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NCT01621490: PD-1

PH 1 Biomarker Study of Nivolumab and Ipilimumab and Nivolumab in Combination With Ipilimumab in Advanced Melanoma

Completed Phase 1 Results posted Last updated 23 April 2024
What this trial tests

Phase 1 trial testing Nivolumab in Advanced Melanoma in 170 participants. Completed in 25 October 2018.

Timeline
27 September 2012
Primary endpoint
12 September 2017
25 October 2018

Quick facts

Lead sponsorBristol-Myers Squibb
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designsingle group
Maskingnone
Primary purposebasic science
Enrollment170
Start date27 September 2012
Primary completion12 September 2017
Estimated completion25 October 2018
Sites14 locations across Netherlands, United States, Spain

Drugs / interventions tested

Conditions studied

Sponsor

Bristol-Myers Squibb — full company profile →

Who can join

18 and older, any sex, with Advanced Melanoma or Metastatic Melanoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Median Change From Baseline to Week 7, of Interferon (IFN) and Interferon Gamma (IFN-gamma) Inducible Factors Primary · From last non-missing value prior to first dose to week 7 day 1

Baseline and post-treatment modulation of serum levels of chemokines, cytokines and other immune mediators were assessed by techniques that included ELISA or other multiplex-based assay methods. Primary analysis included IFN-gamma and IFN-gamma inducible factors, including chemokine \[C-X-C motif\] ligand 9 (CXCL9) and CXCL10

IFN-gamma Simoa
GroupValue95% CI
N3 60M Naive0.0130± 0.1740
N3 60M PROG0.0320± 0.0817
N1 60M + I3 90M0.2310± 0.4528
N1 30M + I3 30M Non-BM0.1600± 1.2047
N3 30M Non-BM0.0520± 0.1207
N1 30M + I3 30M BM0.0950± 1.5082
N3 30M BM0.0375± 0.1868
N1+ I3 Non-BM0.2200± 0.8198
Naive Nivo Mono0.0130± 0.1674
All Nivo0.0240± 0.1373
All Combo0.1520± 1.0023
Total0.0515± 0.5944
CXL9 (aka MIG)
GroupValue95% CI
N3 60M Naive1105.0± 10467.4
N3 60M PROG1890.0± 8706.0
N1 60M + I3 90M4680.0± 18096.9
N1 30M + I3 30M Non-BM3542.0± 12133.1
N3 30M Non-BM-29.0± 1684.2
N1 30M + I3 30M BM5692.0± 6796.0
N3 30M BM3610.0± 2197.4
N1+ I3 Non-BM458.5± 1651.0
Naive Nivo Mono1056.5± 9167.8
All Nivo1235.0± 8984.2
All Combo4680.0± 14792.5
Total2027.0± 11491.9
CXL10 (aka IP10)
GroupValue95% CI
N3 60M Naive184.0± 514.1
N3 60M PROG160.0± 539.9
N1 60M + I3 90M684.0± 2563.1
N1 30M + I3 30M Non-BM934.5± 2842.0
N3 30M Non-BM26.0± 172.7
N1 30M + I3 30M BM514.0± 612.3
N3 30M BM318.0± 354.0
N1+ I3 Non-BM695.0± 2627.7
Naive Nivo Mono185.0± 474.6
All Nivo184.0± 500.7
All Combo684.0± 2450.6
Total234.5± 1566.3
Tumor Infiltrating Lymphocytes (TILs) as Measured by Medians in Percent Positive CD8 and Positive CD4 at Baseline and On-treatment Biopsy, Both Using the Mosaic Singleplex IHC Assay Primary · From last non-missing value prior to first dose to week 4 day 1

Biomarkers examined were percent positive CD8 and percent positive CD4, both using the Mosaic Singleplex IHC assay. Analyses are presented with the medians at baseline and on-treatment, rather than the median change because the baseline values differed across groups. Baseline was defined as the last non-missing value on or prior to the first dose of study therapy. Biopsies were also collected on treatment.

Percent CD8 Baseline
GroupValue95% CI
N3 60M Naive3.730± 10.994
N3 60M PROG7.230± 10.712
N1 60M + I3 90M W23.260± 9.259
N1 60M + I3 90M W411.105± 9.524
N1 30M + I3 30M Non-BM4.700± 9.810
N3 30M Non-BM5.615± 12.475
N3 30M + I3 30M BM18.590± 8.132
N3 30M BM6.135± 5.664
Nivo Mono6.360± 10.727
Nivo Mono Reduced Infusion5.615± 11.472
Week 2 Biopsy Combo4.700± 9.292
Week 2 Biopsy Non-BM Combo4.230± 9.401
Percent positive CD8 Week 2
GroupValue95% CI
N1 60M + I3 90M W211.345± 21.316
N1 30M + I3 30M Non-BM7.970± 15.132
N3 30M Non-BM10.100± 10.909
N3 30M + I3 30M BM8.470± 7.740
N3 30M BM29.735± 5.254
Nivo Mono Reduced Infusion10.910± 12.387
Week 2 Biopsy Combo9.080± 17.510
Week 2 Biopsy Non-BM Combo9.125± 18.654
Naive Nivo Mono Non-BM10.100± 10.909
N1 + I3 Non-BM9.125± 18.654
Percent positive CD8 Week 4
GroupValue95% CI
N3 60M Naive18.435± 17.108
N3 60M PROG7.140± 25.204
N1 60M + I3 90M W432.455± 15.967
N1 30M + I3 30M Non-BM37.465± 5.706
Nivo Mono15.150± 21.475
Week 2 Biopsy Combo37.465± 5.706
Week 2 Biopsy Non-BM Combo37.465± 5.706
Naive Nivo Mono Non-BM18.435± 17.108
N1 + I3 Non-BM34.785± 13.856
Percent CD4 Baseline
GroupValue95% CI
N3 60M Naive0.360± 1.844
N3 60M PROG0.600± 2.268
N1 60M + I3 90M W20.840± 1.852
N1 60M + I3 90M W40.470± 3.833
N1 30M + I3 30M Non-BM4.155± 6.624
N3 30M Non-BM4.950± 4.992
N3 30M + I3 30M BM6.500± 8.108
N3 30M BM2.780± NA
Nivo Mono0.375± 2.057
Nivo Mono Reduced Infusion4.600± 4.807
Week 2 Biopsy Combo2.750± 5.833
Week 2 Biopsy Non-BM Combo2.610± 5.607
Percent positive CD4 Week 2
GroupValue95% CI
N1 60M + I3 90M W24.500± 10.741
N1 30M + I3 30M Non-BM6.260± 8.518
N3 30M Non-BM4.210± 5.029
N3 30M + I3 30M BM6.420± 14.778
N3 30M BM20.830± NA
Nivo Mono Reduced Infusion6.155± 6.585
Week 2 Biopsy Combo6.125± 10.222
Week 2 Biopsy Non-BM Combo5.990± 9.602
Naive Nivo Mono Non-BM4.210± 5.029
N1 + I3 Non-BM5.990± 9.602
Percent positive CD4 Week 4
GroupValue95% CI
N3 60M Naive1.585± 3.071
N3 60M PROG1.260± 4.641
N1 60M + I3 90M W49.005± 13.324
N1 30M + I3 30M Non-BM24.520± 2.659
Nivo Mono1.275± 3.921
Week 2 Biopsy Combo24.520± 2.659
Week 2 Biopsy Non-BM Combo24.520± 2.659
Naive Nivo Mono Non-BM1.585± 3.071
N1 + I3 Non-BM10.155± 12.707
Frequency of Adverse Events or Death Secondary · Includes events reported between first dose and up to 100 days after last dose of study medication (up to approximately 73 months).

The assessment of safety was based on frequency of deaths and adverse events (AEs). AEs were graded for severity according to the NCI CTCAE version 4.0.

Participants who died
GroupValue95% CI
N3 60M Naive26
N3 60M PROG25
N1 60M + I3 90M11
N1 30M + I3 30M Non-BM14
N3 30M Non-BM4
N1 30M + I3 30M BM2
N3 30M BM4
Participants who died within 30 days of last dose
GroupValue95% CI
N3 60M Naive3
N3 60M PROG2
N1 60M + I3 90M4
N1 30M + I3 30M Non-BM0
N3 30M Non-BM0
N1 30M + I3 30M BM1
N3 30M BM0
Participants who died within 100 days of last dose
GroupValue95% CI
N3 60M Naive5
N3 60M PROG8
N1 60M + I3 90M5
N1 30M + I3 30M Non-BM0
N3 30M Non-BM1
N1 30M + I3 30M BM2
N3 30M BM2
Participants with an AE
GroupValue95% CI
N3 60M Naive41
N3 60M PROG44
N1 60M + I3 90M27
N1 30M + I3 30M Non-BM25
N3 30M Non-BM11
N1 30M + I3 30M BM10
N3 30M BM10
Frequency of AEs Leading to Discontinuation of Study Drug and SAEs Secondary · From enrollment to 100 days after the last dose date (up to approximately 73 months)

The assessment of safety was based on frequency of serious adverse events (SAEs) and adverse events (AEs) leading to discontinuation of study drug. AEs were graded for severity according to the NCI CTCAE version 4.0.

SAEs
GroupValue95% CI
N3 60M Naive20
N3 60M Prog22
N1 60M + I3 90M20
N1 30M + I3 30M Non-BM14
N3 30M Non-BM2
N1 30M I3 30M BM7
N3 30M BM4
AEs Leading to Discontinuation
GroupValue95% CI
N3 60M Naive2
N3 60M Prog6
N1 60M + I3 90M12
N1 30M + I3 30M Non-BM9
N3 30M Non-BM1
N1 30M I3 30M BM4
N3 30M BM2
Number of Laboratory Abnormalities in Specific Liver Tests Secondary · 101-120 days after last dose.

Abnormalities in hepatic parameters measured included those in aspartate aminotransferase (AST), alanine aminotransferase (ALT)and total bilirubin, with respect to upper limit of normal (ULN)

ALT OR AST > 3XULN
GroupValue95% CI
N3 60M NAIVE2
N3 60M PROG4
N1 60M +I3 90M8
N1 30M + I3 30M Non-BM5
N3 30M Non-BM0
N1 30M + I3 30M BM3
N3 30M BM0
ALT OR AST> 5XULN
GroupValue95% CI
N3 60M NAIVE1
N3 60M PROG2
N1 60M +I3 90M6
N1 30M + I3 30M Non-BM4
N3 30M Non-BM0
N1 30M + I3 30M BM1
N3 30M BM0
ALT OR AST> 10XULN
GroupValue95% CI
N3 60M NAIVE1
N3 60M PROG0
N1 60M +I3 90M3
N1 30M + I3 30M Non-BM2
N3 30M Non-BM0
N1 30M + I3 30M BM1
N3 30M BM0
ALT OR AST > 20XULN
GroupValue95% CI
N3 60M NAIVE0
N3 60M PROG0
N1 60M +I3 90M1
N1 30M + I3 30M Non-BM0
N3 30M Non-BM0
N1 30M + I3 30M BM1
N3 30M BM0
TOTAL BILIRUBIN > 2XULN
GroupValue95% CI
N3 60M NAIVE0
N3 60M PROG0
N1 60M +I3 90M2
N1 30M + I3 30M Non-BM1
N3 30M Non-BM0
N1 30M + I3 30M BM2
N3 30M BM0
ALT/AST ELEV>3XULN;TOTAL BILIRUBIN>2XULN IN 1 DAY
GroupValue95% CI
N3 60M NAIVE0
N3 60M PROG0
N1 60M +I3 90M2
N1 30M + I3 30M Non-BM1
N3 30M Non-BM0
N1 30M + I3 30M BM1
N3 30M BM0
ALT/AST ELEV>3XULN;TOTAL BILIRUBIN>2XULN IN 30 DAY
GroupValue95% CI
N3 60M NAIVE0
N3 60M PROG0
N1 60M +I3 90M2
N1 30M + I3 30M Non-BM1
N3 30M Non-BM0
N1 30M + I3 30M BM1
N3 30M BM0
Number of Laboratory Abnormalities in Specific Thyroid Tests Secondary · 101-120 days after last dose.

Abnormalities in thyroid parameters measured included those in thyroid stimulating hormone (TSH) levels with respect to upper limit of normal (ULN) and lower limit of normal (LLN)

TSH > ULN
GroupValue95% CI
N3 60M NAIVE9
N3 60M PROG16
N1 60M +I3 90M7
N1 30M + I3 30M Non-BM7
N3 30M Non-BM1
N1 30M + I3 30M BM3
N3 30M BM4
TSH > ULN WITH TSH <= ULN AT BASELINE
GroupValue95% CI
N3 60M NAIVE4
N3 60M PROG9
N1 60M +I3 90M7
N1 30M + I3 30M Non-BM4
N3 30M Non-BM1
N1 30M + I3 30M BM3
N3 30M BM2
TSH >ULN WITH ATLEAST ONE FT3/FT4 TEST VALUE <LLN
GroupValue95% CI
N3 60M NAIVE0
N3 60M PROG0
N1 60M +I3 90M3
N1 30M + I3 30M Non-BM3
N3 30M Non-BM0
N1 30M + I3 30M BM2
N3 30M BM2
TSH >ULN WITH ALL OTHER FT3/FT4 TEST VALUES >= LLN
GroupValue95% CI
N3 60M NAIVE0
N3 60M PROG0
N1 60M +I3 90M0
N1 30M + I3 30M Non-BM0
N3 30M Non-BM0
N1 30M + I3 30M BM0
N3 30M BM0
TSH > ULN WITH FT3/FT4 TEST MISSING
GroupValue95% CI
N3 60M NAIVE9
N3 60M PROG16
N1 60M +I3 90M4
N1 30M + I3 30M Non-BM4
N3 30M Non-BM1
N1 30M + I3 30M BM1
N3 30M BM2
TSH < LLN
GroupValue95% CI
N3 60M NAIVE3
N3 60M PROG4
N1 60M +I3 90M11
N1 30M + I3 30M Non-BM12
N3 30M Non-BM2
N1 30M + I3 30M BM6
N3 30M BM5
TSH <LLN WITH TSH >= LLN AT BASELINE
GroupValue95% CI
N3 60M NAIVE3
N3 60M PROG4
N1 60M +I3 90M11
N1 30M + I3 30M Non-BM12
N3 30M Non-BM2
N1 30M + I3 30M BM6
N3 30M BM5
TSH <LLN WITH ATLEAST ONE FT3/FT4 TEST VALUE > ULN
GroupValue95% CI
N3 60M NAIVE0
N3 60M PROG0
N1 60M +I3 90M5
N1 30M + I3 30M Non-BM4
N3 30M Non-BM0
N1 30M + I3 30M BM2
N3 30M BM2
Objective Response Rate (ORR) Secondary · Approximately every 8 weeks until disease progression and in follow-up if no progression (up to approximately 73 months)

The objective response rate (ORR) was defined as the percentage of participants with a best overall response (BOR) of a complete response (CR) or partial response (PR) divided by the number of randomized participants in the population of interest. The BOR was defined as 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 RECIST 1.1, with subsequent confirmation, or date of subsequent anti-cancer therapy, whichever occurred first in the study.

GroupValue95% CI
N3 60M Naive31.718.1 – 48.1
N3 60M Prog22.711.5 – 37.8
N1 60M+I3 90M44.425.5 – 64.7
N1 30M + I3 30M Non-BM40.021.1 – 61.3
N3 30M Non-BM27.36.0 – 61.0
N1 30M + I3 30M BM70.034.8 – 93.3
N3 30M BM60.026.2 – 87.8
Median Duration of Response (mDOR) Secondary · From date of first documented objective response to date of disease progression or death, up to approximately 27 months

Median duration of response (mDOR) was calculated for subjects with BOR of CR or PR only, and is defined as time between the date of first documented objective response and the date of the first subsequent disease progression or death, whichever occurred first, if death occurred within 100 days after last dose of study medication.

GroupValue95% CI
N3 60M Naive16.597.29 – NA
N3 60M PROGNA5.55 – NA
N1 60M + I3 90MNA5.85 – NA
N1 30M + I3 30M NON-BM26.257.85 – NA
N3 30M NON-BMNA3.71 – NA
N1 30M + I3 30M BMNA22.01 – NA
N3 30M BM20.2713.57 – NA
Median Time to Response (mTTR) Secondary · From the first dosing date to the date of the first documented objective response, up to approximately 15 months

Median time to response (mTTR) for a participant with a BOR of CR or PR is defined as the time from the first dosing date to the date of the first documented objective response (CR or PR).

GroupValue95% CI
N3 60M Naive1.871.77 – 3.71
N3 60M PROG2.781.84 – 14.59
N1 60M + I3 90M1.411.28 – 1.87
N1 30M + I3 30M NON-BM2.511.28 – 2.86
N3 30M NON-BM1.411.41 – 6.90
N1 30M + I3 30M BM1.711.38 – 7.43
N3 30M BM2.141.25 – 4.99
Progression Free Survival (PFS) Secondary · From first dose of study medication to the date of progression or death, whichever occurs first, up to approximately 29 months

Progression free survival (PFS) for a participant was defined as the time from the date of first dose of study medication to the date of the first documented disease progression, or death due to any cause, whichever occurred first, if death occurred within 100 days after last dose of study medication.

GroupValue95% CI
N3 60M Naive3.681.84 – 7.36
N3 60M PROG5.621.87 – 9.66
N1 60M + I3 90M7.001.41 – NA
N1 30M + I3 30M NON-BM9.691.94 – 29.01
N3 30M NON-BM4.931.41 – NA
N1 30M + I3 30M BMNA1.18 – NA
N3 30M BM23.000.85 – NA
Immunogenicity of Nivolumab and Nivolumab in Combination With Ipilimumab as Measured by the Number of Serum Anti-drug Antibody (ADA) Positive Participants and the Number of Neutralizing ADA Positive Participants Secondary · Up to follow-up visit 2 (101-120 days since last treatment)

Time Frame: Part 1: Day 1, Day 15, Day 43 of cycle 1, Day 1 of cycle 2, Day 15 of cycle 3, every 16 weeks after cycle 3 up to 2 years, follow-up visit 1 (40-60 days after last treatment), and follow-up visit 2 (101-120 days since last treatment) Part 2, 3 and 4: Weeks 1, 3, 4, 7, 9, 10, 13, 25, 53, 79, 95 follow-up visit 1 (40-60 days after last treatment), and follow-up visit 2 (101-120 days since last treatment)

ADA positive
GroupValue95% CI
N3 60M NAIVE2
N3 60M PROG5
N1 60M + I3 (Nivo ADA10
N1 60M + I3 90M (Ipi ADA)1
N1 30M + I3 30M Non-BM (Nivo ADA)16
N1 30M + I3 30M Non-BM (Ipi ADA)4
N3 30M Non-BM1
N1 30M + I3 30M (Nivo ADA)7
N1 30M + I3 30M (Ipi ADA)0
N3 30M BM1
Total (Nivo ADA)42
Total (Ipi ADA)5
Neutralizing ADA positive
GroupValue95% CI
N3 60M NAIVE0
N3 60M PROG0
N1 60M + I3 (Nivo ADA0
N1 60M + I3 90M (Ipi ADA)0
N1 30M + I3 30M Non-BM (Nivo ADA)1
N1 30M + I3 30M Non-BM (Ipi ADA)0
N3 30M Non-BM0
N1 30M + I3 30M (Nivo ADA)2
N3 30M BM0
Total (Nivo ADA)3
Total (Ipi ADA)0
Objective Response Rate (ORR) by PD-L1 Expression Secondary · Approximately every 8 weeks until disease progression and in follow-up if no progression (up to approximately 73 months)

For immunohistochemistry (IHC) measurements, to explore the PD-L1 expression as a potential predictive marker of clinical activity, PD-L1 expression status were derived from percent of tumor cells exhibiting cell surface staining for PD-L1 at baseline and/or in archived biopsy samples using verified and/or validated assays. In the case of multiple specimens, a subject would be identified as PD-L1 expression levels \>= x%, where x% can be 10%, 5%, and/or 1% in any of the baseline and/or archived specimens. The association between PD-L1 expression status and/or level and clinical efficacy measur

STTU 1 - 1% Level PD-L1 Status: Met criteria
GroupValue95% CI
N3 60M NAIVE, W440.019.1 – 63.9
N3 60M PROG, W435.314.2 – 61.7
N1 60M + I3 90M, W285.742.1 – 99.6
N1 60M + I3 90M, W450.011.8 – 88.2
N1 60M + I3 90M, WU50.01.3 – 98.7
N1 30M + I3 30M NON-BM63.630.8 – 89.1
N3 30M NON-BM, W240.05.3 – 85.3
N1 30M + I3 30M BM, W2100.015.8 – 100.0
N3 30M BM, W2100.02.5 – 100.0
N3 60M, W437.822.5 – 55.2
N3 30M, W250.011.8 – 88.2
N1 + I3, W275.050.9 – 91.3
STTU 1 - 5% Level PD-L1 Status: Met criteria
GroupValue95% CI
N3 60M NAIVE, W440.012.2 – 73.8
N3 60M PROG, W433.37.5 – 70.1
N1 60M + I3 90M, W280.028.4 – 99.5
N1 60M + I3 90M, W460.014.7 – 94.7
N1 60M + I3 90M, WU100.02.5 – 100.0
N1 30M + I3 30M NON-BM71.429.0 – 96.3
N3 30M NON-BM, W250.01.3 – 98.7
N1 30M + I3 30M BM, W2100.015.8 – 100.0
N3 30M BM, W2100.02.5 – 100.0
N3 60M, W436.816.3 – 61.6
N3 30M, W266.79.4 – 99.2
N1 + I3, W278.649.2 – 95.3
STTU 1 - 10% Level PD-L1 Status: Met criteria
GroupValue95% CI
N3 60M NAIVE, W442.99.9 – 81.6
N3 60M PROG, W420.00.5 – 71.6
N1 60M + I3 90M, W2100.029.2 – 100.0
N1 60M + I3 90M, W475.019.4 – 99.4
N1 60M + I3 90M, WU100.02.5 – 100.0
N1 30M + I3 30M NON-BM66.79.4 – 99.2
N3 30M NON-BM, W2100.02.5 – 100.0
N1 30M + I3 30M BM, W2100.015.8 – 100.0
N3 30M BM, W2100.02.5 – 100.0
N3 60M, W433.39.9 – 65.1
N3 30M, W2100.015.8 – 100.0
N1 + I3, W287.547.3 – 99.7

Adverse events — posted to ClinicalTrials.gov

Time frame: All-cause mortality was assessed from date of first dose to study completion (up to approximately 73 months). Serious Adverse events and other adverse events were assessed from date of first dose to 100 days following date of last dose (up to approximately 73 months).. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

N3 60M NAIVE
Serious: 20/41 (49%)
Deaths: 26/41
N3 60M PROG
Serious: 22/44 (50%)
Deaths: 25/44
N1 60M + I3 90M, W2
Serious: 8/11 (73%)
Deaths: 4/11
N1 60M + I3 90M, W4
Serious: 6/10 (60%)
Deaths: 3/10
N1 60M + I3 90M, WU
Serious: 6/6 (100%)
Deaths: 4/6
N1 30M + I3 30M Non-BM
Serious: 14/25 (56%)
Deaths: 14/25
N3 30M Non-BM
Serious: 2/11 (18%)
Deaths: 4/11
I3 Monotherapy
Serious: 1/1 (100%)
Deaths: 1/1
N1 30M + I3 30M BM
Serious: 7/10 (70%)
Deaths: 2/10
N3 30M BM
Serious: 4/10 (40%)
Deaths: 4/10
Unplanned Treatment
Serious: 1/1 (100%)
Deaths: 1/1

Serious adverse events (103 terms)

ReactionSystemN3 60M NAIVEN3 60M PROGN1 60M + I3 90M, W2N1 60M + I3 90M, W4N1 60M + I3 90M, WUN1 30M + I3 30M Non-BMN3 30M Non-BMI3 MonotherapyN1 30M + I3 30M BMN3 30M BMUnplanned Treatment
Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
ColitisGastrointestinal disorders
PyrexiaGeneral disorders
DiarrhoeaGastrointestinal disorders
Alanine aminotransferase increasedInvestigations
DehydrationMetabolism and nutrition disorders
AnaemiaBlood and lymphatic system disorders
Autoimmune haemolytic anaemiaBlood and lymphatic system disorders
Immune thrombocytopenic purpuraBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
Acute myocardial infarctionCardiac disorders
Atrial fibrillationCardiac disorders
Cardiac failureCardiac disorders
Cardiac failure congestiveCardiac disorders
Myocardial infarctionCardiac disorders
Adrenal insufficiencyEndocrine disorders
HyperthyroidismEndocrine disorders
HypophysitisEndocrine disorders
IridocyclitisEye disorders
Abdominal painGastrointestinal disorders
Autoimmune colitisGastrointestinal disorders
ConstipationGastrointestinal disorders
EnterocolitisGastrointestinal disorders
Intestinal ischaemiaGastrointestinal disorders
Intra-abdominal fluid collectionGastrointestinal disorders
Other adverse events (277 terms — click to expand)

ReactionSystemN3 60M NAIVEN3 60M PROGN1 60M + I3 90M, W2N1 60M + I3 90M, W4N1 60M + I3 90M, WUN1 30M + I3 30M Non-BMN3 30M Non-BMI3 MonotherapyN1 30M + I3 30M BMN3 30M BMUnplanned Treatment
FatigueGeneral disorders
DiarrhoeaGastrointestinal disorders
Decreased appetiteMetabolism and nutrition disorders
ConstipationGastrointestinal disorders
NauseaGastrointestinal disorders
ArthralgiaMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
PruritusSkin and subcutaneous tissue disorders
Abdominal painGastrointestinal disorders
PainGeneral disorders
PyrexiaGeneral disorders
Back painMusculoskeletal and connective tissue disorders
RashSkin and subcutaneous tissue disorders
HeadacheNervous system disorders
AnaemiaBlood and lymphatic system disorders
VomitingGastrointestinal disorders
Oedema peripheralGeneral disorders
Lipase increasedInvestigations
Weight decreasedInvestigations
DizzinessNervous system disorders
MyalgiaMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Dry skinSkin and subcutaneous tissue disorders
Dry mouthGastrointestinal disorders
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Musculoskeletal painMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
VitiligoSkin and subcutaneous tissue disorders
HypertensionVascular disorders
HypothyroidismEndocrine disorders
ContusionInjury, poisoning and procedural complications
Blood alkaline phosphatase increasedInvestigations
Neck painMusculoskeletal and connective tissue disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
Adrenal insufficiencyEndocrine disorders
HyperthyroidismEndocrine disorders
DyspepsiaGastrointestinal disorders

Most-reported serious reactions: Malignant neoplasm progression, Colitis, Pyrexia, Diarrhoea, Alanine aminotransferase increased, Dehydration, Anaemia, Autoimmune haemolytic anaemia.

Data from ClinicalTrials.gov NCT01621490 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate pharmacodynamic changes of Nivolumab and Nivolumab in combination with Ipilimumab treatment on the biomarkers measured in the peripheral blood and tumor tissues of subjects with advanced melanoma (unresectable or advanced)

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Tumor and Microenvironment Evolution during Immunotherapy with Nivolumab.
    Riaz N, Havel JJ, Makarov V, Desrichard A, et al · · 2017 · cited 1872× · PMID 29033130 · DOI 10.1016/j.cell.2017.09.028
  2. The Challenges of Tumor Mutational Burden as an Immunotherapy Biomarker.
    Jardim DL, Goodman A, de Melo Gagliato D, Kurzrock R. · · 2021 · cited 935× · PMID 33125859 · DOI 10.1016/j.ccell.2020.10.001
  3. The Next Immune-Checkpoint Inhibitors: PD-1/PD-L1 Blockade in Melanoma.
    Mahoney KM, Freeman GJ, McDermott DF. · · 2015 · cited 440× · PMID 25823918 · DOI 10.1016/j.clinthera.2015.02.018
  4. Efficacy and Safety of Nivolumab Alone or in Combination With Ipilimumab in Patients With Mucosal Melanoma: A Pooled Analysis.
    D'Angelo SP, Larkin J, Sosman JA, Lebbé C, et al · · 2017 · cited 439× · PMID 28056206 · DOI 10.1200/jco.2016.67.9258
  5. Elevated serum interleukin-8 is associated with enhanced intratumor neutrophils and reduced clinical benefit of immune-checkpoint inhibitors.
    Schalper KA, Carleton M, Zhou M, Chen T, et al · · 2020 · cited 429× · PMID 32405062 · DOI 10.1038/s41591-020-0856-x
  6. Antagonist antibodies to PD-1 and B7-H1 (PD-L1) in the treatment of advanced human cancer.
    Sznol M, Chen L. · · 2013 · cited 418× · PMID 23460533 · DOI 10.1158/1078-0432.ccr-12-2063
  7. Gut microbiota signatures are associated with toxicity to combined CTLA-4 and PD-1 blockade.
    Andrews MC, Duong CPM, Gopalakrishnan V, Iebba V, et al · · 2021 · cited 344× · PMID 34239137 · DOI 10.1038/s41591-021-01406-6
  8. Improvement of the anticancer efficacy of PD-1/PD-L1 blockade via combination therapy and PD-L1 regulation.
    Wu M, Huang Q, Xie Y, Wu X, et al · · 2022 · cited 336× · PMID 35279217 · DOI 10.1186/s13045-022-01242-2

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01621490.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing