Trial Outcomes & Findings for Cytokine Microdialysis for Real-Time Immune Monitoring in Glioblastoma Patients Undergoing Checkpoint Blockade (NCT NCT03493932)

NCT ID: NCT03493932

Last Updated: 2024-07-24

Results Overview

The proportion of patients that have a rise in interferon gamma levels within the tumor microenvironment of 4 pg/ml or higher before the first dose of Nivolumab as compared to the 5th day after treatment with Nivolumab.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

21 participants

Primary outcome timeframe

Day 8

Results posted on

2024-07-24

Participant Flow

Participant milestones

Participant milestones
Measure
Experimental: Nivolumab and BMS-986016
Nivolumab: OPDIVO is a human programmed death receptor-1 (PD-1) blocking antibody indicated for the treatment of patients with unresectable or metastatic melanoma and disease progression following ipilimumab and, if BRAF V600 mutation positive, a BRAF inhibitor. BMS-986016: Anti-Lymphocyte Activation Gene-3 antibody undergoing clinical evaluation by Bristol-Myers Squibb
Overall Study
STARTED
21
Overall Study
COMPLETED
13
Overall Study
NOT COMPLETED
8

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Cytokine Microdialysis for Real-Time Immune Monitoring in Glioblastoma Patients Undergoing Checkpoint Blockade

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental: Nivolumab and BMS-986016
n=13 Participants
Nivolumab: OPDIVO is a human programmed death receptor-1 (PD-1) blocking antibody indicated for the treatment of patients with unresectable or metastatic melanoma and disease progression following ipilimumab and, if BRAF V600 mutation positive, a BRAF inhibitor. BMS-986016: Anti-Lymphocyte Activation Gene-3 antibody undergoing clinical evaluation by Bristol-Myers Squibb
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
13 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
Sex: Female, Male
Male
12 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
Race (NIH/OMB)
White
7 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=5 Participants
Region of Enrollment
United States
13 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 8

The proportion of patients that have a rise in interferon gamma levels within the tumor microenvironment of 4 pg/ml or higher before the first dose of Nivolumab as compared to the 5th day after treatment with Nivolumab.

Outcome measures

Outcome measures
Measure
Recurrent Glioblastoma Patients
n=13 Participants
Nivolumab: OPDIVO is a human programmed death receptor-1 (PD-1) blocking antibody indicated for the treatment of patients with unresectable or metastatic melanoma and disease progression following ipilimumab and, if BRAF V600 mutation positive, a BRAF inhibitor. BMS-986016: Anti-Lymphocyte Activation Gene-3 antibody undergoing clinical evaluation by Bristol-Myers Squibb
Increase of Interferon Gamma Levels
0 Participants

PRIMARY outcome

Timeframe: Day 8

The number of patients with any adverse events that are directly attributable to placement of the microdialysis catheter. Specifically, intracranial hemorrhage, intracranial infection, wound infection, or new neurological deficit attributable to location of microdialysis catheter placement were to be captured

Outcome measures

Outcome measures
Measure
Recurrent Glioblastoma Patients
n=13 Participants
Nivolumab: OPDIVO is a human programmed death receptor-1 (PD-1) blocking antibody indicated for the treatment of patients with unresectable or metastatic melanoma and disease progression following ipilimumab and, if BRAF V600 mutation positive, a BRAF inhibitor. BMS-986016: Anti-Lymphocyte Activation Gene-3 antibody undergoing clinical evaluation by Bristol-Myers Squibb
Microdialysis Catheter
13 Participants

PRIMARY outcome

Timeframe: Day 8

The safety of the combination of nivolumab and BMS-986016 in recurrent glioblastoma patients

Outcome measures

Outcome measures
Measure
Recurrent Glioblastoma Patients
n=13 Participants
Nivolumab: OPDIVO is a human programmed death receptor-1 (PD-1) blocking antibody indicated for the treatment of patients with unresectable or metastatic melanoma and disease progression following ipilimumab and, if BRAF V600 mutation positive, a BRAF inhibitor. BMS-986016: Anti-Lymphocyte Activation Gene-3 antibody undergoing clinical evaluation by Bristol-Myers Squibb
Drug Safety
117 events attributed to nivolumab/BMS-98601

Adverse Events

Recurrent Glioblastoma Patients

Serious events: 13 serious events
Other events: 1 other events
Deaths: 13 deaths

Serious adverse events

Serious adverse events
Measure
Recurrent Glioblastoma Patients
n=13 participants at risk
Nivolumab: OPDIVO is a human programmed death receptor-1 (PD-1) blocking antibody indicated for the treatment of patients with unresectable or metastatic melanoma and disease progression following ipilimumab and, if BRAF V600 mutation positive, a BRAF inhibitor. BMS-986016: Anti-Lymphocyte Activation Gene-3 antibody undergoing clinical evaluation by Bristol-Myers Squibb
General disorders
Death
7.7%
1/13 • Number of events 1 • 1 year

Other adverse events

Other adverse events
Measure
Recurrent Glioblastoma Patients
n=13 participants at risk
Nivolumab: OPDIVO is a human programmed death receptor-1 (PD-1) blocking antibody indicated for the treatment of patients with unresectable or metastatic melanoma and disease progression following ipilimumab and, if BRAF V600 mutation positive, a BRAF inhibitor. BMS-986016: Anti-Lymphocyte Activation Gene-3 antibody undergoing clinical evaluation by Bristol-Myers Squibb
Blood and lymphatic system disorders
Lymphocyte count decreased
7.7%
1/13 • 1 year
Blood and lymphatic system disorders
White blood cell decreased
7.7%
1/13 • 1 year
Blood and lymphatic system disorders
Thrombocytosis
7.7%
1/13 • 1 year
Blood and lymphatic system disorders
Neutrophil count decreased
7.7%
1/13 • 1 year
Blood and lymphatic system disorders
Thrombocytopenia
7.7%
1/13 • 1 year
Blood and lymphatic system disorders
Elevated WBC count
7.7%
1/13 • 1 year
Blood and lymphatic system disorders
Anemia
7.7%
1/13 • 1 year
Blood and lymphatic system disorders
ALC low
7.7%
1/13 • 1 year
Endocrine disorders
Hypothyroidism
7.7%
1/13 • 1 year
Endocrine disorders
Hyperglycemia
7.7%
1/13 • 1 year
Endocrine disorders
Abnormal thyroid function tests
7.7%
1/13 • 1 year
Endocrine disorders
Cushingoid
7.7%
1/13 • 1 year
Endocrine disorders
Adrenal insufficiency
7.7%
1/13 • 1 year
Metabolism and nutrition disorders
Hypokalemia
7.7%
1/13 • 1 year
Metabolism and nutrition disorders
Hypocalcemia
7.7%
1/13 • 1 year
Metabolism and nutrition disorders
Hypoalbuminemia
7.7%
1/13 • 1 year
Metabolism and nutrition disorders
Hyperglycemia
7.7%
1/13 • 1 year
Metabolism and nutrition disorders
Alkalosis
7.7%
1/13 • 1 year
Investigations
Lymphocyte count decreased
7.7%
1/13 • 1 year
Investigations
Investigations - Other specify
7.7%
1/13 • 1 year
Investigations
GGT increased
7.7%
1/13 • 1 year
Investigations
CK increased
7.7%
1/13 • 1 year
Investigations
elevated total bilirubin
7.7%
1/13 • 1 year
Investigations
elevated AST
7.7%
1/13 • 1 year
Investigations
Alkaline phosphatase increased
7.7%
1/13 • 1 year
Investigations
Alanine aminotransferase increased
7.7%
1/13 • 1 year
General disorders
Fever
7.7%
1/13 • 1 year
General disorders
Fatigue
7.7%
1/13 • 1 year
General disorders
Chills
7.7%
1/13 • 1 year
Gastrointestinal disorders
Vomiting
7.7%
1/13 • 1 year
Gastrointestinal disorders
Nausea
7.7%
1/13 • 1 year
Gastrointestinal disorders
Hemorrhoids
7.7%
1/13 • 1 year
Gastrointestinal disorders
Fecal incontinence
7.7%
1/13 • 1 year
Gastrointestinal disorders
Diarrhea
7.7%
1/13 • 1 year
Gastrointestinal disorders
Constipation
7.7%
1/13 • 1 year
Gastrointestinal disorders
Anorectal infection
7.7%
1/13 • 1 year
Eye disorders
Blurred Vision
7.7%
1/13 • 1 year
Ear and labyrinth disorders
Vertigo
7.7%
1/13 • 1 year
Cardiac disorders
atrial fibrillation
7.7%
1/13 • 1 year
Cardiac disorders
Hypertension
7.7%
1/13 • 1 year
Congenital, familial and genetic disorders
Li Fraumeni Syndrome
7.7%
1/13 • 1 year
Infections and infestations
Upper respiratory infection
7.7%
1/13 • 1 year
Injury, poisoning and procedural complications
Fall
7.7%
1/13 • 1 year
Injury, poisoning and procedural complications
Wound dehisence of biopsy site
7.7%
1/13 • 1 year
Musculoskeletal and connective tissue disorders
extremity weakness
7.7%
1/13 • 1 year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Glioblastoma
7.7%
1/13 • 1 year
Psychiatric disorders
Insomnia
7.7%
1/13 • 1 year
Renal and urinary disorders
Urinary Incontinence
7.7%
1/13 • 1 year
Renal and urinary disorders
urinary urgency
7.7%
1/13 • 1 year
Reproductive system and breast disorders
benign prostate hypertrophy
7.7%
1/13 • 1 year
Vascular disorders
Flushing
7.7%
1/13 • 1 year
Vascular disorders
Hypertension
7.7%
1/13 • 1 year
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify - limited skin erythema only, asymptomatic
7.7%
1/13 • 1 year
Skin and subcutaneous tissue disorders
pruritis
7.7%
1/13 • 1 year
Skin and subcutaneous tissue disorders
Petechial rash
7.7%
1/13 • 1 year
Skin and subcutaneous tissue disorders
Macular rash
7.7%
1/13 • 1 year
Skin and subcutaneous tissue disorders
Papular erythematous rash on upper extremities
7.7%
1/13 • 1 year
Skin and subcutaneous tissue disorders
Folliculitis
7.7%
1/13 • 1 year
Skin and subcutaneous tissue disorders
rash
7.7%
1/13 • 1 year
Skin and subcutaneous tissue disorders
Pityrosporum folliculitis
7.7%
1/13 • 1 year
Skin and subcutaneous tissue disorders
sweating
7.7%
1/13 • 1 year
Respiratory, thoracic and mediastinal disorders
sore throat
7.7%
1/13 • 1 year
Respiratory, thoracic and mediastinal disorders
Cough
7.7%
1/13 • 1 year
Respiratory, thoracic and mediastinal disorders
Congestion
7.7%
1/13 • 1 year
Respiratory, thoracic and mediastinal disorders
Rhinorrhea
7.7%
1/13 • 1 year
Respiratory, thoracic and mediastinal disorders
Atelectasis
7.7%
1/13 • 1 year
Nervous system disorders
balance instability
7.7%
1/13 • 1 year
Nervous system disorders
Cerebral edema
7.7%
1/13 • 1 year
Nervous system disorders
change with cognition "fuzzy cognition
7.7%
1/13 • 1 year
Nervous system disorders
Communicating hydrocephalus
7.7%
1/13 • 1 year
Nervous system disorders
Difficulty reading
7.7%
1/13 • 1 year
Nervous system disorders
Drowsiness
7.7%
1/13 • 1 year
Nervous system disorders
dysphasia
7.7%
1/13 • 1 year
Nervous system disorders
Edema, cerebral
7.7%
1/13 • 1 year
Nervous system disorders
Headache
7.7%
1/13 • 1 year
Nervous system disorders
intracranial edema
7.7%
1/13 • 1 year
Nervous system disorders
Intracranial Hemorrhage (CT)
7.7%
1/13 • 1 year
Nervous system disorders
Left facial droop
7.7%
1/13 • 1 year
Nervous system disorders
left facial weakness
7.7%
1/13 • 1 year
Nervous system disorders
left hemiparesis
7.7%
1/13 • 1 year
Nervous system disorders
Left lower quadrantanopsia
7.7%
1/13 • 1 year
Nervous system disorders
Left superior quadrantanopsia
7.7%
1/13 • 1 year
Nervous system disorders
Mental Fogginess- distraction
7.7%
1/13 • 1 year
Nervous system disorders
Paresthesia
7.7%
1/13 • 1 year
Nervous system disorders
Photophobia
7.7%
1/13 • 1 year
Nervous system disorders
Positive pronator drift test
7.7%
1/13 • 1 year
Nervous system disorders
Pre-syncope
7.7%
1/13 • 1 year
Nervous system disorders
Facial muscle weakness
7.7%
1/13 • 1 year
Nervous system disorders
Seizure
7.7%
1/13 • 1 year
Nervous system disorders
Short term memory difficulty
7.7%
1/13 • 1 year
Nervous system disorders
Somnolence
7.7%
1/13 • 1 year
Nervous system disorders
Stroke
7.7%
1/13 • 1 year

Additional Information

Edjah K. Nduom, MD, FAANS

Emory University

Phone: 404-778-5770

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place