Patient Preference for Route of Administration with Intravenous Infusion Switch to Subcutaneous I-O Regimens in Melanoma

2023-504515-33-00 Protocol CA224-1044 Therapeutic exploratory (Phase II) Ongoing, recruitment ended

Start 19 Feb 2024 · Status Ongoing, recruitment ended · 3 EU/EEA countries · 20 sites · Protocol CA224-1044

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruitment ended
Participants planned 145
Countries 3
Sites 20

Melanoma

The main objective in both groups is to see if participants prefer their drug to be given to them one way (SC) or the other way (IV).

Key facts

Sponsor
Bristol-Myers Squibb Services Unlimited Company
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
19 Feb 2024 → ongoing
Decision date (initial)
2024-01-22
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Bristol-Myers Squibb International Corporation

External identifiers

EU CT number
2023-504515-33-00
WHO UTN
U1111-1289-5947

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Others, Therapy

The main objective in both groups is to see if participants prefer their drug to be given to them one way (SC) or the other way (IV).

Secondary objectives 1

  1. The secondary objective in both groups is to test the safety of the drug in participants when they switch the treatment given in the vein (IV) to under the skin (SC).

Conditions and MedDRA coding

Melanoma

VersionLevelCodeTermSystem organ class
21.1 LLT 10053571 Melanoma 10029104

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. The study population will be made up of men and women (who are not pregnant or breastfeeding) 18 years of age or older that have either metastatic melanoma and have not had previous treatment for their cancer, or resected melanoma and have had the cancer removed fully with surgery no later than 12 weeks before the start of treatment and confirmed free of disease. Participants must have a low level of disability and cancer that is considered advanced for metastatic melanoma and at risk for becoming advanced (intermediate) or advanced for resected melanoma.

Exclusion criteria 1

  1. Participants must not have any brain cancer/disease treated with radiation, any cancer in the eyes or mucous membranes (cells that cover inside surface of parts of the body and keep it moist), any autoimmune disease, or any condition that is being treated with steroids for inflammation (corticosteroids) or medication to decrease the body’s immune system response (immunosuppressive drugs).

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The main endpoint in both groups is the percentage of participants who prefer having the treatment given as SC more than as IV.

Secondary endpoints 1

  1. The secondary endpoint in both groups is to see the side effects and abnormal laboratory tests during the study.

Investigational products

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

Test 4

OPDIVO 10 mg/mL concentrate for solution for infusion.

PRD2941375 · Product

Active substance
Nivolumab
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
480 mg milligram(s)
Max total dose
960 mg milligram(s)
Max treatment duration
8 Week(s)
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

Nivolumab Subcutaneous

PRD10267387 · Product

Active substance
Nivolumab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
0000 mg milligram(s)
Max total dose
0000 mg milligram(s)
Max treatment duration
9999 Day(s)
Authorisation status
Not Authorised
MA holder
BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
Paediatric formulation
No
Orphan designation
No

Nivolumab/Relatlimab

PRD9854659 · Product

Active substance
Nivolumab
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
0000 mg milligram(s)
Max total dose
0000 mg milligram(s)
Max treatment duration
9999 Day(s)
Authorisation status
Not Authorised
MA holder
BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
Paediatric formulation
No
Orphan designation
No

FDC Nivolumab + Relatlimab + rHuPH20 Injection

PRD9863350 · Product

Active substance
Nivolumab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
0000 mg milligram(s)
Max total dose
0000 mg milligram(s)
Max treatment duration
9999 Day(s)
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 Services Unlimited Company

Sponsor organisation
Bristol-Myers Squibb Services Unlimited Company
Address
Plaza 254 Blanchardstown Corporate Park 2, Ballycoolin Ballycoolin
City
Dublin 15
Postcode
D15 T867
Country
Ireland

Scientific contact point

Organisation
Bristol-Myers Squibb Services Unlimited Company
Contact name
GSM-CT

Public contact point

Organisation
Bristol-Myers Squibb Services Unlimited Company
Contact name
GSM-CT

Third parties 8

OrganisationCity, countryDuties
RWS Life Sciences Inc.
ORG-100042348
East Hartford, United States Other
Accenture Solutions Private Limited
ORG-100032592
Bangaluru, India Other, Data management
Greenphire LLC
ORG-100041621
King Of Prussia, United States Other
Pharmaceutical Product Development LLC
ORG-100016999
Wilmington, United States Other
Parexel International Corp.
ORG-100007310
Durham, United States Code 10
Fortrea Development Ltd. Branch Of Foreign Company
ORG-100049638
Maroussi, Greece On site monitoring, Code 12, Code 2, Code 8
Accenture Solutions Private Limited
ORG-100032592
Bangaluru, India Other, Data management
Fortrea Inc.
ORG-100012602
Durham, United States On site monitoring, Code 11, Code 12, Code 2, Code 8, Code 9

Locations

3 EU/EEA countries · 20 investigational sites

By country

CountryMS statusPlanned subjectsSites
Greece Ongoing, recruitment ended 31 6
Italy Ongoing, recruitment ended 20 7
Spain Ongoing, recruitment ended 31 7
Rest of world
United States, Chile, Argentina
63

Investigational sites

Greece

6 sites · Ongoing, recruitment ended
General Hospital Of Thessaloniki Papageorgiou
Department of Medical Oncology, Ring Road Of Thessaloniki, Ministry Of Pavlos Melas, Efkarpia
Athens Medical Center S.A.
Oncology Department, Distomou 5-7, 151 25, Maroussi
Laiko General Hospital Of Athens
A' Department of Medicine, Sevastoupoleos 16, 115 26, Athens
Metropolitan Hospital
A' Oncology Clinic, Ethnarchi Makariou 11, 185 47, Pireas
Metropolitan General Hospital Healthcare Facilities Operation And Management Single Member S.A.
5th Oncology, Leoforos Mesogeion 264, 155 62, Cholargos
Bioclinic S.A.
Oncology Department, Mitropoleos 86, 546 22, Thessaloniki

Italy

7 sites · Ongoing, recruitment ended
European Institute Of Oncology S.r.l.
Oncologia Medica del Melanoma, Sarcomi e Tumori rari, Via Giuseppe Ripamonti 435, 20141, Milan
Istituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori IRST S.r.l.
Oncologia clinica e sperimentale, Immunoterapia e Tumori rari, Via Piero Maroncelli 40, 47014, Meldola
Istituto Oncologico Veneto
Oncologia 2, Via Gattamelata 64, 35128, Padova
Azienda Ospedaliera Universitaria Universita' Degli Studi Della Campania Luigi Vanvitelli
Oncoematologia, Via Sergio Pansini 5, 80131, Naples
Azienda Ospedaliera Universitaria Citta' Della Salute E Della Scienza Di Torino
Dermatologia U, Via Cherasco 15, 10126, Turin
I.F.O. Istituti Fisioterapici Ospitalieri
Sarcomi e Tumori Rari, Via Elio Chianesi N 53, 00144, Rome
Azienda Ospedaliera Papa Giovanni XXIII
Oncologia, Piazza Oms 1, 24127, Bergamo

Spain

7 sites · Ongoing, recruitment ended
Institut Catala D'oncologia
Medical Oncology Service, Avinguda De La Gran Via De L'hospitalet 199-203, 08908, L'hospitalet De Llobregat
Hospital Universitario Marques De Valdecilla
Medical Oncolgy Service, Avenida Valdecilla Sn, 39008, Santander
University Hospital Virgen Del Rocio S.L.
Medical Oncolgy Service, Avenida De Manuel Siurot S/n, 41013, Sevilla
Institut Catala D'oncologia
Oncolgy Service, Carretera Canyet S/n, 08916, Badalona
University Clinical Hospital Virgen De La Arrixaca
Medical Oncology Service, Carretera De Cartagena Sn, El Palmar, Murcia
Hospital De La Santa Creu I Sant Pau
Medical Oncology Service, Calle De San Antonio Maria Claret 167, 08025, Barcelona
Hospital San Pedro De Alcantara
Medical Oncology Service, Avenida De Pablo Naranjo Porras S/n, 10002, Caceres

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Greece 2024-02-28 2024-03-28 2024-11-06
Italy 2024-02-29 2024-03-01 2024-11-06
Spain 2024-02-19 2024-02-21 2024-10-17

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 25 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_2023-504515-33-00_GR_Greek_Redacted PAM 02
Protocol (for publication) D1_Protocol_2023-504515-33-00_Redacted 02 EU
Protocol (for publication) D4_Patient facing documents_patient interview guide_EL_GR_not disclosed NA
Protocol (for publication) D4_Patient facing documents_patient interview guide_ES_ES_not disclosed NA
Protocol (for publication) D4_Patient facing documents_patient interview guide_IT_IT_not disclosed NA
Protocol (for publication) D4_Patient facing documents_PEPQ_EL_GR_not disclosed NA
Protocol (for publication) D4_Patient facing documents_PEPQ_ES_ES_not disclosed NA
Protocol (for publication) D4_Patient facing documents_PEPQ_IT_IT_not disclosed NA
Protocol (for publication) D4_Patient facing documents_PEQ_EL_GR_not disclosed NA
Protocol (for publication) D4_Patient facing documents_PEQ_ES_ES_not disclosed NA
Protocol (for publication) D4_Patient facing documents_PEQ_IT_IT_not disclosed NA
Recruitment arrangements (for publication) K1_GR_Recruitment arrangements 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Recruitment arrangements (for publication) K2_GR_Patient Info Brochure 1.0
Recruitment arrangements (for publication) K2_Patient Info Brochure 1
Recruitment arrangements (for publication) K2_Recruitment material_Patient brochure_IT 1.0
Subject information and informed consent form (for publication) L1_Main ICF and SIS_IT_Redacted 5.0
Subject information and informed consent form (for publication) L1_Main ICF_GR_Redacted 3.0
Subject information and informed consent form (for publication) L1_Main ICF_Redacted 4.0
Subject information and informed consent form (for publication) L1_Privacy ICF and SIS_IT 3.0
Synopsis of the protocol (for publication) D1_Lay Protocol Synopsis_EL_GR 2.0
Synopsis of the protocol (for publication) D1_Lay Protocol Synopsis_EN 2.0
Synopsis of the protocol (for publication) D1_Lay Protocol Synopsis_ES_ES 2.0
Synopsis of the protocol (for publication) D1_Lay Protocol Synopsis_IT_IT 2.0

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-09-13 Italy Acceptable
2024-01-15
2024-01-16
2 SUBSTANTIAL MODIFICATION SM-1 2024-02-22 Acceptable 2024-05-13
3 SUBSTANTIAL MODIFICATION SM-2 2024-02-22 Italy Acceptable 2024-04-02
4 NON SUBSTANTIAL MODIFICATION NSM-2 2024-07-01 Italy Acceptable 2024-07-01
5 SUBSTANTIAL MODIFICATION SM-3 2024-07-10 Acceptable 2024-08-21
6 SUBSTANTIAL MODIFICATION SM-4 2024-07-10 Italy Acceptable 2024-08-14
7 SUBSTANTIAL MODIFICATION SM-5 2024-07-15 Acceptable 2024-09-12
8 SUBSTANTIAL MODIFICATION SM-7 2024-11-29 Italy Acceptable
2025-03-03
2025-03-04
9 NON SUBSTANTIAL MODIFICATION NSM-3 2025-05-05 Italy Acceptable
2025-03-03
2025-05-05
10 SUBSTANTIAL MODIFICATION SM-8 2025-10-16 Italy Acceptable
2025-12-01
2025-12-02