Clinical Trials /

Study to Compare Adjuvant Immunotherapy of Bempegaldesleukin Combined With Nivolumab Versus Nivolumab After Complete Resection of Melanoma in Patients at High Risk for Recurrence

NCT04410445

Description:

The main purpose of this study is to compare the efficacy of bempegaldesleukin plus nivolumab versus nivolumab in patients with completely resected Stage IIIA/B/C/D, or Stage IV cutaneous melanoma who are at high risk for recurrence.

Related Conditions:
  • Cutaneous Melanoma
Recruiting Status:

Recruiting

Phase:

Phase 3

Trial Eligibility

Document

Title

  • Brief Title: Study to Compare Adjuvant Immunotherapy of Bempegaldesleukin Combined With Nivolumab Versus Nivolumab After Complete Resection of Melanoma in Patients at High Risk for Recurrence
  • Official Title: A Phase 3, Randomized, Open-label Study to Compare Adjuvant Immunotherapy of Bempegaldesleukin Combined With Nivolumab Versus Nivolumab After Complete Resection of Melanoma in Patients at High Risk for Recurrence (PIVOT-12)

Clinical Trial IDs

  • ORG STUDY ID: 20-214-29/CA045-022
  • NCT ID: NCT04410445

Conditions

  • Melanoma
  • Melanoma Stage III
  • Melanoma Stage IV
  • Melanoma (Skin)

Interventions

DrugSynonymsArms
BempegaldesleukinNKTR-214, BMS-986321Combination of bempegaldesleukin (NKTR-214) + nivolumab
NivolumabOpdivo®, BMS-936558Combination of bempegaldesleukin (NKTR-214) + nivolumab

Purpose

The main purpose of this study is to compare the efficacy of bempegaldesleukin plus nivolumab versus nivolumab in patients with completely resected Stage IIIA/B/C/D, or Stage IV cutaneous melanoma who are at high risk for recurrence.

Detailed Description

      The main purpose of this study is to compare the efficacy, as measured by recurrence-free
      survival (RFS) by blinded independent central review (BICR), of bempegaldesleukin plus
      nivolumab versus nivolumab in patients with completely resected Stage IIIA (lymph node [LN]
      metastasis > 1 mm), Stage IIIB/C/D, or Stage IV (American Joint Committee on Cancer [AJCC]
      8th edition) cutaneous melanoma with no evidence of disease (NED) who are at high risk for
      recurrence.
    

Trial Arms

NameTypeDescriptionInterventions
Combination of bempegaldesleukin (NKTR-214) + nivolumabExperimentalArm A: Participants will receive bempegaldesleukin (NKTR-214) IV in combination with nivolumab every 3 weeks.
  • Bempegaldesleukin
  • Nivolumab
NivolumabActive ComparatorArm B: Participants will receive nivolumab IV alone every 4 weeks.
  • Nivolumab

Eligibility Criteria

        Inclusion Criteria:

          -  Male or female patients, age 12 years or older at the time of signing the informed
             consent form (age 18 years or older where local regulations, countries, and/or
             institutional policies do not allow for patients < 18 years of age (adolescents) to
             participate). In regions where adolescents are not allowed to participate in the study
             due to age restrictions, enrolled patients must be ≥ 18 years of age.

          -  Histologically confirmed Stage IIIA (LN metastasis > 1 mm), IIIB/C/D, or IV
             (M1a/b/c/d) cutaneous melanoma by AJCC (8th edition) at study entry that has been
             completely surgically resected within 12 weeks prior to randomization.

          -  Tumor tissue available from biopsy or resected disease must be provided to central
             laboratory for PD-L1 status analysis. Must have PD-L1 expression classification for
             stratification purposes.

          -  Disease-free status documented by a complete physical examination and imaging studies
             within 28 days prior to randomization.

        Exclusion Criteria:

          -  History of ocular/uveal melanoma or mucosal melanoma.

          -  Active, known or suspected autoimmune disease. Patients with Type I diabetes mellitus,
             hypothyroidism only requiring hormone replacement, skin disorders not requiring
             systemic treatment, or conditions not expected to recur in the absence of an external
             trigger are permitted to enroll.

          -  Conditions requiring systemic treatment with either corticosteroids (> 10 mg daily
             prednisone equivalent) or other immunosuppressive medications within 14 days of
             randomization. Inhaled or topical steroids, and adrenal replacement steroid doses > 10
             mg daily prednisone equivalent, are permitted in the absence of active autoimmune
             disease.

          -  Prior therapy for melanoma except surgery for the melanoma lesion(s) and/or adjuvant
             radiation therapy for central nervous system lesions.

          -  Prior therapy with interferon, talimogene laherparepvec (Imylgic®), interleukin-2
             (IL-2) directed therapy, anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, or
             anti-cytotoxic T lymphocyte-associated protein 4 antibody (including ipilimumab or any
             other antibody or drug specifically targeting T cell co-stimulation or checkpoint
             pathways).

          -  Prior malignancy active within the previous 3 years except for locally potentially
             curable cancers that have been apparently cured.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:12 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:RFS of bempegaldesleukin plus nivolumab versus nivolumab alone by BICR, is defined as the time between date of randomization and date of first recurrence, new primary melanoma, or all-cause death
Time Frame:Approximately up to 60 months
Safety Issue:
Description:

Secondary Outcome Measures

Measure:Overall Survival (OS) defined as the time between the date of randomization and the date of death due to any cause
Time Frame:Approximately up to 83 months
Safety Issue:
Description:
Measure:Distant metastasis-free survival (DMFS) by BICR and by Investigator in patients who have Stage IIIA (LN metastasis > 1 mm) or IIIB/C/D melanoma at study entry.
Time Frame:Approximately up to 60 months
Safety Issue:
Description:To evaluate distant metastasis-free survival (DMFS) by BICR and by Investigator in patients who have Stage IIIA (LN metastasis > 1 mm) or IIIB/C/D melanoma at study entry. Distant Metastasis Free Survival is defined as the time between the date of randomization and the date of first distant metastasis or date of death due to any cause.
Measure:Overall safety and tolerability of bempegaldesleukin plus nivolumab will be measured by the incidence of AEs, SAEs, deaths, and laboratory abnormalities using CTCAE Version 5.0 criteria
Time Frame:Approximately up to 60 months
Safety Issue:
Description:
Measure:Patient Reported Outcomes will be measured by changes from baseline in scores for the global health/quality of life and physical functioning subscales of the European Organisation for Research and Treatment of Cancer Core Quality of Life Questionnaire
Time Frame:Approximately up to 60 months
Safety Issue:
Description:
Measure:The predictive strength of PD-L1 expression as a biomarker will be measured by the endpoint RFS by BICR based on PD-L1 expression level
Time Frame:Approximately up to 60 months
Safety Issue:
Description:
Measure:RFS by Investigator will be measured similarly to the primary endpoint, but recurrence and new primary melanoma will be decided by the Investigator
Time Frame:Approximately up to 60 months
Safety Issue:
Description:
Measure:Time to disease progression after the next line of treatment for study patients following discontinuation of bempegaldesleukin plus nivolumab versus nivolumab
Time Frame:Approximately up to 60 months
Safety Issue:
Description:To evaluate time to disease progression after the next line of treatment for study patients following discontinuation of bempegaldesleukin plus nivolumab versus nivolumab

Details

Phase:Phase 3
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Nektar Therapeutics

Trial Keywords

  • CD122-Biased Agonist
  • CD122-Biased Cytokine
  • IL-2 Receptor Agonist
  • NKTR-214
  • Bempegaldesleukin
  • IL-2
  • Immunotherapy
  • BEMPEG
  • Nivolumab
  • Opdivo®
  • NIVO
  • Adjuvant
  • Skin Cancer
  • Resectable Melanoma
  • High Risk of Recurrence Melanoma
  • Post Resection
  • Checkpoint Inhibitor

Last Updated

August 26, 2021