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.
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
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
Australia3 sites
Local Institution - 0033
Heidelberg, Victoria, 3084
Local Institution
Randwick, 2031
Local Institution - 0035
Westmead, New South Wales, 2145
Germany2 sites
Local Institution - 0039
Heidelberg, 69120
Local Institution - 0043
Leipzig, 04103
Israel2 sites
Local Institution
Ramat Gan, 52621
Local Institution
Tel Aviv, 64239
Italy2 sites
Local Institution - 0014
Milan, Lombardy, 20141
IRCCS Istituto Nazionale Tumori Milano
Milan, 20133
Netherlands2 sites
Local Institution
Amsterdam, 1081 HV
Local Institution
Utrecht, 3584 CX
Switzerland2 sites
Local Institution - 0041
Chur, Graubünden (de), 7000
Local Institution - 0042
Zurich, 8091
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.
- Conditions
- 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 group | Role | What they receive |
|---|---|---|
| Nivolumab + Ipilimumab | Active comparator | Not described Receives: Biological: Nivolumab; Biological: Ipilimumab |
| Nivolumab + Relatlimab | Experimental | Not described Receives: Biological: Nivolumab; Biological: Relatlimab |
| Nivolumab + BMS-986205 | Experimental | Not described Receives: Biological: Nivolumab; Biological: BMS-986205 |
| Nivolumab + Rucaparib | Experimental | Not described Receives: Biological: Nivolumab; Drug: Rucaparib |
| Ipilimumab + Rucaparib | Experimental | Not described Receives: Biological: Ipilimumab; Drug: Rucaparib |
| Nivolumab + Ipilimumab + Rucaparib | Experimental | Not 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.
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)
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)
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)
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)
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)
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.
- First posted17 Oct 2016 (estimated)
- Study start29 Nov 2016
- Primary completion11 May 2022
- Study completion11 May 2022
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.
- Other trials for Advanced Gastric CancerStudies 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 190 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Clovis Oncology, Inc.
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
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
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 9 Jun 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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)
- ClinicalTrials.gov ID
- NCT02935634
- Acronym / sponsor ID
- FRACTION-GC / CA018-003
- Conditions
- Advanced Gastric Cancer
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 190 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Collaborators
- Clovis Oncology, Inc.
- Study start
- 29 Nov 2016 (actual)
- Primary completion
- 11 May 2022 (actual)
- Study completion
- 11 May 2022 (actual)
- First posted
- 17 Oct 2016 (estimated)
- Results
- Posted 9 Jun 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 preliminary efficacy, safety, and tolerability of Nivolumab in combination with Ipilimumab or other treatment therapies in participants with advanced gastric cancer.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| Nivolumab + Ipilimumab | Active comparator | Biological: Nivolumab, Biological: Ipilimumab |
| Nivolumab + Relatlimab | Experimental | Biological: Nivolumab, Biological: Relatlimab |
| Nivolumab + BMS-986205 | Experimental | Biological: Nivolumab, Biological: BMS-986205 |
| Nivolumab + Rucaparib | Experimental | Biological: Nivolumab, Drug: Rucaparib |
| Ipilimumab + Rucaparib | Experimental | Biological: Ipilimumab, Drug: Rucaparib |
| Nivolumab + Ipilimumab + Rucaparib | Experimental | Biological: Nivolumab, Biological: Ipilimumab, Drug: Rucaparib |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- 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
Key exclusion criteria (5 listed)
- 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
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 |
|---|---|---|
| NivolumabAlso: Opdivo, BMS-936558Specified dose on specified days | Biological | Nivolumab + BMS-986205, Nivolumab + Ipilimumab, Nivolumab + Ipilimumab + Rucaparib, Nivolumab + Relatlimab, Nivolumab + Rucaparib |
| IpilimumabAlso: Yervoy, BMS-734016Specified dose on specified days | Biological | Ipilimumab + Rucaparib, Nivolumab + Ipilimumab, Nivolumab + Ipilimumab + Rucaparib |
| RelatlimabAlso: BMS-986016Specified dose on specified days | Biological | Nivolumab + Relatlimab |
| BMS-986205Specified dose on specified days | Biological | Nivolumab + BMS-986205 |
| RucaparibAlso: RubracaSpecified dose on specified days | Drug | Ipilimumab + Rucaparib, Nivolumab + Ipilimumab + Rucaparib, Nivolumab + Rucaparib |
Primary outcome
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)
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.
Median Duration of Response (DOR)
Time frame: From first dose to date of first documented tumor progression or death due to any cause, whichever occurred first (up to approximately 65 months)
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.
Kaplan-Meier Analysis of Progression Free Survival Rate (PFSR) at 24 Weeks
Time frame: 24 weeks after first dose
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.
3 secondary outcomes
Number of Participants With AEs, SAEs, AEs Leading to Discontinuation, and Death
Time frame: From first dose to 100 days after last dose of study therapy (assessed up to approximately 30 months)
Number of Participants With Laboratory Abnormalities in Specific Thyroid Tests
Time frame: From first dose to 100 days after last dose of study therapy (approximately 30 months)
Number of Participants With Laboratory Abnormalities in Specific Liver Tests
Time frame: From first dose to 100 days after last dose of study therapy (approximately 30 months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Jun 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- 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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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
35 sites in 9 countries: see every site and its status.
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.