A Study to Test Combination Treatments in People With Advanced Renal Cell Carcinoma
FRACTION-RCC
A Phase 2, Real-time Assessment of Combination Therapies in Immuno-Oncology Study in Participants With Advanced Renal Cell Carcinoma (FRACTION-RCC)
2 other identifiers
interventional
182
5 countries
30
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Feb 2017
Longer than P75 for phase_2
30 active sites
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
CompletedFirst Posted
Study publicly available on registry
December 19, 2016
CompletedStudy Start
First participant enrolled
February 2, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 23, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
November 23, 2021
CompletedResults Posted
Study results publicly available
December 19, 2022
CompletedDecember 19, 2022
November 1, 2022
4.8 years
December 15, 2016
November 18, 2022
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 COMPARATORNivolumab + Ipilimumab
Nivolumab + Relatlimab
EXPERIMENTALNivolumab + Relatlimab
Nivolumab + BMS-986205
EXPERIMENTALNivolumab + BMS-986205
Nivolumab + BMS-813160
EXPERIMENTALNivolumab + BMS-813160 (CCR2/5 dual antagonist)
Interventions
Specified Dose on Specified Days
Specified Dose on Specified Days
Eligibility Criteria
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
Local Institution
Tampa, Florida, 33612-9497, United States
Local Institution - 0031
Augusta, Georgia, 30912, United States
Local Institution - 0006
Chicago, Illinois, 60612, United States
Local Institution - 0007
Baltimore, Maryland, 21287, United States
Dana Farber Cancer Institute
Boston, Massachusetts, 02215, United States
Massachusetts General Hospital
Boston, Massachusetts, 02215, United States
Local Institution - 0011
Detroit, Michigan, 48201, United States
Local Institution - 0008
St Louis, Missouri, 63110, United States
Roswell Park Cancer Institute
Buffalo, New York, 14263, United States
Local Institution - 0005
New York, New York, 10065, United States
Local Institution - 0043
Charlotte, North Carolina, 28204, United States
Local Institution - 0014
Columbus, Ohio, 43210, United States
Oregon Health & Science University
Portland, Oregon, 97239, United States
Local Institution - 0002
Allentown, Pennsylvania, 18103, United States
Hollings Cancer Center
Charleston, South Carolina, 29425, United States
Local Institution - 0025
Nashville, Tennessee, 37203, United States
Ut Southwestern Medical Center
Dallas, Texas, 75390-8570, United States
Local Institution - 0024
Charlottesville, Virginia, 22908, United States
University of Washington - Seattle Cancer Care Alliance
Seattle, Washington, 98109, United States
Local Institution - 0032
Westmead, New South Wales, 2145, Australia
Monash Medical Centre Clayton
Bentleigh, Victoria, 3165, Australia
Local Institution - 0044
Linz, Upper Austria, 4010, Austria
Local Institution - 0038
Hamilton, Ontario, L8V 5C2, Canada
Local Institution - 0029
Oshawa, Ontario, L1G 2B9, Canada
Local Institution - 0035
Toronto, Ontario, M5G 1Z6, Canada
Local Institution - 0034
Montreal, Quebec, H3T 1E2, Canada
Local Institution - 0030
Québec, Quebec, G1R 2J6, Canada
Local Institution
Haifa, 3109601, Israel
Local Institution
Ramat Gan, 52621, Israel
Local Institution - 0010
Milan, 20133, Italy
Local Institution - 0012
Napoli, 80131, Italy
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.
PMID: 36328377DERIVED
Related Links
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Bristol-Myers Squibb Study Director
- Organization
- Bristol-Myers Squibb
Study Officials
- STUDY DIRECTOR
Bristol-Myers Squibb
Bristol-Myers Squibb
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