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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02714218
Other study ID # CA209-511
Secondary ID
Status Completed
Phase Phase 3
First received
Last updated
Start date April 4, 2016
Est. completion date May 28, 2021

Study information

Verified date June 2022
Source Bristol-Myers Squibb
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to evaluate two different dose combinations of nivolumab and ipilimumab in the treatment of melanoma.


Recruitment information / eligibility

Status Completed
Enrollment 387
Est. completion date May 28, 2021
Est. primary completion date April 20, 2017
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility For more information regarding Bristol-Myers Squibb Clinical Trial participation, please visit www.BMSStudyConnect.com Inclusion Criteria: - Subject must have been diagnosed with stage III or/and stage IV histologically confirmed melanoma [per American Joint Committee on Cancer (AJCC) staging system] that is unresectable or metastatic - Eastern Cooperative Oncology Group (ECOG) performance status of 0-1 - Subject has not been treated by systemic anticancer therapy for unresectable or metastatic melanoma Exclusion Criteria: - Subjects with active brain metastases or leptomeningeal metastases - Subjects with ocular melanoma - Subjects with active, known or suspected autoimmune disease Other protocol defined inclusion/exclusion criteria could apply

Study Design


Related Conditions & MeSH terms


Intervention

Biological:
Nivolumab 3 mg/kg IV
Followed by Nivolumab monotherapy
Ipilimumab 1 mg/kg IV
Followed by Nivolumab monotherapy
Nivolumab 1 mg/kg IV

Ipilimumab 3 mg/kg IV

Nivolumab 6 mg/kg IV
A dose of 240mg is identical to a dose of 3mg/kg, therefore 6mg/kg is approximately equal to ~ 480mg.

Locations

Country Name City State
Australia Local Institution Greenslopes Queensland
Australia Local Institution Melbourne Victoria
Australia Local Institution North Sydney New South Wales
Australia Local Institution - 0045 Waratah New South Wales
Canada Local Institution - 0007 Edmonton Alberta
Canada CHU de Quebec - Universite Laval Quebec
Canada Princess Margaret Cancer Centre Toronto Ontario
Denmark Local Institution - 0063 Aarhus N
Denmark Local Institution - 0065 Herlev
Denmark Local Institution - 0064 Odense
France Hopital Saint Andre Bordeaux
France Chru De Lille Lille
France Hopital De La Timone Marseille Cedex 5
France Hopital Hotel Dieu Nantes Cedex
France Hopital Saint Louis Paris
France Centre Hospitalier Lyon Sud Pierre Benite
France Institut Claudius Regaud Toulouse Cedex 9
France Local Institution - 0019 Villejuif
Germany Universitaetsklinikum Essen Essen
Germany Universitaetsklinikum Heidelberg Heidelberg
Germany Ludwig-Maximilians-Universitaet Muenchen
Germany Universitaetsklinikum Tuebingen Tuebingen
Israel Local Institution Ramat Gan
Italy Local Institution - 0039 Bergamo
Italy Local Institution - 0042 Milano
Italy Local Institution - 0040 Napoli
Italy Istituto Oncologico Veneto IOV Padova
Italy Local Institution - 0041 Siena
Italy Ospedale San Vincenzo Taormina
Netherlands Local Institution Amsterdam
Netherlands Local Institution - 0052 Amsterdam
Netherlands University Medical Center Groningen (Umcg) Groningen
Poland Uniwersyteckie Centrum Kliniczne Klinika Onkologii I Radiote Gdansk
Poland Klinika Nowotworow Ukladowych i Uogolnionych Krakow
Poland Klinika Nowotworow Tkanek Miekkich, Kosci i Czerniakow Warszawa
Russian Federation Local Institution Moscow
Spain Local Institution Badalona-barcelona
Spain Local Institution - 0024 Barcelona
Spain Local Institution Madrid
Spain Local Institution - 0027 Madrid
Spain Local Institution San Sabastian Gipuzkoa
Spain Local Institution Valencia
United Kingdom Local Institution Guildford
United Kingdom Local Institution London
United Kingdom Local Institution Manchester Greater Manchester
United Kingdom Local Institution Oxford Oxfordshire
United States Lehigh Valley Health Network Allentown Pennsylvania
United States University Of Colorado Cancer Center Aurora Colorado
United States Levine Cancer Institute Charlotte North Carolina
United States University Of Virginia Health System Charlottesville Virginia
United States Allina Health Fridley Minnesota
United States John Theurer Cancer Center at Hackensack University Medical Center Hackensack New Jersey
United States Comprehensive Cancer Centers of Nevada Las Vegas Nevada
United States Dartmouth-Hitchcock Medical Center Lebanon New Hampshire
United States Washington University School Of Medicine Saint Louis Missouri
United States University of Washington - Seattle Cancer Care Alliance Seattle Washington
United States H. Lee Moffitt Cancer Center Tampa Florida

Sponsors (1)

Lead Sponsor Collaborator
Bristol-Myers Squibb

Countries where clinical trial is conducted

United States,  Australia,  Canada,  Denmark,  France,  Germany,  Israel,  Italy,  Netherlands,  Poland,  Russian Federation,  Spain,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary The Percentage of Participants With Drug-Related Grade 3 - 5 Adverse Events (AEs) The percentage of participants who experienced at least 1 AE of Grade 3 or higher, judged to be related to study drug by the investigator, and with onset on or after the first dose of study treatment and within 30 days of the last dose of study treatment. AE grade was defined using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.0 criteria. From first dose of study treatment up to primary completion date 20-Apr-2017 (up to approximately 12 months)
Secondary Objective Response Rate (ORR) The percentage of participants with a best overall response (BOR) of complete response (CR) or partial response (PR). BOR is defined as the best response, as determined by the investigator, recorded between the date of randomization and the date of progression per RECIST 1.1 or the date of subsequent anticancer therapy, whichever occurred first. For subjects without documented progression or subsequent therapy, all available response designations will contribute to the BOR assessment. Tumor assessments are scheduled at Week 12 following randomization, every 8 weeks for the first 12 months and then every 12 weeks until disease progression. 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 date of randomization to date of objectively documented progression or the date of subsequent anti-cancer therapy, whichever occurs first (up to approximately 5 years)
Secondary Overall Survival (OS) The time between the date of randomization and the date of death due to any cause. A participant who has not died will be censored at the last known alive date. OS will be followed continuously while participants are on the study drug and every 3 months via in-person or phone contact after participants discontinue the study drug. Based on Kaplan-Meier Estimates. From date of randomization until the date of first documented progression or date of death from any cause, whichever came first (up tp approximately 5 years)
Secondary Progression Free Survival (PFS) The time between the date of randomization and the first date of documented progression, determined by the investigator, or death due to any cause, whichever occurs first. Participants who die without a reported progression will be considered to have progressed on the date of their death. Those who did not progress or die will be censored on the date of their last evaluable tumor assessment. Participants without on study tumor assessments and who did not die will be censored on their date of randomization. Participants who started anti-cancer therapy without a prior reported progression will be censored on the date of their last evaluable tumor assessment prior to the initiation of subsequent anti-cancer therapy. Based on Kaplan-Meier Estimates. Progression is defined as at least a 20% increase in the sum of diameters of target lesions. 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). From randomization to the first date of documented progression or death due to any cause, whichever occurs first (up to approximately 5 years)
Secondary Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Physical Functioning Scale Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Physical Functioning Scale sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points. Weeks 7, 16, 20, 24, 28, 32, 36, 40
Secondary Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Role Functioning Scale Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Role Functioning Scale sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points. Weeks 7, 16, 20, 24, 28, 32, 36, 40
Secondary Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Emotional Functioning Scale Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Emotional Functioning Scale sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points. Weeks 7, 16, 20, 24, 28, 32, 36, 40
Secondary Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Cognitive Functioning Scale Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Cognitive Functioning Scale sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points. Weeks 7, 16, 20, 24, 28, 32, 36, 40
Secondary Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Social Functioning Scale Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Social Functioning Scale sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points. Weeks 7, 16, 20, 24, 28, 32, 36, 40
Secondary Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Global Health Status Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The EORTC QLQ-C30 comprises 6 functional scales (role function, physical functioning, cognitive functioning, emotional functioning, social functioning and global quality of life) as well as nine symptom scales (fatigue, pain, nausea/vomiting, dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). With the exception of 2 items included in the global health/quality of life scale, for which responses range from 1 (Very poor) to 7 (Excellent), item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores for all functional scales and Global Health Status indicate better HRQoL; an increase from baseline indicates improvement in HRQoL compared to baseline. Weeks 7, 16, 20, 24, 28, 32, 36, 40
Secondary Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Dyspnea Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Dyspnea sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points. Weeks 7, 16, 20, 24, 28, 32, 36, 40
Secondary Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Insomnia Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Insomnia sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points. Weeks 7, 16, 20, 24, 28, 32, 36, 40
Secondary Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Appetite Loss Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Appetite loss sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points. Weeks 7, 16, 20, 24, 28, 32, 36, 40
Secondary Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Constipation Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Constipation sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points Weeks 7, 16, 20, 24, 28, 32, 36, 40
Secondary Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Diarrhea Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Diarrhea sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points. Weeks 7, 16, 20, 24, 28, 32, 36, 40
Secondary Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Financial Difficulties Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Financial difficulties sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points Weeks 7, 16, 20, 24, 28, 32, 36, 40
Secondary Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Fatigue Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Fatigue sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points Weeks 7, 16, 20, 24, 28, 32, 36, 40
Secondary Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Nausea and Vomiting Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Nausea and Vomiting sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points for the various scales of the EORTC QLQ-C30 Weeks 7, 16, 20, 24, 28, 32, 36, 40
Secondary Mean Changes From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Pain Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. The Pain sub-scale item responses range from 1 (Not at all) to 4 (Very much). Raw scores for the EORTC QLQ-C30 are transformed to a 0-100 metric such that higher scores indicate a higher level of symptoms; lower scores indicating lesser burden and improved symptoms or quality of life. A clinically meaningful change in score may be regarded as 10 points Weeks 7, 16, 20, 24, 28, 32, 36, 40
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