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NCT03792750

A Study of BMS-986205 Alone and in Combination With Nivolumab in Chinese Patients With Advanced Malignant Solid Tumors

Completed Phase 1, PHASE2 Results posted Last updated 28 February 2022
What this trial tests

Phase 1, PHASE2 trial testing BMS-986205 in Advanced Cancer in 12 participants. Completed in 18 December 2020.

Timeline
31 December 2018
Primary endpoint
18 December 2020
18 December 2020

Quick facts

Lead sponsorBristol-Myers Squibb
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment12
Start date31 December 2018
Primary completion18 December 2020
Estimated completion18 December 2020
Sites1 location across China

Drugs / interventions tested

Conditions studied

Sponsor

Bristol-Myers Squibb — full company profile →

Who can join

18 and older, any sex, with 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.

The Number of Participants Experiencing Adverse Events (AE) Primary · From first dose to 100 days after last dose of study therapy (up to approximately 2 years)

The number of participants experiencing adverse events (AEs) to assess the safety and tolerability of BMS-986205. An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment.

GroupValue95% CI
BMS-986205 in Combination With Nivolumab11
The Number of Participants Experiencing Serious Adverse Events (SAE) Primary · From first dose to 100 days after last dose of study therapy (up to approximately 2 years)

The number of participants experiencing serious adverse events (SAEs) to assess the safety and tolerability of BMS-986205 Serious Adverse Event (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, or is an important medical event.

GroupValue95% CI
BMS-986205 in Combination With Nivolumab3
The Number of Participants Experience Adverse Events (AE) Leading to Discontinuation Primary · From first dose to 100 days after last dose of study therapy (up to approximately 2 years)

The number of participants experiencing adverse events (AEs) leading to discontinuation to assess the safety and tolerability of BMS-986205 An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment.

GroupValue95% CI
BMS-986205 in Combination With Nivolumab5
Number of Participant Deaths Primary · From first dose to 100 days after last dose of study therapy (up to approximately 2 years)

The number of participants who died in each arm during the study to assess the safety and tolerability of BMS-986205.

GroupValue95% CI
BMS-986205 in Combination With Nivolumab3
The Number of Participants Experiencing Laboratory Abnormalities in Specific Liver Tests Primary · From first dose to 100 days after last dose of study therapy (up to approximately 2 years)

The number of participants with clinical laboratory test abnormalities in specific liver tests based on US conventional units to assess the safety and tolerability of BMS-986205. The number of participants with the following laboratory abnormalities will be summarized: ALT or AST \> 3 x ULN, \> 5 x ULN, \> 10 x ULN and \> 20 x ULN Total bilirubin \> 1.5 x ULN and 2 x ULN Concurrent (within 1 day) ALT or AST \> 3 x ULN with total bilirubin \> 2 x ULN Concurrent (within 30 days) ALT or AST \> 3 x ULN with total bilirubin \> 2 x ULN

ALT OR AST > 3XULN
GroupValue95% CI
BMS-986205 in Combination With Nivolumab3
ALT OR AST> 5XULN
GroupValue95% CI
BMS-986205 in Combination With Nivolumab2
ALT OR AST> 10XULN
GroupValue95% CI
BMS-986205 in Combination With Nivolumab0
ALT OR AST > 20XULN
GroupValue95% CI
BMS-986205 in Combination With Nivolumab0
TOTAL BILIRUBIN > 1.5XULN
GroupValue95% CI
BMS-986205 in Combination With Nivolumab2
TOTAL BILIRUBIN > 2XULN
GroupValue95% CI
BMS-986205 in Combination With Nivolumab1
ALT/AST ELEV>3XULN;TOTAL BILIRUBIN>2XULN IN 1 DAY
GroupValue95% CI
BMS-986205 in Combination With Nivolumab0
ALT/AST ELEV>3XULN;TOTAL BILIRUBIN>2XULN IN 30 DAYS
GroupValue95% CI
BMS-986205 in Combination With Nivolumab0
The Number of Participants Experiencing Laboratory Abnormalities in Specific Thyroid Tests Primary · From first dose to 100 days after last dose of study therapy (up to approximately 2 years)

The number of participants with clinical laboratory test abnormalities based on US conventional units to assess the safety and tolerability of BMS-986205. The number of subjects with the following laboratory abnormalities will be summarized: TSH \> ULN WITH TSH \<= ULN AT BASELINE WITH AT LEAST ONE FT3/FT4 TEST VALUE \< LLN (Within a 2-week window after the abnormal TSH test date) WITH ALL OTHER FT3/FT4 TEST VALUES \>= LLN (Within a 2-week window after the abnormal TSH test date) WITH FT3/FT4 TEST MISSING (Within a 2-week window after the abnormal TSH test date) TSH \< LLN WITH TSH \>= LLN A

TSH > ULN
GroupValue95% CI
BMS-986205 in Combination With Nivolumab4
TSH > ULN WITH TSH <= ULN AT BASELINE
GroupValue95% CI
BMS-986205 in Combination With Nivolumab4
TSH >ULN WITH ATLEAST ONE FT3/FT4 TEST VALUE <LLN
GroupValue95% CI
BMS-986205 in Combination With Nivolumab2
TSH >ULN WITH ALL OTHER FT3/FT4 TEST VALUES >= LLN
GroupValue95% CI
BMS-986205 in Combination With Nivolumab4
TSH > ULN WITH FT3/FT4 TEST MISSING
GroupValue95% CI
BMS-986205 in Combination With Nivolumab0
TSH < LLN
GroupValue95% CI
BMS-986205 in Combination With Nivolumab5
TSH <LLN WITH TSH >= LLN AT BASELINE
GroupValue95% CI
BMS-986205 in Combination With Nivolumab4
TSH <LLN WITH ATLEAST ONE FT3/FT4 TEST VALUE > ULN
GroupValue95% CI
BMS-986205 in Combination With Nivolumab0
(Cmax) Maximum Observed Plasma Concentration Primary · pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 days 1, 14, Cycle 1 day 1

The maximum observes plasma concentration was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab.

C0D1
GroupValue95% CI
BMS-986205 in Combination With Nivolumab596.0± 44.138
C0D14
GroupValue95% CI
BMS-986205 in Combination With Nivolumab701.9± 24.870
C1D1
GroupValue95% CI
BMS-986205 in Combination With Nivolumab781.0± 18.933
(Tmax) Time of Maximum Observed Plasma Concentration Primary · pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 days 1, 14, Cycle 1 day 1

The time of maximum observed plasma concentration was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab.

C0D1
GroupValue95% CI
BMS-986205 in Combination With Nivolumab2.51 – 3
C0D14
GroupValue95% CI
BMS-986205 in Combination With Nivolumab2.52 – 4
C1D1
GroupValue95% CI
BMS-986205 in Combination With Nivolumab2.51.1 – 4
(AUC(TAU)) Area Under the Concentration-time Curve in One Dosing Interval Primary · pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 days 1, 14, Cycle 1 day 1

The area under the concentration-time curve in one dosing interval was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab.

C0D1
GroupValue95% CI
BMS-986205 in Combination With Nivolumab3380.8± 34.754
C0D14
GroupValue95% CI
BMS-986205 in Combination With Nivolumab6048.3± 38.830
C1D1
GroupValue95% CI
BMS-986205 in Combination With Nivolumab5922.3± 32.572
(CLT/F) Apparent Total Body Clearance Primary · pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 day 14, Cycle 1 day 1

The apparent total body clearance was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab.

CYCLE0 DAY14
GroupValue95% CI
BMS-986205 in Combination With Nivolumab16.5± 38.830
CYCLE1 DAY1
GroupValue95% CI
BMS-986205 in Combination With Nivolumab16.9± 32.572
(T-HALF (Eff, AUC)) Effective Elimination Half-life Primary · pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 day 14

The effective elimination half-life was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab. T-HALF (eff, AUC) explains the degree of AUC accumulation observed.

GroupValue95% CI
BMS-986205 in Combination With Nivolumab22.9± 9.40
(AI_CMAX) Accumulation Index Primary · pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 day 14

The accumulation index was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab. AI is calculated based on ratio of Cmax at steady state to after the first dose.

GroupValue95% CI
BMS-986205 in Combination With Nivolumab1.2± 42.479

Adverse events — posted to ClinicalTrials.gov

Time frame: First dose and 100 days after last dose of study therapy (Up to approximately 2 years). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

BMS-986205 in Combination With Nivolumab
Serious: 3/12 (25%)
Deaths: 3/12

Serious adverse events (4 terms)

ReactionSystemBMS-986205 in Combination …
Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
TuberculosisInfections and infestations
Acute kidney injuryRenal and urinary disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
Other adverse events (51 terms — click to expand)

ReactionSystemBMS-986205 in Combination …
AnaemiaBlood and lymphatic system disorders
Aspartate aminotransferase increasedInvestigations
Alanine aminotransferase increasedInvestigations
LeukopeniaBlood and lymphatic system disorders
Blood bilirubin increasedInvestigations
HypothyroidismEndocrine disorders
ConstipationGastrointestinal disorders
Blood alkaline phosphatase increasedInvestigations
Platelet count decreasedInvestigations
Cancer painNeoplasms benign, malignant and unspecified (incl cysts and polyps)
NeutropeniaBlood and lymphatic system disorders
Blood creatinine increasedInvestigations
Blood lactate dehydrogenase increasedInvestigations
Blood thyroid stimulating hormone increasedInvestigations
Gamma-glutamyltransferase increasedInvestigations
Weight decreasedInvestigations
Decreased appetiteMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
LeukocytosisBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
UveitisEye disorders
Abdominal distensionGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
HaematocheziaGastrointestinal disorders
VomitingGastrointestinal disorders
MalaiseGeneral disorders
Oedema peripheralGeneral disorders
PyrexiaGeneral disorders
ConjunctivitisInfections and infestations
PneumoniaInfections and infestations
Upper respiratory tract infectionInfections and infestations
Blood creatine phosphokinase increasedInvestigations
Blood thyroid stimulating hormone decreasedInvestigations
C-reactive protein increasedInvestigations
Myoglobin blood increasedInvestigations
Neutrophil count decreasedInvestigations
Neutrophil count increasedInvestigations
Thyroxine increasedInvestigations
White blood cell count decreasedInvestigations

Most-reported serious reactions: Malignant neoplasm progression, Tuberculosis, Acute kidney injury, Pneumonitis.

Data from ClinicalTrials.gov NCT03792750 adverse events section.

Sponsor's own description

The purpose of this study is to determine safety and effectiveness of experimental medication BMS-986205 in combination with Nivolumab in patients with cancers that are advanced or have spread.

Publications & conference data

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

  1. Indoleamine 2,3-dioxygenase 1 (IDO1) inhibitors in clinical trials for cancer immunotherapy.
    Tang K, Wu YH, Song Y, Yu B. · · 2021 · cited 276× · PMID 33883013 · DOI 10.1186/s13045-021-01080-8
  2. 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
  3. Trial watch: IDO inhibitors in cancer therapy.
    Le Naour J, Galluzzi L, Zitvogel L, Kroemer G, et al · · 2020 · cited 133× · PMID 32934882 · DOI 10.1080/2162402x.2020.1777625
  4. Targeting Tryptophan Catabolism in Cancer Immunotherapy Era: Challenges and Perspectives.
    Peyraud F, Guegan JP, Bodet D, Cousin S, et al · · 2022 · cited 94× · PMID 35173722 · DOI 10.3389/fimmu.2022.807271
  5. Small molecule-based immunomodulators for cancer therapy.
    Wu Y, Yang Z, Cheng K, Bi H, et al · · 2022 · cited 71× · PMID 36562003 · DOI 10.1016/j.apsb.2022.11.007
  6. Targeting Indoleamine Dioxygenase and Tryptophan Dioxygenase in Cancer Immunotherapy: Clinical Progress and Challenges.
    Peng X, Zhao Z, Liu L, Bai L, et al · · 2022 · cited 38× · PMID 35965963 · DOI 10.2147/dddt.s373780
  7. The Role of Indoleamine 2, 3-Dioxygenase 1 in Regulating Tumor Microenvironment.
    Huang X, Zhang F, Wang X, Liu K. · · 2022 · cited 38× · PMID 35681736 · DOI 10.3390/cancers14112756
  8. Tryptophan Metabolism Disorder-Triggered Diseases, Mechanisms, and Therapeutic Strategies: A Scientometric Review.
    Chen X, Xu D, Yu J, Song XJ, et al · · 2024 · cited 26× · PMID 39408347 · DOI 10.3390/nu16193380

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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/NCT03792750.

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