A Study of BMS-813160 in Combination With Chemotherapy or Nivolumab in Participants With Advanced Solid Tumors
A Phase 1b/2 Study of BMS-813160 in Combination With Chemotherapy or Nivolumab in Patients With 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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Victoria
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Clayton, Victoria, Australia
- Local Institution - 0028
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Brussels, Belgium, 1200
- Local Institution - 0050
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Edegem, Belgium, 2650
- Local Institution - 0051
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Leuven, Belgium, 3000
- Local Institution - 0049
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Alberta
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Edmonton, Alberta, Canada, T6G 1Z2
- Local Institution - 0013
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Ontario
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Ottawa, Ontario, Canada, K1H 8L6
- Local Institution - 0012
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Toronto, Ontario, Canada, M5G 1X6
- Local Institution - 0001
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Dresden, Germany, 01307
- Local Institution - 0022
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Heidelberg, Germany, 69120
- Local Institution - 0007
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Barcelona, Spain, 08003
- Local Institution - 0031
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Madrid, Spain, 28046
- Local Institution - 0032
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Majadahonda - Madrid, Spain, 28222
- Local Institution - 0030
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Alabama
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Birmingham, Alabama, United States, 35249
- Local Institution - 0003
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Arizona
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Phoenix, Arizona, United States, 85054
- Local Institution - 0026
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California
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Los Angeles, California, United States, 90033
- Local Institution - 0002
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Los Angeles, California, United States, 90033
- Local Institution - 0025
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Orange, California, United States, 92868-3201
- Local Institution - 0041
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Colorado
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Aurora, Colorado, United States, 80045
- Local Institution - 0015
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District of Columbia
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Washington D.C., District of Columbia, United States, 20007
- Local Institution - 0018
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Florida
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Brooksville, Florida, United States, 34613
- Local Institution - 0048
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St. Petersburg, Florida, United States, 33705
- Local Institution - 0047
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Maryland
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Baltimore, Maryland, United States, 21287
- Local Institution - 0005
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Massachusetts
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Boston, Massachusetts, United States, 02114
- Local Institution - 0033
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Minnesota
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Rochester, Minnesota, United States, 55905-0001
- Local Institution - 0027
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Mississippi
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Hattiesburg, Mississippi, United States, 39401
- Local Institution - 0039
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Missouri
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St Louis, Missouri, United States, 63110
- Local Institution - 0023
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New Jersey
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Hackensack, New Jersey, United States, 07601
- Local Institution - 0004
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New York
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New York, New York, United States, 10065
- Local Institution - 0017
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Rochester, New York, United States, 14642
- Local Institution - 0024
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North Carolina
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Charlotte, North Carolina, United States, 28204
- Local Institution - 0046
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Ohio
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Cleveland, Ohio, United States, 44106-5055
- Local Institution - 0044
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Cleveland, Ohio, United States, 44195
- Local Institution - 0021
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Pennsylvania
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Allentown, Pennsylvania, United States, 18103
- Local Institution - 0037
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Philadelphia, Pennsylvania, United States, 19104
- Local Institution - 0014
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Philadelphia, Pennsylvania, United States, 19107
- Local Institution - 0020
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South Carolina
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Charleston, South Carolina, United States, 29425
- Local Institution - 0045
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Tennessee
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Nashville, Tennessee, United States, 37203
- Local Institution - 0034
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Nashville, Tennessee, United States, 37232
- Local Institution - 0038
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Utah
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Salt Lake City, Utah, United States, 84112
- Local Institution - 0016
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Virginia
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Charlottesville, Virginia, United States, 22908
- Local Institution - 0042
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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:
- Must have metastatic colorectal or pancreatic cancer
- Eastern Cooperative Oncology Group (ECOG) performance status of ≤1
- Ability to swallow pills or capsules
- Required to undergo mandatory pre and on-treatment biopsies
- Adequate marrow function
- Adequate other organ functions
- Ability to comply with study visits, treatment, procedures, pharmacokinetic (PK) and pharmacodynamic (PD) sample collection, and required study follow-up
Exclusion Criteria:
- Histology other than adenocarcinoma (neuroendocrine or acinar cell)
- Suspected, known, or central nervous system (CNS) metastases (Imaging required only if participants are symptomatic)
- Active, known or suspected autoimmune disease
- Condition requiring systemic treatment with either corticosteroids (> 10 mg daily prednisone equivalents) or other immunosuppressive medications within 14 days of study treatment administration
- Interstitial lung disease that is symptomatic or may interfere with the detection or management of suspected treatment-related pulmonary toxicity
- Prior treatment with cysteine-cysteine chemokine receptor 2 (CCR2) and/or cysteine-cysteine chemokine receptor 5 (CCR5) inhibitors, programmed death-1 receptor (PD-1), programmed death-ligand 1 [PD(L)-1] or cytotoxic T-lymphocyte antigen-4 (CTLA-4) antibodies
- History of allergy to study treatments or any of its components of the study arm that participant is enrolling
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 1 Arm A [First-line (1L) Colorectal]: BMS-813160 followed by BMS-813160 + FOLFIRI
FOLFIRI: FOL (folinic acid [leucovorin]) F (fluorouracil [5-fluorouracil]) IRI (irinotecan [CAMPTOSAR])
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Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
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Experimental: Part 1 Arm B [1L Pancreatic]: BMS-813160 followed by BMS-813160 + Gemcitabine/Nab-paclitaxel
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Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
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Experimental: Part 1 Arm C [2L Pancreatic & 2/3L Colorectal MSS]: BMS-813160 followed by BMS-813160 + Nivolumab
2L: Second-line 2/3L: Second/third-line MSS: Microsatellite stable
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Specified dose on specified days
Other Names:
Specified dose on specified days
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Experimental: Part 2 Arm A Cohort 1a [2L Colorectal]: BMS-813160 + FOLFIRI
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Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
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Experimental: Part 2 Arm A Cohort 1b [2L Colorectal]: BMS-813160 + FOLFIRI
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Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
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Experimental: Part 2 Arm A Cohort 1c [2L Colorectal]: FOLFIRI
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Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
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Experimental: Part 2 Arm B Cohort 3a [1L Pancreatic]: BMS-813160 + Gemcitabine/Nab-paclitaxel
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Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
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Experimental: Part 2 Arm B Cohort 3b [1L Pancreatic]: BMS-813160 + Nivolumab + Gemcitabine/Nab-paclitaxel
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Specified dose on specified days
Other Names:
Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
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Experimental: Part 2 Arm B Cohort 3c [1L Pancreatic]: Gemcitabine/Nab-paclitaxel
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Specified dose on specified days
Specified dose on specified days
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Experimental: Part 2 Arm C Cohort 4 [2L Pancreatic]: BMS-813160 + Nivolumab
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Specified dose on specified days
Other Names:
Specified dose on specified days
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Experimental: Part 2 Arm C Cohort 5 [2/3L Colorectal MSS]: BMS-813160 + Nivolumab
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Specified dose on specified days
Other Names:
Specified dose on specified days
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Experimental: Part 2 Arm D Cohort 7 [2L Pancreatic]: BMS-813160 Monotherapy
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Specified dose on specified days
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Experimental: Part 2 Arm D Cohort 8 [2/3L Colorectal MSS]: BMS-813160 Monotherapy
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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 Experiencing Adverse Events (AEs)
Time Frame: From first dose up to 100 days post last dose, up to approximately 3 years
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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 treatment and that does not necessarily have a causal relationship with this treatment.
Adverse events are graded on a scale from 1 to 5, with Grade 1 being mild and asymptomatic; Grade 2 is moderate requiring minimal, local or noninvasive intervention; Grade 3 is severe or medically significant but not immediately life-threatening; Grade 4 events are usually severe enough to require hospitalization; Grade 5 events are fatal.
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From first dose up to 100 days post last dose, up to approximately 3 years
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Number of Participants Experiencing Serious Adverse Events (SAEs)
Time Frame: From first dose up to 100 days post last dose, up to approximately 3 years
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A Serious Adverse Event (SAE) is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening (defined as an event in which the participant was at risk of death at the time of the event; it does not refer to an event which hypothetically might have caused death if it were more severe), requires inpatient hospitalization or causes prolongation of existing hospitalization.
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From first dose up to 100 days post last dose, up to approximately 3 years
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Number of Participants Experiencing Dose-Limiting Toxicities (DLTs)
Time Frame: From first dose up to 100 days post last dose, up to approximately 3 years
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Dose-limiting toxicities (DLTs) are severe adverse effects (AEs) that are attributed to BMS-813160 or the combination regimen and define the maximum tolerated dose of a medicine.
DLTs will be defined based on the incidence, duration and grade of AEs for which no alternate cause can be identified.
AEs will be evaluated according to the NCI CTCAE v4.03.
The incidence of DLT(s) during the first 6 weeks of treatment in Part 1 (the DLT evaluation period) and 4 weeks for Part 2 will be used.
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From first dose up to 100 days post last dose, up to approximately 3 years
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Number of Participants Experiencing Adverse Events (AEs) Leading to Discontinuation
Time Frame: From first dose up to 100 days post last dose, up to approximately 3 years
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An Adverse Event (AE) leading to discontinuation is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment that leads to the discontinuation of study treatment.
Adverse events are graded on a scale from 1 to 5, with Grade 1 being mild and asymptomatic; Grade 2 is moderate requiring minimal, local or noninvasive intervention; Grade 3 is severe or medically significant but not immediately life-threatening; Grade 4 events are usually severe enough to require hospitalization; Grade 5 events are fatal.
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From first dose up to 100 days post last dose, up to approximately 3 years
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Number of Participants Who Died
Time Frame: From first dose up to 100 days post last dose, up to approximately 3 years
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The number of participants who died within 100 days after receiving their last dose
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From first dose up to 100 days post last dose, up to approximately 3 years
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Number of Participants Experiencing Laboratory Abnormalities
Time Frame: From first dose up to 100 days post last dose, up to approximately 3 years
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The number of participants experiencing laboratory abnormalities in pre-specified selected parameters during the treatment period per CTCAE (Version 4).
Laboratory abnormalities are graded on a scale from 1 to 5, with Grade 1 being mild and asymptomatic; Grade 2 is moderate requiring minimal, local or noninvasive intervention; Grade 3 is severe or medically significant but not immediately life-threatening; Grade 4 events are usually severe enough to require hospitalization; Grade 5 events are fatal.
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From first dose up to 100 days post last dose, up to approximately 3 years
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Vital Signs
Time Frame: From first dose to 100 days post last dose, up to approximately 3 years
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Vital sign measurements at baseline and at the end of treatment.
Baseline evaluations will be defined as evaluations with a date on or prior to the day of first dose of study treatment.
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From first dose to 100 days post last dose, up to approximately 3 years
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Number of Participants With Out-of-Range Electrocardiograms (ECG)
Time Frame: From baseline up to 100 days post last dose
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The number of participants with ECG measurements outside of the range pre-specified in the protocol.
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From baseline up to 100 days post last dose
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Percent Change in Regulatory T Cells (Treg) in Tumor Samples
Time Frame: From first dose up to prespecified timepoints listed below (C0D7; C0D14; C1D1; C1D15; C1D16; C1D28; C2D1)
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The percent change in Regulatory T Cells (Treg) were taken at prespecified timepoints.
Baseline is defined as the last non-missing value prior to the first dosing.
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From first dose up to prespecified timepoints listed below (C0D7; C0D14; C1D1; C1D15; C1D16; C1D28; C2D1)
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Percent Change in Tumor-Associated Macrophages (TAMs) in Tumor Samples
Time Frame: From first dose up to prespecified timepoints listed below (C0D7; C0D14; C1D1; C1D15; C1D16; C1D28; C2D1)
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The percent change in Tumor-Associated Macrophages (TAMs) were taken at prespecified timepoints.
Baseline is defined as the last non-missing value prior to the first dosing.
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From first dose up to prespecified timepoints listed below (C0D7; C0D14; C1D1; C1D15; C1D16; C1D28; C2D1)
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Objective Response Rate (ORR)
Time Frame: From first dose until disease progression, or the last response recorded (up to approximately 5 years)
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Objective Response Rate (ORR) as determined by Investigator was defined as the number of participants with a best overall response of confirmed Complete Response (CR) or Partial Response (PR) (per RECIST 1.1 criteria) divided by the number of all treated participants. Progression is defined as at least 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. RECIST 1.1 = Response Evaluation Criteria in Solid Tumors. 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. |
From first dose until disease progression, or the last response recorded (up to approximately 5 years)
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Duration of Response (DoR)
Time Frame: From first dose up to date of disease progression or death, whichever occurs first (up to approximately 5 years)
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Duration of Response (DOR), computed for all treated participants with a best overall response (BOR) of complete response (CR) or partial response (PR), is defined as the time between the date of first response (CR or PR) and the date of first documented disease progression as determined by RECIST 1.1 or death due to any cause, whichever occurs first, ie., DOR = disease progression date/death date -first response date + 1. For participants who remain alive and have not progressed, DOR will be censored on the date of their last tumor assessment. CR= Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm. PR= At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. |
From first dose up to date of disease progression or death, whichever occurs first (up to approximately 5 years)
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Progression Free Survival (PFS) Rate at 24 Weeks
Time Frame: From first dose up to Week 24
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PFS rate is defined as the proportion of participants who were progression free at Week 24. PFS is defined as the time from first dose to the date of first objectively documented disease progression or death due to any cause, whichever occurs first. Progression is defined at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. Complete response (CR)= Disappearance of all target lesions. Pathological lymph nodes must have short axis reduction to < 10 mm. Partial response (PR)= At least 30% decrease in sum of diameters of target lesions. Participants who died w/o prior progression were considered progressed on death date. Those alive and not progressed were censored on the last tumor assessment date. Those who started subsequent therapy without reported progression were censored at last tumor assessment prior to subsequent therapy. Those without post-baseline tumor assessment and alive were censored at first dose. |
From first dose up to Week 24
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Maximim Concentration (Cmax)
Time Frame: From first dose up to the prespecified timepoints, C0D1, C0D14, and C2D1
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Cmax is defined as the maximum plasma concentration of the analytes at the prespecified timepoints.
|
From first dose up to the prespecified timepoints, C0D1, C0D14, and C2D1
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Time to Maximum Concentration (Tmax)
Time Frame: From first dose up to the prespecified timpoints, C0D1, C0D14, AND C2D1
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Tmax is defined as the time in hours of the maximum observed plasma concentration
|
From first dose up to the prespecified timpoints, C0D1, C0D14, AND C2D1
|
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Trough Observed Plasma Concentration (Ctrough)
Time Frame: From first dose up to prespecified timepoints, C0D1, C5D1, C0D1, C1D15, C5D1
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Ctrough is defined as the concentration reached by a drug immediately before the next dose is administered
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From first dose up to prespecified timepoints, C0D1, C5D1, C0D1, C1D15, C5D1
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Area Under Curve (AUC) 0-8
Time Frame: From first dose up to prespecified timepoints- C0D1, C2D1
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Area Under Curve (AUC) is defined as the area under the plot of plasma concentration of a drug versus time after dosage measured at 8 hours post-dose
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From first dose up to prespecified timepoints- C0D1, C2D1
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Area Under Curve (AUC) 0-24
Time Frame: From first dose up to prespecified timepoints-C0D1, C2D1
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Area Under Curve (AUC) is defined as the area under the plot of plasma concentration of a drug versus time after dosage measured at 8 hours post-dose
|
From first dose up to prespecified timepoints-C0D1, C2D1
|
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Apparent Total Body Clearance (CLT/F)
Time Frame: From first dose up to prespecified timepoints-C0D1, C2D14
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The total body clearance (CLT/F) is defined as the volume of plasma completely cleared of drug per unit time
|
From first dose up to prespecified timepoints-C0D1, C2D14
|
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Renal Clearance (CLR)
Time Frame: From first dose up to prespecified timepoints-C0D1, C0D14
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Renal clearance is defined as the rate at which the analytes were removed from the plasma by the kidneys.
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From first dose up to prespecified timepoints-C0D1, C0D14
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Number of Participants Who Were Anti-Drug Antibody (ADA) Positive
Time Frame: From first dose up to prespecified timepoints-C1D1, C1D15, C2D1, C3D1, C5D1, C9D1
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The number of participants who are anti-drug antibody positive.
ADA-positive participant is a participant with at least 1 ADA-positive sample relative to baseline after initiation of the treatment.
ADA-positive sample is in a participant who is baseline ADA negative or with an ADA titer to be at least 4-fold or greater than baseline positive titer.
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From first dose up to prespecified timepoints-C1D1, C1D15, C2D1, C3D1, C5D1, C9D1
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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 (Actual)
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
- Endocrine System Diseases
- Neoplasms by Site
- Neoplasms
- Intestinal Diseases
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Digestive System Diseases
- Gastrointestinal Diseases
- Intestinal Neoplasms
- Rectal Diseases
- Endocrine Gland Neoplasms
- Pancreatic Diseases
- Colonic Diseases
- Colorectal Neoplasms
- Pancreatic Neoplasms
- Amino Acids, Peptides, and Proteins
- Proteins
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Heterocyclic Compounds, 2-Ring
- Heterocyclic Compounds, Fused-Ring
- Camptothecin
- Alkaloids
- Enzymes and Coenzymes
- Antibodies, Monoclonal, Humanized
- Antibodies, Monoclonal
- Antibodies
- Immunoglobulins
- Immunoproteins
- Blood Proteins
- Serum Globulins
- Globulins
- Deoxycytidine
- Cytidine
- Pyrimidine Nucleosides
- Pyrimidines
- Formyltetrahydrofolates
- Tetrahydrofolates
- Folic Acid
- Pterins
- Pteridines
- Uracil
- Pyrimidinones
- Coenzymes
- Nivolumab
- Irinotecan
- Gemcitabine
- Fluorouracil
- Leucovorin
- 130-nm albumin-bound paclitaxel
- BMS-813160
Other Study ID Numbers
Other Study ID Numbers
- CV202-103
- 2017-001725-40 (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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