E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Diseases [C] - Cancer [C04] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10065147 |
E.1.2 | Term | Malignant solid tumor |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10017758 |
E.1.2 | Term | Gastric cancer |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10073071 |
E.1.2 | Term | Hepatocellular carcinoma |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10053571 |
E.1.2 | Term | Melanoma |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10061873 |
E.1.2 | Term | Non-small cell lung cancer |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10067821 |
E.1.2 | Term | Head and neck cancer |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10067946 |
E.1.2 | Term | Renal cell carcinoma |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10005003 |
E.1.2 | Term | Bladder cancer |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Part A+B+A1:to assess safety,tolerability,DLTs,MTD of BMS986016 alone &in combo with nivo (advanced solid tumors); to gather preliminary efficacy information of BMS986016 alone Part C:to further establish safety&tolerability of BMS986016 + nivo administered sequentially; to investigate the preliminary efficacy of BMS986016 in combo with nivo as measured by ORR, DCR,DOR (multiple tumor types) Part D: to assess safety&tolerability of more convenient dosing regimen;Part D1-Q2W: to demonstrate preliminary clinical evidence of the treatment effect,measured by ORR,as determined by BICR using RECIST v1.1 (advanced melanoma);Part D1-Q4W: to confirm with Q4W dosing of BMS986016 160 mg in combo with nivo480 mg,the safety&efficacy of the Q2W dosing of BMS986016 80 mg in combo with nivo 240mg (advanced melanoma) Part E: to demonstrate that 480 mg BMS986016 +480 mg nivo Q4W provides significantly greater clin benefit (increased ORR) vs 160mg BMS 986016+480 mg nivoQ4W dose (melanoma) |
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E.2.2 | Secondary objectives of the trial |
-To characterize PK of BMS986016 alone and with nivo -To investigate preliminary ORR and/or DCR of BMS986016 alone and with nivo in subjects with advanced solid tumors(A,B,Dose Esc) -To characterize immunogenicity of BMS986016 alone and with nivo -To assess effect of BMS986016 alone & with nivo on QTc(A,B) -To evaluate DOR, DCR, PFS rates at pre-specified time points based on BICR assessments using RECISTv1.1 in advanced melanoma subjects i)with, i)with a lack, i)regardless LAG-3 expression(D1, D2) -To evaluate ORR, DCR, DOR, PFS rates at pre-specified time points based on Investigator assessments using RECISTv1.1 in advanced melanoma subjects i)with, i)with a lack, i)regardless LAG-3 expression(D1,D2) -To assess the 1Y and 2Y landmark OS in advanced melanoma subjects(D1, D2) -To assess safety and tolerability of more convenient dosing regimen in advanced melanoma subjects(D2) -To evaluate clinical benefit of 480mg BMS986016 + 480mg nivo Q4W using DOR in melanoma subjects(E) |
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E.2.3 | Trial contains a sub-study | Yes |
E.2.3.1 | Full title, date and version of each sub-study and their related objectives |
For details, see protocol Section 5.7.11 Additional Research Collection |
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E.3 | Principal inclusion criteria |
•For Dose escalation: subjects with cervical, ovarian, bladder and CRC, head and neck, gastric and hepatocellular cancer naive to immuno-oncology agents; 1st line melanoma and 1st line/2nd line NSCLC; Renal Cell Carcinoma naive to IO; NSCLC progressing while on or after therapy with anti-PD1/anti-PDL-1 and melanoma subjects progressed while-on or after treatment with anti-PD1 or anti-PDL1 with or without anti-CTLA-4. •For Dose Expansion: all of the above in escalation except for cervical, ovarian and CRC •Progressed, or been intolerant to, at least one standard treatment regimen, except for subjects in 1st line cohorts. •ECOG performance status of 0 to 2 •At least 1 lesion with measurable disease at baseline •Availability of an existing tumor biopsy sample (and consent to allow pre-treatment tumor biopsy)
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E.4 | Principal exclusion criteria |
- Primary CNS tumors or solid tumors with CNS metastases as the only site of active disease - Autoimmune disease - Encephalitis, meningitis, or uncontrolled seizures in the year prior to informed consent - Uncontrolled CNS metastases |
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E.5 End points |
E.5.1 | Primary end point(s) |
- Proportion of subjects with Adverse Events (AEs) - Proportion of subjects with Serious Adverse Events (SAEs) - Proportion of Deaths - Proportion of subjects with laboratory abnormalities in blood - Proportion of subjects with laboratory abnormalities in blood serum - Proportion of subjects with laboratory abnormalities in urine - Objective response rate (ORR) - Disease control rate (DCR) - Duration of response (DOR) - Number of AEs in the Broad Scope MedDRA Anaphylactic Reaction SMQ - Proportion of subjects with AEs leading to discontinuation of treatment |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Approximately Up to 3 years Approximately Up to 3 years Approximately Up to 3 years Approximately Up to 3 years Approximately Up to 3 years Approximately Up to 3 years Approximately 3 years Approximately 3 years Approximately 3 years Approximately 3 years Approximately Up to 3 years
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E.5.2 | Secondary end point(s) |
- Maximum observed serum concentration (Cmax) of BMS-986016 administered both alone and in combination with nivolumab - Time of maximum observed serum concentration (Tmax) of BMS-986016 administered both alone and in combination with nivolumab - Trough observed serum concentration (Ctrough) of BMS-986016 administered both alone and in combination with nivolumab - Concentration at the end of a dosing interval (Ctau) [Eg: concentration at 336 hours] of BMS-986016 administered both alone and in combination with nivolumab - Area under the concentration-time curve in one dosing interval [AUC(TAU)] of BMS-986016 administered both alone and in combination with nivolumab - Total body clearance (CLT) of BMS-986016 administered both alone and in combination with nivolumab - Volume of distribution at steady state (Vss) of BMS-986016 administered both alone and in combination with nivolumab - Effective elimination half-life that explains the degree of AUC accumulation observed (T-HALFeff AUC) of BMS- 986016 administered both alone and in combination with nivolumab - Effective elimination half-life that explains the degree of Cmax accumulation observed (T-HALFeff Cmax) of BMS-986016 administered both alone and in combination with nivolumab - Accumulation index; ratio of AUC(TAU) at steady state to AUC(TAU) after the first dose (AI_AUC) of BMS-986016 administered both alone and in combination with nivolumab - Cmax accumulation index; ratio of Cmax at steady state to Cmax after the first dose (AI_Cmax) of BMS-986016 administered both alone and in combination with nivolumab - Ctau accumulation index; ratio of Ctau at steady state to Ctau after the first dose (AI_Ctau) of BMS-986016 administered both alone and in combination with nivolumab - Degree of fluctuation (DF) or fluctuation index ([Cmax - Ctau]/Css,avg]) of BMS-986016 administered both alone and in combination with nivolumab - Immunogenicity measured by anti-drug antibody (ADA) for BMS-986016 (all participants) and nivolumab - QTc interval from centrally read electrocardiograms (ECGs) - Best overall response (BOR) - Objective response rate (ORR) - Disease control rate (DCR) - Duration of response (DOR) - Progression-free survival (PFS) rates - Overall survival (OS) - Number of AEs in the Narrow Scope MedDRA Anaphylactic Reaction SMQ |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
- Approximately 2.3 years - Approximately 2.3 years - Approximately 2.3 years - Approximately 2.3 years - Approximately 2.3 years - Approximately 2.3 years - Approximately 2.3 years - Approximately 2.3 years - Approximately 2.3 years - Approximately 2.3 years - Approximately 2.3 years - Approximately 2.3 years - Approximately 2.3 years - Approximately 2.3 years - Approximately 2.3 years - Approximately 3 years - Approximately 3 years - Approximately 3 years - Approximately 3 years - Up to approximatively 3 years - Approximately 2 years - Approximately 3 years |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Yes |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | Yes |
E.7.1.3.1 | Other trial type description |
Dose Escalation and Cohort Expansion Study (Safety, Tolerability, and Efficacy) |
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E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | Yes |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
BMS-986016 alone and in combination with nivolumab to determine the safety,tolerability,DLT and MDT |
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E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 2 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 26 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Australia |
Canada |
Japan |
United States |
Austria |
Finland |
France |
Netherlands |
Spain |
Switzerland |
Germany |
Italy |
Denmark |
Norway |
United Kingdom |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 10 |
E.8.9.1 | In the Member State concerned months | 4 |
E.8.9.1 | In the Member State concerned days | 21 |
E.8.9.2 | In all countries concerned by the trial years | 12 |
E.8.9.2 | In all countries concerned by the trial months | 9 |
E.8.9.2 | In all countries concerned by the trial days | 20 |