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Advanced CancerPhase 1/2NCT03446040

An Investigational Immunotherapy Study of BMS-986258 Alone and in Combination With Nivolumab in Participants With Solid Cancers That Are Advanced or Have Spread

A Phase 1/2 study testing BMS-986258, Nivolumab and rHuPH20 in people with Advanced Cancer, run by Bristol-Myers Squibb at 16 sites in 4 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to determine whether BMS-986258 both monotherapy and in combination with Nivolumab is safe and tolerable in the treatment of advanced malignant tumors. 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?
BMS-986258, Nivolumab and rHuPH20
Could I receive a placebo?
No, everyone receives an active treatment
How many people
92 participants
Where
16 sitesin 4 countries
Study dates
8 Mar 2018to 29 Aug 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

  • Histologic confirmation of one of the 5 tumors [renal cell carcinoma (RCC), colorectal cancer (CRC), non-small cell lung cancer (NSCLC), squamous cell carcinoma of the head and neck (SCCHN), triple negative breast cancer (TNBC)] (metastatic, recurrent, and/or unresectable), with measurable disease per response evaluation criteria in solid tumors v1.1 (RECIST v1.1)
  • Eastern Cooperative Oncology Group Performance Status of 0 or 1
  • Participants must have received, and then progressed, relapsed, or been intolerant to, at least 1 standard treatment regimen in the advanced or metastatic setting according to solid tumor histologies
  • Women must agree to follow specific methods of contraception, if applicable

Who cannot join

  • Active, known or suspected autoimmune disease
  • Cytotoxic agents, unless at least 4 weeks have elapsed from last dose of prior anti-cancer therapy and initiation of study therapy
  • Other active malignancy requiring concurrent intervention
  • Other protocol-defined inclusion/exclusion criteria apply

Trial locations and contacts

16 sites in 4 countries.

16 sites in 4 countries

United States10 sites
  • Local Institution - 0018

    Ann Arbor, Michigan, 48109-5912

  • Local Institution - 0007

    Aurora, Colorado, 80045

  • Local Institution - 0016

    Cincinnati, Ohio, 45267

  • Local Institution - 0002

    Germantown, Tennessee, 38138

  • Local Institution - 0010

    Grand Rapids, Michigan, 49546

  • University Of Iowa Hospitals And Clinics

    Iowa City, Iowa, 52242

  • Local Institution - 0012

    Lebanon, New Hampshire, 03756

  • Local Institution - 0004

    Los Angeles, California, 90033

  • Local Institution - 0006

    Los Angeles, California, 90033

  • Local Institution - 0005

    Pittsburgh, Pennsylvania, 15232

Other trials in United States

Australia2 sites
  • Local Institution - 0015

    Melbourne, Victoria, 3084

  • Local Institution - 0013

    Westmead, New South Wales, 2145

Other trials in Australia

Canada2 sites
  • Local Institution - 0014

    Edmonton, Alberta, T6X 1E8

  • Local Institution - 0019

    Vancouver, British Columbia, V5Z 4E6

Other trials in Canada

Japan2 sites
  • Local Institution - 0008

    Chuo-ku, Tokyo, 1040045

  • Local Institution - 0009

    Kobe, Hyōgo, 6500017

Other trials in Japan

About this study

Official title: A Phase 1/2 First-in-Human Study of BMS-986258 Alone and in Combination With Nivolumab in Advanced Malignant Tumors

The purpose of this study is to determine whether BMS-986258 both monotherapy and in combination with Nivolumab is safe and tolerable in the treatment of advanced malignant tumors.

Conditions
Advanced Cancer
Being tested
BMS-986258, Nivolumab, rHuPH20

What participants receive

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

  • BMS-986258Biological

    Specified dose on specified days

  • NivolumabBiological

    Also called Opdivo, BMS-936558

    Specified dose on specified days

  • rHuPH20Drug

    Also called Enhanze

    Specified dose on specified days

Study groups in NCT03446040
Study groupRoleWhat they receive
Part A Dose Escalation: BMS-986258ExperimentalNot described
Receives: Biological: BMS-986258
Part A1: BMS-986258 + Recombinant human hyaluronidase PH20 (rHuPH20)ExperimentalNot described
Receives: Biological: BMS-986258; Drug: rHuPH20
Part B Dose Escalation: BMS-986258 + nivolumabExperimentalNot described
Receives: Biological: BMS-986258; Biological: Nivolumab
Part C Cohort Expansion: BMS-986258 + nivolumabExperimentalNot described
Receives: Biological: BMS-986258; Biological: Nivolumab

What is being measured

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

  1. Number of Participants With Adverse Events (AEs)

    An Adverse Event (AE) is any new untoward medical occurrence or worsening of a preexisting medical condition in a study participant administered study treatment and that does not necessarily have a causal relationship with this treatment. An AE can be any unfavorable and unintended sign (such as an abnormal laboratory finding), symptom, or disease temporally associated with the use of study treatment, whether or not considered related to the study treatment.

    A Serious Adverse Event (SAE) is 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)
    • Requires inpatient hospitalization or causes prolongation of existing hospitalization
    • Results in persistent or significant disability/incapacity
    • Is a congenital anomaly/birth defect.

    Measured: From first dose until 100 days after last dose of study therapy (up to approximately 78 weeks)

  2. Number of Participants Who Died During the Study

    The number of participants who died during the study.

    Measured: From first dose until death due to any cause (up to approximately 78 months)

  3. Number of Participants With Dose Limiting Toxicities (DLTs)

    Dose-limiting toxicity (DLT) refers to a side effect or adverse reaction caused by a drug that is severe enough to prevent an increase in dose or level of that drug. It is typically identified during clinical trials to determine the highest dose of a drug that can be given safely without causing unacceptable side effects.

    A participant was considered DLT evaluable if they received 1 dose of BMS-986258 in Part A or 1 dose of BMS-986258 and nivolumab 480mg in Part B and completed the DLT observation period.

    Participants who withdraw from the study during the 4-week DLT evaluation period for reasons other than a DLT may be replaced with a new participant at the same dose level.

    Measured: From first dose (Cycle 1 Day 1) until day 28 (Cycle 1 Day 28)

Secondary outcomes (9)
  1. Objective Response Rate (ORR)

    Objective response rate (ORR) is defined as the percent of treated participants whose best overall response (BOR) is either complete response (CR) or partial response (PR) per RECIST v1.1.

    Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters.

    Measured: From first dose until disease progression or death, whichever occurred first (up to approximately 78 months)

  2. Median Duration of Response (mDOR)

    Median duration of response (mDOR) for a participant with a best overall response (BOR) of complete response (CR) or partial response (PR) is defined as the time between the date of first response and the date of the first objectively documented disease progression (DP) per RECIST v1.1 or death, whichever occurred first.

    Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters.

    Disease Progression (DP): At least a 20% increase in the sum of the diameters of target lesions, with an absolute increase of at least 5 mm, or the appearance of new lesions.

    Based on Kaplan-Meier estimates.

    Measured: From first dose until disease progression or death whichever occurred first (up to approximately 78 months)

  3. Progression-Free Survival (PFS) Rate at 6, 9, and 12 Months

    Progression free survival (PFS) for a participant is defined as the time from the first dosing date to the date of first objectively documented disease progression or death due to any cause, whichever occurred first.

    Disease Progression (DP): At least a 20% increase in the sum of the diameters of target lesions, with an absolute increase of at least 5 mm, or the appearance of new lesions.

    Measured: At 6, 9, and 12 months after first dose

  4. Maximum Plasma Concentration (Cmax) of BMS-986258

    Cmax (Maximum Concentration) is the highest level of a drug in the blood after it has been taken. It shows the peak level of the drug, which helps in understanding how much of the drug is absorbed and how strong its effects might be.

    Measured: Part A and B: On Cycle 1 Day 1 and Cycle 3 Day 1 (1 cycle = 8 weeks); Part A1: On Cycle 1 Day 1 and Cycle 1 Day 29 (1 cycle = 8 weeks)

  5. Area Under the Curve From Time 0 to T (AUC(0-T)) of BMS-986258

    AUC (0-T) is the total exposure to the drug over a specific period; from the time you take it until a specified time.

    It helps in understanding the overall amount of drug that has been in your body over that time period.

    Measured: Part A and B: On Cycle 1 Day 1 and Cycle 3 Day 1 (1 cycle = 8 weeks); Part A1: On Cycle 1 Day 1 and Cycle 1 Day 29 (1 cycle = 8 weeks)

  6. Area Under the Curve Over the Dosing Interval AUC(TAU) of BMS-986258

    AUC(TAU) (Area Under the Curve over the Dosing Interval) is the total exposure to the drug over one complete dosing interval (the time between doses). It helps in understanding how much of the drug is in your body over the entire period between doses, which is important for determining the right dosing schedule.

    Measured: Part A and B: 0 to 28 days post-dose on Cycle 1 Day 1 and Cycle 3 Day 1 (1 cycle = 8 weeks); Part A1: 0 to 28 days post-dose on Cycle 1 Day 1 and Cycle 1 Day 29 (1 cycle = 8 weeks)

  7. Concentration at the End of the Dosing Interval (Ctau) of BMS-986258

    Ctau (Concentration at the End of the Dosing Interval) is the level of the drug in the blood just before the next dose is due. It shows how much of the drug remains in your body before taking the next dose, which helps in ensuring that the drug levels stay effective without dropping too low.

    Measured: Part A and B: On Cycle 1 Day 29 and Cycle 3 Day 29 (1 cycle = 8 weeks); Part A1: On Cycle 1 Day 29 and Cycle 2 Day 1 predose (1 cycle = 8 weeks)

  8. Time to Reach Maximum Concentration (Tmax) of BMS-986258

    Tmax (Time to Reach Maximum Concentration) is the time it takes for the drug to reach its highest level in the blood after taking it. It helps in understanding how quickly the drug starts to work and reaches its peak effect.

    Measured: Part A and B: On Cycle 1 Day 1 and Cycle 3 Day 1 (1 cycle = 8 weeks); Part A1: On Cycle 1 Day 1 and Cycle 1 Day 29 (1 cycle = 8 weeks)

  9. Number of Participants With Anti-Drug Antibodies to BMS-986258 or Nivolumab

    Baseline ADA-positive participant is defined as a participant who has an ADA-detected sample at baseline. ADA-positive participant is a participant with at least 1 ADA-positive sample relative to baseline after initiation of the treatment

    Measured: From first dose until 100 days after last dose of study therapy (up to approximately 78 weeks)

Timeline

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

  1. First posted26 Feb 2018
  2. Study start8 Mar 2018
  3. Primary completion29 Aug 2024
  4. Study completion29 Aug 2024

Why it stopped: Business objectives have changed

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
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
92 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03446040
Sponsor's protocol ID
CA031-002
Other IDs
2019-000442-35, 2019
Status last verified
Aug 2025
First submitted
21 Feb 2018
Last updated
18 Sep 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • El Halabi L, Adam J, Gravelle P, Marty V, Danu A, Lazarovici J, Ribrag V, Bosq J, Camara-Clayette V, Laurent C, Ghez D. Expression of the Immune Checkpoint Regulators LAG-3 and TIM-3 in Classical Hodgkin Lymphoma. Clin Lymphoma Myeloma Leuk. 2021 Apr;21(4):257-266.e3. doi: 10.1016/j.clml.2020.11.009. Epub 2020 Nov 12.

    PubMed 33277223

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing BMS-986258, Nivolumab and rHuPH20 in people with Advanced Cancer, run by Bristol-Myers Squibb at 16 sites in 4 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 4 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: stopped early, as of the sponsor's last update on 18 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in United States, Australia, Canada, Japan. 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 18 Sep 2025). 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 until 100 days after last dose of study therapy (up to approximately 78 weeks)). 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 NCT03446040, which also lists 1 linked publication.

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 18 Sep 2025.

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