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A Study of Two Different Dose Combinations of Nivolumab in Combination With Ipilimumab in Subjects With Previously Untreated, Unresectable or Metastatic Melanoma

Phase 3
Completed
Conditions
Melanoma
Interventions
Biological: Nivolumab 1 mg/kg IV
Biological: Nivolumab 3 mg/kg IV
Biological: Nivolumab 6 mg/kg IV
Biological: Ipilimumab 1 mg/kg IV
Biological: Ipilimumab 3 mg/kg IV
Registration Number
NCT02714218
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

The purpose of this study is to evaluate two different dose combinations of nivolumab and ipilimumab in the treatment of melanoma.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
387
Inclusion Criteria
  • Subject must have been diagnosed with stage III or/and stage IV histologically confirmed melanoma [per American Joint Committee on Cancer (AJCC) staging system] that is unresectable or metastatic
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
  • Subject has not been treated by systemic anticancer therapy for unresectable or metastatic melanoma
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Exclusion Criteria
  • Subjects with active brain metastases or leptomeningeal metastases
  • Subjects with ocular melanoma
  • Subjects with active, known or suspected autoimmune disease

Other protocol defined inclusion/exclusion criteria could apply

Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Ipilimumab 3 mg/kg IV + Nivolumab 1 mg/kg IVNivolumab 1 mg/kg IVSpecified dose on specified days
Nivolumab 6 mg/kg IV + Ipilimumab 1 mg/kgNivolumab 6 mg/kg IVSpecified dose on specified days
Nivolumab 3 mg/kg IV + Ipilimumab 1 mg/kg IVIpilimumab 1 mg/kg IVSpecified dose on specified days
Ipilimumab 3 mg/kg IV + Nivolumab 1 mg/kg IVIpilimumab 3 mg/kg IVSpecified dose on specified days
Nivolumab 6 mg/kg IV + Ipilimumab 1 mg/kgIpilimumab 1 mg/kg IVSpecified dose on specified days
Nivolumab 3 mg/kg IV + Ipilimumab 1 mg/kg IVNivolumab 3 mg/kg IVSpecified dose on specified days
Primary Outcome Measures
NameTimeMethod
The Percentage of Participants With Drug-Related Grade 3 - 5 Adverse Events (AEs)From first dose of study treatment up to primary completion date 20-Apr-2017 (up to approximately 12 months)

The percentage of participants who experienced at least 1 AE of Grade 3 or higher, judged to be related to study drug by the investigator, and with onset on or after the first dose of study treatment and within 30 days of the last dose of study treatment. AE grade was defined using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.0 criteria.

Secondary Outcome Measures
NameTimeMethod
Progression Free Survival (PFS)From randomization to the first date of documented progression or death due to any cause, whichever occurs first (up to approximately 5 years)

The time between the date of randomization and the first date of documented progression, determined by the investigator, or death due to any cause, whichever occurs first. Participants who die without a reported progression will be considered to have progressed on the date of their death. Those who did not progress or die will be censored on the date of their last evaluable tumor assessment. Participants without on study tumor assessments and who did not die will be censored on their date of randomization. Participants who started anti-cancer therapy without a prior reported progression will be censored on the date of their last evaluable tumor assessment prior to the initiation of subsequent anti-cancer therapy. Based on Kaplan-Meier Estimates. Progression is defined as at least a 20% increase in the sum of diameters of target lesions. 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).

Objective Response Rate (ORR)From date of randomization to date of objectively documented progression or the date of subsequent anti-cancer therapy, whichever occurs first (up to approximately 5 years)

The percentage of participants with a best overall response (BOR) of complete response (CR) or partial response (PR). BOR is defined as the best response, as determined by the investigator, recorded between the date of randomization and the date of progression per RECIST 1.1 or the date of subsequent anticancer therapy, whichever occurred first. For subjects without documented progression or subsequent therapy, all available response designations will contribute to the BOR assessment. Tumor assessments are scheduled at Week 12 following randomization, every 8 weeks for the first 12 months and then every 12 weeks until disease progression. Complete Response (CR): 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): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Role Functioning ScaleWeeks 7, 16, 20, 24, 28, 32, 36, 40

Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Role Functioning Scale sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points.

Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Social Functioning ScaleWeeks 7, 16, 20, 24, 28, 32, 36, 40

Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Social Functioning Scale sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points.

Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Global Health StatusWeeks 7, 16, 20, 24, 28, 32, 36, 40

Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The EORTC QLQ-C30 comprises 6 functional scales (role function, physical functioning, cognitive functioning, emotional functioning, social functioning and global quality of life) as well as nine symptom scales (fatigue, pain, nausea/vomiting, dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). With the exception of 2 items included in the global health/quality of life scale, for which responses range from 1 (Very poor) to 7 (Excellent), item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores for all functional scales and Global Health Status indicate better HRQoL; an increase from baseline indicates improvement in HRQoL compared to baseline.

Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) InsomniaWeeks 7, 16, 20, 24, 28, 32, 36, 40

Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Insomnia sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points.

Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) DyspneaWeeks 7, 16, 20, 24, 28, 32, 36, 40

Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Dyspnea sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points.

Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Appetite LossWeeks 7, 16, 20, 24, 28, 32, 36, 40

Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Appetite loss sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points.

Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) ConstipationWeeks 7, 16, 20, 24, 28, 32, 36, 40

Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Constipation sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points

Overall Survival (OS)From date of randomization until the date of first documented progression or date of death from any cause, whichever came first (up tp approximately 5 years)

The time between the date of randomization and the date of death due to any cause. A participant who has not died will be censored at the last known alive date. OS will be followed continuously while participants are on the study drug and every 3 months via in-person or phone contact after participants discontinue the study drug. Based on Kaplan-Meier Estimates.

Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Physical Functioning ScaleWeeks 7, 16, 20, 24, 28, 32, 36, 40

Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Physical Functioning Scale sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points.

Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Emotional Functioning ScaleWeeks 7, 16, 20, 24, 28, 32, 36, 40

Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Emotional Functioning Scale sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points.

Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Cognitive Functioning ScaleWeeks 7, 16, 20, 24, 28, 32, 36, 40

Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Cognitive Functioning Scale sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points.

Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) DiarrheaWeeks 7, 16, 20, 24, 28, 32, 36, 40

Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Diarrhea sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points.

Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Nausea and VomitingWeeks 7, 16, 20, 24, 28, 32, 36, 40

Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Nausea and Vomiting sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points for the various scales of the EORTC QLQ-C30

Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) FatigueWeeks 7, 16, 20, 24, 28, 32, 36, 40

Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Fatigue sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points

Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Financial DifficultiesWeeks 7, 16, 20, 24, 28, 32, 36, 40

Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Financial difficulties sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points

Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) PainWeeks 7, 16, 20, 24, 28, 32, 36, 40

Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Pain sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points

Trial Locations

Locations (44)

Allina Health

🇺🇸

Fridley, Minnesota, United States

Washington University School Of Medicine

🇺🇸

Saint Louis, Missouri, United States

Dartmouth-Hitchcock Medical Center

🇺🇸

Lebanon, New Hampshire, United States

John Theurer Cancer Center at Hackensack University Medical Center

🇺🇸

Hackensack, New Jersey, United States

University Of Virginia Health System

🇺🇸

Charlottesville, Virginia, United States

Levine Cancer Institute

🇺🇸

Charlotte, North Carolina, United States

Lehigh Valley Health Network

🇺🇸

Allentown, Pennsylvania, United States

Local Institution - 0045

🇦🇺

Waratah, New South Wales, Australia

Local Institution

🇬🇧

London, United Kingdom

Local Institution - 0007

🇨🇦

Edmonton, Alberta, Canada

Princess Margaret Cancer Centre

🇨🇦

Toronto, Ontario, Canada

CHU de Quebec - Universite Laval

🇨🇦

Quebec, Canada

Hopital Saint Louis

🇫🇷

Paris, France

Local Institution - 0065

🇩🇰

Herlev, Denmark

Local Institution - 0063

🇩🇰

Aarhus N, Denmark

Hopital Saint Andre

🇫🇷

Bordeaux, France

Local Institution - 0064

🇩🇰

Odense, Denmark

Centre Hospitalier Lyon Sud

🇫🇷

Pierre Benite, France

Local Institution - 0019

🇫🇷

Villejuif, France

Chru De Lille

🇫🇷

Lille, France

Hopital De La Timone

🇫🇷

Marseille Cedex 5, France

Hopital Hotel Dieu

🇫🇷

Nantes Cedex, France

Institut Claudius Regaud

🇫🇷

Toulouse Cedex 9, France

Universitaetsklinikum Essen

🇩🇪

Essen, Germany

Universitaetsklinikum Heidelberg

🇩🇪

Heidelberg, Germany

Ludwig-Maximilians-Universitaet

🇩🇪

Muenchen, Germany

Universitaetsklinikum Tuebingen

🇩🇪

Tuebingen, Germany

Local Institution - 0039

🇮🇹

Bergamo, Italy

Local Institution - 0042

🇮🇹

Milano, Italy

Local Institution - 0041

🇮🇹

Siena, Italy

Local Institution - 0040

🇮🇹

Napoli, Italy

Istituto Oncologico Veneto IOV

🇮🇹

Padova, Italy

Local Institution - 0052

🇳🇱

Amsterdam, Netherlands

Klinika Nowotworow Tkanek Miekkich, Kosci i Czerniakow

🇵🇱

Warszawa, Poland

Ospedale San Vincenzo

🇮🇹

Taormina, Italy

Local Institution - 0024

🇪🇸

Barcelona, Spain

Local Institution - 0027

🇪🇸

Madrid, Spain

University Medical Center Groningen (Umcg)

🇳🇱

Groningen, Netherlands

Uniwersyteckie Centrum Kliniczne Klinika Onkologii I Radiote

🇵🇱

Gdansk, Poland

Klinika Nowotworow Ukladowych i Uogolnionych

🇵🇱

Krakow, Poland

University Of Colorado Cancer Center

🇺🇸

Aurora, Colorado, United States

H. Lee Moffitt Cancer Center

🇺🇸

Tampa, Florida, United States

Comprehensive Cancer Centers of Nevada

🇺🇸

Las Vegas, Nevada, United States

University of Washington - Seattle Cancer Care Alliance

🇺🇸

Seattle, Washington, United States

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