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

NCT ID: NCT01928394

Last Updated: 2024-12-27

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

1163 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-10-24

Study Completion Date

2024-11-18

Brief Summary

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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

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All tumor types are now closed for enrollment:

Triple Negative Breast Cancer

Gastric Cancer

Pancreatic Cancer

Small Cell Lung Cancer

Bladder Cancer

Ovarian Cancer

Conditions

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Advanced or Metastatic Solid Tumors

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm N - Nivolumab

Nivolumab 3 mg/kg solution intravenously every 2 weeks until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Arm N-I, Level 1: Nivolumab+Ipilimumab

Nivolumab 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

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Ipilimumab

Intervention Type BIOLOGICAL

Arm N-I, Level 2: Nivolumab+Ipilimumab

Nivolumab 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

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Ipilimumab

Intervention Type BIOLOGICAL

Arm N-I, Level 2b: Nivolumab+Ipilimumab

Nivolumab 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

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Ipilimumab

Intervention Type BIOLOGICAL

Arm N-I, Level 2c: Nivolumab+Ipilimumab

Nivolumab 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

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Ipilimumab

Intervention Type BIOLOGICAL

Arm N-I, Level 2d: Nivolumab+Ipilimumab+Cobimetinib

Nivolumab 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

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Ipilimumab

Intervention Type BIOLOGICAL

Cobimetinib

Intervention Type DRUG

Interventions

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Nivolumab

Intervention Type BIOLOGICAL

Ipilimumab

Intervention Type BIOLOGICAL

Cobimetinib

Intervention Type DRUG

Other Intervention Names

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BMS-936558 MDX-1106 Yervoy BMS-734016 MDX-010 Cotellic

Eligibility Criteria

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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
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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Local Institution - 0047

Muscle Shoals, Alabama, United States

Site Status

Local Institution - 0044

Aurora, Colorado, United States

Site Status

Local Institution - 0015

New Haven, Connecticut, United States

Site Status

Local Institution - 0046

Gainesville, Florida, United States

Site Status

Local Institution - 0021

Tampa, Florida, United States

Site Status

Local Institution - 0001

Atlanta, Georgia, United States

Site Status

Local Institution - 0004

Baltimore, Maryland, United States

Site Status

Local Institution - 0005

Boston, Massachusetts, United States

Site Status

Local Institution - 0043

Boston, Massachusetts, United States

Site Status

Local Institution - 0049

Omaha, Nebraska, United States

Site Status

Local Institution - 0045

Mineola, New York, United States

Site Status

Local Institution - 0006

New York, New York, United States

Site Status

Local Institution - 0003

Charlotte, North Carolina, United States

Site Status

Local Institution - 0008

Durham, North Carolina, United States

Site Status

Local Institution - 0007

Portland, Oregon, United States

Site Status

Local Institution - 0011

Franklin, Tennessee, United States

Site Status

Local Institution - 0002

Nashville, Tennessee, United States

Site Status

Local Institution - 0009

Houston, Texas, United States

Site Status

Local Institution - 0042

Seattle, Washington, United States

Site Status

Local Institution - 0038

Toronto, Ontario, Canada

Site Status

Local Institution - 0039

Copenhagen, , Denmark

Site Status

Local Institution - 0014

Helsinki, Uusimaa, Finland

Site Status

Local Institution - 0036

Tampere, , Finland

Site Status

Local Institution - 0048

Bonn, , Germany

Site Status

Local Institution - 0026

Frankfurt, , Germany

Site Status

Local Institution - 0016

Heidelberg, , Germany

Site Status

Local Institution - 0050

Kassel, , Germany

Site Status

Local Institution - 0024

Bologna, , Italy

Site Status

Local Institution - 0019

Milan, , Italy

Site Status

Local Institution - 0020

Napoli, , Italy

Site Status

Local Institution - 0032

Padua, , Italy

Site Status

Local Institution - 0037

Barcelona, , Spain

Site Status

Local Institution - 0023

Madrid, , Spain

Site Status

Local Institution - 0017

Madrid, , Spain

Site Status

Local Institution - 0010

Madrid, , Spain

Site Status

Local Institution - 0018

London, Greater London, United Kingdom

Site Status

Local Institution - 0012

Glasgow, Lanarkshire, United Kingdom

Site Status

Local Institution - 0013

Sutton, Surrey, United Kingdom

Site Status

Countries

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France United States Canada Denmark Finland Germany Italy Spain United Kingdom

References

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Sharma P, Siefker-Radtke A, de Braud F, Basso U, Calvo E, Bono P, Morse MA, Ascierto PA, Lopez-Martin J, Brossart P, Rohrberg K, Mellado B, Fischer BS, Meadows-Shropshire S, Abdel Saci, Callahan MK, Rosenberg J. Nivolumab Alone and With Ipilimumab in Previously Treated Metastatic Urothelial Carcinoma: CheckMate 032 Nivolumab 1 mg/kg Plus Ipilimumab 3 mg/kg Expansion Cohort Results. J Clin Oncol. 2019 Jul 1;37(19):1608-1616. doi: 10.1200/JCO.19.00538. Epub 2019 May 17.

Reference Type DERIVED
PMID: 31100038 (View on PubMed)

Janjigian YY, Bendell J, Calvo E, Kim JW, Ascierto PA, Sharma P, Ott PA, Peltola K, Jaeger D, Evans J, de Braud F, Chau I, Harbison CT, Dorange C, Tschaika M, Le DT. CheckMate-032 Study: Efficacy and Safety of Nivolumab and Nivolumab Plus Ipilimumab in Patients With Metastatic Esophagogastric Cancer. J Clin Oncol. 2018 Oct 1;36(28):2836-2844. doi: 10.1200/JCO.2017.76.6212. Epub 2018 Aug 15.

Reference Type DERIVED
PMID: 30110194 (View on PubMed)

Teo MY, Seier K, Ostrovnaya I, Regazzi AM, Kania BE, Moran MM, Cipolla CK, Bluth MJ, Chaim J, Al-Ahmadie H, Snyder A, Carlo MI, Solit DB, Berger MF, Funt S, Wolchok JD, Iyer G, Bajorin DF, Callahan MK, Rosenberg JE. Alterations in DNA Damage Response and Repair Genes as Potential Marker of Clinical Benefit From PD-1/PD-L1 Blockade in Advanced Urothelial Cancers. J Clin Oncol. 2018 Jun 10;36(17):1685-1694. doi: 10.1200/JCO.2017.75.7740. Epub 2018 Feb 28.

Reference Type DERIVED
PMID: 29489427 (View on PubMed)

Sharma P, Callahan MK, Bono P, Kim J, Spiliopoulou P, Calvo E, Pillai RN, Ott PA, de Braud F, Morse M, Le DT, Jaeger D, Chan E, Harbison C, Lin CS, Tschaika M, Azrilevich A, Rosenberg JE. Nivolumab monotherapy in recurrent metastatic urothelial carcinoma (CheckMate 032): a multicentre, open-label, two-stage, multi-arm, phase 1/2 trial. Lancet Oncol. 2016 Nov;17(11):1590-1598. doi: 10.1016/S1470-2045(16)30496-X. Epub 2016 Oct 9.

Reference Type DERIVED
PMID: 27733243 (View on PubMed)

Antonia SJ, Lopez-Martin JA, Bendell J, Ott PA, Taylor M, Eder JP, Jager D, Pietanza MC, Le DT, de Braud F, Morse MA, Ascierto PA, Horn L, Amin A, Pillai RN, Evans J, Chau I, Bono P, Atmaca A, Sharma P, Harbison CT, Lin CS, Christensen O, Calvo E. Nivolumab alone and nivolumab plus ipilimumab in recurrent small-cell lung cancer (CheckMate 032): a multicentre, open-label, phase 1/2 trial. Lancet Oncol. 2016 Jul;17(7):883-895. doi: 10.1016/S1470-2045(16)30098-5. Epub 2016 Jun 4.

Reference Type DERIVED
PMID: 27269741 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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2013-002844-10

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CA209-032

Identifier Type: -

Identifier Source: org_study_id