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An Investigational Immuno-Therapy Safety and Efficacy Study of Multiple Administration Regimens for Nivolumab Plus Ipilimumab in Subjects With Renal Cell Carcinoma

Phase II, Randomized, Study of Multiple Administration Regimens for Nivolumab Plus Ipilimumab in Subjects With Renal Cell Carcinoma

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03029780
Acronym
CheckMate 800
Enrollment
104
Registered
2017-01-24
Start date
2017-02-16
Completion date
2021-06-15
Last updated
2022-06-29

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 safety and efficacy of different administration regimens of nivolumab plus ipilimumab in subjects with renal cell carcinoma.

Interventions

BIOLOGICALOpdivo

Specified dose on specified days

BIOLOGICALYervoy

Specified dose on specified days

Sponsors

Bristol-Myers Squibb
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

For more information regarding Bristol-Myers Squibb Clinical Trial participation, please visit www.BMSStudyConnect.com Inclusion Criteria: * Advanced Renal Cell Carcinoma * Must have full activity or, if limited, must be able to walk and carry out light activities such as light house work or office work * Must have at least 1 lesion with measurable disease

Exclusion criteria

* Subjects with active central nervous system metastases * Subjects who received prior therapy with checkpoint inhibitor * Subjects with active, known or suspected autoimmune disease Other protocol defined inclusion/

Design outcomes

Primary

MeasureTime frameDescription
The Percentage of Participant With Adverse Events (AEs) in the Broad Scope MedDRA Anaphylactic Reaction Standardized MedDRA Queries (SMQ) Within 2 Days After Any Dose in the Combination PeriodFrom randomization to 2 days following any dose in the combination period (assessed up to November 24th, 2017, approximately 9 months)The percentage of participants who experienced at least 1 adverse event in the MedDRA Anaphylactic Reaction broad scope SMQ with onset on the day of or within 2 days after any study therapy infusion during the combination period (Part 1).

Secondary

MeasureTime frameDescription
The Percentage of Participants With Drug Related Grade 3-5 Adverse EventsFrom first dose to 30 days after last dose of study therapy (up to approximately 48 months)The percentage of participants who experienced at least 1 adverse event of Grade 3 or higher, judged to be related to study treatment by the investigator, with onset on or after the first dose of study treatment and within 30 days of the last dose of study treatment. Evaluated using Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.0 criteria.
The Percentage of Participants With All Causality Grade 3-5 Adverse EventsFrom first dose to 30 days after last dose of study therapy (up to approximately 48 months)The percentage of participants who experienced at least 1 adverse event of Grade 3 or higher with onset on or after the first dose of study treatment and within 30 days of the last dose of study treatment. Evaluated using the NCI CTCAE version 4.0 criteria
Objective Response Rate (ORR)From randomization to the date of objectively documented progression or the date of first subsequent anti-cancer (up to approximately 52 months)The percentage of participants with a best overall response (BOR) of complete response (CR) or partial response (PR). The BOR is defined as the best response designation, as determined by the investigator, recorded between the date of randomization and the date of objectively documented progression per RECIST 1.1 or the date of first subsequent anti-cancer therapy, whichever occurs first. For participants without documented progression or subsequent therapy, all available response designations will contribute to the BOR assessment. Complete Response is defined as the disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10mm. Partial Response is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
The Percentage of Participant With Adverse Events in the Narrow Scope MedDRA Anaphylactic Reaction Standardized MedDRA Queries (SMQ) Occurring Within 2 Days After Any Dose in the Combination PeriodFrom randomization to 2 days following any dose in the combination period (assessed up to November 24th, 2017, approximately 9 months)The percentage of participants who experienced at least 1 adverse event in the MedDRA Anaphylactic Reaction narrow scope SMQ with onset on the day of or within 2 days after any study therapy infusion during the combination period (Part 1).
Geometric Mean Trough Concentrations of Nivolumab and Ipilimumabpre-dose on day 1 of cycle 2 and 4Serum concentration-time data of nivolumab and ipilimumab administered as a fixed ratio combination to that of sequentially administered nivolumab and ipilimumab is summarized prior to the next dose (predose). 1 Cycle = 3 weeks
Geometric Mean End of Infusion (EOI) Concentrations of Nivolumab and IpilimumabEOI on day 1 of cycle 1, 2, and 4Serum concentration-time data of nivolumab and ipilimumab administered as a fixed ratio combination to that of sequentially administered nivolumab and ipilimumab is summarized at the end of infusion (EOI). 1 Cycle = 3 weeks
Progression Free Survival (PFS)From randomization to the first date of documented progression or death due to any cause (up to approximately 52 months)The time between the date of randomization and the first date of documented progression, or death due to any cause, whichever occurs first (per investigator). Participants who die without progression will be considered to have progressed on the date of their death. Participants who did not progress or die are censored on the date of their last evaluable tumor assessment. Participants with no on study tumor assessments and who did not die will be censored on their date of randomization. Participants who started anti-cancer therapy without a prior reported progression will be censored on the date of their last evaluable tumor assessment prior to the first subsequent anti-cancer therapy. Progression is defined as at least a 20% increase in the sum of diameters of target lesions. The sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progression)

Countries

Australia, Chile, United States

Participant flow

Pre-assignment details

104 participants were randomized and treated

Participants by arm

ArmCount
Arm A: Fixed Ratio Combination
Participants recieve a fixed ratio combination (BMS-986237) of nivolumab and ipilimumab in a 3:1 ratio (nivolumab 3 mg/kg and ipilimumab1 mg/kg) every 3 weeks for 4 doses. Participants will then receive nivolumab 480 mg flat dose infused over 30 minutes every four weeks.
52
Arm B: Sequential Combination
Nivolumab 3 mg/kg and ipilimumab 1 mg/kg will be administered sequentially every 3 weeks for up to 4 doses. Participants will then receive nivolumab 480 mg flat dose infused over 30 minutes every four weeks.
52
Total104

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event Unrelated to Study Drug23
Overall StudyDeath26
Overall StudyDisease Progression2022
Overall StudyMaximum clinical benefit10
Overall StudyNot reported11
Overall StudyOther reasons66
Overall StudyParticipant no longer meets study criteria01
Overall StudyParticipant request to discontinue study treatment41
Overall StudyStudy Drug Toxicity1511

Baseline characteristics

CharacteristicArm A: Fixed Ratio CombinationArm B: Sequential CombinationTotal
Age, Continuous62.2 Years
STANDARD_DEVIATION 10.9
62.6 Years
STANDARD_DEVIATION 9.9
62.4 Years
STANDARD_DEVIATION 10.4
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Count of participants0 Count of participants0 Count of participants
Race/Ethnicity, Customized
Asian
3 Count of participants0 Count of participants3 Count of participants
Race/Ethnicity, Customized
Black or African American
1 Count of participants0 Count of participants1 Count of participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
1 Count of participants0 Count of participants1 Count of participants
Race/Ethnicity, Customized
Other
1 Count of participants1 Count of participants2 Count of participants
Race/Ethnicity, Customized
White
46 Count of participants51 Count of participants97 Count of participants
Sex: Female, Male
Female
10 Participants14 Participants24 Participants
Sex: Female, Male
Male
42 Participants38 Participants80 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
26 / 5229 / 52
other
Total, other adverse events
49 / 5248 / 52
serious
Total, serious adverse events
27 / 5225 / 52

Outcome results

Primary

The Percentage of Participant With Adverse Events (AEs) in the Broad Scope MedDRA Anaphylactic Reaction Standardized MedDRA Queries (SMQ) Within 2 Days After Any Dose in the Combination Period

The percentage of participants who experienced at least 1 adverse event in the MedDRA Anaphylactic Reaction broad scope SMQ with onset on the day of or within 2 days after any study therapy infusion during the combination period (Part 1).

Time frame: From randomization to 2 days following any dose in the combination period (assessed up to November 24th, 2017, approximately 9 months)

Population: All treated participants

ArmMeasureValue (NUMBER)
Arm A: Fixed Ratio CombinationThe Percentage of Participant With Adverse Events (AEs) in the Broad Scope MedDRA Anaphylactic Reaction Standardized MedDRA Queries (SMQ) Within 2 Days After Any Dose in the Combination Period11.5 Percentage of Participants
Arm B: Sequential CombinationThe Percentage of Participant With Adverse Events (AEs) in the Broad Scope MedDRA Anaphylactic Reaction Standardized MedDRA Queries (SMQ) Within 2 Days After Any Dose in the Combination Period11.5 Percentage of Participants
95% CI: [-12.3, 12.3]
95% CI: [0.3, 3.39]Cochran-Mantel-Haenszel
Secondary

Geometric Mean End of Infusion (EOI) Concentrations of Nivolumab and Ipilimumab

Serum concentration-time data of nivolumab and ipilimumab administered as a fixed ratio combination to that of sequentially administered nivolumab and ipilimumab is summarized at the end of infusion (EOI). 1 Cycle = 3 weeks

Time frame: EOI on day 1 of cycle 1, 2, and 4

Population: All treated participants with available serum time-concentration data

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Arm A: Fixed Ratio CombinationGeometric Mean End of Infusion (EOI) Concentrations of Nivolumab and IpilimumabNivolumab - Cycle 1 Day 157.1 ug/mLGeometric Coefficient of Variation 22.4
Arm A: Fixed Ratio CombinationGeometric Mean End of Infusion (EOI) Concentrations of Nivolumab and IpilimumabIpilimumab - Cycle 1 Day 117.6 ug/mLGeometric Coefficient of Variation 23.7
Arm A: Fixed Ratio CombinationGeometric Mean End of Infusion (EOI) Concentrations of Nivolumab and IpilimumabIpilimumab - Cycle 4 Day 124.9 ug/mLGeometric Coefficient of Variation 31.3
Arm A: Fixed Ratio CombinationGeometric Mean End of Infusion (EOI) Concentrations of Nivolumab and IpilimumabIpilimumab - Cycle 2 Day 121.4 ug/mLGeometric Coefficient of Variation 24.8
Arm A: Fixed Ratio CombinationGeometric Mean End of Infusion (EOI) Concentrations of Nivolumab and IpilimumabNivolumab - Cycle 4 Day 185.1 ug/mLGeometric Coefficient of Variation 30.1
Arm A: Fixed Ratio CombinationGeometric Mean End of Infusion (EOI) Concentrations of Nivolumab and IpilimumabNivolumab - Cycle 2 Day 170.6 ug/mLGeometric Coefficient of Variation 27.6
Arm B: Sequential CombinationGeometric Mean End of Infusion (EOI) Concentrations of Nivolumab and IpilimumabNivolumab - Cycle 4 Day 188.9 ug/mLGeometric Coefficient of Variation 55.1
Arm B: Sequential CombinationGeometric Mean End of Infusion (EOI) Concentrations of Nivolumab and IpilimumabIpilimumab - Cycle 4 Day 119.5 ug/mLGeometric Coefficient of Variation 38.5
Arm B: Sequential CombinationGeometric Mean End of Infusion (EOI) Concentrations of Nivolumab and IpilimumabNivolumab - Cycle 2 Day 179.5 ug/mLGeometric Coefficient of Variation 71.9
Arm B: Sequential CombinationGeometric Mean End of Infusion (EOI) Concentrations of Nivolumab and IpilimumabIpilimumab - Cycle 2 Day 115.6 ug/mLGeometric Coefficient of Variation 37.9
Arm B: Sequential CombinationGeometric Mean End of Infusion (EOI) Concentrations of Nivolumab and IpilimumabIpilimumab - Cycle 1 Day 113.4 ug/mLGeometric Coefficient of Variation 61.1
Arm B: Sequential CombinationGeometric Mean End of Infusion (EOI) Concentrations of Nivolumab and IpilimumabNivolumab - Cycle 1 Day 160.7 ug/mLGeometric Coefficient of Variation 23
Secondary

Geometric Mean Trough Concentrations of Nivolumab and Ipilimumab

Serum concentration-time data of nivolumab and ipilimumab administered as a fixed ratio combination to that of sequentially administered nivolumab and ipilimumab is summarized prior to the next dose (predose). 1 Cycle = 3 weeks

Time frame: pre-dose on day 1 of cycle 2 and 4

Population: All treated participants with available serum time-concentration data

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Arm A: Fixed Ratio CombinationGeometric Mean Trough Concentrations of Nivolumab and IpilimumabIpilimumab - Cycle 2 Day 13.92 ug/mLGeometric Coefficient of Variation 28.9
Arm A: Fixed Ratio CombinationGeometric Mean Trough Concentrations of Nivolumab and IpilimumabIpilimumab - Cycle 4 Day 15.90 ug/mLGeometric Coefficient of Variation 37.8
Arm A: Fixed Ratio CombinationGeometric Mean Trough Concentrations of Nivolumab and IpilimumabNivolumab - Cycle 2 Day 116.2 ug/mLGeometric Coefficient of Variation 29.1
Arm A: Fixed Ratio CombinationGeometric Mean Trough Concentrations of Nivolumab and IpilimumabNivolumab - Cycle 4 Day 128.5 ug/mLGeometric Coefficient of Variation 35.3
Arm B: Sequential CombinationGeometric Mean Trough Concentrations of Nivolumab and IpilimumabNivolumab - Cycle 4 Day 130.5 ug/mLGeometric Coefficient of Variation 43.1
Arm B: Sequential CombinationGeometric Mean Trough Concentrations of Nivolumab and IpilimumabIpilimumab - Cycle 2 Day 13.43 ug/mLGeometric Coefficient of Variation 43.1
Arm B: Sequential CombinationGeometric Mean Trough Concentrations of Nivolumab and IpilimumabNivolumab - Cycle 2 Day 116.1 ug/mLGeometric Coefficient of Variation 46.3
Arm B: Sequential CombinationGeometric Mean Trough Concentrations of Nivolumab and IpilimumabIpilimumab - Cycle 4 Day 15.39 ug/mLGeometric Coefficient of Variation 39.8
Secondary

Objective Response Rate (ORR)

The percentage of participants with a best overall response (BOR) of complete response (CR) or partial response (PR). The BOR is defined as the best response designation, as determined by the investigator, recorded between the date of randomization and the date of objectively documented progression per RECIST 1.1 or the date of first subsequent anti-cancer therapy, whichever occurs first. For participants without documented progression or subsequent therapy, all available response designations will contribute to the BOR assessment. Complete Response is defined as the disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10mm. Partial Response is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Time frame: From randomization to the date of objectively documented progression or the date of first subsequent anti-cancer (up to approximately 52 months)

Population: All treated participants

ArmMeasureValue (NUMBER)
Arm A: Fixed Ratio CombinationObjective Response Rate (ORR)50.0 Percentage of Particpants
Arm B: Sequential CombinationObjective Response Rate (ORR)32.7 Percentage of Particpants
Secondary

Progression Free Survival (PFS)

The time between the date of randomization and the first date of documented progression, or death due to any cause, whichever occurs first (per investigator). Participants who die without progression will be considered to have progressed on the date of their death. Participants who did not progress or die are censored on the date of their last evaluable tumor assessment. Participants with no on study tumor assessments and who did not die will be censored on their date of randomization. Participants who started anti-cancer therapy without a prior reported progression will be censored on the date of their last evaluable tumor assessment prior to the first subsequent anti-cancer therapy. Progression is defined as at least a 20% increase in the sum of diameters of target lesions. The sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progression)

Time frame: From randomization to the first date of documented progression or death due to any cause (up to approximately 52 months)

Population: All treated participants

ArmMeasureValue (MEDIAN)
Arm A: Fixed Ratio CombinationProgression Free Survival (PFS)12.06 Months
Arm B: Sequential CombinationProgression Free Survival (PFS)7.69 Months
Secondary

The Percentage of Participants With All Causality Grade 3-5 Adverse Events

The percentage of participants who experienced at least 1 adverse event of Grade 3 or higher with onset on or after the first dose of study treatment and within 30 days of the last dose of study treatment. Evaluated using the NCI CTCAE version 4.0 criteria

Time frame: From first dose to 30 days after last dose of study therapy (up to approximately 48 months)

Population: All treated participants

ArmMeasureValue (NUMBER)
Arm A: Fixed Ratio CombinationThe Percentage of Participants With All Causality Grade 3-5 Adverse Events73.1 Percentage of Particpants
Arm B: Sequential CombinationThe Percentage of Participants With All Causality Grade 3-5 Adverse Events65.4 Percentage of Particpants
95% CI: [-10.1, 25.5]
95% CI: [0.62, 3.24]Cochran-Mantel-Haenszel
Secondary

The Percentage of Participants With Drug Related Grade 3-5 Adverse Events

The percentage of participants who experienced at least 1 adverse event of Grade 3 or higher, judged to be related to study treatment by the investigator, with onset on or after the first dose of study treatment and within 30 days of the last dose of study treatment. Evaluated using Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.0 criteria.

Time frame: From first dose to 30 days after last dose of study therapy (up to approximately 48 months)

Population: All treated participants

ArmMeasureValue (NUMBER)
Arm A: Fixed Ratio CombinationThe Percentage of Participants With Drug Related Grade 3-5 Adverse Events48.1 Percentage of Participants
Arm B: Sequential CombinationThe Percentage of Participants With Drug Related Grade 3-5 Adverse Events42.3 Percentage of Participants
95% CI: [-13.3, 24.8]
95% CI: [0.58, 2.78]Cochran-Mantel-Haenszel
Secondary

The Percentage of Participant With Adverse Events in the Narrow Scope MedDRA Anaphylactic Reaction Standardized MedDRA Queries (SMQ) Occurring Within 2 Days After Any Dose in the Combination Period

The percentage of participants who experienced at least 1 adverse event in the MedDRA Anaphylactic Reaction narrow scope SMQ with onset on the day of or within 2 days after any study therapy infusion during the combination period (Part 1).

Time frame: From randomization to 2 days following any dose in the combination period (assessed up to November 24th, 2017, approximately 9 months)

Population: All treated participants

ArmMeasureValue (NUMBER)
Arm A: Fixed Ratio CombinationThe Percentage of Participant With Adverse Events in the Narrow Scope MedDRA Anaphylactic Reaction Standardized MedDRA Queries (SMQ) Occurring Within 2 Days After Any Dose in the Combination Period0 Percentage of Participants
Arm B: Sequential CombinationThe Percentage of Participant With Adverse Events in the Narrow Scope MedDRA Anaphylactic Reaction Standardized MedDRA Queries (SMQ) Occurring Within 2 Days After Any Dose in the Combination Period0 Percentage of Participants
95% CI: [0, 0]

Source: ClinicalTrials.gov · Data processed: Feb 13, 2026