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NCT01714739

A Study of an Anti-KIR Antibody Lirilumab in Combination With an Anti-PD1 Antibody Nivolumab and Nivolumab Plus an Anti-CTLA-4 Ipilimumab Antibody in Patients With Advanced Solid Tumors

Completed Phase 1, PHASE2 Results posted Last updated 2 February 2023
What this trial tests

Phase 1, PHASE2 trial testing Lirilumab in CANCER,NOS in 337 participants. Completed in 13 December 2019.

Timeline
7 October 2012
Primary endpoint
13 December 2019
13 December 2019

Quick facts

Lead sponsorBristol-Myers Squibb
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment337
Start date7 October 2012
Primary completion13 December 2019
Estimated completion13 December 2019
Sites30 locations across France, Italy, Canada, Switzerland, United States, Spain

Drugs / interventions tested

Conditions studied

Sponsor

Bristol-Myers Squibb — full company profile →

Who can join

18 and older, any sex, with CANCER,NOS. 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.

Number of Participants With Adverse Events (AEs) - Parts 1, 2 and 5 Primary · From first dose to 150 days post last dose (up to an average of 51 weeks and a maximum of 2.5 years)

An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in a clinical investigation participant administered an investigational (medicinal) product and that does not necessarily have a causal relationship with this treatment.

GroupValue95% CI
Part 1/2 Liri 0.1 + Nivo 34
Part 1/2: Liri 0.3 + Nivo 316
Part 1/2: Liri 1 + Nivo 315
Part 1/2: Liri 3 + Nivo 3284
Part 5: Liri 3 + Nivo 3 + Ipi 110
Number of Participants With Serious Adverse Events (SAEs) - Parts 1, 2 and 5 Primary · From first dose to 150 days post last dose (up to an average of 51 weeks and a maximum of 2.5 years)

A Serious Adverse Event (SAE) is any untoward medical occurrence that at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is an important medical event.

GroupValue95% CI
Part 1/2 Liri 0.1 + Nivo 31
Part 1/2: Liri 0.3 + Nivo 38
Part 1/2: Liri 1 + Nivo 39
Part 1/2: Liri 3 + Nivo 3205
Part 5: Liri 3 + Nivo 3 + Ipi 17
Number of Participants With Adverse Events (AEs) Leading to Discontinuation - Parts 1, 2 and 5 Primary · From first dose to 150 days post last dose (up to an average of 51 weeks and a maximum of 2.5 years)

Number of participants that experienced an AE leading to discontinuation. An AE is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in a clinical investigation participant administered an investigational (medicinal) product and that does not necessarily have a causal relationship with this treatment.

GroupValue95% CI
Part 1/2 Liri 0.1 + Nivo 31
Part 1/2: Liri 0.3 + Nivo 31
Part 1/2: Liri 1 + Nivo 34
Part 1/2: Liri 3 + Nivo 349
Part 5: Liri 3 + Nivo 3 + Ipi 15
The Number of Participant Deaths in the Study - Parts 1, 2 and 5 Primary · From first dose to 150 days post last dose (up to an average of 51 weeks and a maximum of 2.5 years)

The number of participants who died.

GroupValue95% CI
Part 1/2 Liri 0.1 + Nivo 32
Part 1/2: Liri 0.3 + Nivo 37
Part 1/2: Liri 1 + Nivo 35
Part 1/2: Liri 3 + Nivo 3219
Part 5: Liri 3 + Nivo 3 + Ipi 15
Number of Participants With Clinical Laboratory Test Abnormalities - Parts 1, 2 and 5 Primary · From first dose to 150 days post last dose (up to an average of 51 weeks and a maximum of 2.5 years)

Number of participants that experienced a clinical laboratory test abnormality, including hematology and serum chemistry, and thyroid panel abnormalities. Abnormalities considered are those Grade 3-4 events with a \>= 1 grade increase from baseline. Laboratory tests are graded using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.03 where Grade 3 is severe, and Grade 4 is life threatening. Baseline is defined as the last non-missing measurement prior to the first dosing date and time.

Absolute Neutrophil Count - Grade 3
GroupValue95% CI
Part 1/2 Liri 0.1 + Nivo 30
Part 1/2: Liri 0.3 + Nivo 30
Part 1/2: Liri 1 + Nivo 30
Part 1/2: Liri 3 + Nivo 32
Part 5: Liri 3 + Nivo 3 + Ipi 10
Absolute Neutrophil Count - Grade 4
GroupValue95% CI
Part 1/2 Liri 0.1 + Nivo 30
Part 1/2: Liri 0.3 + Nivo 31
Part 1/2: Liri 1 + Nivo 30
Part 1/2: Liri 3 + Nivo 30
Part 5: Liri 3 + Nivo 3 + Ipi 10
Alanine Amino Transferase (ALT) - Grade 3
GroupValue95% CI
Part 1/2 Liri 0.1 + Nivo 30
Part 1/2: Liri 0.3 + Nivo 30
Part 1/2: Liri 1 + Nivo 31
Part 1/2: Liri 3 + Nivo 30
Part 5: Liri 3 + Nivo 3 + Ipi 10
Alanine Amino Transferase (ALT) - Grade 4
GroupValue95% CI
Part 1/2 Liri 0.1 + Nivo 30
Part 1/2: Liri 0.3 + Nivo 30
Part 1/2: Liri 1 + Nivo 30
Part 1/2: Liri 3 + Nivo 30
Part 5: Liri 3 + Nivo 3 + Ipi 10
Albumin - Grade 3
GroupValue95% CI
Part 1/2 Liri 0.1 + Nivo 30
Part 1/2: Liri 0.3 + Nivo 30
Part 1/2: Liri 1 + Nivo 30
Part 1/2: Liri 3 + Nivo 31
Part 5: Liri 3 + Nivo 3 + Ipi 10
Albumin - Grade 4
GroupValue95% CI
Part 1/2 Liri 0.1 + Nivo 30
Part 1/2: Liri 0.3 + Nivo 30
Part 1/2: Liri 1 + Nivo 30
Part 1/2: Liri 3 + Nivo 30
Part 5: Liri 3 + Nivo 3 + Ipi 10
Alkaline Phosphatase (ALP) - Grade 3
GroupValue95% CI
Part 1/2 Liri 0.1 + Nivo 30
Part 1/2: Liri 0.3 + Nivo 31
Part 1/2: Liri 1 + Nivo 30
Part 1/2: Liri 3 + Nivo 36
Part 5: Liri 3 + Nivo 3 + Ipi 10
Alkaline Phosphatase (ALP) - Grade 4
GroupValue95% CI
Part 1/2 Liri 0.1 + Nivo 30
Part 1/2: Liri 0.3 + Nivo 30
Part 1/2: Liri 1 + Nivo 30
Part 1/2: Liri 3 + Nivo 30
Part 5: Liri 3 + Nivo 3 + Ipi 10
Objective Response Rate (ORR) Primary · From first dose up to approximately 2.5 years

Objective Response Rate (ORR) is defined as the percent of participants whose best overall response (BOR) is either a complete response (CR) or partial response (PR). BOR for a participant was derived using investigator-provided tumor measurements per RECIST v1.1. CR 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 \< 10 mm. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

GroupValue95% CI
Part 1/2 Liri 0.1 + Nivo 325.00.6 – 80.6
Part 1/2: Liri 0.3 + Nivo 337.515.2 – 64.6
Part 1/2: Liri 1 + Nivo 340.016.3 – 67.7
Part 1/2: Liri 3 + Nivo 314.610.8 – 19.3
Part 3: PBO + Nivo 24050.01.3 – 98.7
Part 3: Liri 240 + Nivo 24000.0 – 70.8
Part 5: Liri 3 + Nivo 3 + Ipi 100.0 – 30.8
Disease Control Rate (DCR) - Part 3 Secondary · From first dose up to approximately 2.5 years

Disease Control Rate (DCR) is defined as the percentage of participants with a best overall response (BOR) of complete response (CR), partial response (PR), or stable disease (SD). CR 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 \< 10 mm. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease

GroupValue95% CI
Part 3: PBO + Nivo 24050.01.3 – 98.7
Part 3: Liri 240 + Nivo 24033.30.8 – 90.6
Median Duration of Response (mDOR) - Parts 3 and 5 Secondary · From first dose to the date of the first documented tumor progression as determined or death due to any cause, whichever occurs first. (Up to approximately 2.5 years)

DOR is defined as the time from the date of first response (CR or PR) to the date of first objectively documented tumor progression as determined using RECIST v1.1 or death due to any cause, whichever occurs first. Participant who remain alive and have not progressed were censored on the date of their last evaluable tumor assessment. Participants who started subsequent anticancer therapy without a prior reported progression were censored at the last evaluable tumor assessment prior to initiation of the subsequent anticancer therapy. CR is defined as the disappearance of all target lesions. Any

GroupValue95% CI
Part 3: PBO + Nivo 240NA40.0 – 40.0
Median Time to Response (mTTR) - Part 3 Secondary · From date of first dose of study medication to the date of the first documented objective response (up to approximately 2.5 years)

TTR is defined as the time from the first dosing date to the date of the first documented objective response (CR or PR). CR 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 \< 10 mm. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

GroupValue95% CI
Part 3: PBO + Nivo 2408.108.1 – 8.1
The Number of Participants With >=50% or >=80% Tumor Reduction - Parts 3 and 5 Secondary · From first dose until progressive disease (PD) or treatment discontinuation, whichever occurs earlier. (Up to approximately 2.5 years)

Depth of response is defined as the target tumor burden percent change from baseline at nadir for each participant as measured by the number of participants with \>= 50% and \>= 80% tumor reduction. Tumor assessments are performed every 8 weeks from first dose date for 48 weeks, and then every 12 weeks thereafter until progressive disease (PD) or treatment discontinuation, whichever occurs earlier.

WITH >=50% TUMOR REDUCTION
GroupValue95% CI
Part 3: PBO + Nivo 2401
Part 3: Liri 240 + Nivo 2402
Part 5: Liri 3 + Nivo 3 + Ipi 10
WITH >=80% TUMOR REDUCTION
GroupValue95% CI
Part 3: PBO + Nivo 2400
Part 3: Liri 240 + Nivo 2401
Part 5: Liri 3 + Nivo 3 + Ipi 10
Overall Survival (OS) - Part 3 Secondary · From date of first dose of study medication to the date of death for any cause. (Up to approximately 2.5 years)

Overall Survival (OS) is defined as the time from date of first dose of study medication to the date of death for any cause. A participant who has not died will be censored at last known date alive. OS for a participant who initiated new cancer treatment, will also be censored at the date of the new treatment initiation. Estimated by Kaplan-Meier Method.

GroupValue95% CI
Part 3: PBO + Nivo 240NA0.2 – 1.2
Part 3: Liri 240 + Nivo 2400.30.1 – 0.8
Progression Free Survival (PFS) - Part 3 Secondary · From first dose to the date of first objectively documented disease progression or death due to any cause, whichever occurs first. (Up to approximately 2.5 years)

PFS is defined as the time from the first dosing date to the date of first objectively documented disease progression or death due to any cause, whichever occurs first. Participants who died without a reported prior progression was considered to have progressed on the date of their death. Participants alive with no progression were censored on the last evaluable tumor assessment date. Participants who started subsequent therapy with no prior progression were censored at the last evaluable tumor assessment prior to initiation of the subsequent therapy. Participants with no post-baseline tumor a

GroupValue95% CI
Part 3: PBO + Nivo 240NA1.1 – 11.0
Part 3: Liri 240 + Nivo 2401.61.1 – 7.4

Adverse events — posted to ClinicalTrials.gov

Time frame: Participants were assessed for All-Cause Mortality from their first dose until the study was completed (up to approximately 2.5 years). SAEs and Other AEs were assessed from first dose to 150 days post last dose (up to an average of 51 weeks and a maximum of 2.5 years).. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part 1/2 Liri 0.1 + Nivo 3
Serious: 1/4 (25%)
Deaths: 2/4
Part 1/2: Liri 0.3 + Nivo 3
Serious: 8/16 (50%)
Deaths: 7/16
Part 1/2: Liri 1 + Nivo 3
Serious: 9/15 (60%)
Deaths: 5/15
Part 1/2: Liri 3 + Nivo 3
Serious: 205/287 (71%)
Deaths: 219/287
Part 3: PBO + Nivo 240
Serious: 2/2 (100%)
Deaths: 1/2
Part 3: Liri 240 + Nivo 240
Serious: 3/3 (100%)
Deaths: 3/3
Part 5: Liri 3 + Nivo 3 + Ipi 1
Serious: 7/10 (70%)
Deaths: 5/10

Serious adverse events (190 terms)

ReactionSystemPart 1/2 Liri 0.1 + Nivo 3Part 1/2: Liri 0.3 + Nivo 3Part 1/2: Liri 1 + Nivo 3Part 1/2: Liri 3 + Nivo 3Part 3: PBO + Nivo 240Part 3: Liri 240 + Nivo 240Part 5: Liri 3 + Nivo 3 + …
Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
DyspnoeaRespiratory, thoracic and mediastinal disorders
PyrexiaGeneral disorders
AnaemiaBlood and lymphatic system disorders
PneumoniaInfections and infestations
SepsisInfections and infestations
Infusion related reactionInjury, poisoning and procedural complications
General physical health deteriorationGeneral disorders
HypercalcaemiaMetabolism and nutrition disorders
DysphagiaGastrointestinal disorders
ColitisGastrointestinal disorders
HaemoptysisRespiratory, thoracic and mediastinal disorders
Lung disorderRespiratory, thoracic and mediastinal disorders
Pneumonia aspirationRespiratory, thoracic and mediastinal disorders
DiarrhoeaGastrointestinal disorders
Face oedemaGeneral disorders
DehydrationMetabolism and nutrition disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
Respiratory distressRespiratory, thoracic and mediastinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Small intestinal obstructionGastrointestinal disorders
VomitingGastrointestinal disorders
HypokalaemiaMetabolism and nutrition disorders
Tumour haemorrhageNeoplasms benign, malignant and unspecified (incl cysts and polyps)
HypoxiaRespiratory, thoracic and mediastinal disorders
Other adverse events (278 terms — click to expand)

ReactionSystemPart 1/2 Liri 0.1 + Nivo 3Part 1/2: Liri 0.3 + Nivo 3Part 1/2: Liri 1 + Nivo 3Part 1/2: Liri 3 + Nivo 3Part 3: PBO + Nivo 240Part 3: Liri 240 + Nivo 240Part 5: Liri 3 + Nivo 3 + …
FatigueGeneral disorders
AnaemiaBlood and lymphatic system disorders
PyrexiaGeneral disorders
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
ConstipationGastrointestinal disorders
Decreased appetiteMetabolism and nutrition disorders
PruritusSkin and subcutaneous tissue disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
HeadacheNervous system disorders
VomitingGastrointestinal disorders
AstheniaGeneral disorders
RashSkin and subcutaneous tissue disorders
Weight decreasedInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
ChillsGeneral disorders
DysphagiaGastrointestinal disorders
Oedema peripheralGeneral disorders
HyponatraemiaMetabolism and nutrition disorders
HypomagnesaemiaMetabolism and nutrition disorders
Neck painMusculoskeletal and connective tissue disorders
HypothyroidismEndocrine disorders
Abdominal painGastrointestinal disorders
Infusion related reactionInjury, poisoning and procedural complications
HypokalaemiaMetabolism and nutrition disorders
DizzinessNervous system disorders
Aspartate aminotransferase increasedInvestigations
Lipase increasedInvestigations
HypercalcaemiaMetabolism and nutrition disorders
Dry mouthGastrointestinal disorders
Amylase increasedInvestigations
AnxietyPsychiatric disorders
HypotensionVascular disorders
Upper respiratory tract infectionInfections and infestations
DysphoniaRespiratory, thoracic and mediastinal disorders
Mucosal inflammationGeneral disorders
Blood creatinine increasedInvestigations
DehydrationMetabolism and nutrition disorders

Most-reported serious reactions: Malignant neoplasm progression, Dyspnoea, Pyrexia, Anaemia, Pneumonia, Sepsis, Infusion related reaction, General physical health deterioration.

Data from ClinicalTrials.gov NCT01714739 adverse events section.

Sponsor's own description

To assess the safety and tolerability and preliminary anti-tumor activity of lirilumab (BMS-986015) given in combination with nivolumab (BMS-936558) and to identify dose limiting toxicities (DLTs) and the maximally tolerated dose (MTD) of the combination. In addition, to assess the combinations of lirilumab and nivolumab or lirilumab and nivolumab plus ipilimumab (BMS-734016) in subjects with advanced (metastatic and/or unresectable) refractory solid tumors.

Publications & conference data

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

  1. Immune checkpoint blockade: a common denominator approach to cancer therapy.
    Topalian SL, Drake CG, Pardoll DM. · · 2015 · cited 3276× · PMID 25858804 · DOI 10.1016/j.ccell.2015.03.001
  2. Survival, durable tumor remission, and long-term safety in patients with advanced melanoma receiving nivolumab.
    Topalian SL, Sznol M, McDermott DF, Kluger HM, et al · · 2014 · cited 1751× · PMID 24590637 · DOI 10.1200/jco.2013.53.0105
  3. Exploring the NK cell platform for cancer immunotherapy.
    Myers JA, Miller JS. · · 2021 · cited 977× · PMID 32934330 · DOI 10.1038/s41571-020-0426-7
  4. Robust prediction of response to immune checkpoint blockade therapy in metastatic melanoma.
    Auslander N, Zhang G, Lee JS, Frederick DT, et al · · 2018 · cited 586× · PMID 30127394 · DOI 10.1038/s41591-018-0157-9
  5. Next generation of immune checkpoint therapy in cancer: new developments and challenges.
    Marin-Acevedo JA, Dholaria B, Soyano AE, Knutson KL, et al · · 2018 · cited 582× · PMID 29544515 · DOI 10.1186/s13045-018-0582-8
  6. The Society for Immunotherapy of Cancer consensus statement on immunotherapy for the treatment of squamous cell carcinoma of the head and neck (HNSCC).
    Cohen EEW, Bell RB, Bifulco CB, Burtness B, et al · · 2019 · cited 528× · PMID 31307547 · DOI 10.1186/s40425-019-0662-5
  7. Immunology and Immunotherapy of Head and Neck Cancer.
    Ferris RL. · · 2015 · cited 515× · PMID 26351330 · DOI 10.1200/jco.2015.61.1509
  8. Cancer immunotherapies targeting the PD-1 signaling pathway.
    Iwai Y, Hamanishi J, Chamoto K, Honjo T. · · 2017 · cited 478× · PMID 28376884 · DOI 10.1186/s12929-017-0329-9

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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/NCT01714739.

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