Study to Evaluate the Efficacy/Safety of IPI-549 in Combination With Nivolumab in Patients With Advanced Urothelial Carcinoma (MARIO-275)

NCT ID: NCT03980041

Last Updated: 2022-11-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

49 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-25

Study Completion Date

2022-11-15

Brief Summary

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The purpose of this study is to measure the effect of IPI-549 in combination with nivolumab when compared to nivolumab monotherapy in advanced urothelial cancer patients.

Detailed Description

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Study IPI-549-02 is a multi-national, prospective, randomized, active-control Phase II trial to evaluate the efficacy and safety of IPI 549 administered in combination with nivolumab compared to nivolumab monotherapy.

The study will enroll approximately 160 checkpoint-naïve, advanced urothelial cancer patients who have progressed or recurred following treatment with platinum-based chemotherapy. Patients will be randomized 2:1 to receive intravenous (IV) nivolumab 480 mg every 4 weeks (Q4W) in combination with oral (PO) IPI 549 40 mg once daily (QD) or IV nivolumab 480 mg Q4W in combination with placebo PO QD.

Eligible patients who have confirmed progression of disease during treatment with nivolumab monotherapy may crossover to the combination treatment arm.

Conditions

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Bladder Cancer Urothelial Carcinoma Solid Tumor Advanced Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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IPI-549 + Nivolumab

Participants receive IPI-549 orally (PO) daily in combination with nivolumab IV infusion every 4 weeks

Group Type EXPERIMENTAL

IPI-549 (eganelisib)

Intervention Type DRUG

IPI-549 (40mg QD) administered orally in 28-day cycles

Nivolumab

Intervention Type DRUG

Nivolumab (480mg Q4W) administered intravenously (IV) in 28-day cycles

Placebo + Nivolumab

Participants receive placebo orally (PO) daily in combination with nivolumab IV infusion every 4 weeks

Group Type ACTIVE_COMPARATOR

Nivolumab

Intervention Type DRUG

Nivolumab (480mg Q4W) administered intravenously (IV) in 28-day cycles

Placebos

Intervention Type DRUG

Placebo administered orally in 28-day cycles

Interventions

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IPI-549 (eganelisib)

IPI-549 (40mg QD) administered orally in 28-day cycles

Intervention Type DRUG

Nivolumab

Nivolumab (480mg Q4W) administered intravenously (IV) in 28-day cycles

Intervention Type DRUG

Placebos

Placebo administered orally in 28-day cycles

Intervention Type DRUG

Other Intervention Names

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IPI549 OPDIVO® Placebo

Eligibility Criteria

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Inclusion Criteria

* Histologically or cytologically confirmed urothelial carcinoma of the renal pelvis, ureter, bladder, or urethra
* Measurable disease by CT or MRI as defined by RECIST v1.1
* Disease progression or recurrence after treatment:
* i) With at least 1 platinum-based chemotherapy regimen for the treatment of metastatic (Stage IV) or locally advanced unresectable disease; or
* ii) With disease recurrence within 1 year of completing a platinum-based neoadjuvant or adjuvant therapy
* Subject that have received more than 2 prior lines of chemotherapy must not have liver metastases
* Tumor tissues (archived or new biopsy) must be provided for biomarker analysis
* Eastern Cooperative Oncology Group (ECOG) performance status ≤1
* Blood sample must be provided for mMDSC levels for randomization into the study

Exclusion Criteria

* Active brain metastases or leptomeningeal metastases
* Any serious or uncontrolled medical disorder that may interfere with study treatment/interpretation
* Prior malignancy active within the previous 3 years except for local or organ confined early stage cancer that has been apparently cured
* Active, known, or suspected autoimmune disease
* A condition requiring systemic treatment with either corticosteroids (\>10 mg daily prednisone equivalents) or other immunosuppressive medications within 14 day of study drug administration
* Prior therapy with anti-tumor vaccines, any T cell co-stimulation or checkpoint pathways, or IPI-549
* Prior surgery or gastrointestinal dysfunction that may affect drug absorption
* Past medical history of interstitial lung disease
* History of stroke, unstable angina, myocardial infarction, or ventricular arrhythmia requiring medication or mechanical control
* Positive test for hepatitis B, C or HIV
* Dependent on continuous supplemental oxygen
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role collaborator

Infinity Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Halle Zhang, PhD, RN

Role: STUDY_DIRECTOR

Infinity Pharmaceuticals, Inc.

Locations

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Parkview Physicians

Fort Wayne, Indiana, United States

Site Status

University of MD - Greenebaum Comprehensive Cancer Center

Baltimore, Maryland, United States

Site Status

Karmanos Cancer Center

Detroit, Michigan, United States

Site Status

Coborn Cancer Center

Saint Cloud, Minnesota, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

Bon Secours St. Francis Cancer Center

Greenville, South Carolina, United States

Site Status

Sarah Cannon Tennessee Oncology

Nashville, Tennessee, United States

Site Status

Onkologicka Klinika

Prague, , Czechia

Site Status

Centre Oscar Lambret

Lille, , France

Site Status

Institut Paoli-Calmettes

Marseille, , France

Site Status

Centre Antoine Lacassagne

Nice, , France

Site Status

CHU de Strasbourg

Strasbourg, , France

Site Status

Institut Claudius Regaud

Toulouse, , France

Site Status

Istituto per la Ricerca e la Cura del Cancro (IRCC)

Candiolo, , Italy

Site Status

Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori

Meldola, , Italy

Site Status

Istituto Nazionale dei Tumori

Napoli, , Italy

Site Status

Oddzial Chorob Rozrostowych Wojewodzki Szpital

Lodz, , Poland

Site Status

Dzienny Oddzial Chemioterapii

Racibórz, , Poland

Site Status

EXAMEN sp

Skorzewo, , Poland

Site Status

Clinical Centre of Serbia

Belgrade, , Serbia

Site Status

Institute for Oncology of Vojvodina

Kamenitz, , Serbia

Site Status

ICO Institute Catalan of Oncology

Barcelona, , Spain

Site Status

Hospital de Sant Creu i Sant Pau

Barcelona, , Spain

Site Status

IMQ Zorrotzaurre

Bilbao, , Spain

Site Status

MD Anderson Cancer Center Madrid

Madrid, , Spain

Site Status

Hospital Ramón y Cajal

Madrid, , Spain

Site Status

Hospital Universitatio HM Sanchinarro

Madrid, , Spain

Site Status

Hospital Universitario Central de Asturias

Oviedo, , Spain

Site Status

Hospital Universitario

Seville, , Spain

Site Status

Countries

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United States Czechia France Italy Poland Serbia Spain

Related Links

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Other Identifiers

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IPI-549-02

Identifier Type: -

Identifier Source: org_study_id

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