Solid TumorsPhase 1/2NCT02598960
An Investigational Immuno-therapy Study of Experimental Medication BMS-986156, Given by Itself or in Combination With Nivolumab in Patients With Solid Cancers or Cancers That Have Spread.
A Phase 1/2 study testing BMS-986156 and Nivolumab in people with Solid Tumors, run by Bristol-Myers Squibb at 27 sites in 10 countries.
Trial summary
The purpose of this study is to evaluate the safety and tumor-shrinking ability of experimental medication BMS-986156, when given by itself or in combination with nivolumab in patients with solid cancers that are advanced or cancers that have spread. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Solid Tumors
- What is being tested?
- BMS-986156 and Nivolumab
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 295 participants
- Where
- 27 sitesin 10 countries
- Study dates
- 14 Oct 2015to 16 Dec 2019
- 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
- For Dose Escalation:
- Subjects with any previously treated advanced (metastatic or refractory) solid tumor
- For Cohort Expansion:
- Subjects must have a previously treated advanced solid tumor to be eligible
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Willing and able to provide pre-treatment and on-treatment fresh tumor biopsy
- Women of child-bearing potential and men must use an acceptable method of contraception during treatment and for 23 weeks after treatment for women and 31 weeks for men
Who cannot join
- Known central nervous system metastases or central nervous system as the only source of disease
- Other concomitant malignancies (with some exceptions per protocol)
- Active, known or suspected autoimmune disease
- Uncontrolled or significant cardiovascular disease
- History of active or chronic hepatitis (e.g. Hep B or C)
- Impaired liver or bone marrow function
- Major surgery less than 1 month before start of the study
Trial locations and contacts
27 sites in 10 countries.
27 sites in 10 countries
United States7 sites
Emory University
Atlanta, Georgia, 30322
University Of Alabama At Birmingham
Birmingham, Alabama, 35294-3300
The Ohio State University
Columbus, Ohio, 43210
The West Clinic, P.C.
Germantown, Tennessee, 38138
UCSD Moores Cancer Center
La Jolla, California, 92093-0698
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, 19107
Providence Portland Medical Center
Portland, Oregon, 97213
Australia4 sites
Princess Alexandra Hospital
Brisbane, Queensland, 4102
Liverpool Cancer Therapy Center
Liverpool, New South Wales, 2170
Linear Clinical Research Ltd
Nedlands, Western Australia, 6009
Local Institution
Westmead, New South Wales, 2145
France3 sites
Local Institution
Paris, 75248
Institut Claudius Regaud
Toulouse, 31059
Institut Gustave Roussy
Vlllejuif, 94800
Germany3 sites
Local Institution
Bonn, 53127
Local Institution
Freiburg im Breisgau, 79106
Local Institution
Würzburg, 97080
Canada2 sites
Local Institution
Edmonton, Alberta, T6G 1Z2
Local Institution
Toronto, Ontario, M5G 1Z5
Italy2 sites
Local Institution - 0015
Milan, Lombardy, 20141
Local Institution - 0014
Milan, 20133
Switzerland2 sites
Cantonal Hospital St. Gallen
Sankt Gallen, 9007
Local Institution
Zurich, 8091
About this study
Official title: A Phase 1/2a Dose Escalation and Cohort Expansion Study for Safety, Tolerability, and Efficacy of BMS-986156 Administered Alone and in Combination With Nivolumab (BMS-936558, Anti PD-1 Monoclonal Antibody) in Advanced Solid Tumors
The purpose of this study is to evaluate the safety and tumor-shrinking ability of experimental medication BMS-986156, when given by itself or in combination with nivolumab in patients with solid cancers that are advanced or cancers that have spread.
- Conditions
- Solid Tumors
- Being tested
- BMS-986156, Nivolumab
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BMS-986156Drug
NivolumabDrug
| Study group | Role | What they receive |
|---|---|---|
| BMS-986156: Dose Escalation | Experimental | Not described Receives: Drug: BMS-986156 |
| BMS-986156 + nivolumab (nivo): Dose Escalation | Experimental | Not described Receives: Drug: BMS-986156; Drug: Nivolumab |
| BMS-986156: Dose Expansion | Experimental | Not described Receives: Drug: BMS-986156 |
| BMS-986156 + nivolumab (nivo): Dose Expansion | Experimental | Not described Receives: Drug: BMS-986156; Drug: Nivolumab |
| BMS986156 + Nivo: Cohort Expansion | Experimental | Not described Receives: Drug: BMS-986156; Drug: Nivolumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With All Cause Adverse Events (AEs), Serious Adverse Events, AEs Leading to Discontinuation and Deaths
Number of participants with all cause adverse events (AEs), serious adverse events (SAEs), adverse events leading to discontinuation, and number of participant deaths.
AEs and laboratory values will be graded according to the NCI CTCAE version 4.03.
Measured: From first treatment to 100 days post last dose. Approximately 29 months
Number of Participants With Laboratory Abnormalities in Specific Thyroid Tests
Number of Participants with laboratory abnormalities in specific thyroid tests.
TSH = Thyroid stimulating hormone ULN = Upper limit number LLN = Lower limit number
Measured: From first treatment to 100 days post last dose. Approximately 29 months
Number of Participants With Laboratory Abnormalities in Specific Liver Tests
Number of Participants with laboratory abnormalities in specific liver tests.
ALT = alanine aminotransferase AST = aspartate aminotransferase ALP = alkaline phosphatase
Measured: From first treatment to 100 days post last dose. Approximately 29 months
Secondary outcomes (5)
Best Overall Response
BOR will be defined by CR, PR, PD and SD
Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.
Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progression).
Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.
Measured: From first dose to a response or progressive disease (Approximately 50 Months)
Overall Response Rate
Defined as the percentage of all treated participants whose BOR is either a complete response(CR) or partial response(PR).
Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.
Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Measured: From first dose to CR and PR (Approximately 50 Months)
Progression Free Survival (PFS)
The time from the first dosing date to the date of first objectively documented disease progression or death due to any cause, whichever occurs first.
Progression is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progression).
Measured: From first dose to disease progression (Approximately 50 Months)
Duration of Response
All treated participants with a BOR of CR or PR, is defined as the time between the date of first response and the date of disease progression or death, whichever occurs first.
Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.
Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Measured: From first dose to disease progression after a response (Approximately 50 Months)
Number of Participants With Anti-Drug Antibody Response
Number of participants with a positive Anti-Drug Antibody to BMS-986156 or nivolumab
Measured: At Cycle 3 Day 1; where each treatment cycle was 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Nov 2015 (estimated)
- Study start14 Oct 2015
- Primary completion16 Dec 2019
- Study completion16 Dec 2019
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 (2)Papers the sponsor has linked to this study.
- Other trials for Solid TumorsStudies 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 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 295 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
- NCT02598960
- Sponsor's protocol ID
- CA009-002
- Other IDs
- 2015-002505-11, 2015
- Status last verified
- Feb 2023
- First submitted
- 21 Oct 2015
- Last updated
- 6 Mar 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Wang R, Baxi V, Li Z, Locke D, Hedvat C, Sun Y, Walsh AM, Shao X, Basavanhally T, Greenawalt DM, Patah P, Novosiadly R. Pharmacodynamic activity of BMS-986156, a glucocorticoid-induced TNF receptor-related protein agonist, alone or in combination with nivolumab in patients with advanced solid tumors. ESMO Open. 2023 Apr;8(2):100784. doi: 10.1016/j.esmoop.2023.100784. Epub 2023 Feb 28.
PubMed 36863094Heinhuis KM, Carlino M, Joerger M, Di Nicola M, Meniawy T, Rottey S, Moreno V, Gazzah A, Delord JP, Paz-Ares L, Britschgi C, Schilder RJ, O'Byrne K, Curigliano G, Romano E, Patah P, Wang R, Liu Y, Bajaj G, Siu LL. Safety, Tolerability, and Potential Clinical Activity of a Glucocorticoid-Induced TNF Receptor-Related Protein Agonist Alone or in Combination With Nivolumab for Patients With Advanced Solid Tumors: A Phase 1/2a Dose-Escalation and Cohort-Expansion Clinical Trial. JAMA Oncol. 2020 Jan 1;6(1):100-107. doi: 10.1001/jamaoncol.2019.3848.
PubMed 31697308
Study at a glance
From the registry record, last updated by the sponsor on 6 Mar 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1/2a Dose Escalation and Cohort Expansion Study for Safety, Tolerability, and Efficacy of BMS-986156 Administered Alone and in Combination With Nivolumab (BMS-936558, Anti PD-1 Monoclonal Antibody) in Advanced Solid Tumors
- ClinicalTrials.gov ID
- NCT02598960
- Acronym / sponsor ID
- CA009-002
- Conditions
- Solid Tumors
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 295 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- 14 Oct 2015 (actual)
- Primary completion
- 16 Dec 2019 (actual)
- Study completion
- 16 Dec 2019 (actual)
- First posted
- 6 Nov 2015 (estimated)
- Results
- Posted 6 Mar 2023
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 evaluate the safety and tumor-shrinking ability of experimental medication BMS-986156, when given by itself or in combination with nivolumab in patients with solid cancers that are advanced or cancers that have spread.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| BMS-986156: Dose Escalation | Experimental | Drug: BMS-986156 |
| BMS-986156 + nivolumab (nivo): Dose Escalation | Experimental | Drug: BMS-986156, Drug: Nivolumab |
| BMS-986156: Dose Expansion | Experimental | Drug: BMS-986156 |
| BMS-986156 + nivolumab (nivo): Dose Expansion | Experimental | Drug: BMS-986156, Drug: Nivolumab |
| BMS986156 + Nivo: Cohort Expansion | Experimental | Drug: BMS-986156, Drug: Nivolumab |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- For Dose Escalation:
- For Cohort Expansion:
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Willing and able to provide pre-treatment and on-treatment fresh tumor biopsy
- Women of child-bearing potential and men must use an acceptable method of contraception during treatment and for 23 weeks after treatment for women and 31 weeks for men
Key exclusion criteria (7 listed)
- Known central nervous system metastases or central nervous system as the only source of disease
- Other concomitant malignancies (with some exceptions per protocol)
- Active, known or suspected autoimmune disease
- Uncontrolled or significant cardiovascular disease
- History of active or chronic hepatitis (e.g. Hep B or C)
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 |
|---|---|---|
| BMS-986156 | Drug | BMS-986156 + nivolumab (nivo): Dose Escalation, BMS-986156 + nivolumab (nivo): Dose Expansion, BMS-986156: Dose Escalation, BMS-986156: Dose Expansion, BMS986156 + Nivo: Cohort Expansion |
| Nivolumab | Drug | BMS-986156 + nivolumab (nivo): Dose Escalation, BMS-986156 + nivolumab (nivo): Dose Expansion, BMS986156 + Nivo: Cohort Expansion |
Primary outcome
Number of Participants With All Cause Adverse Events (AEs), Serious Adverse Events, AEs Leading to Discontinuation and Deaths
Time frame: From first treatment to 100 days post last dose. Approximately 29 months
Number of participants with all cause adverse events (AEs), serious adverse events (SAEs), adverse events leading to discontinuation, and number of participant deaths. AEs and laboratory values will be graded according to the NCI CTCAE version 4.03.
Number of Participants With Laboratory Abnormalities in Specific Thyroid Tests
Time frame: From first treatment to 100 days post last dose. Approximately 29 months
Number of Participants with laboratory abnormalities in specific thyroid tests. TSH = Thyroid stimulating hormone ULN = Upper limit number LLN = Lower limit number
Number of Participants With Laboratory Abnormalities in Specific Liver Tests
Time frame: From first treatment to 100 days post last dose. Approximately 29 months
Number of Participants with laboratory abnormalities in specific liver tests. ALT = alanine aminotransferase AST = aspartate aminotransferase ALP = alkaline phosphatase
5 secondary outcomes
Best Overall Response
Time frame: From first dose to a response or progressive disease (Approximately 50 Months)
Overall Response Rate
Time frame: From first dose to CR and PR (Approximately 50 Months)
Progression Free Survival (PFS)
Time frame: From first dose to disease progression (Approximately 50 Months)
Duration of Response
Time frame: From first dose to disease progression after a response (Approximately 50 Months)
Number of Participants With Anti-Drug Antibody Response
Time frame: At Cycle 3 Day 1; where each treatment cycle was 8 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Mar 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 36863094Wang R, Baxi V, Li Z, Locke D, Hedvat C, Sun Y, Walsh AM, Shao X, Basavanhally T, Greenawalt DM, Patah P, Novosiadly R. Pharmacodynamic activity of BMS-986156, a glucocorticoid-induced TNF receptor-related protein agonist, alone or in combination with nivolumab in patients with advanced solid tumors. ESMO Open. 2023 Apr;8(2):100784. doi: 10.1016/j.esmoop.2023.100784. Epub 2023 Feb 28.
- Derived from this study: PubMed 31697308Heinhuis KM, Carlino M, Joerger M, Di Nicola M, Meniawy T, Rottey S, Moreno V, Gazzah A, Delord JP, Paz-Ares L, Britschgi C, Schilder RJ, O'Byrne K, Curigliano G, Romano E, Patah P, Wang R, Liu Y, Bajaj G, Siu LL. Safety, Tolerability, and Potential Clinical Activity of a Glucocorticoid-Induced TNF Receptor-Related Protein Agonist Alone or in Combination With Nivolumab for Patients With Advanced Solid Tumors: A Phase 1/2a Dose-Escalation and Cohort-Expansion Clinical Trial. JAMA Oncol. 2020 Jan 1;6(1):100-107. doi: 10.1001/jamaoncol.2019.3848.
- BMS Clinical Trial InformationLink provided by the sponsor.
- BMS Clinical Trial Patient RecruitingLink provided by the sponsor.
- Investigator Inquiry FormLink provided by the sponsor.
- FDA Safety Alerts and RecallsLink provided by the sponsor.
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A Study to Assess Safety, Tolerability, and Pharmacokinetics of ABSK043 in Patients With Advanced Solid Tumor
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A Safety and Efficacy Extension Study of Pertuzumab in Patients With Solid Tumors Previously Enrolled in a Hoffmann-La Roche-Sponsored Pertuzumab Clinical Trial
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IL-12 Genetically Engineered Myeloid Cells in Participants With Relapsed, Refractory Solid Tumors
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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
27 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing BMS-986156 and Nivolumab in people with Solid Tumors, run by Bristol-Myers Squibb at 27 sites in 10 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 7 inclusion and 7 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 6 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 27 sites in United States, Australia, France, Germany, Canada and 5 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 6 Mar 2023). 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?
Number of Participants With All Cause Adverse Events (AEs), Serious Adverse Events, AEs Leading to Discontinuation and Deaths (time frame: From first treatment to 100 days post last dose. Approximately 29 months). The study lists 3 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 NCT02598960, which also lists 2 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 6 Mar 2023.