- ICH GCP
- US-Register für klinische Studien
- Klinische Studie NCT03743766
Nivolumab, BMS-936558 in Kombination mit Relatlimab, BMS-986016 bei Patienten mit metastasiertem Melanom, die keine vorherige Immuntherapie im metastasierten Setting erhalten haben
Eine Phase-II-Studie mit monoklonalem Anti-PD1-Antikörper (Nivolumab, BMS-936558), verabreicht in Kombination mit monoklonalem Anti-LAG3-Antikörper (Relatlimab, BMS-986016) bei Patienten mit metastasierendem Melanom, die zuvor keine Immuntherapie im metastasierten Setting erhalten hatten
Studienübersicht
Status
Bedingungen
Intervention / Behandlung
Detaillierte Beschreibung
Studientyp
Einschreibung (Tatsächlich)
Phase
- Phase 2
Kontakte und Standorte
Studienorte
-
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Pennsylvania
-
Pittsburgh, Pennsylvania, Vereinigte Staaten, 15232
- UPMC Hillman Cancer Center
-
-
Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Beschreibung
Einschlusskriterien:
• Männer oder Frauen ab 18 Jahren, die die AJCC-Kriterien der 8. Ausgabe für inoperables Melanom im Stadium IIIB, Stadium IIIC, Stadium IIID oder Stadium IV erfüllen und keine Behandlung mit Immuntherapie im metastasierten Setting erhalten haben
Ausschlusskriterien:
Bekannte oder vermutete ZNS-Metastasen, mit folgenden Ausnahmen:
- Probanden mit kontrollierten Hirnmetastasen dürfen sich anmelden. Kontrollierte Hirnmetastasen sind definiert als keine radiologische Progression für mindestens 4 Wochen nach Bestrahlung und/oder chirurgischer Behandlung zum Zeitpunkt der Einwilligung. Die Probanden müssen vor der Randomisierung mindestens 2 Wochen lang keine Steroide mehr einnehmen.
- Patienten mit Anzeichen oder Symptomen von Hirnmetastasen sind nicht teilnahmeberechtigt, es sei denn, Hirnmetastasen werden durch Computertomographie oder Magnetresonanztomographie ausgeschlossen.
- Aktive behandlungsbedürftige Autoimmunerkrankung, mit Ausnahme von Diabetes mellitus Typ 1, Vitiligo, abgeklungenem Asthma/Atopie im Kindesalter, kontrollierter Hyper-/Hypothyreose, Hypoadrenalismus oder Hypopituitarismus.
- Vorherige systemische Behandlung im metastasierten Umfeld, einschließlich Anti-PD1-, Anti-PDL1-, Anti-PDL2-, Anti-CTLA-4-Antikörper oder andere Antikörper oder Medikamente, die speziell auf T-Zell-Kostimulation oder Immun-Checkpoint-Signalwege abzielen; oder Chemotherapie.
- Vorherige adjuvante Behandlung mit Anti-PD1-, Anti-PDL1- und/oder Anti-LAG3-Antikörper. Beachten Sie, dass eine vorherige adjuvante Behandlung mit zielgerichteter Therapie (z. BRAF/MEK-Hemmung), Anti-CTLA4 oder eine Behandlung, die oben nicht anders angegeben ist, wäre zulässig.
- Augenmelanom
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
|
Experimental: Relatlimab
Zyklus 1: Relatlimab (BMS-986016) wird als sterile 10-mg/ml-Formulierung geliefert, die in den ersten 4 Wochen (Zyklus 1) als intravenöse (IV) Infusion mit 160 mg IV verabreicht wird. Zyklus 2+: Die Kombinationstherapie wird durch sequentielle Infusion verabreicht. Verabreichung von Nivolumab mit 480 mg i.v., gefolgt von einer Infusion von Relatlimab mit 160 mg i.v. einmal alle 4 Wochen. |
Relatlimab (BMS-986016) – 10 mg/ml-Formulierung zur Verabreichung als intravenöse (IV) Infusion mit 160 mg IV.
Andere Namen:
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Experimental: Nivolumab
Zyklus 1: Nivolumab (BMS-936558) wird als sterile 10-mg/ml-Formulierung geliefert, die in den ersten 4 Wochen als IV-Infusion mit 480 mg IV verabreicht wird. Zyklus 2+: Die Kombinationstherapie wird durch sequentielle Infusion verabreicht. Verabreichung von Nivolumab mit 480 mg i.v., gefolgt von einer Infusion von Relatlimab mit 160 mg i.v. einmal alle 4 Wochen. |
Nivolumab (BMS-936558) – 10-mg/ml-Formulierung zur Verabreichung als IV-Infusion mit 480 mg IV.
Andere Namen:
|
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Experimental: Relatlimab + Nivolumab
Zyklus 1+: Die Kombinationstherapie wird durch sequentielle Infusion verabreicht.
Verabreichung von Nivolumab mit 480 mg i.v., gefolgt von einer Infusion von Relatlimab mit 160 mg i.v. für die ersten 4 Wochen (Zyklus 1), danach einmal alle 4 Wochen.
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Die Kombinationstherapie (Relatlimab + Nivolumab) wird durch sequentielle Infusion verabreicht.
Nivolumab verabreicht mit 480 mg IV, gefolgt von einer Infusion von Relatlimab mit 160 mg IV.
Andere Namen:
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Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
LAG3 Gene Expression From scRNAseq
Zeitfenster: At Baseline
|
Percent Lymphocyte-activation gene 3 (LAG3) level (cell surface molecule expressed on activated T cells) expression from scRNAseq
|
At Baseline
|
|
LAG3 Gene Expression From scRNAseq
Zeitfenster: At Week 4
|
Percent Lymphocyte-activation gene 3 (LAG3) level (cell surface molecule expressed on activated T cells) expression from scRNAseq
|
At Week 4
|
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PD1 Expression
Zeitfenster: At baseline (Week 0)
|
Percent PD1 (programmed cell death protein 1) expression after completion of lead-in phase.
|
At baseline (Week 0)
|
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PD1 Expression
Zeitfenster: At Week 4
|
Percent PD1 (programmed cell death protein 1) expression after completion of lead-in phase.
|
At Week 4
|
|
Change in Tumor Size
Zeitfenster: At baseline and at 4 weeks
|
Percentage change in tumor size assessed per Response Evaluation Criteria in Solid Tumors. Per RECIST 1.1, Tumor lesions: Must be accurately measured in at least one dimension (longest diameter in the plane of measurement is to be recorded) with a minimum size of:
|
At baseline and at 4 weeks
|
|
Overall Response Rate (ORR)
Zeitfenster: Beginning at 12 weeks post initial treatment, up to 4 years
|
Percent of participants experiencing Complete Response (CR) + Number of participants experiencing Partial Response (PR)/total patients assessed.
Per RECIST v1.1, 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.
PD: At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study).
In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
(Note: the appearance of one or more new lesions is also considered progression).
SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.
|
Beginning at 12 weeks post initial treatment, up to 4 years
|
|
Overall Response Rate (ORR) - ITT (Intent-to-treat) Population
Zeitfenster: Beginning at 12 weeks post initial treatment, up to 4 years
|
Percent of participants experiencing Complete Response (CR) + Number of participants experiencing Partial Response (PR)/total patients assessed.
Per RECIST v1.1, 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.
PD: At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study).
In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
(Note: the appearance of one or more new lesions is also considered progression).
SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.
|
Beginning at 12 weeks post initial treatment, up to 4 years
|
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Dauer der Reaktion
Zeitfenster: 12 Wochen nach der Erstbehandlung, bis zu 4 Jahre
|
Zeit vom ersten dokumentierten vollständigen Ansprechen (CR) oder partiellen Ansprechen (PR) bis zum ersten Datum, an dem eine fortschreitende Erkrankung objektiv dokumentiert wird.
Gemäß RECIST v1.1, CR: Verschwinden aller Zielläsionen.
Alle pathologischen Lymphknoten (ob Ziel- oder Nicht-Ziel) müssen eine Reduktion in der kurzen Achse aufweisen
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12 Wochen nach der Erstbehandlung, bis zu 4 Jahre
|
|
Progressionsfreies Überleben (PFS)
Zeitfenster: Bis zu 4 Jahre
|
Das progressionsfreie Überleben ist definiert als die Zeit zwischen dem Datum der Randomisierung und dem ersten Datum der dokumentierten Progression oder des Todes aus jeglicher Ursache, je nachdem, was zuerst eintritt.
Gemäß RECIST v1.1, Progressive Disease (PD): Mindestens 20 % Zunahme der Summe der Durchmesser der Zielläsionen, wobei die kleinste Summe in der Studie als Referenz genommen wird (dies schließt die Baseline-Summe ein, wenn diese die kleinste in der Studie ist).
Neben der relativen Steigerung von 20 % muss die Summe auch eine absolute Steigerung von mindestens 5 mm aufweisen.
|
Bis zu 4 Jahre
|
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Gesamtüberleben (OS)
Zeitfenster: Bis zu 4 Jahre
|
Das Gesamtüberleben ist definiert als die Zeit zwischen dem Datum der Randomisierung und dem Datum des Todes jeglicher Ursache.
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Bis zu 4 Jahre
|
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Secondary Outcome: Clinical Benefit Rate
Zeitfenster: 12 weeks post initial treatment, up to 4 years
|
Percent of patients with Complete Response (CR) + Partial Response (PR) + Stable Disease (SD) / total patients assessed per RECIST v1.1.
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; SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.
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12 weeks post initial treatment, up to 4 years
|
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Clinical Benefit Rate - ITT (Intent-to-treat) Population
Zeitfenster: 12 weeks post initial treatment, up to 4 years
|
Percent of patients with Complete Response (CR) + Partial Response (PR) + Stable Disease (SD) / total patients assessed per RECIST v1.1.
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; SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.
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12 weeks post initial treatment, up to 4 years
|
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Progression-free Survival (PFS) by Lead-in Arm
Zeitfenster: Up to 4 years
|
Progression-free survival is defined as the time between the date of randomization and the first date of documented progression or death due to any cause, whichever occurs first.
Per RECIST v1.1, Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study).
In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
|
Up to 4 years
|
|
CD8+ Tumor Infiltrating Lymphocytes
Zeitfenster: At Baseline
|
Number of CD8+ tumor infiltrating lymphocytes present.
|
At Baseline
|
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CD8+ Tumor Infiltrating Lymphocytes
Zeitfenster: At Week 4
|
Number of CD8+ tumor infiltrating lymphocytes present.
|
At Week 4
|
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CD4+ Tumor Infiltrating Lymphocytes
Zeitfenster: At Week 4
|
Number of CD4+ tumor infiltrating lymphocytes present.
|
At Week 4
|
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CD4+ Tumor Infiltrating Lymphocytes
Zeitfenster: At Baseline
|
Number of CD4+ tumor infiltrating lymphocytes present.
|
At Baseline
|
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LAG3 Levels - PBMC
Zeitfenster: At Baseline
|
To determine the amount of LAG3 expressed on activated T cells in the blood through single-cell RNA sequencing.
The LAG3 expression is reported as the natural log (ln) of the number of LAG3 transcripts divided by the number of total mapped reads plus 1.
|
At Baseline
|
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LAG3 Levels - PBMC
Zeitfenster: At Week 4
|
To determine the amount of LAG3 expressed on activated T cells in the blood through single-cell RNA sequencing.
The LAG3 expression is reported as the natural log (ln) of the number of LAG3 transcripts divided by the number of total mapped reads plus 1.
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At Week 4
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LAG3 Levels - TIL
Zeitfenster: At Baseline
|
To determine the amount of LAG3 expressed on activated tumor infiltrating lymphocytes (TIL) through single-cell RNA sequencing.
The LAG3 expression is reported as the natural log (ln) of the number of LAG3 transcripts divided by the number of total mapped reads plus 1.
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At Baseline
|
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LAG3 Levels - PBMC
Zeitfenster: At Week 16
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To determine the amount of LAG3 expressed on activated T cells in the blood through single-cell RNA sequencing.
The LAG3 expression is reported as the natural log (ln) of the number of LAG3 transcripts divided by the number of total mapped reads plus 1.
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At Week 16
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LAG3 Levels - TIL
Zeitfenster: At Week 4
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To determine the amount of LAG3 expressed on activated tumor infiltrating lymphocytes (TIL) through single-cell RNA sequencing.
The LAG3 expression is reported as the natural log (ln) of the number of LAG3 transcripts divided by the number of total mapped reads plus 1.
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At Week 4
|
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PD-1 Expression in PBMC
Zeitfenster: At Baseline
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To determine the amount of PD-1 (programmed cell death protein 1) expressed on PBMCs through single-cell RNA sequencing in treated patients.
The PD-1 expression is reported as the natural log (ln) of the number of PD-1 transcripts divided by the number of total mapped reads plus 1.
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At Baseline
|
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PD-1 Expression in PBMC
Zeitfenster: At Week 4
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To determine the amount of PD-1 (programmed cell death protein 1) expressed on PBMCs through single-cell RNA sequencing in treated patients.
The PD-1 expression is reported as the natural log (ln) of the number of PD-1 transcripts divided by the number of total mapped reads plus 1.
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At Week 4
|
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PD-1 Expression in PBMC
Zeitfenster: At Week 16
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To determine the amount of PD-1 (programmed cell death protein 1) expressed on PBMCs through single-cell RNA sequencing in treated patients.
The PD-1 expression is reported as the natural log (ln) of the number of PD-1 transcripts divided by the number of total mapped reads plus 1.
|
At Week 16
|
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PD-1 Expression in TIL
Zeitfenster: At Baseline
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To determine the amount of PD-1 (programmed cell death protein 1) expressed on TILs through single-cell RNA sequencing in treated patients.
The PD-1 expression is reported as the natural log (ln) of the number of PD-1 transcripts divided by the number of total mapped reads plus 1.
|
At Baseline
|
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PD-1 Expression in TIL
Zeitfenster: At Week 4
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To determine the amount of PD-1 (programmed cell death protein 1) expressed on TILs through single-cell RNA sequencing in treated patients.
The PD-1 expression is reported as the natural log (ln) of the number of PD-1 transcripts divided by the number of total mapped reads plus 1.
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At Week 4
|
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Cell Effector/Memory Status - TIL
Zeitfenster: At Baseline
|
Measure of cells that have previously encountered and responded to their cognate antigen in TIL.
|
At Baseline
|
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Cell Effector/Memory Status - TIL
Zeitfenster: At Week 4
|
Measure of cells that have previously encountered and responded to their cognate antigen in TIL.
|
At Week 4
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Cell Effector/Memory Status - PBMCs
Zeitfenster: At Baseline
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Measure of cells that have previously encountered and responded to their cognate antigen in PBMCs.
|
At Baseline
|
|
Cell Effector/Memory Status - PBMC
Zeitfenster: At Week 4
|
Measure of cells that have previously encountered and responded to their cognate antigen in PBMCs.
|
At Week 4
|
|
Cell Effector/Memory Status - PBMC
Zeitfenster: At Week 16
|
Measure of cells that have previously encountered and responded to their cognate antigen in PBMCs.
|
At Week 16
|
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Regulatory T Cell (Treg) Marker Levels - PMBCs
Zeitfenster: At Baseline
|
Amount of Regulatory T cell (Treg) markers present in PBMCs in treated patients.
|
At Baseline
|
|
Regulatory T Cell (Treg) Marker Levels - PMBCs
Zeitfenster: At Week 4
|
Amount of Regulatory T cell (Treg) markers present in PBMCs in treated patients.
|
At Week 4
|
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Regulatory T Cell (Treg) Marker Levels - PMBCs
Zeitfenster: At Week 16
|
Amount of Regulatory T cell (Treg) markers present in PBMCs in treated patients.
|
At Week 16
|
|
Regulatory T Cell (Treg) Marker Levels - TIL
Zeitfenster: At Baseline
|
Amount of Regulatory T cell (Treg) markers present in TILs in treated patients.
|
At Baseline
|
|
Regulatory T Cell (Treg) Marker Levels - TIL
Zeitfenster: At Week 4
|
Amount of Regulatory T cell (Treg) markers present in TILs in treated patients.
|
At Week 4
|
|
Activation and Maturation of Dendritic Cells - PBMC
Zeitfenster: At Baseline
|
Measure of expression of activation and maturation of dendritic cells in PBMCs.
|
At Baseline
|
|
Activation and Maturation of Dendritic Cells - PBMC
Zeitfenster: At Week 4
|
Measure of expression of activation and maturation of dendritic cells in PBMCs.
|
At Week 4
|
|
Activation and Maturation of Dendritic Cells - PBMC
Zeitfenster: At Week 16
|
Measure of expression of activation and maturation of dendritic cells in PBMCs.
|
At Week 16
|
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Activation and Maturation of Dendritic Cells - TIL
Zeitfenster: At Baseline
|
Measure of expression of activation and maturation of dendritic cells in tumor (TIL).
|
At Baseline
|
|
Activation and Maturation of Dendritic Cells - TIL
Zeitfenster: At Week 4
|
Measure of expression of activation and maturation of dendritic cells in tumor (TIL).
|
At Week 4
|
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Soluble LAG3 Levels - PBMC
Zeitfenster: At the time of disease progression - up to 4 years
|
Amount of LAG3 (cell surface molecule expressed on activated T cells) protein present in blood in patients that had previously demonstrated complete response (CR), partial response (PR), or stable disease (SD) per RECIST 1.1.
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; SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.
|
At the time of disease progression - up to 4 years
|
|
Soluble LAG3 Levels - TIL
Zeitfenster: At the time of disease progression - up to 4 years
|
Amount of LAG3 (cell surface molecule expressed on activated T cells) protein present in tumor tissue in patients that had previously demonstrated complete response (CR), partial response (PR), or stable disease (SD) per RECIST 1.1.
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; SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.
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At the time of disease progression - up to 4 years
|
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Granzyme B Serum Levels
Zeitfenster: At 2 weeks prior first study treatment, at 4 weeks, at 12 weeks
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Level of granzyme B (a serine protease secreted cells to mediate apoptosis in target cells) in serum.
|
At 2 weeks prior first study treatment, at 4 weeks, at 12 weeks
|
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T Cell Count
Zeitfenster: At 4 weeks
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Number of T cells present in TIL or PBMC.
|
At 4 weeks
|
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T Cell Count
Zeitfenster: At 12 weeks
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Number of T cells present in TIL or PBMC.
|
At 12 weeks
|
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T Cell Count
Zeitfenster: At the time of disease progression - up to 4 years
|
Number of T cells present in TIL or PBMC.
|
At the time of disease progression - up to 4 years
|
Andere Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Single Cell RNA Sequencing
Zeitfenster: 2 weeks
|
The presence and quantity of RNA in in blood and tumor tissue.
|
2 weeks
|
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Single Cell RNA Sequencing
Zeitfenster: At 4 weeks post Cycle 1
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The presence and quantity of RNA in in blood and tumor tissue.
|
At 4 weeks post Cycle 1
|
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Single Cell RNA Sequencing
Zeitfenster: At week 16 (12 weeks post combination treatment (3 cycles)
|
The presence and quantity of RNA in in blood and tumor tissue.
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At week 16 (12 weeks post combination treatment (3 cycles)
|
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Single Cell RNA Sequencing
Zeitfenster: At the time of disease progression - up to 4 years
|
The presence and quantity of RNA in in blood and tumor tissue in patients that had previously demonstrated complete response (CR), partial response (PR), or stable disease (SD) per RECIST 1.1.
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; SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.
|
At the time of disease progression - up to 4 years
|
Mitarbeiter und Ermittler
Sponsor
Mitarbeiter
Ermittler
- Hauptermittler: John Kirkwood, MD, University of Pittsburgh
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Primärer Abschluss (Tatsächlich)
Studienabschluss (Tatsächlich)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Neubildungen nach Standort
- Neubildungen
- Neubildungen nach histologischem Typ
- Hautkrankheiten
- Neuroektodermale Tumoren
- Neoplasmen, Keimzelle und Embryonal
- Neubildungen, Nervengewebe
- Neuroendokrine Tumoren
- Nävi und Melanome
- Hauttumoren
- Haut- und Bindegewebserkrankungen
- Melanom
- Aminosäuren, Peptide und Proteine
- Proteine
- Antikörper, monoklonal, humanisiert
- Antikörper, monoklonal
- Antikörper
- Immunglobuline
- Immunoproteine
- Blutproteine
- Serumglobuline
- Globuline
- Nivolumab
- relatlimab
Andere Studien-ID-Nummern
- 18-071
Plan für individuelle Teilnehmerdaten (IPD)
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