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Phase I Biomarker Study (BMS-936558)

An Exploratory Study to Investigate the Immunomodulatory Activity of Various Dose Levels of Anti Programmed-Death-1 (PD-1) Antibody (BMS-936558) in Subjects With Metastatic Clear Cell Renal Cell Carcinoma (RCC).

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01358721
Enrollment
119
Registered
2011-05-24
Start date
2011-09-23
Completion date
2019-05-22
Last updated
2021-10-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Renal Cell Carcinoma

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

DRUGBMS-936558 (Anti-PD-1)

Solution, Intravenous infusion, 0.3 mg/kg, Every 3 weeks, Indefinitely depending on response

Sponsors

Ono Pharma USA Inc
CollaboratorINDUSTRY
Bristol-Myers Squibb
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

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

MeasureTime frameDescription
Percent Change From Baseline in Activated and Memory T CellsBaseline, Cycle 1 Day 1, Cycle 1 Day 2, Cycle 1 Day 8, Cycle 2 Day 8, Cycle 4 Day 1The 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: CXCL9Baseline, 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 InfiltrationCycle 2 Day 8 168 Hr post doseThe 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 Infiltration168 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

MeasureTime frameDescription
Best Overall Response in the BMS-936558 ArmsAssessed 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-936558Progression 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-936558Up to 22 months after study startThe 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-936558The 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 DeathThe 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-936558Pre-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

ArmCount
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
Total91

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event related to study drug1001
Overall StudyDeath0200
Overall StudyDisease Progression19151715
Overall StudyOut of State/Unmet Criteria0010
Overall StudyStudy Drug Toxicity1345
Overall StudySubject No Longer Meets Study Criteria0201
Overall StudySUBJ request to discontinue study TRT0001
Overall StudyWithdrawal by Subject0001

Baseline characteristics

CharacteristicNivolumab 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, Continuous61.0 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 Participants0 Participants1 Participants1 Participants3 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
16 Participants19 Participants17 Participants23 Participants75 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
5 Participants3 Participants5 Participants0 Participants13 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants1 Participants0 Participants1 Participants
Race (NIH/OMB)
Black or African American
1 Participants1 Participants0 Participants0 Participants2 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants0 Participants1 Participants0 Participants2 Participants
Race (NIH/OMB)
White
20 Participants21 Participants21 Participants24 Participants86 Participants
Sex: Female, Male
Female
3 Participants10 Participants8 Participants9 Participants30 Participants
Sex: Female, Male
Male
19 Participants12 Participants15 Participants15 Participants61 Participants

Adverse events

Event typeEG000
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 / 2222 / 2223 / 2324 / 24
serious
Total, serious adverse events
13 / 2211 / 2212 / 2313 / 24

Outcome results

Primary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Nivolumab 0.3 mg/kg (Previously-treated)Mean CD4 T Cell InfiltrationBaseline34.1 Number of CD4+ CellsStandard Deviation 78.4
Nivolumab 0.3 mg/kg (Previously-treated)Mean CD4 T Cell InfiltrationCycle 2 Day 8, 168 HrsPost64.8 Number of CD4+ CellsStandard Deviation 77.22
Nivolumab 2 mg/kg (Previously-treated)Mean CD4 T Cell InfiltrationCycle 2 Day 8, 168 HrsPost28.2 Number of CD4+ CellsStandard Deviation 46.93
Nivolumab 2 mg/kg (Previously-treated)Mean CD4 T Cell InfiltrationBaseline10.4 Number of CD4+ CellsStandard Deviation 34.38
Nivolumab 10 mg/kg (Previously-treated)Mean CD4 T Cell InfiltrationBaseline35.2 Number of CD4+ CellsStandard Deviation 77.44
Nivolumab 10 mg/kg (Previously-treated)Mean CD4 T Cell InfiltrationCycle 2 Day 8, 168 HrsPost53.4 Number of CD4+ CellsStandard Deviation 97.98
Nivolumab 10 mg/kg (Treatment-naive)Mean CD4 T Cell InfiltrationBaseline53.2 Number of CD4+ CellsStandard Deviation 109.31
Nivolumab 10 mg/kg (Treatment-naive)Mean CD4 T Cell InfiltrationCycle 2 Day 8, 168 HrsPost107.4 Number of CD4+ CellsStandard Deviation 254.75
Primary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Nivolumab 0.3 mg/kg (Previously-treated)Mean CD8 T Cell InfiltrationBaseline10.2 Number of CD8 cellsStandard Deviation 13.77
Nivolumab 0.3 mg/kg (Previously-treated)Mean CD8 T Cell InfiltrationCycle 2 Day 8, 169 HRSPOST14.9 Number of CD8 cellsStandard Deviation 13.85
Nivolumab 2 mg/kg (Previously-treated)Mean CD8 T Cell InfiltrationCycle 2 Day 8, 169 HRSPOST18.9 Number of CD8 cellsStandard Deviation 17.07
Nivolumab 2 mg/kg (Previously-treated)Mean CD8 T Cell InfiltrationBaseline7.8 Number of CD8 cellsStandard Deviation 10.62
Nivolumab 10 mg/kg (Previously-treated)Mean CD8 T Cell InfiltrationBaseline11.9 Number of CD8 cellsStandard Deviation 14.31
Nivolumab 10 mg/kg (Previously-treated)Mean CD8 T Cell InfiltrationCycle 2 Day 8, 169 HRSPOST23.3 Number of CD8 cellsStandard Deviation 23.49
Nivolumab 10 mg/kg (Treatment-naive)Mean CD8 T Cell InfiltrationBaseline14.4 Number of CD8 cellsStandard Deviation 18.37
Nivolumab 10 mg/kg (Treatment-naive)Mean CD8 T Cell InfiltrationCycle 2 Day 8, 169 HRSPOST16.3 Number of CD8 cellsStandard Deviation 22.19
Primary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Nivolumab 0.3 mg/kg (Previously-treated)Mean Serum Cytokines CXCL10 (IP10)Cycle 1 Day 1, 3 HRSPOST525.5 pg/mLStandard Deviation 335.1
Nivolumab 0.3 mg/kg (Previously-treated)Mean Serum Cytokines CXCL10 (IP10)Cycle 4 Day 1, 0 HRSPRE1272.8 pg/mLStandard Deviation 2075.49
Nivolumab 0.3 mg/kg (Previously-treated)Mean Serum Cytokines CXCL10 (IP10)Cycle 2 Day 8, 168 HRSPOST724.1 pg/mLStandard Deviation 470.03
Nivolumab 0.3 mg/kg (Previously-treated)Mean Serum Cytokines CXCL10 (IP10)Cycle 1 Day 1, 7HRSPOST591.4 pg/mLStandard Deviation 360.3
Nivolumab 0.3 mg/kg (Previously-treated)Mean Serum Cytokines CXCL10 (IP10)BASELINE474.5 pg/mLStandard Deviation 236.75
Nivolumab 0.3 mg/kg (Previously-treated)Mean Serum Cytokines CXCL10 (IP10)Cycle 1 Day 2, 24 HRSPOST813.2 pg/mLStandard Deviation 547.71
Nivolumab 0.3 mg/kg (Previously-treated)Mean Serum Cytokines CXCL10 (IP10)Cycle 2 Day 1, 0 HRSPRE718.0 pg/mLStandard Deviation 471.22
Nivolumab 2 mg/kg (Previously-treated)Mean Serum Cytokines CXCL10 (IP10)Cycle 4 Day 1, 0 HRSPRE678.7 pg/mLStandard Deviation 364.85
Nivolumab 2 mg/kg (Previously-treated)Mean Serum Cytokines CXCL10 (IP10)Cycle 2 Day 1, 0 HRSPRE835.9 pg/mLStandard Deviation 579.07
Nivolumab 2 mg/kg (Previously-treated)Mean Serum Cytokines CXCL10 (IP10)Cycle 1 Day 2, 24 HRSPOST758.8 pg/mLStandard Deviation 616.06
Nivolumab 2 mg/kg (Previously-treated)Mean Serum Cytokines CXCL10 (IP10)Cycle 2 Day 8, 168 HRSPOST677.6 pg/mLStandard Deviation 341.15
Nivolumab 2 mg/kg (Previously-treated)Mean Serum Cytokines CXCL10 (IP10)BASELINE483.0 pg/mLStandard Deviation 383.77
Nivolumab 2 mg/kg (Previously-treated)Mean Serum Cytokines CXCL10 (IP10)Cycle 1 Day 1, 7HRSPOST727.7 pg/mLStandard Deviation 626.98
Nivolumab 2 mg/kg (Previously-treated)Mean Serum Cytokines CXCL10 (IP10)Cycle 1 Day 1, 3 HRSPOST523.4 pg/mLStandard Deviation 400.88
Nivolumab 10 mg/kg (Previously-treated)Mean Serum Cytokines CXCL10 (IP10)Cycle 2 Day 1, 0 HRSPRE781.9 pg/mLStandard Deviation 753.41
Nivolumab 10 mg/kg (Previously-treated)Mean Serum Cytokines CXCL10 (IP10)Cycle 1 Day 1, 3 HRSPOST422.0 pg/mLStandard Deviation 264.54
Nivolumab 10 mg/kg (Previously-treated)Mean Serum Cytokines CXCL10 (IP10)Cycle 1 Day 1, 7HRSPOST762.2 pg/mLStandard Deviation 896.22
Nivolumab 10 mg/kg (Previously-treated)Mean Serum Cytokines CXCL10 (IP10)Cycle 1 Day 2, 24 HRSPOST736.1 pg/mLStandard Deviation 787.53
Nivolumab 10 mg/kg (Previously-treated)Mean Serum Cytokines CXCL10 (IP10)Cycle 2 Day 8, 168 HRSPOST794.6 pg/mLStandard Deviation 882.64
Nivolumab 10 mg/kg (Previously-treated)Mean Serum Cytokines CXCL10 (IP10)Cycle 4 Day 1, 0 HRSPRE431.3 pg/mLStandard Deviation 133.78
Nivolumab 10 mg/kg (Previously-treated)Mean Serum Cytokines CXCL10 (IP10)BASELINE397.4 pg/mLStandard Deviation 223.89
Nivolumab 10 mg/kg (Treatment-naive)Mean Serum Cytokines CXCL10 (IP10)Cycle 1 Day 2, 24 HRSPOST700.5 pg/mLStandard Deviation 738.71
Nivolumab 10 mg/kg (Treatment-naive)Mean Serum Cytokines CXCL10 (IP10)BASELINE767.9 pg/mLStandard Deviation 525.06
Nivolumab 10 mg/kg (Treatment-naive)Mean Serum Cytokines CXCL10 (IP10)Cycle 4 Day 1, 0 HRSPRE794.8 pg/mLStandard Deviation 574.14
Nivolumab 10 mg/kg (Treatment-naive)Mean Serum Cytokines CXCL10 (IP10)Cycle 1 Day 1, 7HRSPOST531.4 pg/mLStandard Deviation 508.2
Nivolumab 10 mg/kg (Treatment-naive)Mean Serum Cytokines CXCL10 (IP10)Cycle 1 Day 1, 3 HRSPOST450.7 pg/mLStandard Deviation 247.78
Nivolumab 10 mg/kg (Treatment-naive)Mean Serum Cytokines CXCL10 (IP10)Cycle 2 Day 8, 168 HRSPOST770.6 pg/mLStandard Deviation 672.43
Nivolumab 10 mg/kg (Treatment-naive)Mean Serum Cytokines CXCL10 (IP10)Cycle 2 Day 1, 0 HRSPRE679.4 pg/mLStandard Deviation 556.47
Primary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Nivolumab 0.3 mg/kg (Previously-treated)Mean Serum Cytokines: CXCL9Cycle 1 Day 1, 3 HRSPOST2859.1 pg/mLStandard Deviation 2481.44
Nivolumab 0.3 mg/kg (Previously-treated)Mean Serum Cytokines: CXCL9Cycle 4 Day 1, 0 HRSPRE8519.4 pg/mLStandard Deviation 11444.72
Nivolumab 0.3 mg/kg (Previously-treated)Mean Serum Cytokines: CXCL9Cycle 2 Day 8, 168 HRSPOST5271.5 pg/mLStandard Deviation 5196.91
Nivolumab 0.3 mg/kg (Previously-treated)Mean Serum Cytokines: CXCL9Cycle 1 Day 1, 7HRSPOST3287.7 pg/mLStandard Deviation 3617.32
Nivolumab 0.3 mg/kg (Previously-treated)Mean Serum Cytokines: CXCL9BASELINE2681.6 pg/mLStandard Deviation 2135.89
Nivolumab 0.3 mg/kg (Previously-treated)Mean Serum Cytokines: CXCL9Cycle 1 Day 2, 24 HRSPOST5447.3 pg/mLStandard Deviation 7006.73
Nivolumab 0.3 mg/kg (Previously-treated)Mean Serum Cytokines: CXCL9Cycle 2 Day 1, 0 HRSPRE5192.6 pg/mLStandard Deviation 4447.78
Nivolumab 2 mg/kg (Previously-treated)Mean Serum Cytokines: CXCL9Cycle 4 Day 1, 0 HRSPRE5131.2 pg/mLStandard Deviation 4330.84
Nivolumab 2 mg/kg (Previously-treated)Mean Serum Cytokines: CXCL9Cycle 2 Day 1, 0 HRSPRE7220.6 pg/mLStandard Deviation 9385.9
Nivolumab 2 mg/kg (Previously-treated)Mean Serum Cytokines: CXCL9Cycle 1 Day 2, 24 HRSPOST4332.3 pg/mLStandard Deviation 3875.12
Nivolumab 2 mg/kg (Previously-treated)Mean Serum Cytokines: CXCL9Cycle 2 Day 8, 168 HRSPOST4932.6 pg/mLStandard Deviation 4321.91
Nivolumab 2 mg/kg (Previously-treated)Mean Serum Cytokines: CXCL9BASELINE2213.5 pg/mLStandard Deviation 1520.44
Nivolumab 2 mg/kg (Previously-treated)Mean Serum Cytokines: CXCL9Cycle 1 Day 1, 7HRSPOST2567.1 pg/mLStandard Deviation 1885.13
Nivolumab 2 mg/kg (Previously-treated)Mean Serum Cytokines: CXCL9Cycle 1 Day 1, 3 HRSPOST2294.3 pg/mLStandard Deviation 1528.97
Nivolumab 10 mg/kg (Previously-treated)Mean Serum Cytokines: CXCL9Cycle 2 Day 1, 0 HRSPRE5398.8 pg/mLStandard Deviation 5428.64
Nivolumab 10 mg/kg (Previously-treated)Mean Serum Cytokines: CXCL9Cycle 1 Day 1, 3 HRSPOST1906.6 pg/mLStandard Deviation 1744.09
Nivolumab 10 mg/kg (Previously-treated)Mean Serum Cytokines: CXCL9Cycle 1 Day 1, 7HRSPOST2546.1 pg/mLStandard Deviation 2421
Nivolumab 10 mg/kg (Previously-treated)Mean Serum Cytokines: CXCL9Cycle 1 Day 2, 24 HRSPOST4216.4 pg/mLStandard Deviation 4715.61
Nivolumab 10 mg/kg (Previously-treated)Mean Serum Cytokines: CXCL9Cycle 2 Day 8, 168 HRSPOST5751.3 pg/mLStandard Deviation 5900.87
Nivolumab 10 mg/kg (Previously-treated)Mean Serum Cytokines: CXCL9Cycle 4 Day 1, 0 HRSPRE3523.6 pg/mLStandard Deviation 2678.32
Nivolumab 10 mg/kg (Previously-treated)Mean Serum Cytokines: CXCL9BASELINE2065.3 pg/mLStandard Deviation 1805.25
Nivolumab 10 mg/kg (Treatment-naive)Mean Serum Cytokines: CXCL9Cycle 1 Day 2, 24 HRSPOST3858.80 pg/mLStandard Deviation 2841.7
Nivolumab 10 mg/kg (Treatment-naive)Mean Serum Cytokines: CXCL9BASELINE2610.6 pg/mLStandard Deviation 2118.11
Nivolumab 10 mg/kg (Treatment-naive)Mean Serum Cytokines: CXCL9Cycle 4 Day 1, 0 HRSPRE5449.5 pg/mLStandard Deviation 4021.84
Nivolumab 10 mg/kg (Treatment-naive)Mean Serum Cytokines: CXCL9Cycle 1 Day 1, 7HRSPOST2883.6 pg/mLStandard Deviation 2827.77
Nivolumab 10 mg/kg (Treatment-naive)Mean Serum Cytokines: CXCL9Cycle 1 Day 1, 3 HRSPOST2203.6 pg/mLStandard Deviation 1728.76
Nivolumab 10 mg/kg (Treatment-naive)Mean Serum Cytokines: CXCL9Cycle 2 Day 8, 168 HRSPOST5773.2 pg/mLStandard Deviation 6560.9
Nivolumab 10 mg/kg (Treatment-naive)Mean Serum Cytokines: CXCL9Cycle 2 Day 1, 0 HRSPRE5687.4 pg/mLStandard Deviation 6788.78
Primary

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.

ArmMeasureGroupValue (MEAN)
Nivolumab 0.3 mg/kg (Previously-treated)Percent Change From Baseline in Activated and Memory T CellsCycle 2 Day 8NA Percentage
Nivolumab 0.3 mg/kg (Previously-treated)Percent Change From Baseline in Activated and Memory T CellsCycle 1 Day 2NA Percentage
Nivolumab 0.3 mg/kg (Previously-treated)Percent Change From Baseline in Activated and Memory T CellsCycle 4 Day 1NA Percentage
Nivolumab 0.3 mg/kg (Previously-treated)Percent Change From Baseline in Activated and Memory T CellsCycle 1 Day 8NA Percentage
Nivolumab 0.3 mg/kg (Previously-treated)Percent Change From Baseline in Activated and Memory T CellsCycle 1 Day 1NA Percentage
Nivolumab 2 mg/kg (Previously-treated)Percent Change From Baseline in Activated and Memory T CellsCycle 1 Day 8NA Percentage
Nivolumab 2 mg/kg (Previously-treated)Percent Change From Baseline in Activated and Memory T CellsCycle 2 Day 8NA Percentage
Nivolumab 2 mg/kg (Previously-treated)Percent Change From Baseline in Activated and Memory T CellsCycle 4 Day 1NA Percentage
Nivolumab 2 mg/kg (Previously-treated)Percent Change From Baseline in Activated and Memory T CellsCycle 1 Day 2NA Percentage
Nivolumab 2 mg/kg (Previously-treated)Percent Change From Baseline in Activated and Memory T CellsCycle 1 Day 1NA Percentage
Nivolumab 10 mg/kg (Previously-treated)Percent Change From Baseline in Activated and Memory T CellsCycle 1 Day 8NA Percentage
Nivolumab 10 mg/kg (Previously-treated)Percent Change From Baseline in Activated and Memory T CellsCycle 1 Day 1NA Percentage
Nivolumab 10 mg/kg (Previously-treated)Percent Change From Baseline in Activated and Memory T CellsCycle 1 Day 2NA Percentage
Nivolumab 10 mg/kg (Previously-treated)Percent Change From Baseline in Activated and Memory T CellsCycle 2 Day 8NA Percentage
Nivolumab 10 mg/kg (Previously-treated)Percent Change From Baseline in Activated and Memory T CellsCycle 4 Day 1NA Percentage
Nivolumab 10 mg/kg (Treatment-naive)Percent Change From Baseline in Activated and Memory T CellsCycle 2 Day 8NA Percentage
Nivolumab 10 mg/kg (Treatment-naive)Percent Change From Baseline in Activated and Memory T CellsCycle 1 Day 2NA Percentage
Nivolumab 10 mg/kg (Treatment-naive)Percent Change From Baseline in Activated and Memory T CellsCycle 1 Day 1NA Percentage
Nivolumab 10 mg/kg (Treatment-naive)Percent Change From Baseline in Activated and Memory T CellsCycle 1 Day 8NA Percentage
Nivolumab 10 mg/kg (Treatment-naive)Percent Change From Baseline in Activated and Memory T CellsCycle 4 Day 1NA Percentage
Secondary

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

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Nivolumab 0.3 mg/kg (Previously-treated)Best Overall Response in the BMS-936558 ArmsProgressive Disease9 Participants
Nivolumab 0.3 mg/kg (Previously-treated)Best Overall Response in the BMS-936558 ArmsPartial Response2 Participants
Nivolumab 0.3 mg/kg (Previously-treated)Best Overall Response in the BMS-936558 ArmsUnable To Determine2 Participants
Nivolumab 0.3 mg/kg (Previously-treated)Best Overall Response in the BMS-936558 ArmsStable Disease8 Participants
Nivolumab 0.3 mg/kg (Previously-treated)Best Overall Response in the BMS-936558 ArmsComplete Response0 Participants
Nivolumab 2 mg/kg (Previously-treated)Best Overall Response in the BMS-936558 ArmsStable Disease10 Participants
Nivolumab 2 mg/kg (Previously-treated)Best Overall Response in the BMS-936558 ArmsProgressive Disease5 Participants
Nivolumab 2 mg/kg (Previously-treated)Best Overall Response in the BMS-936558 ArmsUnable To Determine3 Participants
Nivolumab 2 mg/kg (Previously-treated)Best Overall Response in the BMS-936558 ArmsPartial Response4 Participants
Nivolumab 2 mg/kg (Previously-treated)Best Overall Response in the BMS-936558 ArmsComplete Response0 Participants
Nivolumab 10 mg/kg (Previously-treated)Best Overall Response in the BMS-936558 ArmsStable Disease11 Participants
Nivolumab 10 mg/kg (Previously-treated)Best Overall Response in the BMS-936558 ArmsComplete Response0 Participants
Nivolumab 10 mg/kg (Previously-treated)Best Overall Response in the BMS-936558 ArmsPartial Response5 Participants
Nivolumab 10 mg/kg (Previously-treated)Best Overall Response in the BMS-936558 ArmsProgressive Disease6 Participants
Nivolumab 10 mg/kg (Previously-treated)Best Overall Response in the BMS-936558 ArmsUnable To Determine0 Participants
Nivolumab 10 mg/kg (Treatment-naive)Best Overall Response in the BMS-936558 ArmsProgressive Disease7 Participants
Nivolumab 10 mg/kg (Treatment-naive)Best Overall Response in the BMS-936558 ArmsPartial Response1 Participants
Nivolumab 10 mg/kg (Treatment-naive)Best Overall Response in the BMS-936558 ArmsComplete Response2 Participants
Nivolumab 10 mg/kg (Treatment-naive)Best Overall Response in the BMS-936558 ArmsStable Disease13 Participants
Nivolumab 10 mg/kg (Treatment-naive)Best Overall Response in the BMS-936558 ArmsUnable To Determine0 Participants
Secondary

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

ArmMeasureValue (MEDIAN)
Nivolumab 0.3 mg/kg (Previously-treated)Duration of Objective Response for BMS-93655830 weeks
Nivolumab 2 mg/kg (Previously-treated)Duration of Objective Response for BMS-936558NA weeks
Nivolumab 10 mg/kg (Previously-treated)Duration of Objective Response for BMS-93655848.1 weeks
Nivolumab 10 mg/kg (Treatment-naive)Duration of Objective Response for BMS-936558NA weeks
Secondary

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

ArmMeasureValue (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 Death16.5 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 Death31.4 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 Death41.3 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 Death35.1 weeks
Secondary

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

ArmMeasureGroupValue (NUMBER)
Nivolumab 0.3 mg/kg (Previously-treated)Immunogenicity of BMS-936558 as Measured by the Detection of Human Antibodies Against BMS-936558Anti-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-936558Anti-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-936558Anti-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-936558Anti-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-936558Anti-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-936558Anti-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-936558Anti-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-936558Anti-Drug Antibody (ADA) negative(%)100 percentage
Secondary

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

ArmMeasureValue (NUMBER)
Nivolumab 0.3 mg/kg (Previously-treated)Objective Response Rate in BMS-9365589.1 percent
Nivolumab 2 mg/kg (Previously-treated)Objective Response Rate in BMS-93655818.2 percent
Nivolumab 10 mg/kg (Previously-treated)Objective Response Rate in BMS-93655821.7 percent
Nivolumab 10 mg/kg (Treatment-naive)Objective Response Rate in BMS-93655812.5 percent
Secondary

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

ArmMeasureGroupValue (NUMBER)
Nivolumab 0.3 mg/kg (Previously-treated)Progression Free Survival Rate in BMS-93655816 weeks0.29 percent
Nivolumab 0.3 mg/kg (Previously-treated)Progression Free Survival Rate in BMS-93655848 weeks0 percent
Nivolumab 0.3 mg/kg (Previously-treated)Progression Free Survival Rate in BMS-93655824 weeks0 percent
Nivolumab 2 mg/kg (Previously-treated)Progression Free Survival Rate in BMS-93655816 weeks0.49 percent
Nivolumab 2 mg/kg (Previously-treated)Progression Free Survival Rate in BMS-93655848 weeks0 percent
Nivolumab 2 mg/kg (Previously-treated)Progression Free Survival Rate in BMS-93655824 weeks0.44 percent
Nivolumab 10 mg/kg (Previously-treated)Progression Free Survival Rate in BMS-93655824 weeks0.58 percent
Nivolumab 10 mg/kg (Previously-treated)Progression Free Survival Rate in BMS-93655816 weeks0.63 percent
Nivolumab 10 mg/kg (Previously-treated)Progression Free Survival Rate in BMS-93655848 weeks0.32 percent
Nivolumab 10 mg/kg (Treatment-naive)Progression Free Survival Rate in BMS-93655816 weeks0.55 percent
Nivolumab 10 mg/kg (Treatment-naive)Progression Free Survival Rate in BMS-93655848 weeks0.39 percent
Nivolumab 10 mg/kg (Treatment-naive)Progression Free Survival Rate in BMS-93655824 weeks0.50 percent

Source: ClinicalTrials.gov · Data processed: Mar 8, 2026