Trial Outcomes & Findings for Nivolumab and BMS-986253 for Hormone-Sensitive Prostate Cancer (MAGIC-8) (NCT NCT03689699)

NCT ID: NCT03689699

Last Updated: 2025-04-29

Results Overview

Defined as a PSA \>0.2ng/ml for radical prostatectomy patients or PSA \>2.0ng/ml for patients who received primary radiation therapy at a time point of 10 months after start of therapy.

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

PHASE1/PHASE2

Target enrollment

59 participants

Primary outcome timeframe

Up to 10 months after completion of therapy

Results posted on

2025-04-29

Participant Flow

Participant milestones

Participant milestones
Measure
Arm A: Nivolumab Alone
Men with hormone-sensitive prostate cancer will receive Nivolumab alone every 4 weeks for 8 weeks (2 doses), followed by Nivolumab + Degarelix every 4 weeks for 16 weeks (4 doses).
Arm B: Nivolumab Plus BMS-986253
Men with hormone-sensitive prostate cancer will receive Nivolumab plus BMS-986253 every 4 weeks for 8 weeks (2 doses), followed by Nivolumab + BMS-986253 + Degarelix every 4 weeks for 16 weeks (4 doses).
Overall Study
STARTED
30
29
Overall Study
COMPLETED
30
29
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Nivolumab and BMS-986253 for Hormone-Sensitive Prostate Cancer (MAGIC-8)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm A: Nivolumab Alone
n=30 Participants
Men with hormone-sensitive prostate cancer will receive Nivolumab alone every 4 weeks for 8 weeks (2 doses), followed by Nivolumab + Degarelix every 4 weeks for 16 weeks (4 doses).
Arm B: Nivolumab Plus BMS-986253
n=29 Participants
Men with hormone-sensitive prostate cancer will receive Nivolumab plus BMS-986253 every 4 weeks for 8 weeks (2 doses), followed by Nivolumab + BMS-986253 + Degarelix every 4 weeks for 16 weeks (4 doses).
Total
n=59 Participants
Total of all reporting groups
Age, Continuous
68.5 years
n=5 Participants
68.0 years
n=7 Participants
68.3 years
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
30 Participants
n=5 Participants
29 Participants
n=7 Participants
59 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
28 Participants
n=5 Participants
29 Participants
n=7 Participants
57 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Race (NIH/OMB)
White
27 Participants
n=5 Participants
25 Participants
n=7 Participants
52 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
30 participants
n=5 Participants
29 participants
n=7 Participants
59 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 10 months after completion of therapy

Defined as a PSA \>0.2ng/ml for radical prostatectomy patients or PSA \>2.0ng/ml for patients who received primary radiation therapy at a time point of 10 months after start of therapy.

Outcome measures

Outcome measures
Measure
Arm A: Nivolumab Alone
n=30 Participants
Men with hormone-sensitive prostate cancer will receive Nivolumab alone every 4 weeks for 8 weeks (2 doses), followed by Nivolumab + Degarelix every 4 weeks for 16 weeks (4 doses).
Arm B: Nivolumab Plus BMS-986253
n=29 Participants
Men with hormone-sensitive prostate cancer will receive Nivolumab plus BMS-986253 every 4 weeks for 8 weeks (2 doses), followed by Nivolumab + BMS-986253 + Degarelix every 4 weeks for 16 weeks (4 doses).
Number of Participants With Prostate-specific Antigen (PSA) Recurrence
8 Participants
6 Participants

PRIMARY outcome

Timeframe: Up to 100 days after completion of therapy

All participants receiving at least one dose of the study drug will be evaluated for safety and toxicity. Adverse events will be classified and graded according to Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.

Outcome measures

Outcome measures
Measure
Arm A: Nivolumab Alone
n=30 Participants
Men with hormone-sensitive prostate cancer will receive Nivolumab alone every 4 weeks for 8 weeks (2 doses), followed by Nivolumab + Degarelix every 4 weeks for 16 weeks (4 doses).
Arm B: Nivolumab Plus BMS-986253
n=29 Participants
Men with hormone-sensitive prostate cancer will receive Nivolumab plus BMS-986253 every 4 weeks for 8 weeks (2 doses), followed by Nivolumab + BMS-986253 + Degarelix every 4 weeks for 16 weeks (4 doses).
Incidence of Adverse Events That Are Serious in Nature and Related to the Investigational Product.
4 Participants
3 Participants

SECONDARY outcome

Timeframe: Baseline, 8 weeks

Determine the % change in PSA in response to immunotherapy by comparing the PSA prior to and following 8 weeks of immunotherapy and before initiation of ADT

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to two years

Relapse defined as a PSA \>0.2ng/ml for radical prostatectomy patients or PSA \>2.0ng/ml for patients who received primary radiation therapy.

Outcome measures

Outcome data not reported

Adverse Events

Arm A: Nivolumab Alone

Serious events: 4 serious events
Other events: 29 other events
Deaths: 0 deaths

Arm B: Nivolumab Plus BMS-986253

Serious events: 3 serious events
Other events: 29 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Arm A: Nivolumab Alone
n=30 participants at risk
Men with hormone-sensitive prostate cancer will receive Nivolumab alone every 4 weeks for 8 weeks (2 doses), followed by Nivolumab + Degarelix every 4 weeks for 16 weeks (4 doses).
Arm B: Nivolumab Plus BMS-986253
n=29 participants at risk
Men with hormone-sensitive prostate cancer will receive Nivolumab plus BMS-986253 every 4 weeks for 8 weeks (2 doses), followed by Nivolumab + BMS-986253 + Degarelix every 4 weeks for 16 weeks (4 doses).
Musculoskeletal and connective tissue disorders
Musculoskeletal disorder
3.3%
1/30 • up to 100 days after completion of therapy
0.00%
0/29 • up to 100 days after completion of therapy
Skin and subcutaneous tissue disorders
Rash
3.3%
1/30 • up to 100 days after completion of therapy
3.4%
1/29 • up to 100 days after completion of therapy
Gastrointestinal disorders
Diarrhea
3.3%
1/30 • up to 100 days after completion of therapy
0.00%
0/29 • up to 100 days after completion of therapy
Renal and urinary disorders
Adrenal insufficiency
3.3%
1/30 • up to 100 days after completion of therapy
6.9%
2/29 • up to 100 days after completion of therapy
Immune system disorders
Autoimmune diabetes
3.3%
1/30 • up to 100 days after completion of therapy
0.00%
0/29 • up to 100 days after completion of therapy
Respiratory, thoracic and mediastinal disorders
Pneumonitis
3.3%
1/30 • up to 100 days after completion of therapy
0.00%
0/29 • up to 100 days after completion of therapy
Endocrine disorders
Pancreatitis
3.3%
1/30 • up to 100 days after completion of therapy
0.00%
0/29 • up to 100 days after completion of therapy

Other adverse events

Other adverse events
Measure
Arm A: Nivolumab Alone
n=30 participants at risk
Men with hormone-sensitive prostate cancer will receive Nivolumab alone every 4 weeks for 8 weeks (2 doses), followed by Nivolumab + Degarelix every 4 weeks for 16 weeks (4 doses).
Arm B: Nivolumab Plus BMS-986253
n=29 participants at risk
Men with hormone-sensitive prostate cancer will receive Nivolumab plus BMS-986253 every 4 weeks for 8 weeks (2 doses), followed by Nivolumab + BMS-986253 + Degarelix every 4 weeks for 16 weeks (4 doses).
General disorders
Hot flashes
46.7%
14/30 • up to 100 days after completion of therapy
62.1%
18/29 • up to 100 days after completion of therapy
General disorders
Fatigue
53.3%
16/30 • up to 100 days after completion of therapy
48.3%
14/29 • up to 100 days after completion of therapy
Injury, poisoning and procedural complications
Injection site reaction
13.3%
4/30 • up to 100 days after completion of therapy
34.5%
10/29 • up to 100 days after completion of therapy
Musculoskeletal and connective tissue disorders
Musculoskeletal disorder
20.0%
6/30 • up to 100 days after completion of therapy
20.7%
6/29 • up to 100 days after completion of therapy
General disorders
Headache
3.3%
1/30 • up to 100 days after completion of therapy
13.8%
4/29 • up to 100 days after completion of therapy
General disorders
Flu-like symptoms
6.7%
2/30 • up to 100 days after completion of therapy
13.8%
4/29 • up to 100 days after completion of therapy
General disorders
Memory impairment
0.00%
0/30 • up to 100 days after completion of therapy
10.3%
3/29 • up to 100 days after completion of therapy
General disorders
Insomnia
3.3%
1/30 • up to 100 days after completion of therapy
6.9%
2/29 • up to 100 days after completion of therapy
General disorders
Anorexia
3.3%
1/30 • up to 100 days after completion of therapy
6.9%
2/29 • up to 100 days after completion of therapy
Blood and lymphatic system disorders
Thrombocytopenia
0.00%
0/30 • up to 100 days after completion of therapy
6.9%
2/29 • up to 100 days after completion of therapy
General disorders
Dizziness
0.00%
0/30 • up to 100 days after completion of therapy
6.9%
2/29 • up to 100 days after completion of therapy
Blood and lymphatic system disorders
Anemia
6.7%
2/30 • up to 100 days after completion of therapy
0.00%
0/29 • up to 100 days after completion of therapy
Skin and subcutaneous tissue disorders
Rash
40.0%
12/30 • up to 100 days after completion of therapy
37.9%
11/29 • up to 100 days after completion of therapy
Gastrointestinal disorders
Diarrhea
20.0%
6/30 • up to 100 days after completion of therapy
13.8%
4/29 • up to 100 days after completion of therapy
Endocrine disorders
Thyroid disorder
23.3%
7/30 • up to 100 days after completion of therapy
17.2%
5/29 • up to 100 days after completion of therapy
Hepatobiliary disorders
Hepatotoxicity
6.7%
2/30 • up to 100 days after completion of therapy
34.5%
10/29 • up to 100 days after completion of therapy
Skin and subcutaneous tissue disorders
Pruritus
6.7%
2/30 • up to 100 days after completion of therapy
20.7%
6/29 • up to 100 days after completion of therapy
Renal and urinary disorders
Adrenal insufficiency
0.00%
0/30 • up to 100 days after completion of therapy
6.9%
2/29 • up to 100 days after completion of therapy
Respiratory, thoracic and mediastinal disorders
Pneumonitis
6.7%
2/30 • up to 100 days after completion of therapy
0.00%
0/29 • up to 100 days after completion of therapy
Hepatobiliary disorders
Pancreatitis
3.3%
1/30 • up to 100 days after completion of therapy
13.8%
4/29 • up to 100 days after completion of therapy
General disorders
Oral mucositis
13.3%
4/30 • up to 100 days after completion of therapy
0.00%
0/29 • up to 100 days after completion of therapy

Additional Information

Mark N. Stein, MD

Columbia University

Phone: 212 305 5874

Results disclosure agreements

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