A Study of Cabiralzumab Given by Itself or With Nivolumab in Advanced Cancer or Cancer That Has Spread

November 24, 2020 updated by: Bristol-Myers Squibb

A Phase 1 Study of Cabiralizumab (BMS-986227, FPA008) Administered Alone or in Combination With Nivolumab (BMS-936558) in Advanced Malignancies

The purpose of this study is to determine whether an investigational immuno-therapy, cabiralizumab in combination with nivolumab, is safe and tolerable in the treatment of advanced malignancies.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

19

Phase

  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Aichi
      • Nagoya-shi, Aichi, Japan, 4678602
        • Local Institution
    • Chiba
      • Kamogawa-shi, Chiba, Japan, 2968602
        • Local Institution
      • Kashiwa-shi, Chiba, Japan, 2778577
        • Local Institution
    • Tokyo
      • Chuo-ku, Tokyo, Japan, 1040045
        • Local Institution

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

20 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

For more information regarding Bristol-Myers Squibb Clinical Trial participation, please visit www.BMSStudyConnect.com

Inclusion Criteria:

  • Performance status 0-1
  • Adequate organ function
  • Cohort M1, 2 and C1: Measurable disease
  • Cohort M1, M2 and C1: Subjects must have histologic or cytologic confirmation of an advanced (metastatic and/or unresectable) malignant solid tumor
  • Cohort C2: Documented refractory or relapsed multiple myeloma
  • Subjects must be refractory to or have relapsed after standard therapies, or have no known effective treatment

Exclusion Criteria:

  • Cohort M1, M2, and C1: Untreated or active central nervous system (CNS) or leptomeningeal metastases
  • Cohort M1, M2, and C1: Subjects with hepatocellular carcinoma (HCC)
  • Cohort C2: Subjects with solitary bone or extramedullary plasmacytoma as the only evidence of plasma cell dyscrasia

Other protocol defined inclusion/exclusion criteria could apply

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Monotherapy
Cabiralizumab administered as a single agent intravenous formulation
Specified dose on specified days
Experimental: Combination Therapy
Cabiralizumab will be administered in combination with Nivolumab as an intravenous formulation
Specified dose on specified days
Other Names:
  • Opdivo
Specified dose on specified days

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of Participants With Adverse Events (AEs) - Carbiralizumab Monotherapy
Time Frame: From first dose to 30 days post last dose, assessed up to July 2019, approximately 24 months
The number of participants that experienced an AE during the course of the study while participating in cabiralizumab monotherapy treatment.
From first dose to 30 days post last dose, assessed up to July 2019, approximately 24 months
Number of Participants With Serious Adverse Events (SAEs) - Carbiralizumab Monotherapy
Time Frame: From first dose to 30 days post last dose, assessed up to July 2019, approximately 24 months
The number of participants that experienced a SAE during the course of the study while participating in cabiralizumab monotherapy treatment.
From first dose to 30 days post last dose, assessed up to July 2019, approximately 24 months
Number of Participants With AEs Meeting Protocol-defined Dose-Limiting Toxicity (DLT) Criteria - Carbiralizumab Monotherapy
Time Frame: 28 days (from first day of treatment)
The number of participants that experienced an AE meeting protocol-defined DLT criteria during the course of the study while participating in cabiralizumab monotherapy treatment.
28 days (from first day of treatment)
Number of Participants With AEs Leading to Discontinuation - Carbiralizumab Monotherapy
Time Frame: From first dose to 30 days post last dose, assessed up to July 2019, approximately 24 months
The number of participants that experienced an AE leading to discontinuation during the course of the study while participating in cabiralizumab monotherapy treatment.
From first dose to 30 days post last dose, assessed up to July 2019, approximately 24 months
Number of Participants Who Died - Carbiralizumab Monotherapy
Time Frame: From first dose to 30 days post last dose, assessed up to July 2019, approximately 24 months
The number of participants that died during the course of the study while participating in cabiralizumab monotherapy treatment.
From first dose to 30 days post last dose, assessed up to July 2019, approximately 24 months
Number of Participants With Laboratory Abnormalities - Carbiralizumab Monotherapy
Time Frame: From first dose to 30 days post last dose, assessed up to July 2019, approximately 24 months
The number of participants that experienced a laboratory abnormality during the course of the study while participating in cabiralizumab monotherapy treatment.
From first dose to 30 days post last dose, assessed up to July 2019, approximately 24 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of Participants With Adverse Events (AEs) - Carbiralizumab and Nivolumab Combo Therapy
Time Frame: From first dose to 30 days post last dose, assessed up to July 2019, approximately 24 months
The number of participants that experienced an AE during the course of the study while participating in cabiralizumab and nivolumab combination therapy.
From first dose to 30 days post last dose, assessed up to July 2019, approximately 24 months
Number of Participants With Serious Adverse Events (SAEs) - Carbiralizumab and Nivolumab Combo Therapy
Time Frame: From first dose to 30 days post last dose, assessed up to July 2019, approximately 24 months
The number of participants that experienced an SAE during the course of the study while participating in cabiralizumab and nivolumab combination therapy.
From first dose to 30 days post last dose, assessed up to July 2019, approximately 24 months
Number of Participants With AEs Leading to Discontinuation - Carbiralizumab and Nivolumab Combo Therapy
Time Frame: From first dose to 30 days post last dose, assessed up to July 2019, approximately 24 months
The number of participants that experienced an AE leading to discontinuation during the course of the study while participating in cabiralizumab and nivolumab combination therapy.
From first dose to 30 days post last dose, assessed up to July 2019, approximately 24 months
Number of Participants Who Died - Carbiralizumab and Nivolumab Combo Therapy
Time Frame: From first dose to 30 days post last dose, assessed up to July 2019, approximately 24 months
The number of participants that died during the course of the study while participating in cabiralizumab and nivolumab combination therapy.
From first dose to 30 days post last dose, assessed up to July 2019, approximately 24 months
Number of Participants With Laboratory Abnormalities - Carbiralizumab and Nivolumab Combination Therapy
Time Frame: From first dose to 30 days post last dose, assessed up to July 2019, approximately 24 months
The number of participants that experienced a laboratory abnormality during the course of the study while participating in carbiralizumab and nivolumab combination therapy
From first dose to 30 days post last dose, assessed up to July 2019, approximately 24 months
AI_Ctrough
Time Frame: Cycle 2 (pre-dose), Cycle 8 (pre-dose)

Pharmacokinetics of cabiralizumab and nivolumab were derived from serum concentration versus time data.

Ctrough Accumulation Index; ratio of Ctrough at steady-state (i.e. Cycle 8) to Ctrough after the first dose

Data collected from participants participating in cabiralizumab monotherapy, as well as cabiralizumab and nivolumab combination therapy.

AI = Ctrough on cycle 8 / Ctrough on Cycle 2

Cycle 2 (pre-dose), Cycle 8 (pre-dose)
AUC(0-T)
Time Frame: Cycle 1 (from Day 1 pre-dose to Day 8, 168 hour)

Pharmacokinetics of cabiralizumab and nivolumab were derived from serum concentration versus time data.

AUC(0-T) is defined as the area under the serum concentration-time curve from time zero to time of last quantifiable concentration after the first dose.

Data collected from participants participating in cabiralizumab monotherapy, as well as cabiralizumab and nivolumab combination therapy.

Cycle 1 (from Day 1 pre-dose to Day 8, 168 hour)
AUC(TAU)
Time Frame: Cycle 1 (from Day 1 pre-dose to Day 8, 168 hour)

Pharmacokinetics of cabiralizumab and nivolumab were derived from serum concentration versus time data.

AUC(TAU) is defined as the area under the serum concentration-time curve in one dosing interval.

Data collected from participants participating in cabiralizumab monotherapy, as well as cabiralizumab and nivolumab combination therapy.

Cycle 1 (from Day 1 pre-dose to Day 8, 168 hour)
Cmax
Time Frame: Cycle 1 (from Day 1 pre-dose to Day 8, 168 hour)

Pharmacokinetics of cabiralizumab and nivolumab were derived from serum concentration versus time data.

Cmax is defined as the maximum observed serum concentration.

Data collected from participants participating in cabiralizumab monotherapy, as well as cabiralizumab and nivolumab combination therapy.

Cycle 1 (from Day 1 pre-dose to Day 8, 168 hour)
Ctrough
Time Frame: Cycles 1, 2, 3, 4, 5, 6, 7, 8, 9

Pharmacokinetics of cabiralizumab and nivolumab were derived from serum concentration versus time data.

Ctrough is defined as the Trough observed serum concentration (predose at each cycle).

Data collected from participants participating in cabiralizumab monotherapy, as well as cabiralizumab and nivolumab combination therapy.

Cycles 1, 2, 3, 4, 5, 6, 7, 8, 9
T-HALFeff_Ctrough
Time Frame: Cycle 2 (pre-dose), Cycle 8 (pre-dose)

Pharmacokinetics of cabiralizumab and nivolumab were derived from serum concentration versus time data.

T-HALFeff_Ctrough is defined as the effective elimination half-life that explains the degree of Ctrough accumulation observed.

Data collected from participants participating in cabiralizumab monotherapy, as well as cabiralizumab and nivolumab combination therapy.

Cycle 2 (pre-dose), Cycle 8 (pre-dose)
Tmax
Time Frame: Cycle 1 (from Day 1 pre-dose to Day 8, 168 hour)

Pharmacokinetics of cabiralizumab and nivolumab were derived from serum concentration versus time data.

Tmax is defined as the time of maximum observed serum concentration.

Data collected from participants participating in cabiralizumab monotherapy, as well as cabiralizumab and nivolumab combination therapy.

Cycle 1 (from Day 1 pre-dose to Day 8, 168 hour)
Incidence of Anti-drug Antibodies (ADA)
Time Frame: Day 1 pre-dose for cycles 2, 3, 5, 9, 13, 21

To characterize the immunogenicity of cabiralizumab and nivolumab.

Baseline ADA-positive participant is defined as a participant who has a ADA detected sample at baseline. ADA-positive participant is a participant with at least 1 ADA-positive sample relative to baseline after initiation of the treatment.

Data collected from participants participating in cabiralizumab monotherapy, as well as cabiralizumab and nivolumab combination therapy.

Day 1 pre-dose for cycles 2, 3, 5, 9, 13, 21
Best Overall Response (BOR)
Time Frame: From first dose to end of follow-up, assessed up to July 2019, approximately 24 months

To assess the preliminary anti-tumor activity of cabiralizumab administered alone and in combination with nivolumab per RECIST 1.1 (M1, M2, C1 cohorts: participants with advanced solid tumors) and per IMWG criteria (Cohort C2: participants with hematologic malignancies).

IMWG: International Myeloma Working Group

RECIST: Response Evaluation Criteria in Solid Tumors

From first dose to end of follow-up, assessed up to July 2019, approximately 24 months
Duration of Response (DOR)
Time Frame: From first dose to end of follow-up

To assess the preliminary anti-tumor activity of cabiralizumab administered alone and in combination with nivolumab per RECIST 1.1 (M1, M2, C1 cohorts: participants with advanced solid tumors) and per IMWG criteria (Cohort C2: participants with hematologic malignancies).

IMWG: International Myeloma Working Group

RECIST: Response Evaluation Criteria in Solid Tumors

Duration of response (DOR) was listed for participants with a BOR of complete response (CR) or partial response (PR).

From first dose to end of follow-up

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Collaborators

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

May 25, 2017

Primary Completion (Actual)

October 23, 2019

Study Completion (Actual)

October 23, 2019

Study Registration Dates

First Submitted

May 16, 2017

First Submitted That Met QC Criteria

May 16, 2017

First Posted (Actual)

May 18, 2017

Study Record Updates

Last Update Posted (Actual)

December 21, 2020

Last Update Submitted That Met QC Criteria

November 24, 2020

Last Verified

November 1, 2020

More Information

Terms related to this study

Other Study ID Numbers

  • CA025-001

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

Yes

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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