An Investigational Immuno-therapy Study Of Nivolumab In Combination With Trametinib With Or Without Ipilimumab In Participants With Previously Treated Cancer of the Colon or Rectum That Has Spread

NCT ID: NCT03377361

Last Updated: 2025-12-03

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

325 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-31

Study Completion Date

2024-11-04

Brief Summary

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The purpose of this study is to investigate treatment with nivolumab in combination with trametinib with or without ipilimumab in participants with previously treated cancer of the colon or rectum that has spread.

Detailed Description

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Conditions

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Colorectal Cancer Colorectal Tumors Colorectal Carcinoma Colorectal Neoplasm

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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Part 1 Cohort 1 3rd Line (3L): nivolumab + trametinib

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Trametinib

Intervention Type DRUG

Specified dose on specified days

Part 1A Cohort 2 2nd Line (2L): nivolumab + ipilimumab + trametinib

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Trametinib

Intervention Type DRUG

Specified dose on specified days

Ipilimumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Part 1A Cohort 3 (2L): nivolumab + ipilimumab + trametinib

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Trametinib

Intervention Type DRUG

Specified dose on specified days

Ipilimumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Part 2 Cohort 4 (3L): nivolumab + ipilimumab + trametinib

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Trametinib

Intervention Type DRUG

Specified dose on specified days

Ipilimumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Part 2 Cohort 5 (3L): Regorafenib

Group Type EXPERIMENTAL

Regorafenib

Intervention Type DRUG

Specified dose on specified days

Part 1B Cohort 6 (2L): nivolumab + ipilimumab + trametinib

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Trametinib

Intervention Type DRUG

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

Trametinib

Specified dose on specified days

Intervention Type DRUG

Ipilimumab

Specified dose on specified days

Intervention Type BIOLOGICAL

Regorafenib

Specified dose on specified days

Intervention Type DRUG

Other Intervention Names

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Opdivo BMS-936558 Mekinist Yervoy BMS-734016

Eligibility Criteria

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Inclusion Criteria

* Histologically or cytologically confirmed previously treated metastatic colorectal cancer with adenocarcinoma histology and in Stage IV per American Joint Committee on Cancer (version 4.0) at study entry
* Microsatellite status should be performed per local standard of practice, immunohistochemistry (IHC) and/or PCR. If IHC results are equivocal, PCR is required for determining microsatellite stable (MSS) status
* Must have measurable disease per RECIST 1.1. Participants with lesions in a previously irradiated field as the sole site of measurable disease will be permitted to enroll provided the lesion(s) have demonstrated clear progression and can be measured accurately
* Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1 at screening and on cycle 1 day 1 (C1D1)

Exclusion Criteria

* BRAF V600 mutant colorectal cancer
* Active brain metastases or leptomeningeal metastases
* Active, known or suspected autoimmune disease
* Participants with a condition requiring systemic treatment with either corticosteroids (\> 10 mg daily prednisone equivalents) or other immunosuppressive medications within 14 days of study treatment administration
* History of interstitial lung disease or pneumonitis
* Prior treatment with immune checkpoint inhibitors and mitogen-activated protein kinase enzymes (MEK) inhibitors
* History of allergy or hypersensitivity to study drug components
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis

INDUSTRY

Sponsor Role collaborator

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 - 0022

Birmingham, Alabama, United States

Site Status

Local Institution - 0027

Los Angeles, California, United States

Site Status

Local Institution - 0067

Los Angeles, California, United States

Site Status

Local Institution - 0001

San Francisco, California, United States

Site Status

Local Institution - 0107

Gainesville, Florida, United States

Site Status

Local Institution - 0111

Miami, Florida, United States

Site Status

Local Institution - 0028

Baltimore, Maryland, United States

Site Status

Local Institution - 0116

Hattiesburg, Mississippi, United States

Site Status

Local Institution - 0103

St Louis, Missouri, United States

Site Status

Local Institution - 0104

New York, New York, United States

Site Status

Local Institution - 0029

Charlotte, North Carolina, United States

Site Status

Local Institution - 0100

Lancaster, Pennsylvania, United States

Site Status

Local Institution - 0003

Philadelphia, Pennsylvania, United States

Site Status

Thomas Jefferson University - Clinical Research Institute

Philadelphia, Pennsylvania, United States

Site Status

Local Institution - 0101

Temple, Texas, United States

Site Status

Local Institution - 0002

Madison, Wisconsin, United States

Site Status

Local Institution - 0120

Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina

Site Status

Local Institution - 0123

Buenos Aires, Distrito Federal, Argentina

Site Status

Local Institution - 0122

Buenos Aires, Distrito Federal, Argentina

Site Status

Local Institution - 0119

Buenos Aires, , Argentina

Site Status

Local Institution - 0044

Blacktown, New South Wales, Australia

Site Status

Local Institution - 0043

Southport, Queensland, Australia

Site Status

Local Institution - 0068

Elizabeth Vale, South Australia, Australia

Site Status

Local Institution - 0055

Clayton, Victoria, Australia

Site Status

Local Institution - 0069

Heidelberg, Victoria, Australia

Site Status

Local Institution

Woluwe-Saint-Lambert, , Belgium

Site Status

Local Institution - 0113

Edmonton, Alberta, Canada

Site Status

Local Institution - 0070

Toronto, Ontario, Canada

Site Status

Local Institution - 0077

Montreal, Quebec, Canada

Site Status

Local Institution - 0076

Ottawa, , Canada

Site Status

Local Institution - 0117

Santiago, Santiago Metropolitan, Chile

Site Status

Local Institution - 0118

Santiago, Santiago Metropolitan, Chile

Site Status

Local Institution - 0072

Olomouc, Olomoucký kraj, Czechia

Site Status

Local Institution - 0071

Brno, , Czechia

Site Status

Local Institution - 0073

Hradec Králové, , Czechia

Site Status

Local Institution - 0004

Hanover, , Germany

Site Status

Local Institution - 0095

Catania, , Italy

Site Status

Local Institution - 0093

Milan, , Italy

Site Status

Local Institution - 0092

Padua, , Italy

Site Status

Local Institution - 0094

Rozzano, , Italy

Site Status

Local Institution - 0079

Badalona, Barcelona [Barcelona], Spain

Site Status

Local Institution - 0080

Pamplona, Navarre, Spain

Site Status

Local Institution - 0052

Barcelona, , Spain

Site Status

Local Institution - 0114

Madrid, , Spain

Site Status

Local Institution - 0051

Madrid, , Spain

Site Status

Local Institution - 0115

Madrid, , Spain

Site Status

Local Institution - 0096

Seville, , Spain

Site Status

Countries

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United States Argentina Australia Belgium Canada Chile Czechia Germany Italy Spain

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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2017-001830-24

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CA209-9N9

Identifier Type: -

Identifier Source: org_study_id

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