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Various Advanced CancerPhase 2NCT02387996

A Study of Nivolumab in Participants With Metastatic or Unresectable Bladder Cancer

A Phase 2 study testing Nivolumab in people with Various Advanced Cancer, run by Bristol-Myers Squibb at 67 sites in 11 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose the study is to measure the effect of nivolumab (BMS-936558) in reducing tumor size in subjects with metastatic or unresectable bladder cancer. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Various Advanced Cancer
What is being tested?
Nivolumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
270 participants
Where
67 sitesin 11 countries
Study dates
9 Mar 2015to 12 Nov 2021
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

  • Evidence of metastatic or surgically unresectable transitional cell carcinoma of the urothelium involving the bladder,urethra,ureter or renal pelvis
  • Measurable disease by CT or MRI
  • Progression or recurrence after treatment
  • i) With at least 1 platinum-containing chemotherapy regimen for metastatic or surgically unresectable locally advanced urothelial cancer, or
  • ii) Within 12 months of peri-operative (neo-adjuvant or adjuvant) treatment with a platinum agent in the setting of cystectomy for localized muscle-invasive urothelial cancer
  • Subject that have received more than 2 prior lines of chemotherapy must not have liver metastases
  • Tumor tissues (archived or new biopsy) must be provided for biomarker analysis
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 or 1

Who cannot join

  • Subjects with active cancer that has spread to the central nervous system
  • Prior malignancy active within the previous 3 years except for locally curable cancers that have been apparently cured
  • Subject with active, known or suspected autoimmune disease
  • Subjects with a condition requiring systemic treatment with either corticosteroids (>10 mg daily prednisone equivalents) or other immunosuppressive medications within 14 day of study drug administration
  • Prior treatment with an anti-PD-1,anti-PD-L1,anti-PD-L2,anti-cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) antibody, anti-CD137 or any other antibody or drug specifically targeting T-cell co-stimulation or immune checkpoint pathways
  • Positive test for hepatitis B virus surface antigen (HBV s Ag) or hepatitis C virus ribonucleic acid (HCV antibody) indicating acute or chronic infection
  • Known history of testing positive for human Immunodeficiency virus (HIV) or known acquired Immunodeficiency syndrome (AIDS)
  • Other protocol-defined inclusion/exclusion criteria apply

Trial locations and contacts

67 sites in 11 countries.

67 sites in 11 countries

United States19 sites
  • University Cancer Blood Ctr

    Athens, Georgia, 30607

  • Local Institution - 0016

    Aurora, Colorado, 80045

  • Local Institution - 0004

    Charlotte, North Carolina, 28204

  • Erlanger Oncology & Hematology - Univ. of TN

    Chattanooga, Tennessee, 37404

  • Karmanos Cancer Institute

    Detroit, Michigan, 48201-2014

  • Local Institution - 0012

    Duarte, California, 91010-3000

  • Ft. Wayne Med Onco-Hema Inc

    Fort Wayne, Indiana, 46804

  • Local Institution - 0001

    Houston, Texas, 77030

  • Local Institution - 0030

    Indianapolis, Indiana, 46202

  • Local Institution - 0052

    Iowa City, Iowa, 55242

  • Crescent City Research Consortium, LLC

    Marrero, Louisiana, 70072

  • Local Institution - 0028

    New York, New York, 10029

  • GU Research Network, LLC

    Omaha, Nebraska, 68130

  • Local Institution - 0029

    Philadelphia, Pennsylvania, 19111-2412

  • Local Institution - 0013

    Phoenix, Arizona, 85054

  • Local Institution - 0059

    Pittsburgh, Pennsylvania, 15212-0000

  • Local Institution - 0051

    Portland, Oregon, 97213

  • Pacific Hematology Oncology Associates

    San Francisco, California, 94115

  • Local Institution - 0036

    Seattle, Washington, 98101

Other trials in United States

Japan14 sites
  • Local Institution - 0074

    Akita, Akita, 0108543

  • Local Institution - 0085

    Bunkyo-ku, Tokyo, 1138431

  • Local Institution - 0073

    Bunkyo-ku, Tokyo, 1138603

  • Local Institution - 0077

    Bunkyo-ku, Tokyo, 1138655

  • Local Institution - 0083

    Hirosaki-shi, Aomori, 036-8563

  • Local Institution - 0080

    Kumamoto, Kumamoto, 8608556

  • Local Institution - 0082

    Kyoto, Kyoto, 602-8566

  • Local Institution - 0078

    Morioka, Iwate, 0208505

  • Local Institution - 0076

    Niigata, Niigata, 9518520

  • Local Institution - 0084

    Osaka-Sayama-Shi, Osaka, 5898511

  • Local Institution - 0086

    Shinjuku-ku, Tokyo, 160-8582

  • Local Institution - 0075

    Shinjuku-ku, Tokyo, 1628666

  • Local Institution - 0081

    Tsukuba, Ibaraki, 3058576

  • Local Institution

    Yokohama, Kanagawa, 2360004

Other trials in Japan

Germany8 sites
  • Local Institution - 0049

    Erfurt, 99028

  • Local Institution - 0047

    Erlangen, 91054

  • Local Institution - 0042

    Hamburg, 20246

  • Local Institution - 0043

    Heidelberg, 69120

  • Local Institution - 0015

    Jena, 07747

  • Local Institution - 0041

    München, 81675

  • Local Institution

    Rostock, 18107

  • Local Institution - 0048

    Tübingen, 72076

Other trials in Germany

Italy5 sites
  • Local Institution - 0017

    Arezzo, 52100

  • Local Institution - 0020

    Milan, 20133

  • Local Institution - 0018

    Naples, 80131

  • Local Institution - 0050

    Pavia, 27100

  • Local Institution - 0021

    Roma, 00149

Other trials in Italy

Poland5 sites
  • Local Institution

    Gdansk, 80-219

  • Local Institution - 0046

    Krakow, 31-531

  • Local Institution - 0040

    Lodz, 93-513

  • Local Institution - 0056

    Szczecin, 71-730

  • Local Institution - 0038

    Wroclaw, 50-556

Other trials in Poland

Spain5 sites
  • Local Institution - 0035

    Badalona-barcelona, 08916

  • Local Institution - 0033

    Barcelona, 08035

  • Local Institution - 0034

    Hospitalet de Llobregat - Barcelona, 08908

  • Local Institution - 0031

    Madrid, 28007

  • Local Institution - 0032

    Seville, 41013

Other trials in Spain

Belgium3 sites
  • Local Institution - 0022

    Brussels, 1090

  • Local Institution - 0023

    Edegem, 2650

  • Local Institution - 0024

    Hasselt, 3500

Other trials in Belgium

Czechia3 sites
  • Local Institution - 0027

    Brno, 656 53

  • Local Institution - 0026

    Olomouc, 779 00

  • Local Institution

    Prague, 150 06

Other trials in Czechia

Australia2 sites
  • Local Institution - 0070

    Elizabeth Vale, South Australia, 5112

  • Local Institution - 0060

    Waratah, New South Wales, 2298

Other trials in Australia

Finland2 sites
  • Local Institution - 0010

    Helsinki, 00029

  • Local Institution - 0009

    Tampere, 33521

Other trials in Finland

Sweden1 site
  • Local Institution - 0014

    Lund, 221 85

Other trials in Sweden

About this study

Official title: A Phase II Single Arm Clinical Trial of Nivolumab (BMS-936558) in Subjects With Metastatic or Unresectable Urothelial Cancer Who Have Progressed or Recurred Following Treatment With a Platinum Agent

The purpose the study is to measure the effect of nivolumab (BMS-936558) in reducing tumor size in subjects with metastatic or unresectable bladder cancer.

Being tested
Nivolumab

What participants receive

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

Study groups in NCT02387996
Study groupRoleWhat they receive
NivolumabExperimentalNivolumab intravenous infusion as specified
Receives: Drug: Nivolumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Objective Response Rate Per BIRC Assessment

    Objective Response Rate (ORR) was defined as the number of participants with a best overall response of confirmed Complete Response (CR) or Partial Response (PR) (per RECIST 1.1 criteria) divided by the number of all treated participants. RECIST 1.1 = Response Evaluation Criteria in Solid Tumors. CR= Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm. PR= At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. BIRC= blinded independent review committee

    Measured: From the date of first dose to the date of objectively documented progression or the date of subsequent therapy, whichever occurs first (assessed up to 14 months)

  2. ORR Per BIRC Assessment by PD-L1 Expression Level

    Objective Response Rate (ORR) was defined as the number of participants with a best overall response of confirmed Complete Response (CR) or Partial Response (PR) (per RECIST 1.1 criteria) divided by the number of all treated participants. RECIST 1.1 = Response Evaluation Criteria in Solid Tumors. CR= Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm. PR= At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. BIRC= blinded independent review committee PD-L1 expression level= membranous staining in greater than or equal to 5% and greater than or equal to 1% tumor cells. n = Number of participants in each category

    Measured: From the date of first dose to the date of objectively documented progression or the date of subsequent therapy, whichever occurs first (assessed up to 14 months)

  3. Time to Response (TTR)

    TTR is defined as the time from first dosing date to the date of the first confirmed complete response (CR) or partial response (PR), as assessed by the Blinded Independent Review Committee (BIRC). Complete response is defined as the 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 is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

    Measured: From first dosing date to the date of the first confirmed response (up to approximately 14 months)

  4. Duration of Response (DOR)

    DOR is defined as the time from first confirmed response, complete response (CR) or partial response (PR) to the date of the first documented tumor progression as determined using RECIST 1.1 criteria or death due to any cause, whichever occurs first. Participants who start subsequent therapy without a prior reported progression will be censored at the last evaluable tumor assessments prior to initiation of the subsequent anticancer therapy. Participants who die without a reported prior progression will be considered to have progressed on the date of their death. Participants who neither progress nor die will be censored on the date of their last evaluable tumor assessment.

    Measured: From the first confirmed response to the date of the first documented tumor progression or death due to any cause, whichever occurs first (up to approximately 14 months)

Secondary outcomes (3)
  1. Progression Free Survival (PFS)

    PFS was defined as the time from first dosing date to the date of the first documented tumor progression, based on Blinded Independent Review Committee (BIRC) assessments or death due to any cause. Progression was defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. PD-L1 expression level is defined as membranous staining in greater than or equal to 5% and greater than or equal to 1% tumor cells.

    Measured: From first dosing date to the date of the first documented tumor progression (up to approximately 6 months)

  2. Overall Survival (OS)

    Overall Survival was defined as the time from first dosing date to the date of death. A participant who had not died was censored at last known date alive. PD-L1 expression level = membranous staining in greater than or equal to 5% and greater than or equal to 1% tumor cells.

    Measured: From first dosing date to the date of death (up to approximately 23 months)

  3. Objective Response Rate (ORR) Per Investigator

    Investigator-assessed ORR was defined as the percent of participants with a best overall response of confirmed complete response (CR) or partial response (PR). Complete response is defined as the 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 is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. PD-L1 expression level = Membranous staining in greater than or equal to 5% and greater than or equal to 1% tumor cells.

    Measured: From the date of first dose to the date of objectively documented progression or the date of subsequent therapy, whichever occurs first (up to approximately 45 months)

Timeline

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

  1. First posted13 Mar 2015 (estimated)
  2. Study start9 Mar 2015
  3. Primary completion15 Apr 2016
  4. Study completion12 Nov 2021

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
270 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02387996
Sponsor's protocol ID
CA209-275
Status last verified
Oct 2022
First submitted
26 Feb 2015
Last updated
1 Nov 2022
Data monitoring committee
No

Publications

  • Sharma P, Retz M, Siefker-Radtke A, Baron A, Necchi A, Bedke J, Plimack ER, Vaena D, Grimm MO, Bracarda S, Arranz JA, Pal S, Ohyama C, Saci A, Qu X, Lambert A, Krishnan S, Azrilevich A, Galsky MD. Nivolumab in metastatic urothelial carcinoma after platinum therapy (CheckMate 275): a multicentre, single-arm, phase 2 trial. Lancet Oncol. 2017 Mar;18(3):312-322. doi: 10.1016/S1470-2045(17)30065-7. Epub 2017 Jan 26.

    PubMed 28131785

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Nivolumab in people with Various Advanced Cancer, run by Bristol-Myers Squibb at 67 sites in 11 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 8 inclusion and 8 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 1 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 67 sites in United States, Japan, Germany, Italy, Poland and 6 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 24 May 2017). 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?

Objective Response Rate Per BIRC Assessment (time frame: From the date of first dose to the date of objectively documented progression or the date of subsequent therapy, whichever occurs first (assessed up to 14 months)). The study lists 4 primary outcomes in all. 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 NCT02387996, which also lists 1 linked publication.

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 1 Nov 2022.

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