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NCT03130959: CheckMate 908

A Study to Evaluate the Safety and Efficacy of Nivolumab Monotherapy and Nivolumab in Combination With Ipilimumab in Pediatric Participants With High Grade Primary Central Nervous System (CNS) Malignancies

Completed Phase 2 Results posted Last updated 9 August 2022
What this trial tests

Phase 2 trial testing Nivolumab in Various Advanced Cancer in 166 participants. Completed in 17 January 2022.

Timeline
12 June 2017
Primary endpoint
10 March 2020
17 January 2022

Quick facts

Lead sponsorBristol-Myers Squibb
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment166
Start date12 June 2017
Primary completion10 March 2020
Estimated completion17 January 2022
Sites54 locations across France, Hong Kong, Netherlands, Russia, Sweden, United Kingdom, Germany, Israel

Drugs / interventions tested

Conditions studied

Sponsor

Bristol-Myers Squibb — full company profile →

Who can join

Adults 6 Months to 21, any sex, with Various Advanced 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.

Number of Safety Lead-In Participants With Dose Limiting Toxicities (DLTs) Primary · up to 6 weeks post-dosing

A dose-limiting toxicity (DLT) is defined as a drug-related AE occurring in the first 6 weeks of study treatment. A participant was considered evaluable for a DLT if study treatment was delayed \> 2 weeks or was discontinued due to a related Adverse Event (AE), or if planned study treatment (3 doses of nivolumab in Module A, 2 doses of nivolumab plus ipilimumab in Module B) was administered and safety evaluation after 6 weeks on study is available to the study steering committee (SSC).

GroupValue95% CI
Arm A1, Safety Lead-in0
Arms A2-A5, Safety Lead-in0
Arms B2-B5, Safety Lead-in0
Number of Safety Lead-In Participants With Serious Adverse Events (SAEs) Primary · up to 6 weeks post-dosing

The number of Safety Lead-In Participants who experienced a Serious Adverse Event (SAE) during the course of the study.

GroupValue95% CI
Arm A1, Safety Lead-in7
Arms A2-A5, Safety Lead-in6
Arms B2-B5, Safety Lead-in8
Number of Safety Lead-In Participants With Adverse Events (AEs) Leading to Discontinuation Primary · From first dose to 30 days post-last dose (up to approximately 6 weeks)

The number of Safety Lead-In Participants who experienced an Adverse Event (AE) during the course of the study that lead to discontinuation of study therapy.

GroupValue95% CI
Arm A1, Safety Lead-in3
Arms A2-A5, Safety Lead-in4
Arms B2-B5, Safety Lead-in2
Overall Survival (OS), Cohort 1 Only Primary · up to approximately 42 months

Overall survival (OS) is defined as the time between the date of diagnosis and the date of death in Cohort 1.

GroupValue95% CI
Arm A111.6610.32 – 16.46
Arm B110.789.13 – 15.77
Progression-Free Survival (PFS), Cohorts 2-4 Primary · up to approximately 42 months

Progression-free survival (PFS) is defined as the time from first dose to the date of the first documented tumor progression or death due to any cause.

GroupValue95% CI
Arm A21.741.35 – 2.73
Arm B21.311.18 – 1.45
Arm A31.381.22 – 1.38
Arm B32.761.48 – 4.53
Arm A41.411.41 – 2.60
Arm B44.601.41 – 5.39
Progression-Free Survival (PFS), Cohort 5 Only Primary · up to approximately 42 months

Progression-free survival (PFS) is defined as the time from first dose to the date of the first documented tumor progression or death due to any cause.

GroupValue95% CI
Arm A51.221.08 – 1.31
Arm B51.611.31 – 3.45
Progression-Free Survival (PFS), Cohort 1 Only Secondary · From first dose to the date of the first documented tumor progression or death due to any cause (up to approximately 55 months)

Progression-free survival (PFS) is defined as the time from first dose to the date of the first documented tumor progression or death due to any cause. Progression is defined as: * ≥ 25% increase in sum of the products of perpendicular diameters of enhancing lesions compared with the smallest tumor measurement * Significant increase in T2 or fast fluid-attenuated inversion recovery (FLAIR) non-enhancing lesions on stable or increasing doses of corticosteroids * Any new lesion * Clear clinical deterioration not attributable to other causes apart from the tumor * Failure to return for evaluati

GroupValue95% CI
Arm A16.213.75 – 6.54
Arm B14.532.99 – 6.44
Overall Survival at 12 Months (OS12), Cohorts 1-4 Secondary · From first dose to up to 12 months after first dose

Overall survival at 12 months (OS12) is defined as the percentage of participants who are alive at 12 months, measured as the survival rate at 12 months from Kaplan-Meier product limit cumulative probability.

GroupValue95% CI
Arm A147.325.2 – 66.5
Arm B142.921.9 – 62.3
Arm A237.515.4 – 59.8
Arm B232.810.5 – 57.6
Arm A338.914.3 – 63.2
Arm B386.756.4 – 96.5
Arm A441.715.2 – 66.5
Arm B444.413.6 – 71.9
Progression-Free Survival at 6 Months (PFS6), Cohorts 2-5 Secondary · From first dose to up to 6 months after first dose

Progression-free survival at 6 months (PFS6) is defined as the percentage of participants who are progression free and alive at 6 months following first dose date, measured as the survival rate at 6 months from Kaplan-Meier product limit cumulative probability of progression free. Progression is defined as: * ≥ 25% increase in sum of the products of perpendicular diameters of enhancing lesions compared with the smallest tumor measurement * Significant increase in T2 or fast fluid-attenuated inversion recovery (FLAIR) non-enhancing lesions on stable or increasing doses of corticosteroids * An

GroupValue95% CI
Arm A29.40.7 – 31.8
Arm B214.32.3 – 36.6
Arm A30NA – NA
Arm B320.04.9 – 42.4
Arm A420.03.1 – 47.5
Arm B411.40.6 – 39.5
Arm A55.30.4 – 21.4
Arm B514.02.8 – 34.1
Overall Survival (OS), Cohorts 2-5 Secondary · From first dose to the date of death (up to approximately 55 months)

Overall survival (OS) is defined as the time between date of first dose and the date of death for Cohorts 2-5.

GroupValue95% CI
Arm A26.672.99 – 14.62
Arm B26.472.14 – 13.17
Arm A37.362.46 – 30.23
Arm B322.2113.77 – NA
Arm A45.701.81 – NA
Arm B49.822.50 – NA
Arm A55.911.97 – 7.98
Arm B58.483.45 – 17.28
Number of Treated Participants With Adverse Events (AEs) Secondary · From first dose to 30 days post-last dose (up to approximately an average of 3 months and a maximum of 51 months)

The number of treated participants who experienced an Adverse Event (AE) during the course of the study. An AE is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study drug and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (such as an abnormal laboratory finding), symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug.

GroupValue95% CI
Arm A123
Arm B121
Arm A215
Arm B214
Arm A314
Arm B315
Arm A412
Arm B410
Arm A518
Arm B518
Number of Treated Participants With Serious Adverse Events (SAEs) Secondary · From first dose to 30 days post-last dose (up to approximately an average of 3 months and a maximum of 51 months)

The number of treated participants who experienced a Serious Adverse Event (SAE) during the course of the study. SAE is defined as 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 * Is an important medical event Note: The reporting timeframe of the SAEs for this Outcome Measure (first dose to 30 days post last dose) differs than that of the reporting timeframe of

GroupValue95% CI
Arm A110
Arm B114
Arm A210
Arm B29
Arm A36
Arm B37
Arm A47
Arm B45
Arm A513
Arm B514

Adverse events — posted to ClinicalTrials.gov

Time frame: All-cause mortality was assessed from first dose to study completion (up to approximately 55 months). SAEs and Other AEs were monitored from first dose to 100 days after last dose (up to an average of 5 months and to a maximum of 53 months).. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm A1
Serious: 17/23 (74%)
Deaths: 18/23
Arm B1
Serious: 16/22 (73%)
Deaths: 18/22
Arm A2
Serious: 13/16 (81%)
Deaths: 12/16
Arm B2
Serious: 12/15 (80%)
Deaths: 13/15
Arm A3
Serious: 7/15 (47%)
Deaths: 12/15
Arm B3
Serious: 10/15 (67%)
Deaths: 11/15
Arm A4
Serious: 11/12 (92%)
Deaths: 9/12
Arm B4
Serious: 6/10 (60%)
Deaths: 7/10
Arm A5
Serious: 14/19 (74%)
Deaths: 18/19
Arm B5
Serious: 15/19 (79%)
Deaths: 15/19

Serious adverse events (103 terms)

ReactionSystemArm A1Arm B1Arm A2Arm B2Arm A3Arm B3Arm A4Arm B4Arm A5Arm B5
Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
HydrocephalusNervous system disorders
VomitingGastrointestinal disorders
Tumour flareNeoplasms benign, malignant and unspecified (incl cysts and polyps)
ColitisGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
PyrexiaGeneral disorders
Device related infectionInfections and infestations
HeadacheNervous system disorders
Intracranial pressure increasedNervous system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
Vision blurredEye disorders
Abdominal painGastrointestinal disorders
AscitesGastrointestinal disorders
ConstipationGastrointestinal disorders
EnterocolitisGastrointestinal disorders
Gastric ulcerGastrointestinal disorders
GastritisGastrointestinal disorders
Immune-mediated enterocolitisGastrointestinal disorders
PancreatitisGastrointestinal disorders
FatigueGeneral disorders
General physical health deteriorationGeneral disorders
Autoimmune hepatitisHepatobiliary disorders
Other adverse events (361 terms — click to expand)

ReactionSystemArm A1Arm B1Arm A2Arm B2Arm A3Arm B3Arm A4Arm B4Arm A5Arm B5
HeadacheNervous system disorders
VomitingGastrointestinal disorders
NauseaGastrointestinal disorders
FatigueGeneral disorders
Abdominal painGastrointestinal disorders
Weight decreasedInvestigations
HemiparesisNervous system disorders
DiarrhoeaGastrointestinal disorders
PyrexiaGeneral disorders
Alanine aminotransferase increasedInvestigations
HypophosphataemiaMetabolism and nutrition disorders
AtaxiaNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
Upper respiratory tract infectionInfections and infestations
Aspartate aminotransferase increasedInvestigations
HypokalaemiaMetabolism and nutrition disorders
DysphagiaGastrointestinal disorders
Gait disturbanceGeneral disorders
PainGeneral disorders
Decreased appetiteMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
SeizureNervous system disorders
InsomniaPsychiatric disorders
NeutropeniaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
Ear painEar and labyrinth disorders
DiplopiaEye disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
AstheniaGeneral disorders
NasopharyngitisInfections and infestations
Urinary tract infectionInfections and infestations
Blood thyroid stimulating hormone increasedInvestigations
Lymphocyte count decreasedInvestigations
Neutrophil count decreasedInvestigations
Platelet count decreasedInvestigations
White blood cell count decreasedInvestigations
HypocalcaemiaMetabolism and nutrition disorders
Muscular weaknessMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Malignant neoplasm progression, Hydrocephalus, Vomiting, Tumour flare, Colitis, Diarrhoea, Nausea, Pyrexia.

Data from ClinicalTrials.gov NCT03130959 adverse events section.

Sponsor's own description

The purpose of this study is to determine the safety and effectiveness of nivolumab alone and in combination with ipilimumab in pediatric patients with high grade primary central nervous system (CNS) malignancies.

Publications & conference data

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

  1. PD-1/PD-L1 in Cancer: Pathophysiological, Diagnostic and Therapeutic Aspects.
    Munari E, Mariotti FR, Quatrini L, Bertoglio P, et al · · 2021 · cited 91× · PMID 34066087 · DOI 10.3390/ijms22105123
  2. TIM-3 blockade in diffuse intrinsic pontine glioma models promotes tumor regression and antitumor immune memory.
    Ausejo-Mauleon I, Labiano S, de la Nava D, Laspidea V, et al · · 2023 · cited 88× · PMID 37802053 · DOI 10.1016/j.ccell.2023.09.001
  3. A H3K27M-targeted vaccine in adults with diffuse midline glioma.
    Grassl N, Poschke I, Lindner K, Bunse L, et al · · 2023 · cited 70× · PMID 37735561 · DOI 10.1038/s41591-023-02555-6
  4. The intrinsic and microenvironmental features of diffuse midline glioma: Implications for the development of effective immunotherapeutic treatment strategies.
    Persson ML, Douglas AM, Alvaro F, Faridi P, et al · · 2022 · cited 58× · PMID 35481923 · DOI 10.1093/neuonc/noac117
  5. PD-L1 expression in medulloblastoma: an evaluation by subgroup.
    Martin AM, Nirschl CJ, Polanczyk MJ, Bell WR, et al · · 2018 · cited 49× · PMID 29721192 · DOI 10.18632/oncotarget.24951
  6. Opportunities and Challenges in Drug Development for Pediatric Cancers.
    Laetsch TW, DuBois SG, Bender JG, Macy ME, et al · · 2021 · cited 45× · PMID 33277309 · DOI 10.1158/2159-8290.cd-20-0779
  7. Nivolumab with or without ipilimumab in pediatric patients with high-grade CNS malignancies: Safety, efficacy, biomarker, and pharmacokinetics-CheckMate 908.
    Dunkel IJ, Doz F, Foreman NK, Hargrave D, et al · · 2023 · cited 41× · PMID 36808285 · DOI 10.1093/neuonc/noad031
  8. Immunotherapy for pediatric brain tumors: past and present.
    Foster JB, Madsen PJ, Hegde M, Ahmed N, et al · · 2019 · cited 40× · PMID 31504801 · DOI 10.1093/neuonc/noz077

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Trials by the same sponsor.

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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/NCT03130959.

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