Effectiveness Study of Nivolumab Compared to Placebo in Prevention of Recurrent Melanoma After Complete Resection of Stage IIB/C Melanoma
- Conditions
- Melanoma
- Interventions
- Other: PlaceboBiological: Nivolumab
- Registration Number
- NCT04099251
- Lead Sponsor
- Bristol-Myers Squibb
- Brief Summary
The purpose of this study is to determine the effectiveness of nivolumab adjuvant immunotherapy compared to placebo in adults and pediatric participants after complete resection of Stage IIB/C melanoma with no evidence of disease (NED) who are at high risk for recurrence.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 790
- Had a negative sentinel lymph node biopsy
- Participant has not been previously treated for melanoma
- ECOG 0 or 1
- Participants must have been diagnosed with histologically confirmed, Resected, Stage IIB/C cutaneous melanoma
- History of ocular or mucosal melanoma.
- Pregnant or nursing women
- Participants with active known or suspected autoimmune disease
- Known history of allergy or hypersensitivity to study drug components
- Prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, anti-CTLA-4 antibody, or agents that target IL-2 pathways, T-cell stimulators, or checkpoint pathways
Other protocol defined inclusion/exclusion criteria apply.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Placebo Placebo - Nivolumab Nivolumab -
- Primary Outcome Measures
Name Time Method Recurrence Free Survival (RFS) From randomization up to the date of first recurrence, new primary melanoma, or death (whatever the cause), whichever occurs first (up to 32 months) Recurrence Free Survival (RFS) is defined as the time between the date of randomization and the date of first recurrence (local, regional or distant metastasis), new primary melanoma (including melanoma in situ), or death (whatever the cause), whichever occurs first. For participants who remain alive and whose disease has not recurred or did not die, RFS will be censored on the date of last evaluable disease assessment. For those participants who remained alive and had no recorded post-randomization tumor assessment, RFS will be censored on the day of randomization.
- Secondary Outcome Measures
Name Time Method Progression-Free Survival Through Next-Line Therapy From randomization to recurrence/objective disease progression after the start of the next-line therapy, or to the start of a second next-line systemic therapy, or to death from any cause, whichever occurs first (up to approximately 32 months) Progression-free survival through next-line therapy (PFS2) is defined as the time from randomization to recurrence/objective disease progression after the start of the next-line of systemic anti-cancer therapy, or to the start of a second next-line systemic therapy, or to death from any cause, whichever occurs first. Participants who did not receive subsequent systemic anti-cancer therapy who died will be considered as having the event on the date of death. Participants who received subsequent systemic anti-cancer therapy who had a disease progression after the start of therapy will be considered as having the event on the date of disease progression. Participants who died or started second next-line therapy, the date of death or start date of second next-line therapy will be the event date, whichever is earlier. Participants who did not experience disease progression, death, or second next-line therapy will be censored on the last known alive date.
Number of Participants Experiencing Death From first dose up to 30 days post last dose of the blinded phase (up to 13 months) All study participants who died during the blinded phase of the study following treatment.
Distant Metastasis-Free Survival (DMFS) From randomization up to the date of first distant metastasis or date of death (whatever the cause), whichever occurs first (up to approximately 32 months) Investigator-assessed distant metastasis-free survival (DMFS) is defined as the time between the date of randomization and the date of first distant metastasis or date of death (whatever the cause), whichever occurs first. Participants with no baseline disease assessment, no on-study disease assessments and no death, and no distant metastasis and no death will be censored. Participants with no baseline disease assessment and no on-study disease assessments and death are censored on the date of randomization. Participants with no recurrence and no death will be censored on the date of their last evaluable disease assessment.
Duration of Treatment on Next Line Therapy Per Investigator Assessment From first dose date of next-line therapy to last dose date of next-line therapy (up to approximately 32 months) Duration of treatment is an investigator-assessed outcome of next-line therapy (NLT) defined as the time from first dose date of NLT to last dose date of NLT. Participants who did not stop the NLT were censored.
Number of Participants Experiencing Adverse Events Leading to Discontinuation From first dose up to 30 days post last dose of the blinded phase (up to 13 months) An Adverse Event (AE) is any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medical treatment or procedure that may or may not be considered related to the medical treatment or procedure.
Number of Participants Experiencing Select Adverse Events From first dose up to 30 days post last dose of the blinded phase (up to 13 months) The number of participants experiencing all-cause select adverse events (AEs). An AE is any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medical treatment or procedure that may or may not be considered related to the medical treatment or procedure.
Number of Participants Experiencing Adverse Events (AEs) From first dose up to 30 days post last dose of the blinded phase (up to 13 months) An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. Adverse events are graded on a scale from 1 to 5, with Grade 1 being mild and asymptomatic; Grade 2 is moderate requiring minimal, local or noninvasive intervention; Grade 3 is severe or medically significant but not immediately life-threatening; Grade 4 events are usually severe enough to require hospitalization; Grade 5 events are fatal.
Number of Participants Experiencing Serious Adverse Events (SAEs) From first dose up to 30 days post last dose of the blinded phase (up to 13 months) A Serious Adverse Events (SAE) is defined as any untoward or unfavorable medical occurrence in a participants that results in death, is life threatening, or places the participant at immediate risk of death from the event as it occurred, requires or prolongs hospitalization, causes persistent or significant disability or incapacity, results in congenital anomalies or birth defects, and is another condition which investigators judge to represent significant hazards.
Overall Survival (OS) From randomization up to the date of death or the last date the participant was known to be alive OS is defined as the time between the date of randomization and the date of death. For those without documentation of death, OS will be censored on the last date the participant was known to be alive.
Number of Participants Experiencing Grade 3 or 4 Laboratory Abnormalities in Selected Hematology Parameters From first dose up to 30 days post last dose of the blinded phase (up to 13 months) The number of participants experiencing Grade 3 or 4 laboratory abnormalities in the specific pre-determined hematology tests.
Number of Participants Experiencing Laboratory Abnormalities in Selected Liver Parameters From first dose up to 30 days post last dose of the blinded phase (up to 13 months) The number of participants experiencing laboratory abnormalities in the specific pre-determined liver tests.
Trial Locations
- Locations (129)
Local Institution - 0135
🇺🇸Baltimore, Maryland, United States
Local Institution - 0078
🇺🇸Boston, Massachusetts, United States
Local Institution - 0124
🇨🇦Kingston, Ontario, Canada
Local Institution - 0140
🇨🇦Toronto, Ontario, Canada
Local Institution - 0077
🇺🇸San Francisco, California, United States
Local Institution - 0081
🇺🇸Robbinsdale, Minnesota, United States
Local Institution - 0104
🇦🇺Nedlands, Western Australia, Australia
Local Institution - 0080
🇺🇸Los Angeles, California, United States
Local Institution - 0120
🇺🇸Vallejo, California, United States
Local Institution - 0141
🇺🇸Atlanta, Georgia, United States
Local Institution - 0132
🇺🇸Chicago, Illinois, United States
Local Institution - 0127
🇺🇸Boston, Massachusetts, United States
Local Institution - 0109
🇺🇸Vallejo, California, United States
Local Institution - 0031
🇺🇸Pittsburgh, Pennsylvania, United States
Local Institution - 0092
🇺🇸Allentown, Pennsylvania, United States
Local Institution - 0085
🇺🇸Dallas, Texas, United States
Local Institution - 0090
🇺🇸Fairfax, Virginia, United States
Local Institution - 0013
🇩🇰Odense, Denmark
Local Institution - 0074
🇨🇿Prague, Praha 2, Czechia
Local Institution - 0049
🇦🇹Graz, Austria
Local Institution - 0050
🇦🇹Salzburg, Austria
Local Institution - 0048
🇦🇹Wien, Austria
Local Institution - 0007
🇩🇰Aarhus N, Denmark
Local Institution - 0012
🇩🇰Herlev, Denmark
Local Institution - 0075
🇨🇿Ostrava-Poruba, Czechia
Local Institution - 0073
🇨🇿Praha 10, Czechia
Local Institution - 0110
🇫🇮Turku, Finland
Local Institution - 0129
🇫🇷Besancon Cedex, France
Local Institution - 0015
🇫🇮Tampere, Pirkanmaa, Finland
Local Institution - 0036
🇫🇷Paris, France
Local Institution - 0113
🇫🇷Brest, Finistère, France
Local Institution - 0084
🇬🇷Piraeus, Greece
Local Institution - 0067
🇪🇸A Coruña, Spain
Local Institution - 0071
🇪🇸Barcelona, Spain
Local Institution - 0065
🇪🇸Badalona, Spain
Local Institution - 0053
🇨ðŸ‡Lausanne, Switzerland
Local Institution - 0044
🇬🇧Cardiff, United Kingdom
Local Institution - 0066
🇪🇸Madrid, Spain
Local Institution - 0095
🇬🇧Southampton, United Kingdom
Local Institution - 0023
🇵🇱Gdansk, Poland
Local Institution - 0021
🇷🇴Sector 2, Romania
Local Institution - 0020
🇷🇴Craiova, Romania
Local Institution - 0026
🇸🇪Orebro, Sweden
Local Institution - 0068
🇪🇸Malaga, Spain
Local Institution - 0069
🇪🇸Valencia, Spain
Local Institution - 0064
🇪🇸Santander, Spain
Local Institution - 0052
🇨ðŸ‡Zuerich, Switzerland
Local Institution - 0003
🇸🇪Linköping, Östergötlands Län [se-05], Sweden
Local Institution - 0070
🇪🇸Madrid, Spain
Local Institution - 0088
🇺🇸Birmingham, Alabama, United States
Local Institution - 0091
🇺🇸Aurora, Colorado, United States
Local Institution - 0079
🇺🇸Omaha, Nebraska, United States
Local Institution - 0018
🇦🇺Waratah, New South Wales, Australia
Local Institution - 0019
🇦🇺Box Hill, Victoria, Australia
Local Institution - 0016
🇦🇺Wollstonecraft, New South Wales, Australia
Local Institution - 0087
🇺🇸Springdale, Arkansas, United States
Local Institution - 0126
🇺🇸Tucson, Arizona, United States
Local Institution - 0122
🇺🇸San Jose, California, United States
Local Institution - 0121
🇺🇸Vallejo, California, United States
Local Institution - 0119
🇺🇸San Francisco, California, United States
Local Institution - 0089
🇺🇸Washington, District of Columbia, United States
Local Institution - 0143
🇺🇸Boston, Massachusetts, United States
Local Institution - 0099
🇺🇸Cleveland, Ohio, United States
Local Institution - 0093
🇺🇸Hackensack, New Jersey, United States
Local Institution - 0094
🇺🇸New York, New York, United States
Local Institution - 0086
🇺🇸Charlotte, North Carolina, United States
Local Institution - 0105
🇦🇺Cairns, Queensland, Australia
Local Institution - 0025
🇦🇺Westmead, New South Wales, Australia
Local Institution - 0008
🇧🇪Kortrijk, Belgium
Local Institution - 0116
🇨🇦Montreal, Quebec, Canada
Local Institution - 0056
🇩🇪München, Bayern, Germany
Local Institution - 0131
🇨🇦Halifax, Nova Scotia, Canada
Local Institution - 0024
🇦🇺Herston, Queensland, Australia
Local Institution - 0128
🇦🇺Malvern, Victoria, Australia
Local Institution - 0111
🇫🇷Lille, France
Local Institution - 0011
🇧🇪Gent, Belgium
Local Institution - 0142
🇨🇦Hamilton, Ontario, Canada
Local Institution - 0022
🇵🇱Warszawa, Poland
Local Institution - 0017
🇦🇺Greenslopes, Queensland, Australia
Local Institution - 0014
🇫🇮Helsinki, Etelä-Suomen Lääni, Finland
Local Institution - 0123
🇨🇦Sherbrooke, Quebec, Canada
Local Institution - 0148
🇺🇸Germantown, Tennessee, United States
Local Institution - 0076
🇺🇸Portland, Oregon, United States
Local Institution - 0028
🇧🇪Charleroi, Belgium
Local Institution - 0010
🇧🇪Liège, Belgium
Local Institution - 0134
🇨🇦Calgary, Alberta, Canada
Local Institution - 0051
🇦🇹Innsbruck, Austria
Local Institution - 0032
🇫🇷Pierre Benite Cedex, France
Local Institution - 0098
🇩🇪Dresden, Germany
Local Institution - 0062
🇩🇪Gera, Germany
Local Institution - 0102
🇩🇪Regensburg, Germany
IRCCS Istituto Nazionale Tumori Milano
🇮🇹Milano, Italy
Istituto Nazionale Tumori Fondazione Pascale
🇮🇹Napoli, Italy
Istituto Oncologico Veneto IOV
🇮🇹Padova, Italy
Local Institution - 0106
🇦🇺Melbourne, Victoria, Australia
Local Institution - 0138
🇦🇺Southport, Queensland, Australia
Local Institution - 0125
🇦🇺Geelong, Victoria, Australia
Local Institution - 0112
🇫🇷Bordeaux, France
Istituto Europeo di Oncologia IRCCS
🇮🇹Milano, Italy
Azienda Ospedaliera Universitaria Senese
🇮🇹Siena, Italy
Local Institution - 0061
🇩🇪Buxtehude, Germany
Local Institution - 0082
🇬🇷Athina, Greece
Local Institution - 0114
🇩🇪Goettingen, Germany
Local Institution - 0060
🇩🇪Hannover, Germany
Local Institution - 0055
🇩🇪Heidelberg, Germany
Local Institution - 0058
🇩🇪Tuebingen, Germany
A.O.U. Policlinico Paolo Giaccone
🇮🇹Palermo, Sicilia, Italy
Azienda Ospedaliera Di Perugia
🇮🇹Perugia, Italy
Local Institution - 0047
🇷🇴Cluj-Napoca, Romania
Local Institution - 0033
🇫🇷Marseille, France
Local Institution - 0130
🇫🇷Nice, France
Local Institution - 0034
🇫🇷Villejuif, France
Local Institution - 0057
🇩🇪Lubeck, Germany
Local Institution - 0083
🇬🇷Thessaloniki, Greece
Local Institution - 0107
🇳🇱Breda, Netherlands
Local Institution - 0001
🇳🇱Groningen, Netherlands
Local Institution - 0063
🇳🇴Bergen, Norway
Local Institution - 0027
🇳🇴Gralum, Norway
Local Institution - 0005
🇳🇴Oslo, Norway
Local Institution - 0035
🇫🇷Nantes, France
Local Institution - 0072
🇩🇪Bonn, Germany
Local Institution - 0054
🇩🇪Essen, Germany
Local Institution - 0100
🇩🇪Mainz, Germany
ASST Papa Giovanni XXIII
🇮🇹Bergamo, Italy
Local Institution - 0030
🇳🇱Rotterdam, Netherlands
Local Institution - 0002
🇳🇱Utrecht, Netherlands
Local Institution - 0103
🇵🇱Poznan, Wielkopolskie, Poland
Local Institution - 0144
🇺🇸Austin, Texas, United States
Local Institution - 0133
🇨🇦Vancouver, British Columbia, Canada