Prostate CancerPhase 3NCT00861614
Study of Immunotherapy to Treat Advanced Prostate Cancer
A Phase 3 study testing Ipilimumab in people with Prostate Cancer, run by Bristol-Myers Squibb at 158 sites in 27 countries.
Trial summary
The purpose of the study is to determine if advanced prostate cancer patients that are treated with radiotherapy (RT) plus ipilimumab live longer that those treated with RT alone Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- Prostate Cancer
- What is being tested?
- Ipilimumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 988 participants
- Where
- 158 sitesin 27 countries
- Study dates
- May 2009to Aug 2015
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Men only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Advanced prostate cancer
- At least 1 bone metastasis
- Testosterone < 50 ng/dl
- Prior treatment with docetaxel
Who cannot join
- Brain metastasis
- Autoimmune disease
- Known HIV, Hep B, or Hep C infection
- More than 2 prior systemic anticancer regimens for prostate cancer
- Prior treatment on BMS CA180227 for prostate cancer
Trial locations and contacts
158 sites in 27 countries.
158 sites in 27 countries
United States44 sites
Alaska Clinical Research Center, Llc
Anchorage, Alaska, 99508
The Bunting-Blaustein Cancer Research Building
Baltimore, Maryland, 21231
St. Luke'S Hospital & Health Network Laboratory
Bethlehem, Pennsylvania, 18015
Dana Farber Cancer Institute
Boston, Massachusetts, 02115
Gabrail Cancer Center
Canton, Ohio, 44718
Musc Hollings Cancer Center
Charleston, South Carolina, 29445
University Of Chicago
Chicago, Illinois, 60637
University Of Cincinnati
Cincinnati, Ohio, 45267
Center For Oncology Research & Treatment, P.A.
Dallas, Texas, 75230
Cancer Care Specialists Of Central Illinois
Decatur, Illinois, 62526
Highlands Oncology Group, P.A.
Fayetteville, Arkansas, 72703
The Center For Cancer And Blood Disorders
Fort Worth, Texas, 76104
Marsha G. Fink, Md, Inc.
Fountain Valley, California, 92708
Frederick Memorial Hospital Regional Cancer Therapy Center
Frederick, Maryland, 21701
Kentucky Cancer Clinic
Hazard, Kentucky, 41701
The University Of Texas Md Anderson Cancer Center
Houston, Texas, 77030
Northwest Cancer Center
Houston, Texas, 77090
Edwards Comprehensive Cancer Center
Huntington, West Virginia, 25701
Hutchinson Clinic, Pa
Hutchinson, Kansas, 67502
University Of Iowa Hospitals And Clinics
Iowa City, Iowa, 52242
Baptist Cancer Institute
Jacksonville, Florida, 32207
Kansas City Veterans Affairs Medical Center
Kansas City, Missouri, 64128
Suburban Hematology-Oncology Associates, Pc
Lawrenceville, Georgia, 30046
Loma Linda University Cancer Center
Loma Linda, California, 92350
Usc/Norris Comprehensive Cancer Center
Los Angeles, California, 90033
Prostate Oncology Specialists, Inc.
Marina del Rey, California, 90292
Southern Cancer Center
Mobile, Alabama, 36608
Edward Cancer Center
Naperville, Illinois, 60540
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Weill Cornell Medical College
New York, New York, 10065
Mid-Illinois Hematology & Oncology Associates, Ltd
Normal, Illinois, 61761
Orlando Health, Inc
Orlando, Florida, 32806
Comprehensive Cancer Center
Palm Springs, California, 92262
Va Pittsburgh Healthcare System
Pittsburgh, Pennsylvania, 15240
Providence Portland Medical Center
Portland, Oregon, 97213
Raleigh Hematology Oncology Associates
Raleigh, North Carolina, 27607
Mayo Clinic
Rochester, Minnesota, 55905
Huntsman Cancer Institute
Salt Lake City, Utah, 84112
Va San Diego Healthcare System
San Diego, California, 92161
Pacific Hematology Oncology Associates
San Francisco, California, 94115
Siouxland Hematology-Oncology Assoc., Llp
Sioux City, Iowa, 51101
St Johns Medical Research Institute, Inc.
Springfield, Missouri, 65807
Arizona Clinical Research Center, Inc.
Tucson, Arizona, 85715
Associates In Hematology & Oncology, P.C.
Upland, Pennsylvania, 19013
Argentina13 sites
Local Institution
Buenos Aires, Buenos Aires, 1019
Local Institution
Buenos Aires, Buenos Aires, 1120
Local Institution
Buenos Aires, Buenos Aires, C1280AEB
Local Institution
Buenos Aires, Buenos Aires, C1426ANZ
Local Institution
Caba, Buenos Aires, 1417
Local Institution
Capital Federal, Buenos Aires, 1426
Local Institution
Córdoba, Córdoba Province, X5002AOQ
Local Institution
Córdoba, Córdoba Province, X5006HBF
Local Institution
La Rioja, La Rioja Province, 5300
Local Institution
Rosario, Santa Fe Province, 2000
Local Institution
Rosario, Santa Fe Province, S2000DSK
Local Institution
San Miguel de Tucumán, Tucumán Province, 4000
Local Institution
San Miguel de Tucumán, Tucumán Province, T4000IAK
Brazil10 sites
Local Institution
Curitiba, Paraná, 80440
Local Institution
Curitiba, São Paulo, 80530
Local Institution
Divinopolis, São Paulo, 35500
Local Institution
Fortaleza, Ceará, 60430
Local Institution
Ijuí, Rio Grande do Sul, 98700000
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Mogi das Cruzes, São Paulo, 08730
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Porto Alegre, Rio Grande do Sul, 90430
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Porto Alegre, Rio Grande do Sul, 90610
Local Institution
São Paulo, São Paulo, 05403
Local Institution
São Paulo, São Paulo, 09060
Mexico7 sites
Local Institution
Acapulco de Juárez, Guerrero, 39570
Local Institution
Aguascalientes, Aguascalientes, 20234
Local Institution
Cuernavaca, Morelos, 62290
Local Institution
Df, Mexico City, 06720
Local Institution
Guadalajara, Jalisco
Local Institution
Mexico City, Mexico City, 07760
Local Institution
Puebla City, Puebla, 72270
France6 sites
Local Institution
Besançon, 25030
Local Institution
Bordeaux, 33076
Local Institution
Clermont-Ferrand, 63000
Local Institution
Marseille, 13915
Local Institution
Pointe à Pitre, 97159
Local Institution
Villejuif, 94800
Italy6 sites
Local Institution
Meldola (fc), 47014
Local Institution
Milan, 20132
Local Institution
Naples, 80131
Local Institution
Rimini, 47900
Local Institution
Siena, 53100
Local Institution
Sondrio, 23100
Spain6 sites
Local Institution
Barcelona, 08035
Local Institution
Barcelona, 08208
Local Institution
Benidorm-alicante, 03501
Local Institution
Madrid, 28922
Local Institution
Santiago de Compostela, 157706
Local Institution
Valencia, 46009
Chile5 sites
Local Institution
Santiago, Santiago Metropolitan, 7510032
Local Institution
Santiago, Santiago Metropolitan, 7650635
Local Institution
Santiago - Independencia, Santiago Metropolitan
Local Institution
Temuco, Araucania
Local Institution
Vi?a Del Mar, Valparaiso
Denmark5 sites
Local Institution
Aalborg, 9000
Local Institution
Aarhus, 8000
Local Institution
Herlev, 2730
Local Institution
København Ø, 2100
Local Institution
Odense C, 5000
Germany5 sites
Local Institution
Berlin, 14197
Local Institution
Bonn, 53127
Local Institution
Eschweiler, 52249
Local Institution
Mannheim, 68167
Local Institution
Wuppertal, 42103
Israel5 sites
Local Institution
Beer Jacob, 70300
Local Institution
Beersheba, 84101
Local Institution
Haifa, 31096
Local Institution
Tel Aviv, 64239
Local Institution
Tel HaShomer, 52621
Peru5 sites
Local Institution
Arequipa, AREQUIPA54
Local Institution
Lima, Lima Province, 18
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Lima, Lima Province, 34
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Lima, Lima Province, L-27
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Lima, Lima Province, LIMA 11
Russia5 sites
Local Institution
Moscow, 115478
Local Institution
Moscow, 117997
Local Institution
Moscow, 129128
Local Institution
Obninsk, 249036
Local Institution
Saint Petersburg, 197758
United Kingdom5 sites
Local Institution
Cardiff, Glamorgan, CF14 2TL
Local Institution
Chelmsford, Essex, CM1 7ET
Local Institution
Manchester, Greater Manchester, M20 4BX
Local Institution
Nottingham, Nottinghamshire, NG5 1PB
Local Institution
Scunthorpe, Lincolnshire, DN15 7BH
Australia4 sites
Local Institution
Box Hill, Victoria, 3128
Local Institution
Frankston, Victoria, 3199
Local Institution
Heidelberg, Victoria, 3084
Local Institution
Subiaco, Western Australia, 6008
Belgium4 sites
Local Institution
Brussels, 1000
Local Institution
Brussels, 1090
Local Institution
Brussels, 1200
Local Institution
Roeselare, 8800
Hungary4 sites
Local Institution
Budapest, 1122
Local Institution
Gyula, 5700
Local Institution
Kaposvár, 7400
Local Institution
Kecskemét, 6000
Czechia3 sites
Local Institution
Brno, 656 91
Local Institution
Hradec Králové, 500 05
Local Institution
Liberec, 460 63
Romania3 sites
Local Institution
Bucharest, 011172
Local Institution
Romania, 400015
Local Institution
Suceava, 720237
Canada2 sites
Local Institution
Greenfield Park, Quebec, J4V 2H1
Local Institution
Montreal, Quebec, H2L 4M1
Colombia2 sites
Local Institution
Bogotá
Local Institution
Montería, Departamento de Córdoba
Ireland2 sites
Local Institution
Dublin, Dublin
Local Institution
Tallaght, Dublin, DUBLIN 24
Netherlands2 sites
Local Institution
Amsterdam, 1066 CX
Local Institution
Mb Amsterdam, 1007MB
About this study
Official title: A Randomized, Double-Blind, Phase 3 Trial Comparing Ipilimumab vs. Placebo Following Radiotherapy in Subjects With Castration Resistant Prostate Cancer That Have Received Prior Treatment With Docetaxel
The purpose of the study is to determine if advanced prostate cancer patients that are treated with radiotherapy (RT) plus ipilimumab live longer that those treated with RT alone
- Conditions
- Prostate Cancer
- Being tested
- Ipilimumab, Placebo
- Medical subject headings
- Prostatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
IpilimumabDrug
Also called BMS 734016
5 mg/ml solution, Intravenous, 10 mg/kg, Every 3 weeks for up to 4 doses in the Induction Phase. Every 12 weeks in the Maintenance Phase, Up to 24 weeks in Induction, 48+ weeks in the Maintenance Phase, or until Treatment Stopping Criteria are met, withdrawal of consent, lost to follow-up, death, study closure
PlaceboDrug
Solution, Intravenous, 0 mg, Every 3 weeks for up to 4 doses in the Induction Phase. Every 12 weeks in the Maintenance Phase, up to 24 weeks in Induction, 48+ weeks in the Maintenance Phase, or until Treatment Stopping Criteria are met, withdrawal of consent, lost to follow-up, death, study closure
| Study group | Role | What they receive |
|---|---|---|
| Ipilimumab | Active comparator | Not described Receives: Drug: Ipilimumab |
| Placebo | Placebo comparator | Not described Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival (OS)
OS is defined as the time in months from randomization date to date of death due to any cause in all randomized subjects. For participants alive at the time of the database cutoff date, OS was censored at the last date the participant was known to be alive.
Measured: Date of randomization to date of death
Overall Survival Rate
The overall survival (OS) rate is a percentage, representing the fraction of all randomized participants who were alive following treatment, from 1 to 5 years. OS was defined as the time between the date of randomization and the date of death as a result of any cause. Survival rates were determined via Kaplan-Meier estimates.
Measured: Date of randomization to date of death
Secondary outcomes (12)
Progression Free Survival (PFS)
All PFS events were based on investigator's assessment. Participants who were alive and did not experience a PFS event were censored at the earlier of the latest prostate-specific antigen (PSA) or radiological tumor assessment date. Participants who did not die, showed no clinical deterioration, and who had no recorded post-baseline PSA or radiological tumor assessment were censored at randomization date.
Measured: Date of randomization to earliest date of confirmed PSA or radiological progression, clinical deterioration or death
Pain Response
The percentage of participants with a pain response assessed using the Brief Pain Inventory Short Form (BPI-SF) completed by participants throughout the study in a daily diary log. Pain-evaluable participants were defined as those with a decrease in the average daily worst pain intensity by at least 30% from baseline, maintained over 2 consecutive evaluations without the use of any rescue analgesic medication or increase in analgesic use in the same time period.
Measured: Assessed at screening, weeks 12, 18, 24, and at the end of treatment visit
Duration of Pain Response
The time between the initial date of pain response and completion date of pain response. The initial date when the pain response criterion was achieved was considered the pain response date. The earlier of date of death, date of tumor resection surgery, or date when pain response criterion was no longer met was considered the completion date of the pain response. If none of these scenarios occurred, the completion of the pain response was set to the last known alive date.
Measured: Day of initial pain response to day of completion of pain response or date of death
Number of Participants With Severe Adverse Events (AEs), Serious Adverse Events (SAEs), Treatment-Related AEs, Deaths, Discontinuation of Study Drug Due to AEs, Immune-Related Adverse Events (irAE) and Immune-Mediated Adverse Reaction (imAR)
AE=any new unfavorable symptom, sign or disease or worsening of a preexisting condition that may not have a causal relationship with treatment.
SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity or drug dependency/abuse; is life-threatening, an important medical event or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Treatment-related=having certain, probable, possible or missing relationship to study drug. Death=during study and up to 70 days after last dose. IrAEs=AEs potentially associated with inflammation and considered to be causally related to study drug and grouped into gastrointestinal (GI), hepatic, skin, endocrine and neurological. ImARs were collected prospectively and grouped into enterocolitis, hepatitis, dermatitis, neuropathies and endocrinopathies. IrAEs/ imARs were graded using Cancer Therapy Evaluation Program Common Terminology Criteria for Adverse Events (CTCAE), Ver. 3.0.
Measured: Randomization to date of death
Time to Onset of Grade 3 or 4 Immune-Related Adverse Event (irAE)
The time between first dose of study drug and date of earliest Grade 3 or 4 irAE. These irAEs are AEs of unknown etiology, consistent with an immune phenomenon and considered as causally related to drug exposure. The five subcategories of irAE examined include gastrointestinal (GI), liver, skin, endocrine, and neurological and are graded using the Cancer Therapy Evaluation Program Common Terminology Criteria for Adverse Events (CTCAE), Version 3.0.
Measured: Day 1 to 70 days after last dose of study drug
Time to Resolution of Grade 3 or 4 Immune-Related Adverse Event (irAE)
Time between the date of onset of a Grade 3 or 4 irAE and the date of improvement to Grade 1 or less or the worst grade at baseline.
Measured: Day 1 to 70 days after last dose of study drug
Time to Onset of Grade 3 to 5 Immune-Mediated Adverse Reaction (imAR)
The time between first dose of study drug and date of earliest Grade 3 or 4 imAR. ImARs were collected prospectively and grouped into enterocolitis, hepatitis, dermatitis, neuropathies and endocrinopathies and graded using Cancer Therapy Evaluation Program Common Terminology Criteria for Adverse Events (CTCAE), Ver. 3.0.
Only the Ipilimumab + Radiotherapy group of participants was included in the analysis because ipilimumab is associated with inflammatory events resulting from increased or excessive immune activity likely to be related to its mechanism of action.
Measured: Day 1 to time of onset of the imAR of interest
Time to Resolution of Grade 3 to 5 to Grade 0 Immune-Mediated Adverse Reactions (imARs) to Grade 0
Time between the date of onset of an imAR to the date of resolution date of the event or the last known date participant was alive if an event did not resolve.
Only the Ipilimumab + Radiotherapy group of participants was included in the analysis because ipilimumab is associated with inflammatory events resulting from increased or excessive immune activity likely to be related to its mechanism of action.
Measured: Day 1 to 70 days after last dose of study drug
Number of Participants With Worst On-Study Hematology Common Toxicity Criteria (CTC) Grade and Shift From Baseline
Comparison of baseline versus worst grade hematology laboratory tests as measured by white blood count (WBC), absolute neutrophil count (ANC), platelet count, hemoglobin and lymphocyte results. National Cancer Institute Common Terminology Criteria (CTC) version (v) 3.0 was used to determine Grade (Gr). Gr 0: within normal range. Abnormal values for WBC were based on Gr 1: 3.0 - < Lower Limit of Normal (LLN); Gr 2: 2.0 - < 3.0; Gr 3: 1.0 - < 2.0; Gr4: < 1.0. Abnormal values for Hemoglobin were based on Gr 1: 10.0 - < LLN; Gr 2: 8.0 - < 10.0; Gr 3: 6.5 - < 8.0; Gr 4: < 6.5. Abnormal values for Lymphocytes were based on Gr 1: 0.8 - < 1.5; Gr 2: 0.5 - < 0.8; Gr 3): 0.2 - < 0.5; Gr 4: < 0.2. Abnormal values for ANC were based on Gr 1: 1.5 - < 2.0; Gr 2: 1.0 - < 1.5; Gr 3: 0.5 - < 1.0; Gr 4: < 0.5. Abnormal values for Platelets were based on Gr 1: 75.0 - < LLN; Gr 2: 50.0 - < 75.0; Gr 3: 25.0 - < 50.0; Gr 4: < 25.0.
Measured: Day 1 to 70 days after last dose of study drug
Number of Participants With Worst On-Study Liver Common Toxicity Criteria (CTC) Grade and Shift From Baseline
Comparison of baseline versus worst grade liver function as measured by alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin and alkaline phosphatase (ALP). National Cancer Institute Common Terminology Criteria (CTC) version (v) 3.0 was used to determine Grade (Gr). Gr 0: within normal range. Abnormal values for ALP, ALT and AST were based on grades; Gr 1: > 1.0 - 2.5 * upper limits of normal (ULN); Gr 2: > 2.5 - 5.0 * ULN; Gr 3: > 5.0 - 20.0 * ULN; Gr 4: > 20.0 * ULN. Abnormal values for Total Bilirubin were based on Gr 1: > 1.0 - 1.5 * upper limits of normal (ULN); Gr 2: > 1.5 - 3.0 * ULN; Gr 3: > 3.0 - 10.0 * ULN; Gr 4: > 10.0 * ULN.
Measured: Day 1 to 70 days after last dose of study drug
Number of Participants With Worst On-Study Serum Chemistry Common Toxicity Criteria (CTC) Grade and Shift From Baseline
Comparison of baseline versus worst grade serum chemistry as measured by lipase and amylase analysis. National Cancer Institute Common Terminology Criteria (CTC) version (v) 3.0 was used to determine Grade (Gr). Gr 0: within normal range. Abnormal values for lipase: Gr1: > 1.0 - 1.5 * ULN; Gr2: > 1.5 - 2.0 * ULN; Gr 3: > 2.0 - 5.0 * ULN; Gr4: > 5.0*ULN. Abnormal values for amylase: Gr1: > 1.0 - 1.5 * ULN; Gr 2: > 1.5 - 2.0 * ULN; Gr 3: > 2.0 - 5.0 * ULN; Gr4: > 5.0 * ULN.
Measured: Day 1 to 70 days after last dose of study drug
Number of Participants With Worst On-Study Renal Function Common Toxicity Criteria (CTC) Grade and Shift From Baseline
Comparison of baseline versus worst grade renal function as measured by creatinine analysis. National Cancer Institute Common Terminology Criteria (CTC) version (v) 3.0 was used to determine Grade (Gr).Gr 0: within normal range. Abnormal values for Creatinine were based on Gr 1: > 1.0 - 1.5*ULN; Gr 2: > 1.5 - 3.0*ULN; Gr 3: > 3.0 - 6.0*ULN; Gr 4: > 6.0*ULN.
Measured: Day 1 to 70 days after last dose of study drug
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Mar 2009 (estimated)
- Study startMay 2009
- Primary completionNov 2012
- Study completionAug 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Prostate CancerStudies of the same condition, open and under way.
- More trials run by Bristol-Myers SquibbThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 988 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00861614
- Sponsor's protocol ID
- CA184-043
- Other IDs
- 2008-003314-97, 2008
- Status last verified
- Aug 2016
- First submitted
- 12 Mar 2009
- Last updated
- 30 Sep 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Trump D. Commentary on: "Ipilimumab versus placebo after radiotherapy in patients with metastatic castration-resistant prostate cancer that had progressed after docetaxel chemotherapy (CA184-043): A multicentre, randomised, double-blind, phase 3 trial." Kwon ED, Drake CG, Scher HI, Fizazi K, Bossi A, van den Eertwegh AJ, Krainer M, Houede N, Santos R, Mahammedi H, Ng S, Maio M, Franke FA, Sundar S, Agarwal N, Bergman AM, Ciuleanu TE, Korbenfeld E, Sengelov L, Hansen S, Logothetis C, Beer TM, McHenry MB, Gagnier P, Liu D, Gerritsen WR, CA184-043 Investigators. Departments of Urology and Immunology and Mayo Clinic Comprehensive Cancer Center, Mayo Clinic, Rochester, MN, USA, Electronic address: kwon.eugene@mayo.edu; Johns Hopkins Sidney Kimmel Comprehensive Cancer Center and Brady Urological Institute, Baltimore, MD, USA; Memorial Sloan Kettering Cancer Center and Weill Cornell Medical College, New York, NY, USA; Institut Gustave Roussy, University of Paris-Sud, Villejuif, France; Institut Gustave Roussy, Villejuif, France; VU University Medical Centre, Amsterdam, Netherlands; Vienna General Hospital, Medical University Vienna, Vienna, Austria; Institut Bergonie, Bordeaux, France; CHU Caremeau, Nimes, France; Centro Medico Austral, Buenos Aires, Argentina; Centre Jean Perrin, Clermont-Ferrand, France; St John of God Hospital, Subiaco, WA, Australia; University Hospital of Siena, Istituto Toscano Tumori, Siena, Italy; Hospital de Caridade de Ijui, Ijui, Brazil; Nottingham University Hospital, Nottingham, UK; Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA; Netherlands Cancer Institute and Antoni van Leeuwenhoek Hospital, Amsterdam, Netherlands; Institute of Oncology Ion Chiricuta and University of Medicine and Pharmacy Iuliu Hatieganu, Cluj-Napoca, Romania; Hospital Britanico de Buenos Aires, Buenos Aires, Argentina; Herlev Hospital, Herlev, Denmark; Odense University Hospital, Odense, Denmark; University of Texas MD Anderson Cancer Center, Houston, Urol Oncol. 2016 May;34(5):249-50. doi: 10.1016/j.urolonc.2015.03.013. Epub 2015 Apr 20.
PubMed 25907621Kwon ED, Drake CG, Scher HI, Fizazi K, Bossi A, van den Eertwegh AJ, Krainer M, Houede N, Santos R, Mahammedi H, Ng S, Maio M, Franke FA, Sundar S, Agarwal N, Bergman AM, Ciuleanu TE, Korbenfeld E, Sengelov L, Hansen S, Logothetis C, Beer TM, McHenry MB, Gagnier P, Liu D, Gerritsen WR; CA184-043 Investigators. Ipilimumab versus placebo after radiotherapy in patients with metastatic castration-resistant prostate cancer that had progressed after docetaxel chemotherapy (CA184-043): a multicentre, randomised, double-blind, phase 3 trial. Lancet Oncol. 2014 Jun;15(7):700-12. doi: 10.1016/S1470-2045(14)70189-5. Epub 2014 May 13.
PubMed 24831977Dayyani F, Gallick GE, Logothetis CJ, Corn PG. Novel therapies for metastatic castrate-resistant prostate cancer. J Natl Cancer Inst. 2011 Nov 16;103(22):1665-75. doi: 10.1093/jnci/djr362. Epub 2011 Sep 13.
PubMed 21917607
Study at a glance
From the registry record, last updated by the sponsor on 30 Sep 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Phase 3 Trial Comparing Ipilimumab vs. Placebo Following Radiotherapy in Subjects With Castration Resistant Prostate Cancer That Have Received Prior Treatment With Docetaxel
- ClinicalTrials.gov ID
- NCT00861614
- Acronym / sponsor ID
- CA184-043
- Conditions
- Prostate Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 988 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- May 2009
- Primary completion
- Nov 2012 (actual)
- Study completion
- Aug 2015 (actual)
- First posted
- 13 Mar 2009 (estimated)
- Results
- Posted 16 Mar 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study is to determine if advanced prostate cancer patients that are treated with radiotherapy (RT) plus ipilimumab live longer that those treated with RT alone
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Ipilimumab | Active comparator | Drug: Ipilimumab |
| Placebo | Placebo comparator | Drug: Placebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Advanced prostate cancer
- At least 1 bone metastasis
- Testosterone < 50 ng/dl
- Prior treatment with docetaxel
Key exclusion criteria (5 listed)
- Brain metastasis
- Autoimmune disease
- Known HIV, Hep B, or Hep C infection
- More than 2 prior systemic anticancer regimens for prostate cancer
- Prior treatment on BMS CA180227 for prostate cancer
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| IpilimumabAlso: BMS 7340165 mg/ml solution, Intravenous, 10 mg/kg, Every 3 weeks for up to 4 doses in the Induction Phase. Every 12 weeks in the Maintenance Phase, Up to 24 weeks in Induction, 48+ weeks in the Maintenance Phase, or until Treatment Stopping Criteria are met, withdrawal of consent, lost to follow-up, death, study closure | Drug | Ipilimumab |
| PlaceboSolution, Intravenous, 0 mg, Every 3 weeks for up to 4 doses in the Induction Phase. Every 12 weeks in the Maintenance Phase, up to 24 weeks in Induction, 48+ weeks in the Maintenance Phase, or until Treatment Stopping Criteria are met, withdrawal of consent, lost to follow-up, death, study closure | Drug | Placebo |
Primary outcome
Overall Survival (OS)
Time frame: Date of randomization to date of death
OS is defined as the time in months from randomization date to date of death due to any cause in all randomized subjects. For participants alive at the time of the database cutoff date, OS was censored at the last date the participant was known to be alive.
Overall Survival Rate
Time frame: Date of randomization to date of death
The overall survival (OS) rate is a percentage, representing the fraction of all randomized participants who were alive following treatment, from 1 to 5 years. OS was defined as the time between the date of randomization and the date of death as a result of any cause. Survival rates were determined via Kaplan-Meier estimates.
12 secondary outcomes
Progression Free Survival (PFS)
Time frame: Date of randomization to earliest date of confirmed PSA or radiological progression, clinical deterioration or death
Pain Response
Time frame: Assessed at screening, weeks 12, 18, 24, and at the end of treatment visit
Duration of Pain Response
Time frame: Day of initial pain response to day of completion of pain response or date of death
Number of Participants With Severe Adverse Events (AEs), Serious Adverse Events (SAEs), Treatment-Related AEs, Deaths, Discontinuation of Study Drug Due to AEs, Immune-Related Adverse Events (irAE) and Immune-Mediated Adverse Reaction (imAR)
Time frame: Randomization to date of death
Time to Onset of Grade 3 or 4 Immune-Related Adverse Event (irAE)
Time frame: Day 1 to 70 days after last dose of study drug
Time to Resolution of Grade 3 or 4 Immune-Related Adverse Event (irAE)
Time frame: Day 1 to 70 days after last dose of study drug
Time to Onset of Grade 3 to 5 Immune-Mediated Adverse Reaction (imAR)
Time frame: Day 1 to time of onset of the imAR of interest
Time to Resolution of Grade 3 to 5 to Grade 0 Immune-Mediated Adverse Reactions (imARs) to Grade 0
Time frame: Day 1 to 70 days after last dose of study drug
Number of Participants With Worst On-Study Hematology Common Toxicity Criteria (CTC) Grade and Shift From Baseline
Time frame: Day 1 to 70 days after last dose of study drug
Number of Participants With Worst On-Study Liver Common Toxicity Criteria (CTC) Grade and Shift From Baseline
Time frame: Day 1 to 70 days after last dose of study drug
Number of Participants With Worst On-Study Serum Chemistry Common Toxicity Criteria (CTC) Grade and Shift From Baseline
Time frame: Day 1 to 70 days after last dose of study drug
Number of Participants With Worst On-Study Renal Function Common Toxicity Criteria (CTC) Grade and Shift From Baseline
Time frame: Day 1 to 70 days after last dose of study drug
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Sep 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 25907621Trump D. Commentary on: "Ipilimumab versus placebo after radiotherapy in patients with metastatic castration-resistant prostate cancer that had progressed after docetaxel chemotherapy (CA184-043): A multicentre, randomised, double-blind, phase 3 trial." Kwon ED, Drake CG, Scher HI, Fizazi K, Bossi A, van den Eertwegh AJ, Krainer M, Houede N, Santos R, Mahammedi H, Ng S, Maio M, Franke FA, Sundar S, Agarwal N, Bergman AM, Ciuleanu TE, Korbenfeld E, Sengelov L, Hansen S, Logothetis C, Beer TM, McHenry MB, Gagnier P, Liu D, Gerritsen WR, CA184-043 Investigators. Departments of Urology and Immunology and Mayo Clinic Comprehensive Cancer Center, Mayo Clinic, Rochester, MN, USA, Electronic address: kwon.eugene@mayo.edu; Johns Hopkins Sidney Kimmel Comprehensive Cancer Center and Brady Urological Institute, Baltimore, MD, USA; Memorial Sloan Kettering Cancer Center and Weill Cornell Medical College, New York, NY, USA; Institut Gustave Roussy, University of Paris-Sud, Villejuif, France; Institut Gustave Roussy, Villejuif, France; VU University Medical Centre, Amsterdam, Netherlands; Vienna General Hospital, Medical University Vienna, Vienna, Austria; Institut Bergonie, Bordeaux, France; CHU Caremeau, Nimes, France; Centro Medico Austral, Buenos Aires, Argentina; Centre Jean Perrin, Clermont-Ferrand, France; St John of God Hospital, Subiaco, WA, Australia; University Hospital of Siena, Istituto Toscano Tumori, Siena, Italy; Hospital de Caridade de Ijui, Ijui, Brazil; Nottingham University Hospital, Nottingham, UK; Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA; Netherlands Cancer Institute and Antoni van Leeuwenhoek Hospital, Amsterdam, Netherlands; Institute of Oncology Ion Chiricuta and University of Medicine and Pharmacy Iuliu Hatieganu, Cluj-Napoca, Romania; Hospital Britanico de Buenos Aires, Buenos Aires, Argentina; Herlev Hospital, Herlev, Denmark; Odense University Hospital, Odense, Denmark; University of Texas MD Anderson Cancer Center, Houston, Urol Oncol. 2016 May;34(5):249-50. doi: 10.1016/j.urolonc.2015.03.013. Epub 2015 Apr 20.
- Derived from this study: PubMed 24831977Kwon ED, Drake CG, Scher HI, Fizazi K, Bossi A, van den Eertwegh AJ, Krainer M, Houede N, Santos R, Mahammedi H, Ng S, Maio M, Franke FA, Sundar S, Agarwal N, Bergman AM, Ciuleanu TE, Korbenfeld E, Sengelov L, Hansen S, Logothetis C, Beer TM, McHenry MB, Gagnier P, Liu D, Gerritsen WR; CA184-043 Investigators. Ipilimumab versus placebo after radiotherapy in patients with metastatic castration-resistant prostate cancer that had progressed after docetaxel chemotherapy (CA184-043): a multicentre, randomised, double-blind, phase 3 trial. Lancet Oncol. 2014 Jun;15(7):700-12. doi: 10.1016/S1470-2045(14)70189-5. Epub 2014 May 13.
- Derived from this study: PubMed 21917607Dayyani F, Gallick GE, Logothetis CJ, Corn PG. Novel therapies for metastatic castrate-resistant prostate cancer. J Natl Cancer Inst. 2011 Nov 16;103(22):1665-75. doi: 10.1093/jnci/djr362. Epub 2011 Sep 13.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
158 sites in 27 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Ipilimumab in people with Prostate Cancer, run by Bristol-Myers Squibb at 158 sites in 27 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 30 Sep 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 158 sites in United States, Argentina, Brazil, Mexico, France and 22 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 16 Mar 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall Survival (OS) (time frame: Date of randomization to date of death). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00861614, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Sep 2016; AzTrials last refreshed its copy on 7 Nov 2026.