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Advanced Gastric CancerPhase 2FRACTION-GCNCT02935634

A Study to Test Combination Treatments in Participants With Advanced Gastric Cancer

A Phase 2 study testing Nivolumab, Ipilimumab and Relatlimab in people with Advanced Gastric Cancer, run by Bristol-Myers Squibb at 35 sites in 9 countries.

Completed

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

Official record
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Trial summary

The purpose of this study is to evaluate the preliminary efficacy, safety, and tolerability of Nivolumab in combination with Ipilimumab or other treatment therapies in participants with advanced gastric cancer. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Advanced Gastric Cancer
What is being tested?
Nivolumab, Ipilimumab and Relatlimab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
190 participants
Where
35 sitesin 9 countries
Study dates
29 Nov 2016to 11 May 2022
Phase
Phase 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

  • Inoperable, advanced or metastatic esophageal cancer (EC), gastric cancer (GC) or gastroesophageal junction (GEJ) carcinoma and have histologically confirmed predominant adenocarcinoma and/or squamous carcinoma
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1
  • At least 1 lesion with measurable disease

Who cannot join

  • HER2-positive tumor and previously untreated with trastuzumab
  • Suspected, known or progressive central nervous system metastases
  • Other active malignancy requiring concurrent intervention
  • Active, known or suspected autoimmune disease
  • Other protocol-defined inclusion/exclusion criteria apply

Trial locations and contacts

35 sites in 9 countries.

35 sites in 9 countries

United States16 sites
  • University Of Colorado

    Aurora, Colorado, 80045

  • Local Institution - 0006

    Baltimore, Maryland, 21224

  • Local Institution - 0020

    Duarte, California, 91010-3000

  • UF Health Medical Oncology - Davis Cancer Pavilion

    Gainesville, Florida, 32610

  • Local Institution - 0001

    Hackensack, New Jersey, 07601

  • Local Institution - 0038

    Jacksonville, Florida, 32224

  • Local Institution - 0032

    New Haven, Connecticut, 06520

  • Local Institution - 0007

    New York, New York, 10065

  • Local Institution - 0005

    Philadelphia, Pennsylvania, 19111

  • Mayo Clinic Arizona

    Phoenix, Arizona, 85054

  • UPMC

    Pittsburgh, Pennsylvania, 15232

  • Local Institution - 0002

    Portland, Oregon, 97225

  • Local Institution - 0017

    Rochester, Minnesota, 55905

  • Local Institution - 0004

    Seattle, Washington, 98109

  • Local Institution - 0003

    St Louis, Missouri, 63110

  • Local Institution - 0036

    Washington D.C., District of Columbia, 20007

Other trials in United States

Canada5 sites
  • Local Institution

    Edmonton, Alberta, T6G 1Z2

  • Local Institution

    Ottawa, Ontario, K1H 8L6

  • Local Institution - 0025

    Toronto, Ontario, M4N 3M5

  • Local Institution - 0021

    Toronto, Ontario, M5G 2M9

  • Local Institution

    Vancouver, British Columbia, V5Z 4E6

Other trials in Canada

Australia3 sites
  • Local Institution - 0033

    Heidelberg, Victoria, 3084

  • Local Institution

    Randwick, 2031

  • Local Institution - 0035

    Westmead, New South Wales, 2145

Other trials in Australia

Germany2 sites
  • Local Institution - 0039

    Heidelberg, 69120

  • Local Institution - 0043

    Leipzig, 04103

Other trials in Germany

Israel2 sites
  • Local Institution

    Ramat Gan, 52621

  • Local Institution

    Tel Aviv, 64239

Other trials in Israel

Italy2 sites
  • Local Institution - 0014

    Milan, Lombardy, 20141

  • IRCCS Istituto Nazionale Tumori Milano

    Milan, 20133

Other trials in Italy

Netherlands2 sites
  • Local Institution

    Amsterdam, 1081 HV

  • Local Institution

    Utrecht, 3584 CX

Other trials in Netherlands

Switzerland2 sites
  • Local Institution - 0041

    Chur, Graubünden (de), 7000

  • Local Institution - 0042

    Zurich, 8091

Other trials in Switzerland

Singapore1 site
  • Local Institution - 0050

    Singapore, 169610

Other trials in Singapore

About this study

Official title: A Phase 2, Fast Real-time Assessment of Combination Therapies in Immuno-ONcology Study in Participants With Advanced Gastric Cancer (FRACTION-Gastric Cancer)

The purpose of this study is to evaluate the preliminary efficacy, safety, and tolerability of Nivolumab in combination with Ipilimumab or other treatment therapies in participants with advanced gastric cancer.

Being tested
Nivolumab, Ipilimumab, Relatlimab, BMS-986205, Rucaparib

What participants receive

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

  • NivolumabBiological

    Also called Opdivo, BMS-936558

    Specified dose on specified days

  • IpilimumabBiological

    Also called Yervoy, BMS-734016

    Specified dose on specified days

  • RelatlimabBiological

    Also called BMS-986016

    Specified dose on specified days

  • BMS-986205Biological

    Specified dose on specified days

  • RucaparibDrug

    Also called Rubraca

    Specified dose on specified days

Study groups in NCT02935634
Study groupRoleWhat they receive
Nivolumab + IpilimumabActive comparatorNot described
Receives: Biological: Nivolumab; Biological: Ipilimumab
Nivolumab + RelatlimabExperimentalNot described
Receives: Biological: Nivolumab; Biological: Relatlimab
Nivolumab + BMS-986205ExperimentalNot described
Receives: Biological: Nivolumab; Biological: BMS-986205
Nivolumab + RucaparibExperimentalNot described
Receives: Biological: Nivolumab; Drug: Rucaparib
Ipilimumab + RucaparibExperimentalNot described
Receives: Biological: Ipilimumab; Drug: Rucaparib
Nivolumab + Ipilimumab + RucaparibExperimentalNot described
Receives: Biological: Nivolumab; Biological: Ipilimumab; Drug: Rucaparib

What is being measured

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

  1. Objective Response Rate (ORR) by Investigator

    ORR is the percent of participants whose best overall response (BOR) is complete response (CR) or partial response (PR). BOR is the best response from the start of the study treatment until objectively documented progression per RECIST v1.1 or subsequent anticancer therapy, whichever occurs first. CR is the disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) have reduction in short axis to <10 mm. PR is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. The Response Evaluation Criteria in Solid Tumors (RECIST) is a standard way to measure the response of a tumor to treatment. CR+PR, confidence interval based on Clopper and Pearson method.

    Measured: From first dose of study treatment until progression or subsequent anticancer therapy, whichever occurs first (up to approximately 65 months)

  2. Median Duration of Response (DOR)

    Duration of Response (DOR) is the time between the date of first response and the date of first documented disease progression as determined by RECIST 1.1 or death due to any cause, whichever occurred first. Complete Response (CR) is the 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) is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Median computed using Kaplan -Meier method.

    Measured: From first dose to date of first documented tumor progression or death due to any cause, whichever occurred first (up to approximately 65 months)

  3. Kaplan-Meier Analysis of Progression Free Survival Rate (PFSR) at 24 Weeks

    The PFSR at 24 weeks is defined as the proportion of treated participants remaining progression free and surviving at 24 weeks since the first dosing date. Progressive Disease (PD) is at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Point estimates are derived from Kaplan-Meier analyses, the 95% CIs are derived from Greenwood formula.

    Measured: 24 weeks after first dose

Secondary outcomes (3)
  1. Number of Participants With AEs, SAEs, AEs Leading to Discontinuation, and Death

    An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. Serious Adverse Event (SAE) is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening (defined as an event in which the participant was at risk of death at the time of the event; it does not refer to an event which hypothetically might have caused death if it were more severe), requires inpatient hospitalization or causes prolongation of existing hospitalization.

    Measured: From first dose to 100 days after last dose of study therapy (assessed up to approximately 30 months)

  2. Number of Participants With Laboratory Abnormalities in Specific Thyroid Tests

    The number of participants with laboratory abnormalities in specific thyroid tests based on US conventional units. TSH = Thyroid Stimulating Hormone LLN = Lower Limit of Normal ULN = Upper Limit of Normal.

    Measured: From first dose to 100 days after last dose of study therapy (approximately 30 months)

  3. Number of Participants With Laboratory Abnormalities in Specific Liver Tests

    The number of participants with laboratory abnormalities in specific liver tests based on US conventional units. ALT = Alanine Aminotransferase AST = Aspartate Aminotransferase ULN = Upper Limit of Normal

    Measured: From first dose to 100 days after last dose of study therapy (approximately 30 months)

Timeline

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

  1. First posted17 Oct 2016 (estimated)
  2. Study start29 Nov 2016
  3. Primary completion11 May 2022
  4. Study completion11 May 2022

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
190 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02935634
Sponsor's protocol ID
CA018-003
Other IDs
2016-002807-24, 2016
Acronym
FRACTION-GC
Status last verified
May 2023
First submitted
14 Oct 2016
Last updated
9 Jun 2023
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Nivolumab, Ipilimumab and Relatlimab in people with Advanced Gastric Cancer, run by Bristol-Myers Squibb at 35 sites in 9 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 3 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 9 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 35 sites in United States, Canada, Australia, Germany, Israel and 4 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 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 9 Jun 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?

Objective Response Rate (ORR) by Investigator (time frame: From first dose of study treatment until progression or subsequent anticancer therapy, whichever occurs first (up to approximately 65 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?
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 9 Jun 2023.

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