Study of Nivolumab (BMS-936558) in Combination With Gemcitabine/Cisplatin, Pemetrexed/Cisplatin, Carboplatin/Paclitaxel, Bevacizumab Maintenance, Erlotinib, Ipilimumab or as Monotherapy in Subjects With Stage IIIB/IV Non-small Cell Lung Cancer (NSCLC) (CheckMate 012)
Status: | Active, not recruiting |
---|---|
Conditions: | Lung Cancer, Cancer |
Therapuetic Areas: | Oncology |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 11/9/2017 |
Start Date: | December 9, 2011 |
End Date: | December 29, 2018 |
A Multi-arm Phase I Safety Study of Nivolumab in Combination With Gemcitabine/Cisplatin, Pemetrexed/Cisplatin, Carboplatin/Paclitaxel, Bevacizumab Maintenance, Erlotinib, Ipilimumab or as Monotherapy in Subjects With Stage IIIB/IV Non-small Cell Lung Cancer (NSCLC)
There is no formal research hypothesis to be statistically tested in this protocol.
- The study is evaluating the safety and tolerability of Nivolumab (BMS-936558) when
combined with three platinum-based doublet chemotherapy regimens (Cisplatin/Gemcitabine;
Cisplatin/Pemetrexed; and Carboplatin/Paclitaxel) in subjects with NSCLC.
- The study is evaluating the safety and tolerability of Nivolumab as maintenance therapy
in combination with Bevacizumab/Avastin that will be given after at least 4 cycles of
platinum doublet chemotherapy.
- The study is evaluating the safety and tolerability of Nivolumab in combination with
Erlotinib among epidermal growth factor receptor (EGFR) mutation positive non-squamous
NSCLC subjects and as monotherapy in subjects with NSCLC.
- The study is evaluating the safety and tolerability of Nivolumab in combination with
Ipilimumab in subjects with squamous and non-squamous NSCLC.
- The study is evaluating the safety and tolerability of Nivolumab as switch maintenance
therapy in subjects with squamous and non-squamous NSCLC.
- The study is evaluating the safety and tolerability of Nivolumab as monotherapy among
subjects with untreated, asymptomatic brain metastases and no evidence of cerebral
edema.
- The study is evaluating the safety and tolerability of Nivolumab (BMS-936558) when
combined with three platinum-based doublet chemotherapy regimens (Cisplatin/Gemcitabine;
Cisplatin/Pemetrexed; and Carboplatin/Paclitaxel) in subjects with NSCLC.
- The study is evaluating the safety and tolerability of Nivolumab as maintenance therapy
in combination with Bevacizumab/Avastin that will be given after at least 4 cycles of
platinum doublet chemotherapy.
- The study is evaluating the safety and tolerability of Nivolumab in combination with
Erlotinib among epidermal growth factor receptor (EGFR) mutation positive non-squamous
NSCLC subjects and as monotherapy in subjects with NSCLC.
- The study is evaluating the safety and tolerability of Nivolumab in combination with
Ipilimumab in subjects with squamous and non-squamous NSCLC.
- The study is evaluating the safety and tolerability of Nivolumab as switch maintenance
therapy in subjects with squamous and non-squamous NSCLC.
- The study is evaluating the safety and tolerability of Nivolumab as monotherapy among
subjects with untreated, asymptomatic brain metastases and no evidence of cerebral
edema.
For more information regarding BMS clinical trial participation, please visit
www.BMSStudyConnect.com
Inclusion Criteria:
- Newly diagnosed and confirmed Stage IIIB/IV NSCLC
- Previously treated NSCLC with asymptomatic brain metastases (eligible for Arm M) See
additional details below
- Men and women aged ≥18 years
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
- Subject must be chemotherapy naive (except Arm D, K, L and M). Prior use of epidermal
growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) is acceptable. For Arms
D, K, and L, subjects must be non-progressors within 42 days after completion of
first-line treatment with ≥4 cycles of Platinum Doublet chemotherapy with or without
Bevacizumab. See below for Arm M
- Either a formalin fixed tissue block or a minimum of 10 slides of tumor sample
(archived or fresh) must be available for biomarker evaluation (a local pathologist
must review for adequacy of sampling)
- Life expectancy of at least 3 months
- Prior radiotherapy must have been completed at least 2 weeks prior to study entry
For Arm M:
- No more than 4 brain metastases
- Each brain metastases ≤3 cm in size
- No evidence of cerebral edema
- Subjects must be free of neurologic symptoms related to metastatic brain lesions and
must not have required or received systemic corticosteroids for ≥10 days prior to
initiation of study treatment
- At least 1 measurable target brain lesion >0.5 cm and no larger than 3 cm in diameter
and/or 2 measurable brain target lesions >0.3 cm
- No prior radiation therapy, surgery, or other local therapy for target brain lesions
- Must have received at least one prior systemic anticancer therapy for NSCLC
Exclusion Criteria:
- Subjects with symptomatic brain metastases, spinal cord compression, or intractable
back pain due to a compressive or destructive mass
- Subjects who require emergent use of systemic steroids, emergent surgery and/or
radiotherapy
- Any active or history of a known autoimmune disease
- Subjects with previous malignancies (except non-melanoma skin cancers, in situ bladder
cancer, gastric, or colon cancers or cervical cancers/dysplasia, or breast carcinoma
in situ) are excluded unless a complete remission was achieved at least 2 years prior
to study entry and no additional therapy is required or anticipated to be required
during the study period
- History of Grade ≥2 neuropathy
- Subjects with interstitial lung disease that is symptomatic or may interfere with the
detection or management of suspected drug-related pulmonary toxicity
We found this trial at
10
sites
12902 USF Magnolia Dr
Tampa, Florida 33612
Tampa, Florida 33612
(888) 663-3488
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H. Lee Moffitt Cancer Center & Research Institute Moffitt Cancer Center in Tampa, Florida, has...
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Seattle Cancer Care Alliance Seattle Cancer Care Alliance (SCCA) is a cancer treatment center that...
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Duke Univ Med Ctr As a world-class academic and health care system, Duke Medicine strives...
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Yale University Yale's roots can be traced back to the 1640s, when colonial clergymen led...
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Memorial Sloan Kettering Cancer Center Memorial Sloan Kettering Cancer Center — the world's oldest and...
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