A Study to Evaluate the Safety and Efficacy of Nivolumab Monotherapy and Nivolumab in Combination With Ipilimumab in Pediatric Participants With High Grade Primary Central Nervous System (CNS) Malignancies

NCT ID: NCT03130959

Last Updated: 2022-08-09

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

PHASE2

Total Enrollment

166 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-06-12

Study Completion Date

2022-01-17

Brief Summary

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The purpose of this study is to determine the safety and effectiveness of nivolumab alone and in combination with ipilimumab in pediatric patients with high grade primary central nervous system (CNS) malignancies.

Detailed Description

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Conditions

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Various Advanced Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Module A

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Module B

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Ipilimumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Interventions

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Nivolumab

Specified dose on specified days

Intervention Type BIOLOGICAL

Ipilimumab

Specified dose on specified days

Intervention Type BIOLOGICAL

Other Intervention Names

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Opdivo, BMS-936558 Yervoy, BMS-734016

Eligibility Criteria

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Inclusion Criteria

* Must have received standard of care therapy, and there must be no potentially-curative treatment available, in one of the following cohorts:
* A newly diagnosed Diffuse Intrinsic Pontine Glioma (DIPG) that has been treated with radiation therapy (RT) but no chemotherapy
* A histologically confirmed recurrent or progressive non-brainstem High Grade Glioma (HGG) previously treated with surgical resection and RT
* A histologically confirmed medulloblastoma that has relapsed or is resistant to at least one line of prior therapy including surgery, RT, and chemotherapy
* A histologically confirmed ependymoma that has relapsed or is resistant to at least one line of prior therapy including surgical resection and RT
* A histologically-confirmed high grade CNS malignancy "other than above" which is recurrent or progressive after at least one line of prior therapy
* Lansky play score (LPS) for ≤ 16 years of age or Karnofsky performance scale (KPS) for \> 16 years of age assessed within two weeks of enrollment must be \>= 60
* A tumor sample must be available for submission to central laboratory (not required for DIPG)

Exclusion Criteria

* An active, known, or suspected autoimmune disease
* A concurrent condition requiring systemic treatment with either corticosteroids or other immunosuppressive medications within 14 days of start of study treatment
* Known history of positive test for human immunodeficiency virus (HIV) or known acquired immunodeficiency syndrome (AIDS).
Minimum Eligible Age

6 Months

Maximum Eligible Age

21 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 - 0057

Los Angeles, California, United States

Site Status

Local Institution - 0016

Aurora, Colorado, United States

Site Status

Local Institution - 0046

Gainesville, Florida, United States

Site Status

Local Institution - 0011

Chicago, Illinois, United States

Site Status

Local Institution - 0005

Baltimore, Maryland, United States

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Local Institution - 0043

Boston, Massachusetts, United States

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Local Institution - 0044

St Louis, Missouri, United States

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Local Institution - 0004

New York, New York, United States

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Local Institution - 0017

New York, New York, United States

Site Status

Cincinnati Children'S Hospital Medical Center

Cincinnati, Ohio, United States

Site Status

Local Institution - 0066

Philadelphia, Pennsylvania, United States

Site Status

Local Institution

Charleston, South Carolina, United States

Site Status

Local Institution - 0012

Memphis, Tennessee, United States

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Local Institution - 0042

Houston, Texas, United States

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Local Institution - 0022

Randwick, New South Wales, Australia

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Local Institution - 0035

Sth Brisbane, Queensland, Australia

Site Status

Local Institution

Clayton, Victoria, Australia

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Local Institution - 0034

Parkville, Victoria, Australia

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Local Institution - 0033

Nedlands, Western Australia, Australia

Site Status

Local Institution - 0052

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Local Institution - 0051

Barretos, São Paulo, Brazil

Site Status

Local Institution - 0053

Ribeirão Preto, São Paulo, Brazil

Site Status

Local Institution - 0049

São Paulo, , Brazil

Site Status

Local Institution - 0050

São Paulo, , Brazil

Site Status

Local Institution - 0021

Toronto, Ontario, Canada

Site Status

Local Institution - 0001

Montreal, Quebec, Canada

Site Status

Local Institution - 0002

Québec, Quebec, Canada

Site Status

Local Institution - 0028

Angers, , France

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Local Institution - 0029

Bordeaux, , France

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Local Institution - 0027

Lille, , France

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Local Institution - 0025

Lyon, , France

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Local Institution - 0024

Marseille, , France

Site Status

Local Institution - 0023

Paris, , France

Site Status

Local Institution - 0064

Vandœuvre-lès-Nancy, , France

Site Status

Local Institution - 0026

VIillejuif, , France

Site Status

Local Institution - 0060

Essen, , Germany

Site Status

Local Institution - 0061

Hamburg, , Germany

Site Status

Local Institution - 0063

Heidelberg, , Germany

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Local Institution - 0062

Würzburg, , Germany

Site Status

Local Institution - 0018

Hong Kong, , Hong Kong

Site Status

Local Institution - 0059

Haifa, , Israel

Site Status

Local Institution - 0058

Ramat Gan, , Israel

Site Status

Local Institution - 0007

Rotterdam, , Netherlands

Site Status

Local Institution - 0008

Utrecht, , Netherlands

Site Status

Local Institution - 0067

Oslo, , Norway

Site Status

Local Institution - 0047

Warsaw, , Poland

Site Status

Local Institution - 0048

Moscow, , Russia

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Local Institution - 0037

Esplugues de Llobregat, , Spain

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Local Institution - 0038

Madrid, , Spain

Site Status

Local Institution - 0036

Valencia, , Spain

Site Status

Local Institution - 0065

Solna, , Sweden

Site Status

Local Institution - 0010

London, Greater London, United Kingdom

Site Status

Local Institution - 0013

Liverpool, Merseyside, United Kingdom

Site Status

Local Institution - 0015

Newcastle upon Tyne, Tyne and Wear, United Kingdom

Site Status

Countries

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United States Australia Brazil Canada France Germany Hong Kong Israel Netherlands Norway Poland Russia Spain Sweden United Kingdom

References

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Dunkel IJ, Doz F, Foreman NK, Hargrave D, Lassaletta A, Andre N, Hansford JR, Hassall T, Eyrich M, Gururangan S, Bartels U, Gajjar A, Howell L, Warad D, Pacius M, Tam R, Wang Y, Zhu L, Cohen K. Nivolumab with or without ipilimumab in pediatric patients with high-grade CNS malignancies: Safety, efficacy, biomarker, and pharmacokinetics-CheckMate 908. Neuro Oncol. 2023 Aug 3;25(8):1530-1545. doi: 10.1093/neuonc/noad031.

Reference Type DERIVED
PMID: 36808285 (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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2016-004441-82

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CA209-908

Identifier Type: -

Identifier Source: org_study_id

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