A Phase 1b/2 Study of BMS-813160 in Combination With Chemotherapy or Nivolumab in Patients With Advanced Solid Tumors
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 发起方
- 入组人数
- 332
- 试验地点
- 40
- 主要终点
- Number of Participants Experiencing Adverse Events (AEs)
研究概览
简要总结
The purpose of this study is to evaluate the safety profile, tolerability, drug levels, drug effects, and preliminary efficacy of BMS-813160 alone or in combination with either chemotherapy or nivolumab or chemotherapy plus nivolumab in participants with metastatic colorectal and pancreatic 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
- None
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
- •Must have metastatic colorectal or pancreatic cancer
- •Eastern Cooperative Oncology Group (ECOG) performance status of ≤1
- •Ability to swallow pills or capsules
- •Required to undergo mandatory pre and on-treatment biopsies
- •Adequate marrow function
- •Adequate other organ functions
- •Ability to comply with study visits, treatment, procedures, pharmacokinetic (PK) and pharmacodynamic (PD) sample collection, and required study follow-up
排除标准
- •Histology other than adenocarcinoma (neuroendocrine or acinar cell)
- •Suspected, known, or central nervous system (CNS) metastases (Imaging required only if participants are symptomatic)
- •Active, known or suspected autoimmune disease
- •Condition requiring systemic treatment with either corticosteroids (> 10 mg daily prednisone equivalents) or other immunosuppressive medications within 14 days of study treatment administration
- •Interstitial lung disease that is symptomatic or may interfere with the detection or management of suspected treatment-related pulmonary toxicity
- •Prior treatment with cysteine-cysteine chemokine receptor 2 (CCR2) and/or cysteine-cysteine chemokine receptor 5 (CCR5) inhibitors, programmed death-1 receptor (PD-1), programmed death-ligand 1 [PD(L)-1] or cytotoxic T-lymphocyte antigen-4 (CTLA-4) antibodies
- •History of allergy to study treatments or any of its components of the study arm that participant is enrolling
- •Other protocol-defined inclusion/exclusion criteria apply
研究组 & 干预措施
Part 1 Arm A [First-line (1L) Colorectal]: BMS-813160 followed by BMS-813160 + FOLFIRI
FOLFIRI: FOL (folinic acid [leucovorin]) F (fluorouracil [5-fluorouracil]) IRI (irinotecan [CAMPTOSAR])
干预措施: Leucovorin (Drug)
Part 2 Arm A Cohort 1a [2L Colorectal]: BMS-813160 + FOLFIRI
干预措施: 5-fluorouracil (5-FU) (Drug)
Part 1 Arm A [First-line (1L) Colorectal]: BMS-813160 followed by BMS-813160 + FOLFIRI
FOLFIRI: FOL (folinic acid [leucovorin]) F (fluorouracil [5-fluorouracil]) IRI (irinotecan [CAMPTOSAR])
干预措施: BMS-813160 (Drug)
Part 1 Arm A [First-line (1L) Colorectal]: BMS-813160 followed by BMS-813160 + FOLFIRI
FOLFIRI: FOL (folinic acid [leucovorin]) F (fluorouracil [5-fluorouracil]) IRI (irinotecan [CAMPTOSAR])
干预措施: 5-fluorouracil (5-FU) (Drug)
Part 1 Arm A [First-line (1L) Colorectal]: BMS-813160 followed by BMS-813160 + FOLFIRI
FOLFIRI: FOL (folinic acid [leucovorin]) F (fluorouracil [5-fluorouracil]) IRI (irinotecan [CAMPTOSAR])
干预措施: Irinotecan (Drug)
Part 1 Arm B [1L Pancreatic]: BMS-813160 followed by BMS-813160 + Gemcitabine/Nab-paclitaxel
干预措施: BMS-813160 (Drug)
Part 1 Arm B [1L Pancreatic]: BMS-813160 followed by BMS-813160 + Gemcitabine/Nab-paclitaxel
干预措施: Nab-paclitaxel (Drug)
Part 1 Arm B [1L Pancreatic]: BMS-813160 followed by BMS-813160 + Gemcitabine/Nab-paclitaxel
干预措施: Gemcitabine (Drug)
Part 1 Arm C [2L Pancreatic & 2/3L Colorectal MSS]: BMS-813160 followed by BMS-813160 + Nivolumab
2L: Second-line 2/3L: Second/third-line MSS: Microsatellite stable
干预措施: BMS-813160 (Drug)
Part 1 Arm C [2L Pancreatic & 2/3L Colorectal MSS]: BMS-813160 followed by BMS-813160 + Nivolumab
2L: Second-line 2/3L: Second/third-line MSS: Microsatellite stable
干预措施: Nivolumab (Biological)
Part 2 Arm A Cohort 1a [2L Colorectal]: BMS-813160 + FOLFIRI
干预措施: BMS-813160 (Drug)
Part 2 Arm A Cohort 1a [2L Colorectal]: BMS-813160 + FOLFIRI
干预措施: Leucovorin (Drug)
Part 2 Arm A Cohort 1a [2L Colorectal]: BMS-813160 + FOLFIRI
干预措施: Irinotecan (Drug)
Part 2 Arm A Cohort 1b [2L Colorectal]: BMS-813160 + FOLFIRI
干预措施: BMS-813160 (Drug)
Part 2 Arm A Cohort 1b [2L Colorectal]: BMS-813160 + FOLFIRI
干预措施: 5-fluorouracil (5-FU) (Drug)
Part 2 Arm A Cohort 1b [2L Colorectal]: BMS-813160 + FOLFIRI
干预措施: Leucovorin (Drug)
Part 2 Arm A Cohort 1b [2L Colorectal]: BMS-813160 + FOLFIRI
干预措施: Irinotecan (Drug)
Part 2 Arm A Cohort 1c [2L Colorectal]: FOLFIRI
干预措施: 5-fluorouracil (5-FU) (Drug)
Part 2 Arm A Cohort 1c [2L Colorectal]: FOLFIRI
干预措施: Leucovorin (Drug)
Part 2 Arm C Cohort 4 [2L Pancreatic]: BMS-813160 + Nivolumab
干预措施: Nivolumab (Biological)
Part 2 Arm A Cohort 1c [2L Colorectal]: FOLFIRI
干预措施: Irinotecan (Drug)
Part 2 Arm B Cohort 3a [1L Pancreatic]: BMS-813160 + Gemcitabine/Nab-paclitaxel
干预措施: BMS-813160 (Drug)
Part 2 Arm B Cohort 3a [1L Pancreatic]: BMS-813160 + Gemcitabine/Nab-paclitaxel
干预措施: Nab-paclitaxel (Drug)
Part 2 Arm B Cohort 3a [1L Pancreatic]: BMS-813160 + Gemcitabine/Nab-paclitaxel
干预措施: Gemcitabine (Drug)
Part 2 Arm B Cohort 3b [1L Pancreatic]: BMS-813160 + Nivolumab + Gemcitabine/Nab-paclitaxel
干预措施: BMS-813160 (Drug)
Part 2 Arm C Cohort 5 [2/3L Colorectal MSS]: BMS-813160 + Nivolumab
干预措施: BMS-813160 (Drug)
Part 2 Arm B Cohort 3b [1L Pancreatic]: BMS-813160 + Nivolumab + Gemcitabine/Nab-paclitaxel
干预措施: Nivolumab (Biological)
Part 2 Arm B Cohort 3b [1L Pancreatic]: BMS-813160 + Nivolumab + Gemcitabine/Nab-paclitaxel
干预措施: Nab-paclitaxel (Drug)
Part 2 Arm B Cohort 3b [1L Pancreatic]: BMS-813160 + Nivolumab + Gemcitabine/Nab-paclitaxel
干预措施: Gemcitabine (Drug)
Part 2 Arm B Cohort 3c [1L Pancreatic]: Gemcitabine/Nab-paclitaxel
干预措施: Nab-paclitaxel (Drug)
Part 2 Arm B Cohort 3c [1L Pancreatic]: Gemcitabine/Nab-paclitaxel
干预措施: Gemcitabine (Drug)
Part 2 Arm C Cohort 4 [2L Pancreatic]: BMS-813160 + Nivolumab
干预措施: BMS-813160 (Drug)
Part 2 Arm C Cohort 5 [2/3L Colorectal MSS]: BMS-813160 + Nivolumab
干预措施: Nivolumab (Biological)
Part 2 Arm D Cohort 7 [2L Pancreatic]: BMS-813160 Monotherapy
干预措施: BMS-813160 (Drug)
Part 2 Arm D Cohort 8 [2/3L Colorectal MSS]: BMS-813160 Monotherapy
干预措施: BMS-813160 (Drug)
结局指标
主要结局
Number of Participants Experiencing Adverse Events (AEs)
时间窗: From first dose up to 100 days post last dose, up to approximately 3 years
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)
时间窗: From first dose up to 100 days post last dose, up to approximately 3 years
A Serious Adverse Event (SAE) is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening (defined as an event in which the participant was at risk of death at the time of the event; it does not refer to an event which hypothetically might have caused death if it were more severe), requires inpatient hospitalization or causes prolongation of existing hospitalization.
Number of Participants Experiencing Dose-Limiting Toxicities (DLTs)
时间窗: From first dose up to 100 days post last dose, up to approximately 3 years
Dose-limiting toxicities (DLTs) are severe adverse effects (AEs) that are attributed to BMS-813160 or the combination regimen and define the maximum tolerated dose of a medicine. DLTs will be defined based on the incidence, duration and grade of AEs for which no alternate cause can be identified. AEs will be evaluated according to the NCI CTCAE v4.03. The incidence of DLT(s) during the first 6 weeks of treatment in Part 1 (the DLT evaluation period) and 4 weeks for Part 2 will be used.
Number of Participants Experiencing Adverse Events (AEs) Leading to Discontinuation
时间窗: From first dose up to 100 days post last dose, up to approximately 3 years
An Adverse Event (AE) leading to discontinuation 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 that leads to the discontinuation of study 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 Who Died
时间窗: From first dose up to 100 days post last dose, up to approximately 3 years
The number of participants who died within 100 days after receiving their last dose
Number of Participants Experiencing Laboratory Abnormalities
时间窗: From first dose up to 100 days post last dose, up to approximately 3 years
The number of participants experiencing laboratory abnormalities in pre-specified selected parameters during the treatment period per CTCAE (Version 4). Laboratory abnormalities 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.
Vital Signs
时间窗: From first dose to 100 days post last dose, up to approximately 3 years
Vital sign measurements at baseline and at the end of treatment. Baseline evaluations will be defined as evaluations with a date on or prior to the day of first dose of study treatment.
Number of Participants With Out-of-Range Electrocardiograms (ECG)
时间窗: From baseline up to 100 days post last dose
The number of participants with ECG measurements outside of the range pre-specified in the protocol.
Percent Change in Regulatory T Cells (Treg) in Tumor Samples
时间窗: From first dose up to prespecified timepoints listed below (C0D7; C0D14; C1D1; C1D15; C1D16; C1D28; C2D1)
The percent change in Regulatory T Cells (Treg) were taken at prespecified timepoints. Baseline is defined as the last non-missing value prior to the first dosing.
Percent Change in Tumor-Associated Macrophages (TAMs) in Tumor Samples
时间窗: From first dose up to prespecified timepoints listed below (C0D7; C0D14; C1D1; C1D15; C1D16; C1D28; C2D1)
The percent change in Tumor-Associated Macrophages (TAMs) were taken at prespecified timepoints. Baseline is defined as the last non-missing value prior to the first dosing.
Objective Response Rate (ORR)
时间窗: From first dose until disease progression, or the last response recorded (up to approximately 5 years)
Objective Response Rate (ORR) as determined by Investigator was defined as the number of participants with a best overall response of confirmed Complete Response (CR) or Partial Response (PR) (per RECIST 1.1 criteria) divided by the number of all treated participants. Progression is defined as at least 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. RECIST 1.1 = Response Evaluation Criteria in Solid Tumors. 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.
Duration of Response (DoR)
时间窗: From first dose up to date of disease progression or death, whichever occurs first (up to approximately 5 years)
Duration of Response (DOR), computed for all treated participants with a best overall response (BOR) of complete response (CR) or partial response (PR), is defined as the time between the date of first response (CR or PR) and the date of first documented disease progression as determined by RECIST 1.1 or death due to any cause, whichever occurs first, ie., DOR = disease progression date/death date -first response date + 1. For participants who remain alive and have not progressed, DOR will be censored on the date of their last tumor assessment. CR= Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR= At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Progression Free Survival (PFS) Rate at 24 Weeks
时间窗: From first dose up to Week 24
PFS rate is defined as the proportion of participants who were progression free at Week 24. PFS is defined as the time from first dose to the date of first objectively documented disease progression or death due to any cause, whichever occurs first. Progression is defined at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. Complete response (CR)= Disappearance of all target lesions. Pathological lymph nodes must have short axis reduction to \< 10 mm. Partial response (PR)= At least 30% decrease in sum of diameters of target lesions. Participants who died w/o prior progression were considered progressed on death date. Those alive and not progressed were censored on the last tumor assessment date. Those who started subsequent therapy without reported progression were censored at last tumor assessment prior to subsequent therapy. Those without post-baseline tumor assessment and alive were censored at first dose.
次要结局
- Maximim Concentration (Cmax)(From first dose up to the prespecified timepoints, C0D1, C0D14, and C2D1)
- Time to Maximum Concentration (Tmax)(From first dose up to the prespecified timpoints, C0D1, C0D14, AND C2D1)
- Trough Observed Plasma Concentration (Ctrough)(From first dose up to prespecified timepoints, C0D1, C5D1, C0D1, C1D15, C5D1)
- Area Under Curve (AUC) 0-8(From first dose up to prespecified timepoints- C0D1, C2D1)
- Area Under Curve (AUC) 0-24(From first dose up to prespecified timepoints-C0D1, C2D1)
- Apparent Total Body Clearance (CLT/F)(From first dose up to prespecified timepoints-C0D1, C2D14)
- Renal Clearance (CLR)(From first dose up to prespecified timepoints-C0D1, C0D14)
- Number of Participants Who Were Anti-Drug Antibody (ADA) Positive(From first dose up to prespecified timepoints-C1D1, C1D15, C2D1, C3D1, C5D1, C9D1)
