A Phase 1/2 Study of BMS-986253 in Combination With Nivolumab or Nivolumab Plus Ipilimumab in Advanced Cancers
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 发起方
- 入组人数
- 281
- 试验地点
- 72
- 主要终点
- Number of Participants Experiencing Adverse Events (AEs) - Part 1
研究概览
简要总结
The purpose of this study is to investigate experimental medication BMS-986253 in combination with Nivolumab or Nivolumab plus Ipilimumab in participants with advanced cancers.
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
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
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
- •Histologic or cytologic confirmation of a solid tumor that is advanced (metastatic, recurrent and/or unresectable) with measurable disease per RECIST v1.1
- •At least 1 lesion accessible for biopsy
- •Eastern Cooperative Oncology Group Performance Status of 0 or 1
排除标准
- •Participants with CNS metastases as the only site of active disease (Participants with controlled brain metastases; however, will be allowed to enroll)
- •Participants with active, known or suspected autoimmune disease
- •Participants with conditions requiring systemic treatment with either corticosteroids (> 10mg prednisone equivalents) or other immunosuppressive medications within 14 days of study treatment administration
- •Participants with a known history of testing positive for Human Immunodeficiency Virus (HIV) or known Acquired Immunodeficiency Syndrome (AIDS)
- •Cytotoxic agents, unless at least 4 weeks have elapsed from last dose of prior anti-cancer therapy and initiation of study therapy
- •Other protocol defined inclusion/exclusion criteria could apply
研究组 & 干预措施
Part 1C: BMS-986253 + nivolumab + ipilimumab
干预措施: BMS-986253 (Drug)
Part 1A: BMS-986253 + nivolumab
干预措施: BMS-986253 (Drug)
Part 1A: BMS-986253 + nivolumab
干预措施: Nivolumab (Biological)
Part 1B: BMS-986253 + nivolumab
干预措施: BMS-986253 (Drug)
Part 1B: BMS-986253 + nivolumab
干预措施: Nivolumab (Biological)
Part 1C: BMS-986253 + nivolumab + ipilimumab
干预措施: Nivolumab (Biological)
Part 1C: BMS-986253 + nivolumab + ipilimumab
干预措施: Ipilimumab (Biological)
Part 2A: BMS-986253 + nivolumab + ipilimumab
干预措施: BMS-986253 (Drug)
Part 2A: BMS-986253 + nivolumab + ipilimumab
干预措施: Nivolumab (Biological)
Part 2A: BMS-986253 + nivolumab + ipilimumab
干预措施: Ipilimumab (Biological)
Part 2B: Placebo + nivolumab + ipilimumab
干预措施: Nivolumab (Biological)
Part 2B: Placebo + nivolumab + ipilimumab
干预措施: Ipilimumab (Biological)
Part 2B: Placebo + nivolumab + ipilimumab
干预措施: Placebo (Other)
结局指标
主要结局
Number of Participants Experiencing Adverse Events (AEs) - Part 1
时间窗: From first dose up to 100 days after last dose (up to 65 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. This endpoint was prespecified in the protocol to include only participants in Part 1.
Number of Participants Experiencing Serious Adverse Events (SAEs) - Part 1
时间窗: From first dose up to 100 days after last dose (up to 65 months)
A serious adverse event is defined as any untoward medical occurrence that, at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is an important medical event. This endpoint was prespecified in the protocol to include only participants in Part 1.
Number of Participants Experiencing Dose Limiting Toxicities (DLTs) - Part 1
时间窗: From first dose up to 100 days after last dose (up to 65 months)
Dose-Limiting Toxicities (DLTs) are effects of a treatment that are serious enough to prevent an increase in dose of that treatment, as advised by the Dose Review Team. DLTs will be defined based on the incidence, intensity, and duration of AEs that are possibly related to study treatment. DLTs will include gastrointestinal, hepatic, hematologic, dermatologic, and other AEs. This endpoint was prespecified in the protocol to include only participants in Part 1.
Number of Participants Experiencing Adverse Events (AEs) Leading to Discontinuation - Part 1
时间窗: From first dose up to 100 days after last dose (up to 65 months)
Number of participants with any grade adverse events (AEs) leading to discontinuation of study treatment. 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 drug and that does not necessarily have a causal relationship with this treatment. Toxicities will be graded using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.03. This endpoint was prespecified in the protocol to include only participants in Part 1.
Number of Participants Who Died - Part 1
时间窗: From first dose up to 100 days after last dose (up to 65 months)
The number of participants who died due to any cause are summarized. This endpoint was prespecified in the protocol to include only participants in Part 1.
Most Frequently Reported Grade 3 and Grade 4 Laboratory Test Results - Part 1
时间窗: From first dose up to 30 days after last dose (up to 63 months)
Laboratory results were graded using the Common Terminology Criteria for Adverse Events (CTCAE) version 5.0. Laboratory tests 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. This endpoint was prespecified in the protocol to include only participants in Part 1.
Objective Response Rate (ORR) - Part 2
时间窗: From the date of the first dose to the date of first objectively documented progression per RECIST v1.1 or the date of subsequent therapy, whichever occurred first (up to approximately 22 months)
Objective Response Rate per blinded independent central review (BICR) is the percentage of participants who have a confirmed complete or partial best overall response (BOR) among participants who have measurable disease at baseline. Complete Response (CR) is defined as 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) is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Baseline was defined as evaluations or events that occur before the date and time of the first dose of study treatment or evaluations on the same date and time of the first dose of study treatment were also considered as baseline evaluations. This endpoint was prespecified in the protocol to include only participants in Part 2.
次要结局
- Objective Response Rate (ORR) - Part 1(From the date of the first dose to the date of first objectively documented progression per RECIST v1.1 or the date of subsequent therapy, whichever occurred first (up to approximately 74 months))
- Time to Maximum Concentration (Tmax) - Part 1(Cycle 1 Day 1)
- Duration of Response (DOR) - Part 1(From the date of the first dose to the date of first objectively documented progression per RECIST v1.1 or the date of subsequent therapy, whichever occurred first (up to approximately 74 months))
- Maximum Concentration (Cmax) - Part 1(Cycle 1 Day 1)
- AUC(0-T)-Area Under Curve From Time Zero up to Last Quantifiable Concentration - Part 1(0, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96 hours post-dose on Cycle 1 Day 1)
- AUC(TAU)-Area Under Curve in 1 Dosing Interval - Part 1(Cycle 1 Day 1)
- Observed Serum Concentration at the End of a Dosing Interval (Ctau) - Part 1(Cycle 1 Day 1)
- Total Body Clearance (CLT) - Part 1(Cycle 1 Day 1)
- Average Serum Concentration Over a Dosing Interval (Css-avg) - Part 1(Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1)
- AUC Accumulation Index (AI_AUC) - Part 1(Cycle 2 Day 1, Cycle 3 Day 1, and Cycle 4 Day 1)
- Effective Elimination (T-HALFeff) - Part 1(Cycle 2 Day 1, Cycle 3 Day 1, and Cycle 4 Day 1)
- Serum Trough Concentration (Ctrough) - Part 1(C1D15, C1D29, C2D1, C2D9, C2D15, C3D1, C4D1, C4D15, C5D1, C7D1, C9D1, C10D1, C14D1, C20D1, and C26D1)
- Number of Participants With Anti-Drug Antibodies (ADA) - Part 1(C1D1, C1D2, C1D8, C1D15, C1D22, C2D1, C2D2, C2D8, C2D15, C3D1, C4D1, C4D2, C4D8, C4D15, C4D22, C5D1, C9D1, C14D1, C20D1, C26D1, C32D1, C38D1, 30-day follow-up, 100-day follow-up)
- Change From Baseline in Interleukin 8 (IL-8)- Part 1(C1D2, C1D8, C1D15, C1D22, C1D29, C1D36, C2D1, C2D2, C2D8, C2D15, C2D22, C2D29, C3D1, C3D2, C3D8, C4D1, C4D2, C4D8, C4D15, C4D22, C5D1, C7D1, C8D1, C9D1, C10D1, C11D1, C14D1, C16D1, C17D1, C20D1, C23D1, C26D1, at last dose, and 100 days post last dose)
- Progression Free Survival (PFS) - Part 2(From the date of the first dose to the date of first objectively documented progression per RECIST v1.1 or the date of subsequent therapy, whichever occurred first (up to approximately 22 months))
- Number of Participants Experiencing Adverse Events (AEs) - Part 2(From first dose up to 100 days after last dose (up to 25 months))
- Number of Participants Experiencing Serious Adverse Events (SAEs) - Part 2(From first dose up to 100 days after last dose (up to 25 months))
- Number of Participants Experiencing Adverse Events (AEs) Leading to Discontinuation - Part 2(From first dose up to 100 days after last dose (up to 25 months))
- Number of Participants Who Died - Part 2(From first dose up to 100 days after last dose (up to 25 months))
- Most Frequently Reported Grade 3 and Grade 4 Laboratory Test Results - Part 2(From first dose up to 30 days after last dose (up to 23 months))
- Cmax Accumulation Index (AI_Cmax) - Part 1(Cycle 2 Day 1, Cycle 3 Day 1, and Cycle 4 Day 1)
- Ctau Accumulation Index (AI_Ctau) - Part 1(Cycle 2 Day 1, Cycle 3 Day 1, and Cycle 4 Day 1)
