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NCT04187833

Nivolumab in Combination With Talazoparib in Melanoma and Mutations in BRCA or BRCA-ness Genes

Completed Phase 2 Results posted Last updated 14 January 2025
What this trial tests

Phase 2 trial testing Nivolumab in Metastatic or Unresectable Melanoma in 8 participants. Completed in 13 October 2023.

Timeline
5 June 2020
Primary endpoint
13 October 2023
13 October 2023

Quick facts

Lead sponsorCase Comprehensive Cancer Center
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment8
Start date5 June 2020
Primary completion13 October 2023
Estimated completion13 October 2023
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Case Comprehensive Cancer Center — full company profile →

Who can join

19 and older, any sex, with Metastatic or Unresectable 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.

Best Overall Response as Defined by RECIST 1.1 Criteria Primary · up to 24 months after treatment through study completion, an average of 2 years

Best overall response, defined as complete response (CR) and partial response (PR) by RECIST 1.1 criteria. Complete response (CR) is defined as the disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. Partial response (PR) is defined as a ≥30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions.

GroupValue95% CI
Nivolumab + Talazoparib0
Progression Free Survival (PFS) Secondary · up to 24 months after treatment through study completion, an average of 2 years

PFS, defined as the time from the first dose of study treatment to the date of disease progression by RECIST 1.1 or death due to any cause, whichever occurs first. Progressive disease (PD) is defined as a ≥20% increase in the sum of the longest dimensions of the target lesions taking as a reference the smallest sum of the longest dimensions recorded since the treatment started, or the appearance of one or more new lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.

GroupValue95% CI
Nivolumab + Talazoparib126 – 24
Number of Participants With Treatment-related Adverse Events Secondary · 30 days after start of treatment

Number of participants with treatment-related adverse events, as assessed by National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) v5.0

GroupValue95% CI
Nivolumab + Talazoparib7
Immune-related Overall Response (irOR) Defined by irRECIST Secondary · up to 24 months after treatment through study completion, an average of 2 years

Immune-related overall response (irOR), defined as immune-related complete response (irCR) and immune-related partial response (irPR) by irRECIST

GroupValue95% CI
Nivolumab + Talazoparib0
Immune-related Progression Free Survival (irPFS) Secondary · up to 24 months after treatment through study completion, an average of 2 years

irPFS, defined as the time from the first dose of study treatment to the date of disease progression by irRECIST

GroupValue95% CI
Nivolumab + Talazoparib126 – 24
Overall Survival (OS) Secondary · up to 24 months after treatment

Overall survival (OS)

GroupValue95% CI
Nivolumab + Talazoparib7221 – NA

Adverse events — posted to ClinicalTrials.gov

Time frame: On or after Cycle 1 Day 1(each cycle is 28 days) through 30 days after the final dose of study drug, through study completion, an average of 3 years and 4 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Nivolumab + Talazoparib
Serious: 1/8 (13%)
Deaths: 7/8

Serious adverse events (2 terms)

ReactionSystemNivolumab + Talazoparib
Hepatobiliary disordersHepatobiliary disorders
Blood bilirubin IncreasedInvestigations
Other adverse events (59 terms — click to expand)

ReactionSystemNivolumab + Talazoparib
AnemiaBlood and lymphatic system disorders
HyperglycemiaMetabolism and nutrition disorders
FatigueGeneral disorders
White Blood Cells decreasedInvestigations
ConstipationGastrointestinal disorders
HyponatremiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
NauseaGastrointestinal disorders
DyspeneaGastrointestinal disorders
Alkaline phosphatase increasedInvestigations
AnorexiaMetabolism and nutrition disorders
Pain in extremityMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
DiarrheaGastrointestinal disorders
vomitingGastrointestinal disorders
BelchingGastrointestinal disorders
Abdominal PainGastrointestinal disorders
LeukocytosisBlood and lymphatic system disorders
CPK decreasedInvestigations
BUN decreasedInvestigations
Paroxysmal atrial tachycardiaCardiac disorders
ChillsGeneral disorders
Edema LimbsGeneral disorders
Non-cardiac chest painGeneral disorders
Eye infectionInfections and infestations
Hepatitis viralInfections and infestations
FallInjury, poisoning and procedural complications
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Blood bilirubin increasedInvestigations
Blood lactate dehydrogenase increasedInvestigations
CPK increasedInvestigations
Weight lossInvestigations
Platelet count decreasedInvestigations
CD4 lymphocytes decreasedInvestigations
HypercalcemiaMetabolism and nutrition disorders
HypernatremiaMetabolism and nutrition disorders
HypoalbuminemiaMetabolism and nutrition disorders

Most-reported serious reactions: Hepatobiliary disorders, Blood bilirubin Increased.

Data from ClinicalTrials.gov NCT04187833 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate how effective the study drugs, nivolumab (also known as Opdivo®) and talazoparib (also known as Talzenna®) are when given as a combination treatment for unresectable or metastatic melanoma. The study team wants to know the effectiveness of these drugs together in treating cancer than if each study drug was given by itself.

Publications & conference data

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

  1. Combined PARP Inhibition and Immune Checkpoint Therapy in Solid Tumors.
    Peyraud F, Italiano A. · · 2020 · cited 163× · PMID 32526888 · DOI 10.3390/cancers12061502
  2. The role of DNA damage repair (DDR) system in response to immune checkpoint inhibitor (ICI) therapy.
    Shi C, Qin K, Lin A, Jiang A, et al · · 2022 · cited 60× · PMID 36071479 · DOI 10.1186/s13046-022-02469-0
  3. Unboxing the molecular modalities of mutagens in cancer.
    Kumari S, Sharma S, Advani D, Khosla A, et al · · 2022 · cited 35× · PMID 34611806 · DOI 10.1007/s11356-021-16726-w
  4. The potential of PARP inhibitors in targeted cancer therapy and immunotherapy.
    Hunia J, Gawalski K, Szredzka A, Suskiewicz MJ, et al · · 2022 · cited 25× · PMID 36533080 · DOI 10.3389/fmolb.2022.1073797
  5. Melanoma Targeted Therapies beyond <i>BRAF</i>-Mutant Melanoma: Potential Druggable Mutations and Novel Treatment Approaches.
    Khaddour K, Maahs L, Avila-Rodriguez AM, Maamar Y, et al · · 2021 · cited 25× · PMID 34831002 · DOI 10.3390/cancers13225847
  6. PARP Inhibitors in Melanoma-An Expanding Therapeutic Option?
    Chan WY, Brown LJ, Reid L, Joshua AM. · · 2021 · cited 25× · PMID 34572747 · DOI 10.3390/cancers13184520
  7. Advances in targeted therapy and immunotherapy for melanoma (Review).
    Qin Z, Zheng M. · · 2023 · cited 20× · PMID 37559935 · DOI 10.3892/etm.2023.12115
  8. Emerging Novel Therapeutic Approaches for Treatment of Advanced Cutaneous Melanoma.
    Comito F, Pagani R, Grilli G, Sperandi F, et al · · 2022 · cited 20× · PMID 35053435 · DOI 10.3390/cancers14020271

Verify or expand the search:

Other trials of Nivolumab

Trials testing the same drug.

Other recruiting trials for Metastatic or Unresectable Melanoma

Currently open trials in the same condition.

Other Case Comprehensive Cancer Center 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/NCT04187833.

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