disease
- •Other protocol defined inclusion/exclusion criteria could apply
Arms & Interventions
Monotherapy
Relatlimab (BMS-986016) administered every 2 weeks as a single agent intravenous formulation
Intervention: Relatlimab
Combination Therapy
Relatlimab (BMS-986016) will be administered in combination with Nivolumab every 2 weeks or every 4 weeks as an intravenous formulation
Intervention: Relatlimab
Combination Therapy
Relatlimab (BMS-986016) will be administered in combination with Nivolumab every 2 weeks or every 4 weeks as an intravenous formulation
Intervention: Nivolumab
Outcomes
Primary Outcomes
Number of laboratory abnormalities
Time Frame: Approximately 2.2 years
Number of serious adverse events (SAE)
Time Frame: Approximately 2.2 years
Number of deaths
Time Frame: Approximately 2.2 years
Number of adverse events (AE)
Time Frame: Approximately 2.2 years
Secondary Outcomes
- Time of maximum observed serum concentration (Tmax) of BMS-986016(Cycle 1, 2, 3, 4, 5, 9, 13, 17, 21 (28 days/cycle), 60-day follow-up, 135-day follow-up)
- Total body clearance (CLT) of BMS-986016(Cycle 1, 2, 3, 4, 5, 9, 13, 17, 21 (28 days/cycle), 60-day follow-up, 135-day follow-up)
- Accumulation index; ration of AUC(TAU) at steady state to AUC(TAU) after the first dose (AI_AUC) of BMS-986016(Cycle 1, 2, 3, 4, 5, 9, 13, 17, 21 (28 days/cycle), 60-day follow-up, 135-day follow-up)
- Maximum observed serum concentration (Cmax) of BMS-986016(Cycle 1, 2, 3, 4, 5, 9, 13, 17, 21 (28 days/cycle), 60-day follow-up, 135-day follow-up)
- Frequency of positive anti-drug antibody (ADA) to Nivolumab(Cycle 1, 2, 3, 5, 9, 13, 17, 21 (28 days/cycle), 60-day follow-up, 135-day follow-up)
- Trough observed serum concentration (Ctrough) of BMS-986016(Cycle 1, 2, 3, 4, 5, 9, 13, 17, 21 (28 days/cycle), 60-day follow-up, 135-day follow-up)
- Concentration at the end of a dosing interval (Ctau) of BMS-986016(Cycle 1, 2, 3, 4, 5, 9, 13, 17, 21 (28 days/cycle), 60-day follow-up, 135-day follow-up)
- Area under the serum concentration-time curve in 1 dosing interval [AUC(TAU)] of BMS-986016(Cycle 1, 2, 3, 4, 5, 9, 13, 17, 21 (28 days/cycle), 60-day follow-up, 135-day follow-up)
- Average concentration over a dosing interval [AUC(TAU)/tau] (Css,avg) of BMS-986016(Cycle 1, 2, 3, 4, 5, 9, 13, 17, 21 (28 days/cycle), 60-day follow-up, 135-day follow-up)
- Effective elimination half-life (T-HALFeff) that explains the degree of AUC accumulation observed (T-HALFeff AUC) of BMS-986016(Cycle 1, 2, 3, 4, 5, 9, 13, 17, 21 (28 days/cycle), 60-day follow-up, 135-day follow-up)
- Effective elimination half-life that explains the degree of Cmax accumulation observed (T-HALFeff Cmax) of BMS-986016(Cycle 1, 2, 3, 4, 5, 9, 13, 17, 21 (28 days/cycle), 60-day follow-up, 135-day follow-up)
- Ctau accumulation index; ratio of Ctau at steady state to Ctau after the first dose (AI_Ctau) of BMS-986016(Cycle 1, 2, 3, 4, 5, 9, 13, 17, 21 (28 days/cycle), 60-day follow-up, 135-day follow-up)
- Degree of fluctuation or fluctuation index ([Cmax - Ctau]/Css,avg) (DF) of BMS-986016(Cycle 1, 2, 3, 4, 5, 9, 13, 17, 21 (28 days/cycle), 60-day follow-up, 135-day follow-up)
- Volume of distribution at steady state (Vss) of BMS-986016(Cycle 1, 2, 3, 4, 5, 9, 13, 17, 21 (28 days/cycle), 60-day follow-up, 135-day follow-up)
- Best overall response (BOR)(Cycle 1, 2, 3, 4, 5, 9, 13, 17, 21 (28 days/cycle), 60-day follow-up, 135-day follow-up)
- Duration of response (DOR)(Cycle 1, 2, 3, 4, 5, 9, 13, 17, 21 (28 days/cycle), 60-day follow-up, 135-day follow-up)
- Frequency of positive anti-drug antibody (ADA) to BMS-986016(Cycle 1, 2, 3, 5, 9, 13, 17, 21 (28 days/cycle), 60-day follow-up, 135-day follow-up)
- Cmax accumulation index; ratio of Cmax at steady state to Cmax after the first dose (AI_Cmax) of BMS-986016(Cycle 1, 2, 3, 4, 5, 9, 13, 17, 21 (28 days/cycle), 60-day follow-up, 135-day follow-up)