An Investigational Immunotherapy Study of BMS-986288 Alone and in Combination With Nivolumab in Advanced Solid Cancers

2023-508954-25-00 Protocol CA043-001 Phase I and Phase II (Integrated) - First administration to humans Ended

Start 11 May 2022 · End 31 Aug 2024 · Status Ended · 3 EU/EEA countries · 16 sites · Protocol CA043-001

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - First administration to humans
Status Ended
Participants planned 311
Countries 3
Sites 16

Advanced solid tumors (squamous cell carcinoma of the head and neck (SCCHN), non-small cell lung cancer (NSCLC), cutaneous melanoma, triple-negative breast cancer (TNBC), renal cell carcinoma (RCC), urothelial carcinoma, gastric, esophageal, cervical, and colorectal cancer (CRC)).

For Part 1, 2A, 2B: To characterize the safety, tolerability, and Dose-Limiting Toxicities (DLTs) and to determine the Maximum Tolerated Dose (MTD)/ Recommended Phase 2 Dose (RP2D) of BMS-986288 administered as monotherapy and in combination with nivolumab in participants with select advanced solid tumors. For Part 2C:…

Key facts

Sponsor
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
11 May 2022 → 31 Aug 2024
Decision date (initial)
2024-01-16
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2023-508954-25-00
EudraCT number
2021-004284-27
WHO UTN
U1111-1247-3650

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacogenomic, Efficacy, Pharmacogenetic, Pharmacodynamic, Pharmacokinetic, Safety

For Part 1, 2A, 2B:
To characterize the safety, tolerability, and Dose-Limiting Toxicities
(DLTs) and to determine the Maximum Tolerated Dose (MTD)/
Recommended Phase 2 Dose (RP2D) of BMS-986288 administered as
monotherapy and in combination with nivolumab in participants with
select advanced solid tumors.
For Part 2C:
To compare the efficacy of BMS-986288 in combination with nivolumab
vs regorafenib in the 3L/4L MSS CRC setting.

Secondary objectives 4

  1. For Part 1, 2A, 2B: To characterize the Pharmacokinetic (PK) of BMS-986288 when administered alone and in combination with nivolumab
  2. For Part 1, 2A, 2B: To assess the preliminary efficacy of BMS-986288 alone and in combination with nivolumab in advanced solid tumors using RECIST v1.1
  3. For Part 2C: To compare the efficacy of BMS-986288 in combination with nivolumab vs regorafenib in the 3L/4L MSS CRC setting
  4. For Part 2C: To characterize the safety and tolerability of BMS-986288 in combination with nivolumab vs regorafenib in the 3L/4L MSS CRC setting

Conditions and MedDRA coding

Advanced solid tumors (squamous cell carcinoma of the head and neck (SCCHN), non-small cell lung cancer (NSCLC), cutaneous melanoma, triple-negative breast cancer (TNBC), renal cell carcinoma (RCC), urothelial carcinoma, gastric, esophageal, cervical, and colorectal cancer (CRC)).

VersionLevelCodeTermSystem organ class
21.1 LLT 10065252 Solid tumor 10029104

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Histologic or cytologic confirmation of select solid tumor that is advanced (metastatic, recurrent, and/or unresectable) with measurable disease and have at least 1 lesion accessible for biopsy
  2. Eastern Cooperative Oncology Group Performance Status of 0 or 1
  3. Participants must have received, and then progressed, relapsed, or been intolerant to, at least 1 standard treatment regimen in the advanced or metastatic setting according to select solid tumor histologies

Exclusion criteria 3

  1. Participants with active, known or suspected autoimmune disease
  2. Participants with other active malignancy requiring concurrent intervention
  3. Participants with primary CNS malignancies or tumors with CNS metastasis as the only site of disease, will be excluded

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. For Part 1, 2A, 2B: Incidence of Adverse Events (AEs), Serious Adverse Events (SAEs), AEs meeting protocol-defined Dose Limiting Toxicities (DLT) Criteria, AEs leading to discontinuation, death and laboratory abnormalities
  2. For Part 2C: Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 by BICR

Secondary endpoints 19

  1. For Part 1, 2A, 2B: Maximum Observed Concentration (Cmax) of BMS-986288
  2. For Part 1, 2A, 2B: Time of Maximum Observed Concentration (Tmax) of BMS-986288
  3. For Part 1, 2A, 2B: Area Under the Concentration-Time Curve From Time Zero to Time of Last Quantifiable Concentration AUC(0-T) of BMS-986288
  4. For Part 1, 2A, 2B: Area Under the Concentration-Time Curve in one Dosing Interval AUC(TAU) of BMS-986288
  5. For Part 1, 2A, 2B: Observed Concentration at the end of a Dosing Interval (Ctau) of BMS- 986288
  6. For Part 1, 2A, 2B: Trough Observed Concentrations (Ctrough) of BMS-986288
  7. For Part 1, 2A, 2B: Total Body Clearance (CLT) of BMS-986288
  8. For Part 1, 2A, 2B: Average Concentration Over a Dosing Interval at Steady State (Cavgss) of BMS-986288
  9. For Part 1, 2A, 2B: Accumulation Index (AI) of BMS-986288
  10. For Part 1, 2A, 2B: Terminal Half-Life (T-HALF) of BMS-986288
  11. For Part 1, 2A, 2B: Objective Response Rate (ORR) of Participants
  12. For Part 1, 2A, 2B: Duration of Response (DOR) of Participants
  13. For Part 1, 2A, 2B: Progression-Free Survival (PFS) of Participants
  14. For Part 1, 2A, 2B: Time to Response (TTR) of Participants
  15. For Part 2C: Objective Response Rate (ORR) by RECIST V1.1 by BICR
  16. For Part 2C: Duration of Response (DOR) by RECIST V1.1 by BICR
  17. For Part 2C: Progression-Free Survival (PFS) by RECIST V1.1 by BICR
  18. For Part 2C: Overall Survival (OS) by RECIST V1.1 by BICR
  19. For Part 2C: Incidence of Adverse Events (AEs), Serious Adverse Events (SAEs), AEs meeting protocol-defined Dose Limiting Toxicities (DLT) Criteria, AEs leading to discontinuation and death.

Investigational products

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

Test 2

OPDIVO 10 mg/mL concentrate for solution for infusion.

PRD2941375 · Product

Active substance
Nivolumab
Substance synonyms
BMS936558, ABP 206
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
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

anti-CTLA-4 NF Probody® mAb

PRD10942669 · Product

Active substance
BMS-986288
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS USE
Authorisation status
Not Authorised
MA holder
BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
Paediatric formulation
No
Orphan designation
No

Comparator 1

Stivarga 40 mg film-coated tablets

PRD1713388 · Product

Active substance
Regorafenib
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Authorisation status
Authorised
ATC code
L01XE21 — -
Marketing authorisation
EU/1/13/858/002
MA holder
BAYER AG
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Bristol Myers Squibb International Corporation

Sponsor organisation
Bristol Myers Squibb International Corporation
Address
Terhulpsesteenweg 185
City
Watermaal-Bosvoorde
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 2

OrganisationCity, countryDuties
Icon Laboratory Services Inc.
ORG-100037135
Farmingdale, United States Other, Laboratory analysis
Signant Health LLC
ORG-100040732
Blue Bell, United States Other

Locations

3 EU/EEA countries · 16 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ended 25 5
Italy Ended 21 5
Spain Ended 50 6
Rest of world
Argentina, Chile, Canada, United States
215

Investigational sites

France

5 sites · Ended
Institut Curie
Insititut du Thorax/Departement Oncologie medicale, 26 Rue D Ulm, 75005, Paris
Assistance Publique Hopitaux De Marseille
Hôpital Timone_Service Oncologie Medicale et Oncologie Digestive, 264 Rue Saint Pierre, 13005, Marseille
Hospices Civils De Lyon
Hôpital cardiologie Louis Pradel_Service de Pneumologie, 59 Boulevard Pinel, 69500, Bron
Centre Hospitalier Universitaire De Bordeaux
Hôpital Saint-André_Service d'oncologie médicale, 1 Rue Jean Burguet, 33000, Bordeaux
CHU Nantes
Unité d'Oncologie Thoracique, Boulevard professeur Jacques Monod, 44093, Nantes

Italy

5 sites · Ended
ASST Grande Ospedale Metropolitano Niguarda
Oncologia Falck, Piazza Dell'ospedale Maggiore 3, 20162, Milan
Istituto Oncologico Veneto
Oncologia Medica 1, Via Gattamelata 64, 35128, Padova
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
UOC Fase 1, Largo Francesco Vito 1, 00168, Rome
Azienda Ospedaliero Universitaria Delle Marche
Clinica Oncologica, Via Conca 71, 60126, Ancona
Fondazione IRCCS Istituto Nazionale Dei Tumori
Oncologia Medica 1, Via Giacomo Venezian 1, 20133, Milan

Spain

6 sites · Ended
Hospital Universitario 12 De Octubre
Oncology, Bloque D, Avenida De Cordoba Sn, Madrid
Hospital Universitario Puerta De Hierro De Majadahonda
Oncology, Calle De Manuel De Falla 1, 28222, Majadahonda
Hospital Universitario Y Politecnico La Fe
Oncology, Avenida De Fernando Abril Martorell 106, 46026, Valencia
Hospital Clinic De Barcelona
Oncology, Calle Villarroel 170, 08036, Barcelona
University Hospital Virgen Del Rocio S.L.
Oncology, Avenida De Manuel Siurot S/n, 41013, Sevilla
Vall D'hebron Institut De Recerca
Oncology, Passeig De La Vall D'hebron 119-129, 08035, Barcelona

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 2022-05-11 2024-05-14 2022-06-22 2024-03-01
Italy 2022-08-02 2024-08-20 2022-08-09 2024-03-01
Spain 2022-05-18 2022-06-16 2024-03-01

Results and documents

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

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
2023-508954-25-00_Final Summary of Results
SUM-95853
2025-08-29T15:03:49 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
2023-508954-25-00_Lay Persons Summary of Results 2025-08-29T15:16:09 Submitted Laypersons Summary of Results
2023-508954-25-00_Lay Persons Summary of Results_ES 2025-09-09T12:09:39 Submitted Laypersons Summary of Results
2023-508954-25-00_Lay Persons Summary of Results_FR 2025-11-21T20:19:44 Submitted Laypersons Summary of Results
2023-508954-25-00_Lay Persons Summary of Results_IT 2025-12-15T15:07:25 Submitted Laypersons Summary of Results

Documents 7 files

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

TypeTitleVersion
Laypersons summary of results (for publication) 2023-508954-25-00_Lay Persons Summary of Results N/A
Laypersons summary of results (for publication) 2023-508954-25-00_Lay Persons Summary of Results_ES NA
Laypersons summary of results (for publication) 2023-508954-25-00_Lay Persons Summary of Results_FR_22Aug2025 1
Laypersons summary of results (for publication) 2023-508954-25-00_Lay Persons Summary of Results_IT NA
Protocol (for publication) D1_Protocol 2023-508954-25-00_redacted 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Stivarga 1
Summary of results (for publication) 2023-508954-25-00_Final Summary of Results N/A

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-12-15 Spain Acceptable
2024-01-16
2024-01-16
2 NON SUBSTANTIAL MODIFICATION NSM-3 2024-05-13 Spain Acceptable
2024-01-16
2024-05-13
3 NON SUBSTANTIAL MODIFICATION NSM-4 2024-06-19 Spain Acceptable
2024-01-16
2024-06-19