이전에 치료받은 진행성 또는 전이된 투명 세포 신장 세포 암종이 있는 참가자에서 피하 Nivolumab 대 정맥 주사 Nivolumab의 연구 (CheckMate-67T)
이전에 전신 요법을 받은 진행성 또는 전이성 투명 세포 신장 세포 암종 환자에서 니볼루맙 대 정맥 주사 니볼루맙의 피하 제형의 3상, 공개 라벨, 무작위, 비열등성 시험
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.
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
연구 유형
연구 유형
등록 (실제)
등록
단계
단계
- 3단계
확장된 액세스
확장된 액세스
더 이상 사용할 수 없음
- 사용 가능: 현재 이 연구 치료에 대해 확장된 액세스가 가능하며 임상 연구에 참여하지 않은 환자는 약물, 생물학적 제제 또는 의료 기기에 액세스할 수 있습니다. 연구 중입니다.
- 더 이상 사용할 수 없음: 이전에는 이 개입에 대해 확장된 액세스를 사용할 수 있었지만 현재 사용할 수 없으며 앞으로도 사용할 수 없습니다.
- 일시적으로 사용할 수 없음: 현재 이 개입에 대해 확장된 액세스를 사용할 수 없지만 향후 사용할 수 있을 것으로 예상됩니다.
- 마케팅 승인: 개입 대중이 사용할 수 있도록 미국 식품의약국(FDA)의 승인을 받았습니다.
연락처 및 위치
연구 장소
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Auckland, 뉴질랜드, 1023
- Local Institution - 0053
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Hamilton, 뉴질랜드, 3204
- Local Institution - 0041
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Palmerston North, 뉴질랜드, 4414
- Local Institution - 0078
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Chelyabinsk, 러시아 제국, 454087
- SBIH Chelyabinsk Regional Clinical Centre of Oncology and Nuclear Medicine
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Ivanovo, 러시아 제국, 153040
- Ivanovo Regional Oncology Dispensary
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Moscow, 러시아 제국, 125284
- Hertzen Moscow Oncology Research Center
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Nizghiy Novgorod, 러시아 제국, 603000
- Local Institution
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Omsk, 러시아 제국, 644013
- Budgetary Healthcare Institution of Omsk Region - Clinical Oncological Dispensary
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Saint Petersburg, 러시아 제국, 197022
- LLC Eurocityclinic
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Bucharest, 루마니아, 022238
- Local Institution - 0024
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Cluj-Napoca, 루마니아, 400132
- Local Institution - 0002
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Cluj-Napoca, 루마니아, 400641
- Local Institution - 0040
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Craiova, 루마니아, 200347
- Local Institution - 0016
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Coahuila
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Torreón, Coahuila, 멕시코, 27010
- Local Institution - 0101
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Mexico City
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Tlalpan, Mexico City, 멕시코, 14080
- Local Institution - 0089
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Nuevo León
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Monterrey, Nuevo León, 멕시코, 64460
- Local Institution - 0103
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Monterrey, Nuevo León, 멕시코, 64710
- Local Institution - 0031
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Querétaro
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Querétaro City, Querétaro, 멕시코, 76000
- Local Institution - 0065
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Querétaro City, Querétaro, 멕시코, 76090
- Local Institution - 0085
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San Luis Potosí
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San Luis Potosí City, San Luis Potosí, 멕시코, 78200
- Local Institution - 0105
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Illinois
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Chicago, Illinois, 미국, 60611
- Local Institution
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New York
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Buffalo, New York, 미국, 14263
- Local Institution - 0025
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Pennsylvania
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West Reading, Pennsylvania, 미국, 19611
- Local Institution - 0088
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Paraná
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Curitiba, Paraná, 브라질, 80520-174
- Local Institution - 0064
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Rio Grande do Sul
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Ijuí, Rio Grande do Sul, 브라질, 98700-000
- Local Institution - 0107
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Porto Alegre, Rio Grande do Sul, 브라질, 91350-200
- Local Institution - 0039
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Rio de Janeiro
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Rio de Janeiro, Rio de Janeiro, 브라질, 20230-130
- Local Institution - 0090
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São Paulo
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Barretos, São Paulo, 브라질, 014784-000
- Local Institution - 0071
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São José do Rio Preto, São Paulo, 브라질, 15090-000
- Local Institution - 0070
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São Paulo, São Paulo, 브라질, 01246-000
- Local Institution - 0081
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São Paulo, São Paulo, 브라질, 01327-0001
- Local Institution - 0096
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Barcelona, 스페인, 08003
- Local Institution - 0048
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Barcelona, 스페인, 08035
- Local Institution - 0102
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Barcelona, 스페인, 08041
- Local Institution - 0049
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Madrid, 스페인, 28026
- Local Institution - 0072
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Madrid, 스페인, 28033
- Local Institution - 0067
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Madrid, 스페인, 28046
- Local Institution - 0074
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Madrid, 스페인, 28050
- Local Institution - 0075
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Sabadell, 스페인, 08208
- Local Institution - 0032
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Santander, 스페인, 39008
- Local Institution - 0086
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Seville, 스페인, 31013
- Local Institution - 0059
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Buenos Aires
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Buenos Aires, Buenos Aires, 아르헨티나, C1426ANZ
- Local Institution - 0038
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Capital Federal, Buenos Aires, 아르헨티나, C1419AHN
- Local Institution - 0095
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Mar del Plata, Buenos Aires, 아르헨티나, 7600
- Local Institution - 0058
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Pergamino, Buenos Aires, 아르헨티나, B2700CPM
- Local Institution - 0037
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Córdoba Province
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Parana, Córdoba Province, 아르헨티나, 5000
- Local Institution - 0079
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Río Cuarto, Córdoba Province, 아르헨티나, 5800
- Local Institution - 0030
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Río Negro Province
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Viedma, Río Negro Province, 아르헨티나, R8500ACE
- Local Institution - 0066
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San Juan Province
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San Juan, San Juan Province, 아르헨티나, J5402DIL
- Local Institution - 0056
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Dublin
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Tallaght, Dublin, 아일랜드
- Local Institution - 0060
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Cremona, 이탈리아, 26100
- Local Institution - 0033
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Florence, 이탈리아, 50134
- Local Institution - 0008
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Meldola, 이탈리아, 47014
- Local Institution - 0027
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Milan, 이탈리아, 20141
- Local Institution - 0018
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Milan, 이탈리아, 20133
- Local Institution
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Padova, 이탈리아, 35128
- Local Institution - 0014
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Parma, 이탈리아, 43126
- Local Institution - 0082
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Pavia, 이탈리아, 27100
- Local Institution - 0092
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Roma, 이탈리아, 00168
- Local Institution - 0100
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Rome, 이탈리아, 00152
- Local Institution - 0091
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Terni, 이탈리아, 05100
- Local Institution - 0057
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Brno, 체코, 656 53
- Local Institution - 0063
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Hradec Králové, 체코, 500 05
- Local Institution - 0036
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Olomouc, 체코, 77900
- Local Institution - 0020
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Ostrava, 체코, 708 52
- Local Institution - 0099
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Prague, 체코, 140 59
- Local Institution - 0010
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Praha 8 Liben, 체코, 18081
- Local Institution - 0106
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Araucania
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Temuco, Araucania, 칠레
- Local Institution - 0084
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Santiago Metropolitan
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Santiago, Santiago Metropolitan, 칠레
- Local Institution - 0005
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Santiago, Santiago Metropolitan, 칠레, 7500653
- Local Institution - 0104
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Santiago, Santiago Metropolitan, 칠레, 7500921
- Local Institution - 0076
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Valparaiso
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Viña del Mar, Valparaiso, 칠레, 2520598
- Local Institution - 0077
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Ankara, 터키 (Türkiye), 06230
- Local Institution - 0026
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Ankara, 터키 (Türkiye), 06590
- Local Institution - 0097
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Istanbul, 터키 (Türkiye), 34098
- Local Institution - 0019
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Bagcilar
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Istanbul, Bagcilar, 터키 (Türkiye), 34284
- Local Institution - 0035
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Coimbra, 포르투갈, 3030-075
- Local Institution - 0050
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Lisbon, 포르투갈, 1500-650
- Local Institution - 0052
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Biała Podlaska, 폴란드, 21-500
- Local Institution - 0055
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Bydgoszcz, 폴란드, 85-796
- Local Institution - 0062
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Gdansk, 폴란드, 80-214
- Local Institution - 0083
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Krakow, 폴란드, 30-688
- Local Institution - 0021
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Krakow, 폴란드, 31-115
- Local Institution - 0098
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Poznan, 폴란드, 60-569
- Local Institution - 0001
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Warsaw, 폴란드, 02-781
- Local Institution - 0023
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Nice, 프랑스, 6189
- Local Institution
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Suresnes, 프랑스, 92151
- Local Institution - 0051
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Villejuif, 프랑스, 94800
- Local Institution - 0068
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Tampere, 핀란드, 33521
- Local Institution - 0017
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참여기준
자격 기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
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:
-
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
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 네 배로
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
|
실험적: 팔 A
|
Specified dose on specified days
다른 이름들:
|
|
활성 비교기: 팔 B
|
Specified dose on specified days
다른 이름들:
|
|
실험적: 팔 C
|
Specified dose on specified days
다른 이름들:
|
|
실험적: 팔 D
|
Specified dose on specified days
다른 이름들:
|
연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Adjusted Geometric Mean Serum Concentration of Nivolumab Over 28 Days (Cavgd28) on Original Scale
기간: Pre-dose (Day 1 to Day 28)
|
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
기간: Pre-dose (Day 1 to Day 28)
|
Plasma samples were collected to assess the serum concentration. |
Pre-dose (Day 1 to Day 28)
|
2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Objective Response Rate (ORR) Per BICR
기간: 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)
|
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)
|
|
Trough Serum Concentration of Nivolumab at Day 28 (Cmind28)
기간: Pre-dose at Day 28
|
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)
기간: Post dose (Day 1)
|
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)
기간: Pre-dose (Day 1 to Day 28)
|
Blood samples were collected to assess serum concentration. |
Pre-dose (Day 1 to Day 28)
|
|
Time-averaged Serum Concentration of Nivolumab at Steady State (Cavgss)
기간: Pre-dose (Day 1 to Day 28)
|
Blood samples were collected to assess serum concentration. |
Pre-dose (Day 1 to Day 28)
|
|
Trough Serum Concentration of Nivolumab (Ctrough)
기간: Pre-dose at Week 17
|
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)
기간: Post dose (Day 1)
|
Blood samples were collected to assess serum concentration. |
Post dose (Day 1)
|
|
Trough Serum Concentration of Nivolumab at Steady State (Cminss)
기간: Pre dose (Day 1 to Day 28)
|
Blood samples were collected to assess serum concentration. |
Pre dose (Day 1 to Day 28)
|
|
Number of Participants With Adverse Events, Serious Adverse Events, AEs Leading to Discontinuation and Death
기간: First dose (Day 1) and 30 days after last dose of study therapy (up to approximately 25 months)
|
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)
|
|
Number of Participants With Grade 3/4 Laboratory Abnormalities
기간: First dose (Day 1) and 30 days after last dose of study therapy (up to approximately 25 months)
|
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)
|
|
Disease Control Rate (ORR) Per BICR
기간: 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)
|
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)
|
|
Time to Response (TTR) Per BICR
기간: 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)
|
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)
|
|
Duration of Response (DoR) Per BICR
기간: 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)
|
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)
|
|
Overall Survival
기간: From first dose to the date of death (up to approximately 26 months)
|
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)
|
|
Number of Participants With Drug-Related Local Injection- or Infusion-Site Reactions
기간: First dose (Day 1) and 100 days after last dose of study therapy (up to approximately 27 months)
|
First dose (Day 1) and 100 days after last dose of study therapy (up to approximately 27 months)
|
|
|
Number of Participants With Incidence of Anti-nivolumab Antibodies
기간: First dose (Day 1) and 30 days after last dose of study therapy (up to approximately 25 months)
|
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)
|
공동 작업자 및 조사자
수사관
수사관
- 연구 책임자: Bristol-Myers Squibb, Bristol-Myers Squibb
간행물 및 유용한 링크
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
연구 시작
기본 완료 (실제)
기본 완료
연구 완료 (추정된)
연구 완료
연구 등록 날짜
최초 제출
최초 제출
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
처음 게시됨
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
기타 연구 ID 번호
- CA209-67T
- 2020-003655-15 (EudraCT 번호)
- U1111-1255-9514 (레지스트리 식별자: WHO)
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
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 공유 기간
See Plan Description
IPD 공유 액세스 기준
See Plan Description
IPD 공유 지원 정보 유형
- 연구_프로토콜
- 수액
- CSR
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .