A Clinical Study Evaluating Nivolumab-containing Treatments in Patients With Advanced Non-small Cell Lung Cancer After Failing Previous PD-1/(L)1 Therapy and Chemotherapy (CheckMate 79X)
A Phase 1/2, Randomized Study Evaluating Multiple Nivolumab Combination Therapies in Patients With Stage IV or Recurrent Non-Small Cell Lung Cancer (NSCLC) After Failure of Platinum-Based Chemotherapy and Anti-PD-1 (L)1 Immunotherapy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
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
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Distrito Federal
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Buenos Aires, Distrito Federal, Argentina, 1431
- Local Institution
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Buenos Aires, Distrito Federal, Argentina, C1199ABB
- Local Institution
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Caba, Distrito Federal, Argentina, 1430
- Local Institution
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Capital, Distrito Federal, Argentina, C1280
- Local Institution
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Charleroi, Belgium, 6000
- Local Institution
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Gilly, Belgium, 6060
- Local Institution
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Leuven, Belgium, 3000
- Local Institution
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Copenhagen Ø, Denmark, 2100
- Local Institution
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Athens, Greece, 11527
- Local Institution
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Neo Faliro, Greece, 18547
- Local Institution
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Coahuila
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Torreon, Coahuila, Mexico, 27010
- Local Institution
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Distrito Federal
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Ciudad de México, Distrito Federal, Mexico, 03240
- Local Institution
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Jalisco
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Zapopan, Jalisco, Mexico, 44280
- Local Institution
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Puebla
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Heroica Puebla de Zaragoza, Puebla, Mexico, 72530
- Local Institution
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Amsterdam, Netherlands, 1066 CX
- Local Institution
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Rotterdam, Netherlands, 3015 GD
- Local Institution
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Oslo, Norway, 0379
- Local Institution
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Krakow, Poland, 30-688
- Local Institution
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Mazowieckie
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Warszawa, Mazowieckie, Poland, 02-781
- Local Institution
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Craiova, Romania, 200347
- Local Institution
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Timisoara, Romania, 300696
- Local Institution
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Michigan
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Detroit, Michigan, United States, 48201
- Local Institution
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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
- Histologically or cytologically-documented Stage IV A/B non-small cell lung Cancer, stage IIIB/C disease failed concurrent chemoRT.
- ECOG Performance Status of ≤ 1.
- Radiologically-documented disease progression on one anti-PD-1/anti-PD-L1 therapy and one platinum-based doublet regimen given either concurrently or sequentially within 90 days after the last dose of anti-PD-(L)1.
- All participants must have tumor tissue submitted prior to randomization, either a recent archival sample obtained on/after the date of disease progression of the last prior anticancer therapy and within 3 months prior to enrollment, or a fresh biopsy obtained during the screening period.
- Prior toxicities must have resolved to grade ≤1.
- Women of childbearing potential (WOCBP) must have a negative serum or urine pregnancy test and must not be breastfeeding.
- Males who are sexually active with WOCBP must agree to follow instructions for method(s) of contraception. In addition, male participants must be willing to refrain from sperm donation during this time and must agree to follow instructions for method(s) of contraception. Azoospermic males are exempt from contraceptive requirements as well as WOCBP who are continuously not heterosexually active, however, a pregnancy test will still be required.
Exclusion Criteria
- Prior treatment with Docetaxel.
- Untreated CNS metastases, carcinomatous meningitis or leptomeningeal metastases.
- Any tumor invading the Superior Vena Cava other blood vessel, GI Tract or Trachea.
- EGFR mutations, ALK translocations, ROS1 translocations which are sensitive to inhibitor therapy.
- History of cerebrovascular accident and coagulation disorders.
- Participants with interstitial lung disease, history of cerebrovascular accident or history of abdominal fistula, gastrointestinal perforation, bowel obstruction, intra-abdominal abscess or grade 3-4 bleeding event within 6 months prior to randomization.
- Known toxicity on prior checkpoint inhibitor treatment.
- Participants who received more than one line of anti- PD-1/PD-L1 treatment.
- Participants who received previous CTLA-4 inhibitor treatment.
- Participants with known BRAF V600E mutation which are sensitive to available targeted inhibitor therapy are excluded.
- 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: Arm A: cabozantinib + nivolumab + ipilimumab
|
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: cabozantinib + nivolumab
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Specified dose on Specified days
Other Names:
Specified dose on Specified days
Other Names:
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Experimental: Arm C: nivolumab + ramucirumab + docetaxel
|
Specified dose on Specified days
Other Names:
Specified dose on Specified days
Specified dose on Specified days
Other Names:
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Experimental: Arm D: lucitanib + nivolumab
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Specified dose on Specified days
Other Names:
Specified dose on Specified days
Other Names:
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Experimental: Arm E: nivolumab + docetaxel
|
Specified dose on Specified days
Other Names:
Specified dose on Specified days
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Active Comparator: Arm F: docetaxel
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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 |
Time Frame |
|---|---|
|
Overall Reponse Rate (ORR) using RECIST 1.1 per Blinded Independent Central Review (BICR) assessment
Time Frame: approximately 33 months
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approximately 33 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Overall Survival (OS)
Time Frame: Up to 5 Years
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Up to 5 Years
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Duration of Response (DOR) by BICR using RECIST 1.1
Time Frame: approximately 33 months
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approximately 33 months
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Progression-Free Survival (PFS) by BICR using RECIST 1.1
Time Frame: Up to 5 Years
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Up to 5 Years
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Incidence of Adverse Events (AEs)
Time Frame: Up to 5 Years
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Up to 5 Years
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Incidence of Serious Adverse Events (SAEs)
Time Frame: Up to 5 Years
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Up to 5 Years
|
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Incidence of Select AEs
Time Frame: Up to 5 Years
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Up to 5 Years
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Bristol-Myers Squibb, Bristol-Myers Squibb
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
- Respiratory Tract Diseases
- Neoplasms
- Lung Diseases
- Neoplasms by Site
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Carcinoma, Bronchogenic
- Bronchial Neoplasms
- Lung Neoplasms
- Carcinoma, Non-Small-Cell Lung
- Molecular Mechanisms of Pharmacological Action
- Antineoplastic Agents
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Antineoplastic Agents, Immunological
- Immune Checkpoint Inhibitors
- Docetaxel
- Nivolumab
- Ramucirumab
- Ipilimumab
Other Study ID Numbers
Other Study ID Numbers
- CA209-79X
- 2018-004283-65 (EudraCT Number)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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