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NCT02038946

Study of Nivolumab in Subjects With Relapsed or Refractory Follicular Lymphoma (FL) (CheckMate 140)

Completed Phase 2 Results posted Last updated 4 January 2022
What this trial tests

Phase 2 trial testing Nivolumab in Lymphoma in 116 participants. Completed in 28 December 2020.

Timeline
26 March 2014
Primary endpoint
17 May 2017
28 December 2020

Quick facts

Lead sponsorBristol-Myers Squibb
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment116
Start date26 March 2014
Primary completion17 May 2017
Estimated completion28 December 2020
Sites45 locations across France, Italy, Belgium, Sweden, United Kingdom, Germany, Norway, Canada

Drugs / interventions tested

Conditions studied

Sponsor

Bristol-Myers Squibb — full company profile →

Who can join

18 and older, any sex, with Lymphoma. 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.

Overall Response Rate (ORR) as Determined by IRRC Primary · From Week 9 until documented disease progression or study discontinuation (assessed up to June 2017, approximately 38 months)

ORR is determined by an independent radiologic review committee (IRRC) according to the revised International Working Group Criteria for non-Hodgkin Lymphoma. ORR is defined as the number of participants with a best overall response (BOR) of complete response (CR) or partial response (PR) and expressed as a percentage of all treated participants. CR=Disappearance of all clinical/radiographic evidence of disease, regression of lymph nodes to normal size, absence of spleen, liver, and bone marrow involvement. PR=Regression of measurable disease and no new sites; no increase in size of liver or

GroupValue95% CI
Arm 1: Nivolumab4.31.2 – 10.8
Duration of Response (DOR) Based on IRRC Assessments Secondary · From Week 9 until documented disease progression or study discontinuation (assessed up to June 2017, approximately 38 months)

DOR is defined as the time from first remission (CR or PR) to the date of initial objectively documented progression as determined using the revised International Working Group Criteria for non-Hodgkin Lymphoma, or death due to any cause, whichever occurs first. CR definition includes the complete disappearance of all evidence of disease, the definition of PR includes at least a 50% decrease in sum of the product of the diameters (SPD) of up to six of the largest dominant nodes or nodal masses, and PD is defined as any new lesion or increase by \>50% of previously involved sites from nadir, a

GroupValue95% CI
Arm 1: Nivolumab10.948.31 – 13.57
Complete Remission Rate (CRR) Based on IRRC Assessment Secondary · From Week 9 until documented disease progression or study discontinuation (assessed up to June 2017, approximately 38 months)

CRR is defined as the number of subjects with a BOR of CR according to the revised International Working Group Criteria for non-Hodgkin Lymphoma, divided by the number of treated participants and expressed as a percentage. CR=Disappearance of all clinical/radiographic evidence of disease, regression of lymph nodes to normal size, absence of spleen, liver, and bone marrow involvement.

GroupValue95% CI
Arm 1: Nivolumab1.10.0 – 5.9
Partial Remission (PR) Rate Based on IRRC Assessment Secondary · From Week 9 until documented disease progression or study discontinuation (assessed up to June 2017, approximately 38 months)

PR rate is defined as the number of participants with a best overall response (BOR) of PR according to the 2007 International Working Group (IWG) criteria, based on IRRC assessment, divided by the number of treated participants and expressed as a percentage. PR=Regression of measurable disease and no new sites; no increase in size of liver or spleen. \>=50% decrease in SPD of up to 6 largest dominant masses (index lesions); no increase in size of other nodes (non-index lesions)

GroupValue95% CI
Arm 1: Nivolumab3.30.7 – 9.2
Progression Free Survival (PFS) Based on IRRC Assessment Secondary · From Week 9 until documented disease progression or study discontinuation (assessed up to June 2017, approximately 38 months)

PFS was summarized descriptively using the Kaplan-Meier (KM) product-limit method. Median values of PFS, along with the two-sided 95% CIs were calculated using a method based on log-log transformation.

GroupValue95% CI
Arm 1: Nivolumab2.201.91 – 3.58
Overall Response Rate (ORR) Based on Investigator Assessments Secondary · From Week 9 until documented disease progression or study discontinuation (assessed up to June 2017, approximately 38 months)

ORR is determined by investigator assessments according to the revised International Working Group Criteria for non-Hodgkin Lymphoma. ORR is defined as the number of subjects with a best overall response (BOR) of complete response (CR) or partial response (PR) and is expressed as a percentage of all treated participants. CR=Disappearance of all clinical/radiographic evidence of disease, regression of lymph nodes to normal size, absence of spleen, liver, and bone marrow involvement. PR=Regression of measurable disease and no new sites; no increase in size of liver or spleen. \>=50% decrease i

GroupValue95% CI
Arm 1: Nivolumab10.95.3 – 19.1

Adverse events — posted to ClinicalTrials.gov

Time frame: AEs collected were reported between first dose and 100 days after last dose of study therapy (up to approximately 6 years 9 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: 46/92 (50%)
Deaths: 36/92

Serious adverse events (68 terms)

ReactionSystemNivolumab 3 mg/kg
Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
PyrexiaGeneral disorders
Febrile neutropeniaBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Lower respiratory tract infectionInfections and infestations
BacteraemiaInfections and infestations
Herpes zosterInfections and infestations
PneumoniaInfections and infestations
Skin infectionInfections and infestations
HyperglycaemiaMetabolism and nutrition disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Autoimmune haemolytic anaemiaBlood and lymphatic system disorders
CytopeniaBlood and lymphatic system disorders
PancytopeniaBlood and lymphatic system disorders
Cardiac failureCardiac disorders
Cardiac failure acuteCardiac disorders
Cardiac failure congestiveCardiac disorders
Myocardial infarctionCardiac disorders
Abdominal discomfortGastrointestinal disorders
AscitesGastrointestinal disorders
ColitisGastrointestinal disorders
ConstipationGastrointestinal disorders
Diverticulum intestinal haemorrhagicGastrointestinal disorders
DysphagiaGastrointestinal disorders
Other adverse events (31 terms — click to expand)

ReactionSystemNivolumab 3 mg/kg
PyrexiaGeneral disorders
CoughRespiratory, thoracic and mediastinal disorders
NauseaGastrointestinal disorders
FatigueGeneral disorders
DiarrhoeaGastrointestinal disorders
AnaemiaBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
ConstipationGastrointestinal disorders
Decreased appetiteMetabolism and nutrition disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
VomitingGastrointestinal disorders
Upper respiratory tract infectionInfections and infestations
Back painMusculoskeletal and connective tissue disorders
PruritusSkin and subcutaneous tissue disorders
NeutropeniaBlood and lymphatic system disorders
Oedema peripheralGeneral disorders
AstheniaGeneral disorders
Urinary tract infectionInfections and infestations
ThrombocytopeniaBlood and lymphatic system disorders
NasopharyngitisInfections and infestations
RashSkin and subcutaneous tissue disorders
DizzinessNervous system disorders
PneumoniaInfections and infestations
HypokalaemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
DysphagiaGastrointestinal disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Skin lesionSkin and subcutaneous tissue disorders

Most-reported serious reactions: Malignant neoplasm progression, Pyrexia, Febrile neutropenia, Abdominal pain, Diarrhoea, Lower respiratory tract infection, Bacteraemia, Herpes zoster.

Data from ClinicalTrials.gov NCT02038946 adverse events section.

Sponsor's own description

The purpose of this study is to assess the clinical benefit of Nivolumab, as measured by independent radiologic review committee (IRRC)-assessed objective response rate (ORR) in subjects with FL lymphoma who have failed therapy with both CD20 antibody and an alkylating agent.

Publications & conference data

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

  1. PD-1 Inhibitor-Related Pneumonitis in Advanced Cancer Patients: Radiographic Patterns and Clinical Course.
    Nishino M, Ramaiya NH, Awad MM, Sholl LM, et al · · 2016 · cited 358× · PMID 27535979 · DOI 10.1158/1078-0432.ccr-16-1320
  2. Novel immunotherapies in lymphoid malignancies.
    Batlevi CL, Matsuki E, Brentjens RJ, Younes A. · · 2016 · cited 196× · PMID 26525683 · DOI 10.1038/nrclinonc.2015.187
  3. The Evolving Role of Immune Checkpoint Inhibitors in Cancer Treatment.
    Pennock GK, Chow LQ. · · 2015 · cited 172× · PMID 26069281 · DOI 10.1634/theoncologist.2014-0422
  4. Next frontier in tumor immunotherapy: macrophage-mediated immune evasion.
    Qiu Y, Chen T, Hu R, Zhu R, et al · · 2021 · cited 107× · PMID 34625124 · DOI 10.1186/s40364-021-00327-3
  5. Checkpoint blockade in Hodgkin and non-Hodgkin lymphoma.
    Merryman RW, Armand P, Wright KT, Rodig SJ. · · 2017 · cited 87× · PMID 29296917 · DOI 10.1182/bloodadvances.2017012534
  6. Trial Watch: Immunomodulatory monoclonal antibodies for oncological indications.
    Buqué A, Bloy N, Aranda F, Castoldi F, et al · · 2015 · cited 79× · PMID 26137403 · DOI 10.1080/2162402x.2015.1008814
  7. A phase 1b study of dual PD-1 and CTLA-4 or KIR blockade in patients with relapsed/refractory lymphoid malignancies.
    Armand P, Lesokhin A, Borrello I, Timmerman J, et al · · 2021 · cited 78× · PMID 32601377 · DOI 10.1038/s41375-020-0939-1
  8. Radio-Immunotherapy-Induced Immunogenic Cancer Cells as Basis for Induction of Systemic Anti-Tumor Immune Responses - Pre-Clinical Evidence and Ongoing Clinical Applications.
    Derer A, Deloch L, Rubner Y, Fietkau R, et al · · 2015 · cited 77× · PMID 26500646 · DOI 10.3389/fimmu.2015.00505

Verify or expand the search:

Other trials of Nivolumab

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Trials by the same sponsor.

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