An Investigational Study of Immunotherapy Combinations in Participants With Solid Cancers That Are Advanced or Have Spread
A Phase 1/2 Study of Relatlimab (Anti-LAG-3 Monoclonal Antibody) Administered in Combination With Both Nivolumab (Anti-PD-1 Monoclonal Antibody) and BMS-986205 (IDO1 Inhibitor) or in Combination With Both Nivolumab and Ipilimumab (Anti-CTLA-4 Monoclonal Antibody) in Advanced Malignant 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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New South Wales
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Wollstonecraft, New South Wales, Australia, 2065
- Local Institution - 0012
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Western Australia
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Nedlands, Western Australia, Australia, 6009
- Local Institution - 0011
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Marseille, France, 13385
- Local Institution - 0017
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Toulouse, France, 31059
- Local Institution - 0016
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Villejuif, France, 94800
- Local Institution - 0015
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Forlì, Italy, 47014
- Local Institution - 0010
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Naples, Italy, 80131
- Local Institution - 0009
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Rome, Italy, 00144
- Local Institution - 0023
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Barcelona, Spain, 08036
- Local Institution - 0019
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Madrid, Spain, 28041
- Local Institution - 0021
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Madrid, Spain, 28050
- Local Institution - 0018
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Málaga, Spain, 29011
- Local Institution - 0022
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Pamplona, Spain, 31008
- Local Institution - 0020
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Lausanne, Switzerland, 1011
- Local Institution - 0008
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Zurich, Switzerland, 8091
- Local Institution - 0007
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Headington, United Kingdom, OX3 7LE
- Local Institution - 0013
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Newcastle upon Tyne, United Kingdom, NE7 7DN
- Local Institution - 0014
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California
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Duarte, California, United States, 91010
- Local Institution - 0006
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Colorado
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Aurora, Colorado, United States, 80045
- Local Institution - 0003
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Maryland
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Baltimore, Maryland, United States, 21231
- Local Institution - 0004
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Missouri
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St Louis, Missouri, United States, 63110
- Local Institution - 0005
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Tennessee
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Germantown, Tennessee, United States, 38138
- Local Institution - 0001
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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 select incurable solid malignancies that are advanced (metastatic and/or unresectable), with measurable disease per RECIST v1.1
- Available tumor tissue for biomarker analysis
- Eastern Cooperative Oncology Group Performance Status (ECOG) status of 0 or 1
Exclusion Criteria:
- Known or suspected central nervous system (CNS) metastases or with the CNS as the only site of active disease
- History of interstitial lung disease / pneumonitis
- Prior malignancy active within the previous 2 years except for locally curable cancers that have been cured, such as basal or squamous cell skin cancer
- Encephalitis, meningitis, or uncontrolled seizures in the year prior to informed consent
Other protocol-defined inclusion/exclusion criteria apply
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Arm A
Relatlimab + Nivolumab + BMS-986205
|
Specified dose on specified days
Other Names:
Specified dose on specified days
Other Names:
Specified dose on specified days
Other Names:
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Experimental: Arm B
Relatlimab + Nivolumab + Ipilimumab
|
Specified dose on specified days
Other Names:
Specified dose on specified days
Other Names:
Specified dose on specified days
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Participants With Grade 3/Grade 4 Laboratory Test Results
Time Frame: From first dose (Day 1) and within 30 days of last dose of study therapy (up to approximately 69 months)
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Laboratory test results are graded using the Common Terminology Criteria for Adverse Events (CTCAE), Version 3.0. Grade 3 = Severe or medically significant but not immediately life-threatening. Grade 4 = Life-threatening or disabling. |
From first dose (Day 1) and within 30 days of last dose of study therapy (up to approximately 69 months)
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|
Number of Participants With Adverse Events and Deaths
Time Frame: From first dose (Day 1) and within 30 days of last dose of study therapy (up to approximately 69 months)
|
Adverse events are any unfavorable or unintended signs, symptoms, or diseases occurring in study participants during a clinical trial, regardless of whether they are related to the intervention.
They include all-cause mortality, serious adverse events, and other events exceeding a set frequency threshold.
Serious adverse events are a subset that result in significant outcomes such as death, life-threatening conditions, hospitalization or its prolongation, persistent or significant disability/incapacity, or other medically important conditions.
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From first dose (Day 1) and within 30 days of last dose of study therapy (up to approximately 69 months)
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Number of Participants With Dose Limiting Toxicities
Time Frame: From first dose (Day 1) and up to 42 days post first dose
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Dose-Limiting Toxicities (DLTs) are treatment-related adverse events occurring during the first cycle (typically Days 1-28) that meet predefined severity criteria per NCI CTCAE v4.03.
Hematologic DLTs include Grade 4 neutropenia >5 days, Grade 3 neutropenia with fever, Grade 4 thrombocytopenia or Grade 3 with bleeding, and Grade 4 anemia.
Non-hematologic DLTs include any toxicity ≥Grade 3 (except alopecia or controlled nausea) or treatment interruption ≥2 weeks due to adverse events.
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From first dose (Day 1) and up to 42 days post first dose
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Objective Response Rate (ORR)
Time Frame: From the date of first dose (Day 1) to up to the date of objectively documented progression or the date of subsequent anti-cancer therapy, whichever occurs first (up to 80 months)
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Objective Response Rate (ORR) is the percentage of participants whose best overall response is Complete Response (CR) or Partial Response (PR) per RECIST v1.1.
CR is the disappearance of all target lesions and reduction of pathological lymph nodes to <10 mm.
PR is at least a 30% decrease in the sum of diameters of target lesions from baseline.
ORR is calculated as: (Number of participants with CR or PR ÷ Total participants) × 100.
Confidence intervals are typically estimated using the Clopper-Pearson method.
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From the date of first dose (Day 1) to up to the date of objectively documented progression or the date of subsequent anti-cancer therapy, whichever occurs first (up to 80 months)
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Disease Control Rate (DCR)
Time Frame: From the date of first dose (Day 1) to up to the date of objectively documented progression or the date of subsequent anti-cancer therapy, whichever occurs first (up to 80 months)
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Disease Control Rate (DCR) is the percentage of participants whose Best Overall Response (BOR) is Complete Response (CR), Partial Response (PR), or Stable Disease (SD) per RECIST v1.1.
CR is the disappearance of all target lesions and reduction of any pathological lymph nodes to <10 mm.
PR is at least a 30% decrease in the sum of diameters of target lesions from baseline.
SD is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for Progressive Disease, taking as reference the smallest sum diameters while on study.
DCR is calculated as: (Number of participants with CR, PR, or SD ÷ Total participants) × 100.
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From the date of first dose (Day 1) to up to the date of objectively documented progression or the date of subsequent anti-cancer therapy, whichever occurs first (up to 80 months)
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Duration of Response (DoR)
Time Frame: From the date of first dose (Day 1) to up to the date of objectively documented progression or the date of subsequent anti-cancer therapy, whichever occurs first (up to 80 months)
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Duration of Response (mDOR) is the median time from the first documented occurrence of Complete Response (CR) or Partial Response (PR) until disease progression or death, assessed per RECIST v1.1.
CR is the disappearance of all target lesions and reduction of pathological lymph nodes to <10 mm.
PR is at least a 30% decrease in the sum of diameters of target lesions from baseline.
Progression is defined as at least a 20% increase in the sum of diameters of target lesions or appearance of new lesions.
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From the date of first dose (Day 1) to up to the date of objectively documented progression or the date of subsequent anti-cancer therapy, whichever occurs first (up to 80 months)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Progression Free Survival (PFS)
Time Frame: From the date of first dose (Day 1) to up to the date of the first documented disease progression or death (up to approximately 80 months)
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Progression-Free Survival (PFS) is the time from randomization or treatment start until the first documented disease progression or death from any cause, whichever occurs first, assessed per RECIST v1.1.
Disease progression is defined as at least a 20% increase in the sum of diameters of target lesions (minimum 5 mm absolute increase) or appearance of new lesions.
Participants without progression or death are censored at the date of last adequate tumor assessment.
PFS is typically analyzed using Kaplan-Meier estimates and reported in months.
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From the date of first dose (Day 1) to up to the date of the first documented disease progression or death (up to approximately 80 months)
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Progression Free Survival Rate at 6 and 12 Months
Time Frame: Month 6 and 12
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Progression-Free Survival Rate (PFSR) is the percentage of participants who remain alive without disease progression, assessed per RECIST v1.1.
Disease progression is defined as at least a 20% increase in the sum of diameters of target lesions (minimum 5 mm absolute increase) or appearance of new lesions.
Participants without progression or death by the time point are considered event-free
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Month 6 and 12
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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 (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
- CA224-048
- 2018-000058-22 (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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