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A Study of Nivolumab in Combination With Ipilimumab in Chinese Participants With Previously Treated Advanced or Recurrent Solid Tumors

A Phase 1/2 Study of Nivolumab (BMS-936558) in Combination With Ipilimumab (BMS-734016) in Chinese Participants With Previously Treated Metastatic or Recurrent Solid Tumors

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03195478
Enrollment
37
Registered
2017-06-22
Start date
2017-08-02
Completion date
2024-01-05
Last updated
2025-09-15

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

Conditions

Solid Tumor

Brief summary

The purpose of this study is to evaluate the safety and effectiveness of Nivolumab in combination with Ipilimumab in Chinese participants with previously treated late stage cancer.

Interventions

DRUGNivolumab

Specified dose on specified days

DRUGIpilimumab

Specified dose on specified days

Sponsors

Bristol-Myers Squibb
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Mainland Chinese participants with advanced or recurrent solid tumors * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 * One prior anti-cancer therapy that did not work or documented refusal to receive chemotherapy or biological therapy

Exclusion criteria

* Cancer that has spread to the brain or central nervous system unless it has been adequately treated . In addition, either no longer receiving corticosteroids, or on a stable or decreasing dose of no more than 10 mg daily prednisone (or equivalent) * Active, known or suspected autoimmune disease or infection * Positive blood screen for chronic infection of hepatitis B or hepatitis C (HCV antibody positive unless HCV RNA is negative) * Prior immuno-oncology therapy Other protocol-defined inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Clinical Laboratory Abnormalities in Part 1.From first dose to 100 days post last dose (Approximately on average Arm A: 8.77 Months, Arm B 20.4 Months, Arm C 24.1 Months)Number of participants with clinical laboratory abnormalities.
Number of Participants With Adverse Events (AEs) in Part 1.From first dose to 100 days post last dose (Approximately on average Arm A: 8.77 Months, Arm B 20.4 Months, Arm C 24.1 Months)Number of participants with Adverse events
Number of Participants With Serious Adverse Events (SAEs) in Part 1.From first dose to 100 days post last dose (Approximately on average Arm A: 8.77 Months, Arm B 20.4 Months, Arm C 24.1 Months)Number of participants with Adverse events
Number of Participants With Adverse Events Leading to Discontinuation in Part 1.From first dose to 100 days post last dose (Approximately on average Arm A: 8.77 Months, Arm B 20.4 Months, Arm C 24.1 Months)Number of participants with Adverse events
Number of Participants With Adverse Events Leading to Death in Part 1.From first dose to 100 days post last dose (Approximately on average Arm A: 8.77 Months, Arm B 20.4 Months, Arm C 24.1 Months)Number of participants with Adverse Events leading to death.
BICR-Assessed ORR in Part 2between the date of first dose and the date of initial objectively documented progression per RECIST v1.1 or the date of subsequent therapy, whichever occurs first as assessed by BICR. (Approximately on average 3.21 Months)ORR is defined as the number of subjects with a best overall response (BOR) of confirmed complete response (CR) or partial response (PR) assessed by BICR, according to RECIST v1.1 criteria, divided by the number of treated subjects. The BOR is defined as the best response designation recorded between the date of first dose and the date of initial objectively documented progression per RECIST v1.1 or the date of subsequent therapy, whichever occurs first. For participants without documented progression or subsequent therapy, all available response designations will contribute to the BOR determination. For purposes of analysis, if a subject receives one dose and discontinues the study without assessment or receives subsequent therapy prior to assessment, this participant will be counted in the denominator (as nonrespondent).

Secondary

MeasureTime frameDescription
CLT - Total Body Clearance in Part 1.At Cycle 3 Day 1 for Arm A, Cycle 2 Day 1 for Arm B and C (1 cycle = 42 days)CLT - Total body clearance in Part 1.
Css-avg - Average Concentration Over a Dosing Interval (AUC(TAU)/Tau) in Part 1.At Cycle 1 Day 1 and Cycle 3 Day 1 for Arm A, Cycle 1 and Cycle 2 Day 1 for Arm B and C (1 cycle = 42 days)Css-avg - Average concentration over a dosing interval (AUC(TAU)/tau) in Part 1.
AI - Accumulation Index in Part 1.At Cycle 3 Day 1 for Arm A, Cycle 2 Day 1 for Arm B and C (1 cycle = 42 days)AI - Accumulation index; ratio of an exposure measure at steady-state to that after the first dose (exposure measure includes AUC (TAU) in Part 1. Here SS = Steady State Here FD = First Dose
T-HALFeff - Effective Elimination Half-life in Part 1.At Cycle 3 Day 1 for Arm A, Cycle 2 Day 1 for Arm B and C (1 cycle = 42 days)T-HALFeff - Effective elimination half-life that explains the degree of accumulation observed for a specific exposure measure (exposure measure includes AUC(TAU), Cmax, or Ctau) in Part 1.
Number of Participants With Nivolumab Anti Drug Antibodies in Part 1.At baseline and from first dose to last dose (Approximately on average of Arm A 24.54 weeks, Arm B 76 weeks, Arm C 92.5 Weeks)Number of participants with nivolumab Anti Drug Antibodies in Part 1.
Number of Participants With Ipilimumab Anti Drug Antibodies in Part 1.At baseline and from first dose to last dose (Approximately on average of Arm A 24.54 weeks, Arm B 76 weeks, Arm C 92.5 Weeks)Number of participants with Ipilimumab Anti Drug Antibodies in Part 1.
Cmax - Maximum Observed Serum Concentration in Part 1.At Cycle 1 Day 1 and Cycle 3 Day 1 for Arm A, Cycle 1 and Cycle 2 Day 1 for Arm B and C (1 cycle = 42 days)Cmax - Maximum observed serum concentration in Part 1.
Investigator-Assessed Disease Control Rate (DCR) in Part 2between the date of first dose and the date of initial objectively documented progression per RECIST v1.1 as assessed by the Investigator. (Approximately on average 5 Months)The percentage of participants whose BOR is confirmed CR or confirmed PR or stable disease (SD) for at least 12 weeks as per investigator.
BICR-Assessed Disease Control Rate (DCR) in Part 2Approximately 5.92 MonthsThe percentage of participants whose BOR is confirmed CR or confirmed PR or stable disease (SD) for at least 12 weeks as per BICR.
BICR-Assessed Duration of Response (DOR) in Part 2From first dose to 100 days post last dose (approximately 102 weeks)The time between the date of first confirmed response to the date of the first documented tumor progression (per RECIST 1.1), or death due to any cause, whichever occurs first as per BICR.
Investigator-Assessed Duration of Response (DOR) in Part 2From first dose to 100 days post last dose (approximately 102 weeks)The time between the date of first confirmed response to the date of the first documented tumor progression (per RECIST 1.1), or death due to any cause, whichever occurs first as per investigator.
BICR-Assessed Progression Free Survival (PFS) in Part 2From first dose to 100 days post last dose (approximately 102 weeks)The time between the date of first confirmed response to the date of the first documented tumor progression (per RECIST 1.1), or death due to any cause, whichever occurs first as per BICR.
Investigator-Assessed Progression Free Survival (PFS) in Part 2From first dose to 100 days post last dose (approximately 102 weeks)The time between the date of first confirmed response to the date of the first documented tumor progression (per RECIST 1.1), or death due to any cause, whichever occurs first as per investigator.
Investigator-Assessed ORR in Part 2between the date of first dose and the date of initial objectively documented progression per RECIST v1.1 or the date of subsequent therapy, whichever occurs first as assessed by the Investigator. (Approximately on average 2 Months)ORR is defined as the number of subjects with a best overall response (BOR) of confirmed complete response (CR) or partial response (PR) assessed by Investigator, according to RECIST v1.1 criteria, divided by the number of treated subjects. The BOR is defined as the best response designation recorded between the date of first dose and the date of initial objectively documented progression per RECIST v1.1 or the date of subsequent therapy, whichever occurs first. For participants without documented progression or subsequent therapy, all available response designations will contribute to the BOR determination. For purposes of analysis, if a subject receives one dose and discontinues the study without assessment or receives subsequent therapy prior to assessment, this participant will be counted in the denominator (as nonrespondent).
Tmax - Time of Maximum Observed Serum Concentration in Part 1.At Cycle 1 Day 1 and Cycle 3 Day 1 for Arm A, Cycle 1 and Cycle 2 Day 1 for Arm B and C (1 cycle = 42 days)Tmax - Time of maximum observed serum concentration in Part 1.
AUC(0-T) - Area Under the Plasma Concentration-time Curve in Part 1.At Cycle 1 Day 1 and Cycle 3 Day 1 for Arm A, Cycle 1 and Cycle 2 Day 1 for Arm B and C (1 cycle = 42 days)AUC(0-T) - Area under the plasma concentration-time curve from time zero to the last time of the last quantifiable concentration. in Part 1.
AUC(TAU) - Area Under the Concentration-time Curve in One Dosing Interval in Part 1.At Cycle 1 Day 1 and Cycle 3 Day 1 for Arm A, Cycle 1 and Cycle 2 Day 1 for Arm B and C (1 cycle = 42 days)AUC(TAU) - Area under the concentration-time curve in one dosing interval in Part 1.
Ceoinf - Serum Concentration Achieved at the End of Study Drug Infusion in Part 1.At Cycle 1 Day 1 and Cycle 3 Day 1 for Arm A, Cycle 1 and Cycle 2 Day 1 for Arm B and C (1 cycle = 42 days)Ceoinf - Serum concentration achieved at the end of study drug infusion in Part 1.
Ctau - Concentration at the End of Dosing Interval in Part 1.At Cycle 1 Day 1 and Cycle 3 Day 1 for Arm A, Cycle 1 and Cycle 2 Day 1 for Arm B and C (1 cycle = 42 days)Ctau - Concentration at the end of dosing interval in Part 1. The Ctau is equivilant to the CTrough at these time points.

Countries

China

Participant flow

Participants by arm

ArmCount
Part 1: Arm A
NIVO 3 mg/kg Q2 + IPI 1 mg/kg Q6
9
Part 1: Arm B
NIVO 3 mg/kg Q3 + IPI 1 mg/kg Q3
9
Part 1: Arm C
NIVO 1 mg/kg Q3 + IPI 3 mg/kg Q3
9
Part 2: Arm D
NIVO 3 mg/kg Q3 + IPI 1mg/kg Q3
9
Total36

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyDisease Progression5461
Overall StudyMaximum Clinical benefit0010
Overall StudyOther Reasons0010
Overall StudyParticipant requested to discontinue study treatment0100
Overall StudyParticipant Withdrew Consent1000
Overall StudyStudy Drug Toxicity2001

Baseline characteristics

CharacteristicPart 1: Arm APart 1: Arm BPart 1: Arm CPart 2: Arm DTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
2 Participants1 Participants1 Participants3 Participants7 Participants
Age, Categorical
Between 18 and 65 years
7 Participants8 Participants8 Participants6 Participants29 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
9 Participants9 Participants9 Participants9 Participants36 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
9 Participants9 Participants9 Participants9 Participants36 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants0 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
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
0 Participants0 Participants0 Participants0 Participants0 Participants
Sex: Female, Male
Female
1 Participants3 Participants4 Participants5 Participants13 Participants
Sex: Female, Male
Male
8 Participants6 Participants5 Participants4 Participants23 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
2 / 92 / 91 / 91 / 9
other
Total, other adverse events
7 / 99 / 99 / 99 / 9
serious
Total, serious adverse events
4 / 93 / 93 / 94 / 9

Outcome results

Primary

BICR-Assessed ORR in Part 2

ORR is defined as the number of subjects with a best overall response (BOR) of confirmed complete response (CR) or partial response (PR) assessed by BICR, according to RECIST v1.1 criteria, divided by the number of treated subjects. The BOR is defined as the best response designation recorded between the date of first dose and the date of initial objectively documented progression per RECIST v1.1 or the date of subsequent therapy, whichever occurs first. For participants without documented progression or subsequent therapy, all available response designations will contribute to the BOR determination. For purposes of analysis, if a subject receives one dose and discontinues the study without assessment or receives subsequent therapy prior to assessment, this participant will be counted in the denominator (as nonrespondent).

Time frame: between the date of first dose and the date of initial objectively documented progression per RECIST v1.1 or the date of subsequent therapy, whichever occurs first as assessed by BICR. (Approximately on average 3.21 Months)

Population: All treated participants in Part 2

ArmMeasureValue (NUMBER)
Part 1: Arm ABICR-Assessed ORR in Part 277.8 Percentage of Participants
Primary

Number of Participants With Adverse Events (AEs) in Part 1.

Number of participants with Adverse events

Time frame: From first dose to 100 days post last dose (Approximately on average Arm A: 8.77 Months, Arm B 20.4 Months, Arm C 24.1 Months)

Population: All treated participants in Part 1

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part 1: Arm ANumber of Participants With Adverse Events (AEs) in Part 1.7 Participants
Part 1: Arm BNumber of Participants With Adverse Events (AEs) in Part 1.9 Participants
Part 1: Arm CNumber of Participants With Adverse Events (AEs) in Part 1.9 Participants
Primary

Number of Participants With Adverse Events Leading to Death in Part 1.

Number of participants with Adverse Events leading to death.

Time frame: From first dose to 100 days post last dose (Approximately on average Arm A: 8.77 Months, Arm B 20.4 Months, Arm C 24.1 Months)

Population: All treated participants in Part 1

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part 1: Arm ANumber of Participants With Adverse Events Leading to Death in Part 1.1 Participants
Part 1: Arm BNumber of Participants With Adverse Events Leading to Death in Part 1.1 Participants
Part 1: Arm CNumber of Participants With Adverse Events Leading to Death in Part 1.0 Participants
Primary

Number of Participants With Adverse Events Leading to Discontinuation in Part 1.

Number of participants with Adverse events

Time frame: From first dose to 100 days post last dose (Approximately on average Arm A: 8.77 Months, Arm B 20.4 Months, Arm C 24.1 Months)

Population: All treated participants in Part 1

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part 1: Arm ANumber of Participants With Adverse Events Leading to Discontinuation in Part 1.3 Participants
Part 1: Arm BNumber of Participants With Adverse Events Leading to Discontinuation in Part 1.0 Participants
Part 1: Arm CNumber of Participants With Adverse Events Leading to Discontinuation in Part 1.0 Participants
Primary

Number of Participants With Clinical Laboratory Abnormalities in Part 1.

Number of participants with clinical laboratory abnormalities.

Time frame: From first dose to 100 days post last dose (Approximately on average Arm A: 8.77 Months, Arm B 20.4 Months, Arm C 24.1 Months)

Population: All treated participants in Part 1

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part 1: Arm ANumber of Participants With Clinical Laboratory Abnormalities in Part 1.Any Grade5 Participants
Part 1: Arm ANumber of Participants With Clinical Laboratory Abnormalities in Part 1.Grade 3-41 Participants
Part 1: Arm BNumber of Participants With Clinical Laboratory Abnormalities in Part 1.Any Grade9 Participants
Part 1: Arm BNumber of Participants With Clinical Laboratory Abnormalities in Part 1.Grade 3-44 Participants
Part 1: Arm CNumber of Participants With Clinical Laboratory Abnormalities in Part 1.Any Grade7 Participants
Part 1: Arm CNumber of Participants With Clinical Laboratory Abnormalities in Part 1.Grade 3-41 Participants
Primary

Number of Participants With Serious Adverse Events (SAEs) in Part 1.

Number of participants with Adverse events

Time frame: From first dose to 100 days post last dose (Approximately on average Arm A: 8.77 Months, Arm B 20.4 Months, Arm C 24.1 Months)

Population: All treated participants in Part 1

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part 1: Arm ANumber of Participants With Serious Adverse Events (SAEs) in Part 1.4 Participants
Part 1: Arm BNumber of Participants With Serious Adverse Events (SAEs) in Part 1.3 Participants
Part 1: Arm CNumber of Participants With Serious Adverse Events (SAEs) in Part 1.3 Participants
Secondary

AI - Accumulation Index in Part 1.

AI - Accumulation index; ratio of an exposure measure at steady-state to that after the first dose (exposure measure includes AUC (TAU) in Part 1. Here SS = Steady State Here FD = First Dose

Time frame: At Cycle 3 Day 1 for Arm A, Cycle 2 Day 1 for Arm B and C (1 cycle = 42 days)

Population: PK Evaluable Population in Part 1. Inadequate PK Sampling for arm A nivo/ipilimumab treatment, so no data was collected

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Part 1: Arm AAI - Accumulation Index in Part 1.Nivo Cycle 32.71 ratio of AUC(Tau) at SS vs FDGeometric Coefficient of Variation 4
Part 1: Arm AAI - Accumulation Index in Part 1.Ipi Cycle 3NA ratio of AUC(Tau) at SS vs FD
Part 1: Arm BAI - Accumulation Index in Part 1.Nivo Cycle 21.65 ratio of AUC(Tau) at SS vs FDGeometric Coefficient of Variation 22
Part 1: Arm BAI - Accumulation Index in Part 1.Ipi Cycle 21.50 ratio of AUC(Tau) at SS vs FDGeometric Coefficient of Variation 20
Part 1: Arm CAI - Accumulation Index in Part 1.Nivo Cycle 21.13 ratio of AUC(Tau) at SS vs FDGeometric Coefficient of Variation 30
Part 1: Arm CAI - Accumulation Index in Part 1.Ipi Cycle 21.26 ratio of AUC(Tau) at SS vs FDGeometric Coefficient of Variation 22
Secondary

AUC(0-T) - Area Under the Plasma Concentration-time Curve in Part 1.

AUC(0-T) - Area under the plasma concentration-time curve from time zero to the last time of the last quantifiable concentration. in Part 1.

Time frame: At Cycle 1 Day 1 and Cycle 3 Day 1 for Arm A, Cycle 1 and Cycle 2 Day 1 for Arm B and C (1 cycle = 42 days)

Population: PK Evaluable Population in Part 1

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Part 1: Arm AAUC(0-T) - Area Under the Plasma Concentration-time Curve in Part 1.Ipi Cycle 33480 h*ug/mLGeometric Coefficient of Variation 18
Part 1: Arm AAUC(0-T) - Area Under the Plasma Concentration-time Curve in Part 1.Nivo Cycle 323147 h*ug/mLGeometric Coefficient of Variation 31
Part 1: Arm AAUC(0-T) - Area Under the Plasma Concentration-time Curve in Part 1.Ipi Cycle 12847 h*ug/mLGeometric Coefficient of Variation 18
Part 1: Arm AAUC(0-T) - Area Under the Plasma Concentration-time Curve in Part 1.Nivo Cycle 110329 h*ug/mLGeometric Coefficient of Variation 21
Part 1: Arm BAUC(0-T) - Area Under the Plasma Concentration-time Curve in Part 1.Ipi Cycle 24959 h*ug/mLGeometric Coefficient of Variation 28
Part 1: Arm BAUC(0-T) - Area Under the Plasma Concentration-time Curve in Part 1.Nivo Cycle 114141 h*ug/mLGeometric Coefficient of Variation 26
Part 1: Arm BAUC(0-T) - Area Under the Plasma Concentration-time Curve in Part 1.Ipi Cycle 13377 h*ug/mLGeometric Coefficient of Variation 27
Part 1: Arm BAUC(0-T) - Area Under the Plasma Concentration-time Curve in Part 1.Nivo Cycle 223348 h*ug/mLGeometric Coefficient of Variation 28
Part 1: Arm CAUC(0-T) - Area Under the Plasma Concentration-time Curve in Part 1.Ipi Cycle 19893 h*ug/mLGeometric Coefficient of Variation 21
Part 1: Arm CAUC(0-T) - Area Under the Plasma Concentration-time Curve in Part 1.Ipi Cycle 211388 h*ug/mLGeometric Coefficient of Variation 34
Part 1: Arm CAUC(0-T) - Area Under the Plasma Concentration-time Curve in Part 1.Nivo Cycle 24323 h*ug/mLGeometric Coefficient of Variation 39
Part 1: Arm CAUC(0-T) - Area Under the Plasma Concentration-time Curve in Part 1.Nivo Cycle 14056 h*ug/mLGeometric Coefficient of Variation 25
Secondary

AUC(TAU) - Area Under the Concentration-time Curve in One Dosing Interval in Part 1.

AUC(TAU) - Area under the concentration-time curve in one dosing interval in Part 1.

Time frame: At Cycle 1 Day 1 and Cycle 3 Day 1 for Arm A, Cycle 1 and Cycle 2 Day 1 for Arm B and C (1 cycle = 42 days)

Population: PK Evaluable Population in Part 1. Inadequate PK Sampling for arm A ipilimumab treatment, so no data was collected

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Part 1: Arm AAUC(TAU) - Area Under the Concentration-time Curve in One Dosing Interval in Part 1.Nivo Cycle 110333 h*ug/mLGeometric Coefficient of Variation 21
Part 1: Arm AAUC(TAU) - Area Under the Concentration-time Curve in One Dosing Interval in Part 1.Nivo Cycle 328098 h*ug/mLGeometric Coefficient of Variation 18
Part 1: Arm BAUC(TAU) - Area Under the Concentration-time Curve in One Dosing Interval in Part 1.Nivo Cycle 113919 h*ug/mLGeometric Coefficient of Variation 26
Part 1: Arm BAUC(TAU) - Area Under the Concentration-time Curve in One Dosing Interval in Part 1.Nivo Cycle 224467 h*ug/mLGeometric Coefficient of Variation 23
Part 1: Arm BAUC(TAU) - Area Under the Concentration-time Curve in One Dosing Interval in Part 1.Ipi Cycle 13339 h*ug/mLGeometric Coefficient of Variation 27
Part 1: Arm BAUC(TAU) - Area Under the Concentration-time Curve in One Dosing Interval in Part 1.Ipi Cycle 25377 h*ug/mLGeometric Coefficient of Variation 20
Part 1: Arm CAUC(TAU) - Area Under the Concentration-time Curve in One Dosing Interval in Part 1.Nivo Cycle 14002 h*ug/mLGeometric Coefficient of Variation 19
Part 1: Arm CAUC(TAU) - Area Under the Concentration-time Curve in One Dosing Interval in Part 1.Ipi Cycle 19808 h*ug/mLGeometric Coefficient of Variation 17
Part 1: Arm CAUC(TAU) - Area Under the Concentration-time Curve in One Dosing Interval in Part 1.Nivo Cycle 24647 h*ug/mLGeometric Coefficient of Variation 48
Part 1: Arm CAUC(TAU) - Area Under the Concentration-time Curve in One Dosing Interval in Part 1.Ipi Cycle 212206 h*ug/mLGeometric Coefficient of Variation 36
Secondary

BICR-Assessed Disease Control Rate (DCR) in Part 2

The percentage of participants whose BOR is confirmed CR or confirmed PR or stable disease (SD) for at least 12 weeks as per BICR.

Time frame: Approximately 5.92 Months

Population: All treated participants in Part 2

ArmMeasureValue (NUMBER)
Part 1: Arm ABICR-Assessed Disease Control Rate (DCR) in Part 288.9 Percentage of Participants
Secondary

BICR-Assessed Duration of Response (DOR) in Part 2

The time between the date of first confirmed response to the date of the first documented tumor progression (per RECIST 1.1), or death due to any cause, whichever occurs first as per BICR.

Time frame: From first dose to 100 days post last dose (approximately 102 weeks)

Population: All confirmed responders per BICR in Part 2

ArmMeasureValue (MEDIAN)
Part 1: Arm ABICR-Assessed Duration of Response (DOR) in Part 2NA Months
Secondary

BICR-Assessed Progression Free Survival (PFS) in Part 2

The time between the date of first confirmed response to the date of the first documented tumor progression (per RECIST 1.1), or death due to any cause, whichever occurs first as per BICR.

Time frame: From first dose to 100 days post last dose (approximately 102 weeks)

Population: All Treated participtants in Part 2

ArmMeasureValue (MEDIAN)
Part 1: Arm ABICR-Assessed Progression Free Survival (PFS) in Part 2NA Months
Secondary

Ceoinf - Serum Concentration Achieved at the End of Study Drug Infusion in Part 1.

Ceoinf - Serum concentration achieved at the end of study drug infusion in Part 1.

Time frame: At Cycle 1 Day 1 and Cycle 3 Day 1 for Arm A, Cycle 1 and Cycle 2 Day 1 for Arm B and C (1 cycle = 42 days)

Population: PK Evaluable Population in Part 1

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Part 1: Arm ACeoinf - Serum Concentration Achieved at the End of Study Drug Infusion in Part 1.Nivo Cycle 3120 ug/mLGeometric Coefficient of Variation 21
Part 1: Arm ACeoinf - Serum Concentration Achieved at the End of Study Drug Infusion in Part 1.Ipi Cycle 317.1 ug/mLGeometric Coefficient of Variation 33
Part 1: Arm ACeoinf - Serum Concentration Achieved at the End of Study Drug Infusion in Part 1.Ipi Cycle 117.7 ug/mLGeometric Coefficient of Variation 26
Part 1: Arm ACeoinf - Serum Concentration Achieved at the End of Study Drug Infusion in Part 1.Nivo Cycle 159.4 ug/mLGeometric Coefficient of Variation 19
Part 1: Arm BCeoinf - Serum Concentration Achieved at the End of Study Drug Infusion in Part 1.Nivo Cycle 299.5 ug/mLGeometric Coefficient of Variation 15
Part 1: Arm BCeoinf - Serum Concentration Achieved at the End of Study Drug Infusion in Part 1.Nivo Cycle 168.4 ug/mLGeometric Coefficient of Variation 21
Part 1: Arm BCeoinf - Serum Concentration Achieved at the End of Study Drug Infusion in Part 1.Ipi Cycle 114.0 ug/mLGeometric Coefficient of Variation 50
Part 1: Arm BCeoinf - Serum Concentration Achieved at the End of Study Drug Infusion in Part 1.Ipi Cycle 216.3 ug/mLGeometric Coefficient of Variation 39
Part 1: Arm CCeoinf - Serum Concentration Achieved at the End of Study Drug Infusion in Part 1.Ipi Cycle 154.8 ug/mLGeometric Coefficient of Variation 33
Part 1: Arm CCeoinf - Serum Concentration Achieved at the End of Study Drug Infusion in Part 1.Nivo Cycle 122.5 ug/mLGeometric Coefficient of Variation 14
Part 1: Arm CCeoinf - Serum Concentration Achieved at the End of Study Drug Infusion in Part 1.Nivo Cycle 225.4 ug/mLGeometric Coefficient of Variation 24
Part 1: Arm CCeoinf - Serum Concentration Achieved at the End of Study Drug Infusion in Part 1.Ipi Cycle 262.7 ug/mLGeometric Coefficient of Variation 27
Secondary

CLT - Total Body Clearance in Part 1.

CLT - Total body clearance in Part 1.

Time frame: At Cycle 3 Day 1 for Arm A, Cycle 2 Day 1 for Arm B and C (1 cycle = 42 days)

Population: PK Evaluable Population in Part 1 with CLT data collected, Inadequate PK Sampling for arm A nivo/ipilimumab treatment, so no data was collected

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Part 1: Arm ACLT - Total Body Clearance in Part 1.Nivo Cycle 36.99 mL/hGeometric Coefficient of Variation 16
Part 1: Arm ACLT - Total Body Clearance in Part 1.Ipi Cycle 3NA mL/h
Part 1: Arm BCLT - Total Body Clearance in Part 1.Ipi Cycle 213.0 mL/hGeometric Coefficient of Variation 36
Part 1: Arm BCLT - Total Body Clearance in Part 1.Nivo Cycle 28.56 mL/hGeometric Coefficient of Variation 37
Part 1: Arm CCLT - Total Body Clearance in Part 1.Nivo Cycle 213.1 mL/hGeometric Coefficient of Variation 51
Part 1: Arm CCLT - Total Body Clearance in Part 1.Ipi Cycle 215.0 mL/hGeometric Coefficient of Variation 55
Secondary

Cmax - Maximum Observed Serum Concentration in Part 1.

Cmax - Maximum observed serum concentration in Part 1.

Time frame: At Cycle 1 Day 1 and Cycle 3 Day 1 for Arm A, Cycle 1 and Cycle 2 Day 1 for Arm B and C (1 cycle = 42 days)

Population: PK Evaluable Population in Part 1

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Part 1: Arm ACmax - Maximum Observed Serum Concentration in Part 1.Ipi Cycle 320.1 ug/mLGeometric Coefficient of Variation 17
Part 1: Arm ACmax - Maximum Observed Serum Concentration in Part 1.Nivo Cycle 3122 ug/mLGeometric Coefficient of Variation 21
Part 1: Arm ACmax - Maximum Observed Serum Concentration in Part 1.Ipi Cycle 118.9 ug/mLGeometric Coefficient of Variation 18
Part 1: Arm ACmax - Maximum Observed Serum Concentration in Part 1.Nivo Cycle 159.7 ug/mLGeometric Coefficient of Variation 19
Part 1: Arm BCmax - Maximum Observed Serum Concentration in Part 1.Ipi Cycle 222.0 ug/mLGeometric Coefficient of Variation 16
Part 1: Arm BCmax - Maximum Observed Serum Concentration in Part 1.Nivo Cycle 169.5 ug/mLGeometric Coefficient of Variation 19
Part 1: Arm BCmax - Maximum Observed Serum Concentration in Part 1.Ipi Cycle 116.8 ug/mLGeometric Coefficient of Variation 43
Part 1: Arm BCmax - Maximum Observed Serum Concentration in Part 1.Nivo Cycle 2104 ug/mLGeometric Coefficient of Variation 12
Part 1: Arm CCmax - Maximum Observed Serum Concentration in Part 1.Ipi Cycle 155.0 ug/mLGeometric Coefficient of Variation 33
Part 1: Arm CCmax - Maximum Observed Serum Concentration in Part 1.Ipi Cycle 264.1 ug/mLGeometric Coefficient of Variation 29
Part 1: Arm CCmax - Maximum Observed Serum Concentration in Part 1.Nivo Cycle 227.2 ug/mLGeometric Coefficient of Variation 21
Part 1: Arm CCmax - Maximum Observed Serum Concentration in Part 1.Nivo Cycle 122.5 ug/mLGeometric Coefficient of Variation 14
Secondary

Css-avg - Average Concentration Over a Dosing Interval (AUC(TAU)/Tau) in Part 1.

Css-avg - Average concentration over a dosing interval (AUC(TAU)/tau) in Part 1.

Time frame: At Cycle 1 Day 1 and Cycle 3 Day 1 for Arm A, Cycle 1 and Cycle 2 Day 1 for Arm B and C (1 cycle = 42 days)

Population: PK Evaluable Population in Part 1. Inadequate PK Sampling for arm A ipilimumab treatment, so no data was collected

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Part 1: Arm ACss-avg - Average Concentration Over a Dosing Interval (AUC(TAU)/Tau) in Part 1.Nivo Cycle 130.8 ug/mLGeometric Coefficient of Variation 21
Part 1: Arm ACss-avg - Average Concentration Over a Dosing Interval (AUC(TAU)/Tau) in Part 1.Nivo Cycle 383.6 ug/mLGeometric Coefficient of Variation 18
Part 1: Arm BCss-avg - Average Concentration Over a Dosing Interval (AUC(TAU)/Tau) in Part 1.Nivo Cycle 127.6 ug/mLGeometric Coefficient of Variation 26
Part 1: Arm BCss-avg - Average Concentration Over a Dosing Interval (AUC(TAU)/Tau) in Part 1.Nivo Cycle 248.5 ug/mLGeometric Coefficient of Variation 23
Part 1: Arm BCss-avg - Average Concentration Over a Dosing Interval (AUC(TAU)/Tau) in Part 1.Ipi Cycle 16.63 ug/mLGeometric Coefficient of Variation 27
Part 1: Arm BCss-avg - Average Concentration Over a Dosing Interval (AUC(TAU)/Tau) in Part 1.Ipi Cycle 210.7 ug/mLGeometric Coefficient of Variation 20
Part 1: Arm CCss-avg - Average Concentration Over a Dosing Interval (AUC(TAU)/Tau) in Part 1.Nivo Cycle 17.94 ug/mLGeometric Coefficient of Variation 19
Part 1: Arm CCss-avg - Average Concentration Over a Dosing Interval (AUC(TAU)/Tau) in Part 1.Ipi Cycle 119.5 ug/mLGeometric Coefficient of Variation 17
Part 1: Arm CCss-avg - Average Concentration Over a Dosing Interval (AUC(TAU)/Tau) in Part 1.Nivo Cycle 29.22 ug/mLGeometric Coefficient of Variation 48
Part 1: Arm CCss-avg - Average Concentration Over a Dosing Interval (AUC(TAU)/Tau) in Part 1.Ipi Cycle 224.2 ug/mLGeometric Coefficient of Variation 36
Secondary

Ctau - Concentration at the End of Dosing Interval in Part 1.

Ctau - Concentration at the end of dosing interval in Part 1. The Ctau is equivilant to the CTrough at these time points.

Time frame: At Cycle 1 Day 1 and Cycle 3 Day 1 for Arm A, Cycle 1 and Cycle 2 Day 1 for Arm B and C (1 cycle = 42 days)

Population: PK Evaluable Population in Part 1

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Part 1: Arm ACtau - Concentration at the End of Dosing Interval in Part 1.Ipi Cycle 36.07 ug/mLGeometric Coefficient of Variation 20
Part 1: Arm ACtau - Concentration at the End of Dosing Interval in Part 1.Nivo Cycle 363.2 ug/mLGeometric Coefficient of Variation 24
Part 1: Arm ACtau - Concentration at the End of Dosing Interval in Part 1.Ipi Cycle 14.85 ug/mLGeometric Coefficient of Variation 25
Part 1: Arm ACtau - Concentration at the End of Dosing Interval in Part 1.Nivo Cycle 119.7 ug/mLGeometric Coefficient of Variation 24
Part 1: Arm BCtau - Concentration at the End of Dosing Interval in Part 1.Ipi Cycle 26.74 ug/mLGeometric Coefficient of Variation 24
Part 1: Arm BCtau - Concentration at the End of Dosing Interval in Part 1.Nivo Cycle 116.0 ug/mLGeometric Coefficient of Variation 32
Part 1: Arm BCtau - Concentration at the End of Dosing Interval in Part 1.Ipi Cycle 13.22 ug/mLGeometric Coefficient of Variation 34
Part 1: Arm BCtau - Concentration at the End of Dosing Interval in Part 1.Nivo Cycle 240.6 ug/mLGeometric Coefficient of Variation 30
Part 1: Arm CCtau - Concentration at the End of Dosing Interval in Part 1.Ipi Cycle 18.72 ug/mLGeometric Coefficient of Variation 33
Part 1: Arm CCtau - Concentration at the End of Dosing Interval in Part 1.Ipi Cycle 215.4 ug/mLGeometric Coefficient of Variation 27
Part 1: Arm CCtau - Concentration at the End of Dosing Interval in Part 1.Nivo Cycle 23.32 ug/mLGeometric Coefficient of Variation 70
Part 1: Arm CCtau - Concentration at the End of Dosing Interval in Part 1.Nivo Cycle 13.46 ug/mLGeometric Coefficient of Variation 32
Secondary

Investigator-Assessed Disease Control Rate (DCR) in Part 2

The percentage of participants whose BOR is confirmed CR or confirmed PR or stable disease (SD) for at least 12 weeks as per investigator.

Time frame: between the date of first dose and the date of initial objectively documented progression per RECIST v1.1 as assessed by the Investigator. (Approximately on average 5 Months)

Population: All treated participants in Part 2

ArmMeasureValue (NUMBER)
Part 1: Arm AInvestigator-Assessed Disease Control Rate (DCR) in Part 288.9 Percentage of Participants
Secondary

Investigator-Assessed Duration of Response (DOR) in Part 2

The time between the date of first confirmed response to the date of the first documented tumor progression (per RECIST 1.1), or death due to any cause, whichever occurs first as per investigator.

Time frame: From first dose to 100 days post last dose (approximately 102 weeks)

Population: All confirmed responders per investigator in Part 2

ArmMeasureValue (MEDIAN)
Part 1: Arm AInvestigator-Assessed Duration of Response (DOR) in Part 2NA Months
Secondary

Investigator-Assessed ORR in Part 2

ORR is defined as the number of subjects with a best overall response (BOR) of confirmed complete response (CR) or partial response (PR) assessed by Investigator, according to RECIST v1.1 criteria, divided by the number of treated subjects. The BOR is defined as the best response designation recorded between the date of first dose and the date of initial objectively documented progression per RECIST v1.1 or the date of subsequent therapy, whichever occurs first. For participants without documented progression or subsequent therapy, all available response designations will contribute to the BOR determination. For purposes of analysis, if a subject receives one dose and discontinues the study without assessment or receives subsequent therapy prior to assessment, this participant will be counted in the denominator (as nonrespondent).

Time frame: between the date of first dose and the date of initial objectively documented progression per RECIST v1.1 or the date of subsequent therapy, whichever occurs first as assessed by the Investigator. (Approximately on average 2 Months)

Population: All treated participants in Part 2

ArmMeasureValue (NUMBER)
Part 1: Arm AInvestigator-Assessed ORR in Part 266.7 Percentage of Participants
Secondary

Investigator-Assessed Progression Free Survival (PFS) in Part 2

The time between the date of first confirmed response to the date of the first documented tumor progression (per RECIST 1.1), or death due to any cause, whichever occurs first as per investigator.

Time frame: From first dose to 100 days post last dose (approximately 102 weeks)

Population: All Treated participtants in Part 2

ArmMeasureValue (MEDIAN)
Part 1: Arm AInvestigator-Assessed Progression Free Survival (PFS) in Part 2NA Months
Secondary

Number of Participants With Ipilimumab Anti Drug Antibodies in Part 1.

Number of participants with Ipilimumab Anti Drug Antibodies in Part 1.

Time frame: At baseline and from first dose to last dose (Approximately on average of Arm A 24.54 weeks, Arm B 76 weeks, Arm C 92.5 Weeks)

Population: All Treated Subjects with Baseline and at Least One Post-baseline Evaluable ADA Assessment (Part 1)

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part 1: Arm ANumber of Participants With Ipilimumab Anti Drug Antibodies in Part 1.Neutralizing Positive0 Participants
Part 1: Arm ANumber of Participants With Ipilimumab Anti Drug Antibodies in Part 1.Baseline ADA Positive1 Participants
Part 1: Arm ANumber of Participants With Ipilimumab Anti Drug Antibodies in Part 1.ADA Negative9 Participants
Part 1: Arm ANumber of Participants With Ipilimumab Anti Drug Antibodies in Part 1.ADA Positive0 Participants
Part 1: Arm BNumber of Participants With Ipilimumab Anti Drug Antibodies in Part 1.Neutralizing Positive0 Participants
Part 1: Arm BNumber of Participants With Ipilimumab Anti Drug Antibodies in Part 1.ADA Positive0 Participants
Part 1: Arm BNumber of Participants With Ipilimumab Anti Drug Antibodies in Part 1.Baseline ADA Positive0 Participants
Part 1: Arm BNumber of Participants With Ipilimumab Anti Drug Antibodies in Part 1.ADA Negative9 Participants
Part 1: Arm CNumber of Participants With Ipilimumab Anti Drug Antibodies in Part 1.ADA Positive0 Participants
Part 1: Arm CNumber of Participants With Ipilimumab Anti Drug Antibodies in Part 1.Baseline ADA Positive2 Participants
Part 1: Arm CNumber of Participants With Ipilimumab Anti Drug Antibodies in Part 1.ADA Negative7 Participants
Part 1: Arm CNumber of Participants With Ipilimumab Anti Drug Antibodies in Part 1.Neutralizing Positive0 Participants
Secondary

Number of Participants With Nivolumab Anti Drug Antibodies in Part 1.

Number of participants with nivolumab Anti Drug Antibodies in Part 1.

Time frame: At baseline and from first dose to last dose (Approximately on average of Arm A 24.54 weeks, Arm B 76 weeks, Arm C 92.5 Weeks)

Population: All Treated Subjects with Baseline and at Least One Post-baseline Evaluable ADA Assessment (Part 1)

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part 1: Arm ANumber of Participants With Nivolumab Anti Drug Antibodies in Part 1.Baseline ADA Positive0 Participants
Part 1: Arm ANumber of Participants With Nivolumab Anti Drug Antibodies in Part 1.ADA Positive0 Participants
Part 1: Arm ANumber of Participants With Nivolumab Anti Drug Antibodies in Part 1.Neutralizing Positive0 Participants
Part 1: Arm ANumber of Participants With Nivolumab Anti Drug Antibodies in Part 1.ADA Negative9 Participants
Part 1: Arm BNumber of Participants With Nivolumab Anti Drug Antibodies in Part 1.ADA Negative9 Participants
Part 1: Arm BNumber of Participants With Nivolumab Anti Drug Antibodies in Part 1.Baseline ADA Positive2 Participants
Part 1: Arm BNumber of Participants With Nivolumab Anti Drug Antibodies in Part 1.Neutralizing Positive0 Participants
Part 1: Arm BNumber of Participants With Nivolumab Anti Drug Antibodies in Part 1.ADA Positive0 Participants
Part 1: Arm CNumber of Participants With Nivolumab Anti Drug Antibodies in Part 1.ADA Negative4 Participants
Part 1: Arm CNumber of Participants With Nivolumab Anti Drug Antibodies in Part 1.ADA Positive3 Participants
Part 1: Arm CNumber of Participants With Nivolumab Anti Drug Antibodies in Part 1.Neutralizing Positive1 Participants
Part 1: Arm CNumber of Participants With Nivolumab Anti Drug Antibodies in Part 1.Baseline ADA Positive0 Participants
Secondary

T-HALFeff - Effective Elimination Half-life in Part 1.

T-HALFeff - Effective elimination half-life that explains the degree of accumulation observed for a specific exposure measure (exposure measure includes AUC(TAU), Cmax, or Ctau) in Part 1.

Time frame: At Cycle 3 Day 1 for Arm A, Cycle 2 Day 1 for Arm B and C (1 cycle = 42 days)

Population: PK Evaluable Population in Part 1. Inadequate PK Sampling for arm A nivo/ipilimumab treatment, so no data was collected

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Part 1: Arm AT-HALFeff - Effective Elimination Half-life in Part 1.Nivo Cycle 3507 HoursGeometric Coefficient of Variation 4
Part 1: Arm AT-HALFeff - Effective Elimination Half-life in Part 1.Ipi Cycle 3NA Hours
Part 1: Arm BT-HALFeff - Effective Elimination Half-life in Part 1.Nivo Cycle 2385 HoursGeometric Coefficient of Variation 36
Part 1: Arm BT-HALFeff - Effective Elimination Half-life in Part 1.Ipi Cycle 2325 HoursGeometric Coefficient of Variation 38
Part 1: Arm CT-HALFeff - Effective Elimination Half-life in Part 1.Nivo Cycle 2263 HoursGeometric Coefficient of Variation 37
Part 1: Arm CT-HALFeff - Effective Elimination Half-life in Part 1.Ipi Cycle 2282 HoursGeometric Coefficient of Variation 14
Secondary

Tmax - Time of Maximum Observed Serum Concentration in Part 1.

Tmax - Time of maximum observed serum concentration in Part 1.

Time frame: At Cycle 1 Day 1 and Cycle 3 Day 1 for Arm A, Cycle 1 and Cycle 2 Day 1 for Arm B and C (1 cycle = 42 days)

Population: PK Evaluable Population in Part 1

ArmMeasureGroupValue (MEDIAN)
Part 1: Arm ATmax - Time of Maximum Observed Serum Concentration in Part 1.Ipi Cycle 36.78 Hours
Part 1: Arm ATmax - Time of Maximum Observed Serum Concentration in Part 1.Nivo Cycle 11.68 Hours
Part 1: Arm ATmax - Time of Maximum Observed Serum Concentration in Part 1.Nivo Cycle 31.65 Hours
Part 1: Arm ATmax - Time of Maximum Observed Serum Concentration in Part 1.Ipi Cycle 10.617 Hours
Part 1: Arm BTmax - Time of Maximum Observed Serum Concentration in Part 1.Ipi Cycle 16.83 Hours
Part 1: Arm BTmax - Time of Maximum Observed Serum Concentration in Part 1.Ipi Cycle 26.98 Hours
Part 1: Arm BTmax - Time of Maximum Observed Serum Concentration in Part 1.Nivo Cycle 11.62 Hours
Part 1: Arm BTmax - Time of Maximum Observed Serum Concentration in Part 1.Nivo Cycle 21.55 Hours
Part 1: Arm CTmax - Time of Maximum Observed Serum Concentration in Part 1.Nivo Cycle 11.59 Hours
Part 1: Arm CTmax - Time of Maximum Observed Serum Concentration in Part 1.Nivo Cycle 24.78 Hours
Part 1: Arm CTmax - Time of Maximum Observed Serum Concentration in Part 1.Ipi Cycle 20.542 Hours
Part 1: Arm CTmax - Time of Maximum Observed Serum Concentration in Part 1.Ipi Cycle 10.517 Hours

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026