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Safety Study of Anti-LAG-3 With and Without Anti-PD-1 in the Treatment of Solid Tumors

This study is currently recruiting participants. (see Contacts and Locations)
Verified October 2014 by Bristol-Myers Squibb
Sponsor:
Information provided by (Responsible Party):
Bristol-Myers Squibb
ClinicalTrials.gov Identifier:
NCT01968109
First received: September 25, 2013
Last updated: October 13, 2014
Last verified: October 2014

September 25, 2013
October 13, 2014
October 2013
September 2016   (final data collection date for primary outcome measure)
Safety as measured by the rate of AEs, serious AEs, deaths and laboratory abnormalities (e.g. Grade 3 or higher per CTCAE v4) [ Time Frame: Approximately Up to 2.3 years (96 weeks of treatment period and 135 days of follow-up) ] [ Designated as safety issue: Yes ]

CTCAE = Common Terminology Criteria for Adverse Events (AEs);

AEs = Adverse events;

SAEs = Serious adverse events

Same as current
Complete list of historical versions of study NCT01968109 on ClinicalTrials.gov Archive Site
  • Maximum observed serum concentration (Cmax) of BMS-986016 administered both alone and in combination with nivolumab [ Time Frame: 15 time points up through part of Cycle 3 (approximately 18 weeks) ] [ Designated as safety issue: No ]
  • Time of maximum observed serum concentration (Tmax) of BMS-986016 administered both alone and in combination with nivolumab [ Time Frame: 15 time points up through part of Cycle 3 (approximately 18 weeks) ] [ Designated as safety issue: No ]
  • Trough observed serum concentration (Ctrough) of BMS-986016 administered both alone and in combination with nivolumab [ Time Frame: 14 time points up to Cycle 12 (approximately 96 weeks) ] [ Designated as safety issue: No ]
  • Concentration at the end of a dosing interval (Ctau) [Eg: concentration at 336 hours] of BMS-986016 administered both alone and in combination with nivolumab [ Time Frame: 14 time points up to Cycle 12 (approximately 96 weeks) ] [ Designated as safety issue: No ]
  • Average concentration over a dosing interval [AUC(TAU)/tau] (Css,avg) of BMS-986016 administered both alone and in combination with nivolumab [ Time Frame: 15 time points up through part of Cycle 3 (approximately 18 weeks) ] [ Designated as safety issue: No ]
  • Area under the concentration-time curve in one dosing interval [AUC(TAU)] of BMS-986016 administered both alone and in combination with nivolumab [ Time Frame: 15 time points up through part of Cycle 3 (approximately 18 weeks) ] [ Designated as safety issue: No ]
  • Total body clearance (CLT) of BMS-986016 administered both alone and in combination with nivolumab [ Time Frame: 15 time points up through part of Cycle 3 (approximately 18 weeks) ] [ Designated as safety issue: No ]
  • Volume of distribution at steady state (Vss) of BMS-986016 administered both alone and in combination with nivolumab [ Time Frame: 15 time points up through part of Cycle 3 (approximately 18 weeks) ] [ Designated as safety issue: No ]
  • Effective elimination half-life that explains the degree of AUC accumulation observed (T-HALFeff AUC) of BMS-986016 administered both alone and in combination with nivolumab [ Time Frame: 15 time points up through part of Cycle 3 (approximately 18 weeks) ] [ Designated as safety issue: No ]
    AUC = area under the concentration-time curve
  • Effective elimination half-life that explains the degree of Cmax accumulation observed (T-HALFeff Cmax) of BMS-986016 administered both alone and in combination with nivolumab [ Time Frame: 15 time points up through part of Cycle 3 (approximately 18 weeks) ] [ Designated as safety issue: No ]
  • Accumulation index; ratio of AUC(TAU) at steady state to AUC(TAU) after the first dose (AI_AUC) of BMS-986016 administered both alone and in combination with nivolumab [ Time Frame: 15 time points up through part of Cycle 3 (approximately 18 weeks) ] [ Designated as safety issue: No ]
  • Cmax accumulation index; ratio of Cmax at steady state to Cmax after the first dose (AI_Cmax) of BMS-986016 administered both alone and in combination with nivolumab [ Time Frame: 15 time points up through part of Cycle 3 (approximately 18 weeks) ] [ Designated as safety issue: No ]
  • Ctau accumulation index; ratio of Ctau at steady state to Ctau after the first dose (AI_Ctau) of BMS-986016 administered both alone and in combination with nivolumab [ Time Frame: 2 time points up through part of Cycle 3 (approximately 18 weeks) ] [ Designated as safety issue: No ]
  • DF - Degree of fluctuation or fluctuation index ([Cmax - Ctau]/Css,avg]) of BMS-986016 administered both alone and in combination with nivolumab [ Time Frame: 15 time points up through part of Cycle 3 (approximately 18 weeks) ] [ Designated as safety issue: No ]
  • Efficacy as measured by tumor assessment (irRECIST and RECIST) [ Time Frame: Every 8 weeks during treatment period (up to twelve 8-week cycles), and once during clinical follow-up period (30 days), for a total of approximately 1.9 years ] [ Designated as safety issue: No ]
    Based on immune-related Response Evaluation Criteria for Solid Tumors (irRECIST) 1.1 and Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 using Best overall response (BOR), Objective response rate (ORR), Duration of response (DOR) and Progression-free survival (PFS)
  • Immunogenicity measured by ADA for BMS-986016 (all subjects) and nivolumab (Part B & C only) [ Time Frame: 17 time points Cycle 1 through 12, up to 135 days of follow-up ] [ Designated as safety issue: No ]
  • QTc interval from centrally read electrocardiograms (ECGs) (Parts A and B) [ Time Frame: Follow-up visit 1, and Day 1 of Cycles 1 and 3 (pre-dose and 4 hour post-dose time points) ] [ Designated as safety issue: Yes ]
Same as current
Not Provided
Not Provided
 
Safety Study of Anti-LAG-3 With and Without Anti-PD-1 in the Treatment of Solid Tumors
A Phase 1 Dose Escalation and Cohort Expansion Study of the Safety, Tolerability, and Efficacy of Anti-LAG-3 Monoclonal Antibody (BMS-986016) Administered Alone and in Combination With Anti-PD-1 Monoclonal Antibody (Nivolumab, BMS-936558) in Advanced Solid Tumors

To assess the safety and tolerability, characterize the dose-limiting toxicities, and identify the maximum tolerated dose of BMS-986016 alone and in combination with Nivolumab in subjects with select advanced (metastatic and/or unresectable) solid tumors and to provide preliminary information on the clinical benefits of the combination.

Not Provided
Interventional
Phase 1
Allocation: Non-Randomized
Endpoint Classification: Safety Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Neoplasms by Site
  • Biological: BMS-986016
    Other Name: Anti-LAG-3 (Anti-Lymphocyte Activation Gene-3)
  • Biological: BMS-936558
    Other Names:
    • Anti-PD-1 (Anti-Programmed-Death-1)
    • MDS-1106
    • Nivolumab
  • Experimental: Part A-Dose Escalation: BMS-986016
    BMS-986016 20, 80, 240, and 800 mg solution intravenously, during each 8 week cycle: every 2 weeks (i.e. during weeks 1, 3, 5, 7), up to 96 weeks
    Intervention: Biological: BMS-986016
  • Experimental: Part B-Dose Escalation: BMS-986016 + BMS-936558
    BMS-986016 20, 80, and 240 mg solution + BMS-936558 80 and 240 mg solution intravenously, during each 8 week cycle: every 2 weeks (i.e. during weeks 1, 3, 5, 7), up to 96 weeks
    Interventions:
    • Biological: BMS-986016
    • Biological: BMS-936558
  • Experimental: Part C-Cohort Expansion: BMS-986016 + BMS-936558
    BMS-986016 + BMS-936558 at doses selected in Part B, during each 8 week cycle: every 2 weeks (i.e. during weeks 1, 3, 5, 7), up to 96 weeks
    Interventions:
    • Biological: BMS-986016
    • Biological: BMS-936558
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
168
May 2018
September 2016   (final data collection date for primary outcome measure)

For more information regarding BMS clinical trial participation, please visit www.BMSStudyConnect.com.

Inclusion Criteria:

  • Part A, Dose Escalation: Advanced (metastatic and/or unresectable) and incurable solid tumors, naive to Immune Cell Modulating Antibody Regimens (ICMARs)
  • Part B, Dose Escalation: Advanced (metastatic and/or unresectable) and incurable solid tumors, NSCLC subjects progressing while on- or after- receiving- anti-PD-1 or anit-PDL1 antibody as most recent therapy and melanoma subjects progressing while on- or after- receiving CTLA-4 and anti-PD-1 or PD L-1 antibody therapy (in sequential or combination regimens)
  • Part C Cohort Expansion: Advanced (metastatic and/or unresectable) and incurable: melanoma (naive to ICMARs and progressing while on- or after receiving anti-CTLA-4 and anti-PD-1 or anti-PD-L1 therapy); melanoma subjects last dose of anti-CTLA 4 therapy must be ≥ 100 days before receiving study drug medication ; non-small cell lung cancer (NSCLC) (naive to ICMARs and progressing while on- or after anti-PD-1 or anti-PD-L1 as most recent therapy) head and neck squamous cell carcinomas; or gastric adenocarcinoma naive to ICMARs
  • Part A: Progressed, or been intolerant to, at least one standard treatment regimen in the advanced or metastatic setting (if such a therapy exists)
  • Part B or C: Progressed, or been intolerant to, at least one standard treatment regimen or refuse standard treatment in the advanced or metastatic setting (if such therapy exists)
  • Received any number of prior treatment regimens
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • At least 1 lesion with measurable disease at baseline
  • Availability of an existing tumor biopsy sample (or consent to allow pre-treatment tumor biopsy if sample not available)

Exclusion Criteria:

  • Primary central nervous system (CNS) tumors or solid tumors with CNS metastases as the only site of active disease
  • Uncontrolled CNS metastases
  • Any prior exposure to immune cell modulating antibody regimens except as described in inclusion criteria for Part B subjects or specific Part C subjects
  • Autoimmune disease
  • Encephalitis, meningitis, or uncontrolled seizures in the year prior to informed consent
Both
18 Years and older
No
Contact: Recruiting sites have contact information. Please contact the sites directly. If there is no contact information, please email: Clinical.Trials@bms.com
Contact: First line of the email MUST contain NCT# and Site #.
United States,   Spain
 
NCT01968109
CA224-020, 2014-002605-38
No
Bristol-Myers Squibb
Bristol-Myers Squibb
Not Provided
Study Director: Bristol-Myers Squibb Bristol-Myers Squibb
Bristol-Myers Squibb
October 2014

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP