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A Study of Nivolumab by Itself or Nivolumab Combined With Ipilimumab in Patients With Advanced or Metastatic Solid Tumors

NCT01928394

Description:

To investigate the safety and efficacy of nivolumab as a single agent or in combination with ipilimumab in 6 tumor types - triple-negative breast cancer (TNBC), gastric cancer (GC), pancreatic adenocarcinoma (PC), small cell lung cancer (SCLC), bladder cancer (BC), and ovarian cancer (OC). A combination of nivolumab with ipilimumab and cobimetinib is also investigated in PC.

Related Conditions:
  • Bladder Carcinoma
  • Breast Carcinoma
  • Gastric Carcinoma
  • Pancreatic Carcinoma
  • Small Cell Lung Carcinoma
Recruiting Status:

Active, not recruiting

Phase:

Phase 1/Phase 2

Trial Eligibility

Document

Title

  • Brief Title: A Study of Nivolumab by Itself or Nivolumab Combined With Ipilimumab in Patients With Advanced or Metastatic Solid Tumors
  • Official Title: A Phase 1/2, Open-label Study of Nivolumab Monotherapy or Nivolumab Combined With Ipilimumab in Subjects With Advanced or Metastatic Solid Tumors

Clinical Trial IDs

  • ORG STUDY ID: CA209-032
  • SECONDARY ID: 2013-002844-10
  • NCT ID: NCT01928394

Conditions

  • Advanced or Metastatic Solid Tumors

Interventions

DrugSynonymsArms
NivolumabBMS-936558, MDX-1106Arm N - Nivolumab
IpilimumabYervoy, BMS-734016, MDX-010Arm N-I, Level 1: Nivolumab+Ipilimumab
CobimetinibCotellicArm N-I, Level 2d: Nivolumab+Ipilimumab+Cobimetinib

Purpose

To investigate the safety and efficacy of nivolumab as a single agent or in combination with ipilimumab in 6 tumor types - triple-negative breast cancer (TNBC), gastric cancer (GC), pancreatic adenocarcinoma (PC), small cell lung cancer (SCLC), bladder cancer (BC), and ovarian cancer (OC). A combination of nivolumab with ipilimumab and cobimetinib is also investigated in PC.

Detailed Description

      All tumor types are now closed for enrollment:

      Triple Negative Breast Cancer

      Gastric Cancer

      Pancreatic Cancer

      Small Cell Lung Cancer

      Bladder Cancer

      Ovarian Cancer
    

Trial Arms

NameTypeDescriptionInterventions
Arm N - NivolumabExperimentalNivolumab 3 mg/kg solution intravenously every 2 weeks until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends
  • Nivolumab
Arm N-I, Level 1: Nivolumab+IpilimumabExperimentalNivolumab 1 mg/kg solution intravenously plus Ipilimumab 1 mg/kg solution every 3 weeks for 4 doses followed by Nivolumab 3 mg/kg every 2 weeks until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends
  • Nivolumab
  • Ipilimumab
Arm N-I, Level 2: Nivolumab+IpilimumabExperimentalNivolumab 1 mg/kg solution intravenously plus Ipilimumab 3 mg/kg every 3 weeks for 4 doses followed by nivolumab 3 mg/kg every 2 weeks until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends
  • Nivolumab
  • Ipilimumab
Arm N-I, Level 2b: Nivolumab+IpilimumabExperimentalNivolumab 3 mg/kg solution intravenously plus Ipilimumab 1 mg/kg every 3 weeks for 4 doses followed by nivolumab 3 mg/kg every 2 weeks until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends
  • Nivolumab
  • Ipilimumab
Arm N-I, Level 2c: Nivolumab+IpilimumabExperimentalNivolumab 3 mg/kg solution intravenously every 3 weeks combined with ipilimumab 1 mg/kg every 6 weeks until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends
  • Nivolumab
  • Ipilimumab
Arm N-I, Level 2d: Nivolumab+Ipilimumab+CobimetinibExperimentalNivolumab 3 mg/kg solution intravenously every 3 weeks combined with ipilimumab 1 mg/kg every 6 weeks and cobimetinib 60mg once daily 21days on/7 days off until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends
  • Nivolumab
  • Ipilimumab
  • Cobimetinib

Eligibility Criteria

        For more information regarding BMS clinical trial participation, please visit
        www.BMSStudyConnect.com

        Inclusion Criteria:

          -  Subjects with histologically or cytologically confirmed locally advanced or metastatic
             disease of the following tumor types:

          -  Triple Negative Breast Cancer

          -  Gastric Cancer

          -  Pancreatic Cancer

          -  Small Cell Lung Cancer

          -  Bladder Cancer

          -  Ovarian Cancer

          -  Subjects must have measurable disease

          -  Eastern Cooperative Oncology Group (ECOG) of 0 or 1

          -  Adequate hematological and organ function as confirmed by laboratory values

        Exclusion Criteria:

          -  Active brain metastases or leptomeningeal metastases

          -  Subjects with active, known or suspected autoimmune disease

          -  Subjects with a condition requiring systemic treatment with either corticosteroids
             (>10 mg daily prednisone equivalents) or other immunosuppressive medications within 14
             days of treatment

          -  Prior therapy with experimental anti-tumor vaccines; any T cell co-stimulation or
             checkpoint pathways, such as anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, or
             anti-CTLA-4 antibody, including Ipilimumab; or other medicines specifically targeting
             T cell is also prohibited
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Objective Response Rate ( ORR )
Time Frame:60 months
Safety Issue:
Description:The number of participants with a best overall response (BOR) of complete response (CR) or partial response (PR) divided by the number of treated participants.

Details

Phase:Phase 1/Phase 2
Primary Purpose:Interventional
Overall Status:Active, not recruiting
Lead Sponsor:Bristol-Myers Squibb

Last Updated

August 11, 2020