MelanomaPhase 2NCT02156804
A Single-Arm, Open-Label, Multicenter Clinical Trial With Nivolumab (BMS-936558) for Subjects With Histologically Confirmed Stage III (Unresectable) or Stage IV Melanoma Progressing Post Prior Treatment Containing an Anti-CTLA4 Monoclonal Antibody (CheckMate 172)
A Phase 2 study testing Nivolumab (BMS-936558) in people with Melanoma, run by Bristol-Myers Squibb at 170 sites in 20 countries.
Trial summary
The purpose of this study is to determine the rate and frequency of high-grade (CTCAE v4.0 Grade 3 or higher), treatment-related, select adverse events in subjects with histologically confirmed stage III (unresectable) or stage IV melanoma and progression post prior treatment containing an anti-Cytotoxic T Lymphocyte… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Melanoma
- What is being tested?
- Nivolumab (BMS-936558)
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,009 participants
- Where
- 170 sitesin 20 countries
- Study dates
- 7 Oct 2014to 18 Jan 2019
- 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
- Subjects with histologically confirmed malignant melanoma
- Eastern Cooperative Oncology Group (ECOG) Performance Status (PS):
- PS 0 to 1
- PS 2
- Previously treated unresectable stage III or stage IV melanoma as per the American Joint Committee on Cancer 2010 Guidelines regardless of BRAF mutation status
- Subjects must have experienced evaluable Response Evaluation Criteria In Solid Tumors (RECIST 1.1)-defined disease progression
Show all 12Show fewer
- Prior treatment with chemotherapy, interferon (adjuvant setting), Interleukin (IL-2), BRAF/MEK inhibitors for subjects with known BRAF mutations, Mitogen-activated or extracellular signal- regulated protein kinase (MEK) inhibitors for Neuroblastoma Ras Viral (v-ras) oncogene homolog (NRAS) mutations, and cKIT inhibitor subjects with known cKIT mutations are allowed
- Patients with CNS metastases are eligible:
- if CNS metastases are treated, patients are asymptomatic or neurologically returned to baseline
- if they have previously untreated CNS metastases and are asymptomatic
- if they have leptomeningeal metastases, are treated and asymptomatic or neurologically returned to baseline with life expectancy > 3 months
- Patients with a known history of Grades 3-4 immune-related adverse reactions during/after anti-CTLA-4 therapy if all toxicities have resolved at least to Grade 1
Who cannot join
- Subjects with untreated, active Central Nervous System (CNS) metastases are excluded
Trial locations and contacts
170 sites in 20 countries.
170 sites in 20 countries
Germany41 sites
Local Institution
Augsburg, 86156
Local Institution
Bochum, 44791
Local Institution
Buxtehude, 21614
Local Institution
Chemnitz, 09117
Local Institution
Cologne, 50937
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Dessau, 06847
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Dresden, 01307
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Erfurt, 99089
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Erlangen, 91054
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Essen, 45 122
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Frankfurt am Main, 60590
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Freiburg im Breisgau, 79104
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Gera, 07548
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Giessen, 35385
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Göttingen, 37075
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Hamburg, 20253
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Hanover, 30625
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Heidelberg, 69120
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Heilbronn, 74078
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Jena, 07740
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Kassel, 34125
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Kiel, 24105
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Leipzig, 04103
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Lübeck, Schleswig-Holstein, 23538
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Ludwigshafen, 67063
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Magdeburg, 39120
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Mainz, 55131
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Marburg, 35043
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Minden, 32429
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München, 80337
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München, 81675
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Münster, 48149
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Münster, 48157
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Nuremberg, 90419
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Quedlinburg, 06484
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Recklinghausen, 45657
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Regensburg, 93053
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Schwerin, 19049
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Traunstein, 83278
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Tübingen, 72076
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Wurzbug, 97080
Spain21 sites
Local Institution
Albacete, 02006
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Barcelona, 08035
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Barcelona, 08036
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Barcelona, 08908
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Bilbao, 48013
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Donostia / San Sebastian, 20014
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Granada, 18014
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Las Palmas de Gran Canaria, 35016
Local Institution
Madrid, 28007
Local Institution
Madrid, 28041
Local Institution
Madrid, 28046
Hospital De Madrid, Norte Sanchinarro
Madrid, 28050
Local Institution
Málaga, 29010
Local Institution
Oviedo, 33011
Local Institution
Palma de Mallorca, 07010
Local Institution
Salamanca, 37007
Hospital Clinico Univ. de Santiago-CHUS
Santiago de Compostela, 15706
Local Institution
Seville, 41071
Local Institution
Toledo, 45071
Local Institution
Valencia, 46009
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Valencia, 46026
United Kingdom16 sites
Local Institution
Birmingham, B15 2TH
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Bristol, AVON, BS2 8ED
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Cambridge, CB2 0QQ
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Cottingham, HU16 5JQ
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Essex
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Glasgow, G12 0YN
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London, SE1 9RT
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Manchester, M20 4BX
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Metropolitan Borough of Wirral, CH63 4JY
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Newcastle upon Tyne, NE7 7DN
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Northwood, Middlesex, HA6 2RN
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Oxford, OX3 7LE
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Southampton, SO16 6YD
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Surrey, SM2 5PT
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Swansea, SA2 8QA
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Truro, TR1 3LJ
Italy15 sites
Local Institution
Bari, 70124
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Bergamo, 24127
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Genova, 16132
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Meldola (FC), 47014
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Milan, 20132
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Milan, 20133
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Milan, 20141
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Naples, 80131
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Padova, 35128
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Palermo, 90127
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Roma, 00144
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Roma, 00167
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Siena, 53100
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Terni, 05100
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Torino, 10137
Netherlands14 sites
Local Institution
Amsterdam, North Holland, 1081 HZ
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Amsterdam, 1066 CX
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Breda, 4918 EV
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Enschede, 7513 ER
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Groningen, 9713 GZ
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Leeuwarden, 8934 AD
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Leiden, 2300 RC
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Maastrict, 6229 HX
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Nijmegen, 6525 GA
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Rotterdam, 3075 EA
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Sittard-Geleen, 6162 BG
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Utrecht, 3584 CX
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Veldhoven, 5504 DB
Local Institution
Zwolle, 8025-AB
Belgium9 sites
Institut Jules Bordet
Brussels, 1000
Universitair Ziekenhuis Brussel
Brussels, 1090
Cliniques Universitaires Saint-Luc
Brussels, 1200
Local Institution
Edegem, 2650
Local Institution
Ghent, 9000
Local Institution
Hasselt, 3500
Az Groeninge
Kortrijk, 8500
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Leuven, 3000
Chu De Liege
Liège, 4000
Ireland7 sites
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Dublin, 4
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Dublin, 7
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Dublin, 8
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Dublin, 9
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Galway
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Waterford, 9026
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Wilton, CORK
Austria6 sites
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Graz, 8036
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Innsbruck, 6020
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Salzburg, 5020
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Sankt Pölten, 3100
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Vienna, 1030
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Wein, 1090
Hungary6 sites
Local Institution
Budapest, 1122
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Budapest, H-7085
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Debrecen, 4032
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Pécs, H-7632
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Szeged, H-6720
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Szombathely, 9700
Greece5 sites
Local Institution
Athens, 11527
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Athens, 18547
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Heraklion, Crete, 71201
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Thessaloniki, 54007
Local Institution
Thessaloniki, 57010
Switzerland5 sites
Local Institution
Aarau, 5001
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Basel, 4031
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Bellinzona, 6501
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Chur, 7000
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Zurich, 8091
Czechia4 sites
Local Institution
Brno, 656 53
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Hradec Králové, 500 05
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Prague, 100 34
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Prague, 120 28
Finland4 sites
Local Institution
Helsinki, 00290
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Jyväskylä, 40620
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Oulu, 90220
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Tampere, 33520
Poland4 sites
Local Institution
Bydgoszcz, 85-796
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Gdansk, 80-952
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Lodz, 93-513
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Warsaw, 02781
Norway3 sites
Local Institution
Ålesund, 6017
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Bergen, 5021
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Oslo, 0310
Russia3 sites
Local Institution
Moscow, 115478
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Saint Petersburg, 197022
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Saint Petersburg, 197758
Portugal2 sites
Local Institution
Lisbon, 1099-023
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Porto, 4200-072
Romania2 sites
Local Institution
Bucharest, 022328
Local Institution
Romania, 400015
About this study
Official title: A Single-Arm, Open-Label, Multicenter Clinical Trial With Nivolumab (BMS-936558) for Subjects With Histologically Confirmed Stage III (Unresectable) or Stage IV Melanoma Progressing Post Prior Treatment Containing an Anti-CTLA4 Monoclonal Antibody
The purpose of this study is to determine the rate and frequency of high-grade (CTCAE v4.0 Grade 3 or higher), treatment-related, select adverse events in subjects with histologically confirmed stage III (unresectable) or stage IV melanoma and progression post prior treatment containing an anti-Cytotoxic T Lymphocyte Antigen (CTLA-4) monoclonal antibody, treated with Nivolumab (BMS-936558) at a dose of 3 mg/kg every two weeks.
- Conditions
- Melanoma
- Being tested
- Nivolumab (BMS-936558)
- Medical subject headings
- Melanoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Nivolumab (BMS-936558)Drug
| Study group | Role | What they receive |
|---|---|---|
| Nivolumab (BMS-936558) | Experimental | Nivolumab (BMS-936558) Intravenous solution every 2 weeks Receives: Drug: Nivolumab (BMS-936558) |
What is being measured
The primary outcome is the main question the study is designed to answer.
the Incidence of Highgrade (CTCAE v4.0 Grade 3 or Higher), Treatment Related,Select Adverse Events.
The number of participants who reported high-grade (CTCAE v4.0 Grade 3 or higher), treatment-related, select AEs (pulmonary,gastrointestinal, skin, renal, hepatic, endocrine) were summarized using the all treated analysis set by system organ class and Medical Dictionary for Regulatory (MedDRA) preferred term.
Measured: Up to 2 years
Secondary outcomes (4)
The Incidence of All High-grade (Grades 3 and Higher), Select Adverse Events
The number of Participants who reported high-grade (CTCAE v4.0 Grade 3 or higher), select AEs were summarized using the all treated analysis set by system organ class and MedDRA preferred term.
Measured: Up to 2 years
Median Time to Onset (Grades 3-4) of Select Adverse Events
Select AEs were summarized according to their incidence as well as their time to onset.
Measured: Up to 2 years.
Median Time to Resolution (Grades 3-4) of Select Adverse Events
Select AEs were summarized according to their incidence as well as their time to resolution
Measured: Up to 2 years
Overall Survival
The time from first dosing date to the date of death.
Measured: Up to 4 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Jun 2014 (estimated)
- Study start7 Oct 2014
- Primary completion18 Jan 2019
- Study completion18 Jan 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for MelanomaStudies of the same condition, open and under way.
- More trials run by Bristol-Myers SquibbThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 1,009 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02156804
- Sponsor's protocol ID
- CA209-172
- Other IDs
- 2014-001286-28, 2014
- Status last verified
- Sep 2020
- First submitted
- 29 May 2014
- Last updated
- 11 Sep 2020
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Schadendorf D, Ascierto PA, Haanen J, Espinosa E, Demidov L, Garbe C, Guida M, Lorigan P, Chiarion-Sileni V, Gogas H, Maio M, Fierro MT, Hoeller C, Terheyden P, Gutzmer R, Guren TK, Bafaloukos D, Rutkowski P, Plummer R, Waterston A, Kaatz M, Mandala M, Marquez-Rodas I, Munoz-Couselo E, Dummer R, Grigoryeva E, Young TC, Nathan P. Safety and efficacy of nivolumab in challenging subgroups with advanced melanoma who progressed on or after ipilimumab treatment: A single-arm, open-label, phase II study (CheckMate 172). Eur J Cancer. 2019 Nov;121:144-153. doi: 10.1016/j.ejca.2019.08.014. Epub 2019 Sep 30.
PubMed 31581055Nathan P, Ascierto PA, Haanen J, Espinosa E, Demidov L, Garbe C, Guida M, Lorigan P, Chiarion-Sileni V, Gogas H, Maio M, Fierro MT, Hoeller C, Terheyden P, Gutzmer R, Guren TK, Bafaloukos D, Rutkowski P, Plummer R, Waterston A, Kaatz M, Mandala M, Marquez-Rodas I, Munoz-Couselo E, Dummer R, Grigoryeva E, Young TC, Schadendorf D. Safety and efficacy of nivolumab in patients with rare melanoma subtypes who progressed on or after ipilimumab treatment: a single-arm, open-label, phase II study (CheckMate 172). Eur J Cancer. 2019 Sep;119:168-178. doi: 10.1016/j.ejca.2019.07.010. Epub 2019 Aug 21.
PubMed 31445199
Study at a glance
From the registry record, last updated by the sponsor on 11 Sep 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Single-Arm, Open-Label, Multicenter Clinical Trial With Nivolumab (BMS-936558) for Subjects With Histologically Confirmed Stage III (Unresectable) or Stage IV Melanoma Progressing Post Prior Treatment Containing an Anti-CTLA4 Monoclonal Antibody
- ClinicalTrials.gov ID
- NCT02156804
- Acronym / sponsor ID
- CA209-172
- Conditions
- Melanoma
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,009 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- 7 Oct 2014 (actual)
- Primary completion
- 18 Jan 2019 (actual)
- Study completion
- 18 Jan 2019 (actual)
- First posted
- 5 Jun 2014 (estimated)
- Results
- Posted 20 Feb 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine the rate and frequency of high-grade (CTCAE v4.0 Grade 3 or higher), treatment-related, select adverse events in subjects with histologically confirmed stage III (unresectable) or stage IV melanoma and progression post prior treatment containing an anti-Cytotoxic T Lymphocyte Antigen (CTLA-4) monoclonal antibody, treated with Nivolumab (BMS-936558) at a dose of 3 mg/kg every two weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Nivolumab (BMS-936558) | Experimental | Drug: Nivolumab (BMS-936558)Nivolumab (BMS-936558) Intravenous solution every 2 weeks |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Subjects with histologically confirmed malignant melanoma
- Eastern Cooperative Oncology Group (ECOG) Performance Status (PS):
- Previously treated unresectable stage III or stage IV melanoma as per the American Joint Committee on Cancer 2010 Guidelines regardless of BRAF mutation status
- Subjects must have experienced evaluable Response Evaluation Criteria In Solid Tumors (RECIST 1.1)-defined disease progression
- Prior treatment with chemotherapy, interferon (adjuvant setting), Interleukin (IL-2), BRAF/MEK inhibitors for subjects with known BRAF mutations, Mitogen-activated or extracellular signal- regulated protein kinase (MEK) inhibitors for Neuroblastoma Ras Viral (v-ras) oncogene homolog (NRAS) mutations, and cKIT inhibitor subjects with known cKIT mutations are allowed
Key exclusion criteria (1 listed)
- Subjects with untreated, active Central Nervous System (CNS) metastases are excluded
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Nivolumab (BMS-936558) | Drug | Nivolumab (BMS-936558) |
Primary outcome
the Incidence of Highgrade (CTCAE v4.0 Grade 3 or Higher), Treatment Related,Select Adverse Events.
Time frame: Up to 2 years
The number of participants who reported high-grade (CTCAE v4.0 Grade 3 or higher), treatment-related, select AEs (pulmonary,gastrointestinal, skin, renal, hepatic, endocrine) were summarized using the all treated analysis set by system organ class and Medical Dictionary for Regulatory (MedDRA) preferred term.
4 secondary outcomes
The Incidence of All High-grade (Grades 3 and Higher), Select Adverse Events
Time frame: Up to 2 years
Median Time to Onset (Grades 3-4) of Select Adverse Events
Time frame: Up to 2 years.
Median Time to Resolution (Grades 3-4) of Select Adverse Events
Time frame: Up to 2 years
Overall Survival
Time frame: Up to 4 years
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Sep 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 31581055Schadendorf D, Ascierto PA, Haanen J, Espinosa E, Demidov L, Garbe C, Guida M, Lorigan P, Chiarion-Sileni V, Gogas H, Maio M, Fierro MT, Hoeller C, Terheyden P, Gutzmer R, Guren TK, Bafaloukos D, Rutkowski P, Plummer R, Waterston A, Kaatz M, Mandala M, Marquez-Rodas I, Munoz-Couselo E, Dummer R, Grigoryeva E, Young TC, Nathan P. Safety and efficacy of nivolumab in challenging subgroups with advanced melanoma who progressed on or after ipilimumab treatment: A single-arm, open-label, phase II study (CheckMate 172). Eur J Cancer. 2019 Nov;121:144-153. doi: 10.1016/j.ejca.2019.08.014. Epub 2019 Sep 30.
- Derived from this study: PubMed 31445199Nathan P, Ascierto PA, Haanen J, Espinosa E, Demidov L, Garbe C, Guida M, Lorigan P, Chiarion-Sileni V, Gogas H, Maio M, Fierro MT, Hoeller C, Terheyden P, Gutzmer R, Guren TK, Bafaloukos D, Rutkowski P, Plummer R, Waterston A, Kaatz M, Mandala M, Marquez-Rodas I, Munoz-Couselo E, Dummer R, Grigoryeva E, Young TC, Schadendorf D. Safety and efficacy of nivolumab in patients with rare melanoma subtypes who progressed on or after ipilimumab treatment: a single-arm, open-label, phase II study (CheckMate 172). Eur J Cancer. 2019 Sep;119:168-178. doi: 10.1016/j.ejca.2019.07.010. Epub 2019 Aug 21.
- BMS Clinical Trial InformationLink provided by the sponsor.
- BMS Clinical Trial Patient RecruitingLink provided by the sponsor.
- FDA Safety Alerts and RecallsLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
170 sites in 20 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Nivolumab (BMS-936558) in people with Melanoma, run by Bristol-Myers Squibb at 170 sites in 20 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 12 inclusion and 1 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 11 Sep 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 170 sites in Germany, Spain, United Kingdom, Italy, Netherlands and 15 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 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 20 Feb 2020). 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?
the Incidence of Highgrade (CTCAE v4.0 Grade 3 or Higher), Treatment Related,Select Adverse Events. (time frame: Up to 2 years). 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 NCT02156804, which also lists 2 linked publications.
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 11 Sep 2020.