Previously Untreated Metastatic or Unresectable Melanoma MedDRA version: 21.1 Level: LLT Classification code 10053571 Term: Melanoma System Organ Class: 100000004864 MedDRA version: 20.0 Level: LLT Classification code 10027481 Term: Metastatic melanoma System Organ Class: 100000004864
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Participants must have histologically confirmed Stage III (unresectable) or Stage IV melanoma, per the AJCC staging system - Participants must not have had prior systemic anticancer therapy for unresectable or metastatic melanoma - Tumor tissue from an unresectable or metastatic site of disease must be provided for biomarker analyses Are the trial subjects under 18? yes Number of subjects for this age range: 10 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 690 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 300
Exclusion criteria
Exclusion criteria: - Participants must not have active brain metastases or leptomeningeal metastases - Participants must not have uveal melanoma - Participants must not have an active, known, or suspected autoimmune disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Phase 3 portion of the trial - To compare progression-free survival (PFS) of BMS-986213 to nivolumab monotherapy in participants with previously untreated, unresectable or metastatic melanoma. Phase 2 portion of the trial - To compare PFS of BMS-986213 to nivolumab monotherapy in participants with previously untreated, unresectable or metastatic melanoma. ;Secondary Objective: Phase 3 portion of the trial - To compare OS of BMS-986213 to nivolumab monotherapy in subjects with previously untreated, unresectable or metastatic melanoma - To compare ORR of BMS-986213 to nivolumab in subjects with unresectable or metastatic melanoma Phase 2 portion of the trial Among subjects with unresectable or metastatic melanoma treated with BMS-986213 and those treated with nivolumab monotherapy: - To estimate the treatment effect, measured by ORR, as determined by BICR using RECISTv1.1 in all-comers and in subgroups based on combinations of LAG-3 expression and PDL-1 status - To evaluate DOR, PFS rates at pre-specified time points based on BICR assessments using RECIST v1.1 in the randomized population (for DOR) and in subgroups based on combinations of LAG-3 expression and PDL-1 status - To assess the 1- and 2-year OS rate in the randomized population and in subgroups based on combinations of LAG-3 expression and PDL-1 status - To assess safety and tolerability;Primary end point(s): Primary Outcome Measures: 1/ Progression Free Survival (PFS) Phase 3 portion of trial. Assessed by a Blinded Independent Central Review (BICR) 2/ PFS Phase 2 portion of trial, assessed by a BICR;Timepoint(s) of evaluation of this end point: Time Frame: 1/ Up to 5 years 2/ Up to 5 years | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Secondary outcome measures: 1/ Overall Survival (OS) Phase 3 portion of trial 2/ ORR Phase 3 portion of trial, assessed by a BICR 3/ ORR Phase 2 portion of trial, assessed by a BICR. In the randomized population and in subgroups 4/ Duration of Response (DOR) Phase 2 portion of trial. In the randomized population and in subgroups 5/ PFS Phase 2 portion of trial. In subgroups 6/ OS Phase 2 portion of trial. In the randomized population and in subgroups 7/ Number of Adverse Events (AEs) Phase 2 portion of the trial 8/ Number of Serious Adverse Events (SAEs) Phase 2 portion of the trial 9/ Number of AEs Leading to Discontinuation Phase 2 portion of the trial 10/ Number of Deaths Phase 2 portion of the trial 11/ Number of Laboratory Abnormalities Phase 2 portion of the trial;Timepoint(s) of evaluation of this end point: 1/ Time Frame: Up to 5 years 2/ Time Frame: Up to 5 years 3/ Time Frame: Up to 5 years 4/ Time Frame: Up to 5 years 5/ Time Frame: Up to 5 years 6/ Time Frame: Up to 5 years 7/ Time Frame: Up to 5 years 8/ Time Frame: Up to 5 years 9/ Time Frame: Up to 5 years 10/ Time Frame: Up to 5 years 11/ Time Frame: Up to 5 years | — |
Countries
Argentina, Australia, Austria, Belgium, Brazil, Canada, Chile, Colombia, Denmark, Finland, France, Germany, Greece, Israel, Italy, Japan, Korea, Republic of, Mexico, New Zealand, Norway, Poland, Romania, Russian Federation, Spain, Sweden, Taiwan, United Kingdom, United States
Contacts
Bristol-Myers Squibb International Corporation