Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
BMS-813160 · 3 trials · 4 indications
-The descriptions and grading scales found in the revised NCI Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 will be utilized for all toxicity reporting.
* Objective response rate (ORR) is defined as number of participants with complete response or partial response. * Complete Response (CR): Disappearance of all target and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. Normalization of tumor marker level. * Partial Response (PR): At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters.
An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. Adverse events are graded on a scale from 1 to 5, with Grade 1 being mild and asymptomatic; Grade 2 is moderate requiring minimal, local or noninvasive intervention; Grade 3 is severe or medically significant but not immediately life-threatening; Grade 4 events are usually severe enough to require hospitalization; Grade 5 events are fatal.
A Serious Adverse Event (SAE) is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening (defined as an event in which the participant was at risk of death at the time of the event; it does not refer to an event which hypothetically might have caused death if it were more severe), requires inpatient hospitalization or causes prolongation of existing hospitalization.
Dose-limiting toxicities (DLTs) are severe adverse effects (AEs) that are attributed to BMS-813160 or the combination regimen and define the maximum tolerated dose of a medicine. DLTs will be defined based on the incidence, duration and grade of AEs for which no alternate cause can be identified. AEs will be evaluated according to the NCI CTCAE v4.03. The incidence of DLT(s) during the first 6 weeks of treatment in Part 1 (the DLT evaluation period) and 4 weeks for Part 2 will be used.
An Adverse Event (AE) leading to discontinuation is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment that leads to the discontinuation of study treatment. Adverse events are graded on a scale from 1 to 5, with Grade 1 being mild and asymptomatic; Grade 2 is moderate requiring minimal, local or noninvasive intervention; Grade 3 is severe or medically significant but not immediately life-threatening; Grade 4 events are usually severe enough to require hospitalization; Grade 5 events are fatal.
The number of participants who died within 100 days after receiving their last dose
The number of participants experiencing laboratory abnormalities in pre-specified selected parameters during the treatment period per CTCAE (Version 4). Laboratory abnormalities are graded on a scale from 1 to 5, with Grade 1 being mild and asymptomatic; Grade 2 is moderate requiring minimal, local or noninvasive intervention; Grade 3 is severe or medically significant but not immediately life-threatening; Grade 4 events are usually severe enough to require hospitalization; Grade 5 events are fatal.
Vital sign measurements at baseline and at the end of treatment. Baseline evaluations will be defined as evaluations with a date on or prior to the day of first dose of study treatment.
The number of participants with ECG measurements outside of the range pre-specified in the protocol.
The percent change in Regulatory T Cells (Treg) were taken at prespecified timepoints. Baseline is defined as the last non-missing value prior to the first dosing.
The percent change in Tumor-Associated Macrophages (TAMs) were taken at prespecified timepoints. Baseline is defined as the last non-missing value prior to the first dosing.
Objective Response Rate (ORR) as determined by Investigator was defined as the number of participants with a best overall response of confirmed Complete Response (CR) or Partial Response (PR) (per RECIST 1.1 criteria) divided by the number of all treated participants. Progression is defined as at least 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. RECIST 1.1 = Response Evaluation Criteria in Solid Tumors. Complete response (CR)= 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)= At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Duration of Response (DOR), computed for all treated participants with a best overall response (BOR) of complete response (CR) or partial response (PR), is defined as the time between the date of first response (CR or PR) and the date of first documented disease progression as determined by RECIST 1.1 or death due to any cause, whichever occurs first, ie., DOR = disease progression date/death date -first response date + 1. For participants who remain alive and have not progressed, DOR will be censored on the date of their last tumor assessment. CR= Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR= At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
PFS rate is defined as the proportion of participants who were progression free at Week 24. PFS is defined as the time from first dose to the date of first objectively documented disease progression or death due to any cause, whichever occurs first. Progression is defined at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. Complete response (CR)= Disappearance of all target lesions. Pathological lymph nodes must have short axis reduction to \< 10 mm. Partial response (PR)= At least 30% decrease in sum of diameters of target lesions. Participants who died w/o prior progression were considered progressed on death date. Those alive and not progressed were censored on the last tumor assessment date. Those who started subsequent therapy without reported progression were censored at last tumor assessment prior to subsequent therapy. Those without post-baseline tumor assessment and alive were censored at first dose.
| Arm | Type | Description |
|---|---|---|
| Part A - Experimental Dose Level 0 | EXPERIMENTAL | * BMS-813160 300 mg twice per day * Nivolumab 30-minute intravenous (IV) infusion at a flat dose of 480 mg on Day 1 of each 28-day cycle * Gemcitabine 30-minute IV infusion 1000 mg/m\^2 on Days 1, 8, and 15 of each 28-day cycle * Nab-paclitaxel 30-40-minute IV infusion 125 mg/m\^2 on Days 1, 8, and 15 of each 28-day cycle * Post-treatment biopsy at the end of cycle 2 * Patients who achieve stable disease, a partial response, or complete response after the first 2 cycles of treatment will continue to receive 2 more cycles of treatment followed by a restaging scan. Patients thought to have pseudo-progression will continue to receive treatment for 2 more cyclesore cycles |
| Part A - Control (chemotherapy only) | ACTIVE_COMPARATOR | * Gemcitabine 30-minute IV infusion 1000 mg/m\^2 on Days 1, 8, and 15 of each 28-day cycle Nab-paclitaxel 30-40-minute IV infusion 125 mg/m\^2 on Days 1, 8, and 15 of each 28-day cycle * Post treatment biopsy at the end of cycle 2 * Patients who achieve stable disease, a partial response, or complete response after the first 2 cycles of treatment will continue to receive 2 more cycles of treatment followed by a restaging scan. Patients thought to have pseudo-progression will continue to receive treatment for 2 more cycles |
| Part B - Dose expansion | EXPERIMENTAL | * BMS-813160 300 mg twice per day * Nivolumab 30-minute IV infusion at a flat dose of 480 mg on Day 1 of each 28-day cycle * Gemcitabine 30-minute IV infusion 1000 mg/m\^2 on Days 1, 8, and 15 of each 28-day cycle * Nab-paclitaxel 30-40-minute IV infusion 125 mg/m\^2 on Days 1, 8, and 15 of each 28-day cycle * Post-treatment biopsy at the end of cycle 2 * Patients who achieve stable disease, a partial response, or complete response after the first 2 cycles of treatment will continue to receive 2 more cycles of treatment followed by a restaging scan. Patients thought to have pseudo-progression will continue to receive treatment for 2 more cycles |
| Part 1 Arm A [First-line (1L) Colorectal]: BMS-813160 followed by BMS-813160 + FOLFIRI | EXPERIMENTAL | FOLFIRI: FOL (folinic acid \[leucovorin\]) F (fluorouracil \[5-fluorouracil\]) IRI (irinotecan \[CAMPTOSAR\]) |
| Part 1 Arm B [1L Pancreatic]: BMS-813160 followed by BMS-813160 + Gemcitabine/Nab-paclitaxel | EXPERIMENTAL | - |
| Part 1 Arm C [2L Pancreatic & 2/3L Colorectal MSS]: BMS-813160 followed by BMS-813160 + Nivolumab | EXPERIMENTAL | 2L: Second-line 2/3L: Second/third-line MSS: Microsatellite stable |
| Part 2 Arm A Cohort 1a [2L Colorectal]: BMS-813160 + FOLFIRI | EXPERIMENTAL | - |
| Part 2 Arm A Cohort 1b [2L Colorectal]: BMS-813160 + FOLFIRI | EXPERIMENTAL | - |
| Part 2 Arm A Cohort 1c [2L Colorectal]: FOLFIRI | EXPERIMENTAL | - |
| Part 2 Arm B Cohort 3a [1L Pancreatic]: BMS-813160 + Gemcitabine/Nab-paclitaxel | EXPERIMENTAL | - |
| Part 2 Arm B Cohort 3b [1L Pancreatic]: BMS-813160 + Nivolumab + Gemcitabine/Nab-paclitaxel | EXPERIMENTAL | - |
| Part 2 Arm B Cohort 3c [1L Pancreatic]: Gemcitabine/Nab-paclitaxel | EXPERIMENTAL | - |
| Part 2 Arm C Cohort 4 [2L Pancreatic]: BMS-813160 + Nivolumab | EXPERIMENTAL | - |
| Part 2 Arm C Cohort 5 [2/3L Colorectal MSS]: BMS-813160 + Nivolumab | EXPERIMENTAL | - |
| Part 2 Arm D Cohort 7 [2L Pancreatic]: BMS-813160 Monotherapy | EXPERIMENTAL | - |
| Part 2 Arm D Cohort 8 [2/3L Colorectal MSS]: BMS-813160 Monotherapy | EXPERIMENTAL | - |
| Arm 1 (BMS-813160 or placebo) | ACTIVE_COMPARATOR | - |
| Arm 2 (BMS-813160 or placebo) | ACTIVE_COMPARATOR | - |
| Arm 3 (BMS-813160 or placebo) | ACTIVE_COMPARATOR | - |
| Arm 4 (BMS-813160 or placebo) | ACTIVE_COMPARATOR | - |
| Arm 5 (BMS-813160 or placebo) | ACTIVE_COMPARATOR | - |
| Arm 6 (BMS-813160 or placebo) | ACTIVE_COMPARATOR | - |
| Arm 7 [14C] BMS-813160 | ACTIVE_COMPARATOR | - |
| Arm 8 (BMS-813160 or placebo) | ACTIVE_COMPARATOR | - |
| Arm 9 (BMS-813160 or placebo) | ACTIVE_COMPARATOR | - |
| Name | Type | Description |
|---|---|---|
| BMS-813160 | DRUG | BMS-813160 will be supplied by Bristol Myers Squibb |
| Nivolumab | DRUG | Nivolumab will be supplied by Bristol Myers Squibb |
| Gemcitabine | DRUG | Gemcitabine will be given as per routine care from commercial supply. |
| Nab-paclitaxel | DRUG | Nab-paclitaxel will be given as per routine care from commercial supply. |
| Biopsy | PROCEDURE | Pre-treatment, end of cycle 2, end of treatment for patients who progress or otherwise do not go to surgery, and surgery for patients who do go to surgery |
| Peripheral blood | PROCEDURE | -Cycle 1 Day 1 before treatment begins, after 2 cycles of treatment +/- 3 days of mandatory tumor biopsy, end of treatment for patients who progress or otherwise do not go to surgery, and no more than 24 hours prior to time of surgery (if applicable) |
| 5-fluorouracil (5-FU) | DRUG | Specified dose on specified days |
| Leucovorin | DRUG | Specified dose on specified days |
| Irinotecan | DRUG | Specified dose on specified days |
| [14C] BMS-813160 | DRUG | Oral Solution, Oral, 150 mg, Single Dose, 1 day |
| Placebo | DRUG | Oral Solution, Oral, 0 mg, Single Dose, 1 day |
Inclusion Criteria: * Histologically or cytologically confirmed locally advanced or borderline resectable pancreatic ductal adenocarcinoma. Patients with clinical suspicion of pancreatic adenocarcinoma can be enrolled for pre-treatment biopsy, and must be histologically confirmed to have adenocarci...
BMS-813160 is an investigational small molecule being studied for colorectal cancer, accelerated intimal hyperplasia, and pancreatic ductal adenocarcinoma. It has been evaluated in Phase 1 clinical trials, including in combination with chemotherapy or nivolumab for advanced solid tumors.
BMS-813160 is being developed by Bristol-Myers Squibb Company, traded on the New York Stock Exchange under the ticker BMY. The company has sponsored Phase 1 clinical trials of the drug across multiple indications.
BMS-813160 is in Phase 1 clinical development. All three trials listed for the drug are Phase 1 studies and have been completed. The drug remains investigational and has not been approved by regulatory authorities.
BMS-813160 has been studied in three completed Phase 1 trials: NCT01049165, a single ascending dose study in accelerated intimal hyperplasia; NCT03184870, a combination study with chemotherapy or nivolumab in advanced solid tumors; and NCT03496662, a study with nivolumab and gemcitabine and nab-paclitaxel in pancreatic ductal adenocarcinoma.
BMS-813160 is the primary name used for this investigational small molecule. No alternative names have been reported for the drug in the available clinical trial information.