E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Advanced Solid Tumors |
Tumori solidi in stadio avanzato |
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E.1.1.1 | Medical condition in easily understood language |
Advanced Solid Tumors |
Tumori solidi in stadio avanzato |
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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 | 10065252 |
E.1.2 | Term | Solid tumor |
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 |
To characterize the safety, tolerability, and DLTs and to determine the MTD/RP2D of BMS-986249 administered as monotherapy and in combination with nivolumab in participants with advanced solid tumors (Parts 1A and 1B). |
Caratterizzare la sicurezza, la tollerabilità e le DLT e determinare le MTD/RP2D di BMS-986249 somministrato in monoterapia e in combinazione con nivolumab in partecipanti affetti da tumori solidi in stadio avanzato (parti 1A e 1B). |
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E.2.2 | Secondary objectives of the trial |
To characterize the PK of BMS-986249 when administered alone and in combination with nivolumab; _To assess the preliminary efficacy of BMS-986249 alone and in combination with nivolumab in advanced solid tumors (Parts 1A and 1B) using RECIST v1.1 or PCWG3 (for prostate cancer). |
Caratterizzare la farmacocinetica di BMS-986249 quando somministrato da solo e in combinazione con nivolumab; valutare l’efficacia preliminare di BMS-986249 da solo e in combinazione con nivolumab in tumori solidi in stadio avanzato (parti 1A e 1B) utilizzando i criteri RECIST v1.1 oppure PCWG3 (per il cancro della prostata). |
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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 |
Pharmacogenetics Version: rev03 Date: 25/05/2018 Title: Phase 1/2 First-in-Human Study of BMS-986249 Alone and in Combination with Nivolumab in Advanced Solid Tumors – section 9.8.4 of protocol Objectives: Sample retention for additional research is mandatory for all participants, except where prohibited by local laws or regulations. All residual blood PK/ADA, biomarker and tumor biopsy samples will be stored for additional research.
Pharmacogenomics Version: rev03 Date: 25/05/2018 Title: Phase 1/2 First-in-Human Study of BMS-986249 Alone and in Combination with Nivolumab in Advanced Solid Tumors – section 9.8.4 of protocol Objectives: Sample retention for additional research is mandatory for all participants, except where prohibited by local laws or regulations. All residual blood PK/ADA, biomarker and tumor biopsy samples will be stored for additional research.
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Farmacogenetica Versione: rev03 Data: 25/05/2018 Titolo: Studio di fase 1/2 di BMS-986249, somministrato per la prima volta nell’uomo, da solo e in combinazione con Nivolumab in tumori solidi in stadio avanzato – sezione 9.8.4 del protocollo Obiettivi: La ricerca addizionale è obbligatoria per tutti i partecipanti, ad eccezione dove proibito dalle leggi e normative locali. Questo protocollo prevede lo stoccaggio del campione residuo per ulteriori ricerche. I campioni in oggetto sono campioni di sangue per PK/ADA, biomarcatori e tessuto tumorale.
Farmacogenomica Versione: rev03 Data: 25/05/2018 Titolo: Studio di fase 1/2 di BMS-986249, somministrato per la prima volta nell’uomo, da solo e in combinazione con Nivolumab in tumori solidi in stadio avanzato – sezione 9.8.4 del protocollo Obiettivi: La ricerca addizionale è obbligatoria per tutti i partecipanti, ad eccezione dove proibito dalle leggi e normative locali. Questo protocollo prevede lo stoccaggio del campione residuo per ulteriori ricerche. I campioni in oggetto sono campioni di sangue per PK/ADA, biomarcatori e tessuto tumorale.
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E.3 | Principal inclusion criteria |
_Participants must be at least 18 years old; _have histologic or cytologic confirmation of a solid tumor that is advanced (metastatic, recurrent, and/or unresectable) with measurable disease _Have at least 1 lesion accessible for biopsy; _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. |
• I partecipanti devono avere almeno 18 anni; • avere conferma istologica o citologica di tumore solido in stadio avanzato (metastatico, recidivo e/o inoperabile) con malattia misurabile • avere almeno una lesione accessibile per la biopsia • ECOG status pari a 0 oppure 1 • I partecipanti devono aver ricevuto, e dopo aver progredito, aver avuto una recidiva o essere risultati intolleranti, almeno un trattamento standard nel setting avanzato o metastatico in accordo alle istologie del tumore solido.
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E.4 | Principal exclusion criteria |
-Participants with primary CNS malignancies, tumors with CNS metastases as the only site of disease, active brain metastases, or leptomeningeal metastasis will be excluded; -Active, known, or suspected autoimmune disease; -Participants with other active malignancy requiring concurrent intervention. -Prior organ allograft. Other protocol defined exclusion criteria could apply. |
o Saranno esclusi partecipanti con tumori primari del SNC, con tumori con metastasi al SNC come unico sito di malattia, con metastasi cerebrali attive o con metastasi leptomeningee; o Malattia autoimmune attiva, nota o sospetta; o Partecipanti con altre neoplasie attive che richiedono interventi concomitanti. o Precedente allotrapianto di organo. Potrebbero essere applicati altri criteri di esclusione definiti dal protocollo. |
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E.5 End points |
E.5.1 | Primary end point(s) |
_Incidence of AEs, SAEs, AEs meeting protocol-defined DLT criteria, _AEs leading to discontinuation, death, and laboratory abnormalities |
Incidenza di AE, SAE, AE che corrispondono ai criteri definiti dal protocollo di DLT, AE che portano all’interruzione del trattamento, decesso, e anomalie di laboratorio |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Up to 4 years |
fino a 4 anni |
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E.5.2 | Secondary end point(s) |
_Summary measures of PK parameters of BMS-986249; _Summary measures of PK parameters of BMS-986249 in combination with nivolumab; _OOR, DOR, PFS, and TTR per RECIST v1.1 or PCWG3 (for prostate cancer); _Incidence of AEs, SAEs, death, laboratory abnormalities, AEs leading to discontinuation; _TTD. |
o Riassunto delle misure dei parametri PK di BMS-986249; o Riassunto delle misure dei parametri PK di BMS-986249 in combinazione con nivolumab; o OOR, DOR, PFS e TTR per RECIST v1.1 o PCWG3 (per cancro alla prostata); o Incidenza di eventi avversi, eventi avversi gravi, decesso, anomalie di laboratorio, eventi avversi che portano alla sospensione del trattamento; o TTD. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Up to 4 years |
Fino a 4 anni |
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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 | No |
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 | 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 | Yes |
E.8.1.1 | Randomised | Yes |
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 | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 7 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.4.1 | Number of sites anticipated in Member State concerned | 1 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 15 |
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 | Information not present in EudraCT |
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 |
United States |
Germany |
Italy |
Netherlands |
Spain |
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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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LVLS |
Ultima visita dell’ultimo soggetto |
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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 | 5 |
E.8.9.1 | In the Member State concerned months | 5 |
E.8.9.1 | In the Member State concerned days | 29 |
E.8.9.2 | In all countries concerned by the trial years | 6 |
E.8.9.2 | In all countries concerned by the trial months | 7 |
E.8.9.2 | In all countries concerned by the trial days | 10 |