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
CompletedPhase 2Results postedLast 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.
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).
Group
Value
95% CI
Arm A1, Safety Lead-in
0
Arms A2-A5, Safety Lead-in
0
Arms B2-B5, Safety Lead-in
0
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.
Group
Value
95% CI
Arm A1, Safety Lead-in
7
Arms A2-A5, Safety Lead-in
6
Arms B2-B5, Safety Lead-in
8
Number of Safety Lead-In Participants With Adverse Events (AEs) Leading to DiscontinuationPrimary· 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.
Group
Value
95% CI
Arm A1, Safety Lead-in
3
Arms A2-A5, Safety Lead-in
4
Arms B2-B5, Safety Lead-in
2
Overall Survival (OS), Cohort 1 OnlyPrimary· 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.
Group
Value
95% CI
Arm A1
11.66
10.32 – 16.46
Arm B1
10.78
9.13 – 15.77
Progression-Free Survival (PFS), Cohorts 2-4Primary· 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.
Group
Value
95% CI
Arm A2
1.74
1.35 – 2.73
Arm B2
1.31
1.18 – 1.45
Arm A3
1.38
1.22 – 1.38
Arm B3
2.76
1.48 – 4.53
Arm A4
1.41
1.41 – 2.60
Arm B4
4.60
1.41 – 5.39
Progression-Free Survival (PFS), Cohort 5 OnlyPrimary· 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.
Group
Value
95% CI
Arm A5
1.22
1.08 – 1.31
Arm B5
1.61
1.31 – 3.45
Progression-Free Survival (PFS), Cohort 1 OnlySecondary· 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
Group
Value
95% CI
Arm A1
6.21
3.75 – 6.54
Arm B1
4.53
2.99 – 6.44
Overall Survival at 12 Months (OS12), Cohorts 1-4Secondary· 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.
Group
Value
95% CI
Arm A1
47.3
25.2 – 66.5
Arm B1
42.9
21.9 – 62.3
Arm A2
37.5
15.4 – 59.8
Arm B2
32.8
10.5 – 57.6
Arm A3
38.9
14.3 – 63.2
Arm B3
86.7
56.4 – 96.5
Arm A4
41.7
15.2 – 66.5
Arm B4
44.4
13.6 – 71.9
Progression-Free Survival at 6 Months (PFS6), Cohorts 2-5Secondary· 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
Group
Value
95% CI
Arm A2
9.4
0.7 – 31.8
Arm B2
14.3
2.3 – 36.6
Arm A3
0
NA – NA
Arm B3
20.0
4.9 – 42.4
Arm A4
20.0
3.1 – 47.5
Arm B4
11.4
0.6 – 39.5
Arm A5
5.3
0.4 – 21.4
Arm B5
14.0
2.8 – 34.1
Overall Survival (OS), Cohorts 2-5Secondary· 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.
Group
Value
95% CI
Arm A2
6.67
2.99 – 14.62
Arm B2
6.47
2.14 – 13.17
Arm A3
7.36
2.46 – 30.23
Arm B3
22.21
13.77 – NA
Arm A4
5.70
1.81 – NA
Arm B4
9.82
2.50 – NA
Arm A5
5.91
1.97 – 7.98
Arm B5
8.48
3.45 – 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.
Group
Value
95% CI
Arm A1
23
Arm B1
21
Arm A2
15
Arm B2
14
Arm A3
14
Arm B3
15
Arm A4
12
Arm B4
10
Arm A5
18
Arm B5
18
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
Group
Value
95% CI
Arm A1
10
Arm B1
14
Arm A2
10
Arm B2
9
Arm A3
6
Arm B3
7
Arm A4
7
Arm B4
5
Arm A5
13
Arm B5
14
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)
Reaction
System
Arm A1
Arm B1
Arm A2
Arm B2
Arm A3
Arm B3
Arm A4
Arm B4
Arm A5
Arm B5
Malignant neoplasm progression
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
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Hydrocephalus
Nervous system disorders
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Vomiting
Gastrointestinal disorders
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Tumour flare
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
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Colitis
Gastrointestinal disorders
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Diarrhoea
Gastrointestinal disorders
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Nausea
Gastrointestinal disorders
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Pyrexia
General disorders
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Device related infection
Infections and infestations
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Headache
Nervous system disorders
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Intracranial pressure increased
Nervous system disorders
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Dyspnoea
Respiratory, thoracic and mediastinal disorders
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Anaemia
Blood and lymphatic system disorders
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Vision blurred
Eye disorders
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Abdominal pain
Gastrointestinal disorders
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Ascites
Gastrointestinal disorders
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Constipation
Gastrointestinal disorders
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Enterocolitis
Gastrointestinal disorders
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Gastric ulcer
Gastrointestinal disorders
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Gastritis
Gastrointestinal disorders
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Immune-mediated enterocolitis
Gastrointestinal disorders
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Pancreatitis
Gastrointestinal disorders
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Fatigue
General disorders
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General physical health deterioration
General disorders
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Autoimmune hepatitis
Hepatobiliary disorders
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Other adverse events (361 terms — click to expand)
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):
NCT07572123 — Evaluating the Addition of Maintenance Immunotherapy Compared to the Usual Treatment of Chemotherapy and Autologous Stem
· Phase 2, PHASE3
· not yet recruiting
NCT07444619 — A Phase I Study of Pazopanib in Combination With Trabectedin, Ipilimumab and Nivolumab (TraPIN) in Pediatric and Young A
· Phase 1
· not yet recruiting
NCT07383441 — Adding Biotherapy or Placebo to Standard Treatment for Advanced Kidney Cancer
· Phase 3
· not yet recruiting
NCT07420439 — Treatment in Patients With Advanced Non-Small Cell Lung Carcinoma and Interstitial Lung Disease
· Phase 2
· not yet recruiting
NCT07510334 — VSV-IFNβ-NIS With Ipilimumab and Nivolumab for the Treatment of Advanced or Metastatic Clear Cell Renal Cell Carcinoma
· Phase 2
· not yet recruiting
Other recruiting trials for Various Advanced Cancer
Currently open trials in the same condition.
NCT02632409 — An Investigational Immuno-therapy Study of Nivolumab, Compared to Placebo, in Patients With Bladder or Upper Urinary Tra
· Phase 3
· active not recruiting
Other Bristol-Myers Squibb trials
Trials by the same sponsor.
NCT07441408 — Long-term Extension Study to Evaluate Safety and Tolerability of Admilparant in Participants With Pulmonary Fibrosis
· Phase 3
· not yet recruiting
NCT07459543 — A Study To Assess the Safety, and Tolerability of Nivolumab + Relatlimab Fixed-Dose Combination (FDC) In Untreated, Unre
· Phase 4
· not yet recruiting
NCT07285798 — A Study of KarXT + KarX-EC for Treatment of Irritability in Children and Adolescents With Autism Spectrum Disorder
· Phase 3
· not yet recruiting
NCT07284745 — A Study of KarXT + KarX-EC for Treatment of Irritability in Children and Adolescents With Autism
· Phase 3
· not yet recruiting
NCT07492680 — A Study of BMS-986504 Monotherapy and in Combination With Other Agents in Participants With Advanced and/or Metastatic S
· Phase 2
· not yet recruiting
Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Bristol-Myers Squibb
Last refreshed: 9 August 2022
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.