A Master Protocol of Phase 1/2 Studies of Nivolumab in Advanced NSCLC Using Nivolumab as Maintenance After Induction Chemotherapy or as First-line Treatment Alone or in Combination With Standard of Care Therapies (CheckMate 370: CHECKpoint Pathway and nivoluMAb Clinical Trial Evaluation 370)
Overview
- Phase
- Phase 1
- Intervention
- Bevacizumab
- Conditions
- Non-Small Cell Lung Cancer
- Sponsor
- Bristol-Myers Squibb
- Enrollment
- 341
- Locations
- 122
- Primary Endpoint
- Overall Survival (OS), Groups A-C Only
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The purpose of this study is to determine whether nivolumab monotherapy or in combination with Standard of care (SOC) therapies will provide clinical benefit (i.e., PFS, OS, and DOR) without unacceptable toxicity in advanced Non-Small Cell Lung Cancer patients.
Detailed Description
Epidermal Growth Factor Receptor (EGFR), Anaplastic Lymphoma Kinase (ALK) \*\*Please note that the study is no longer enrolling patients for Groups A, B, C, and E.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Histologically confirmed locally advanced or stage IV NSCLC
- •Eastern Cooperative Oncology Group (ECOG) Performance status (PS) 0-2
- •Tumor tissue sections must be available for biomarker evaluation
Exclusion Criteria
- •Untreated or active/progressing Central Nervous system (CNS) metastases
- •Active, known or suspected autoimmune disease
- •Known history of testing positive for HIV or AIDS
- •Active or chronic infection of hepatitis B virus or hepatitis C
Arms & Interventions
Group A SOC maintenance therapy
Bevacizumab specified dose on specified days Pemetrexed specified dose on specified days
Intervention: Bevacizumab
Group A Nivolumab
Opdivo specified dose on specified days
Intervention: Nivolumab
Group A Nivolumab + SOC maintenance therapy
Opdivo/Bevacizumab specified dose on specified days Opdivo/Pemetrexed specified dose on specified days
Intervention: Nivolumab
Group A Nivolumab + SOC maintenance therapy
Opdivo/Bevacizumab specified dose on specified days Opdivo/Pemetrexed specified dose on specified days
Intervention: Bevacizumab
Group A Nivolumab + SOC maintenance therapy
Opdivo/Bevacizumab specified dose on specified days Opdivo/Pemetrexed specified dose on specified days
Intervention: Pemetrexed
Group A SOC maintenance therapy
Bevacizumab specified dose on specified days Pemetrexed specified dose on specified days
Intervention: Pemetrexed
Group B Nivolumab
Opdivo specified dose on specified days
Intervention: Nivolumab
Group B Best supportive care
Therapy directed against specific symptoms of disease, i.e., palliative radiation or palliative surgery
Intervention: Best Supportive Care
Group C Investigator's choice chemotherapy
Carboplatin/nab-paclitaxel specified dose on specified days Carboplatin/paclitaxel specified dose on specified days Carboplatin/pemetrexed specified dose on specified days Carboplatin/docetaxel specified dose on specified days Carboplatin/gemcitabine specified dose on specified days Paclitaxel specified dose on specified days Docetaxel specified dose on specified days Gemcitabine specified dose on specified days Pemetrexed specified dose on specified days
Intervention: Pemetrexed
Group C Investigator's choice chemotherapy
Carboplatin/nab-paclitaxel specified dose on specified days Carboplatin/paclitaxel specified dose on specified days Carboplatin/pemetrexed specified dose on specified days Carboplatin/docetaxel specified dose on specified days Carboplatin/gemcitabine specified dose on specified days Paclitaxel specified dose on specified days Docetaxel specified dose on specified days Gemcitabine specified dose on specified days Pemetrexed specified dose on specified days
Intervention: nab-Paclitaxel
Group C Investigator's choice chemotherapy
Carboplatin/nab-paclitaxel specified dose on specified days Carboplatin/paclitaxel specified dose on specified days Carboplatin/pemetrexed specified dose on specified days Carboplatin/docetaxel specified dose on specified days Carboplatin/gemcitabine specified dose on specified days Paclitaxel specified dose on specified days Docetaxel specified dose on specified days Gemcitabine specified dose on specified days Pemetrexed specified dose on specified days
Intervention: Paclitaxel
Group C Investigator's choice chemotherapy
Carboplatin/nab-paclitaxel specified dose on specified days Carboplatin/paclitaxel specified dose on specified days Carboplatin/pemetrexed specified dose on specified days Carboplatin/docetaxel specified dose on specified days Carboplatin/gemcitabine specified dose on specified days Paclitaxel specified dose on specified days Docetaxel specified dose on specified days Gemcitabine specified dose on specified days Pemetrexed specified dose on specified days
Intervention: Docetaxel
Group C Investigator's choice chemotherapy
Carboplatin/nab-paclitaxel specified dose on specified days Carboplatin/paclitaxel specified dose on specified days Carboplatin/pemetrexed specified dose on specified days Carboplatin/docetaxel specified dose on specified days Carboplatin/gemcitabine specified dose on specified days Paclitaxel specified dose on specified days Docetaxel specified dose on specified days Gemcitabine specified dose on specified days Pemetrexed specified dose on specified days
Intervention: Gemcitabine
Group C Investigator's choice chemotherapy
Carboplatin/nab-paclitaxel specified dose on specified days Carboplatin/paclitaxel specified dose on specified days Carboplatin/pemetrexed specified dose on specified days Carboplatin/docetaxel specified dose on specified days Carboplatin/gemcitabine specified dose on specified days Paclitaxel specified dose on specified days Docetaxel specified dose on specified days Gemcitabine specified dose on specified days Pemetrexed specified dose on specified days
Intervention: Carboplatin
Group C Nivolumb
Opdivo specified dose on specified days
Intervention: Nivolumab
Group D Erlotinib
Erlotinib specified dose on specified days
Intervention: Erlotinib
Group D Nivolumab + Erlotinib
Opdivo/Erlotnib specified dose on specified days
Intervention: Nivolumab
Group D Nivolumab + Erlotinib
Opdivo/Erlotnib specified dose on specified days
Intervention: Erlotinib
Group E Nivolumab + Crizotinib
Opdivo/Crizotinib specified dose on specified days
Intervention: Nivolumab
Group E Nivolumab + Crizotinib
Opdivo/Crizotinib specified dose on specified days
Intervention: Crizotinib
Outcomes
Primary Outcomes
Overall Survival (OS), Groups A-C Only
Time Frame: up to approximately 60 months
Overall survival (OS) is defined as the time from randomization to the date of death.
Percentage of Participants With Treatment-related Adverse Events (AEs) Leading to Both Study Drugs Discontinuation, Group E Only
Time Frame: up to approximately 60 months
Percentage of participants who experienced a treatment-related AE during the course of the study that lead to discontinuation of both study drugs.
Progression-Free Survival (PFS), Groups A-D Only
Time Frame: up to approximately 48 months
Progression-free survival (PFS) is defined as the time from randomization to the date of the first documented tumor progression, as determined by investigators (per RECIST v1.1), or death due to any cause, whichever occurs first.
Secondary Outcomes
- Progression-Free Survival (PFS), Group E Only(up to approximately 48 months)
- Duration of Response (DOR), Groups A-D Only(up to approximately 48 months)
- Objective Response Rate (ORR), Groups A-E(up to approximately 48 months)
- Overall Survival (OS), Group D Only(up to approximately 60 months)