BMS-986012 in Relapsed/Refractory SCLC
A Phase 1/2 Multicenter Study of BMS-986012 in Subjects With Relapsed/Refractory Small Cell Lung Cancer
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
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New South Wales
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St. Leonards, New South Wales, Australia, 2065
- Local Institution - 0020
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Queensland
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Brisbane, Queensland, Australia, 4102
- Local Institution - 0011
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Victoria
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Clayton, Victoria, Australia, 3168
- Local Institution - 0002
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Gent, Belgium, 9000
- Local Institution - 0015
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Liege, Belgium, 4000
- Local Institution - 0012
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Alberta
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Edmonton, Alberta, Canada, T6G 1Z2
- Local Institution - 0003
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Nova Scotia
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Halifax, Nova Scotia, Canada, B3H 2Y9
- Local Institution - 0017
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Ontario
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Hamilton, Ontario, Canada, L8V 5C2
- Local Institution - 0019
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London, Ontario, Canada, N6A 4L6
- Local Institution - 0010
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Toronto, Ontario, Canada, M5G 2M9
- Local Institution - 0007
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Seoul, Korea, Republic of, 03080
- Local Institution - 0008
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Nijmegen, Netherlands, 6525 GA
- Local Institution - 0013
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San Juan, Puerto Rico, 00927
- Local Institution - 0009
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New York
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New York, New York, United States, 10065
- Local Institution - 0004
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North Carolina
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Durham, North Carolina, United States, 27710
- Local Institution - 0001
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Winston-Salem, North Carolina, United States, 27157
- Local Institution - 0021
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
For more information regarding BMS clinical trial participation, please visit www.BMSStudyConnect.com
Inclusion Criteria:
- Histological or cytological confirmed small cell lung cancer (SCLC)
- Performance Status 0-1
- Adequate organ function
- Measurable disease
Exclusion Criteria:
- Known or suspected brain metastasis
- Small cell cancer not lung in origin
- Significant or acute medical illness
- Uncontrolled or significant cardiac disease
- Infection
- ≥ Grade 2 peripheral neuropathy
- Concomitant malignancies
- HIV related disease or known or suspected HIV+
- Hepatitis B or C infection
- ECG abnormalities as defined by the protocol
- Allergies or hypersensitivities to monoclonal antibodies, BMS-986012 or related compounds, including fucosyl-GM1 vaccine and Nivolumab
Other protocol defined inclusion/exclusion criteria could apply
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Dose Escalation (Monotherapy) Dose -1
BMS-986012 (anti-fucosyl-GM1) Intravenous solution once every 3 weeks until disease progression/clinical deterioration or unacceptable toxicity
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Experimental: Dose Escalation (Monotherapy) Dose 1
BMS-986012 (anti-fucosyl-GM1) Intravenous solution once every 3 weeks until disease progression/clinical deterioration or unacceptable toxicity
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Experimental: Dose Escalation (Monotherapy) Dose 2
BMS-986012 (anti-fucosyl-GM1) Intravenous solution once every 3 weeks until disease progression/clinical deterioration or unacceptable toxicity
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Experimental: Dose Escalation (Monotherapy) Dose 3
BMS-986012 (anti-fucosyl-GM1) Intravenous solution once every 3 weeks until disease progression/clinical deterioration or unacceptable toxicity
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Experimental: Dose Escalation (Monotherapy) Dose 4
BMS-986012 (anti-fucosyl-GM1) Intravenous solution once every 3 weeks until disease progression/clinical deterioration or unacceptable toxicity
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Experimental: Dose Expansion (Monotherapy)- Cohort A (Refractory)
BMS-986012 (anti-fucosyl-GM1) Intravenous solution once every 3 weeks until disease progression/clinical deterioration or unacceptable toxicity
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Experimental: Dose Expansion (Monotherapy) Cohort B (Refractory)
BMS-986012 (anti-fucosyl-GM1) Intravenous solution once every 3 weeks until disease progression/clinical deterioration or unacceptable toxicity
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Experimental: Dose Expansion (Monotherapy) Cohort C (Sensitive)
BMS-986012 (anti-fucosyl-GM1) Intravenous solution once every 3 weeks until disease progression/clinical deterioration or unacceptable toxicity
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Experimental: Dose Expansion (Monotherapy) Cohort D (Sensitive)
BMS-986012 (anti-fucosyl-GM1) Intravenous solution once every 3 weeks until disease progression/clinical deterioration or unacceptable toxicity
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Experimental: Dose Escalation (Combination) Dose 1
BMS-986012 (anti-fucosyl-GM1) Intravenous solution once every 3 weeks until disease progression/clinical deterioration or unacceptable toxicity in combination with Nivolumab specified dose on specified days
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Experimental: Dose Escalation (Combination) Dose 2
BMS-986012 (anti-fucosyl-GM1) Intravenous solution once every 3 weeks until disease progression/clinical deterioration or unacceptable toxicity in combination with Nivolumab specified dose on specified days
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Experimental: Dose Expansion (Combination)- (Refractory and Sensitive)
BMS-986012 (anti-fucosyl-GM1) Intravenous solution once every 3 weeks until disease progression/clinical deterioration or unacceptable toxicity in combination with Nivolumab specified dose on specified days
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of Participants With Adverse Events (AEs)
Time Frame: From first dose to 100 days post last dose (Up to 64 months)
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Number of participants with any grade adverse events (AEs).
An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in a clinical investigation participant administered study drug and that does not necessarily have a causal relationship with this treatment.
Toxicities will be graded using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.03.
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From first dose to 100 days post last dose (Up to 64 months)
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Number of Participants With Serious Adverse Events (SAEs)
Time Frame: From first dose to 100 days post last dose (Up to 64 months)
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Number of participants with any grade serious adverse events (SAEs). A Serious Adverse Event (SAE) is any untoward medical occurrence that at any dose:
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From first dose to 100 days post last dose (Up to 64 months)
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Number of Participants With Adverse Events (AEs) Leading to Discontinuation
Time Frame: From first dose to 100 days post last dose (Up to 64 months)
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Number of participants with any grade adverse events (AEs) leading to discontinuation.
An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in a clinical investigation participant administered study drug and that does not necessarily have a causal relationship with this treatment.
Toxicities will be graded using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.03.
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From first dose to 100 days post last dose (Up to 64 months)
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Number of Participants Who Died
Time Frame: From first dose to 100 days post last dose (Up to 64 months)
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Number of participants who died due to any cause.
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From first dose to 100 days post last dose (Up to 64 months)
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Number of Participants With Abnormal Hepatic Test
Time Frame: From first dose to 100 days post last dose (Up to 64 months)
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Number of participants with laboratory abnormalities in specific hepatic tests. The number of participants with the following laboratory abnormalities from on-treatment evaluations will be summarized:
ALT = Alanine Aminotransferase; AST = Aspartate Aminotransferase; ULN = Upper Limit of Normal |
From first dose to 100 days post last dose (Up to 64 months)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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BMS-986012 Maximum Observed Serum Concentration (Cmax)
Time Frame: Cycle 1 day 1, cycle 3 day 1 (including pre-dose, 1, 2, 4, 8, 24, 72, 168, 336 hours post dose)
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BMS-986012 maximum observed serum concentration (Cmax).
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Cycle 1 day 1, cycle 3 day 1 (including pre-dose, 1, 2, 4, 8, 24, 72, 168, 336 hours post dose)
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BMS-986012 Time of Maximum Observed Serum Concentration (Tmax)
Time Frame: Cycle 1 day 1, cycle 3 day 1 (including pre-dose, 1, 2, 4, and 8 hours post dose)
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BMS-986012 time of maximum observed serum concentration (Tmax).
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Cycle 1 day 1, cycle 3 day 1 (including pre-dose, 1, 2, 4, and 8 hours post dose)
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BMS-986012 Area Under the Serum Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUC (0-T))
Time Frame: Cycle 1 day 1, cycle 3 day 1 (including pre-dose, 1, 2, 4, 8, 24, 72, 168, 336 hours post dose)
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BMS-986012 area under the serum concentration-time curve from time zero to time of last quantifiable concentration (AUC (0-T)).
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Cycle 1 day 1, cycle 3 day 1 (including pre-dose, 1, 2, 4, 8, 24, 72, 168, 336 hours post dose)
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BMS-986012 Area Under the Serum Concentration-time Curve in One Dosing Interval AUC (TAU)
Time Frame: Cycle 1 day 1, cycle 3 day 1 (including pre-dose, 1, 2, 4, 8, 24, 72, 168, 336 hours post dose)
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BMS-986012 area under the serum concentration-time curve in one dosing interval AUC (TAU).
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Cycle 1 day 1, cycle 3 day 1 (including pre-dose, 1, 2, 4, 8, 24, 72, 168, 336 hours post dose)
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BMS-986012 Observed Serum Concentration at the End of a Dosing Interval (Ctau)
Time Frame: Cycle 1 day 1, cycle 3 day 1 (including pre-dose, 1, 2, 4, 8, 24, 72, 168, 336 hours post dose)
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BMS-986012 observed serum concentration at the end of a dosing interval (Ctau).
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Cycle 1 day 1, cycle 3 day 1 (including pre-dose, 1, 2, 4, 8, 24, 72, 168, 336 hours post dose)
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BMS-986012 Total Body Clearance (CLT)
Time Frame: Cycle 1 day 1, cycle 3 day 1 (including pre-dose, 1, 2, 4, 8, 24, 72, 168, 336 hours post dose)
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BMS-986012 total body clearance (CLT).
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Cycle 1 day 1, cycle 3 day 1 (including pre-dose, 1, 2, 4, 8, 24, 72, 168, 336 hours post dose)
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BMS-986012 Trough Observed Serum Concentration (Ctrough)
Time Frame: Cycle 2 day 1, cycle 3 day 1, cycle 4 day 1, cycle 7 day 1, cycle 11 day 1. cycle 15 day 1 (including pre-dose, 1, 2, 4, 8, 24, 72, 168, 336 hours post dose)
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BMS-986012 trough observed serum concentration (Ctrough).
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Cycle 2 day 1, cycle 3 day 1, cycle 4 day 1, cycle 7 day 1, cycle 11 day 1. cycle 15 day 1 (including pre-dose, 1, 2, 4, 8, 24, 72, 168, 336 hours post dose)
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BMS-986012 Average Concentration Over a Dosing Interval (Css-avg)
Time Frame: Cycle 3 day 1 (including pre-dose, 1, 2, 4, and 8 hours post dose)
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BMS-986012 Average concentration over a dosing interval ([AUC(TAU)/tau] (Css-avg).
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Cycle 3 day 1 (including pre-dose, 1, 2, 4, and 8 hours post dose)
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BMS-986012 Accumulation Index (AI_AUC)
Time Frame: Cycle 3 day 1 (including pre-dose, 1, 2, 4, and 8 hours post dose)
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BMS-986012 accumulation index.
Ratio of an exposure measure at steady state to that after the first dose.
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Cycle 3 day 1 (including pre-dose, 1, 2, 4, and 8 hours post dose)
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BMS-986012 Cmax Accumulation Index (AI_Cmax)
Time Frame: Cycle 3 day 1 (including pre-dose, 1, 2, 4, and 8 hours post dose)
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BMS-986012 Cmax accumulation index (AI_Cmax).
Ratio of an exposure measure at steady state to that after the first dose.
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Cycle 3 day 1 (including pre-dose, 1, 2, 4, and 8 hours post dose)
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BMS-986012 Ctau Accumulation Index (AI_Ctau)
Time Frame: Cycle 3 day 1 (including pre-dose, 1, 2, 4, and 8 hours post dose)
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BMS-986012 Ctau accumulation index (AI_Ctau).
Ratio of an exposure measure at steady state to that after the first dose.
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Cycle 3 day 1 (including pre-dose, 1, 2, 4, and 8 hours post dose)
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BMS-986012 Effective Elimination (T-HALFeff)
Time Frame: Cycle 3 day 1 (including pre-dose, 1, 2, 4, and 8 hours post dose)
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BMS-986012 effective elimination (T-HALFeff) that explains the degree of accumulation observed for a specific exposure measure.
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Cycle 3 day 1 (including pre-dose, 1, 2, 4, and 8 hours post dose)
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Best Overall Response (BOR)
Time Frame: From first dose to the last tumor assessment prior to subsequent therapy (Up to 97 months)
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BOR defined as the best response designation over the study as a whole.
Complete Response (CR) = Disappearance of all target lesions; Partial Response (PR) = At least a 30% decrease in the sum of diameters of target lesions; Stable Disease (SD) = Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD; Progressive Disease (PD) = At least a 20% increase in the sum of diameters of target lesions and the sum must demonstrate an absolute increase of at least 5 mm
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From first dose to the last tumor assessment prior to subsequent therapy (Up to 97 months)
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Objective Response Rate (ORR)
Time Frame: From first dose date to the date of first documented disease progression (Up to 97 months)
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ORR is defined as the percent of participants whose BOR is either CR or PR.
Complete Response (CR) = Disappearance of all target lesions; Partial Response (PR) = At least a 30% decrease in the sum of diameters of target lesions; Progressive Disease (PD) = At least a 20% increase in the sum of diameters of target lesions and the sum must demonstrate an absolute increase of at least 5 mm
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From first dose date to the date of first documented disease progression (Up to 97 months)
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Duration of Response (DoR)
Time Frame: From the date of first dose to the date of the first documented tumor progression or death due to any cause, whichever occurs first (Up to 97 months)
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DoR is defined as the time from first response (CR or PR) to the date of the first documented tumor progression as determined using RECIST 1.1 criteria or death due to any cause, whichever occurs first. Participants who remain alive and have not progressed will be censored on the date of their last tumor assessment. Complete Response (CR) = Disappearance of all target lesions; Partial Response (PR )= At least a 30% decrease in the sum of diameters of target lesions; Progressive Disease (PD) = At least a 20% increase in the sum of diameters of target lesions and the sum must demonstrate an absolute increase of at least 5 mm Median DOR will only be evaluated provided there are enough responding participants to warrant inclusion. |
From the date of first dose to the date of the first documented tumor progression or death due to any cause, whichever occurs first (Up to 97 months)
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Progression Free Survival (PFS)
Time Frame: From first dose to the date of first documented disease progression or death due to any cause, if death occurred within 100 days after last BMS-986012 dose (Up to 97 months)
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PFS is defined as the time from the date of first dose of study medication to the date of the first objective documentation of tumor progression or death due to any cause, if death occurred within 100 days after last BMS-986012 dose. Progressive Disease (PD) = At least a 20% increase in the sum of diameters of target lesions and the sum must demonstrate an absolute increase of at least 5 mm |
From first dose to the date of first documented disease progression or death due to any cause, if death occurred within 100 days after last BMS-986012 dose (Up to 97 months)
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Progression Free Survival Rate (PFSR)
Time Frame: Weeks 12, 24, 36, 48, 60, 72
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PFSR is defined as the percent of participants who remain progression free and surviving at "t" weeks (t= 12, 24, 36, 48, 60, 72). Progressive Disease (PD)=At least a 20% increase in the sum of diameters of target lesions and the sum must demonstrate an absolute increase of at least 5 mm |
Weeks 12, 24, 36, 48, 60, 72
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Number of Participants With Anti-BMS-986012 Antibodies (ADA)
Time Frame: From first dose to 100 days following the last BMS-986012 dose (Up to 64 months)
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Number of participants with anti-BMS-986012 antibodies (ADA) with status as baseline ADA positive, ADA positive and ADA negative.
Baseline ADA positive participant is a participant with baseline ADA positive sample (Day 1 predose).
ADA-positive participant is a participant with at least one ADA positive sample relative to baseline at any time after initiation of treatment during the defined observation time period.
ADA negative participant is a participant with no ADA positive sample after the initiation of treatment.
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From first dose to 100 days following the last BMS-986012 dose (Up to 64 months)
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Bristol-Myers Squibb, Bristol-Myers Squibb
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Respiratory Tract Diseases
- Neoplasms
- Lung Diseases
- Neoplasms by Site
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Carcinoma, Bronchogenic
- Bronchial Neoplasms
- Lung Neoplasms
- Small Cell Lung Carcinoma
- Molecular Mechanisms of Pharmacological Action
- Antineoplastic Agents
- Antineoplastic Agents, Immunological
- Immune Checkpoint Inhibitors
- Nivolumab
Other Study ID Numbers
Other Study ID Numbers
- CA001-030
- 2014-002372-89 (EudraCT Number)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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