Safety, Tolerability, Pharmacokinetics, and Immunoregulatory Study of Urelumab (BMS-663513) in Subjects With Advanced and/or Metastatic Solid Tumors and Relapsed/Refractory B-cell Non-Hodgkin's Lymphoma

NCT ID: NCT01471210

Last Updated: 2017-04-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

124 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-02-29

Study Completion Date

2016-04-30

Brief Summary

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The purpose of the study is to assess the safety, tolerability, pharmacokinetics and immunoregulatory activity of urelumab (BMS-663513) in cancer subjects with advanced and/or metastatic tumors and relapsed/refractory B-Cell Non-Hodgkin's Lymphoma

Detailed Description

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Conditions

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Cancer - Solid Tumors and B-Cell Non-Hodgkin's Lymphoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Part 1 : Urelumab (BMS-663513) Dose escalation

Urelumab (BMS-663513) solution administered intravenously on specified days

Group Type EXPERIMENTAL

Urelumab (BMS-663513)

Intervention Type DRUG

Part 2 : Urelumab (BMS-663513) Cohort Expansion

Urelumab (BMS-663513) solution administered intravenously on specified days

Group Type EXPERIMENTAL

Urelumab (BMS-663513)

Intervention Type DRUG

Part 3:Urelumab (BMS-663513) Tumor-specific Cohort Expansions

Enrollment of subjects of three specific tumor types \[(colorectal cancer (CRC), head and neck squamous cell carcinoma (SCCHN), and B-Cell non-Hodgkin's lymphoma (B-NHL)\] who will be treated at the Maximum Tolerated Dose (MTD) (or highest dose tested)

Group Type EXPERIMENTAL

Urelumab (BMS-663513)

Intervention Type DRUG

Part 4:Urelumab (BMS-663513) Cohort Expansion in B-NHL

Arm A and Arm B: Urelumab (BMS-663513) liquid administered intravenously on specified days exploring q3w and q6w dosing regimen

Group Type EXPERIMENTAL

Urelumab (BMS-663513)

Intervention Type DRUG

Interventions

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Urelumab (BMS-663513)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Signed Written Informed Consent

* The signed informed consent form
2. Target Population

* Subjects with advanced and/or metastatic solid tumors or B-NHL who are either refractory to or have relapsed from standard therapies, or for whom a standard therapy does not exist with measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria
* Life expectancy of 12 weeks or greater
* Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1
* Adequate organ and marrow function
* For certain subjects, willing and able to provide pre- and post-treatment fresh tumor biopsies
3. Age and Reproductive Status

* Women of childbearing potential (WOCBP) and men must be using an acceptable method of contraception to avoid pregnancy throughout the study and for at least 4 weeks prior to initiation of dosing, and for at least 60 days after the last dose of investigational product in such a manner that the risk of pregnancy is minimized
* WOCBP must have a negative serum or urine pregnancy test \[minimum sensitivity 25 UI/L or equivalent units of human chorionic gonadotrophin (HCG)\] within 24 hours prior to the start of investigational product
* Women must not be breastfeeding

Exclusion Criteria

1. Target Disease Exceptions

* Subjects with known or suspected brain metastasis unless previously treated and without evidence of progression
* Subjects with a history of prior malignancy active within the previous 2 years except for locally curable cancers that have been apparently cured
* Subjects with hepatocellular carcinoma
2. Medical History and Concurrent Diseases

* Any active autoimmune disease or documented history of autoimmune disease, or history of syndrome that required systemic steroids or immunosuppressive medications, except for subjects with vitiligo, psoriasis inactive within past 2 years, resolved childhood asthma/atopy, or thyroid disease controlled by replacement therapy without the need for immunosuppression
* Known or suspected human immunodeficiency virus (HIV) or hepatitis A(acute), B or C infection
* History of any hepatitis (e.g., alcohol or non-alcohol steatohepatitis (NASH), drug-related, auto-immune)
* Evidence of active infection, requiring parenteral anti-bacterial, anti-viral or anti-fungal therapy \< 7 days prior to administration of study medication
* History of clinically significant cardiac disease, including but not limited to a history (personal or family) of congenital long QT syndrome
* Grade \> 1 QTc prolongation at baseline (\> 450 msec by Bazett formula) confirmed by a repeat electrocardiogram (ECG)
* History of myocardial infarction or uncontrolled angina within 12 months prior to administration of study drug
3. Physical and Laboratory Test Findings

* WOCBP who are unwilling or unable to use an acceptable method to avoid pregnancy for the entire study period and for up to 12 weeks after the last dose of investigational product
* Women who are pregnant or breastfeeding
* Women with a positive pregnancy test on enrollment or prior to investigational product administration
* Sexually active fertile men not using effective birth control if their partners are WOCBP
* Positive blood screen for hepatitis A IgM, hepatitis C antibody, hepatitis B surface antigen, or HIV-1, -2 antibody
4. Allergies and Adverse Drug Reaction

* History of allergy to Urelumab (BMS-663513) or related compounds
* History of significant drug allergy (such as anaphylaxis or hepatotoxicity) to a prior biologic therapy
5. Prohibited Treatments and/or Therapies

* The systemic use of the following therapies are prohibited within 28 days of first dose of study medication, or longer where indicated:

1. Use of anti-cancer treatment (including investigational drugs) within 28 days
2. Immunosuppressive medications or immunosuppressive doses of systemic corticosteroids
3. Surgery (except minor surgeries,e.g., biopsies) or radiotherapy
4. Any non-oncology live viral vaccine therapies used for the prevention of infectious diseases.
* Prior treatment with anti-programmed death 1 (anti-PD-1)/Programmed cell death 1 ligand 1 (PD-L1) or anti-CD137
* Any subject with the following reported drug-related adverse events on anti- Cytotoxic T-Lymphocyte Antigen 4 (anti-CTLA4) will not be permitted on study: hepatic, diarrhea/colitis or endocrine adverse events (AE)s Grade ≥ 2, any other non-laboratory immune-related AE ≥ Grade 3. Subjects must have minimum 9 week washout period between the last dose of anti-CTLA4 and the first dose Urelumab (BMS-663513)
* Prior organ allograft or allogeneic bone marrow transplantation

* Prisoners or subjects who are involuntarily incarcerated
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bristol-Myers Squibb

Role: STUDY_DIRECTOR

Bristol-Myers Squibb

Locations

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Division Of Hematology & Oncology Ctr. For Health Sciences

Los Angeles, California, United States

Site Status

Stanford University Medical Center

Stanford, California, United States

Site Status

University Of Chicago

Chicago, Illinois, United States

Site Status

Indiana University Cancer Center

Indianapolis, Indiana, United States

Site Status

Dana Farber Cancer Institute

Boston, Massachusetts, United States

Site Status

Karmanos Cancer Institute

Detroit, Michigan, United States

Site Status

John Theurer Cancer Center

Hackensack, New Jersey, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

Providence Portland Med Ctr

Portland, Oregon, United States

Site Status

Penn State Milton S. Hershey Medical Center

Hershey, Pennsylvania, United States

Site Status

Hospital Of The University Of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

University Of Virginia Health System

Charlottesville, Virginia, United States

Site Status

Local Institution

Créteil, , France

Site Status

Local Institution

Lille, , France

Site Status

Local Institution

Paris, , France

Site Status

Local Institution

Pessac, , France

Site Status

Local Institution

Pierre-Bénite, , France

Site Status

Local Institution

Rennes, , France

Site Status

Local Institution

Rouen, , France

Site Status

Local Institution

Villejuif, , France

Site Status

Local Institution

Essen, , Germany

Site Status

Hospital Universitari Vall D'Hebron

Barcelona, , Spain

Site Status

Fundacion Jimenez Diaz

Madrid, , Spain

Site Status

Local Institution

Pamplona, , Spain

Site Status

Countries

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United States France Germany Spain

Related Links

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Other Identifiers

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2012-000170-28

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CA186-011

Identifier Type: -

Identifier Source: org_study_id

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