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Completed

NCT Number: NCT03792750

A Study of BMS-986205 Alone and in Combination With Nivolumab in Chinese Patients With Advanced Malignant Solid Tumors

The purpose of this study is to determine safety and effectiveness of experimental medication BMS-986205 in combination with Nivolumab in patients with cancers that are advanced or have spread.

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Key information

Conditions

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Local Institution

Hangzhou, Zhejiang, 310016, China

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Participants must have histologic or cytological confirmation of a solid tumor that is advanced with measureable disease per RECIST v1.1
  • Participants must have received, and then progressed or been intolerant to at least one standard treatment regimen in the advanced or metastatic setting
  • Participants must have an ECOG performance status of less than or equal to 1
  • Participants must have at least 1 lesion with measurable disease as defined by RECIST Version 1.1

Exclusion criteria

  • Participants must not have suspected, known, or progressive CNS metastases, have untreated CNS metastases, or have the CNS as the only site of disease
  • Participants with prior exposure to anti PD-1 or anti-PDL1 therapy
  • Participants must not have a history of allergy to any of the study treatment components

Treatment and study plan

BMS-986205

Drug

Specified Dose on Specified Day

Nivolumab

Biological

Specified Dose on Specified Day

Other names: BMS-936558

Primary outcomes

  1. The Number of Participants Experiencing Adverse Events (AE)

    Time frame: From first dose to 100 days after last dose of study therapy (up to approximately 2 years)

    The number of participants experiencing adverse events (AEs) to assess the safety and tolerability of BMS-986205.

    An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment.

  2. The Number of Participants Experiencing Serious Adverse Events (SAE)

    Time frame: From first dose to 100 days after last dose of study therapy (up to approximately 2 years)

    The number of participants experiencing serious adverse events (SAEs) to assess the safety and tolerability of BMS-986205

    Serious Adverse Event (SAE) is defined as any untoward medical occurrence that, at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is an important medical event.

  3. The Number of Participants Experience Adverse Events (AE) Leading to Discontinuation

    Time frame: From first dose to 100 days after last dose of study therapy (up to approximately 2 years)

    The number of participants experiencing adverse events (AEs) leading to discontinuation to assess the safety and tolerability of BMS-986205

    An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment.

  4. Number of Participant Deaths

    Time frame: From first dose to 100 days after last dose of study therapy (up to approximately 2 years)

    The number of participants who died in each arm during the study to assess the safety and tolerability of BMS-986205.

  5. The Number of Participants Experiencing Laboratory Abnormalities in Specific Liver Tests

    Time frame: From first dose to 100 days after last dose of study therapy (up to approximately 2 years)

    The number of participants with clinical laboratory test abnormalities in specific liver tests based on US conventional units to assess the safety and tolerability of BMS-986205.

    The number of participants with the following laboratory abnormalities will be summarized:

    ALT or AST > 3 x ULN, > 5 x ULN, > 10 x ULN and > 20 x ULN Total bilirubin > 1.5 x ULN and 2 x ULN Concurrent (within 1 day) ALT or AST > 3 x ULN with total bilirubin > 2 x ULN Concurrent (within 30 days) ALT or AST > 3 x ULN with total bilirubin > 2 x ULN

  6. The Number of Participants Experiencing Laboratory Abnormalities in Specific Thyroid Tests

    Time frame: From first dose to 100 days after last dose of study therapy (up to approximately 2 years)

    The number of participants with clinical laboratory test abnormalities based on US conventional units to assess the safety and tolerability of BMS-986205.

    The number of subjects with the following laboratory abnormalities will be summarized:

    TSH > ULN WITH TSH <= ULN AT BASELINE WITH AT LEAST ONE FT3/FT4 TEST VALUE < LLN (Within a 2-week window after the abnormal TSH test date) WITH ALL OTHER FT3/FT4 TEST VALUES >= LLN (Within a 2-week window after the abnormal TSH test date) WITH FT3/FT4 TEST MISSING (Within a 2-week window after the abnormal TSH test date) TSH < LLN WITH TSH >= LLN AT BASELINE WITH AT LEAST ONE FT3/FT4 TEST VALUE > ULN (Within a 2-week window after the abnormal TSH test date) WITH ALL OTHER FT3/FT4 TEST VALUES <= ULN (Within a 2-week window after the abnormal TSH test date) WITH FT3/FT4 TEST MISSING (Within a 2-week window after the abnormal TSH test date)

  7. (Cmax) Maximum Observed Plasma Concentration

    Time frame: pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 days 1, 14, Cycle 1 day 1

    The maximum observes plasma concentration was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab.

  8. (Tmax) Time of Maximum Observed Plasma Concentration

    Time frame: pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 days 1, 14, Cycle 1 day 1

    The time of maximum observed plasma concentration was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab.

  9. (AUC(TAU)) Area Under the Concentration-time Curve in One Dosing Interval

    Time frame: pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 days 1, 14, Cycle 1 day 1

    The area under the concentration-time curve in one dosing interval was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab.

  10. (CLT/F) Apparent Total Body Clearance

    Time frame: pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 day 14, Cycle 1 day 1

    The apparent total body clearance was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab.

  11. (T-HALF (Eff, AUC)) Effective Elimination Half-life

    Time frame: pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 day 14

    The effective elimination half-life was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab. T-HALF (eff, AUC) explains the degree of AUC accumulation observed.

  12. (AI_CMAX) Accumulation Index

    Time frame: pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 day 14

    The accumulation index was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab. AI is calculated based on ratio of Cmax at steady state to after the first dose.

  13. (AI_AUC ) Accumulation Index

    Time frame: pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 day 14

    The accumulation index was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab. AI is calculated based on ratio of AUC(TAU) at steady state to after the first dose.

  14. (Ctrough) Trough Observed Plasma Concentration

    Time frame: pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 day 2, 8, 14, Cycle 1 day 1, 2, Cycle 3, 5, 9, 13, and 17 day 1

    The trough observed plasma concentration was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab.

  15. (percentUR24) Percent Urinary Recovery Over 24 Hours

    Time frame: pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 Day 1 and 2

    The percent urinary recovery over 24 hours was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab.

    BMS-986205 had minimal evaluable concentration in urine to derive the parameter.

Secondary outcomes

  1. Objective Response Rate (ORR)

    Time frame: From first dose up to approximately 2 years

    ORR is defined as the total number of participants whose best overall response (BOR) is either a completer response (CR) or partial response (PR) divided by the total number of participants in the population of interest. Assessed per Response Evaluation Criteria In Solid Tumors (RECIST) v1.1 by investigator

    BOR is defined as the best response designation over the study as a whole, recorded between the dates of first dose until the last tumor assessment prior to subsequent therapy.

  2. Best Overall Response (BOR)

    Time frame: From first dose up to approximately 2 years

    BOR defined as the best response designation over the study as a whole, recorded between the dates of first dose until the last tumor assessment prior to subsequent therapy. Assessed per Response Evaluation Criteria In Solid Tumors (RECIST) v1.1 by investigator

  3. Duration of Response (DOR)

    Time frame: From first dose up to approximately 2 years

    Duration of Response (DOR) is defined as the time between the date of first response and the date of disease progression or death, whichever occurs first. Assessed per Response Evaluation Criteria In Solid Tumors (RECIST) v1.1 by investigator.

  4. Measurement of Serum Kynurenine Levels

    Time frame: Baseline, pre-dose (C1D1), 6 hours post dose (C1D1), pre-dose (C1D2), and at disease progression (actually collected on C3D1, C6D1, C8D1, and end of treatment-an average of 12 cycles)

    Measurement of kynurenine levels were assessed to characterize the pharmacodynamic activity of BMS-986205 administered alone and in combination with nivolumab.

  5. Measurement of Tryptophan Levels

    Time frame: Baseline, pre-dose (C1D1), 6 hours post dose (C1D1), pre-dose (C1D2), and at disease progression (actually collected on C3D1, C6D1, C8D1, and end of treatment-an average of 12 cycles)

    Measurement of tryptophan levels were assessed to characterize the pharmacodynamic activity of BMS-986205 administered alone and in combination with nivolumab.

  6. Number of Participants With Anti-drug Antibodies (ADA) to Nivolumab

    Time frame: Baseline, pre-dose (C1D1, C3D1, every 4 Cycles from C5D1), end of treatment - an average of 12 cycles, and follow up. (up to approximately 2 years)

    The number of participants with positive or negative anti-drug antibodies (ADA) to nivolumab was collected to characterize the immunogenicity of nivolumab when administered in combination with BMS-986205.

    Baseline ADA Positive: A subject with baseline ADA-positive sample. ADA Positive: A subject with at least one ADA-positive sample relative to baseline.

    Neutralizing Positive: At least one ADA-positive sample with neutralizing antibodies detected post-baseline ADA Negative: A subject with no ADA-positive sample after initiation of treatment.

Sponsors and collaborators

Lead sponsor

Bristol-Myers Squibb

Industry

Registry information

Official study title

A Phase 1/2 Study to Evaluate the Pharmacokinetics, Pharmacodynamics, Safety, and Tolerability of BMS-986205 Alone and in Combination With Nivolumab in Chinese Patients With Advanced Malignant Solid Tumors

Important dates

Study start
2018
Primary completion
2020
Study completion
2020
First posted
Jan 3, 2019
Registry last updated
Feb 28, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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