E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Advanced Malignant Tumors |
Tumores malignos avanzados |
|
E.1.1.1 | Medical condition in easily understood language |
Advanced Malignant Tumors |
Tumores malignos avanzados |
|
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 | 19.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10048683 |
E.1.2 | Term | Advanced cancer |
E.1.2 | System Organ Class | 100000004864 |
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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 |
The primary objective is to determine the safety, tolerability, dose limiting toxicities (DLTs), and maximum tolerated dose (MTD)/maximum administered dose (MAD)/alternate dose of BMS-986205 administered as monotherapy and in combination with nivolumab in subjects with advanced malignant tumors. |
El objetivo principal es determinar la seguridad, tolerabilidad, toxicidades limitantes de la dosis (TLD) y dosis máxima tolerada (DMT)/dosis máxima administrada (DMA)/dosis alterna de BMS-986205 administrado en monoterapia y en combinación con nivolumab en sujetos con tumores malignos avanzados. |
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E.2.2 | Secondary objectives of the trial |
- To characterize the pharmacokinetics (PK) of BMS-986205 administered alone and in combination with nivolumab. - To characterize the pharmacodynamic activity of BMS-986205 administered alone and in combination with - nivolumab. - To characterize the immunogenicity of nivolumab when administered in combination with BMS-986205. - To investigate the preliminary anti-tumor activity of BMS-986205 administered in combination with nivolumab in advanced malignant tumors. |
- Caracterizar la farmacocinética (FC) de BMS-986205 administrado en monoterapia y en combinación con nivolumab. - Caracterizar la actividad farmacodinámica de BMS-986205 administrado en monoterapia y en combinación con nivolumab. - Caracterizar la inmunogenicidad de nivolumab cuando se administra en combinación con BMS-986205. - Investigar la actividad antitumoral preliminar de BMS-986205 administrado en combinación con nivolumab en tumores malignos avanzados. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
•Patients must have been diagnosed with cancer and had at least 1 prior standard treatment •Must be able to swallow pills or capsules •Eastern Cooperative Oncology Group(ECOG) Performance Status 0-1 |
- Los pacientes deben haber sido diagnosticados con cáncer y haber recibido anteriormente al menos 1 tratamiento estándar - Los pacientes deben ser capaces de tragar pastillas o cápsulas - Estado funcional ECOG (Eastern Cooperative Oncology Group) de 0 a 1. |
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E.4 | Principal exclusion criteria |
•Any prior ongoing clinical study with Nivolumab with overall survival as an endpoint •Requirement for daily supplemental oxygen •Myocardial infarction or stroke/transient ischemic attack within the past 6 months •Uncontrolled angina within the past 3 months •History of any chronic Hepatitis, active Hepatitis B or C, human immunodeficiency virus(HIV), or acquired immune deficiency syndrome(AIDS) |
- Cualquier ensayo clínico anterior en marcha con nivolumab con supervivencia global como un criterio de valoración - Necesidad de oxígeno suplementario diario - Infarto de miocardio o derrame cerebral/ataque isquémico transitorio en los 6 meses anteriores - Angina no controlada en los 3 meses anteriores - Historial de hepatitis crónica, hepatitis activa B o C, virus de la inmunodeficiencia humana (VIH) o síndrome de inmunodeficiencia adquirida (SIDA) |
|
E.5 End points |
E.5.1 | Primary end point(s) |
1/ Safety of BMS-986205 as measured by incidence of adverse events (AEs), serious adverse events (SAEs), AEs leading to discontinuation, deaths, and clinical laboratory test abnormalities.
2/ Safety of BMS-986205 plus nivolumab as measured by incidence of adverse events (AEs), serious adverse events (SAEs), AEs leading to discontinuation, deaths, and clinical laboratory test abnormalities. |
1/ La seguridad de BMS-986205 se medirá por la incidencia de acontecimientos adversos (AA), acontecimientos adversos graves (AAG), acontecimientos adversos que conduzcan a la suspensión, muertes y anomalías en las pruebas de laboratorio clínico. 2/ La seguridad de BMS-986205 más nivolumab se medirá por la incidencia de acontecimientos adversos (AA), acontecimientos adversos graves (AAG), acontecimientos adversos que conduzcan a la suspensión, muertes y anomalías en las pruebas de laboratorio clínico. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
1/ and 2/ 100 days after the last dose of study therapy |
1/ y 2/ 100 días después de la última dosis del tratamiento del estudio |
|
E.5.2 | Secondary end point(s) |
1/ Maximum observed plasma concentration (Cmax) of BMS-986205 2/ Time of maximum observed plasma concentration (Tmax) of BMS-986205 3/ Area under the concentration-time curve from time zero extrapolated to infinite time [AUC(INF)] of BMS-986205 4/ Area under the concentration-time curve from time zero to the time of the last quantifiable concentration [AUC(0-T)] of BMS-986205 5/ Area under the concentration-time curve in 1 dosing interval [AUC(TAU)] of BMS-986205 6/ Trough observed plasma concentration at the end of the dosing interval (Ctrough) of BMS-986205 7/ Observed plasma concentration at 24 hours (C24) of BMS-986205 8/ Apparent terminal phase half-life (T-HALF) of BMS-986205 9/ Apparent total body clearance (CLT/F) of BMS-986205 10/ Apparent renal clearance (CLR/F) of BMS-986205 11/ Volume of distribution of terminal phase (Vz/F) of BMS-986205 12/ Apparent volume of distribution at steady state (Vss/F) of BMS-986205 13/ Accumulation index (AI) of BMS-986205 14/ Percent urinary recovery (%UR) of BMS-986205 15/ Percent urinary recovery over 24 hours(%UR24) of BMS-986205 16/ Ratio of metabolite Cmax to parent Cmax, corrected for molecular weight (MR_Cmax) of BMS-986205 17/ Ratio of metabolite AUC(0-T) to parent AUC(0-T), corrected for molecular weight (single dose in clinical pharmacology substudy only) [MR_AUC(0-T)] of BMS-986205 18/ Ratio of metabolite AUC(TAU) to parent AUC(TAU), corrected for molecular weight [MR_AUC(TAU)] of BMS-986205 19/ Ratio of metabolite AUC(INF) to parent AUC(INF), corrected for molecular weight (single dose in clinical pharmacology substudy only) [MR_AUC(INF)] of BMS-986205 20/ Anti-drug antibody (ADA) response to Nivolumab in combination with BMS-986205 21/ Objective response rate (ORR) 22/ Progression free survival rate (PFSR) 23/ Duration of response(DOR) |
1/ Concentración plasmática máxima observada (Cmax) de BMS-986205 2/ Tiempo de la concentración plasmática máxima observada (Tmax) de BMS- 986205 3/ Área bajo la curva de concentración-tiempo desde el momento cero extrapolada hasta el tiempo infinito [AUC(INF)] de BMS-986205 4/ Área bajo la curva de concentración-tiempo desde el momento cero hasta el momento de la última concentración cuantificable [AUC(0-T)] de BMS-986205 5/ Área bajo la curva concentración-tiempo en un intervalo de dosis [AUC(TAU)] de BMS-986205 6/ Concentración plasmática observada en el valle al final del intervalo de administración (Cvalle) de BMS-986205 7/ Concentración plasmática observada a las 24 horas (C24) de BMS-986205 8/ Semivida de fase terminal aparente (T-MEDIO) de BMS-986205 9/ Aclaramiento corporal total aparente (AclT/F) de BMS-986205 10/ Aclaramiento renal aparente (AclR/F) de BMS-986205 11/ Volumen de distribución de la fase terminal (Vz/F) de BMS-986205 12/ Volumen de distribución aparente en el equilibrio (Veq/F) de BMS- 986205 13/ Índice de acumulación (AI) de BMS-986205 14/ Porcentaje de recuperación urinaria (%UR) de BMS-986205 15/ Porcentaje de recuperación urinaria a lo largo de 24 horas (%UR24) de BMS-986205 16/ Cociente de la Cmax del metabolito entre la Cmax del compuesto original, corregido por el peso molecular (MR_Cmax) de BMS-986205 17/ Cociente del AUC(0-T) del metabolito entre el AUC(0-T) del compuesto original, corregido por el peso molecular (dosis única en el subestudio de farmacología clínica solo) [MR_AUC(0-T)] de BMS-986205 18/ Cociente del AUC(TAU) del metabolito entre el AUC(TAU) del compuesto original, corregido por el peso molecular [MR_AUC(TAU)] de BMS-986205 19/ Cociente del AUC(INF) del metabolito entre el AUC(INF) del compuesto original, corregido por el peso molecular (dosis única en el subestudio de farmacología clínica solo) [MR_AUC(INF)] de BMS-986205 20/ Respuesta anticuerpo-antifármaco (ADA) a Nivolumab en combinación con BMS-986205 21/ Tasa de respuesta objetiva (TRO) 22/ Tasa de supervivencia libre de progresión (TSLP) 23/ Duración de la respuesta (DdR) |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Approximately 3 years |
Aproximadamente 3 años |
|
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 | No |
E.6.7 | Pharmacodynamic | No |
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 | Yes |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
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 | No |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Information not present in EudraCT |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Information not present in EudraCT |
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 | 3 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 23 |
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 | Yes |
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 |
France |
Germany |
Italy |
Netherlands |
Spain |
United States |
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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
|
LVLS |
Última visita del último paciente |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 3 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 28 |
E.8.9.2 | In all countries concerned by the trial years | 3 |
E.8.9.2 | In all countries concerned by the trial months | 8 |
E.8.9.2 | In all countries concerned by the trial days | 5 |