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NCT01721759

Study of Nivolumab (BMS-936558) in Patients With Advanced or Metastatic Squamous Cell Nonsmall-cell Lung Cancer Who Have Received At Least 2 Prior Systemic Regimens

Completed Phase 2 Results posted Last updated 28 June 2022
What this trial tests

Phase 2 trial testing Nivolumab in Squamous Cell Non-small Cell Lung Cancer in 117 participants. Completed in 22 April 2021.

Timeline
16 November 2012
Primary endpoint
22 January 2014
22 April 2021

Quick facts

Lead sponsorBristol-Myers Squibb
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment117
Start date16 November 2012
Primary completion22 January 2014
Estimated completion22 April 2021
Sites33 locations across France, United States, Germany, Italy

Drugs / interventions tested

Conditions studied

Sponsor

Bristol-Myers Squibb — full company profile →

Who can join

18 and older, any sex, with Squamous Cell Non-small Cell Lung Cancer. 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.

Objective Response Rate (ORR) as Assessed by Independent Radiology Review Committee (IRC) Primary · Day 1 of treatment up to approximately 14 months

ORR is defined as the percentage of participants with best overall response (OR) of confirmed complete response (CR) or partial response (PR) divided by the number of participants who received treatment. The IRC-assessed ORR (using RECIST v1.1, to confirm response and based on the IRC global radiology review after incorporation of on-study clinical data) was estimated using a binomial response rate and its corresponding 2-sided 95% exact confidence intervals using the Clopper-Pearson method.

GroupValue95% CI
Nivolumab, 3 mg/kg14.58.7 – 22.2
Objective Response Rate (ORR) as Assessed by Investigator Secondary · Day 1 of treatment to approximately 101 months

ORR is defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on investigator assessment. The investigator-assessed ORR is summarized by a binomial response rate and its corresponding two-sided 95% exact CIs using Clopper-Pearson method.

GroupValue95% CI
Nivolumab, 3 mg/kg15.49.4 – 23.2
Duration of Response (DOR) as Assessed by Investigator Secondary · From the first treatment to the date of the first documented tumor progression or death. Approximately up to 101 months

DOR is defined as the time from first confirmed response (CR or PR) per investigator assessment to the date of the first documented tumor progression as determined using RECIST 1.1 criteria or death due to any cause, whichever occurs first. Participants who start subsequent therapy without a prior reported progression will be censored at the last evaluable tumor assessments prior to initiation of the subsequent anticancer therapy. Participants who die without a reported prior progression will be considered to have progressed on the date of their death. Participants who neither progress nor die

GroupValue95% CI
Nivolumab, 3 mg/kg16.0012.45 – 29.54
Duration of Response (DOR) as Assessed by Independent Radiology Review Committee (IRC) Primary · From the first treatment to the date of the first documented tumor progression or death. Approximately up to 14 months

DOR is defined as the time from first confirmed response (CR or PR) per IRC assessment to the date of the first documented tumor progression as determined using RECIST 1.1 criteria or death due to any cause, whichever occurs first. Participants who start subsequent therapy without a prior reported progression will be censored at the last evaluable tumor assessments prior to initiation of the subsequent anticancer therapy. Participants who die without a reported prior progression will be considered to have progressed on the date of their death. Participants who neither progress nor die will be

GroupValue95% CI
Nivolumab, 3 mg/kg126.7 – 19.3
Duration of Response (DOR) as Assessed by Independent Radiology Review Committee (IRC) Secondary · From the first treatment to the date of the first documented tumor progression or death. Approximately up to 21 months

DOR is defined as the time from first confirmed response (CR or PR) per IRC assessment to the date of the first documented tumor progression as determined using RECIST 1.1 criteria or death due to any cause, whichever occurs first. Participants who start subsequent therapy without a prior reported progression will be censored at the last evaluable tumor assessments prior to initiation of the subsequent anticancer therapy. Participants who die without a reported prior progression will be considered to have progressed on the date of their death. Participants who neither progress nor die will be

GroupValue95% CI
Nivolumab, 3 mg/kgNA8.31 – NA

Adverse events — posted to ClinicalTrials.gov

Time frame: From the first visit to 100 days after last treatment. Approximately up to 101 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Nivolumab, 3 mg/kg
Serious: 88/117 (75%)
Deaths: 108/117

Serious adverse events (84 terms)

ReactionSystemNivolumab, 3 mg/kg
Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
PneumoniaInfections and infestations
DyspnoeaRespiratory, thoracic and mediastinal disorders
HypercalcaemiaMetabolism and nutrition disorders
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
HaemoptysisRespiratory, thoracic and mediastinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Abdominal painGastrointestinal disorders
PainGeneral disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
DiarrhoeaGastrointestinal disorders
DysphagiaGastrointestinal disorders
PyrexiaGeneral disorders
Septic shockInfections and infestations
Musculoskeletal chest painMusculoskeletal and connective tissue disorders
Cognitive disorderNervous system disorders
SyncopeNervous system disorders
Confusional statePsychiatric disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Pneumonia aspirationRespiratory, thoracic and mediastinal disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Pulmonary haemorrhageRespiratory, thoracic and mediastinal disorders
HypotensionVascular disorders
Superior vena cava syndromeVascular disorders
Other adverse events (50 terms — click to expand)

ReactionSystemNivolumab, 3 mg/kg
FatigueGeneral disorders
Decreased appetiteMetabolism and nutrition disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
CoughRespiratory, thoracic and mediastinal disorders
NauseaGastrointestinal disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
VomitingGastrointestinal disorders
AstheniaGeneral disorders
PyrexiaGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
AnaemiaBlood and lymphatic system disorders
Weight decreasedInvestigations
RashSkin and subcutaneous tissue disorders
Oedema peripheralGeneral disorders
Abdominal painGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
PruritusSkin and subcutaneous tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
BronchitisInfections and infestations
HeadacheNervous system disorders
PainGeneral disorders
Blood creatinine increasedInvestigations
DehydrationMetabolism and nutrition disorders
HyperglycaemiaMetabolism and nutrition disorders
HypomagnesaemiaMetabolism and nutrition disorders
HyponatraemiaMetabolism and nutrition disorders
HypercalcaemiaMetabolism and nutrition disorders
Musculoskeletal chest painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
HypotensionVascular disorders
Dry mouthGastrointestinal disorders
Chest painGeneral disorders
Muscular weaknessMusculoskeletal and connective tissue disorders
HaemoptysisRespiratory, thoracic and mediastinal disorders
HypertensionVascular disorders
Abdominal pain upperGastrointestinal disorders
Mucosal inflammationGeneral disorders
PneumoniaInfections and infestations

Most-reported serious reactions: Malignant neoplasm progression, Pneumonia, Dyspnoea, Hypercalcaemia, Chronic obstructive pulmonary disease, Pneumonitis, Haemoptysis, Pleural effusion.

Data from ClinicalTrials.gov NCT01721759 adverse events section.

Sponsor's own description

The purpose of the study is to assess the objective response rate (change in tumor size from baseline) in patients with advanced or metastatic squamous cell nonsmall-cell lung cancer treated with Nivolumab (BMS-936558) after failure of 2 prior systemic regimens

Publications & conference data

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

  1. Hallmarks of response, resistance, and toxicity to immune checkpoint blockade.
    Morad G, Helmink BA, Sharma P, Wargo JA. · · 2021 · cited 1197× · PMID 34624224 · DOI 10.1016/j.cell.2021.09.020
  2. Anti-PD-1/PD-L1 therapy of human cancer: past, present, and future.
    Chen L, Han X. · · 2015 · cited 1133× · PMID 26325035 · DOI 10.1172/jci80011
  3. Activity and safety of nivolumab, an anti-PD-1 immune checkpoint inhibitor, for patients with advanced, refractory squamous non-small-cell lung cancer (CheckMate 063): a phase 2, single-arm trial.
    Rizvi NA, Mazières J, Planchard D, Stinchcombe TE, et al · · 2015 · cited 1133× · PMID 25704439 · DOI 10.1016/s1470-2045(15)70054-9
  4. Lung cancer immunotherapy: progress, pitfalls, and promises.
    Lahiri A, Maji A, Potdar PD, Singh N, et al · · 2023 · cited 737× · PMID 36810079 · DOI 10.1186/s12943-023-01740-y
  5. PD-L1 Expression in Lung Cancer.
    Yu H, Boyle TA, Zhou C, Rimm DL, et al · · 2016 · cited 369× · PMID 27117833 · DOI 10.1016/j.jtho.2016.04.014
  6. Breathing new life into immunotherapy: review of melanoma, lung and kidney cancer.
    Drake CG, Lipson EJ, Brahmer JR. · · 2014 · cited 313× · PMID 24247168 · DOI 10.1038/nrclinonc.2013.208
  7. Development of PD-1/PD-L1 Pathway in Tumor Immune Microenvironment and Treatment for Non-Small Cell Lung Cancer.
    He J, Hu Y, Hu M, Li B. · · 2015 · cited 290× · PMID 26279307 · DOI 10.1038/srep13110
  8. Current status and perspectives in translational biomarker research for PD-1/PD-L1 immune checkpoint blockade therapy.
    Ma W, Gilligan BM, Yuan J, Li T. · · 2016 · cited 243× · PMID 27234522 · DOI 10.1186/s13045-016-0277-y

Verify or expand the search:

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Other Bristol-Myers Squibb trials

Trials by the same sponsor.

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