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Advanced TumorsPhase 1/2BETNCT02419417

Study of BMS-986158 in Subjects With Select Advanced Cancers

A Phase 1/2 study testing BMS-986158 and Nivolumab in people with Advanced Tumors, run by Bristol-Myers Squibb at 13 sites in 5 countries.

Completed

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

Official record
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Trial summary

The purpose of this study is to determine the safety, tolerability, pharmacokinetics, and pharmacodynamics of BMS-986158 in subjects with select advanced cancers Read more about this study

Who is it for?
Ages 12 years and older
Conditions the study is for
Advanced Tumors
What is being tested?
BMS-986158 and Nivolumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
83 participants
Where
13 sitesin 5 countries
Study dates
19 Jun 2015to 17 Mar 2021
Phase
Phase 1/2
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 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Must have select advanced cancers with specific genetic profiles
  • Must have received appropriate standard of care
  • At least one measurable lesion at baseline
  • Expected to have life expectancy of at least 3 months
  • Eastern Cooperative Oncology Group (ECOG) of 0 to 1

Who cannot join

  • Concomitant second malignancies
  • Uncontrolled or significant cardiovascular disease
  • Inadequate bone marrow function
  • Chronic gastrointestinal illness
  • Prior treatment with Bromodomain and Extra-Terminal (BET) inhibitor
  • Other protocol defined inclusion/exclusion criteria could apply

Trial locations and contacts

13 sites in 5 countries.

13 sites in 5 countries

United States6 sites
  • University Of Colorado

    Aurora, Colorado, 80045

  • Dana Farber Cancer Institute.

    Boston, Massachusetts, 02215

  • City Of Hope National Medical Center

    Duarte, California, 91010

  • Institute for Translational Oncology Research-ITOR

    Greenville, South Carolina, 29605

  • Univ. Of Pa

    Philadelphia, Pennsylvania, 19104

  • Oregon Health & Science University

    Portland, Oregon, 97239

Other trials in United States

Spain3 sites
  • H. Univ. Vall dHebron

    Barcelona, 08035

  • Centro Integral Oncologico Clara Campal

    Madrid, 28050

  • Clinica Universidad de Navarra

    Pamplona, 31008

Other trials in Spain

France2 sites
  • Local Institution

    Lyon, 69373

  • Local Institution

    Villejuif, 94800

Other trials in France

Australia1 site
  • Nucleus Network

    Melbourne, Victoria, 3004

Other trials in Australia

Canada1 site
  • The Ottawa Hospital Cancer Centre

    Ottawa, Ontario, K1H 8L6

Other trials in Canada

About this study

Official title: A Phase I/IIa Trial With BMS-986158, a Small Molecule Inhibitor of the Bromodomain and Extra-Terminal (BET) Proteins, as Monotherapy or in Combination With Nivolumab in Subjects With Selected Advanced Solid Tumors or Hematologic Malignancies

The purpose of this study is to determine the safety, tolerability, pharmacokinetics, and pharmacodynamics of BMS-986158 in subjects with select advanced cancers

Conditions
Advanced Tumors
Being tested
BMS-986158, Nivolumab

What participants receive

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

  • BMS-986158Drug

    Specified dose on specified days

  • NivolumabBiological

    Also called BMS-936558, Opdivo

    Specified dose on specified days

Study groups in NCT02419417
Study groupRoleWhat they receive
Monotherapy TreatmentExperimentalPatients treated at various doses and schedules
Receives: Drug: BMS-986158
Combination TherapyExperimentalPatients treated at selected doses and schdules
Receives: Drug: BMS-986158; Biological: Nivolumab

What is being measured

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

  1. Number of Participants Experiencing Adverse Events

    Number of participants experiencing different types of events, including Adverse Events (AEs), Serious Adverse Events (SAEs), AEs leading to discontinuation and deaths.

    Events are classified based on the NCI Common Terminology Criteria for Adverse Events (CTCAE) version 4.03.

    Measured: From first dose to 30 days following last dose (up to approximately 29 months)

  2. Number of Participants With Abnormal Hepatic Test Values

    Number of participants experiencing abnormal hepatic function, as measured by different parameters.

    ALT = Alanine aminotransferase AST = Aspartate aminotransferase ULN = Upper Limit of Normal

    Measured: From first dose to 30 days following last dose (up to approximately 29 months)

Secondary outcomes (26)
  1. Best Overall Response (BOR)

    BOR, as assessed by the investigator, is defined as the best response designation, recorded between the dates of first dose and the date of first objectively documented progression (per RECIST v1.1 for solid tumors, Lugano 2014 criteria for hematologic malignancies or PCWG3 for prostate cancer) or the date of subsequent therapy, whichever occurs first.

    Measured: From first dose to date of first documented progression or subsequent therapy (up to approximately 28 months)

  2. Objective Response Rate (ORR)

    ORR is defined as the percentage of participants who achieved a best overall response of Complete Response (CR) or Partial Response (PR)

    Measured: From first dose to date of first documented progression or subsequent therapy (up to approximately 28 months)

  3. Duration of Response (DOR)

    DOR is defined as the time between the date of first response and the date of the first objectively documented disease progression (as determined by RECIST v1.1 for solid tumors, Lugano 2014 criteria for hematologic malignancies, or PCWG3 (including PSA assessments) for prostate cancer [CRPC or NEPC]), or death due to any cause, whichever occurs first.

    Measured: From date of first response to date of first objectively documented disease progression or death (up to approximately 42 weeks)

  4. Progression Free Survival (PFS)

    PFS is defined as the time from the first dose of study medication to the date of the first objective documentation of tumor progression or death due to any cause.

    Measured: From first dose to date of first objectively documented disease progression or death (up to approximately 28 months)

  5. Progression Free Survival Rate (PFSR)

    PFSR is defined as the percentage of participants who remain progression free and surviving at the specified timepoints (12 weeks, 24 weeks, and 48 weeks).

    Reported values are estimates derived from Kaplan-Meier analyses

    Measured: From first dose to 12 weeks, to 24 weeks, and to 48 weeks after first dose

  6. Maximum Observed Plasma Concentration (Cmax) - Single Dose Administration

    Values are reported separately for the parent BMS-986158 and its metabolite BMT-161485

    Measured: From drug administration in Cycle 1 Day 1 to 168 hours post drug administration

  7. Time of Maximum Observed Plasma Concentration (Tmax) - Single Dose Administration

    Values are reported separately for the parent BMS-986158 and its metabolite BMT-161485

    Measured: From drug administration in Cycle 1 Day 1 to 168 hours post drug administration

  8. Area Under the Plasma Concentration-Time Curve in One Dosing Interval (AUC(0-24)) - Single Dose Administration

    Values are reported separately for the parent BMS-986158 and its metabolite BMT-161485

    Measured: From drug administration in Cycle 1 Day 1 to 168 hours post drug administration

  9. Apparent Terminal Phase Half-Life (T-HALF) - Single Dose Administration

    Values are reported separately for the parent BMS-986158 and its metabolite BMT-161485

    Measured: From drug administration in Cycle 1 Day 1 to 168 hours post drug administration

  10. Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinite Time (AUC(INF)) - Single Dose Administration

    Values are reported separately for the parent BMS-986158 and its metabolite BMT-161485

    Measured: From drug administration in Cycle 1 Day 1 to 168 hours post drug administration

  11. Apparent Total Body Clearance (CLT/F) - Single Dose Administration

    Values are reported only for the parent BMS-986158

    Measured: From drug administration in Cycle 1 Day 1 to 168 hours post drug administration

  12. Apparent Volume of Distribution of Terminal Phase (Vz/F) - Single Dose Administration

    Values are reported only for the parent BMS-986158

    Measured: From drug administration in Cycle 1 Day 1 to 168 hours post drug administration

  13. Maximum Observed Plasma Concentration (Cmax) - Multiple Dose Administration

    Values are reported separately for the parent BMS-986158 and its metabolite BMT-161485.

    Values are also reported separately for Cycle 1 Day 1 and the latest collection timepoint available (Cycle 2 Day 5 for Schedule A, Cycle 2 day 14 for Schedule B, Cycle 2 Day 7 for Schedule C)

    Measured: From Cycle 1 Day 1 to Cycle 2 Day 5 (Schedule A) or to Cycle 2 Day 14 (Schedule B) or to Cycle 2 Day 7 (Schedule C)

  14. Time to Maximum Observed Plasma Concentration (Tmax) - Multiple Dose Administration

    Values are reported separately for the parent BMS-986158 and its metabolite BMT-161485.

    Values are also reported separately for Cycle 1 Day 1 and the latest collection timepoint available (Cycle 2 Day 5 for Schedule A, Cycle 2 day 14 for Schedule B, Cycle 2 Day 7 for Schedule C)

    Measured: From Cycle 1 Day 1 to Cycle 2 Day 5 (Schedule A) or to Cycle 2 Day 14 (Schedule B) or to Cycle 2 Day 7 (Schedule C)

  15. Area Under the Plasma Concentration-Time Curve From Time Zero to Time of Last Quantifiable Concentration (AUC(0-T)) - Multiple Dose Administration

    Values are reported separately for the parent BMS-986158 and its metabolite BMT-161485.

    Values are also reported separately for Cycle 1 Day 1 and the latest collection timepoint available (Cycle 2 Day 5 for Schedule A, Cycle 2 day 14 for Schedule B, Cycle 2 Day 7 for Schedule C)

    Measured: From Cycle 1 Day 1 to Cycle 2 Day 5 (Schedule A) or to Cycle 2 Day 14 (Schedule B) or to Cycle 2 Day 7 (Schedule C)

  16. Area Under the Plasma Concentration-Time Curve in One Dosing Interval (AUC(0-24)) - Multiple Dose Administration

    Values are reported separately for the parent BMS-986158 and its metabolite BMT-161485.

    Values are also reported separately for Cycle 1 Day 1 and the latest collection timepoint available (Cycle 2 Day 5 for Schedule A, Cycle 2 day 14 for Schedule B, Cycle 2 Day 7 for Schedule C)

    Measured: From Cycle 1 Day 1 to Cycle 2 Day 5 (Schedule A) or to Cycle 2 Day 14 (Schedule B) or to Cycle 2 Day 7 (Schedule C)

  17. Minimum Observed Concentration Within a Dosing Interval (Cmin) - Multiple Dose Administration

    Values are reported separately for the parent BMS-986158 and its metabolite BMT-161485.

    Values are reported only for the latest collection timepoint available (Cycle 2 Day 5 for Schedule A, Cycle 2 day 14 for Schedule B, Cycle 2 Day 7 for Schedule C)

    Measured: From Cycle 1 Day 1 to Cycle 2 Day 5 (Schedule A) or to Cycle 2 Day 14 (Schedule B) or to Cycle 2 Day 7 (Schedule C)

  18. Concentration at the End of Dosing Interval (C24) - Multiple Dose Administration

    Values are reported separately for the parent BMS-986158 and its metabolite BMT-161485.

    Values are also reported separately for Cycle 1 Day 1 and the latest collection timepoint available (Cycle 2 Day 5 for Schedule A, Cycle 2 day 14 for Schedule B, Cycle 2 Day 7 for Schedule C)

    Measured: From Cycle 1 Day 1 to Cycle 2 Day 5 (Schedule A) or to Cycle 2 Day 14 (Schedule B) or to Cycle 2 Day 7 (Schedule C)

  19. Trough Observed Plasma Concentration (Ctrough) - Multiple Dose Administration

    Values are reported separately for the parent BMS-986158 and its metabolite BMT-161485.

    Values are also reported separately for the first and last collection

    Measured: From Cycle (C)2 Day (D)2 to C2D5 (Schedule A) or from C2D14 to C4D8 (Schedule B) or from C2D7 to C8D8 (Schedule C)

  20. Accumulation Index (AI) - Multiple Dose Administration

    AI is defined as the ratio of an exposure measure at steady-state to that after the first dose. Reported exposure measures include Cmax, C24 and AUC24.

    Values are reported separately for the parent BMS-986158 and its metabolite BMT-161485.

    Measured: Cycle 2 Day 5 (Schedule A) or Cycle 2 Day 14 (Schedule B) or Cycle 2 Day 7 (Schedule C)

  21. Effective Elimination Half-Life (Effective T-HALF) - Multiple Dose Administration

    Values are reported separately for the parent BMS-986158 and its metabolite BMT-161485.

    Measured: Cycle 2 Day 5 (Schedule A) or Cycle 2 Day 14 (Schedule B) or Cycle 2 Day 7 (Schedule C)

  22. Ratio of Metabolite (BMT-161485) Maximum Observed Plasma Concentration (Cmax) to Parent (BMS-986158) Cmax - Multiple Dose Administration

    Values are reported separately for Cycle 1 Day 1 and the latest collection timepoint available (Cycle 2 Day 5 for Schedule A, Cycle 2 day 14 for Schedule B, Cycle 2 Day 7 for Schedule C)

    Measured: From Cycle 1 Day 1 to Cycle 2 Day 5 (Schedule A) or to Cycle 2 Day 14 (Schedule B) or to Cycle 2 Day 7 (Schedule C)

  23. Ratio of Metabolite (BMT-161485) Area Under the Plasma Concentration-Time Curve From Time Zero to Time of Last Quantifiable Concentration (AUC(0-T)) to Parent (BMS-986158) AUC(0-T) - Multiple Dose Administration

    Values are reported separately for Cycle 1 Day 1 and the latest collection timepoint available (Cycle 2 Day 5 for Schedule A, Cycle 2 day 14 for Schedule B, Cycle 2 Day 7 for Schedule C)

    Measured: From Cycle 1 Day 1 to Cycle 2 Day 5 (Schedule A) or to Cycle 2 Day 14 (Schedule B) or to Cycle 2 Day 7 (Schedule C)

  24. Ratio of Metabolite (BMT-161485) Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinite Time (AUC(INF)) to Parent (BMS-986158) AUC(INF) - Multiple Dose Administration

    Measured: Cycle 1 Day 1

  25. Ratio of Metabolite (BMT-161485) Area Under the Plasma Concentration-Time Curve in One Dosing Interval (AUC(0-24)) to Parent (BMS-986158) AUC(0-24) - Multiple Dose Administration

    Values are reported separately for Cycle 1 Day 1 and the latest collection timepoint available (Cycle 2 Day 5 for Schedule A, Cycle 2 day 14 for Schedule B, Cycle 2 Day 7 for Schedule C)

    Measured: From Cycle 1 Day 1 to Cycle 2 Day 5 (Schedule A) or to Cycle 2 Day 14 (Schedule B) or to Cycle 2 Day 7 (Schedule C)

  26. Change From Baseline in Electrocardiogram Parameter QTcF

    QT Interval corrected for Fridericia's Formula. Change from baseline is calculated from pre-dose at the indicated timepoints.

    Measured: From Cycle 1 Day 1 to last dosing day in Cycle 2 (C2D8 for Schedule A, C2D14 for Schedule B, C2D7 for Schedule C).

Timeline

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

  1. First posted17 Apr 2015 (estimated)
  2. Study start19 Jun 2015
  3. Primary completion17 Mar 2021
  4. Study completion17 Mar 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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
83 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02419417
Sponsor's protocol ID
CA011-001
Other IDs
2015-000324-29, 2015
Acronym
BET
Status last verified
May 2022
First submitted
2 Apr 2015
Last updated
16 Jun 2022
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing BMS-986158 and Nivolumab in people with Advanced Tumors, run by Bristol-Myers Squibb at 13 sites in 5 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 5 inclusion and 6 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 16 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in United States, Spain, France, Australia, Canada. 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 16 Jun 2022). 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?

Number of Participants Experiencing Adverse Events (time frame: From first dose to 30 days following last dose (up to approximately 29 months)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 16 Jun 2022.

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