A Phase 1/2 Study of BMS-986408 with and without Nivolumab or Nivolumab and Ipilimumab in Participants with Solid Tumors

2022-500823-61-00 Protocol CA099-003 Phase I and Phase II (Integrated) - First administration to humans Ended

Start 8 Apr 2024 · End 25 Jul 2025 · Status Ended · 2 EU/EEA countries · 9 sites · Protocol CA099-003

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - First administration to humans
Status Ended
Participants planned 136
Countries 2
Sites 9

Advanced Solid Tumours

To characterize the safety and tolerability, and to establish the MTD, maximum administered dose, and/or RP2D(s), and optimal schedule of oral BMS-986408, administered as monotherapy and in combination with nivolumab or nivolumab and ipilimumab, to participants with advanced cancer

Key facts

Sponsor
Bristol-Myers Squibb International Corporation, Bristol-Myers Squibb International Corporation
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
8 Apr 2024 → 25 Jul 2025
Decision date (initial)
2023-08-01
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Bristol-Myers Squibb

External identifiers

EU CT number
2022-500823-61-00
WHO UTN
U1111-1272-7269
ClinicalTrials.gov
NCT05407675

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacodynamic, Safety, Others, Pharmacokinetic

To characterize the safety and tolerability, and to establish the MTD, maximum administered dose, and/or RP2D(s), and optimal schedule of oral BMS-986408, administered as monotherapy and in combination with nivolumab or nivolumab and ipilimumab, to participants with advanced cancer

Secondary objectives 2

  1. To characterize the PK profile of BMS-986408 following oral administration as monotherapy and in combination with nivolumab or nivolumab and ipilimumab to participants with advanced solid tumors.
  2. To evaluate the preliminary anti-tumor activity of BMS-986408 as a monotherapy and in combination with nivolumab or nivolumab and ipilimumab in participants with advanced cancer.

Conditions and MedDRA coding

Advanced Solid Tumours

VersionLevelCodeTermSystem organ class
21.0 LLT 10049280 Solid tumour 10029104

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Males or females ≥ 18 years of age
  2. Participants in Groups A and B must have a histologically or cytologically confirmed, advanced, unresectable/metastatic, solid malignancy of any histology that is measurable by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, and have received, be refractory to, ineligible for, or intolerant of existing therapy(ies) known to provide clinical benefit for the condition of the participant.
  3. Participants in Groups C, D and E must have a histologically or cytologically confirmed, advanced, unresectable/metastatic malignancy measurable by RECIST v1.1, with the following histologies: HNSCC, NSCLC, melanoma, or RCC, have previously received therapy containing anti-PD-(L)1 or anti-CTLA-4 agents, and have received, be refractory to, ineligible for, or intolerant of existing therapy(ies) known to provide clinical benefit for the condition of the participant.

Exclusion criteria 5

  1. An active, known or suspected autoimmune disease
  2. Conditions requiring systemic treatment with either corticosteroids within 14 days or other immunosuppressive medications within 30 days of the first dose of study treatment
  3. Current or recent gastrointestinal disease or gastrointestinal surgery that could impact the absorption of study drug
  4. Untreated central nervous system (CNS) metastases or leptomeningeal metastasis
  5. Women who are breastfeeding or are pregnant.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Incidence of DLTs, AEs, SAEs, AEs leading to discontinuation, and deaths.

Secondary endpoints 2

  1. Summary measures of BMS-986408 PK parameters in plasma, such as, but not limited to, Cmax, Tmax, and AUC (0-T), from concentration-time data during BMS-986408 monotherapy and in combination with nivolumab or nivolumab and ipilimumab.
  2. ORR and DOR per RECIST v1.1.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 6

DGKα/ζ Inhibitor

PRD10101930 · Product

Active substance
BMS-986408
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Authorisation status
Not Authorised
MA holder
BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
Paediatric formulation
No
Orphan designation
No

DGKα/ζ Inhibitor

PRD10101927 · Product

Active substance
BMS-986408
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Authorisation status
Not Authorised
MA holder
BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
Paediatric formulation
No
Orphan designation
No

DGKα/ζ Inhibitor

PRD10101929 · Product

Active substance
BMS-986408
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Authorisation status
Not Authorised
MA holder
BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
Paediatric formulation
No
Orphan designation
No

OPDIVO 10 mg/mL concentrate for solution for infusion.

PRD2941372 · Product

Active substance
Nivolumab
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
IV INFUSION
Authorisation status
Authorised
ATC code
L01FF01 — -
Marketing authorisation
EU/1/15/1014/001
MA holder
BRISTOL-MYERS SQUIBB PHARMA EEIG
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

OPDIVO 10 mg/mL concentrate for solution for infusion.

PRD2941375 · Product

Active substance
Nivolumab
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
IV INFUSION
Authorisation status
Authorised
ATC code
L01FF01 — -
Marketing authorisation
EU/1/15/1014/002
MA holder
BRISTOL-MYERS SQUIBB PHARMA EEIG
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ipilimumab

PRD191357 · Product

Active substance
Ipilimumab
Substance synonyms
BMS734016, HLX13, IBI310
Other product name
MDX-010
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
IV INFUSION
Authorisation status
Not Authorised
MA holder
BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Bristol-Myers Squibb International Corporation

Sponsor organisation
Bristol-Myers Squibb International Corporation
Address
Chaussee De La Hulpe 185
City
Watermael-Boitsfort
Postcode
1170
Country
Belgium

Scientific contact point

Organisation
Bristol-Myers Squibb International Corporation
Contact name
GSM-CT

Public contact point

Organisation
Bristol-Myers Squibb International Corporation
Contact name
GSM-CT

Third parties 5

OrganisationCity, countryDuties
Azenta US Inc.
ORG-100016263
Indianapolis, United States Other
Q2 Solutions LLC
ORG-100017000
Ithaca, United States Other
Icon Laboratories Inc.
ORG-100037135
Farmingdale, United States Other
Bioclinica Inc.
ORG-100033079
Princeton, United States Other
QPS LLC
ORG-100012847
Newark, United States Other

Bristol-Myers Squibb International Corporation

Sponsor organisation
Bristol-Myers Squibb International Corporation
Address
Avenue De Finlande 4
City
Braine-L'alleud
Postcode
1420
Country
Belgium

Locations

2 EU/EEA countries · 9 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ended 22 5
Spain Ended 12 4
Rest of world
United States, Switzerland, Canada
102

Investigational sites

France

5 sites · Ended
Institut Gustave Roussy
Oncologie médicale, 114 Rue Edouard Vaillant, 94800, Villejuif
Centre Leon Berard
Oncologie médicale, 28 Rue Laennec, 69008, Lyon
Assistance Publique Hopitaux De Marseille
Hopital de la Timone - CEPCM, 264 Rue Saint Pierre, 13005, Marseille
Institut Claudius Regaud
Unité de recherche clinique, 1 Avenue Irene Joliot Curie, 31100, Toulouse
Institut Bergonie
Oncologie médicale, 229 Cours De L Argonne, 33000, Bordeaux

Spain

4 sites · Ended
Hospital Universitario Fundacion Jimenez Diaz
START Madrid-FJD, Avenida De Los Reyes Catolicos 2, 28040, Madrid
Hospital Universitario Hm Sanchinarro
START Madrid, Calle Ona 10, 28050, Madrid
Hospital General Universitario Gregorio Maranon
ONCOLOGY, Calle Del Doctor Esquerdo 46, 28009, Madrid
Hospital Universitario Virgen De La Victoria
Phase I Trials Unit, Calle Del Arroyo Teatinos S N, 29010, Malaga

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2023-08-03 2025-07-24 2023-08-23 2024-02-29
Spain 2023-07-18 2023-10-05 2024-02-29

Oversight and notifications

Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77

Temporary halts 2 · Art. 38 CTR

Temporary halt TH-11622

Halt date
2024-01-18
Planned restart
2024-04-08
Member states concerned
Spain
Publication date
2024-01-18
Reason
Safety related (clinical or pre-clinical results)
Explanation
To notify investigators and participants of a newly reported treatment related SAE.
Follow-up measures
Update of protocol and ICF.
Benefit-risk balance changed
No
Treatment stopped
No

Temporary halt TH-11620

Halt date
2024-01-18
Planned restart
2024-04-08
Member states concerned
France
Publication date
2024-01-18
Reason
Safety related (clinical or pre-clinical results)
Explanation
To notify investigators and participants of a newly reported treatment related SAE.
Follow-up measures
Update of protocol and ICF.
Benefit-risk balance changed
No
Treatment stopped
No

Application history

7 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-02-15 France Acceptable
2023-05-22
2023-05-24
2 SUBSTANTIAL MODIFICATION SM-2 2023-06-05 Acceptable 2023-07-05
3 SUBSTANTIAL MODIFICATION SM-3 2023-08-07 France Acceptable 2023-09-13
4 SUBSTANTIAL MODIFICATION SM-5 2023-12-04 Acceptable 2023-12-21
5 NON SUBSTANTIAL MODIFICATION NSM-1 2023-12-21 France 2023-12-21
6 SUBSTANTIAL MODIFICATION SM-6 2024-01-08 France Acceptable
2024-04-02
2024-04-05
7 NON SUBSTANTIAL MODIFICATION NSM-2 2025-01-08 France Acceptable
2024-04-02
2025-01-08