MelanomaPhase 3NCT01515189
Phase 3 Trial in Subjects With Metastatic Melanoma Comparing 3 mg/kg Ipilimumab Versus 10 mg/kg Ipilimumab
A Phase 3 study testing Ipilimumab in people with Melanoma, run by Bristol-Myers Squibb at 88 sites in 22 countries.
Trial summary
The purpose of this study is to determine whether giving Ipilimumab at a dose of 10mg/kg will extend the lives of subjects with unresectable or metastatic melanoma more than giving Ipilimumab at a dose of 3 mg/kg Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Melanoma
- What is being tested?
- Ipilimumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 831 participants
- Where
- 88 sitesin 22 countries
- Study dates
- 17 Feb 2012to 17 Aug 2017
- 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
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Unresectable Stage III or Stage IV melanoma
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
Who cannot join
- Brain metastases with symptoms or requiring treatment
- History of autoimmune disease
Trial locations and contacts
88 sites in 22 countries.
88 sites in 22 countries
United States11 sites
Levine Cancer Institute
Charlotte, North Carolina, 28204
Duke University Hospital
Durham, North Carolina, 27710
St. Luke's Cancer Center - Anderson Campus
Easton, Pennsylvania, 18045
Baptist Cancer Institute
Jacksonville, Florida, 32207
The Angeles Clinic And Research Institute
Los Angeles, California, 90025
University Of California Los Angeles
Los Angeles, California, 90095
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Orlando Health, Inc
Orlando, Florida, 32806
Oncology Specialists, S.C.
Park Ridge, Illinois, 60068
Providence Portland Medical Center
Portland, Oregon, 97213
Seattle Cancer Care Alliance
Seattle, Washington, 98109
France11 sites
Local Institution
Bordeaux, 33075
Local Institution
Dijon, 21079
Local Institution
Grenoble, 38043
Local Institution
Lille, 59037
Local Institution
Marseille, 13385
Local Institution
Nantes, 44093
Local Institution
Paris, 75010
Local Institution
Pierre-Bénite, 69495
Local Institution
Reims, 51092
Local Institution
Toulouse, 31059
Local Institution
Villejuif, 94805
Germany8 sites
Local Institution
Buxtehude, 21614
Local Institution
Essen, 45122
Local Institution
Hanover, 30625
Local Institution
Heidelberg, 69120
Local Institution
Kiel, 24105
Local Institution
Mainz, 55131
Local Institution
Munich, 81675
Local Institution
Tübingen, 72076
Australia6 sites
Local Institution
Adelaide, South Australia, 5000
Local Institution
Brisbane, Queensland, 4102
Local Institution
Camperdown, New South Wales, 2050
Local Institution
Coffs Harbour, New South Wales, 2450
Local Institution
Heidelberg, Victoria, 3084
Local Institution
Southport, Queensland, 4215
Italy6 sites
Local Institution
Meldola (fc), 47014
Local Institution
Milan, 20133
Local Institution
Naples, 80131
Local Institution
Padova, 35128
Local Institution
Roma, 00144
Local Institution
Siena, 53100
Spain6 sites
Local Institution
Barcelona, 08036
Local Institution
Barcelona, 08908
Local Institution
Madrid, 28041
Local Institution
Navarra, 31008
Instituto Valenciano De Oncologia
Valencia, 46009
Local Institution
Valencia, 46014
Sweden4 sites
Local Institution
Gothenberg, 413 45
Local Institution
Lund, 221 85
Local Institution
Stockholm, 171 76
Local Institution
Umeå, 901 85
United Kingdom4 sites
Local Institution
Glasgow, Scotland, Strathclyde, G12 OYN
Local Institution
London, SW3 6JJ
Local Institution
Manchester, Greater Manchester, M20 4BX
Local Institution
Swansea, SA2 8QA
Canada3 sites
Local Institution
Edmonton, Alberta, T6G 1Z2
Local Institution
Halfax, Nova Scotia, B3H 2Y9
Local Institution
Montreal, Quebec, H2W1S6
Czechia3 sites
Local Institution
Brno, 656 53
Local Institution
Olomouc, 775 20
Local Institution
Prague, 128 08
Denmark3 sites
Local Institution
Aarhus, 8000
Local Institution
Herlev, 2730
Local Institution
Odense, 5000
Hungary3 sites
Local Institution
Budapest, 1122
Local Institution
Kaposvár, 7400
Local Institution
Szeged, 6720
Netherlands3 sites
Local Institution
Amsterdam, 1081 HV
Local Institution
Groningen, 9713 GZ
Local Institution
Leiden, 2300 RC
Poland3 sites
Local Institution
Gdansk, 80-219
Local Institution
Poznan, 60-693
Local Institution
Warsaw, 02-781
South Africa3 sites
Local Institution
Cape Town, Western Cape, 7570
Local Institution
George, Western Cape, 6530
Local Institution
Rondebosch, Western Cape, 7700
Argentina2 sites
Fundacion Cidea
Buenos Aires, 1121
Local Institution
San Miguel de Tucumán, Tucumán Province, 4000
About this study
Official title: A Randomized Double-Blind Phase III Study of Ipilimumab Administered at 3 mg/kg Versus at 10 mg /kg in Subjects With Previously Treated or Untreated Unresectable or Metastatic Melanoma
The purpose of this study is to determine whether giving Ipilimumab at a dose of 10mg/kg will extend the lives of subjects with unresectable or metastatic melanoma more than giving Ipilimumab at a dose of 3 mg/kg
- Conditions
- Melanoma
- Being tested
- Ipilimumab
- Medical subject headings
- Melanoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
IpilimumabBiological
Also called Yervoy, BMS-734016
| Study group | Role | What they receive |
|---|---|---|
| Arm 1: Ipilimumab (3 mg/kg) | Experimental | Ipilimumab 3 mg/kg solution intravenously once every 3 weeks for 4 doses; option for Re-induction, until disease progression or unacceptable toxicity Receives: Biological: Ipilimumab |
| Arm 2: Ipilimumab (10 mg/kg) | Experimental | Ipilimumab 10 mg/kg solution intravenously once every 3 weeks for 4 doses; option for Re-induction, until disease progression or unacceptable toxicity Receives: Biological: Ipilimumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival (OS)
OS is defined for each participant as the time between randomization date and death due to any cause. The survival time for participants who had not died was censored at the last known alive date. Median and associated 2-sided 95% confidence intervals were calculated using the method of Brookmeyer and Crowley.
Measured: Approximately 48 months (assessed up to February 2016)
Secondary outcomes (7)
Progression Free Survival (PFS) by mWHO Criteria
PFS was defined as the time between randomization date and the date of progression or death, whichever occurred first. A participant who died without reported prior progression was considered to have progressed on the date of death. For a participant who underwent resection post randomization, PFS was censored on last tumor assessment date prior to resection. For those who remained alive and had not progressed, PFS was censored on last evaluable tumor assessment date. Participants who had not died and had no recorded post-baseline tumor assessment were censored at the day of randomization. For participants who had Progressive Disease (PD) prior to Week 12 and a subsequent assessment of Stable Disease (SD), Partial Response (PR), or Complete Response (CR), the date of PD following response was used in the analysis of PFS; otherwise these participants were censored on the date of their last tumor assessment. Median and 2-sided 95% CIs were calculated with Brookmeyer Crowley method.
Measured: From date of randomization until 540 death events occurred (approximately 48 months)
Best Overall Response Rate (BORR) by mWHO Criteria
BORR by treatment arm was defined as the total number of randomized participants in the arm whose BOR is CR or PR, divided by the total number of randomized participants in the arm. Any participant who was unevaluable for BOR, e.g. on account of missing or "not evaluable" assessments, was included in the denominator of the calculation (i.e. was considered a non-responder with respect to the BORR endpoint). 95% 2-sided exact confidence intervals were computed using the method of Clopper and Pearson.
Measured: From date of randomization until 540 death events occurred (approximately 48 months)
Disease Control Rate (DCR) by mWHO Criteria
DCR by treatment arm was defined as the total number of randomized participants in the arm whose BOR is CR, PR or SD, divided by the total number of randomized participants in the arm. Any participant who was unevaluable for Disease Control (DC), (e.g. on account of missing or "not evaluable" assessments), was included in the denominator of the calculation (i.e. was considered a non-responder with respect to the DCR endpoint). 95% 2-sided exact confidence intervals were computed using the Clopper and Pearson method.
Measured: From date of randomization until 540 death events occurred (approximately 48 months)
Duration of Response (DOR) by mWHO Criteria
Duration of response for participants whose BOR was CR or PR was defined as the time between the date measurement criteria were first met for overall response of PR or CR (whichever status was recorded first) and the date of disease progression or death (whichever occurred first). For participants who underwent tumor resection following response but prior to disease progression, duration of response was censored on the date of last evaluable tumor assessment prior to resection. For participants who had BOR of SD, PR or CR at Week 12, or a confirmed response of PR or CR before Week 12, the date of PD following thereafter (where available) was used in the analysis of duration of response. For those participants who remained alive and had not progressed following response, duration of response was censored on the date of last evaluable tumor assessment. Median and associated 2-sided 95% confidence intervals were calculated using the Brookmeyer Crowley method.
Measured: From date of randomization until 540 death events occurred (approximately 48 months)
Duration of Stable Disease by mWHO Criteria
Duration of stable disease was defined for participants whose BOR was SD as the time between when SD was first documented and the date of PD or death (whichever occurred first). For a participant who underwent tumor resection following Week 12 but prior to disease progression, duration of stable disease was censored on the date of the last evaluable tumor assessment prior to resection. For participants who had BOR of SD at Week 12, the date of PD following thereafter (where available) was used in the analysis of duration of stable disease. For participants with BOR of SD who had not subsequently progressed and who remained alive, duration of stable disease was censored on the date of last evaluable tumor assessment. Median and associated 2-sided 95% confidence intervals were calculated using the Brookmeyer and Crowley method.
Measured: From date of randomization until 540 death events occurred (approximately 48 months)
Rate of Overall Survival
OS is defined for each participant as the time between randomization date and death due to any cause. The survival time for participants who had not died was censored at the last known alive date. Survival rates were calculated based on Kaplan-Meier estimation with log-log transformed confidence intervals. The survival rate at x year(s) is defined as the probability that a subject is alive at x year(s) following randomization.
Measured: Approximately 66 months
Overall Survival of Participants With Brain Metastases at Baseline
OS for each participant with brain metastases at baseline was measured as the time between randomization date and death due to any cause. The survival time for participants who had not died was censored at the last known alive date. Median OS, and associated 2-sided 95% confidence intervals were calculated using the Brookmeyer and Crowley method.
Measured: From date of randomization until 540 death events occurred (approximately 48 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Jan 2012 (estimated)
- Study start17 Feb 2012
- Primary completion6 Feb 2016
- Study completion17 Aug 2017
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 MelanomaStudies 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
- 831 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
- NCT01515189
- Sponsor's protocol ID
- CA184-169
- Other IDs
- 2011-004029-28
- Status last verified
- Jul 2019
- First submitted
- 18 Jan 2012
- Last updated
- 31 Jul 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Ascierto PA, Del Vecchio M, Mackiewicz A, Robert C, Chiarion-Sileni V, Arance A, Lebbe C, Svane IM, McNeil C, Rutkowski P, Loquai C, Mortier L, Hamid O, Bastholt L, Dreno B, Schadendorf D, Garbe C, Nyakas M, Grob JJ, Thomas L, Liszkay G, Smylie M, Hoeller C, Ferraresi V, Grange F, Gutzmer R, Pikiel J, Hosein F, Simsek B, Maio M. Overall survival at 5 years of follow-up in a phase III trial comparing ipilimumab 10 mg/kg with 3 mg/kg in patients with advanced melanoma. J Immunother Cancer. 2020 Jun;8(1):e000391. doi: 10.1136/jitc-2019-000391.
PubMed 32503946Feng Y, Wang X, Suryawanshi S, Bello A, Roy A. Linking Tumor Growth Dynamics to Survival in Ipilimumab-Treated Patients With Advanced Melanoma Using Mixture Tumor Growth Dynamic Modeling. CPT Pharmacometrics Syst Pharmacol. 2019 Nov;8(11):825-834. doi: 10.1002/psp4.12454. Epub 2019 Aug 13.
PubMed 31334596Ascierto PA, Del Vecchio M, Robert C, Mackiewicz A, Chiarion-Sileni V, Arance A, Lebbe C, Bastholt L, Hamid O, Rutkowski P, McNeil C, Garbe C, Loquai C, Dreno B, Thomas L, Grob JJ, Liszkay G, Nyakas M, Gutzmer R, Pikiel J, Grange F, Hoeller C, Ferraresi V, Smylie M, Schadendorf D, Mortier L, Svane IM, Hennicken D, Qureshi A, Maio M. Ipilimumab 10 mg/kg versus ipilimumab 3 mg/kg in patients with unresectable or metastatic melanoma: a randomised, double-blind, multicentre, phase 3 trial. Lancet Oncol. 2017 May;18(5):611-622. doi: 10.1016/S1470-2045(17)30231-0. Epub 2017 Mar 27.
PubMed 28359784
Study at a glance
From the registry record, last updated by the sponsor on 31 Jul 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized Double-Blind Phase III Study of Ipilimumab Administered at 3 mg/kg Versus at 10 mg /kg in Subjects With Previously Treated or Untreated Unresectable or Metastatic Melanoma
- ClinicalTrials.gov ID
- NCT01515189
- Acronym / sponsor ID
- CA184-169
- Conditions
- Melanoma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 831 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- 17 Feb 2012 (actual)
- Primary completion
- 6 Feb 2016 (actual)
- Study completion
- 17 Aug 2017 (actual)
- First posted
- 24 Jan 2012 (estimated)
- Results
- Posted 24 Mar 2017
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 this study is to determine whether giving Ipilimumab at a dose of 10mg/kg will extend the lives of subjects with unresectable or metastatic melanoma more than giving Ipilimumab at a dose of 3 mg/kg
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 |
|---|---|---|
| Arm 1: Ipilimumab (3 mg/kg) | Experimental | Biological: IpilimumabIpilimumab 3 mg/kg solution intravenously once every 3 weeks for 4 doses; option for Re-induction, until disease progression or unacceptable toxicity |
| Arm 2: Ipilimumab (10 mg/kg) | Experimental | Biological: IpilimumabIpilimumab 10 mg/kg solution intravenously once every 3 weeks for 4 doses; option for Re-induction, until disease progression or unacceptable toxicity |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Unresectable Stage III or Stage IV melanoma
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
Key exclusion criteria (2 listed)
- Brain metastases with symptoms or requiring treatment
- History of autoimmune disease
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: Yervoy, BMS-734016 | Biological | Arm 1: Ipilimumab (3 mg/kg), Arm 2: Ipilimumab (10 mg/kg) |
Primary outcome
Overall Survival (OS)
Time frame: Approximately 48 months (assessed up to February 2016)
OS is defined for each participant as the time between randomization date and death due to any cause. The survival time for participants who had not died was censored at the last known alive date. Median and associated 2-sided 95% confidence intervals were calculated using the method of Brookmeyer and Crowley.
7 secondary outcomes
Progression Free Survival (PFS) by mWHO Criteria
Time frame: From date of randomization until 540 death events occurred (approximately 48 months)
Best Overall Response Rate (BORR) by mWHO Criteria
Time frame: From date of randomization until 540 death events occurred (approximately 48 months)
Disease Control Rate (DCR) by mWHO Criteria
Time frame: From date of randomization until 540 death events occurred (approximately 48 months)
Duration of Response (DOR) by mWHO Criteria
Time frame: From date of randomization until 540 death events occurred (approximately 48 months)
Duration of Stable Disease by mWHO Criteria
Time frame: From date of randomization until 540 death events occurred (approximately 48 months)
Rate of Overall Survival
Time frame: Approximately 66 months
Overall Survival of Participants With Brain Metastases at Baseline
Time frame: From date of randomization until 540 death events occurred (approximately 48 months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Jul 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 32503946Ascierto PA, Del Vecchio M, Mackiewicz A, Robert C, Chiarion-Sileni V, Arance A, Lebbe C, Svane IM, McNeil C, Rutkowski P, Loquai C, Mortier L, Hamid O, Bastholt L, Dreno B, Schadendorf D, Garbe C, Nyakas M, Grob JJ, Thomas L, Liszkay G, Smylie M, Hoeller C, Ferraresi V, Grange F, Gutzmer R, Pikiel J, Hosein F, Simsek B, Maio M. Overall survival at 5 years of follow-up in a phase III trial comparing ipilimumab 10 mg/kg with 3 mg/kg in patients with advanced melanoma. J Immunother Cancer. 2020 Jun;8(1):e000391. doi: 10.1136/jitc-2019-000391.
- Derived from this study: PubMed 31334596Feng Y, Wang X, Suryawanshi S, Bello A, Roy A. Linking Tumor Growth Dynamics to Survival in Ipilimumab-Treated Patients With Advanced Melanoma Using Mixture Tumor Growth Dynamic Modeling. CPT Pharmacometrics Syst Pharmacol. 2019 Nov;8(11):825-834. doi: 10.1002/psp4.12454. Epub 2019 Aug 13.
- Derived from this study: PubMed 28359784Ascierto PA, Del Vecchio M, Robert C, Mackiewicz A, Chiarion-Sileni V, Arance A, Lebbe C, Bastholt L, Hamid O, Rutkowski P, McNeil C, Garbe C, Loquai C, Dreno B, Thomas L, Grob JJ, Liszkay G, Nyakas M, Gutzmer R, Pikiel J, Grange F, Hoeller C, Ferraresi V, Smylie M, Schadendorf D, Mortier L, Svane IM, Hennicken D, Qureshi A, Maio M. Ipilimumab 10 mg/kg versus ipilimumab 3 mg/kg in patients with unresectable or metastatic melanoma: a randomised, double-blind, multicentre, phase 3 trial. Lancet Oncol. 2017 May;18(5):611-622. doi: 10.1016/S1470-2045(17)30231-0. Epub 2017 Mar 27.
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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
88 sites in 22 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 Melanoma, run by Bristol-Myers Squibb at 88 sites in 22 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 2 inclusion and 2 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 31 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 88 sites in United States, France, Germany, Australia, Italy and 17 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. 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 24 Mar 2017). 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: Approximately 48 months (assessed up to February 2016)). 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 NCT01515189, 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 31 Jul 2019.