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Neoplasms by SitePhase 1/2NCT03656718

A Study of Subcutaneous Nivolumab Monotherapy With or Without Recombinant Human Hyaluronidase PH20 (rHuPH20)

A Phase 1/2 study testing nivolumab and rHuPH20 in people with Neoplasms by Site, run by Bristol-Myers Squibb at 36 sites in 12 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 investigate the effects of nivolumab when given under the skin with or without rHuPH20. This study will include participants with 1 of the following advanced or metastatic tumors approved for treatment with nivolumab monotherapy: non-small cell lung cancer (NSCLC) renal cell carcinoma… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Neoplasms by Site
What is being tested?
nivolumab and rHuPH20
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
139 participants
Where
36 sitesin 12 countries
Study dates
29 Oct 2018to 12 Sep 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 or cytologic confirmation of advanced (metastatic and/or unresectable) solid tumors of one of the following tumor types:
  • Metastatic squamous or non-squamous NSCLC
  • RCC, advanced or metastatic
  • Melanoma
  • HCC
  • CRC, metastatic (MSI-H or dMMR)
Show all 10Show fewer
  • In Part B, other solid tumor types may be considered at the discretion of the Medical Monitor
  • In Part E, Metastatic urothelial carcinoma
  • Measurable disease as per RECIST version 1.1 criteria
  • ECOG performance status of 0 or 1

Who cannot join

  • Active brain metastases or leptomeningeal metastases
  • Ocular melanoma
  • Active, known, or suspected autoimmune disease
  • Other protocol defined inclusion/exclusion criteria apply

Trial locations and contacts

36 sites in 12 countries.

36 sites in 12 countries

United States10 sites
  • Winship Cancer Institute.

    Atlanta, Georgia, 30322

  • Local Institution - 0010

    Austin, Texas, 78705

  • Local Institution - 0009

    Beaumont, Texas, 77702-1449

  • Local Institution - 0001

    Charlotte, North Carolina, 28204

  • Local Institution - 0007

    Dallas, Texas, 75246

  • Local Institution - 0020

    Detroit, Michigan, 48201-2014

  • Local Institution - 0012

    Eugene, Oregon, 97401

  • Greenville Health System

    Greenville, South Carolina, 29605

  • Local Institution - 0024

    Rockville, Maryland, 20850

  • Local Institution - 0011

    Tyler, Texas, 75702

Other trials in United States

Mexico6 sites
  • Local Institution - 0050

    Mexico City, Mexico City, 03100

  • Local Institution - 0048

    Mexico City, Mexico City, 14080

  • Local Institution - 0046

    Monterrey, Nuevo León, 64710

  • Local Institution - 0047

    Monterrey, Nuevo León, 66460

  • Local Institution - 0049

    Puebla City, 72424

  • Local Institution - 0045

    Querétaro, 76000

Other trials in Mexico

New Zealand4 sites
  • Local Institution - 0014

    Dunedin, 9012

  • Local Institution - 0018

    Newtown, Wellington Region, 6021

  • Local Institution - 0040

    Rotorua, Bay of Plenty, 3046

  • Local Institution - 0015

    Tauranga, 3112

Other trials in New Zealand

Argentina2 sites
  • Local Institution - 0035

    CABA, 1199

  • Local Institution - 0025

    CABA, 1426

Other trials in Argentina

Brazil2 sites
  • Local Institution - 0038

    Porto Alegre, Rio Grande do Sul, 90610000

  • Local Institution - 0037

    São Paulo, 05651-901

Other trials in Brazil

France2 sites
  • Local Institution - 0022

    Saint-Herblain, 44805

  • Local Institution - 0021

    Villejuif, 94805

Other trials in France

Italy2 sites
  • Local Institution - 0004

    Padova, 35128

  • Local Institution - 0003

    Rozzano, MI, 20089

Other trials in Italy

Netherlands2 sites
  • Local Institution - 0026

    Amsterdam, North Holland, 1066 CX

  • Local Institution - 0039

    Maastricht, 6229 HX

Other trials in Netherlands

Spain2 sites
  • Local Institution - 0017

    Madrid, 28007

  • Local Institution - 0016

    Málaga, 29010

Other trials in Spain

United Kingdom2 sites
  • Local Institution - 0033

    Cardiff, Glamorgan, CF14 2TL

  • Local Institution - 0031

    Liverpool, L7 8YA

Other trials in United Kingdom

Chile1 site
  • Local Institution - 0005

    Santiago, 0

Other trials in Chile

Poland1 site
  • Local Institution - 0019

    Warsaw, Masovian Voivodeship, 02-781

Other trials in Poland

About this study

Official title: Phase I/II Pharmacokinetic Multi-Tumor Study of Subcutaneous Formulation of Nivolumab Monotherapy

The purpose of this study is to investigate the effects of nivolumab when given under the skin with or without rHuPH20.

This study will include participants with 1 of the following advanced or metastatic tumors approved for treatment with nivolumab monotherapy:

  • non-small cell lung cancer (NSCLC)
  • renal cell carcinoma (RCC)
  • unresectable or metastatic melanoma
  • hepatocellular carcinoma (HCC)
  • microsatellite instability-high or mismatch repair deficient colorectal cancer (MSI-H/dMMR CRC)
  • in Part B, other solid tumors may be considered at the discretion of the Clinical Trial Physician
  • In addition to the above tumors, Part E will also include participants with metastatic urothelial carcinoma (mUC).
Being tested
nivolumab, rHuPH20
Keywords
Subcutaneous, Nivolumab, rHuPH20
Medical subject headings
Neoplasms by Site

What participants receive

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

  • nivolumabBiological

    Also called Opdivo, BMS-986298

    (Subcutaneous) Specified dose on specified days

  • rHuPH20Drug

    Also called ENHANZE™ DP

    Specified dose on specified days Permeation enhancer

  • nivolumabBiological

    Also called BMS-936558

    (IV) Specified Dose on Specified Days

Study groups in NCT03656718
Study groupRoleWhat they receive
Part A, Group 1: nivolumab (dose 1) + rHuPH20ExperimentalNot described
Receives: Biological: nivolumab; Drug: rHuPH20
Part B, Group 3: nivolumab (dose 2) + rHuPH20ExperimentalNot described
Receives: Biological: nivolumab; Drug: rHuPH20
Part B, Group 2: nivolumab (dose 1)ExperimentalNot described
Receives: Biological: nivolumab
Part B, Group 4: nivolumab (dose 2)ExperimentalNot described
Receives: Biological: nivolumab
Part C: nivolumab (dose 3) + rHuPH20ExperimentalNot described
Receives: Biological: nivolumab; Drug: rHuPH20
Part D, Group 5: nivolumab (dose 3) + rHuPH20ExperimentalNot described
Receives: Biological: nivolumab; Drug: rHuPH20
Part E, Group 6: nivolumab (dose 4) coformulated with rHuPH20ExperimentalNot described
Receives: Biological: nivolumab; Drug: rHuPH20

What is being measured

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

  1. Maximum Observed Serum Nivolumab Concentration (Cmax) - Parts A, B, D, and E

    Cmax is the maximum observed serum nivolumab concentration. Collected for Arm A, B, and D on Cycle 1 Day 1, Cycle 1 Day 2, Cycle 1 Day 4, Cycle 1 Day 8, Cycle 1 Day 15, and Cycle 1 Day 21. Collected for Arm E on Cycle 1 Day 1, Cycle 1 Day 2, Cycle 1 Day 4, Cycle 1 Day 8, Cycle 1 Day 15.

    Measured: From first dose until approximately 21 days post first dose.

  2. Time Taken to Reach Cmax (Tmax) - Parts A, B, D, and E

    Tmax is the time taken to reach the maximum observed serum nivolumab concentration (Cmax). Collected for Arm A, B, and D on Cycle 1 Day 1, Cycle 1 Day 2, Cycle 1 Day 4, Cycle 1 Day 8, Cycle 1 Day 15, and Cycle 1 Day 21. Collected for Arm E on Cycle 1 Day 1, Cycle 1 Day 2, Cycle 1 Day 4, Cycle 1 Day 8, Cycle 1 Day 15.

    Measured: From first dose until approximately 21 days post first dose.

  3. Area Under the Time-Serum Nivolumab Concentration Curve (AUC (TAU)) - Parts A, B, D, and E

    AUC (TAU) is the area measured under the concentration-time curve taken over the dosing interval. Collected for Arm A, B, and D on Cycle 1 Day 1, Cycle 1 Day 2, Cycle 1 Day 4, Cycle 1 Day 8, Cycle 1 Day 15, and Cycle 1 Day 21. Collected for Arm E on Cycle 1 Day 1, Cycle 1 Day 2, Cycle 1 Day 4, Cycle 1 Day 8, Cycle 1 Day 15.

    Measured: From first dose until approximately 21 days post first dose.

  4. Observed Serum Nivolumab Concentration at the End of Dosing (Ctau) - Parts A, B, D, and E

    Ctau is the observed serum nivolumab concentration at the end of the dosing interval. Collected for Arma A, B, and D.

    Measured: At the end of dosing interval of Cycle 1 - first dose (Day 21 for Parts A, B and D; Day 15 for Part E)

  5. Lowest Observed Serum Nivolumab Concentration (Ctrough) During Part C - Part A and B Crossover Participants to Part C

    Ctrough assessed during Part C. Ctrough is the lowest observed serum nivolumab concentration.

    Measured: On Day 1 of Cycles 2, 3, 5, 9, 13, and 19 of Part C (Day 1 of Part C: up to 14 months from Baseline; each cycle was 28 days)

Secondary outcomes (9)
  1. Number of Participants Experiencing Adverse Events (AEs)

    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. An AE can therefore 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.

    Measured: From first dose until 100 days post last dose (up to approximately 70 months).

  2. Number of Participants Experiencing Treatment Related Adverse Events (TRAEs)

    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. An AE can therefore 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. TRAEs are AEs where a reasonable causal relationship exists between study treatment administration and the AE.

    Measured: From first dose until 100 days post last dose (up to approximately 70 months).

  3. Number of Participants Experiencing Serious Adverse Events (SAEs)

    A Serious Adverse Event (SAE) is defined as any untoward medical occurrence that, at any dose: (a) results in death, (b) 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), and/ or (c) requires inpatient hospitalization or causes prolongation of existing hospitalization.

    Measured: From first dose until 100 days post last dose (up to approximately 70 months).

  4. Number of Participants Experiencing Treatment Related Serious Adverse Events (TRSAEs)

    A Serious Adverse Event (SAE) is defined as any untoward medical occurrence that, at any dose: (a) results in death, (b) 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), and/ or (c) requires inpatient hospitalization or causes prolongation of existing hospitalization. TRSAEs are SAEs where a reasonable causal relationship exists between study treatment administration and the SAE.

    Measured: From first dose until 100 days post last dose (up to approximately 70 months).

  5. Number of Participants Experiencing Treatment Related Adverse Events (TRAEs) Leading to Discontinuation

    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. An AE can therefore 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. TRAEs are AEs where a reasonable causal relationship exists between study treatment administration and the AE.

    Measured: From first dose until 100 days post last dose (up to approximately 70 months).

  6. Number of Participants Who Died

    Number of participants who died due to any cause.

    Measured: From randomization until data cutoff (up to approximately 70 months).

  7. Number of Participants With Select Laboratory Changes From Baseline

    Laboratory parameters including hematology, chemistry, liver function, and renal function summarized using worst grade NCI CTCAE v.5 criteria. Baseline refers to evaluations with a date on or prior to the day of first dose of study treatment.

    Measured: From first dose until 30 days post last dose (up to approximately 67 months and 20 days).

  8. Number of Participants Experiencing Any Select Adverse Events Within the Hypersensitivity/Infusion Reaction Category and Broad Standardized MedDRA Query (SMQ) of Anaphylactic Reaction Occurring Within 2 Days of Study Drug Administration

    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. An AE can therefore 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.

    Measured: From first dose until 2 days post last dose (up to approximately 66 months and 22 days).

  9. Number of Participants With Anti-Nivolumab Antibodies (ADAs) and Neutralizing Antibodies

    Anti-drug antibody (ADA) Positive: 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; Neutralizing Positive: At least one ADA-positive sample with neutralizing antibodies detected post-baseline.

    Baseline ADA Positive: A participant with a baseline ADA-positive sample. Baseline refers to evaluations with a date on or prior to the day of first dose of study treatment.

    Measured: At baseline and up to 100 days post last dose (up to approximately 70 months).

Timeline

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

  1. First posted4 Sep 2018
  2. Study start29 Oct 2018
  3. Primary completion7 Sep 2022
  4. Study completion12 Sep 2024

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
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
139 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03656718
Sponsor's protocol ID
CA209-8KX
Other IDs
2018-001585-42, 2018
Status last verified
Oct 2025
First submitted
28 Aug 2018
Last updated
12 Nov 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Lonardi S, Lugowska I, O'Donnell A, Jackson C, Latten-Jansen LM, North R, Bahleda R, Garrido M, Santoro A, Chacon MR, Li L, Joseph D, Vezina HE, Aras U, Bennett B, Perumal D, Gurm B, Ng WT, Harvey RD, Trigo J, Calvo A. Pharmacokinetics and safety of subcutaneous nivolumab: results from the phase I/II CheckMate 8KX study. J Immunother Cancer. 2025 Oct 5;13(10):e011918. doi: 10.1136/jitc-2025-011918.

    PubMed 41052885

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing nivolumab and rHuPH20 in people with Neoplasms by Site, run by Bristol-Myers Squibb at 36 sites in 12 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 10 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 12 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 36 sites in United States, Mexico, New Zealand, Argentina, Brazil and 7 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 20 Feb 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?

Maximum Observed Serum Nivolumab Concentration (Cmax) - Parts A, B, D, and E (time frame: From first dose until approximately 21 days post first dose.). 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?

On the ClinicalTrials.gov record for NCT03656718, 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 12 Nov 2025.

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