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Advanced or Metastatic Solid TumorsPhase 1/2NCT01928394

A Study of Nivolumab by Itself or Nivolumab Combined With Ipilimumab in Patients With Advanced or Metastatic Solid Tumors

A Phase 1/2 study testing Nivolumab, Ipilimumab and Cobimetinib in people with Advanced or Metastatic Solid Tumors, run by Bristol-Myers Squibb at 38 sites in 8 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

To investigate the safety and efficacy of nivolumab as a single agent or in combination with ipilimumab in 6 tumor types - triple-negative breast cancer (TNBC), gastric cancer (GC), pancreatic adenocarcinoma (PC), small cell lung cancer (SCLC), bladder cancer (BC), and ovarian cancer (OC). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Advanced or Metastatic Solid Tumors
What is being tested?
Nivolumab, Ipilimumab and Cobimetinib
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,163 participants
Where
38 sitesin 8 countries
Study dates
24 Oct 2013to 18 Nov 2024
Phase
Phase 1/2
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

  • Subjects with histologically or cytologically confirmed locally advanced or metastatic disease of the following tumor types:
  • Triple Negative Breast Cancer
  • Gastric Cancer
  • Pancreatic Cancer
  • Small Cell Lung Cancer
  • Bladder Cancer
Show all 10Show fewer
  • Ovarian Cancer
  • Subjects must have measurable disease
  • Eastern Cooperative Oncology Group (ECOG) of 0 or 1
  • Adequate hematological and organ function as confirmed by laboratory values

Who cannot join

  • Active brain metastases or leptomeningeal metastases
  • Subjects with active, known or suspected autoimmune disease
  • Subjects with a condition requiring systemic treatment with either corticosteroids (>10 mg daily prednisone equivalents) or other immunosuppressive medications within 14 days of treatment
  • Prior therapy with experimental anti-tumor vaccines; any T cell co-stimulation or checkpoint pathways, such as anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, or anti-CTLA-4 antibody, including Ipilimumab; or other medicines specifically targeting T cell is also prohibited

Trial locations and contacts

38 sites in 8 countries.

38 sites in 8 countries

United States19 sites
  • Local Institution - 0001

    Atlanta, Georgia, 30322

  • Local Institution - 0044

    Aurora, Colorado, 80045

  • Local Institution - 0004

    Baltimore, Maryland, 21287

  • Local Institution - 0005

    Boston, Massachusetts, 02215

  • Local Institution - 0043

    Boston, Massachusetts, 02215

  • Local Institution - 0003

    Charlotte, North Carolina, 28204

  • Local Institution - 0008

    Durham, North Carolina, 27710

  • Local Institution - 0011

    Franklin, Tennessee, 37067

  • Local Institution - 0046

    Gainesville, Florida, 32610

  • Local Institution - 0009

    Houston, Texas, 77030

  • Local Institution - 0045

    Mineola, New York, 11501

  • Local Institution - 0047

    Muscle Shoals, Alabama, 35661

  • Local Institution - 0002

    Nashville, Tennessee, 37232

  • Local Institution - 0015

    New Haven, Connecticut, 06520

  • Local Institution - 0006

    New York, New York, 10065

  • Local Institution - 0049

    Omaha, Nebraska, 68130

  • Local Institution - 0007

    Portland, Oregon, 97239

  • Local Institution - 0042

    Seattle, Washington, 98104

  • Local Institution - 0021

    Tampa, Florida, 33612

Other trials in United States

Germany4 sites
  • Local Institution - 0048

    Bonn, 53105

  • Local Institution - 0026

    Frankfurt, 60488

  • Local Institution - 0016

    Heidelberg, 69120

  • Local Institution - 0050

    Kassel, 34125

Other trials in Germany

Italy4 sites
  • Local Institution - 0024

    Bologna, 40138

  • Local Institution - 0019

    Milan, 20133

  • Local Institution - 0020

    Naples, 80131

  • Local Institution - 0032

    Padova, 35128

Other trials in Italy

Spain4 sites
  • Local Institution - 0037

    Barcelona, 08036

  • Local Institution - 0023

    Madrid, 28040

  • Local Institution - 0017

    Madrid, 28041

  • Local Institution - 0010

    Madrid, 28050

Other trials in Spain

United Kingdom3 sites
  • Local Institution - 0012

    Glasgow, Lanarkshire, G12 0YN

  • Local Institution - 0018

    London, Greater London, SW3 6JJ

  • Local Institution - 0013

    Sutton, Surrey, SM2 5PT

Other trials in United Kingdom

Finland2 sites
  • Local Institution - 0014

    Helsinki, Uusimaa, 00290

  • Local Institution - 0036

    Tampere, 33521

Other trials in Finland

Canada1 site
  • Local Institution - 0038

    Toronto, Ontario, M5G 2M9

Other trials in Canada

Denmark1 site
  • Local Institution - 0039

    Copenhagen, 2100

Other trials in Denmark

About this study

Official title: A Phase 1/2, Open-label Study of Nivolumab Monotherapy or Nivolumab Combined With Ipilimumab in Subjects With Advanced or Metastatic Solid Tumors

To investigate the safety and efficacy of nivolumab as a single agent or in combination with ipilimumab in 6 tumor types - triple-negative breast cancer (TNBC), gastric cancer (GC), pancreatic adenocarcinoma (PC), small cell lung cancer (SCLC), bladder cancer (BC), and ovarian cancer (OC). A combination of nivolumab with ipilimumab and cobimetinib is also investigated in PC.

Read the detailed description

All tumor types are now closed for enrollment:

Triple Negative Breast Cancer

Gastric Cancer

Pancreatic Cancer

Small Cell Lung Cancer

Bladder Cancer

Ovarian Cancer

Being tested
Nivolumab, Ipilimumab, Cobimetinib

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • NivolumabBiological

    Also called BMS-936558, MDX-1106

  • IpilimumabBiological

    Also called Yervoy, BMS-734016, MDX-010

  • CobimetinibDrug

    Also called Cotellic

Study groups in NCT01928394
Study groupRoleWhat they receive
Arm N - NivolumabExperimentalNivolumab 3 mg/kg solution intravenously every 2 weeks until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends
Receives: Biological: Nivolumab
Arm N-I, Level 1: Nivolumab+IpilimumabExperimentalNivolumab 1 mg/kg solution intravenously plus Ipilimumab 1 mg/kg solution every 3 weeks for 4 doses followed by Nivolumab 3 mg/kg every 2 weeks until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends
Receives: Biological: Nivolumab; Biological: Ipilimumab
Arm N-I, Level 2: Nivolumab+IpilimumabExperimentalNivolumab 1 mg/kg solution intravenously plus Ipilimumab 3 mg/kg every 3 weeks for 4 doses followed by nivolumab 3 mg/kg every 2 weeks until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends
Receives: Biological: Nivolumab; Biological: Ipilimumab
Arm N-I, Level 2b: Nivolumab+IpilimumabExperimentalNivolumab 3 mg/kg solution intravenously plus Ipilimumab 1 mg/kg every 3 weeks for 4 doses followed by nivolumab 3 mg/kg every 2 weeks until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends
Receives: Biological: Nivolumab; Biological: Ipilimumab
Arm N-I, Level 2c: Nivolumab+IpilimumabExperimentalNivolumab 3 mg/kg solution intravenously every 3 weeks combined with ipilimumab 1 mg/kg every 6 weeks until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends
Receives: Biological: Nivolumab; Biological: Ipilimumab
Arm N-I, Level 2d: Nivolumab+Ipilimumab+CobimetinibExperimentalNivolumab 3 mg/kg solution intravenously every 3 weeks combined with ipilimumab 1 mg/kg every 6 weeks and cobimetinib 60mg once daily 21days on/7 days off until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends
Receives: Biological: Nivolumab; Biological: Ipilimumab; Drug: Cobimetinib

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Objective Response Rate ( ORR )

    The number of participants with a best overall response (BOR) of complete response (CR) or partial response (PR) divided by the number of treated participants.

    Measured: 60 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Aug 2013 (estimated)
  2. Study start24 Oct 2013
  3. Primary completion5 Feb 2019
  4. Study completion18 Nov 2024

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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
1,163 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01928394
Sponsor's protocol ID
CA209-032
Other IDs
2013-002844-10
Status last verified
Dec 2024
First submitted
21 Aug 2013
Last updated
27 Dec 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Expanded access
Available

Publications

  • Sharma P, Siefker-Radtke A, de Braud F, Basso U, Calvo E, Bono P, Morse MA, Ascierto PA, Lopez-Martin J, Brossart P, Rohrberg K, Mellado B, Fischer BS, Meadows-Shropshire S, Abdel Saci, Callahan MK, Rosenberg J. Nivolumab Alone and With Ipilimumab in Previously Treated Metastatic Urothelial Carcinoma: CheckMate 032 Nivolumab 1 mg/kg Plus Ipilimumab 3 mg/kg Expansion Cohort Results. J Clin Oncol. 2019 Jul 1;37(19):1608-1616. doi: 10.1200/JCO.19.00538. Epub 2019 May 17.

    PubMed 31100038
  • Janjigian YY, Bendell J, Calvo E, Kim JW, Ascierto PA, Sharma P, Ott PA, Peltola K, Jaeger D, Evans J, de Braud F, Chau I, Harbison CT, Dorange C, Tschaika M, Le DT. CheckMate-032 Study: Efficacy and Safety of Nivolumab and Nivolumab Plus Ipilimumab in Patients With Metastatic Esophagogastric Cancer. J Clin Oncol. 2018 Oct 1;36(28):2836-2844. doi: 10.1200/JCO.2017.76.6212. Epub 2018 Aug 15.

    PubMed 30110194
  • Teo MY, Seier K, Ostrovnaya I, Regazzi AM, Kania BE, Moran MM, Cipolla CK, Bluth MJ, Chaim J, Al-Ahmadie H, Snyder A, Carlo MI, Solit DB, Berger MF, Funt S, Wolchok JD, Iyer G, Bajorin DF, Callahan MK, Rosenberg JE. Alterations in DNA Damage Response and Repair Genes as Potential Marker of Clinical Benefit From PD-1/PD-L1 Blockade in Advanced Urothelial Cancers. J Clin Oncol. 2018 Jun 10;36(17):1685-1694. doi: 10.1200/JCO.2017.75.7740. Epub 2018 Feb 28.

    PubMed 29489427
  • Sharma P, Callahan MK, Bono P, Kim J, Spiliopoulou P, Calvo E, Pillai RN, Ott PA, de Braud F, Morse M, Le DT, Jaeger D, Chan E, Harbison C, Lin CS, Tschaika M, Azrilevich A, Rosenberg JE. Nivolumab monotherapy in recurrent metastatic urothelial carcinoma (CheckMate 032): a multicentre, open-label, two-stage, multi-arm, phase 1/2 trial. Lancet Oncol. 2016 Nov;17(11):1590-1598. doi: 10.1016/S1470-2045(16)30496-X. Epub 2016 Oct 9.

    PubMed 27733243
  • Antonia SJ, Lopez-Martin JA, Bendell J, Ott PA, Taylor M, Eder JP, Jager D, Pietanza MC, Le DT, de Braud F, Morse MA, Ascierto PA, Horn L, Amin A, Pillai RN, Evans J, Chau I, Bono P, Atmaca A, Sharma P, Harbison CT, Lin CS, Christensen O, Calvo E. Nivolumab alone and nivolumab plus ipilimumab in recurrent small-cell lung cancer (CheckMate 032): a multicentre, open-label, phase 1/2 trial. Lancet Oncol. 2016 Jul;17(7):883-895. doi: 10.1016/S1470-2045(16)30098-5. Epub 2016 Jun 4.

    PubMed 27269741

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Nivolumab, Ipilimumab and Cobimetinib in people with Advanced or Metastatic Solid Tumors, run by Bristol-Myers Squibb at 38 sites in 8 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 10 inclusion and 4 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 27 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 38 sites in United States, Germany, Italy, Spain, United Kingdom and 3 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 2020). 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?

Objective Response Rate ( ORR ) (time frame: 60 months). 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 NCT01928394, which also lists 5 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 27 Dec 2024.

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