Renal Cell Carcinoma
Conditions
Brief summary
The purpose of this study is to evaluate the pharmacodynamic and biologic properties of BMS-936558 in subjects with metastatic renal cell carcinoma.
Detailed description
Intervention Model: Parallel Dose Comparison
Interventions
Solution, Intravenous infusion, 0.3 mg/kg, Every 3 weeks, Indefinitely depending on response
Sponsors
Study design
Eligibility
Inclusion criteria
For more information regarding BMS clinical trial participation, please visit www.BMSStudyConnect.com Inclusion Criteria: * Women and men ≥ 18 years of age. * Histologic confirmation of renal cell carcinoma with a clear cell component. * Measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST). * Tumor sites that can be accessed for repeat biopsies at acceptable clinical risk. * Previously treated subjects must have failed at least 1 prior anti-angiogenic agent and can have a maximum of 3 prior systemic treatments for renal cell cancer. * Subjects in the treatment naive arm cannot have received prior systemic therapy for their renal cell carcinoma.
Exclusion criteria
* Active or progressing brain metastases. * Active concomitant. * Active or history of autoimmune disease. * Active use of systemic corticosteroids. * Prior therapy with Cytotoxic T lymphocyte-associated antigen 4 (anti-CTLA4), anti Programmed death-1 (anti-PD1), anti Programmed death ligand 1 (anti-PD-L1), anti Programmed death ligand 2 (anti-PD-L2), anti-CD137, anti-CD40, anti-OX40 antibodies.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percent Change From Baseline in Activated and Memory T Cells | Baseline, Cycle 1 Day 1, Cycle 1 Day 2, Cycle 1 Day 8, Cycle 2 Day 8, Cycle 4 Day 1 | The objective of the study was to investigate the pharmacodynamic immunomodulatory activity of anti-PD-1 antibody in activated and memory T cells with metastatic clear-cell Renal Cell Carcinoma (RCC) |
| Mean Serum Cytokines: CXCL9 | Baseline, Cycle 1 Day 1 3 Hrs Post, Cycle 1 Day 1 7 Hr Post, Cycle 1 Day 2 24 Hr Post, Cycle 2 Day 1 0 Hr Pre, Cycle 2 Day 8 168 Hrs Post, Cycle 4 Day 1 O Hr Pre (~39 months) | Objective is to investigate the pharmacodynamic immunomodulatory activity of serum chemokines (CXCL9, CXCL10) |
| Mean Serum Cytokines CXCL10 (IP10) | Baseline, Cycle 1 Day 1 3 Hrs Post, Cycle 1 Day 1 7 Hr Post, Cycle 1 Day 2 24 Hr Post, Cycle 2 Day 1 0 Hr Pre, Cycle 2 Day 8 168 Hrs Post, Cycle 4 Day 1 O Hr Pre (~39 months) | Objective is to investigate the pharmacodynamic immunomodulatory activity of serum chemokines (CXCL9, CXCL10) |
| Mean CD4 T Cell Infiltration | Cycle 2 Day 8 168 Hr post dose | The objective of the study was to investigate the pharmacodynamic immunomodulatory activity of anti-PD-1 antibody on circulating CD4 infiltrations in tumors in participants with metastatic clear-cell Renal Cell Carcinoma (RCC). |
| Mean CD8 T Cell Infiltration | 168 hour post does Cycle 2 Day 8 in evaluable participates (First active dose of study medication to cycle two day eight post injection) | The objective of the study was to investigate the pharmacodynamic immunomodulatory activity of anti-PD-1 antibody on circulating CD8 infiltrations in tumors in participants with metastatic clear-cell Renal Cell Carcinoma (RCC). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Best Overall Response in the BMS-936558 Arms | Assessed at a minimum of every 3 weeks up to 70 days following discontinuation of study drug (up to approximately 39 months) | Baseline and post-nivolumab treatment modulation of serum levels of interferon-gamma stimulated chemokines CXCL9 and CXCL10 (IP10) were assessed. The participant's best response designation over the study as a whole, recorded between the date of first study drug administration and the date of objectively documented progression per Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST 1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR |
| Progression Free Survival Rate in BMS-936558 | Progression free survival rate will be assessed in each individual treatment arm by tumor assessments at 16, 24, and 48 weeks. From initial dose to end of study (assessed up to 39 months) | PFS is defined as the time from treatment arm assignment to the date of first documented disease progression. Participants who die without a reported prior progression will be considered to have progressed on the date of their death. Participants who did not progress or die will be censored on the date of their last tumor assessment. Participants who did not have any on study tumor assessments will be censored on the date they were assigned a treatment arm. PFS rate is the percentage of participants who did not have disease progression at particular time points (16 weeks, 24 weeks, 48 weeks) |
| Objective Response Rate in BMS-936558 | Up to 22 months after study start | The total number of subjects whose best overall response (BOR) is either a complete response (CR) or partial response (PR) divided by the total number of participants in the population of interest, and expressed as a percentage. |
| Duration of Objective Response for BMS-936558 | The time when the measurement criteria are first met for PR or CR (whichever is reported first) until the date of documented disease progression or death (assessed up to 39 months) | The duration of response is defined as the time when the measurement criteria are first met for PR or CR (whichever is reported first) until the date of documented disease progression or death. For subjects who neither progress nor die, the duration of response will be censored at the date of their last tumor assessment. |
| Duration of Stable Disease for BMS-936558 as Measured in Participants Whose Best Overall Response is Stable Disease as the Time From Baseline Until the Date of Documented Disease Progression or Death | The time from treatment arm assignment until the criteria for progression are met or death (whichever occurs first)(assessed up to 39 months) | Duration of stable disease (SD) is defined in participants whose BOR is SD at the time from treatment arm assignment until the criteria for progression are met or death (whichever occurs first). Participants who die without a reported prior progression will be considered to have progressed on the date of their death. Participants who did not progress or die will be censored on the date of their last tumor assessment |
| Immunogenicity of BMS-936558 as Measured by the Detection of Human Antibodies Against BMS-936558 | Pre-dose, Cycle 4 Day 1, Cycle 8 Day 1 and during follow-up. | Blood samples to evaluate the development of a positive anti-drug antibodies (ADA) response at the doses tested will be collected at time-points pre-dose, C4D1, C8D1 and during follow-up. |
Countries
France, Spain, United States
Participant flow
Pre-assignment details
119 participants were enrolled, 92 participants were randomized of whom 1 was randomized but not treated. 27 participants did not enter treatment period due to: Participant withdrawal n = 1, Death n = 1, No longer meets criteria n = 22, Other reasons n = 3
Participants by arm
| Arm | Count |
|---|---|
| Nivolumab 0.3 mg/kg (Previously-treated) Nivolumab was administered as a 60 minute IV infusion to participants who were previously treated with at least one anti-angiogenic therapy. Participants were dosed every 3 weeks until discontinuation or the end of the study. | 22 |
| Nivolumab 2 mg/kg (Previously-treated) Nivolumab was administered as a 60 minute IV infusion to participants who were previously treated with at least one anti-angiogenic therapy. Participants were dosed every 3 weeks until discontinuation or the end of the study. | 22 |
| Nivolumab 10 mg/kg (Previously-treated) Nivolumab was administered as a 60 minute IV infusion to participants who were previously treated with at least one anti-angiogenic therapy. Participants were dosed every 3 weeks until discontinuation or the end of the study. | 23 |
| Nivolumab 10 mg/kg (Treatment-naive) Nivolumab was administered as a 60 minute IV infusion to treatment-naive participants. Participants were dosed every 3 weeks until discontinuation or the end of the study. | 24 |
| Total | 91 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 |
|---|---|---|---|---|---|
| Overall Study | Adverse Event related to study drug | 1 | 0 | 0 | 1 |
| Overall Study | Death | 0 | 2 | 0 | 0 |
| Overall Study | Disease Progression | 19 | 15 | 17 | 15 |
| Overall Study | Out of State/Unmet Criteria | 0 | 0 | 1 | 0 |
| Overall Study | Study Drug Toxicity | 1 | 3 | 4 | 5 |
| Overall Study | Subject No Longer Meets Study Criteria | 0 | 2 | 0 | 1 |
| Overall Study | SUBJ request to discontinue study TRT | 0 | 0 | 0 | 1 |
| Overall Study | Withdrawal by Subject | 0 | 0 | 0 | 1 |
Baseline characteristics
| Characteristic | Nivolumab 0.3 mg/kg (Previously-treated) | Nivolumab 2 mg/kg (Previously-treated) | Nivolumab 10 mg/kg (Previously-treated) | Nivolumab 10 mg/kg (Treatment-naive) | Total |
|---|---|---|---|---|---|
| Age, Continuous | 61.0 years STANDARD_DEVIATION 0.41 | 60.8 years STANDARD_DEVIATION 9.89 | 57.7 years STANDARD_DEVIATION 10.98 | 61.8 years STANDARD_DEVIATION 10.3 | 60.3 years STANDARD_DEVIATION 10.13 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 1 Participants | 0 Participants | 1 Participants | 1 Participants | 3 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 16 Participants | 19 Participants | 17 Participants | 23 Participants | 75 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 5 Participants | 3 Participants | 5 Participants | 0 Participants | 13 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) Black or African American | 1 Participants | 1 Participants | 0 Participants | 0 Participants | 2 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 1 Participants | 0 Participants | 1 Participants | 0 Participants | 2 Participants |
| Race (NIH/OMB) White | 20 Participants | 21 Participants | 21 Participants | 24 Participants | 86 Participants |
| Sex: Female, Male Female | 3 Participants | 10 Participants | 8 Participants | 9 Participants | 30 Participants |
| Sex: Female, Male Male | 19 Participants | 12 Participants | 15 Participants | 15 Participants | 61 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — | — / — |
| other Total, other adverse events | 22 / 22 | 22 / 22 | 23 / 23 | 24 / 24 |
| serious Total, serious adverse events | 13 / 22 | 11 / 22 | 12 / 23 | 13 / 24 |
Outcome results
Mean CD4 T Cell Infiltration
The objective of the study was to investigate the pharmacodynamic immunomodulatory activity of anti-PD-1 antibody on circulating CD4 infiltrations in tumors in participants with metastatic clear-cell Renal Cell Carcinoma (RCC).
Time frame: Cycle 2 Day 8 168 Hr post dose
Population: Biomarker evaluable population: All treated participants with at least one measurement for a specific marker were included in the data set for that marker.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Nivolumab 0.3 mg/kg (Previously-treated) | Mean CD4 T Cell Infiltration | Baseline | 34.1 Number of CD4+ Cells | Standard Deviation 78.4 |
| Nivolumab 0.3 mg/kg (Previously-treated) | Mean CD4 T Cell Infiltration | Cycle 2 Day 8, 168 HrsPost | 64.8 Number of CD4+ Cells | Standard Deviation 77.22 |
| Nivolumab 2 mg/kg (Previously-treated) | Mean CD4 T Cell Infiltration | Cycle 2 Day 8, 168 HrsPost | 28.2 Number of CD4+ Cells | Standard Deviation 46.93 |
| Nivolumab 2 mg/kg (Previously-treated) | Mean CD4 T Cell Infiltration | Baseline | 10.4 Number of CD4+ Cells | Standard Deviation 34.38 |
| Nivolumab 10 mg/kg (Previously-treated) | Mean CD4 T Cell Infiltration | Baseline | 35.2 Number of CD4+ Cells | Standard Deviation 77.44 |
| Nivolumab 10 mg/kg (Previously-treated) | Mean CD4 T Cell Infiltration | Cycle 2 Day 8, 168 HrsPost | 53.4 Number of CD4+ Cells | Standard Deviation 97.98 |
| Nivolumab 10 mg/kg (Treatment-naive) | Mean CD4 T Cell Infiltration | Baseline | 53.2 Number of CD4+ Cells | Standard Deviation 109.31 |
| Nivolumab 10 mg/kg (Treatment-naive) | Mean CD4 T Cell Infiltration | Cycle 2 Day 8, 168 HrsPost | 107.4 Number of CD4+ Cells | Standard Deviation 254.75 |
Mean CD8 T Cell Infiltration
The objective of the study was to investigate the pharmacodynamic immunomodulatory activity of anti-PD-1 antibody on circulating CD8 infiltrations in tumors in participants with metastatic clear-cell Renal Cell Carcinoma (RCC).
Time frame: 168 hour post does Cycle 2 Day 8 in evaluable participates (First active dose of study medication to cycle two day eight post injection)
Population: Biomarker evaluable population: All treated participants at least one measurement for a specific marker were included in the data set for that marker.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Nivolumab 0.3 mg/kg (Previously-treated) | Mean CD8 T Cell Infiltration | Baseline | 10.2 Number of CD8 cells | Standard Deviation 13.77 |
| Nivolumab 0.3 mg/kg (Previously-treated) | Mean CD8 T Cell Infiltration | Cycle 2 Day 8, 169 HRSPOST | 14.9 Number of CD8 cells | Standard Deviation 13.85 |
| Nivolumab 2 mg/kg (Previously-treated) | Mean CD8 T Cell Infiltration | Cycle 2 Day 8, 169 HRSPOST | 18.9 Number of CD8 cells | Standard Deviation 17.07 |
| Nivolumab 2 mg/kg (Previously-treated) | Mean CD8 T Cell Infiltration | Baseline | 7.8 Number of CD8 cells | Standard Deviation 10.62 |
| Nivolumab 10 mg/kg (Previously-treated) | Mean CD8 T Cell Infiltration | Baseline | 11.9 Number of CD8 cells | Standard Deviation 14.31 |
| Nivolumab 10 mg/kg (Previously-treated) | Mean CD8 T Cell Infiltration | Cycle 2 Day 8, 169 HRSPOST | 23.3 Number of CD8 cells | Standard Deviation 23.49 |
| Nivolumab 10 mg/kg (Treatment-naive) | Mean CD8 T Cell Infiltration | Baseline | 14.4 Number of CD8 cells | Standard Deviation 18.37 |
| Nivolumab 10 mg/kg (Treatment-naive) | Mean CD8 T Cell Infiltration | Cycle 2 Day 8, 169 HRSPOST | 16.3 Number of CD8 cells | Standard Deviation 22.19 |
Mean Serum Cytokines CXCL10 (IP10)
Objective is to investigate the pharmacodynamic immunomodulatory activity of serum chemokines (CXCL9, CXCL10)
Time frame: Baseline, Cycle 1 Day 1 3 Hrs Post, Cycle 1 Day 1 7 Hr Post, Cycle 1 Day 2 24 Hr Post, Cycle 2 Day 1 0 Hr Pre, Cycle 2 Day 8 168 Hrs Post, Cycle 4 Day 1 O Hr Pre (~39 months)
Population: Biomarker evaluable population: All treated participants with at least one measurement for a specific marker were included in the data set for that marker.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Nivolumab 0.3 mg/kg (Previously-treated) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 1 Day 1, 3 HRSPOST | 525.5 pg/mL | Standard Deviation 335.1 |
| Nivolumab 0.3 mg/kg (Previously-treated) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 4 Day 1, 0 HRSPRE | 1272.8 pg/mL | Standard Deviation 2075.49 |
| Nivolumab 0.3 mg/kg (Previously-treated) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 2 Day 8, 168 HRSPOST | 724.1 pg/mL | Standard Deviation 470.03 |
| Nivolumab 0.3 mg/kg (Previously-treated) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 1 Day 1, 7HRSPOST | 591.4 pg/mL | Standard Deviation 360.3 |
| Nivolumab 0.3 mg/kg (Previously-treated) | Mean Serum Cytokines CXCL10 (IP10) | BASELINE | 474.5 pg/mL | Standard Deviation 236.75 |
| Nivolumab 0.3 mg/kg (Previously-treated) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 1 Day 2, 24 HRSPOST | 813.2 pg/mL | Standard Deviation 547.71 |
| Nivolumab 0.3 mg/kg (Previously-treated) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 2 Day 1, 0 HRSPRE | 718.0 pg/mL | Standard Deviation 471.22 |
| Nivolumab 2 mg/kg (Previously-treated) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 4 Day 1, 0 HRSPRE | 678.7 pg/mL | Standard Deviation 364.85 |
| Nivolumab 2 mg/kg (Previously-treated) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 2 Day 1, 0 HRSPRE | 835.9 pg/mL | Standard Deviation 579.07 |
| Nivolumab 2 mg/kg (Previously-treated) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 1 Day 2, 24 HRSPOST | 758.8 pg/mL | Standard Deviation 616.06 |
| Nivolumab 2 mg/kg (Previously-treated) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 2 Day 8, 168 HRSPOST | 677.6 pg/mL | Standard Deviation 341.15 |
| Nivolumab 2 mg/kg (Previously-treated) | Mean Serum Cytokines CXCL10 (IP10) | BASELINE | 483.0 pg/mL | Standard Deviation 383.77 |
| Nivolumab 2 mg/kg (Previously-treated) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 1 Day 1, 7HRSPOST | 727.7 pg/mL | Standard Deviation 626.98 |
| Nivolumab 2 mg/kg (Previously-treated) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 1 Day 1, 3 HRSPOST | 523.4 pg/mL | Standard Deviation 400.88 |
| Nivolumab 10 mg/kg (Previously-treated) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 2 Day 1, 0 HRSPRE | 781.9 pg/mL | Standard Deviation 753.41 |
| Nivolumab 10 mg/kg (Previously-treated) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 1 Day 1, 3 HRSPOST | 422.0 pg/mL | Standard Deviation 264.54 |
| Nivolumab 10 mg/kg (Previously-treated) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 1 Day 1, 7HRSPOST | 762.2 pg/mL | Standard Deviation 896.22 |
| Nivolumab 10 mg/kg (Previously-treated) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 1 Day 2, 24 HRSPOST | 736.1 pg/mL | Standard Deviation 787.53 |
| Nivolumab 10 mg/kg (Previously-treated) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 2 Day 8, 168 HRSPOST | 794.6 pg/mL | Standard Deviation 882.64 |
| Nivolumab 10 mg/kg (Previously-treated) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 4 Day 1, 0 HRSPRE | 431.3 pg/mL | Standard Deviation 133.78 |
| Nivolumab 10 mg/kg (Previously-treated) | Mean Serum Cytokines CXCL10 (IP10) | BASELINE | 397.4 pg/mL | Standard Deviation 223.89 |
| Nivolumab 10 mg/kg (Treatment-naive) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 1 Day 2, 24 HRSPOST | 700.5 pg/mL | Standard Deviation 738.71 |
| Nivolumab 10 mg/kg (Treatment-naive) | Mean Serum Cytokines CXCL10 (IP10) | BASELINE | 767.9 pg/mL | Standard Deviation 525.06 |
| Nivolumab 10 mg/kg (Treatment-naive) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 4 Day 1, 0 HRSPRE | 794.8 pg/mL | Standard Deviation 574.14 |
| Nivolumab 10 mg/kg (Treatment-naive) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 1 Day 1, 7HRSPOST | 531.4 pg/mL | Standard Deviation 508.2 |
| Nivolumab 10 mg/kg (Treatment-naive) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 1 Day 1, 3 HRSPOST | 450.7 pg/mL | Standard Deviation 247.78 |
| Nivolumab 10 mg/kg (Treatment-naive) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 2 Day 8, 168 HRSPOST | 770.6 pg/mL | Standard Deviation 672.43 |
| Nivolumab 10 mg/kg (Treatment-naive) | Mean Serum Cytokines CXCL10 (IP10) | Cycle 2 Day 1, 0 HRSPRE | 679.4 pg/mL | Standard Deviation 556.47 |
Mean Serum Cytokines: CXCL9
Objective is to investigate the pharmacodynamic immunomodulatory activity of serum chemokines (CXCL9, CXCL10)
Time frame: Baseline, Cycle 1 Day 1 3 Hrs Post, Cycle 1 Day 1 7 Hr Post, Cycle 1 Day 2 24 Hr Post, Cycle 2 Day 1 0 Hr Pre, Cycle 2 Day 8 168 Hrs Post, Cycle 4 Day 1 O Hr Pre (~39 months)
Population: Biomarker evaluable population: All treated participants with at least one measurement for a specific marker were included in the data set for that marker.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Nivolumab 0.3 mg/kg (Previously-treated) | Mean Serum Cytokines: CXCL9 | Cycle 1 Day 1, 3 HRSPOST | 2859.1 pg/mL | Standard Deviation 2481.44 |
| Nivolumab 0.3 mg/kg (Previously-treated) | Mean Serum Cytokines: CXCL9 | Cycle 4 Day 1, 0 HRSPRE | 8519.4 pg/mL | Standard Deviation 11444.72 |
| Nivolumab 0.3 mg/kg (Previously-treated) | Mean Serum Cytokines: CXCL9 | Cycle 2 Day 8, 168 HRSPOST | 5271.5 pg/mL | Standard Deviation 5196.91 |
| Nivolumab 0.3 mg/kg (Previously-treated) | Mean Serum Cytokines: CXCL9 | Cycle 1 Day 1, 7HRSPOST | 3287.7 pg/mL | Standard Deviation 3617.32 |
| Nivolumab 0.3 mg/kg (Previously-treated) | Mean Serum Cytokines: CXCL9 | BASELINE | 2681.6 pg/mL | Standard Deviation 2135.89 |
| Nivolumab 0.3 mg/kg (Previously-treated) | Mean Serum Cytokines: CXCL9 | Cycle 1 Day 2, 24 HRSPOST | 5447.3 pg/mL | Standard Deviation 7006.73 |
| Nivolumab 0.3 mg/kg (Previously-treated) | Mean Serum Cytokines: CXCL9 | Cycle 2 Day 1, 0 HRSPRE | 5192.6 pg/mL | Standard Deviation 4447.78 |
| Nivolumab 2 mg/kg (Previously-treated) | Mean Serum Cytokines: CXCL9 | Cycle 4 Day 1, 0 HRSPRE | 5131.2 pg/mL | Standard Deviation 4330.84 |
| Nivolumab 2 mg/kg (Previously-treated) | Mean Serum Cytokines: CXCL9 | Cycle 2 Day 1, 0 HRSPRE | 7220.6 pg/mL | Standard Deviation 9385.9 |
| Nivolumab 2 mg/kg (Previously-treated) | Mean Serum Cytokines: CXCL9 | Cycle 1 Day 2, 24 HRSPOST | 4332.3 pg/mL | Standard Deviation 3875.12 |
| Nivolumab 2 mg/kg (Previously-treated) | Mean Serum Cytokines: CXCL9 | Cycle 2 Day 8, 168 HRSPOST | 4932.6 pg/mL | Standard Deviation 4321.91 |
| Nivolumab 2 mg/kg (Previously-treated) | Mean Serum Cytokines: CXCL9 | BASELINE | 2213.5 pg/mL | Standard Deviation 1520.44 |
| Nivolumab 2 mg/kg (Previously-treated) | Mean Serum Cytokines: CXCL9 | Cycle 1 Day 1, 7HRSPOST | 2567.1 pg/mL | Standard Deviation 1885.13 |
| Nivolumab 2 mg/kg (Previously-treated) | Mean Serum Cytokines: CXCL9 | Cycle 1 Day 1, 3 HRSPOST | 2294.3 pg/mL | Standard Deviation 1528.97 |
| Nivolumab 10 mg/kg (Previously-treated) | Mean Serum Cytokines: CXCL9 | Cycle 2 Day 1, 0 HRSPRE | 5398.8 pg/mL | Standard Deviation 5428.64 |
| Nivolumab 10 mg/kg (Previously-treated) | Mean Serum Cytokines: CXCL9 | Cycle 1 Day 1, 3 HRSPOST | 1906.6 pg/mL | Standard Deviation 1744.09 |
| Nivolumab 10 mg/kg (Previously-treated) | Mean Serum Cytokines: CXCL9 | Cycle 1 Day 1, 7HRSPOST | 2546.1 pg/mL | Standard Deviation 2421 |
| Nivolumab 10 mg/kg (Previously-treated) | Mean Serum Cytokines: CXCL9 | Cycle 1 Day 2, 24 HRSPOST | 4216.4 pg/mL | Standard Deviation 4715.61 |
| Nivolumab 10 mg/kg (Previously-treated) | Mean Serum Cytokines: CXCL9 | Cycle 2 Day 8, 168 HRSPOST | 5751.3 pg/mL | Standard Deviation 5900.87 |
| Nivolumab 10 mg/kg (Previously-treated) | Mean Serum Cytokines: CXCL9 | Cycle 4 Day 1, 0 HRSPRE | 3523.6 pg/mL | Standard Deviation 2678.32 |
| Nivolumab 10 mg/kg (Previously-treated) | Mean Serum Cytokines: CXCL9 | BASELINE | 2065.3 pg/mL | Standard Deviation 1805.25 |
| Nivolumab 10 mg/kg (Treatment-naive) | Mean Serum Cytokines: CXCL9 | Cycle 1 Day 2, 24 HRSPOST | 3858.80 pg/mL | Standard Deviation 2841.7 |
| Nivolumab 10 mg/kg (Treatment-naive) | Mean Serum Cytokines: CXCL9 | BASELINE | 2610.6 pg/mL | Standard Deviation 2118.11 |
| Nivolumab 10 mg/kg (Treatment-naive) | Mean Serum Cytokines: CXCL9 | Cycle 4 Day 1, 0 HRSPRE | 5449.5 pg/mL | Standard Deviation 4021.84 |
| Nivolumab 10 mg/kg (Treatment-naive) | Mean Serum Cytokines: CXCL9 | Cycle 1 Day 1, 7HRSPOST | 2883.6 pg/mL | Standard Deviation 2827.77 |
| Nivolumab 10 mg/kg (Treatment-naive) | Mean Serum Cytokines: CXCL9 | Cycle 1 Day 1, 3 HRSPOST | 2203.6 pg/mL | Standard Deviation 1728.76 |
| Nivolumab 10 mg/kg (Treatment-naive) | Mean Serum Cytokines: CXCL9 | Cycle 2 Day 8, 168 HRSPOST | 5773.2 pg/mL | Standard Deviation 6560.9 |
| Nivolumab 10 mg/kg (Treatment-naive) | Mean Serum Cytokines: CXCL9 | Cycle 2 Day 1, 0 HRSPRE | 5687.4 pg/mL | Standard Deviation 6788.78 |
Percent Change From Baseline in Activated and Memory T Cells
The objective of the study was to investigate the pharmacodynamic immunomodulatory activity of anti-PD-1 antibody in activated and memory T cells with metastatic clear-cell Renal Cell Carcinoma (RCC)
Time frame: Baseline, Cycle 1 Day 1, Cycle 1 Day 2, Cycle 1 Day 8, Cycle 2 Day 8, Cycle 4 Day 1
Population: All participants in the biomarker data set with baseline measurement and at least one on treatment measurement were included in pharmacodynamic analyses.
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| Nivolumab 0.3 mg/kg (Previously-treated) | Percent Change From Baseline in Activated and Memory T Cells | Cycle 2 Day 8 | NA Percentage |
| Nivolumab 0.3 mg/kg (Previously-treated) | Percent Change From Baseline in Activated and Memory T Cells | Cycle 1 Day 2 | NA Percentage |
| Nivolumab 0.3 mg/kg (Previously-treated) | Percent Change From Baseline in Activated and Memory T Cells | Cycle 4 Day 1 | NA Percentage |
| Nivolumab 0.3 mg/kg (Previously-treated) | Percent Change From Baseline in Activated and Memory T Cells | Cycle 1 Day 8 | NA Percentage |
| Nivolumab 0.3 mg/kg (Previously-treated) | Percent Change From Baseline in Activated and Memory T Cells | Cycle 1 Day 1 | NA Percentage |
| Nivolumab 2 mg/kg (Previously-treated) | Percent Change From Baseline in Activated and Memory T Cells | Cycle 1 Day 8 | NA Percentage |
| Nivolumab 2 mg/kg (Previously-treated) | Percent Change From Baseline in Activated and Memory T Cells | Cycle 2 Day 8 | NA Percentage |
| Nivolumab 2 mg/kg (Previously-treated) | Percent Change From Baseline in Activated and Memory T Cells | Cycle 4 Day 1 | NA Percentage |
| Nivolumab 2 mg/kg (Previously-treated) | Percent Change From Baseline in Activated and Memory T Cells | Cycle 1 Day 2 | NA Percentage |
| Nivolumab 2 mg/kg (Previously-treated) | Percent Change From Baseline in Activated and Memory T Cells | Cycle 1 Day 1 | NA Percentage |
| Nivolumab 10 mg/kg (Previously-treated) | Percent Change From Baseline in Activated and Memory T Cells | Cycle 1 Day 8 | NA Percentage |
| Nivolumab 10 mg/kg (Previously-treated) | Percent Change From Baseline in Activated and Memory T Cells | Cycle 1 Day 1 | NA Percentage |
| Nivolumab 10 mg/kg (Previously-treated) | Percent Change From Baseline in Activated and Memory T Cells | Cycle 1 Day 2 | NA Percentage |
| Nivolumab 10 mg/kg (Previously-treated) | Percent Change From Baseline in Activated and Memory T Cells | Cycle 2 Day 8 | NA Percentage |
| Nivolumab 10 mg/kg (Previously-treated) | Percent Change From Baseline in Activated and Memory T Cells | Cycle 4 Day 1 | NA Percentage |
| Nivolumab 10 mg/kg (Treatment-naive) | Percent Change From Baseline in Activated and Memory T Cells | Cycle 2 Day 8 | NA Percentage |
| Nivolumab 10 mg/kg (Treatment-naive) | Percent Change From Baseline in Activated and Memory T Cells | Cycle 1 Day 2 | NA Percentage |
| Nivolumab 10 mg/kg (Treatment-naive) | Percent Change From Baseline in Activated and Memory T Cells | Cycle 1 Day 1 | NA Percentage |
| Nivolumab 10 mg/kg (Treatment-naive) | Percent Change From Baseline in Activated and Memory T Cells | Cycle 1 Day 8 | NA Percentage |
| Nivolumab 10 mg/kg (Treatment-naive) | Percent Change From Baseline in Activated and Memory T Cells | Cycle 4 Day 1 | NA Percentage |
Best Overall Response in the BMS-936558 Arms
Baseline and post-nivolumab treatment modulation of serum levels of interferon-gamma stimulated chemokines CXCL9 and CXCL10 (IP10) were assessed. The participant's best response designation over the study as a whole, recorded between the date of first study drug administration and the date of objectively documented progression per Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST 1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR
Time frame: Assessed at a minimum of every 3 weeks up to 70 days following discontinuation of study drug (up to approximately 39 months)
Population: All treated participants
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Nivolumab 0.3 mg/kg (Previously-treated) | Best Overall Response in the BMS-936558 Arms | Progressive Disease | 9 Participants |
| Nivolumab 0.3 mg/kg (Previously-treated) | Best Overall Response in the BMS-936558 Arms | Partial Response | 2 Participants |
| Nivolumab 0.3 mg/kg (Previously-treated) | Best Overall Response in the BMS-936558 Arms | Unable To Determine | 2 Participants |
| Nivolumab 0.3 mg/kg (Previously-treated) | Best Overall Response in the BMS-936558 Arms | Stable Disease | 8 Participants |
| Nivolumab 0.3 mg/kg (Previously-treated) | Best Overall Response in the BMS-936558 Arms | Complete Response | 0 Participants |
| Nivolumab 2 mg/kg (Previously-treated) | Best Overall Response in the BMS-936558 Arms | Stable Disease | 10 Participants |
| Nivolumab 2 mg/kg (Previously-treated) | Best Overall Response in the BMS-936558 Arms | Progressive Disease | 5 Participants |
| Nivolumab 2 mg/kg (Previously-treated) | Best Overall Response in the BMS-936558 Arms | Unable To Determine | 3 Participants |
| Nivolumab 2 mg/kg (Previously-treated) | Best Overall Response in the BMS-936558 Arms | Partial Response | 4 Participants |
| Nivolumab 2 mg/kg (Previously-treated) | Best Overall Response in the BMS-936558 Arms | Complete Response | 0 Participants |
| Nivolumab 10 mg/kg (Previously-treated) | Best Overall Response in the BMS-936558 Arms | Stable Disease | 11 Participants |
| Nivolumab 10 mg/kg (Previously-treated) | Best Overall Response in the BMS-936558 Arms | Complete Response | 0 Participants |
| Nivolumab 10 mg/kg (Previously-treated) | Best Overall Response in the BMS-936558 Arms | Partial Response | 5 Participants |
| Nivolumab 10 mg/kg (Previously-treated) | Best Overall Response in the BMS-936558 Arms | Progressive Disease | 6 Participants |
| Nivolumab 10 mg/kg (Previously-treated) | Best Overall Response in the BMS-936558 Arms | Unable To Determine | 0 Participants |
| Nivolumab 10 mg/kg (Treatment-naive) | Best Overall Response in the BMS-936558 Arms | Progressive Disease | 7 Participants |
| Nivolumab 10 mg/kg (Treatment-naive) | Best Overall Response in the BMS-936558 Arms | Partial Response | 1 Participants |
| Nivolumab 10 mg/kg (Treatment-naive) | Best Overall Response in the BMS-936558 Arms | Complete Response | 2 Participants |
| Nivolumab 10 mg/kg (Treatment-naive) | Best Overall Response in the BMS-936558 Arms | Stable Disease | 13 Participants |
| Nivolumab 10 mg/kg (Treatment-naive) | Best Overall Response in the BMS-936558 Arms | Unable To Determine | 0 Participants |
Duration of Objective Response for BMS-936558
The duration of response is defined as the time when the measurement criteria are first met for PR or CR (whichever is reported first) until the date of documented disease progression or death. For subjects who neither progress nor die, the duration of response will be censored at the date of their last tumor assessment.
Time frame: The time when the measurement criteria are first met for PR or CR (whichever is reported first) until the date of documented disease progression or death (assessed up to 39 months)
Population: All treated participants
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Nivolumab 0.3 mg/kg (Previously-treated) | Duration of Objective Response for BMS-936558 | 30 weeks |
| Nivolumab 2 mg/kg (Previously-treated) | Duration of Objective Response for BMS-936558 | NA weeks |
| Nivolumab 10 mg/kg (Previously-treated) | Duration of Objective Response for BMS-936558 | 48.1 weeks |
| Nivolumab 10 mg/kg (Treatment-naive) | Duration of Objective Response for BMS-936558 | NA weeks |
Duration of Stable Disease for BMS-936558 as Measured in Participants Whose Best Overall Response is Stable Disease as the Time From Baseline Until the Date of Documented Disease Progression or Death
Duration of stable disease (SD) is defined in participants whose BOR is SD at the time from treatment arm assignment until the criteria for progression are met or death (whichever occurs first). Participants who die without a reported prior progression will be considered to have progressed on the date of their death. Participants who did not progress or die will be censored on the date of their last tumor assessment
Time frame: The time from treatment arm assignment until the criteria for progression are met or death (whichever occurs first)(assessed up to 39 months)
Population: All treated participants
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Nivolumab 0.3 mg/kg (Previously-treated) | Duration of Stable Disease for BMS-936558 as Measured in Participants Whose Best Overall Response is Stable Disease as the Time From Baseline Until the Date of Documented Disease Progression or Death | 16.5 weeks |
| Nivolumab 2 mg/kg (Previously-treated) | Duration of Stable Disease for BMS-936558 as Measured in Participants Whose Best Overall Response is Stable Disease as the Time From Baseline Until the Date of Documented Disease Progression or Death | 31.4 weeks |
| Nivolumab 10 mg/kg (Previously-treated) | Duration of Stable Disease for BMS-936558 as Measured in Participants Whose Best Overall Response is Stable Disease as the Time From Baseline Until the Date of Documented Disease Progression or Death | 41.3 weeks |
| Nivolumab 10 mg/kg (Treatment-naive) | Duration of Stable Disease for BMS-936558 as Measured in Participants Whose Best Overall Response is Stable Disease as the Time From Baseline Until the Date of Documented Disease Progression or Death | 35.1 weeks |
Immunogenicity of BMS-936558 as Measured by the Detection of Human Antibodies Against BMS-936558
Blood samples to evaluate the development of a positive anti-drug antibodies (ADA) response at the doses tested will be collected at time-points pre-dose, C4D1, C8D1 and during follow-up.
Time frame: Pre-dose, Cycle 4 Day 1, Cycle 8 Day 1 and during follow-up.
Population: ADA-Positive Subject: A subject with at least one ADA-positive sample at any time after initiation of treatment.~ADA-Negative Subject: A subject with no ADA-positive sample after the initiation of treatment
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Nivolumab 0.3 mg/kg (Previously-treated) | Immunogenicity of BMS-936558 as Measured by the Detection of Human Antibodies Against BMS-936558 | Anti-Drug Antibody (ADA) positive (%) | 11.8 percentage |
| Nivolumab 0.3 mg/kg (Previously-treated) | Immunogenicity of BMS-936558 as Measured by the Detection of Human Antibodies Against BMS-936558 | Anti-Drug Antibody (ADA) negative(%) | 88.2 percentage |
| Nivolumab 2 mg/kg (Previously-treated) | Immunogenicity of BMS-936558 as Measured by the Detection of Human Antibodies Against BMS-936558 | Anti-Drug Antibody (ADA) negative(%) | 84.2 percentage |
| Nivolumab 2 mg/kg (Previously-treated) | Immunogenicity of BMS-936558 as Measured by the Detection of Human Antibodies Against BMS-936558 | Anti-Drug Antibody (ADA) positive (%) | 15.8 percentage |
| Nivolumab 10 mg/kg (Previously-treated) | Immunogenicity of BMS-936558 as Measured by the Detection of Human Antibodies Against BMS-936558 | Anti-Drug Antibody (ADA) positive (%) | 13.6 percentage |
| Nivolumab 10 mg/kg (Previously-treated) | Immunogenicity of BMS-936558 as Measured by the Detection of Human Antibodies Against BMS-936558 | Anti-Drug Antibody (ADA) negative(%) | 86.4 percentage |
| Nivolumab 10 mg/kg (Treatment-naive) | Immunogenicity of BMS-936558 as Measured by the Detection of Human Antibodies Against BMS-936558 | Anti-Drug Antibody (ADA) positive (%) | 0 percentage |
| Nivolumab 10 mg/kg (Treatment-naive) | Immunogenicity of BMS-936558 as Measured by the Detection of Human Antibodies Against BMS-936558 | Anti-Drug Antibody (ADA) negative(%) | 100 percentage |
Objective Response Rate in BMS-936558
The total number of subjects whose best overall response (BOR) is either a complete response (CR) or partial response (PR) divided by the total number of participants in the population of interest, and expressed as a percentage.
Time frame: Up to 22 months after study start
Population: All treated participants
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Nivolumab 0.3 mg/kg (Previously-treated) | Objective Response Rate in BMS-936558 | 9.1 percent |
| Nivolumab 2 mg/kg (Previously-treated) | Objective Response Rate in BMS-936558 | 18.2 percent |
| Nivolumab 10 mg/kg (Previously-treated) | Objective Response Rate in BMS-936558 | 21.7 percent |
| Nivolumab 10 mg/kg (Treatment-naive) | Objective Response Rate in BMS-936558 | 12.5 percent |
Progression Free Survival Rate in BMS-936558
PFS is defined as the time from treatment arm assignment to the date of first documented disease progression. Participants who die without a reported prior progression will be considered to have progressed on the date of their death. Participants who did not progress or die will be censored on the date of their last tumor assessment. Participants who did not have any on study tumor assessments will be censored on the date they were assigned a treatment arm. PFS rate is the percentage of participants who did not have disease progression at particular time points (16 weeks, 24 weeks, 48 weeks)
Time frame: Progression free survival rate will be assessed in each individual treatment arm by tumor assessments at 16, 24, and 48 weeks. From initial dose to end of study (assessed up to 39 months)
Population: All treated participants
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Nivolumab 0.3 mg/kg (Previously-treated) | Progression Free Survival Rate in BMS-936558 | 16 weeks | 0.29 percent |
| Nivolumab 0.3 mg/kg (Previously-treated) | Progression Free Survival Rate in BMS-936558 | 48 weeks | 0 percent |
| Nivolumab 0.3 mg/kg (Previously-treated) | Progression Free Survival Rate in BMS-936558 | 24 weeks | 0 percent |
| Nivolumab 2 mg/kg (Previously-treated) | Progression Free Survival Rate in BMS-936558 | 16 weeks | 0.49 percent |
| Nivolumab 2 mg/kg (Previously-treated) | Progression Free Survival Rate in BMS-936558 | 48 weeks | 0 percent |
| Nivolumab 2 mg/kg (Previously-treated) | Progression Free Survival Rate in BMS-936558 | 24 weeks | 0.44 percent |
| Nivolumab 10 mg/kg (Previously-treated) | Progression Free Survival Rate in BMS-936558 | 24 weeks | 0.58 percent |
| Nivolumab 10 mg/kg (Previously-treated) | Progression Free Survival Rate in BMS-936558 | 16 weeks | 0.63 percent |
| Nivolumab 10 mg/kg (Previously-treated) | Progression Free Survival Rate in BMS-936558 | 48 weeks | 0.32 percent |
| Nivolumab 10 mg/kg (Treatment-naive) | Progression Free Survival Rate in BMS-936558 | 16 weeks | 0.55 percent |
| Nivolumab 10 mg/kg (Treatment-naive) | Progression Free Survival Rate in BMS-936558 | 48 weeks | 0.39 percent |
| Nivolumab 10 mg/kg (Treatment-naive) | Progression Free Survival Rate in BMS-936558 | 24 weeks | 0.50 percent |