A Study of Subcutaneous Nivolumab Versus Intravenous Nivolumab in Participants With Previously Treated Clear Cell Renal Cell Carcinoma That is Advanced or Has Spread (CheckMate-67T)
A Phase 3, Open-label, Randomized, Noninferiority Trial of Subcutaneous Formulation of Nivolumab Versus Intravenous Nivolumab in Participants With Advanced or Metastatic Clear Cell Renal Cell Carcinoma Who Have Received Prior Systemic Therapy
The purpose of this study is to evaluate the drug levels, efficacy, safety, and tolerability of subcutaneous nivolumab versus intravenous nivolumab in participants with previously treated clear cell renal cell carcinoma that is advanced or has spread. The purpose of this study's substudy is to evaluate drug level biocomparability of subcutaneous nivolumab manufactured using two different manufacturing processes.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Expanded Access
Expanded Access
No longer available
- Available: Expanded access is currently available for this investigational treatment, and patients who are not participants in the clinical study may be able to gain access to the drug, biologic, or medical device being studied.
- No longer available: Expanded access was available for this intervention previously but is not currently available and will not be available in the future.
- Temporarily not available: Expanded access is not currently available for this intervention but is expected to be available in the future.
- Approved for marketing: The intervention has been approved by the U.S. Food and Drug Administration for use by the public.
Contacts and Locations
Study Locations
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Buenos Aires
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Buenos Aires, Buenos Aires, Argentina, C1426ANZ
- Local Institution - 0038
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Capital Federal, Buenos Aires, Argentina, C1419AHN
- Local Institution - 0095
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Mar del Plata, Buenos Aires, Argentina, 7600
- Local Institution - 0058
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Pergamino, Buenos Aires, Argentina, B2700CPM
- Local Institution - 0037
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Córdoba Province
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Parana, Córdoba Province, Argentina, 5000
- Local Institution - 0079
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Río Cuarto, Córdoba Province, Argentina, 5800
- Local Institution - 0030
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Río Negro Province
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Viedma, Río Negro Province, Argentina, R8500ACE
- Local Institution - 0066
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San Juan Province
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San Juan, San Juan Province, Argentina, J5402DIL
- Local Institution - 0056
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Paraná
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Curitiba, Paraná, Brazil, 80520-174
- Local Institution - 0064
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Rio Grande do Sul
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Ijuí, Rio Grande do Sul, Brazil, 98700-000
- Local Institution - 0107
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Porto Alegre, Rio Grande do Sul, Brazil, 91350-200
- Local Institution - 0039
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Rio de Janeiro
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Rio de Janeiro, Rio de Janeiro, Brazil, 20230-130
- Local Institution - 0090
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São Paulo
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Barretos, São Paulo, Brazil, 014784-000
- Local Institution - 0071
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São José do Rio Preto, São Paulo, Brazil, 15090-000
- Local Institution - 0070
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São Paulo, São Paulo, Brazil, 01246-000
- Local Institution - 0081
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São Paulo, São Paulo, Brazil, 01327-0001
- Local Institution - 0096
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Araucania
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Temuco, Araucania, Chile
- Local Institution - 0084
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Santiago Metropolitan
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Santiago, Santiago Metropolitan, Chile
- Local Institution - 0005
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Santiago, Santiago Metropolitan, Chile, 7500653
- Local Institution - 0104
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Santiago, Santiago Metropolitan, Chile, 7500921
- Local Institution - 0076
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Valparaiso
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Viña del Mar, Valparaiso, Chile, 2520598
- Local Institution - 0077
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Brno, Czechia, 656 53
- Local Institution - 0063
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Hradec Králové, Czechia, 500 05
- Local Institution - 0036
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Olomouc, Czechia, 77900
- Local Institution - 0020
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Ostrava, Czechia, 708 52
- Local Institution - 0099
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Prague, Czechia, 140 59
- Local Institution - 0010
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Praha 8 Liben, Czechia, 18081
- Local Institution - 0106
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Tampere, Finland, 33521
- Local Institution - 0017
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Nice, France, 6189
- Local Institution
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Suresnes, France, 92151
- Local Institution - 0051
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Villejuif, France, 94800
- Local Institution - 0068
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Dublin
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Tallaght, Dublin, Ireland
- Local Institution - 0060
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Cremona, Italy, 26100
- Local Institution - 0033
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Florence, Italy, 50134
- Local Institution - 0008
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Meldola, Italy, 47014
- Local Institution - 0027
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Milan, Italy, 20141
- Local Institution - 0018
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Milan, Italy, 20133
- Local Institution
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Padova, Italy, 35128
- Local Institution - 0014
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Parma, Italy, 43126
- Local Institution - 0082
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Pavia, Italy, 27100
- Local Institution - 0092
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Roma, Italy, 00168
- Local Institution - 0100
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Rome, Italy, 00152
- Local Institution - 0091
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Terni, Italy, 05100
- Local Institution - 0057
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Coahuila
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Torreón, Coahuila, Mexico, 27010
- Local Institution - 0101
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Mexico City
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Tlalpan, Mexico City, Mexico, 14080
- Local Institution - 0089
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Nuevo León
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Monterrey, Nuevo León, Mexico, 64460
- Local Institution - 0103
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Monterrey, Nuevo León, Mexico, 64710
- Local Institution - 0031
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Querétaro
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Querétaro City, Querétaro, Mexico, 76000
- Local Institution - 0065
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Querétaro City, Querétaro, Mexico, 76090
- Local Institution - 0085
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San Luis Potosí
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San Luis Potosí City, San Luis Potosí, Mexico, 78200
- Local Institution - 0105
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Auckland, New Zealand, 1023
- Local Institution - 0053
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Hamilton, New Zealand, 3204
- Local Institution - 0041
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Palmerston North, New Zealand, 4414
- Local Institution - 0078
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Biała Podlaska, Poland, 21-500
- Local Institution - 0055
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Bydgoszcz, Poland, 85-796
- Local Institution - 0062
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Gdansk, Poland, 80-214
- Local Institution - 0083
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Krakow, Poland, 30-688
- Local Institution - 0021
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Krakow, Poland, 31-115
- Local Institution - 0098
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Poznan, Poland, 60-569
- Local Institution - 0001
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Warsaw, Poland, 02-781
- Local Institution - 0023
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Coimbra, Portugal, 3030-075
- Local Institution - 0050
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Lisbon, Portugal, 1500-650
- Local Institution - 0052
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Bucharest, Romania, 022238
- Local Institution - 0024
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Cluj-Napoca, Romania, 400132
- Local Institution - 0002
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Cluj-Napoca, Romania, 400641
- Local Institution - 0040
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Craiova, Romania, 200347
- Local Institution - 0016
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Chelyabinsk, Russia, 454087
- SBIH Chelyabinsk Regional Clinical Centre of Oncology and Nuclear Medicine
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Ivanovo, Russia, 153040
- Ivanovo Regional Oncology Dispensary
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Moscow, Russia, 125284
- Hertzen Moscow Oncology Research Center
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Nizghiy Novgorod, Russia, 603000
- Local Institution
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Omsk, Russia, 644013
- Budgetary Healthcare Institution of Omsk Region - Clinical Oncological Dispensary
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Saint Petersburg, Russia, 197022
- LLC Eurocityclinic
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Barcelona, Spain, 08003
- Local Institution - 0048
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Barcelona, Spain, 08035
- Local Institution - 0102
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Barcelona, Spain, 08041
- Local Institution - 0049
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Madrid, Spain, 28026
- Local Institution - 0072
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Madrid, Spain, 28033
- Local Institution - 0067
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Madrid, Spain, 28046
- Local Institution - 0074
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Madrid, Spain, 28050
- Local Institution - 0075
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Sabadell, Spain, 08208
- Local Institution - 0032
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Santander, Spain, 39008
- Local Institution - 0086
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Seville, Spain, 31013
- Local Institution - 0059
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Ankara, Turkey (Türkiye), 06230
- Local Institution - 0026
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Ankara, Turkey (Türkiye), 06590
- Local Institution - 0097
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Istanbul, Turkey (Türkiye), 34098
- Local Institution - 0019
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Bagcilar
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Istanbul, Bagcilar, Turkey (Türkiye), 34284
- Local Institution - 0035
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Illinois
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Chicago, Illinois, United States, 60611
- Local Institution
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New York
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Buffalo, New York, United States, 14263
- Local Institution - 0025
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Pennsylvania
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West Reading, Pennsylvania, United States, 19611
- Local Institution - 0088
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
For more information regarding Bristol-Myers Squibb Clinical Trial participation, please visit www.BMSStudyConnect.com
Inclusion Criteria:
- Histological confirmation of renal cell carcinoma (RCC) with a clear cell component, including participants who may also have sarcomatoid features
- Advanced RCC (not amenable to curative surgery or radiation therapy) or metastatic RCC (Stage IV)
- Measurable disease as defined by Response Evaluation Criteria in Solid Tumor (RECIST) v1.1 criteria within 28 days prior to randomization
- Received no more than 2 prior systemic treatment regimens
- Intolerance or progression on or after the last treatment regimen received and within 6 months prior to randomization
- Karnofsky PS ≥ 70 at screening
- Must agree to follow specific methods of contraception, if applicable
Exclusion Criteria:
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Untreated, symptomatic central nervous system (CNS) metastases
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Concurrent malignancy (present during screening) requiring treatment or history of prior malignancy active within 2 years prior to randomization
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Active, known, or suspected autoimmune disease
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Known human immunodeficiency virus (HIV) positive with an acquired immunodeficiency syndrome (AIDS) defining opportunistic infection within the last year, or a current CD4 count < 350 cells/μL. Participants with HIV are eligible if:
- They have received established antiretroviral therapy (ART) for at least 4 weeks prior to randomization
- They continue on ART as clinically indicated while enrolled on study
- CD4 counts and viral load are monitored per standard of care by a local health care provider
- Inclusion of participants with HIV should be based on Investigator clinical judgment in consultation with the Medical Monitor NOTE: Testing for HIV must be performed at sites where mandated locally. HIV-positive participants must be excluded where mandated locally
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Serious or uncontrolled medical disorders including for example, active severe acute respiratory syndrome coronavirus 2 (SAR-CoV-2) infection within approximately 4 weeks prior to screening. In the case of prior SARS-CoV-2 infection, acute symptoms must have resolved based on investigator clinical judgment and, in consultation with Medical Monitor, there are no sequelae that would place the participant at a higher risk of receiving investigational treatment to be eligible
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Prior treatment with an programmed death receptor-1 (anti-PD-1), programmed death ligand-1 (anti-PD-L1), or cytotoxic T-lymphocyte-associated antigen-4 (anti-CTLA-4) antibody, or any other antibody or drug specifically targeting T-cell costimulation or checkpoint pathways
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Treatment with any live attenuated vaccine within 30 days of first study treatment
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: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Arm A
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Specified dose on specified days
Other Names:
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Active Comparator: Arm B
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Specified dose on specified days
Other Names:
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Experimental: Arm C
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Specified dose on specified days
Other Names:
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Experimental: Arm D
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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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Adjusted Geometric Mean Serum Concentration of Nivolumab Over 28 Days (Cavgd28) on Original Scale
Time Frame: Pre-dose (Day 1 to Day 28)
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Plasma samples were collected to assess the serum concentration. |
Pre-dose (Day 1 to Day 28)
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Adjusted Geometric Mean of Nivolumab Trough Serum Concentration at Steady State (Cminss) on Original Scale
Time Frame: Pre-dose (Day 1 to Day 28)
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Plasma samples were collected to assess the serum concentration. |
Pre-dose (Day 1 to Day 28)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Objective Response Rate (ORR) Per BICR
Time Frame: From first dose to the date of first objectively documented progression, per RECIST v1.1, or death due to any cause, whichever occurred first (up to approximately 26 months)
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Objective response rate (ORR) is defined as the percentage of participants who achieve a best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR), based on blinded independent central review (BICR) assessments using Response Evaluation Criteria in Solid Tumors (RECIST 1.1), divided by the number of all randomized participants. 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 to the date of first objectively documented progression, per RECIST v1.1, or death due to any cause, whichever occurred first (up to approximately 26 months)
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Trough Serum Concentration of Nivolumab at Day 28 (Cmind28)
Time Frame: Pre-dose at Day 28
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Blood samples were collected to assess serum concentration. |
Pre-dose at Day 28
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Maximum Serum Concentration of Nivolumab After the First Dose (Cmax1)
Time Frame: Post dose (Day 1)
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Blood samples were collected to assess serum concentration. |
Post dose (Day 1)
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Peak Serum Concentration of Nivolumab at Steady State (Cmaxss)
Time Frame: Pre-dose (Day 1 to Day 28)
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Blood samples were collected to assess serum concentration. |
Pre-dose (Day 1 to Day 28)
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Time-averaged Serum Concentration of Nivolumab at Steady State (Cavgss)
Time Frame: Pre-dose (Day 1 to Day 28)
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Blood samples were collected to assess serum concentration. |
Pre-dose (Day 1 to Day 28)
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Trough Serum Concentration of Nivolumab (Ctrough)
Time Frame: Pre-dose at Week 17
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Blood samples were collected to assess serum concentration. |
Pre-dose at Week 17
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Time to Maximum Serum Concentration of Nivolumab at Day 1 (Tmax1)
Time Frame: Post dose (Day 1)
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Blood samples were collected to assess serum concentration. |
Post dose (Day 1)
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Trough Serum Concentration of Nivolumab at Steady State (Cminss)
Time Frame: Pre dose (Day 1 to Day 28)
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Blood samples were collected to assess serum concentration. |
Pre dose (Day 1 to Day 28)
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Number of Participants With Adverse Events, Serious Adverse Events, AEs Leading to Discontinuation and Death
Time Frame: First dose (Day 1) and 30 days after last dose of study therapy (up to approximately 25 months)
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AE is defined as any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product; it does not necessarily have to have a causal relationship with this treatment. An SAE is defined as any untoward medical occurrence at any dose that: results in death, is immediately life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability or incapacity or substantial disruption of the ability to conduct normal life functions, results in a congenital abnormality or birth defect, or is an important medical event that may not result in death, be life-threatening, or require hospitalization, but may require medical or surgical intervention to prevent any of the outcomes listed above. |
First dose (Day 1) and 30 days after last dose of study therapy (up to approximately 25 months)
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Number of Participants With Grade 3/4 Laboratory Abnormalities
Time Frame: First dose (Day 1) and 30 days after last dose of study therapy (up to approximately 25 months)
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Blood samples were collected for assessment of laboratory test results. All abnormalities were graded as per CTCAE v5.0 on a scale from 1 to 4, 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. |
First dose (Day 1) and 30 days after last dose of study therapy (up to approximately 25 months)
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Disease Control Rate (ORR) Per BICR
Time Frame: From first dose to the date of first objectively documented progression, per RECIST v1.1, or death due to any cause, whichever occurred first (up to approximately 26 months)
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Disease control rate (DCR) is defined as the percentage of participants who achieve a BOR of confirmed Complete Response (CR), confirmed Partial Response (PR), or stable disease (SD), based on BICR assessments (using RECIST 1.1) divided by the number of all randomized participants. CR: Disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of target lesions. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum diameters while on study. |
From first dose to the date of first objectively documented progression, per RECIST v1.1, or death due to any cause, whichever occurred first (up to approximately 26 months)
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Time to Response (TTR) Per BICR
Time Frame: From first dose to the date of first objectively documented progression, per RECIST v1.1, or death due to any cause, whichever occurred first (up to approximately 26 months)
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Time to response (TTR) assessed by BICR is defined as the time between the date of randomization and the first confirmed documented response (CR or PR) per RECIST 1.1 criteria. 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 to the date of first objectively documented progression, per RECIST v1.1, or death due to any cause, whichever occurred first (up to approximately 26 months)
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Duration of Response (DoR) Per BICR
Time Frame: From first dose to the date of first objectively documented progression, per RECIST v1.1, or death due to any cause, whichever occurred first (up to approximately 26 months)
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Duration of Response (DOR) in months is defined as the time from date of the first documentation of objective response (CR or PR) to the first documentation of PD or to death due to any cause in the absence of documented PD. CR is complete disappearance of all target lesions except nodal disease; all target nodes must decrease to normal size (short axis < 10 mm). PR is ≥30% decrease under baseline of the sum of diameters of all target measurable lesions. Disease progression is defined as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed, with a minimum absolute increase of 5 mm. |
From first dose to the date of first objectively documented progression, per RECIST v1.1, or death due to any cause, whichever occurred first (up to approximately 26 months)
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Overall Survival
Time Frame: From first dose to the date of death (up to approximately 26 months)
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Overall survival is defined as the time from the first dosing date (or from randomization/on treatment) to the date of death from any cause. |
From first dose to the date of death (up to approximately 26 months)
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Number of Participants With Drug-Related Local Injection- or Infusion-Site Reactions
Time Frame: First dose (Day 1) and 100 days after last dose of study therapy (up to approximately 27 months)
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First dose (Day 1) and 100 days after last dose of study therapy (up to approximately 27 months)
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Number of Participants With Incidence of Anti-nivolumab Antibodies
Time Frame: First dose (Day 1) and 30 days after last dose of study therapy (up to approximately 25 months)
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ADA Positive is a subject with at least one ADA-positive sample relative to baseline (ADA negative at baseline or ADA titer to be at least 4-fold or greater [≥]than baseline positive titer) at any time after initiation of treatment. |
First dose (Day 1) and 30 days after last dose of study therapy (up to approximately 25 months)
|
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 (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 (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
- Urogenital Diseases
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Male Urogenital Diseases
- Kidney Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Neoplasms by Histologic Type
- Neoplasms, Glandular and Epithelial
- Adenocarcinoma
- Urologic Neoplasms
- Carcinoma
- Kidney Neoplasms
- Carcinoma, Renal Cell
- Amino Acids, Peptides, and Proteins
- Proteins
- Antibodies, Monoclonal, Humanized
- Antibodies, Monoclonal
- Antibodies
- Immunoglobulins
- Immunoproteins
- Blood Proteins
- Serum Globulins
- Globulins
- Nivolumab
Other Study ID Numbers
Other Study ID Numbers
- CA209-67T
- 2020-003655-15 (EudraCT Number)
- U1111-1255-9514 (Registry Identifier: WHO)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
BMS will provide access to individual anonymized participant data upon request from qualified researchers, and subject to certain criteria. Additional information regarding Bristol Myer Squibb's data sharing policy and process can be found at https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html
IPD Sharing Time Frame
See Plan Description
IPD Sharing Access Criteria
See Plan Description
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- CSR
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.