First-In-Human Study of Monoclonal Antibody BMS-986218 by Itself and in Combination With Nivolumab in Participants With Advanced Solid Tumors
Phase 1/2a First-In-Human Study of BMS-986218 Monoclonal Antibody Alone and in Combination With Nivolumab in Advanced Solid Tumors
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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Buenos Aires
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Ciudad Autónoma De Buenos Aires, Buenos Aires, Argentina, 1426
- Local Institution - 0042
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Ciudad Autónoma De Buenos Aires
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ABB, Ciudad Autónoma De Buenos Aires, Argentina, C1199ABB
- Local Institution - 0053
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Caba, Ciudad Autónoma De Buenos Aires, Argentina, C1430EGF
- Local Institution - 0057
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Cordoba
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Córdoba, Cordoba, Argentina, X5000FHP
- Local Institution - 0062
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Rio Cuarto, Cordoba, Argentina
- Local Institution - 0060
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Villa Siburu, Cordoba, Argentina, 5003
- Local Institution - 0047
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Distrito Federal
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Buenos Aires, Distrito Federal, Argentina, 1121
- Local Institution - 0059
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New South Wales
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Northmead, New South Wales, Australia, 2152
- Local Institution - 0026
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Wollstonecraft, New South Wales, Australia, 2065
- Local Institution - 0006
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Western Australia
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Murdoch, Western Australia, Australia, 6150
- Local Institution - 0049
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Gent, Belgium, 9000
- Local Institution - 0039
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Alberta
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Edmonton, Alberta, Canada, T6G 1Z2
- Local Institution - 0037
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British Columbia
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Vancouver, British Columbia, Canada, V5Z 4E6
- Local Institution - 0023
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Ontario
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Ottawa, Ontario, Canada, K1H 8L6
- Local Institution - 0027
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Toronto, Ontario, Canada, M5G 2M9
- Local Institution - 0022
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Metropolitana
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Santiago, Metropolitana, Chile, 8420383
- Local Institution - 0041
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Santiago, Metropolitana, Chile, 7710007
- Local Institution - 0048
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Valparaiso
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Vina del Mar, Valparaiso, Chile, 2520598
- Local Institution - 0052
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Helsinki, Finland, 00029
- Local Institution - 0045
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Lyon Cedex 08, France, 69373
- Local Institution - 0019
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Toulouse Cedex 9, France, 31059
- Local Institution - 0020
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Villejuif, France, 94800
- Local Institution - 0018
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Dresden, Germany, 01307
- Local Institution - 0009
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Essen, Germany, 45147
- Local Institution - 0030
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Haifa, Israel, 3109601
- Local Institution - 0029
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Ramat Gan, Israel, 52621
- Local Institution - 0008
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Napoli, Italy, 80131
- Local Institution - 0011
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Rozzano, Italy, 20089
- Local Institution - 0061
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Siena, Italy, 53100
- Local Institution - 0010
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Amsterdam, Netherlands, 1066 CX
- Local Institution - 0038
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Nijmegen, Netherlands, 6525 GA
- Local Institution - 0043
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Oslo, Norway, 0379
- Local Institution - 0040
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Warszawa, Poland, 02-781
- Local Institution - 0036
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Cluj Napoca, Romania, 400015
- Local Institution - 0034
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Craiova, Romania, 200347
- Local Institution - 0035
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Barcelona, Spain, 08035
- Local Institution - 0014
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Madrid, Spain, 28007
- Local Institution - 0056
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Madrid, Spain, 28040
- Local Institution - 0055
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Madrid, Spain, 28050
- Local Institution - 0013
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Malaga, Spain, 29010
- Local Institution - 0054
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Pamplona, Spain, 31008
- Local Institution - 0012
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Lausanne, Switzerland, 1011
- Local Institution - 0017
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Zuerich, Switzerland, 8091
- Local Institution - 0031
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Georgia
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Atlanta, Georgia, United States, 30342
- Local Institution - 0058
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Massachusetts
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Boston, Massachusetts, United States, 02215
- Local Institution - 0025
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New Jersey
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Hackensack, New Jersey, United States, 07601
- Local Institution - 0002
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New Brunswick, New Jersey, United States, 08009
- Local Institution - 0028
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New York
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New York, New York, United States, 10065
- Local Institution - 0007
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New York, New York, United States, 10032
- Local Institution - 0001
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Pennsylvania
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Monroeville, Pennsylvania, United States, 15146
- Local Institution - 0015
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Philadelphia, Pennsylvania, United States, 19104
- Local Institution - 0004
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South Dakota
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Sioux Falls, South Dakota, United States, 57104
- Local Institution - 0033
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
For more information regarding Bristol-Myers Squibb Clinical Trial participation, please visit www.BMSStudyConnect.com
Inclusion Criteria:
- Histologic or cytologic confirmation of a solid tumor that is advanced (metastatic, recurrent and/or unresectable)
- Eastern Cooperative Oncology Group Performance Status of 0 or 1
- Participants must have received, and then progressed, relapsed, or been intolerant to at least 2 standard treatment regimens with proven survival benefit in the advanced or metastatic setting according to tumor type, if such a therapy exists
- Advanced stage cutaneous melanoma who have received standard therapies with proven survival benefit including prior immunotherapy with an anti-programmed cell death 1 (anti-PD-1) or anti-programmed death ligand 1 (anti-PD-L1) (For Part 2A)
- Non-small cell lung cancer (NSCLC) (adenocarcinoma or squamous cell carcinoma) who have received standard therapies with proven survival benefit including prior immunotherapy with an anti-PD-1 or anti-PD-L1 (For Parts 2B & 2C)
- Microsatellite Stable Colorectal Cancer (MSS CRC) who have received standard therapies with proven survival benefit (Part 2D)
Exclusion Criteria:
- Participants with primary CNS malignancies, or tumors with CNS metastases as the only site of disease, will be excluded
- Cytotoxic agents, unless at least 4 weeks have elapsed from last dose of prior anti-cancer therapy and initiation of study therapy
- Prior anti-cancer treatments such as chemotherapy, radiotherapy, hormonal, or immunotherapy (including anti-PD-1/PD-L1) are permitted
Other protocol-defined inclusion/exclusion criteria apply
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: 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: Part 1A: Monotherapy (BMS-986218)
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Specified dose on specified days
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Experimental: Part 1B: Combination Therapy (BMS-986218 + Nivolumab)
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Specified dose on specified days
Other Names:
Specified dose on specified days
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Experimental: Part 2A: Monotherapy (BMS-986218 OR Ipilimumab)
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Specified dose on specified days
Other Names:
Specified dose on specified days
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Experimental: Part 2B: Monotherapy (BMS-986218)
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Specified dose on specified days
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Experimental: Part 2C: Expansion Combination Therapy (BMS-986218 + Nivolumab)
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Specified dose on specified days
Other Names:
Specified dose on specified days
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Experimental: Part 2D: Expansion Combination Therapy (BMS-986218 + Nivolumab)
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Specified dose on specified days
Other Names:
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 of study medication through 100 days following last dose of study treatment (assessed for an average of 8 months up to a max of approximately 28 months)
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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.
An AE can therefore be any unfavorable and unintended sign (such as an abnormal laboratory finding), symptom, or disease temporally associated with the use of study treatment, whether or not considered related to the study treatment.
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From first dose of study medication through 100 days following last dose of study treatment (assessed for an average of 8 months up to a max of approximately 28 months)
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Number of Participants With Serious Adverse Events (SAEs)
Time Frame: From first dose of study medication through 100 days following last dose of study treatment (assessed for an average of 8 months up to a max of approximately 28 months)
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Serious Adverse Event (SAE) is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, and requires inpatient hospitalization or causes prolongation of existing hospitalization.
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From first dose of study medication through 100 days following last dose of study treatment (assessed for an average of 8 months up to a max of approximately 28 months)
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Number of Participants With Adverse Events (AEs) Meeting Protocol-defined Dose-limiting Toxicity (DLT) Criteria
Time Frame: From first dose of study medication through 60 days following last dose of study treatment (assessed for an average of 7 months up to a max of approximately 27 months)
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Dose-Limiting Toxicities (DLTs) are effects of a treatment that are serious enough to prevent an increase in dose of that treatment. Grade 1=Mild, 2=Moderate, 3=Severe, 4=Life-threatening, 5=Death Gastrointestinal DLT:
Hepatic DLT:
Hematologic DLT:
Dermatologic DLT:
Other DLTs:
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From first dose of study medication through 60 days following last dose of study treatment (assessed for an average of 7 months up to a max of approximately 27 months)
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Number of Participants With Adverse Events (AEs) Leading to Discontinuation
Time Frame: From first dose of study medication through 100 days following last dose of study treatment (assessed for an average of 8 months up to a max of approximately 28 months)
|
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.
An AE can therefore be any unfavorable and unintended sign (such as an abnormal laboratory finding), symptom, or disease temporally associated with the use of study treatment, whether or not considered related to the study treatment.
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From first dose of study medication through 100 days following last dose of study treatment (assessed for an average of 8 months up to a max of approximately 28 months)
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Number of Participants Who Died
Time Frame: From randomization (Part 2A and 2B) or first dose (Part 1, 2C and 2D) until study closure (Up to approximately 83 months)
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Number of participants who died during the study
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From randomization (Part 2A and 2B) or first dose (Part 1, 2C and 2D) until study closure (Up to approximately 83 months)
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Objective Response Rate (ORR) for Part 2 Only
Time Frame: From the start of the study treatment until disease progression, or the last response recorded, taking into account any requirement for confirmation and censoring rules regarding subsequent therapy (Up to approximately 83 months)
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Objective response rate (ORR) is defined as the percent of all treated participants whose best overall response (BOR) is either complete response (CR) or partial response (PR) by Investigator per Response Evaluation Criteria in Solid Tumors (RECIST v1.1). Complete Response (CR): 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): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Progressive Disease (PD): At least a 20% increase in the sum of the 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 5mm (Note: The appearance of 1or more new lesions is also considered progression). |
From the start of the study treatment until disease progression, or the last response recorded, taking into account any requirement for confirmation and censoring rules regarding subsequent therapy (Up to approximately 83 months)
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Median Duration of Response (mDOR) for Part 2 Only
Time Frame: From the date of first dose to the date of the first objectively documented tumor progression, or death, whichever occurs first (Up to approximately 83 months)
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Duration of response (DOR) for a participant with a BOR of CR or PR is defined as the time between the date of first response and the date of the first objectively documented tumor progression per RECIST v1.1 or death, whichever occurs first. Complete Response (CR): 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): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Progressive Disease (PD): At least a 20% increase in the sum of the 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, the sum must also demonstrate an absolute increase of at least 5mm (Note: The appearance of 1or more new lesions is also considered progression). Based on Kaplan-Meier estimates of duration of response |
From the date of first dose to the date of the first objectively documented tumor progression, or death, whichever occurs first (Up to approximately 83 months)
|
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Progression-free Survival Rate (PFSR) at 24, 36, and 48 Weeks for Part 2 Only
Time Frame: At 24, 36, and 48 weeks
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Progression-free survival (PFS) for a participant is defined as the time from the first dosing date to the date of first objectively documented disease progression or death due to any cause, whichever occurs first. Based on Kaplan-Meier estimates of progression-free survival rate Progressive Disease (PD): At least a 20% increase in the sum of the 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 5mm (Note: The appearance of 1or more new lesions is also considered progression). |
At 24, 36, and 48 weeks
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Objective Response Rate (ORR) for Part1A and Part1B Only
Time Frame: From the start of the study treatment until disease progression, or the last response recorded, taking into account any requirement for confirmation and censoring rules regarding subsequent therapy (Up to approximately 83 months)
|
Objective response rate (ORR) is defined as the percent of all treated participants whose best overall response (BOR) is either complete response (CR) or partial response (PR) by Investigator per Response Evaluation Criteria in Solid Tumors (RECIST v1.1) Complete Response (CR): 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): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Progressive Disease (PD): At least a 20% increase in the sum of the 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 5mm (Note: The appearance of 1or more new lesions is also considered progression). |
From the start of the study treatment until disease progression, or the last response recorded, taking into account any requirement for confirmation and censoring rules regarding subsequent therapy (Up to approximately 83 months)
|
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Median Duration of Response (mDOR) for Part1A and Part1B Only
Time Frame: From the date of first dose to the date of the first objectively documented tumor progression, or death, whichever occurs first (Up to approximately 83 months)
|
Duration of response (DOR) for a participant with a BOR of CR or PR is defined as the time between the date of first response and the date of the first objectively documented tumor progression per RECIST v1.1 or death, whichever occurs first. Complete Response (CR): 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): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Progressive Disease (PD): At least a 20% increase in the sum of the 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, the sum must also demonstrate an absolute increase of at least 5mm (Note: The appearance of 1or more new lesions is also considered progression). Based on Kaplan-Meier estimates of duration of response |
From the date of first dose to the date of the first objectively documented tumor progression, or death, whichever occurs first (Up to approximately 83 months)
|
|
Progression-free Survival Rate (PFSR) at 24, 36, and 48 Weeks for Part1A and Part1B Only
Time Frame: At 24, 36, and 48 weeks
|
Progression-free survival (PFS) for a participant is defined as the time from the first dosing date to the date of first objectively documented disease progression or death due to any cause, whichever occurs first. Progressive Disease (PD): At least a 20% increase in the sum of the 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, the sum must also demonstrate an absolute increase of at least 5mm (Note: The appearance of 1or more new lesions is also considered progression). Based on Kaplan-Meier estimates of progression-free survival rate |
At 24, 36, and 48 weeks
|
|
Maximum Observed Serum Concentration (Cmax) for BMS-986218
Time Frame: On Cycle 1 Day 1, Cycle 1 Day 15, Cycle 3 Day 1, Cycle 3 Day 15 (Each Cycle is of 28 Days)
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Cmax is the maximum observed serum concentration for BMS-986218.
|
On Cycle 1 Day 1, Cycle 1 Day 15, Cycle 3 Day 1, Cycle 3 Day 15 (Each Cycle is of 28 Days)
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Area Under the Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration [AUC(0-T)] for BMS-986218
Time Frame: On Cycle 1 Day 1, Cycle 1 Day 15, Cycle 3 Day 1, Cycle 3 Day 15 (Each Cycle is of 28 Days)
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Tmax is the time taken to reach the maximum observed serum concentration (Cmax) for BMS-986218.
|
On Cycle 1 Day 1, Cycle 1 Day 15, Cycle 3 Day 1, Cycle 3 Day 15 (Each Cycle is of 28 Days)
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Area Under the Concentration-time Curve in 1 Dosing Interval [AUC(TAU)] for BMS-986218
Time Frame: On Cycle 1 Day 1, Cycle 1 Day 15, Cycle 3 Day 1, Cycle 3 Day 15 (Each Cycle is of 28 Days)
|
AUC (TAU) is the area measured under the concentration-time curve taken over the dosing interval for BMS-986218.
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On Cycle 1 Day 1, Cycle 1 Day 15, Cycle 3 Day 1, Cycle 3 Day 15 (Each Cycle is of 28 Days)
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Observed Concentration at the End of a Dosing Interval (Ctau) for BMS-986218
Time Frame: On Cycle 1 Day 1, Cycle 1 Day 15, Cycle 3 Day 1, Cycle 3 Day 15 (Each Cycle is of 28 Days)
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Ctau is the observed serum concentration at the end of the dosing interval for BMS-986218.
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On Cycle 1 Day 1, Cycle 1 Day 15, Cycle 3 Day 1, Cycle 3 Day 15 (Each Cycle is of 28 Days)
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Total Body Clearance (CLT/F) for BMS-986218
Time Frame: At Cycle 3 Day 1 (Each Cycle is of 28 Days)
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At Cycle 3 Day 1 (Each Cycle is of 28 Days)
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Average Concentration Over a Dosing Interval (AUC[TAU]/Tau) at Steady State (Css-avg) for BMS-986218
Time Frame: At Cycle 3 Day 1 (Each Cycle is of 28 Days)
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At Cycle 3 Day 1 (Each Cycle is of 28 Days)
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Ratio of an Exposure Measure at Steady State to That After the First Dose (Exposure Measure Includes Cmax) (AI_Cmax) for BMS-986218
Time Frame: At Cycle 3 Day 1 (Each Cycle is of 28 Days)
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At Cycle 3 Day 1 (Each Cycle is of 28 Days)
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|
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Accumulation Index Ratio of AUC at Steady State to That After the First Dose (AI_AUC) for BMS-986218
Time Frame: At Cycle 3 Day 1 (Each Cycle is of 28 Days)
|
At Cycle 3 Day 1 (Each Cycle is of 28 Days)
|
|
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Terminal Serum Half-life (T-HALF) for BMS-986218
Time Frame: At Cycle 3 Day 1 (Each Cycle is of 28 Days)
|
At Cycle 3 Day 1 (Each Cycle is of 28 Days)
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Time of Maximum Observed Concentration (Tmax) for BMS-986218
Time Frame: On Cycle 1 Day 1, Cycle 1 Day 15, Cycle 3 Day 1, Cycle 3 Day 15 (Each Cycle is of 28 Days)
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Tmax is the time taken to reach the maximum observed serum concentration (Cmax) for BMS-986218.
|
On Cycle 1 Day 1, Cycle 1 Day 15, Cycle 3 Day 1, Cycle 3 Day 15 (Each Cycle is of 28 Days)
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Trough Observed Plasma Concentration (Ctrough) for BMS-986218
Time Frame: At Cycle 1 Day 15, Cycle 2 Day 1, Cycle 2 Day 15, Cycle 3 Day 1, Cycle 3 Day 15, Cycle 4 Day 1, Cycle 5 Day 1, Cycle 7 Day 1, Cycle 9 Day 1, Cycle 13 Day 1, Cycle 17 Day 1, Cycle 21 Day 1 (Each Cycle is of 28 Days)
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Ctrough is the lowest observed serum concentration for BMS-986218.
|
At Cycle 1 Day 15, Cycle 2 Day 1, Cycle 2 Day 15, Cycle 3 Day 1, Cycle 3 Day 15, Cycle 4 Day 1, Cycle 5 Day 1, Cycle 7 Day 1, Cycle 9 Day 1, Cycle 13 Day 1, Cycle 17 Day 1, Cycle 21 Day 1 (Each Cycle is of 28 Days)
|
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Number of Participants With Anti-drug Antibodies (ADA) to BMS-986218
Time Frame: From first dose of study medication through 100 days following last dose of study treatment (assessed for an average of 8 months up to a max of approximately 28 months)
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Baseline ADA Positive: Participant with baseline ADA-positive sample ADA Positive: Participant with at least one ADA-positive sample relative to baseline (ADA negative at baseline or ADA titer to be at least 4-fold or greater (>=) than baseline positive titer) at any time after initiation of treatment Persistent Positive (PP): ADA-positive sample at 2 or more consecutive timepoints, where the first and last ADA-positive samples are at least 16weeks apart Not PP-Last Sample Positive: Not persistent but with ADA-positive sample at the last sampling timepoint Other Positive: Not persistent but some ADA-positive samples with the last sample being negative ADA Negative: Participant with no ADA-positive sample after initiation of treatment |
From first dose of study medication through 100 days following last dose of study treatment (assessed for an average of 8 months up to a max of approximately 28 months)
|
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 (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CA022-001
- 2017-000597-11 (EudraCT Number)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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