Advanced CancerPhase 1/2NCT03098550
A Study to Test the Safety and Effectiveness of Nivolumab Combined With Daratumumab in Patients With Pancreatic, Non-Small Cell Lung or Triple Negative Breast Cancers, That Have Advanced or Have Spread
A Phase 1/2 study testing Nivolumab and Daratumumab in people with Advanced Cancer, run by Bristol-Myers Squibb at 20 sites in 9 countries.
Trial summary
The purpose of this study is to determine whether a combination of Nivolumab and Daratumumab is safe and effective when treating Pancreatic, Non-Small Cell Lung or Triple Negative Breast Cancers, that have advanced or have spread. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Advanced Cancer
- What is being tested?
- Nivolumab and Daratumumab
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 105 participants
- Where
- 20 sitesin 9 countries
- Study dates
- 15 Jun 2017to 6 Jul 2020
- 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 more information regarding Bristol-Myers Squibb Clinical Trial participation, please visit www.BMSStudyConnect.com
- Patients with metastatic or advanced solid tumors
- Women with histologically or cytologically confirmed triple negative breast carcinoma
- Participants with histologically or cytologically confirmed pancreatic adenocarcinoma
- Participants with histologically or cytologically confirmed Non Small Cell Lung Cancer (NSCLC)
Who cannot join
- Active brain metastases or leptomeningeal metastases.
- Any serious or uncontrolled medical disorder
- Prior malignancy active within the previous 3 years
- Other protocol defined inclusion/exclusion criteria could apply
Trial locations and contacts
20 sites in 9 countries.
20 sites in 9 countries
United States5 sites
University Of Michigan
Ann Arbor, Michigan, 48109
University Of Colorado
Aurora, Colorado, 80045
Pacific Shores Medical Group
Long Beach, California, 90813
Providence Portland Medical Center
Portland, Oregon, 97213
Moffitt Cancer Center
Tampa, Florida, 33612
France3 sites
Local Institution
Lyon, 69373
Local Institution
Marseille, 13273
Centre Paul Strauss
Strasbourg, 67085
Germany3 sites
Universitaetsklinikum Carl Gustav Carus
Dresden, 01307
Medizinische Universitaetsklinik Freiburg
Freiburg im Breisgau, 79106
Universitaetsklinik Heidelberg
Heidelberg, 69120
Italy2 sites
Local Institution
Milan, 20132
Istituto Nazionale Tumori Fondazione Pascale
Naples, 80131
Spain2 sites
Hospital Gral. Univ. Gregorio Maranon
Madrid, 28007
Local Institution
Majadahonda - Madrid, 28222
Switzerland2 sites
Klinik Fur Onkologie
Basel, 4031
University Hospital of Lausanne
Lausanne, 1011
About this study
Official title: Phase 1/2 Study to Evaluate the Safety and Preliminary Efficacy of Nivolumab Combined With Daratumumab in Participants With Advanced or Metastatic Solid Tumors
The purpose of this study is to determine whether a combination of Nivolumab and Daratumumab is safe and effective when treating Pancreatic, Non-Small Cell Lung or Triple Negative Breast Cancers, that have advanced or have spread.
- Conditions
- Advanced Cancer
- Being tested
- Nivolumab, Daratumumab
- Keywords
- Non-small cell lung cancer (NSCLC), Triple Negative Breast Cancer (TNBC), Pancreatic Cancer (PAC)
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung, Triple Negative Breast Neoplasms, Pancreatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
NivolumabBiological
Specified dose on specified days
DaratumumabBiological
Specified dose on specified days
| Study group | Role | What they receive |
|---|---|---|
| Immunotherapy Combination | Experimental | TNBC and PAC participants who are deriving clinical benefit will continue to be treated with the nivolumab plus daratumumab combination therapy Receives: Biological: Nivolumab; Biological: Daratumumab |
| Nivolumab Monotherapy | Experimental | NSCLC patients who are deriving clinical benefit will be treated with nivolumab monotherapy Receives: Biological: Nivolumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Adverse Events (AEs)
Number of participants with any grade of adverse events (AEs) graded by Common Terminology Criteria for Adverse Events (CTCAE v4.0) to determine the safety and tolerability of Nivolumab and Daratumumab
Measured: From first dose to 30 days post last dose (up to 34 months)
Number of Participants With Serious Adverse Events (SAEs)
Number of participants with any grade of serious adverse events (SAEs) graded by Common Terminology Criteria for Adverse Events (CTCAE v4.0) to determine the safety and tolerability of Nivolumab and Daratumumab
Measured: From first dose to 30 days post last dose (up to 34 months)
Number of Participants With Laboratory Abnormalities in Specific Liver Tests
Number of participants with laboratory abnormalities in specific liver tests based on US conventional units to determine the safety and tolerability of Nivolumab and Daratumumab. The number of participants with the following laboratory abnormalities from on-treatment evaluations will be summarized:
- ALT or AST > 3 x ULN, > 5 x ULN, > 10 x ULN and > 20 x ULN
- Total bilirubin > 2 x ULN
- ALP > 1.5 x ULN
- Concurrent (within 1 day) ALT or AST > 3 x ULN and total bilirubin > 1.5 x ULN
- Concurrent (within 30 days) ALT or AST > 3 x ULN and total bilirubin > 1.5 x ULN
- Concurrent (within 1 day) ALT or AST > 3 x ULN and total bilirubin > 2 x ULN
- Concurrent (within 30 days) ALT or AST > 3 x ULN and total bilirubin > 2 x ULN
Measured: From first dose to 30 days post last dose (up to 34 months)
Number of Participants With Laboratory Abnormalities in Specific Thyroid Tests
Number of participants with laboratory abnormalities in specific thyroid tests based on US conventional units to determine the safety and tolerability of Nivolumab and Daratumumab. The number of subjects with the following laboratory abnormalities from on-treatment evaluations will be summarized:
- TSH value > ULN and
- with baseline TSH value <= ULN
- with at least one FT3/FT4 test value < LLN within 2-week window after the abnormal TSH test
- with all FT3/FT4 test values >= LLN within 2-week window after the abnormal TSH test
- with FT3/FT4 missing within 2-week window after the abnormal TSH test.
- TSH < LLN and
- with baseline TSH value >= LLN
- with at least one FT3/FT4 test value > ULN within 2-week window after the abnormal TSH test
- with all FT3/FT4 test values <= ULN within 2-week window after the abnormal TSH test
- with FT3/FT4 missing within 2-week window after the abnormal TSH test
Measured: From first dose to 30 days post last dose (up to 34 months)
Number of Participants With Laboratory Results of Worst CTC Grade
Number of participants with laboratory test results of worst (CTC v4.0) grades 0-4 to determine the safety and tolerability of Nivolumab and Daratumumab
Measured: From first dose to 30 days post last dose (up to 34 months)
Secondary outcomes (7)
Objective Response Rate (ORR)
Objective response rate (ORR) is defined as the percentage of treated participants who achieve a best response of complete response (CR) or partial response (PR) based on investigator assessments (using RECIST v1.1 criteria)
Measured: Up to 36 months
Duration of Response (DOR)
Duration of response (DOR) is defined as the time between the date of first documented response (Complete response or partial response) to the date of the first documented tumor progression as determined by Investigator (per RECIST v1.1 criteria), or death due to any cause, whichever occurs first
Measured: Up to 36 months
Best Overall Response (BOR)
Best overall response (BOR) is defined as the best response, as determined by Investigator, recorded between the date of first dose and the date of objectively documented progression per RECIST v1.1 criteria or the date of subsequent therapy, whichever occurs first.
Measured: Up to 36 months
Progression Free Survival (PFS)
Progression Free Survival (PFS) is defined as the time between the date of treatment start day and the date of first documented tumor progression, based on Investigator assessments (per RECIST v1.1 criteria), or death due to any cause, whichever occurs first.
Measured: Up to 36 months
Nivolumab Serum Concentrations
Pharmacokinetics (PK) assessed using serum concentration data for Nivolumab
Measured: From day 1 to follow-up 2 (up to 36 months)
Daratumumab Serum Concentrations
Pharmacokinetics (PK) assessed using serum concentration data for Daratumumab
Measured: From day 1 to follow-up 2 (up to 36 months)
Percentage of Participants Anti Drug Antibody (ADA) by Positivity
Percentage of participants Anti Drug Antibody (ADA) to assess immunogenicity by ADA positive status and ADA negative status, relative to baseline. ADA positive is a participant with at least one ADA-positive sample relative to baseline (ADA negative at baseline or ADA titer to be at least 4-fold or greater (>=) than baseline positive titer) at any time after initiation of treatment. ADA Negative is a participant with no ADA-positive sample after initiation of treatment
Measured: Up to 36 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Mar 2017
- Study start15 Jun 2017
- Primary completion6 Jul 2020
- Study completion6 Jul 2020
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 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 1/2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 105 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Janssen Biotech, Inc.
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03098550
- Sponsor's protocol ID
- CA209-9GW
- Other IDs
- 2017-000367-33, 2017
- Status last verified
- Jul 2021
- First submitted
- 28 Mar 2017
- Last updated
- 23 Jul 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 23 Jul 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase 1/2 Study to Evaluate the Safety and Preliminary Efficacy of Nivolumab Combined With Daratumumab in Participants With Advanced or Metastatic Solid Tumors
- ClinicalTrials.gov ID
- NCT03098550
- Acronym / sponsor ID
- CA209-9GW
- Conditions
- Advanced Cancer
- Keywords
- Non-small cell lung cancer (NSCLC), Triple Negative Breast Cancer (TNBC), Pancreatic Cancer (PAC)
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 105 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Collaborators
- Janssen Biotech, Inc.
- Study start
- 15 Jun 2017 (actual)
- Primary completion
- 6 Jul 2020 (actual)
- Study completion
- 6 Jul 2020 (actual)
- First posted
- 31 Mar 2017 (actual)
- Results
- Posted 23 Jul 2021
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 determine whether a combination of Nivolumab and Daratumumab is safe and effective when treating Pancreatic, Non-Small Cell Lung or Triple Negative Breast Cancers, that have advanced or have spread.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Immunotherapy Combination | Experimental | Biological: Nivolumab, Biological: DaratumumabTNBC and PAC participants who are deriving clinical benefit will continue to be treated with the nivolumab plus daratumumab combination therapy |
| Nivolumab Monotherapy | Experimental | Biological: NivolumabNSCLC patients who are deriving clinical benefit will be treated with nivolumab monotherapy |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- For more information regarding Bristol-Myers Squibb Clinical Trial participation, please visit www.BMSStudyConnect.com
- Patients with metastatic or advanced solid tumors
- Women with histologically or cytologically confirmed triple negative breast carcinoma
- Participants with histologically or cytologically confirmed pancreatic adenocarcinoma
- Participants with histologically or cytologically confirmed Non Small Cell Lung Cancer (NSCLC)
Key exclusion criteria (4 listed)
- Active brain metastases or leptomeningeal metastases.
- Any serious or uncontrolled medical disorder
- Prior malignancy active within the previous 3 years
- Other protocol defined inclusion/exclusion criteria could 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 |
|---|---|---|
| NivolumabSpecified dose on specified days | Biological | Immunotherapy Combination, Nivolumab Monotherapy |
| DaratumumabSpecified dose on specified days | Biological | Immunotherapy Combination |
Primary outcome
Number of Participants With Adverse Events (AEs)
Time frame: From first dose to 30 days post last dose (up to 34 months)
Number of participants with any grade of adverse events (AEs) graded by Common Terminology Criteria for Adverse Events (CTCAE v4.0) to determine the safety and tolerability of Nivolumab and Daratumumab
Number of Participants With Serious Adverse Events (SAEs)
Time frame: From first dose to 30 days post last dose (up to 34 months)
Number of participants with any grade of serious adverse events (SAEs) graded by Common Terminology Criteria for Adverse Events (CTCAE v4.0) to determine the safety and tolerability of Nivolumab and Daratumumab
Number of Participants With Laboratory Abnormalities in Specific Liver Tests
Time frame: From first dose to 30 days post last dose (up to 34 months)
Number of participants with laboratory abnormalities in specific liver tests based on US conventional units to determine the safety and tolerability of Nivolumab and Daratumumab. The number of participants with the following laboratory abnormalities from on-treatment evaluations will be summarized: * ALT or AST > 3 x ULN, > 5 x ULN, > 10 x ULN and > 20 x ULN * Total bilirubin > 2 x ULN * ALP > 1.5 x ULN * Concurrent (within 1 day) ALT or AST > 3 x ULN and total bilirubin > 1.5 x ULN * Concurrent (within 30 days) ALT or AST > 3 x ULN and total bilirubin > 1.5 x ULN * Concurrent (within 1 day) ALT or AST > 3 x ULN and total bilirubin > 2 x ULN * Concurrent (within 30 days) ALT or AST > 3 x ULN and total bilirubin > 2 x ULN
Number of Participants With Laboratory Abnormalities in Specific Thyroid Tests
Time frame: From first dose to 30 days post last dose (up to 34 months)
Number of participants with laboratory abnormalities in specific thyroid tests based on US conventional units to determine the safety and tolerability of Nivolumab and Daratumumab. The number of subjects with the following laboratory abnormalities from on-treatment evaluations will be summarized: * TSH value > ULN and * with baseline TSH value <= ULN * with at least one FT3/FT4 test value < LLN within 2-week window after the abnormal TSH test * with all FT3/FT4 test values >= LLN within 2-week window after the abnormal TSH test * with FT3/FT4 missing within 2-week window after the abnormal TSH test. * TSH < LLN and * with baseline TSH value >= LLN * with at least one FT3/FT4 test value > ULN within 2-week window after the abnormal TSH test * with all FT3/FT4 test values <= ULN within 2-week window after the abnormal TSH test * with FT3/FT4 missing within 2-week window after the abnormal TSH test
Number of Participants With Laboratory Results of Worst CTC Grade
Time frame: From first dose to 30 days post last dose (up to 34 months)
Number of participants with laboratory test results of worst (CTC v4.0) grades 0-4 to determine the safety and tolerability of Nivolumab and Daratumumab
7 secondary outcomes
Objective Response Rate (ORR)
Time frame: Up to 36 months
Duration of Response (DOR)
Time frame: Up to 36 months
Best Overall Response (BOR)
Time frame: Up to 36 months
Progression Free Survival (PFS)
Time frame: Up to 36 months
Nivolumab Serum Concentrations
Time frame: From day 1 to follow-up 2 (up to 36 months)
Daratumumab Serum Concentrations
Time frame: From day 1 to follow-up 2 (up to 36 months)
Percentage of Participants Anti Drug Antibody (ADA) by Positivity
Time frame: Up to 36 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Jul 2021.
- 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.
- FDA Safety Alerts and RecallsLink provided by the sponsor.
- Individual participant dataSharing planned: No
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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
20 sites in 9 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing Nivolumab and Daratumumab in people with Advanced Cancer, run by Bristol-Myers Squibb at 20 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 5 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 23 Jul 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 20 sites in United States, France, Germany, Italy, Spain 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 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 23 Jul 2021). 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 Adverse Events (AEs) (time frame: From first dose to 30 days post last dose (up to 34 months)). The study lists 5 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 23 Jul 2021; AzTrials last refreshed its copy on 7 Nov 2026.