A Study of BMS-986249 Alone and in Combination With Nivolumab in Advanced Solid Tumors
A Phase 1/2 First-in-Human Study of BMS-986249 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, Argentina, C1426ANZ
- Local Institution - 0037
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Distrito Federal
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Buenos Aires, Distrito Federal, Argentina, 1121
- Local Institution - 0038
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CABA, Distrito Federal, Argentina, C1430
- Local Institution - 0052
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New South Wales
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North Sydney, New South Wales, Australia, 2060
- Local Institution - 0015
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South Australia
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Adelaide, South Australia, Australia, 5000
- Local Institution - 0014
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Victoria
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Frankston, Victoria, Australia, 3199
- Local Institution - 0025
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Heidelberg, Victoria, Australia, 3084
- Local Institution - 0047
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Alberta
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Edmonton, Alberta, Canada, T6G 1Z2
- Local Institution - 0026
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Ontario
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Ottawa, Ontario, Canada, K1H 8L6
- Local Institution - 0056
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Santiago Metropolitan
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Santiago, Santiago Metropolitan, Chile, 8420383
- Local Institution - 0036
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Helsinki, Finland, 00029
- Local Institution - 0039
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Essen, Germany, 45147
- Local Institution - 0030
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Hamburg, Germany, 20251
- Local Institution - 0035
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Heidelberg, Germany, 69120
- Local Institution - 0031
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Milan, Italy, 20133
- Local Institution - 0048
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Napoli, Italy, 80131
- Local Institution - 0020
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Siena, Italy, 53100
- Local Institution - 0049
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Warsaw, Poland, 02-781
- Local Institution - 0040
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Bucharest, Romania, 022328
- Local Institution - 0045
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Craiova, Romania, 200542
- Local Institution - 0041
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Barcelona, Spain, 08035
- Local Institution - 0044
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Madrid, Spain, 28040
- Local Institution - 0023
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Madrid, Spain, 28041
- Local Institution - 0050
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Málaga, Spain, 29010
- Local Institution - 0043
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Barcelona [Barcelona]
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Badalona, Barcelona [Barcelona], Spain, 08916
- Local Institution - 0042
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Madrid, Comunidad de
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Madrid, Madrid, Comunidad de, Spain, 28027
- Local Institution - 0022
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Colorado
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Aurora, Colorado, United States, 80045
- Local Institution - 0005
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Denver, Colorado, United States, 80218
- Local Institution - 0006
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Florida
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Miami, Florida, United States, 33176
- Local Institution - 0017
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Maryland
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Baltimore, Maryland, United States, 21287
- Local Institution - 0024
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New Jersey
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Hackensack, New Jersey, United States, 07601
- Local Institution - 0001
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New York
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New York, New York, United States, 10065
- Local Institution - 0003
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New York, New York, United States, 10032
- Local Institution - 0002
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Ohio
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Cincinnati, Ohio, United States, 45219
- Local Institution - 0029
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Oregon
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Eugene, Oregon, United States, 97401
- Local Institution - 0013
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19104
- Local Institution - 0004
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South Carolina
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Greenville, South Carolina, United States, 29605
- Local Institution - 0008
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Texas
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Austin, Texas, United States, 78705-1165
- Local Institution - 0010
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Dallas, Texas, United States, 75246
- Local Institution - 0009
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Houston, Texas, United States, 77030
- Local Institution - 0021
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San Antonio, Texas, United States, 78240
- Local Institution - 0016
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Tyler, Texas, United States, 75702
- Local Institution - 0011
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Virginia
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Leesburg, Virginia, United States, 20176
- Local Institution - 0012
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Norfolk, Virginia, United States, 23502
- Local Institution - 0007
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Washington
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Vancouver, Washington, United States, 98684
- Local Institution - 0018
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Histologic or cytologic confirmation of a solid tumor that is advanced (metastatic, recurrent, and/or unresectable) with measurable disease or metastatic disease documented by either bone lesions on radionuclide bone scan and/or soft tissue lesions on CT/MRI for prostate cancer and have at least 1 lesion accessible for biopsy. For Part 2B participants with HCC, intermediate disease is allowed.
- Eastern Cooperative Oncology Group Performance Status of 0 or 1
- Must have received, and then progressed, relapsed, or been intolerant to, at least 1 standard treatment regimen in the advanced or metastatic setting according to tumor type, if such a therapy exists
- Prior anti-cancer treatments such as chemotherapy, radiotherapy, or hormonal are permitted for some participants
- Willing and able to comply with all study procedures
Exclusion Criteria:
- Primary central nervous system (CNS) malignancies, tumors with CNS metastases as the only site of disease or active brain metastases will be excluded
- Other active malignancy requiring concurrent intervention
- Prior organ allograft
- Active, known, or suspected autoimmune disease
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: BMS-986249
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Specified dose on specified days
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Experimental: Part 1B: BMS-986249 + nivolumab (nivo)
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Specified dose on specified days
Other Names:
Specified dose on specified days
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Experimental: Part 2A Arm C: BMS-986249 + nivo
Previously untreated unresectable stage III-IV melanoma
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Specified dose on specified days
Other Names:
Specified dose on specified days
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Experimental: Part 2A Arm D: ipilimumab + nivo then nivo
Previously untreated unresectable stage III-IV melanoma
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Specified dose on specified days
Other Names:
Specified dose on specified days
Other Names:
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Experimental: Part 2A Arm F: BMS-986249 + nivo
Previously untreated unresectable stage III-IV melanoma
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Specified dose on specified days
Other Names:
Specified dose on specified days
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Experimental: Part 2B Cohort 1: BMS-986249 + nivo
Advanced or intermediate hepatocellular carcinoma (HCC)
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Specified dose on specified days
Other Names:
Specified dose on specified days
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Experimental: Part 2B Cohort 2: BMS-986249 + nivo
Metastatic castration-resistant prostate cancer (CRPC)
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Specified dose on specified days
Other Names:
Specified dose on specified days
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Experimental: Part 2B Cohort 3: BMS-986249 + nivo
Unresectable locally advanced or metastatic triple-negative breast cancer (TNBC)
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Specified dose on specified days
Other Names:
Specified dose on specified days
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Experimental: Part 2A Arm A: BMS-986249 + nivo then nivo
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Specified dose on specified days
Other Names:
Specified dose on specified days
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Experimental: Part 2A Arm B: BMS-986249 + nivo
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Specified dose on specified days
Other Names:
Specified dose on specified days
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Experimental: Part 2A Arm E: Nivo
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Specified dose on specified days
Other Names:
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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) and Serious Adverse Events (SAEs) - Part 1 A and 1 B
Time Frame: From first dose until 100 days after last dose of study therapy (up to approximately 38 weeks)
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Adverse Events (AEs): Adverse events are any unwanted or harmful medical occurrences in a participant who receives a study drug or intervention. These events may or may not be related to the treatment. Serious Adverse Events (SAEs): Serious adverse events are adverse events that result in death, are life-threatening, require hospitalization or prolong existing hospitalization, cause significant disability or incapacity, or result in a birth defect. |
From first dose until 100 days after last dose of study therapy (up to approximately 38 weeks)
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Number of Participants With Adverse Events (AEs) Meeting Protocol-Defined Dose-Limiting Toxicity (DLT) Criteria - Part 1 A and 1 B
Time Frame: From first dose until 5 weeks after first dose of study medicine (up to approximately 5 weeks)
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Dose-limiting toxicities (DLTs) were defined by the incidence, intensity, and duration of adverse events (AEs) possibly related to study treatment during the 5-week (35-day) DLT evaluation period for both BMS-986249 monotherapy and combination therapy.
Participants who received at least 2 doses and completed or discontinued due to a DLT within this period were considered DLT-evaluable.
Those who withdrew or received less than 2 doses for reasons other than a DLT were not DLT-evaluable and could be replaced.
Any drug-related AE meeting DLT criteria resulted in discontinuation of study treatment.
DLTs guided dose escalation and helped define the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D).
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From first dose until 5 weeks after first dose of study medicine (up to approximately 5 weeks)
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Number of Participants Who Died - Part 1 A and 1 B
Time Frame: From enrollment until the date of death from any cause (up to approximately 83 months)
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Number of Participants who Died
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From enrollment until the date of death from any cause (up to approximately 83 months)
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Number of Participants With Shifts From Baseline in Laboratory Tests Results - Part 1 A and 1 B
Time Frame: From first dose until 100 days after last dose of study therapy (up to approximately 38 weeks)
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Number of Participants with Shifts from Baseline in Laboratory Tests
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From first dose until 100 days after last dose of study therapy (up to approximately 38 weeks)
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Number of Participants With Treatment-Related Grade 3-5 Adverse Events (AEs) Within 24 Weeks - Part 2 A Arms C, D and F, and Part 2 B
Time Frame: From first dose until 24 weeks after first dose (up to approximately 24 weeks)
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Adverse Events (AEs): Adverse events are any unwanted or harmful medical occurrences in a participant who receives a study drug or intervention. These events may or may not be related to the treatment. Grade 1: Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; no intervention needed. Grade 2: Moderate; minimal, local, or noninvasive intervention indicated; limiting age-appropriate activities. Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling. Grade 4: Life-threatening consequences; urgent intervention required. Grade 5: Death related to the adverse event. |
From first dose until 24 weeks after first dose (up to approximately 24 weeks)
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Objective Response Rate (ORR) as Assessed by Investigator - Part 2 A Arm C and F
Time Frame: From randomization until progression or death from any cause (up to approximately 83 months)
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Objective response rate (ORR) is defined as the percent of participants whose best overall response (BOR) is either complete response (CR) or partial response (PR) 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 also have reduction in the short axis to <10mm. Partial Response (PR): At least a30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. |
From randomization until progression or death from any cause (up to approximately 83 months)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Time to Deterioration in Part 2A (Arm C, D and F)
Time Frame: Approximately up to 6 months
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TTD in Global Health Status/QoL and Physical Functioning will be defined as the time from randomization until a clinically meaningful decline (i.e., reduction ≥10 points) from baseline in EORTC QLQ-C30 global health/quality of life subscale score and Physical Functioning Scale score.
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Approximately up to 6 months
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Safety Related Events in Part 2A (Arm C, D and F) and 2B
Time Frame: From first dose until 100 days after last dose of study therapy (up to approximately 38 weeks)
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Adverse Events (AEs): Adverse events are any unwanted or harmful medical occurrences in a participant who receives a study drug or intervention. These events may or may not be related to the treatment. Serious Adverse Events (SAEs): Serious adverse events are adverse events that result in death, are life-threatening, require hospitalization or prolong existing hospitalization, cause significant disability or incapacity, or result in a birth defect. |
From first dose until 100 days after last dose of study therapy (up to approximately 38 weeks)
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BOR of PSA and PCWG3 Response Rate in Part 2B Cohort 2
Time Frame: From first dose (Parts 1 A and B) or randomization (Part 2 B) progression or death from any cause (up to approximately 83 months)
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Best Overall Response (BOR) is defined as the best response recorded from the start of randomization or first dosing date until the date of objectively documented PD based on RECIST v1.1 criteria or PCWG3 (for prostate cancer), or the date of ubsequent therapy (including tumordirected radiotherapy and tumor-directed surgery which are not for palliative purpose), whichever occurs first.
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From first dose (Parts 1 A and B) or randomization (Part 2 B) progression or death from any cause (up to approximately 83 months)
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Progression Free Survival
Time Frame: From first dose (Parts 1 A and B) or randomization (Part 2 B) progression or death from any cause (up to approximately 83 months)
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Defined as the time between the date of randomization (Part 2A), or first dosing for Part 1 and supplemental analysis in Part 2A, and the date of first documented tumor progression, based on investigator assessments (per RECIST v1.1 criteria or PCWG3), or death due to any cause, whichever occurs first.
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From first dose (Parts 1 A and B) or randomization (Part 2 B) progression or death from any cause (up to approximately 83 months)
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Duration of Response
Time Frame: From first dose (Parts 1 A and B) or randomization (Part 2 B) progression or death from any cause (up to approximately 83 months)
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Defined as the time between the date of first documented response (CR or PR) to the date of the first documented tumor progression, as determined by RECIST v1.1 or PCWG3 criteria, or death due to any cause, whichever occurs first.
Subjects who start subsequent therapy without a prior reported progression will be censored at the last evaluable tumor assessments prior to initiation of the subsequent anticancer therapy.
Subjects who die without a reported prior progression will be considered to have progressed on the date of their death.
Subjects who neither progress nor die, DOR will be censored on the date of their last evaluable tumor assessment.
DOR will be evaluated for responders (confirmed CR or PR) only.
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From first dose (Parts 1 A and B) or randomization (Part 2 B) progression or death from any cause (up to approximately 83 months)
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Time to Response
Time Frame: From first dose to first objective response (Approximately up to 3 Months)
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Defined as the time from first dosing (Part 1)/randomization (Part 2A) to the date of the first confirmed documented response (CR or PR).
TTR will be evaluated for responders (confirmed CR or PR) only.
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From first dose to first objective response (Approximately up to 3 Months)
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Objective Response Rate (ORR) as Assessed by Investigator - Part 1 A, 1B, 2A (Arms C,D,F) and 2B
Time Frame: From first dose (Parts 1 A and B) or randomization (Part 2 B) progression or death from any cause (up to approximately 83 months)
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Objective response rate (ORR) is defined as the percent of participants whose best overall response (BOR) is either complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 or Prostate Cancer Working Group (PCWG) 3. For both RECIST v1.1 and PCWG3: Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must also have reduction in the short axis to <10mm. Partial Response (PR): At least a30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. |
From first dose (Parts 1 A and B) or randomization (Part 2 B) progression or death from any cause (up to approximately 83 months)
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Cmax and Ctau of BMS-986249 - Part 1 A and B, Part 2 A Arms C and F, Part 2 B
Time Frame: On Cycle 1 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 (each cycle=28 days)
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Cmax: The highest concentration of BMS-986249 in the blood after dosing.
Ctau: The concentration of BMS-986249 in the blood at the end of a dosing interval, just before the next dose
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On Cycle 1 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 (each cycle=28 days)
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AUC(0-T) and AUC(TAU) of BMS-986249 - Part 1 A and B, Part 2 A Arms C and F, Part 2 B
Time Frame: On Cycle 1 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 (each cycle=28 days)
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AUC(0-T): The total amount of BMS-986249 in the blood from the time it is given until a specific time point. AUC(TAU): The total amount of BMS-986249 in the blood over one dosing interval |
On Cycle 1 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 (each cycle=28 days)
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Accumulation Index for Cmax (AI_Cmax) and Accumulation Index for AUC (AI_AUC) of BMS-986249 - Part 1 A and B, Part 2 A Arms C, D and F, Part 2 B
Time Frame: On Cycle 1 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 (each cycle=28 days)
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AI_Cmax: How much the highest concentration of BMS-986249 increases after multiple doses compared to a single dose. AI_AUC: How much the total exposure to BMS-986249 increases after multiple doses compared to a single dose. |
On Cycle 1 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 (each cycle=28 days)
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Number of Participants With Shifts From Baseline in Laboratory Test Results - Part 2A (Arms C and F) and 2B
Time Frame: From first dose until 100 days after last dose of study therapy (up to approximately 38 weeks)
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Number of Participants with Shifts from Baseline in Laboratory Tests
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From first dose until 100 days after last dose of study therapy (up to approximately 38 weeks)
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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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CA030-001
- 2018-000416-21 (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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