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NCT03642067

Study of Nivolumab and Relatlimab in Patients With Microsatellite Stable (MSS) Advanced Colorectal Cancer

Completed Phase 2 Results posted Last updated 15 June 2025
What this trial tests

Phase 2 trial testing Nivolumab in Microsatellite Stable (MSS) Colorectal Adenocarcinomas in 59 participants. Completed in 18 September 2024.

Timeline
12 February 2019
Primary endpoint
23 February 2024
18 September 2024

Quick facts

Lead sponsorSidney Kimmel Comprehensive Cancer Center at Johns Hopkins
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment59
Start date12 February 2019
Primary completion23 February 2024
Estimated completion18 September 2024
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins — full company profile →

Who can join

18 and older, any sex, with Microsatellite Stable (MSS) Colorectal Adenocarcinomas or Colorectal Adenocarcinoma. 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) Primary · 12 months

ORR is defined as the number of patients achieving a complete response (CR) or partial response (PR) based on RECIST 1.1 criteria. CR = disappearance of all target lesions, PR is =\>30% decrease in sum of diameters of target lesions. Participants who discontinue due to toxicity or clinical progression prior to post-baseline tumor assessments will be considered as non-responders. Participants who discontinue for other reasons prior to their first dose of study drug will not included in the analysis.

GroupValue95% CI
Cohort A: Composite PD-L1/Mucin (CPM) Positive Colorectal Cancer0
Cohort B: Composite PD-L1/Mucin (CPM) Negative Colorectal Cancer1
Cohort C: Colorectal Cancer With no Biomarker Evaluation Required2
Number of Participants Experiencing Drug-Related Adverse Events (AEs) Requiring Treatment Discontinuation Secondary · 12 months

Defined using NCI CTCAE v5.0

GroupValue95% CI
Cohort A: Composite PD-L1/Mucin (CPM) Positive Colorectal Cancer0
Cohort B: Composite PD-L1/Mucin (CPM) Negative Colorectal Cancer0
Cohort C: Colorectal Cancer With no Biomarker Evaluation Required0

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse Events were evaluated for up to 12 months. All-cause mortality was evaluated for up to 35 months.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort A: Composite PD-L1/Mucin (CPM) Positive Colorectal Cancer
Serious: 6/12 (50%)
Deaths: 12/12
Cohort B: Composite PD-L1/Mucin (CPM) Negative Colorectal Cancer
Serious: 12/15 (80%)
Deaths: 15/15
Cohort C: Colorectal Cancer With no Biomarker Evaluation Required
Serious: 11/32 (34%)
Deaths: 26/32

Serious adverse events (30 terms)

ReactionSystemCohort A: Composite PD-L1/…Cohort B: Composite PD-L1/…Cohort C: Colorectal Cance…
Disease progressionGeneral disorders
Acute kidney injuryRenal and urinary disorders
Intestinal obstructionGastrointestinal disorders
Urinary tract obstructionRenal and urinary disorders
Biliary obstructionHepatobiliary disorders
PneumoniaRespiratory, thoracic and mediastinal disorders
Abdominal painGastrointestinal disorders
AcidosisMetabolism and nutrition disorders
Adrenal InsufficiencyEndocrine disorders
AnemiaBlood and lymphatic system disorders
Arteriovenous malformationVascular disorders
AscitesGastrointestinal disorders
CholangitisHepatobiliary disorders
Cholestatic hepatocellular liver injuryHepatobiliary disorders
ColitisGastrointestinal disorders
Diabetes mellitusMetabolism and nutrition disorders
Diabetic ketoacidosisMetabolism and nutrition disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Infection, C. DifficileInfections and infestations
Infection, COVID-19Infections and infestations
Obstructive hydrocephalusNervous system disorders
PancreatitisGastrointestinal disorders
Pleural EffusionRespiratory, thoracic and mediastinal disorders
PyelonephritisRenal and urinary disorders
Rectal PainGastrointestinal disorders
Other adverse events (130 terms — click to expand)

ReactionSystemCohort A: Composite PD-L1/…Cohort B: Composite PD-L1/…Cohort C: Colorectal Cance…
FatigueGeneral disorders
PainGeneral disorders
Weight lossInvestigations
Abdominal painGastrointestinal disorders
AnorexiaGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
ChillsGeneral disorders
ConstipationGastrointestinal disorders
DiarrheaGastrointestinal disorders
NauseaGastrointestinal disorders
PruritusSkin and subcutaneous tissue disorders
VomitingGastrointestinal disorders
HypothyroidismEndocrine disorders
Sinus tachycardiaCardiac disorders
Edema limbsGeneral disorders
FeverGeneral disorders
RashSkin and subcutaneous tissue disorders
Back painMusculoskeletal and connective tissue disorders
HypertensionVascular disorders
InsomniaPsychiatric disorders
Sore throatRespiratory, thoracic and mediastinal disorders
Urinary tract infectionInfections and infestations
Alanine aminotransferase increasedInvestigations
Alkaline phosphatase increasedInvestigations
AnemiaBlood and lymphatic system disorders
AscitesGastrointestinal disorders
Blood bilirubin increasedInvestigations
Blurred visionEye disorders
COVID infectionInfections and infestations
DyspneaRespiratory, thoracic and mediastinal disorders
Flu like symptomsGeneral disorders
Gastroesophageal reflux diseaseGastrointestinal disorders
HeadacheNervous system disorders
HyperhidrosisSkin and subcutaneous tissue disorders
Infusion related reactionInjury, poisoning and procedural complications
Lymphocyte count decreasedInvestigations
AnxietyPsychiatric disorders
ArthralgiaMusculoskeletal and connective tissue disorders
BloatingGastrointestinal disorders
Blood in stoolGastrointestinal disorders

Most-reported serious reactions: Disease progression, Acute kidney injury, Intestinal obstruction, Urinary tract obstruction, Biliary obstruction, Pneumonia, Abdominal pain, Acidosis.

Data from ClinicalTrials.gov NCT03642067 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the safety and clinical activity of nivolumab and relatlimab in patients with metastatic or locally advanced microsatellite stable (MSS) colorectal cancer.

Publications & conference data

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

  1. Comprehensive review of targeted therapy for colorectal cancer.
    Xie YH, Chen YX, Fang JY. · · 2020 · cited 1162× · PMID 32296018 · DOI 10.1038/s41392-020-0116-z
  2. Novel immune checkpoint targets: moving beyond PD-1 and CTLA-4.
    Qin S, Xu L, Yi M, Yu S, et al · · 2019 · cited 909× · PMID 31690319 · DOI 10.1186/s12943-019-1091-2
  3. Regulatory T cells in tumor microenvironment: new mechanisms, potential therapeutic strategies and future prospects.
    Li C, Jiang P, Wei S, Xu X, et al · · 2020 · cited 679× · PMID 32680511 · DOI 10.1186/s12943-020-01234-1
  4. Relationships Between Immune Landscapes, Genetic Subtypes and Responses to Immunotherapy in Colorectal Cancer.
    Picard E, Verschoor CP, Ma GW, Pawelec G. · · 2020 · cited 401× · PMID 32210966 · DOI 10.3389/fimmu.2020.00369
  5. Immune checkpoint modulators in cancer immunotherapy: recent advances and emerging concepts.
    Wang Y, Zhang H, Liu C, Wang Z, et al · · 2022 · cited 179× · PMID 35978433 · DOI 10.1186/s13045-022-01325-0
  6. Advances in immunotherapy for colorectal cancer: a review.
    Golshani G, Zhang Y. · · 2020 · cited 170× · PMID 32536977 · DOI 10.1177/1756284820917527
  7. Immunotherapy efficacy on mismatch repair-deficient colorectal cancer: From bench to bedside.
    Lizardo DY, Kuang C, Hao S, Yu J, et al · · 2020 · cited 160× · PMID 33035640 · DOI 10.1016/j.bbcan.2020.188447
  8. Current and emerging therapeutic approaches for colorectal cancer: A comprehensive review.
    Kumar A, Gautam V, Sandhu A, Rawat K, et al · · 2023 · cited 159× · PMID 37206081 · DOI 10.4240/wjgs.v15.i4.495

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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/NCT03642067.

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