Last reviewed · How we verify

NCT02156804

A Single-Arm, Open-Label, Multicenter Clinical Trial With Nivolumab (BMS-936558) for Subjects With Histologically Confirmed Stage III (Unresectable) or Stage IV Melanoma Progressing Post Prior Treatment Containing an Anti-CTLA4 Monoclonal Antibody (CheckMate 172)

Completed Phase 2 Results posted Last updated 11 September 2020
What this trial tests

Phase 2 trial testing Nivolumab (BMS-936558) in Melanoma in 1,009 participants. Completed in 18 January 2019.

Timeline
7 October 2014
Primary endpoint
18 January 2019
18 January 2019

Quick facts

Lead sponsorBristol-Myers Squibb
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment1,009
Start date7 October 2014
Primary completion18 January 2019
Estimated completion18 January 2019
Sites170 locations across Italy, Finland, Ireland, Poland, Netherlands, Russia, Belgium, Sweden

Drugs / interventions tested

Conditions studied

Sponsor

Bristol-Myers Squibb — full company profile →

Who can join

18 and older, any sex, with 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.

the Incidence of Highgrade (CTCAE v4.0 Grade 3 or Higher), Treatment Related,Select Adverse Events. Primary · Up to 2 years

The number of participants who reported high-grade (CTCAE v4.0 Grade 3 or higher), treatment-related, select AEs (pulmonary,gastrointestinal, skin, renal, hepatic, endocrine) were summarized using the all treated analysis set by system organ class and Medical Dictionary for Regulatory (MedDRA) preferred term.

Gastrointestinal Adverse events (Grade 3-4)
GroupValue95% CI
Nivolumab 3mg/kg16
Gastrointestinal adverse events (Grade 5)
GroupValue95% CI
Nivolumab 3mg/kg0
Hepatic adverse events (Grade 3-4)
GroupValue95% CI
Nivolumab 3mg/kg30
Hepatic adverse events (Grade 5)
GroupValue95% CI
Nivolumab 3mg/kg0
Pulmonary adverse events(Grade 3-4)
GroupValue95% CI
Nivolumab 3mg/kg6
Pulmonary adverse events(Grade 5)
GroupValue95% CI
Nivolumab 3mg/kg0
Renal adverse events (Grade 3-4)
GroupValue95% CI
Nivolumab 3mg/kg4
Renal adverse events (Grade 5)
GroupValue95% CI
Nivolumab 3mg/kg0
The Incidence of All High-grade (Grades 3 and Higher), Select Adverse Events Secondary · Up to 2 years

The number of Participants who reported high-grade (CTCAE v4.0 Grade 3 or higher), select AEs were summarized using the all treated analysis set by system organ class and MedDRA preferred term.

Gastrointestinal Adverse events (Grade 3-4)
GroupValue95% CI
Nivolumab 3mg/kg24
Gastrointestinal adverse events (Grade 5)
GroupValue95% CI
Nivolumab 3mg/kg0
Hepatic adverse events (Grade 3-4)
GroupValue95% CI
Nivolumab 3mg/kg52
Hepatic adverse events (Grade 5)
GroupValue95% CI
Nivolumab 3mg/kg1
Pulmonary adverse events(Grade 3-4)
GroupValue95% CI
Nivolumab 3mg/kg7
Pulmonary adverse events(Grade 5)
GroupValue95% CI
Nivolumab 3mg/kg1
Renal adverse events (Grade 3-4)
GroupValue95% CI
Nivolumab 3mg/kg12
Renal adverse events (Grade 5)
GroupValue95% CI
Nivolumab 3mg/kg1
Median Time to Onset (Grades 3-4) of Select Adverse Events Secondary · Up to 2 years.

Select AEs were summarized according to their incidence as well as their time to onset.

Endocrine Adverse Events
GroupValue95% CI
Nivolumab 3mg/kg120.3 – 88.4
Gastrointestinal Adverse Events
GroupValue95% CI
Nivolumab 3mg/kg23.500.3 – 93.0
Hepatic Adverse Events
GroupValue95% CI
Nivolumab 3mg/kg10.140.1 – 116.0
Pulmonary Adverse Events
GroupValue95% CI
Nivolumab 3mg/kg14.861.3 – 64.9
Renal Adverse Events
GroupValue95% CI
Nivolumab 3mg/kg11.711.1 – 60.0
Skin Adverse Events
GroupValue95% CI
Nivolumab 3mg/kg34.361.1 – 88.0
Hypersensitivity/infusion reaction Adverse Events
GroupValue95% CI
Nivolumab 3mg/kg29.5729.57 – 29.57
Median Time to Resolution (Grades 3-4) of Select Adverse Events Secondary · Up to 2 years

Select AEs were summarized according to their incidence as well as their time to resolution

Endocrine Adverse Events
GroupValue95% CI
Nivolumab 3mg/kg2.430.4 – 138.0
Gastrointestinal Adverse Events
GroupValue95% CI
Nivolumab 3mg/kg3.710.1 – 85.9
Hepatic Adverse Events
GroupValue95% CI
Nivolumab 3mg/kg9.430.1 – 128.1
Pulmonary Adverse Events
GroupValue95% CI
Nivolumab 3mg/kg2.570.1 – 20.4
Renal Adverse Events
GroupValue95% CI
Nivolumab 3mg/kg1.931.29 – 3.29
Skin Adverse Events
GroupValue95% CI
Nivolumab 3mg/kg5.070.1 – 121.1
Hypersensitivity/infusion reaction Adverse Events
GroupValue95% CI
Nivolumab 3mg/kg0.290.29 – 0.29
Overall Survival Secondary · Up to 4 years

The time from first dosing date to the date of death.

GroupValue95% CI
Nivolumab 3mg/kg21.218.2 – 24.4

Adverse events — posted to ClinicalTrials.gov

Time frame: Between first dose and 30 days after last dose ( up to 2 years). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

NIVOLUMAB 3 MG/KG IV
Serious: 593/1008 (59%)
Deaths: 527/1008

Serious adverse events (362 terms)

ReactionSystemNIVOLUMAB 3 MG/KG IV
Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
General physical health deteriorationGeneral disorders
Metastases to central nervous systemNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastatic malignant melanomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
DiarrhoeaGastrointestinal disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Abdominal painGastrointestinal disorders
PneumoniaInfections and infestations
Urinary tract infectionInfections and infestations
AnaemiaBlood and lymphatic system disorders
VomitingGastrointestinal disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
PyrexiaGeneral disorders
Lower respiratory tract infectionInfections and infestations
Acute kidney injuryRenal and urinary disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
NauseaGastrointestinal disorders
Autoimmune hepatitisHepatobiliary disorders
SepsisInfections and infestations
Back painMusculoskeletal and connective tissue disorders
Tumour haemorrhageNeoplasms benign, malignant and unspecified (incl cysts and polyps)
DyspnoeaRespiratory, thoracic and mediastinal disorders
ColitisGastrointestinal disorders
FatigueGeneral disorders
ErysipelasInfections and infestations
Other adverse events (35 terms — click to expand)

ReactionSystemNIVOLUMAB 3 MG/KG IV
FatigueGeneral disorders
NauseaGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
AstheniaGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Decreased appetiteMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
ConstipationGastrointestinal disorders
PyrexiaGeneral disorders
AnaemiaBlood and lymphatic system disorders
HeadacheNervous system disorders
VomitingGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
PruritusSkin and subcutaneous tissue disorders
HypothyroidismEndocrine disorders
Abdominal painGastrointestinal disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Pruritus generalisedSkin and subcutaneous tissue disorders
NasopharyngitisInfections and infestations
Alanine aminotransferase increasedInvestigations
Oedema peripheralGeneral disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Lipase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
VitiligoSkin and subcutaneous tissue disorders
Weight decreasedInvestigations
MyalgiaMusculoskeletal and connective tissue disorders
Abdominal pain upperGastrointestinal disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
Urinary tract infectionInfections and infestations
Dry skinSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders
Blood alkaline phosphatase increasedInvestigations
Dry mouthGastrointestinal disorders

Most-reported serious reactions: Malignant neoplasm progression, General physical health deterioration, Metastases to central nervous system, Metastatic malignant melanoma, Diarrhoea, Pulmonary embolism, Abdominal pain, Pneumonia.

Data from ClinicalTrials.gov NCT02156804 adverse events section.

Sponsor's own description

The purpose of this study is to determine the rate and frequency of high-grade (CTCAE v4.0 Grade 3 or higher), treatment-related, select adverse events in subjects with histologically confirmed stage III (unresectable) or stage IV melanoma and progression post prior treatment containing an anti-Cytotoxic T Lymphocyte Antigen (CTLA-4) monoclonal antibody, treated with Nivolumab (BMS-936558) at a dose of 3 mg/kg every two weeks.

Publications & conference data

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

  1. Immunotherapy in Acral and Mucosal Melanoma: Current Status and Future Directions.
    Mao L, Qi Z, Zhang L, Guo J, et al · · 2021 · cited 119× · PMID 34149718 · DOI 10.3389/fimmu.2021.680407
  2. 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
  3. Prospects for chimeric antigen receptor-modified T cell therapy for solid tumors.
    Zhang E, Gu J, Xu H. · · 2018 · cited 75× · PMID 29329591 · DOI 10.1186/s12943-018-0759-3
  4. Safety and efficacy of nivolumab in patients with rare melanoma subtypes who progressed on or after ipilimumab treatment: a single-arm, open-label, phase II study (CheckMate 172).
    Nathan P, Ascierto PA, Haanen J, Espinosa E, et al · · 2019 · cited 71× · PMID 31445199 · DOI 10.1016/j.ejca.2019.07.010
  5. Immune checkpoint inhibitors in advanced or metastatic mucosal melanoma: a systematic review.
    Li J, Kan H, Zhao L, Sun Z, et al · · 2020 · cited 36× · PMID 32489431 · DOI 10.1177/1758835920922028
  6. Safety and efficacy of nivolumab in challenging subgroups with advanced melanoma who progressed on or after ipilimumab treatment: A single-arm, open-label, phase II study (CheckMate 172).
    Schadendorf D, Ascierto PA, Haanen J, Espinosa E, et al · · 2019 · cited 35× · PMID 31581055 · DOI 10.1016/j.ejca.2019.08.014
  7. New Insights into Molecular Oncogenesis and Therapy of Uveal Melanoma.
    Violanti SS, Bononi I, Gallenga CE, Martini F, et al · · 2019 · cited 25× · PMID 31109147 · DOI 10.3390/cancers11050694
  8. Immune Checkpoint Inhibitors in Advanced Acral Melanoma: A Systematic Review.
    Zheng Q, Li J, Zhang H, Wang Y, et al · · 2020 · cited 21× · PMID 33344255 · DOI 10.3389/fonc.2020.602705

Verify or expand the search:

Other recruiting trials for Melanoma

Currently open trials in the same condition.

Other Bristol-Myers Squibb trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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/NCT02156804.

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