Phase 2
N=270
A Study of Nivolumab in Participants With Metastatic or Unresectable Bladder Cancer
Various Advanced Cancer
Bottom Line
View on ClinicalTrials.gov: NCT02387996 ↗Enrolled (actual)
270
Serious AEs
73.7%
Results posted
May 2017
Primary outcome: Primary: Objective Response Rate Per BIRC Assessment — 19.6 Percent of participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Nivolumab (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Bristol-Myers Squibb
- Primary completion
- Apr 2016
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Objective Response Rate Per BIRC Assessment |
19.6 | — |
| PRIMARY ORR Per BIRC Assessment by PD-L1 Expression Level |
16.1; 23.8; 15.8; 28.4 | — |
| PRIMARY Time to Response (TTR) |
1.87 | — |
| PRIMARY Duration of Response (DOR) |
NA | — |
| SECONDARY Progression Free Survival (PFS) |
1.94; 1.87; 3.45; 1.87; 3.68 | — |
| SECONDARY Overall Survival (OS) |
8.57; 5.95; 11.86; 6.24; 13.54 | — |
| SECONDARY Objective Response Rate (ORR) Per Investigator |
24.8; 19.9; 30.6; 20.9; 33.7 | — |
Summary
The purpose the study is to measure the effect of nivolumab (BMS-936558) in reducing tumor size in subjects with metastatic or unresectable bladder cancer.
Eligibility Criteria
Inclusion Criteria
- Evidence of metastatic or surgically unresectable transitional cell carcinoma of the urothelium involving the bladder,urethra,ureter or renal pelvis
- Measurable disease by CT or MRI
- Progression or recurrence after treatment
- i) With at least 1 platinum-containing chemotherapy regimen for metastatic or surgically unresectable locally advanced urothelial cancer, or
- ii) Within 12 months of peri-operative (neo-adjuvant or adjuvant) treatment with a platinum agent in the setting of cystectomy for localized muscle-invasive urothelial cancer
- Subject that have received more than 2 prior lines of chemotherapy must not have liver metastases
- Tumor tissues (archived or new biopsy) must be provided for biomarker analysis
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 or 1
Exclusion Criteria
- Subjects with active cancer that has spread to the central nervous system
- Prior malignancy active within the previous 3 years except for locally curable cancers that have been apparently cured
- Subject with active, known or suspected autoimmune disease
- Subjects with a condition requiring systemic treatment with either corticosteroids (>10 mg daily prednisone equivalents) or other immunosuppressive medications within 14 day of study drug administration
- Prior treatment with an anti-PD-1, anti-PD-L1,anti-PD-L2,anti-cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) antibody, anti-CD137 or any other antibody or drug specifically targeting T-cell co-stimulation or immune checkpoint pathways
Exclusion laboratory criteria
- Positive test for hepatitis B virus surface antigen (HBV s Ag) or hepatitis C virus ribonucleic acid (HCV antibody) indicating acute or chronic infection
- Known history of testing positive for human Immunodeficiency virus (HIV) or known acquired Immunodeficiency syndrome (AIDS)
Other protocol-defined inclusion/exclusion criteria apply
Data sourced from ClinicalTrials.gov (NCT02387996). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.