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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.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

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

Other trials in United States

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

Other trials in France

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

Other trials in Germany

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

Other trials in Australia

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

Other trials in Italy

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

Other trials in Spain

Sweden4 sites
  • Local Institution

    Gothenberg, 413 45

  • Local Institution

    Lund, 221 85

  • Local Institution

    Stockholm, 171 76

  • Local Institution

    Umeå, 901 85

Other trials in Sweden

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

Other trials in United Kingdom

Canada3 sites
  • Local Institution

    Edmonton, Alberta, T6G 1Z2

  • Local Institution

    Halfax, Nova Scotia, B3H 2Y9

  • Local Institution

    Montreal, Quebec, H2W1S6

Other trials in Canada

Czechia3 sites
  • Local Institution

    Brno, 656 53

  • Local Institution

    Olomouc, 775 20

  • Local Institution

    Prague, 128 08

Other trials in Czechia

Denmark3 sites
  • Local Institution

    Aarhus, 8000

  • Local Institution

    Herlev, 2730

  • Local Institution

    Odense, 5000

Other trials in Denmark

Hungary3 sites
  • Local Institution

    Budapest, 1122

  • Local Institution

    Kaposvár, 7400

  • Local Institution

    Szeged, 6720

Other trials in Hungary

Netherlands3 sites
  • Local Institution

    Amsterdam, 1081 HV

  • Local Institution

    Groningen, 9713 GZ

  • Local Institution

    Leiden, 2300 RC

Other trials in Netherlands

Poland3 sites
  • Local Institution

    Gdansk, 80-219

  • Local Institution

    Poznan, 60-693

  • Local Institution

    Warsaw, 02-781

Other trials in Poland

South Africa3 sites
  • Local Institution

    Cape Town, Western Cape, 7570

  • Local Institution

    George, Western Cape, 6530

  • Local Institution

    Rondebosch, Western Cape, 7700

Other trials in South Africa

Argentina2 sites
  • Fundacion Cidea

    Buenos Aires, 1121

  • Local Institution

    San Miguel de Tucumán, Tucumán Province, 4000

Other trials in Argentina

Austria2 sites
  • Local Institution

    Linz, 4020

  • Local Institution

    Vienna, 1090

Other trials in Austria

Belgium2 sites
  • Local Institution

    Brussels, 1200

  • Local Institution

    Leuven, 3000

Other trials in Belgium

Norway2 sites
  • Local Institution

    Bergen, 5021

  • Local Institution

    Oslo, 0379

Other trials in Norway

Israel1 site
  • Local Institution

    Jerusalem, 71908

Other trials in Israel

Mexico1 site
  • Local Institution

    Leon, Guanajato, Guanajuato, 37000

Other trials in Mexico

Switzerland1 site
  • Local Institution

    Lausanne, 1011

Other trials in Switzerland

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 groups in NCT01515189
Study groupRoleWhat they receive
Arm 1: Ipilimumab (3 mg/kg)ExperimentalIpilimumab 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)ExperimentalIpilimumab 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.

  1. 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)
  1. 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)

  2. 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)

  3. 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)

  4. 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)

  5. 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)

  6. 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

  7. 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.

  1. First posted24 Jan 2012 (estimated)
  2. Study start17 Feb 2012
  3. Primary completion6 Feb 2016
  4. Study completion17 Aug 2017

Resources

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)
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
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 32503946
  • Feng 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 31334596
  • Ascierto 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

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.

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