Nivolumab Monotherapy vs Nivolumab combined therapy in Solid Tumors

  • Research type

    Research Study

  • Full title

    A Phase 1/2 Open-label study of Nivolumab Monotherapy or Nivolumab combined with Ipilimumab in Subjects with Advanced or Metastatic Solid Tumors.

  • IRAS ID

    139389

  • Contact name

    Jeff Evans

  • Contact email

    j.evans@beatson.gla.ac.uk

  • Sponsor organisation

    Bristol Myers Squibb International Corporation

  • Eudract number

    2013-002844-10

  • Clinicaltrials.gov Identifier

    NCT01928394

  • Research summary

    This is a multicentre, phase 1/2 study involving an investigational drug called Nivolumab given alone or in combination with Ipilimumab, in patients with either Triple Negative Breast Cancer (TNBC), Gastric Cancer, Pancreatic Adenocarcinoma or Small Cell Lung Cancer (SCLC). The purpose of this study is to determine if there is clinical activity with Nivolumab or Nivolumab combined with Ipilimumab in patients that have progressed after 1st line treatment or have refused 1st line treatment.
    For TNBC, Gastric and Pancreatic cancer there is no universally agreed upon standard of care. For SCLC of the patients with Limited Stage Disease 80% will have disease progression therefore survival rates are quite low.
    Nivolumab and Ipilimumab are designed to work by helping the body’s own immune system attack the cancer cells. Ipilimumab is already approved for use in advanced melanoma in Europe.
    Approximately 160 patients will take part globally with approximately 22 coming from the UK. The study is sponsored by Bristol Myers Squibb. Following a screening period, eligible patients will receive either nivolumab,
    or Nivolumab and Ipilimumab in combination. Patients and doctors will know what medication they have been assigned to. All medications are given intravenously (through your vein). Patients will undergo the following study procedures:
    tumour biopsy, CT/MRI scans, physical exams, vital signs such as blood pressure, height, weight, body temperature, oxygen levels and bloods for routine safety testing and study specific testing. Participants will also be required to complete a questionnaire at regular intervals throughout the study.
    Patients can remain in the study for as long as they are tolerating the treatment or until it has been confirmed that their cancer has worsened. At the conclusion of the study patients who continue to gain clinical benefit may be eligible to continue to receive study drug via an extension to the study.

  • REC name

    South Central - Oxford C Research Ethics Committee

  • REC reference

    13/SC/0541

  • Date of REC Opinion

    11 Nov 2013

  • REC opinion

    Further Information Favourable Opinion