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NSCLCPhase 2NCT06094296

A Study of BMS-986315 and Nivolumab in Combination With Chemotherapy in Participants With First-line Stage IV or Recurrent Non-small Cell Lung Cancer (NSCLC)

A Phase 2 study testing BMS-986315, Nivolumab and Pemetrexed in people with NSCLC, run by Bristol-Myers Squibb at 8 sites in 2 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 evaluate the efficacy and safety of BMS-986315 plus nivolumab in combination with platinum-based doublet chemotherapy (PDCT) versus nivolumab in combination with PDCT in the first-line treatment of Stage IV or recurrent non-small cell lung cancer (NSCLC). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
NSCLC
What is being tested?
BMS-986315, Nivolumab and Pemetrexed
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1 participants
Where
8 sitesin 2 countries
Study dates
27 Nov 2023to 8 Aug 2024
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

  • Participants must have NSCLC with Stage IV or recurrent disease following multimodal therapy for locally advanced disease.
  • Study treatment must be first-line therapy for Stage IV or recurrent disease.
  • Participants in all parts of the study must have:
  • measurable disease per Response Evaluation Criteria in Solid Tumors version 1.1. (RECIST v1.1)
  • an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
  • a life expectancy of at least 3 months at the time of first dose

Who cannot join

  • Untreated symptomatic central nervous system metastases
  • Participants with epidermal growth factor receptor (EGFR)/ALK receptor tyrosine kinase (ALK)/ROS proto-oncogene 1 (ROS1)/neurotrophic tyrosine receptor kinase (NTRK)/MET proto-oncogene (MET)/B-Raf proto-oncogene (BRAF)/RET proto-oncogene (RET) mutations amenable to targeted therapies
  • Participants with any known medical condition that, in the investigator's opinion, would increase the risk associated with study participation or study drug administration or interfere with the interpretation of safety results
  • Note: Other protocol-defined inclusion/exclusion criteria apply.

Trial locations and contacts

8 sites in 2 countries.

8 sites in 2 countries

United States5 sites
  • Local Institution - 0058

    Boise, Idaho, 83706

  • Local Institution - 0044

    Clermont, Florida, 34711

  • Local Institution - 0038

    Glendale, California, 37219

  • Local Institution - 0049

    Houston, Texas, 77090

  • Local Institution - 0040

    Orange City, Florida, 32763

Other trials in United States

Australia3 sites
  • Local Institution - 0032

    Joondalup, Western Australia, 6027

  • Local Institution - 0013

    St Leonards, New South Wales, 2065

  • Local Institution - 0021

    Tweed Heads, New South Wales, 2485

Other trials in Australia

About this study

Official title: A Randomized, Double-blind, Phase 2 Study of BMS-986315 and Nivolumab in Combination With Chemotherapy Versus Nivolumab in Combination With Chemotherapy as First-line Treatment for Participants With Stage IV or Recurrent Non-small Cell Lung Cancer (NSCLC)

The purpose of this study is to evaluate the efficacy and safety of BMS-986315 plus nivolumab in combination with platinum-based doublet chemotherapy (PDCT) versus nivolumab in combination with PDCT in the first-line treatment of Stage IV or recurrent non-small cell lung cancer (NSCLC).

Conditions
NSCLC
Being tested
BMS-986315, Nivolumab, Pemetrexed, Cisplatin, Carboplatin
Keywords
Pharmacokinetics, BMS-986315, Nivolumab, Platinum doublet chemotherapy, NSCLC, Lung cancer
Medical subject headings
Lung Neoplasms

What participants receive

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

  • BMS-986315Drug

    Also called Anti-NKG2A

    Specified dose on specified days

  • NivolumabDrug

    Also called Opdivo, BMS-936558

    Specified dose on specified days

  • PemetrexedDrug

    Specified dose on specified days

  • CisplatinDrug

    Specified dose on specified days

  • CarboplatinDrug

    Specified dose on specified days

  • PaclitaxelDrug

    Specified dose on specified days

Study groups in NCT06094296
Study groupRoleWhat they receive
Part 1: BMS-986315 Dose Level (DL) 1 + Nivolumab + Histology-based PDCTExperimentalNot described
Receives: Drug: BMS-986315; Drug: Pemetrexed; Drug: Cisplatin; Drug: Carboplatin; Drug: Paclitaxel
Part 1: BMS-986315 DL 2 + Nivolumab + Histology-based PDCTExperimentalNot described
Receives: Drug: BMS-986315; Drug: Pemetrexed; Drug: Cisplatin; Drug: Carboplatin; Drug: Paclitaxel
Part 2: Nivolumab + Histology-based PDCTActive comparatorNot described
Receives: Drug: Nivolumab; Drug: Pemetrexed; Drug: Cisplatin; Drug: Carboplatin; Drug: Paclitaxel
Part 2: BMS-986315 DL 2 + Nivolumab + Histology-based PDCTExperimentalNot described
Receives: Drug: BMS-986315; Drug: Nivolumab; Drug: Pemetrexed; Drug: Cisplatin; Drug: Carboplatin; Drug: Paclitaxel
Part 2: BMS-986315 DL 1 + Nivolumab + Histology-based PDCTExperimentalNot described
Receives: Drug: BMS-986315; Drug: Nivolumab; Drug: Pemetrexed; Drug: Cisplatin; Drug: Carboplatin; Drug: Paclitaxel

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) for Part 1

    An adverse event (AE) is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition occurring in a clinical investigation participant after signing of informed consent, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (such as an abnormal laboratory test result), symptom, or disease temporally associated with the study intervention.

    Measured: From first dose through 100 days following last dose of study treatment (assessed for approximately 7 months)

  2. Number of Participants With Treatment Related Adverse Events (TRAEs) for Part 1

    An adverse event (AE) is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition occurring in a clinical investigation participant after signing of informed consent, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (such as an abnormal laboratory test result), symptom, or disease temporally associated with the study intervention.

    Measured: From first dose through 100 days following last dose of study treatment (assessed for approximately 7 months)

  3. Number of Participants With Serious Adverse Events (SAEs) for Part 1

    Serious Adverse Event (SAE) is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, and requires inpatient hospitalization or causes prolongation of existing hospitalization.

    Measured: From first dose through 100 days following last dose of study treatment (assessed for approximately 7 months)

  4. Number of Participants With Adverse Events (AEs) Meeting Protocol-defined Dose-limiting Toxicity (DLT) Criteria for Part 1

    Dose-Limiting Toxicities (DLTs) are treatment effects serious enough to prevent dose increase.

    Severity grades: 1=Mild, 2=Moderate, 3=Severe, 4=Life-threatening, 5=Death

    • Grade 2 uveitis or eye pain not improving or require systemic treatment
    • Grade 2 pneumonitis or interstitial lung disease >14 days
    • Grade ≥ 3 uveitis, episcleritis, iritis, pneumonitis, bronchospasm or neurologic toxicity
    • Grade 3 colitis not responding >48 hours
    • Hepatic abnormalities without liver metastases: serum transaminases (AST/ALT) >5x \& ≤ 8xULN for >2weeks, AST/ALT >8xULN regardless of duration, total bilirubin >3xULN, or concurrent AST/ALT >3xULN \& total bilirubin >2xULN
    • Hepatic abnormalities with liver metastases: AST/ALT >8x \& ≤10xULN for >2 weeks, AST/ALT >10xULN regardless of duration, total bilirubin > 3xULN, or concurrent AST/ALT >8xULN \& total bilirubin >2xULN
    • Grade 3 (hypersensitivity reaction not resolving to Grade 1 in 6 hours; fatigue >7 days; nausea, vomiting, or diarrhea >72 hours)

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

  5. Number of Participants With Adverse Events (AEs) Leading to Discontinuation for Part 1

    An adverse event (AE) is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition occurring in a clinical investigation participant after signing of informed consent, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (such as an abnormal laboratory test result), symptom, or disease temporally associated with the study intervention.

    Measured: From first dose through 100 days following last dose of study treatment (assessed for approximately 7 months)

  6. Number of Participants Who Died in Part 1

    Number of participants who died during the study

    Measured: From first dose through 100 days following last dose of study treatment (assessed for approximately 7 months)

  7. Objective Response Rate (ORR) for Part 2

    Objective response rate (ORR) is defined as the number of participants who achieve a best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR), based on blinded independent central review (BICR) assessments using Response Evaluation Criteria in Solid Tumors (RECIST 1.1), divided by the number of all randomized participants.

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

    No participants were enrolled in Part 2 due to the study termination; therefore, no data were collected for this endpoint.

    Measured: From randomization until the date of first objectively documented progression or start of subsequent therapy whichever occurred first (planned for up to approximately 5 years)

Secondary outcomes (14)
  1. Progression Free Survival (PFS) for Part 2

    Progression free survival is defined as the time between the date of randomization and the first date of documented progression, per blinded independent central review (BICR) assessments using Response Evaluation Criteria in Solid Tumors (RECIST 1.1), or death due to any cause, whichever occurs first.

    Progressive Disease (PD): At least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5mm (Note: The appearance of 1or more new lesions is also considered progression).

    No participants were enrolled in Part 2 due to the study's termination; therefore, no data were collected for this endpoint.

    Measured: From randomization until the date of first objectively documented progression or death due to any cause, whichever occurred first (planned for up to approximately 5 years)

  2. Number of Participants With Adverse Events (AEs) for Part 2

    An adverse event (AE) is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition occurring in a clinical investigation participant after signing of informed consent, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (such as an abnormal laboratory test result), symptom, or disease temporally associated with the study intervention.

    No participants were enrolled in Part 2 due to the study's termination; therefore, no data were collected for this endpoint.

    Measured: Up to 100 days after discontinuation of study treatment

  3. Number of Participants With Treatment Related Adverse Events (TRAEs) for Part 2

    An adverse event (AE) is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition occurring in a clinical investigation participant after signing of informed consent, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (such as an abnormal laboratory test result), symptom, or disease temporally associated with the study intervention.

    No participants were enrolled in Part 2 due to the study's termination; therefore, no data were collected for this endpoint.

    Measured: Up to 100 days after discontinuation of study treatment

  4. Number of Participants With Serious Adverse Events (SAEs) for Part 2

    Serious Adverse Event (SAE) is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, and requires inpatient hospitalization or causes prolongation of existing hospitalization.

    No participants were enrolled in Part 2 due to the study's termination; therefore, no data were collected for this endpoint.

    Measured: Up to 100 days after discontinuation of study treatment

  5. Number of Participants With Adverse Events (AEs) Meeting Protocol-defined Dose-limiting Toxicity (DLT) Criteria for Part 2

    Dose-Limiting Toxicities (DLTs) are treatment effects serious enough to prevent dose increase.

    Severity grades: 1=Mild, 2=Moderate, 3=Severe, 4=Life-threatening, 5=Death

    • Grade 2 uveitis or eye pain not improving or require systemic treatment
    • Grade 2 pneumonitis or interstitial lung disease >14 days
    • Grade ≥ 3 uveitis, episcleritis, iritis, pneumonitis, bronchospasm or neurologic toxicity
    • Grade 3 colitis not responding >48 hours
    • Hepatic abnormalities without liver metastases: serum transaminases (AST/ALT) >5x \& ≤ 8xULN for >2weeks, AST/ALT >8xULN regardless of duration, total bilirubin >3xULN, or concurrent AST/ALT >3xULN \& total bilirubin >2xULN
    • Hepatic abnormalities with liver metastases: AST/ALT >8x \& ≤10xULN for >2 weeks, AST/ALT >10xULN regardless of duration, total bilirubin > 3xULN, or concurrent AST/ALT >8xULN \& total bilirubin >2xULN
    • Grade 3 (hypersensitivity reaction not resolving to Grade 1 in 6 hours; fatigue >7 days; nausea, vomiting, or diarrhea >72 hours)

    Measured: Up to 100 days after discontinuation of study treatment

  6. Number of Participants With Adverse Events (AEs) Leading to Discontinuation for Part 2

    An adverse event (AE) is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition occurring in a clinical investigation participant after signing of informed consent, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (such as an abnormal laboratory test result), symptom, or disease temporally associated with the study intervention.

    No participants were enrolled in Part 2 due to the study's termination; therefore, no data were collected for this endpoint.

    Measured: Up to 100 days after discontinuation of study treatment

  7. Number of Participants Who Died in Part 2

    Number of participants who died during the study

    No participants were enrolled in Part 2 due to the study's termination; therefore, no data were collected for this endpoint.

    Measured: Up to 100 days after discontinuation of study treatment

  8. Duration of Response (DoR) for Part 2

    Duration of response is defined as the time between the date of first documented response (CR or PR) that is subsequently confirmed, to the date of the 1st objectively documented tumor progression as determined by BICR (per RECIST 1.1), or death due to any cause, whichever occurs first.

    Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10mm.

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

    Progressive Disease (PD): At least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5mm (Note: The appearance of 1or more new lesions is also considered progression).

    Measured: From randomization until the date of first objectively documented progression or death due to any cause, whichever occurred first (planned for up to approximately 5 years)

  9. Time to Objective Response (TTR) for Part 2

    Time to response (TTR) assessed by BICR is defined as the time between the date of randomization and the first confirmed documented response (CR or PR) per RECIST 1.1 criteria.

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

    No participants were enrolled in Part 2 due to the study's termination; therefore, no data were collected for this endpoint.

    Measured: From randomization until the date of first objectively documented progression or death due to any cause, whichever occurred first (planned for up to approximately 5 years)

  10. Disease Control Rate (DCR) for Part 2

    Disease control rate (DCR) is defined as the number of participants who achieve a BOR of confirmed CR, confirmed PR, or stable disease (SD), based on BICR assessments (using RECIST 1.1) divided by the number of all randomized participants.

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

    Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum diameters while on study.

    No participants were enrolled in Part 2 due to the study's termination; therefore, no data were collected for this endpoint.

    Measured: From randomization until the date of first objectively documented progression or death due to any cause, whichever occurred first (planned for up to approximately 5 years)

  11. Maximum Observed Serum Concentration (Cmax) for Part 2

    Cmax is the maximum observed serum concentration.

    No participants were enrolled in Part 2 due to the study's termination; therefore, no data were collected for this endpoint.

    Measured: Cycle 1 Day 1, Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 (Each Cycle is of 21 Days)

  12. Time of Maximum Observed Concentration (Tmax) for Part 2

    Tmax is the time of maximum observed serum concentration.

    No participants were enrolled in Part 2 due to the study's termination; therefore, no data were collected for this endpoint.

    Measured: C1D1, C1D2, C1D4, C1D8, C1D15, C2D1, C3D1, C4D1, C5D1, C5D2, C5D4, C5D8, C5D15, Day 1 of every 4 cycles from cycle 6 (up to 2 years); at 30 and 100 days post last dose (Each Cycle is of 21 Days)

  13. Area Under the Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration [AUC(0-T)] for Part 2

    AUC (0-T) is the area under the serum concentration-time curve from time zero to time of last quantifiable concentration.

    No participants were enrolled in Part 2 due to the study's termination; therefore, no data were collected for this endpoint.

    Measured: C1D1, C1D2, C1D4, C1D8, C1D15, C2D1, C3D1, C4D1, C5D1, C5D2, C5D4, C5D8, C5D15, Day 1 of every 4 cycles from cycle 6 (up to 2 years); at 30 and 100 days post last dose (Each Cycle is of 21 Days)

  14. Number of Participants With Anti-drug Antibodies (ADA) to BMS-986315 for Part 2

    Number of Participants with Anti-drug Antibodies (ADA) to BMS-986315

    No participants were enrolled in Part 2 due to the study's termination; therefore, no data were collected for this endpoint.

    Measured: Cycle 1 Day 1, Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1, Day 1 of every 4 cycles from cycle 6 (up to 2 years); at 30 and 100 days post last dose (Each Cycle is of 21 Days)

Timeline

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

  1. First posted23 Oct 2023
  2. Study start27 Nov 2023
  3. Primary completion8 Aug 2024
  4. Study completion8 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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
1 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06094296
Sponsor's protocol ID
CA047-1009
Other IDs
2022-503007-22, U1111-1282-5699
Status last verified
Mar 2025
First submitted
17 Oct 2023
Last updated
16 Apr 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: BMS will provide access to individual anonymized participant data upon request from qualified researchers, and subject to certain criteria. Additional information regarding Bristol Myers Squibb's data sharing policy and process can be found at: https://www.bms.com/researchers-and-partners/clinical-trials-and-research/disclosure-commitment.html

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing BMS-986315, Nivolumab and Pemetrexed in people with NSCLC, run by Bristol-Myers Squibb at 8 sites in 2 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 6 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 16 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in United States, Australia. 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 16 Apr 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) for Part 1 (time frame: From first dose through 100 days following last dose of study treatment (assessed for approximately 7 months)). The study lists 7 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 16 Apr 2025.

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