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BMS-986205

Phase 3

Melanoma | Small molecule | Oncology |Bristol-Myers Squibb Company|Last Updated: Aug 28, 2023

Success Probability

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment20

FDA Designations

No designations recorded

Clinical trial landscape

BMS-986205 · 8 trials · 8 indications

Phase 3 1Phase 1 7
NCT03329846An Investigational Immuno-therapy Study of BMS-986205 Combined With Nivolumab, Compared to Nivolumab by Itself, in Patients With Advanced MelanomaMelanoma
COMPLETED20 Analytics
PHASE3COMPLETED
An Investigational Immuno-therapy Study of BMS-986205 Combined With Nivolumab, Compared to Nivolumab by Itself, in Patients With Advanced Melanoma
MelanomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants Experiencing Adverse Events
From first dose to 30 days following last dose (up to approximately 25 months)

Number of participants experiencing different types of Adverse Events, including Death, Any cause Adverse Events (AEs), Drug-related AEs, Any cause Serious Adverse Events (SAEs), Drug-related SAEs, SAEs leading to discontinuation, and Drug-related Non-serious AEs leading to discontinuation

Maximum Observed Plasma Concentration (Cmax) of BMS-986205
Up to Day 29
Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration [AUC(0-T)] of BMS-986205
Up to Day 29
Area Under the Plasma Concentration-time Curve from Time Zero Extrapolated to Infinite Time [AUC(INF)]
Up to Day 29
The Number of Participants Experiencing Adverse Events (AE)
From first dose to 100 days after last dose of study therapy (up to approximately 2 years)

The number of participants experiencing adverse events (AEs) to assess the safety and tolerability of BMS-986205. An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment.

The Number of Participants Experiencing Serious Adverse Events (SAE)
From first dose to 100 days after last dose of study therapy (up to approximately 2 years)

The number of participants experiencing serious adverse events (SAEs) to assess the safety and tolerability of BMS-986205 Serious Adverse Event (SAE) is defined as any untoward medical occurrence that, at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is an important medical event.

The Number of Participants Experience Adverse Events (AE) Leading to Discontinuation
From first dose to 100 days after last dose of study therapy (up to approximately 2 years)

The number of participants experiencing adverse events (AEs) leading to discontinuation to assess the safety and tolerability of BMS-986205 An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment.

Number of Participant Deaths
From first dose to 100 days after last dose of study therapy (up to approximately 2 years)

The number of participants who died in each arm during the study to assess the safety and tolerability of BMS-986205.

The Number of Participants Experiencing Laboratory Abnormalities in Specific Liver Tests
From first dose to 100 days after last dose of study therapy (up to approximately 2 years)

The number of participants with clinical laboratory test abnormalities in specific liver tests based on US conventional units to assess the safety and tolerability of BMS-986205. The number of participants with the following laboratory abnormalities will be summarized: ALT or AST \> 3 x ULN, \> 5 x ULN, \> 10 x ULN and \> 20 x ULN Total bilirubin \> 1.5 x ULN and 2 x ULN Concurrent (within 1 day) ALT or AST \> 3 x ULN with total bilirubin \> 2 x ULN Concurrent (within 30 days) ALT or AST \> 3 x ULN with total bilirubin \> 2 x ULN

The Number of Participants Experiencing Laboratory Abnormalities in Specific Thyroid Tests
From first dose to 100 days after last dose of study therapy (up to approximately 2 years)

The number of participants with clinical laboratory test abnormalities based on US conventional units to assess the safety and tolerability of BMS-986205. The number of subjects with the following laboratory abnormalities will be summarized: TSH \> ULN WITH TSH \<= ULN AT BASELINE WITH AT LEAST ONE FT3/FT4 TEST VALUE \< LLN (Within a 2-week window after the abnormal TSH test date) WITH ALL OTHER FT3/FT4 TEST VALUES \>= LLN (Within a 2-week window after the abnormal TSH test date) WITH FT3/FT4 TEST MISSING (Within a 2-week window after the abnormal TSH test date) TSH \< LLN WITH TSH \>= LLN AT BASELINE WITH AT LEAST ONE FT3/FT4 TEST VALUE \> ULN (Within a 2-week window after the abnormal TSH test date) WITH ALL OTHER FT3/FT4 TEST VALUES \<= ULN (Within a 2-week window after the abnormal TSH test date) WITH FT3/FT4 TEST MISSING (Within a 2-week window after the abnormal TSH test date)

(Cmax) Maximum Observed Plasma Concentration
pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 days 1, 14, Cycle 1 day 1

The maximum observes plasma concentration was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab.

(Tmax) Time of Maximum Observed Plasma Concentration
pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 days 1, 14, Cycle 1 day 1

The time of maximum observed plasma concentration was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab.

(AUC(TAU)) Area Under the Concentration-time Curve in One Dosing Interval
pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 days 1, 14, Cycle 1 day 1

The area under the concentration-time curve in one dosing interval was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab.

(CLT/F) Apparent Total Body Clearance
pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 day 14, Cycle 1 day 1

The apparent total body clearance was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab.

(T-HALF (Eff, AUC)) Effective Elimination Half-life
pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 day 14

The effective elimination half-life was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab. T-HALF (eff, AUC) explains the degree of AUC accumulation observed.

(AI_CMAX) Accumulation Index
pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 day 14

The accumulation index was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab. AI is calculated based on ratio of Cmax at steady state to after the first dose.

(AI_AUC ) Accumulation Index
pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 day 14

The accumulation index was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab. AI is calculated based on ratio of AUC(TAU) at steady state to after the first dose.

(Ctrough) Trough Observed Plasma Concentration
pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 day 2, 8, 14, Cycle 1 day 1, 2, Cycle 3, 5, 9, 13, and 17 day 1

The trough observed plasma concentration was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab.

(percentUR24) Percent Urinary Recovery Over 24 Hours
pre-dose, 1, 2, 3, 4, 6, 8 hours post dose on Cycle 0 Day 1 and 2

The percent urinary recovery over 24 hours was collected to characterize the pharmacokinetics of BMS-986205 administered alone and in combination with nivolumab. BMS-986205 had minimal evaluable concentration in urine to derive the parameter.

Absolute oral bioavailability (F)
Up to 15 days

Measured by plasma concentration

Maximum observed plasma concentration (Cmax)
Up to 25 days

Measured by plasma concentration

AUC from time zero to time of last quantifiable concentration (AUC(0-T))
Up to 25 days

Measured by plasma concentration

AUC from time zero extrapolated to infinite time (AUC(INF))
Up to 25 days

Measured by plasma concentration

Area Under the Concentration-Time Curve from Time Zero to Time of Last Quantifiable Concentration (AUC[0-T])
up to 28 days

Measured by plasma concentrations

Percent of Total Radioactivity Recovered in All Excreta (% total)
up to 28 days

Measured by plasma urine, feces, and vomit (if applicable) volumes and radioactivity counts

Half-Life (T-HALF)
up to 28 days

Measured by plasma concentrations

Total Body Clearance (CLT)
up to 28 days

Measured by plasma concentrations

Volume of Distribution during Terminal Elimination Phase (Vz/F)
up to 28 days

Measured by plasma concentrations

Time to Maximum Observed Concentration (Tmax)
up to 28 days

Measured by plasma concentrations

Incidence of Adverse Events (AEs)
15 months

Safety and Tolerability

Incidence of Serious Adverse Events (SAEs)
15 months

Safety and Tolerability

Incidence of Death
15 months

Safety and Tolerability

Incidence of Laboratory Abnormalities
15 months

Safety and Tolerability

AEs leading to discontinuation
Up to one year

Safety and Tolerability

Number of Participants With AEs, SAEs, AEs Leading to Discontinuation and Deaths
From first dose to 100 days after last dose (up to 15 months)

Number of participants with adverse events (AEs), serious adverse events (SAEs), adverse events leading to discontinuation and deaths.

Number of Treated Participant With Laboratory Abnormalities - Thyroid
From first dose to 100 days after last dose (up to 15 months)

The number of treated participants who experienced a laboratory abnormality of the thyroid during the course of the study. Free T3 (FT3) Free T4 (FT4) Thyroid stimulating hormone (TSH) Lower Limit of Normal (LLN) Upper limit of normal (ULN) Results reported in International System of Units (SI)

Number of Treated Participant With Laboratory Abnormalities - Liver
From first dose to 100 days after last dose (up to 15 months)

The number of treated participants who experienced a laboratory abnormality of the liver during the course of the study. Aspartate aminotransferase (AST) Alanine aminotransferase (ALT) Upper Limit of Normal (ULN) Results reported in International System of Units (SI)

Number of Participants With a Best Overall Response (BOR) - Parts 2 and 3
From first dose to the last tumor assessment prior to subsequent therapy (up to a maximum of 185 weeks)

Best overall response (BOR) is defined as the best response designation over the study as a whole. Complete response (CR) or partial response (PR) determinations included in the BOR assessment must be confirmed by a second scan performed no less than 4 weeks after the criteria for response are first met. For those participants who have surgical resection, only pre-surgical tumor assessments will be considered in the determination of BOR. Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions. Progressive Disease. (PD): At least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. Appearance of 1 or more new lesions is also considered progression. Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD.

Percentage of Participants With an Objective Response Rate (ORR)- Parts 2 and 3
From first dose to the last tumor assessment prior to subsequent therapy (up to a maximum of 185 weeks)

Objective response rate (ORR) is defined as the percentage of all treated participants whose BOR is either a complete response (CR) or partial response (PR). Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions.

Median Duration of Response (DoR) - Parts 2 and 3
From first dose to the date of disease progression, death, or until participants withdraw from the study, whichever occurs first (up to a maximum of 185 weeks)

Duration of response (DoR) was computed for all treated subjects with a best overall response (BOR) of complete response (CR) or partial response (PR) and is defined as the time between the date of first response and the date of disease progression or death, whichever occurs first. Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions.

Progression Free Survival Rate (PFSR) at 24 Weeks - Parts 2 and 3
At 24 weeks after first dose

Progression free survival rate (PFSR) is defined as the percentage of participants who remain progression free and surviving at 24 weeks. Reported values are estimates derived from Kaplan-Meier analyses.

Progression Free Survival Rate (PFSR) at 1 Year - Parts 2 and 3
At 1 year

Progression free survival rate (PFSR) is defined as the percentage of participants who remain progression free and surviving at 1 year. Reported values are estimates derived from Kaplan-Meier analyses.

Progression Free Survival Rate (PFSR) at 2 Years - Parts 2 and 3
At 2 years

Progression free survival rate (PFSR) is defined as the percentage of participants who remain progression free and surviving at 2 years. Reported values are estimates derived from Kaplan-Meier analyses.

Secondary Endpoints

Number of Participants with Adverse Events (AEs), Serious Adverse Events (SAEs) and AEs Leading to Discontinuation
Up to Day 36
Number of Participants with Vital Sign Abnormalities
Up to Day 29
Number of Participants with 12-lead Electrocardiogram (ECG) Abnormalities
Up to Day 29
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Nivolumab + PlaceboACTIVE_COMPARATORSpecified dose on specified day Participants will no longer receive BMS-986205 Placebo
Nivolumab + BMS-986205EXPERIMENTALSpecified dose on specified day. Participants have the option to discontinue BMS-986205, and continue nivolumab monotherapy, at investigator discretion
BMS-986205 + OmeprazoleEXPERIMENTAL -
Experimental Arm AEXPERIMENTAL2 week BMS-986205 monotherapy lead in followed by BMS-986205 + Nivo combination therapy
BMS-986205EXPERIMENTALSingle oral dose of BMS-986205 tablet on the morning of Day 1 followed by a 15-minute infusion of \[13C\]BMS-986205 solution for intravenous administration starting 01:45 hours after the oral dose administration
Inhibition (Cohort 1)EXPERIMENTALSingle oral dose BMS-986205
Inhibition (Cohort 2)EXPERIMENTALDaily oral itraconazole doses for 24 days; single oral dose BMS-986205 on day 4
Induction (Cohort 3)EXPERIMENTALSingle oral dose BMS-986205
Induction (Cohort 4)EXPERIMENTALDaily oral rifampin doses for21 days; single oral dose BMS-986205 on day 8
Single Oral Dose of BMS-986205EXPERIMENTAL -
Dose EscalationEXPERIMENTALmonotherapy and combination therapy
Combination Therapy (Dose Escalation)EXPERIMENTALBMS 986205 + Nivolumab specified dose at specified intervals.
Combination Therapy (Dose Expansion)EXPERIMENTALBMS 986205 + Nivolumab specified dose at specified intervals.
Combination Therapy 2 (Dose Expansion)EXPERIMENTALBMS 986205 + both Nivolumab and ipilimumab specified dose at specified intervals

Interventions

NameTypeDescription
BMS-986205DRUGspecified dose on specified day
NivolumabBIOLOGICALSpecified dose on specified day
PlaceboDRUGSpecified dose on specified day
omeprazoleDRUGParticipants will receive omeprazole on Days 10 to 15
ItraconazoleDRUGOral solution
RifampinDRUGTablet
IpilimumabDRUG -
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Eligibility Criteria

Age Range12 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites63

For more information regarding Bristol-Myers Squibb Clinical Trial participation, please visit www.BMSStudyConnect.com Inclusion Criteria: * 12 years and older unless not permitted by local regulations; in that case 18 years old and older * Eastern Cooperative Oncology Group (ECOG) performance sta...

Countries:United StatesAustraliaCanadaCzechiaFranceGermanyGreeceIrelandItalyJapanNetherlandsNew ZealandPolandSpainSwitzerlandUnited KingdomChinaFinlandNorwaySweden
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Frequently asked questions about BMS-986205

What is BMS-986205 used for?

BMS-986205 is an investigational small molecule being studied for use in oncology, including advanced cancer, melanoma, and non-small cell lung cancer. It has also been evaluated in healthy participants for bioavailability studies. The drug is in Phase 1 clinical development and is not yet approved by the FDA.

Who makes BMS-986205?

BMS-986205 is being developed by Bristol-Myers Squibb Company, which trades under the ticker BMY. The company is conducting clinical trials of this investigational oncology drug in combination with other immunotherapies such as nivolumab and ipilimumab.

What phase is BMS-986205 in?

BMS-986205 is in Phase 1 clinical development. All three completed trials for this drug were Phase 1 studies, including combination trials with nivolumab and ipilimumab in advanced cancers, a Japanese study in advanced tumors, and a bioavailability study in healthy participants.

What clinical trials is BMS-986205 in?

BMS-986205 has been studied in three completed Phase 1 trials: NCT02658890 in advanced cancer and melanoma, NCT03192943 in advanced tumors in Japan, and NCT03374228 in healthy participants. A fourth trial, NCT03792750, studied the drug in Chinese patients with advanced malignant solid tumors.

Is BMS-986205 the same as other drugs?

BMS-986205 is an investigational drug being studied in combination with nivolumab and ipilimumab, which are approved immunotherapies. However, BMS-986205 itself is a distinct small molecule and is not known to be the same as any other approved drug.

How does BMS-986205 work?

BMS-986205 is a small molecule being developed for oncology. While its specific molecular target is not disclosed in the available information, it is being studied in combination with checkpoint inhibitors like nivolumab and ipilimumab to treat advanced cancers.