NCT02996110

Brief Summary

The purpose of this study is to test the effectiveness and safety of various nivolumab combinations compared to nivolumab and ipilimumab in participants with advanced kidney cancer

Trial Health

93
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
182

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Feb 2017

Longer than P75 for phase_2

Geographic Reach
5 countries

30 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 15, 2016

Completed
4 days until next milestone

First Posted

Study publicly available on registry

December 19, 2016

Completed
2 months until next milestone

Study Start

First participant enrolled

February 2, 2017

Completed
4.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 23, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 23, 2021

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

December 19, 2022

Completed
Last Updated

December 19, 2022

Status Verified

November 1, 2022

Enrollment Period

4.8 years

First QC Date

December 15, 2016

Results QC Date

November 18, 2022

Last Update Submit

November 18, 2022

Conditions

Outcome Measures

Primary Outcomes (3)

  • Objective Response Rate (ORR) Per Investigator

    ORR is percent of participants whose best overall response (BOR) is complete response (CR) or partial response (PR). BOR is the best response from the start of the study treatment until objectively documented progression per RECIST v1.1 or subsequent anticancer therapy, whichever occurs first. For participants who received re-treatment or were re-randomized, the re-treatment and re-randomized therapies were considered subsequent anticancer therapy. CR is the disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) have reduction in short axis to \<10 mm. PR is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. The Response Evaluation Criteria in Solid Tumors (RECIST) is a standard way to measure the response of a tumor to treatment. CR+PR, confidence interval based on Clopper and Pearson method.

    From first dose of study treatment until progression or subsequent anticancer therapy, whichever occurs first (assessed up to approximately 247 weeks)

  • Median Duration of Response (DOR) Per Investigator

    Duration of Response is defined as the time between the date of first response and the date of first documented disease progression as determined by RECIST 1.1 or death due to any cause (death occurring after re-treatment or randomization to new combination treatment was not considered), whichever occurred first. Complete Response (CR) is the disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. Partial Response (PR) is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Median computed using Kaplan -Meier method

    From first dose to the date of first documented disease progression or death due to any cause (assessed from an average of 22 weeks up to approximately 247 weeks)

  • Progression Free Survival Rate (PFSR) at 24 Weeks.

    The PFSR at 24 weeks is defined as the proportion of treated participants remaining progression free and surviving at 24 weeks since the first dosing date. Progressive Disease (PD) is at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progression). Point estimates are derived from Kaplan-Meier analyses, the 95% CIs are derived from Greenwood formula

    24 weeks after first treatment dose.

Secondary Outcomes (8)

  • Number of Participants With Adverse Events (AEs)

    From first dose to 100 days after last dose of study therapy (assessed up to approximately 118 weeks)

  • Number of Participants With Serious Adverse Events (SAEs)

    From first dose to 100 days after last dose of study therapy (assessed up to approximately 118 weeks)

  • Number of Participants With Adverse Events (AEs) Leading to Discontinuation

    From first dose to 100 days after last dose of study therapy (assessed up to approximately 118 weeks)

  • Number of Participants Who Died

    From first dose to 100 days after last dose of study therapy (assessed up to approximately 118 weeks)

  • Number of Participants With Abnormal Thyroid Test Results - Track 1

    From first dose to 30 days after last dose of study therapy (approximately 108 weeks)

  • +3 more secondary outcomes

Study Arms (4)

Nivolumab + Ipilimumab

ACTIVE COMPARATOR

Nivolumab + Ipilimumab

Biological: NivolumabBiological: Ipilimumab

Nivolumab + Relatlimab

EXPERIMENTAL

Nivolumab + Relatlimab

Biological: NivolumabBiological: Relatlimab

Nivolumab + BMS-986205

EXPERIMENTAL

Nivolumab + BMS-986205

Biological: NivolumabDrug: BMS-986205

Nivolumab + BMS-813160

EXPERIMENTAL

Nivolumab + BMS-813160 (CCR2/5 dual antagonist)

Biological: NivolumabDrug: BMS-813160

Interventions

NivolumabBIOLOGICAL

Specified Dose on Specified Days

Also known as: Opdivo, BMS-936558
Nivolumab + BMS-813160Nivolumab + BMS-986205Nivolumab + IpilimumabNivolumab + Relatlimab
IpilimumabBIOLOGICAL

Specified Dose on Specified Days

Also known as: BMS-734016, Yervoy
Nivolumab + Ipilimumab
RelatlimabBIOLOGICAL

Specified Dose on Specified Days

Also known as: BMS-986016
Nivolumab + Relatlimab

Specified Dose on Specified Days

Nivolumab + BMS-986205

Specified Dose on Specified Days

Nivolumab + BMS-813160

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Advanced Renal Cell Carcinoma
  • Must have at least 1 lesion with measurable disease
  • Life expectancy of at least 3 months
  • Karnofsky Performance Status (KPS) must be =\>70%

You may not qualify if:

  • Patients/subjects with suspected or known central nervous system metastases unless adequately treated
  • Patients/subjects with autoimmune disease
  • Patients/subjects who need daily oxygen therapy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (32)

Local Institution - 0037

New Haven, Connecticut, 06520, United States

Location

Local Institution

Tampa, Florida, 33612-9497, United States

Location

Local Institution - 0031

Augusta, Georgia, 30912, United States

Location

Local Institution - 0006

Chicago, Illinois, 60612, United States

Location

Local Institution - 0007

Baltimore, Maryland, 21287, United States

Location

Dana Farber Cancer Institute

Boston, Massachusetts, 02215, United States

Location

Massachusetts General Hospital

Boston, Massachusetts, 02215, United States

Location

Local Institution - 0011

Detroit, Michigan, 48201, United States

Location

Local Institution - 0008

St Louis, Missouri, 63110, United States

Location

Roswell Park Cancer Institute

Buffalo, New York, 14263, United States

Location

Local Institution - 0005

New York, New York, 10065, United States

Location

Local Institution - 0043

Charlotte, North Carolina, 28204, United States

Location

Local Institution - 0014

Columbus, Ohio, 43210, United States

Location

Oregon Health & Science University

Portland, Oregon, 97239, United States

Location

Local Institution - 0002

Allentown, Pennsylvania, 18103, United States

Location

Hollings Cancer Center

Charleston, South Carolina, 29425, United States

Location

Local Institution - 0025

Nashville, Tennessee, 37203, United States

Location

Ut Southwestern Medical Center

Dallas, Texas, 75390-8570, United States

Location

Local Institution - 0024

Charlottesville, Virginia, 22908, United States

Location

University of Washington - Seattle Cancer Care Alliance

Seattle, Washington, 98109, United States

Location

Local Institution - 0032

Westmead, New South Wales, 2145, Australia

Location

Monash Medical Centre Clayton

Bentleigh, Victoria, 3165, Australia

Location

Local Institution - 0044

Linz, Upper Austria, 4010, Austria

Location

Local Institution - 0038

Hamilton, Ontario, L8V 5C2, Canada

Location

Local Institution - 0029

Oshawa, Ontario, L1G 2B9, Canada

Location

Local Institution - 0035

Toronto, Ontario, M5G 1Z6, Canada

Location

Local Institution - 0034

Montreal, Quebec, H3T 1E2, Canada

Location

Local Institution - 0030

Québec, Quebec, G1R 2J6, Canada

Location

Local Institution

Haifa, 3109601, Israel

Location

Local Institution

Ramat Gan, 52621, Israel

Location

Local Institution - 0010

Milan, 20133, Italy

Location

Local Institution - 0012

Napoli, 80131, Italy

Location

Related Publications (1)

  • Choueiri TK, Kluger H, George S, Tykodi SS, Kuzel TM, Perets R, Nair S, Procopio G, Carducci MA, Castonguay V, Folefac E, Lee CH, Hotte SJ, Miller WH Jr, Saggi SS, Lee CW, Desilva H, Bhagavatheeswaran P, Motzer RJ, Escudier B. FRACTION-RCC: nivolumab plus ipilimumab for advanced renal cell carcinoma after progression on immuno-oncology therapy. J Immunother Cancer. 2022 Nov;10(11):e005780. doi: 10.1136/jitc-2022-005780.

Related Links

MeSH Terms

Interventions

NivolumabIpilimumabrelatlimablinrodostatBMS-813160

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Results Point of Contact

Title
Bristol-Myers Squibb Study Director
Organization
Bristol-Myers Squibb

Study Officials

  • Bristol-Myers Squibb

    Bristol-Myers Squibb

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 15, 2016

First Posted

December 19, 2016

Study Start

February 2, 2017

Primary Completion

November 23, 2021

Study Completion

November 23, 2021

Last Updated

December 19, 2022

Results First Posted

December 19, 2022

Record last verified: 2022-11

Locations