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Nivolumab/Ipilimumab

Phase 3

Carcinoma, Renal Cell | Monoclonal antibody | Oncology |Bristol-Myers Squibb Company|Last Updated: Dec 18, 2024

Target and mechanism

Molecular targetPDCD1
Target classInhibitor
ModalityMonoclonal antibody

Also known as Nivolumab, Nivolumab Injection [Opdivo], Opdivo, nivolumab, Neoadjuvant nivolumab, Nivolumab and rHuPH20, nivolumab 480mg, Nivolumab 480mg and relatlimab 160mg

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment2,110

FDA Designations

BREAKTHROUGH_THERAPYPRIORITY_REVIEW

Clinical trial landscape

Nivolumab/Ipilimumab · 3 trials · 7 indications

Phase 3 1Phase 2 2
NCT03138512A Study Comparing Nivolumab, Nivolumab in Combination With Ipilimumab and Placebo in Participants With Localized Kidney Cancer Who Underwent Surgery to Remove Part of a KidneyCarcinoma, Renal Cell
COMPLETED1,641 Analytics
PHASE3COMPLETED
A Study Comparing Nivolumab, Nivolumab in Combination With Ipilimumab and Placebo in Participants With Localized Kidney Cancer Who Underwent Surgery to Remove Part of a Kidney
Carcinoma, Renal CellUnlock trial analytics

Study Endpoints

Primary Endpoints

Disease-Free Survival (DFS) by BICR - Treatment Part A and B
From randomization to development of local disease recurrence, distance metastasis, or death, whichever came first (up to approximately 72 months)

Disease-Free Survival (DFS) is defined as the time from randomization to development of local disease recurrence (ie, recurrence of primary tumor in situ or occurrence of a secondary renal cell carcinoma (RCC) primary cancer), distance metastasis, or death, whichever came first per Blinded Independent Central Review (BICR) based on Kaplan-Meier estimates.

Objective Response Rate (ORR)
until 30 weeks after last patient first treatment, LPFT

(RECIST 1.1) by CT or MRI measured at week 8 (+/- 1 week) and week 16 (+/- 1 week), 28 (+/- 1 week) and then every 12 weeks (+/- 1 week). The primary objective will be measured by the primary endpoint of ORR (based on investigator assessments) among all treated subjects, first line subjects and second line subjects. It is defined as the number of subjects with a best overall response of CR or PR divided by the number of all treated subjects, first line subjects or second line subjects. Best overall response is defined as the best response designation, as determined by investigator, recorded between the date of first dose and the date of objectively documented immunotherapy resistance per RECIST v1.1 or the date of subsequent therapy, whichever occurs first. For subjects without documented immunotherapy refractory disease or subsequent therapy, all available response designations will contribute to the ORR determination.

Objective response rate
measured at the first scheduled disease assessment following study treatment initiation (Day 84, ± 7 days)

ORR will be assessed per cohort by an IRC according to RECIST v1.1.

Secondary Endpoints

Overall Survival (OS) - Treatment Part A and B
From randomization to the date of death (up to approximately 72 months)
Overall Survival (OS) Rate (5 Years) - Treatment Part A and B
At 5 years
Disease-Free Survival (DFS) Per BICR in Contemporaneously Randomized Combination and Monotherapy Participants - Treatment Part B
From randomization to development of local disease recurrence, distance metastasis, or death, whichever came first (up to approximately 72 months)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part A, Arm A: nivolumab + ipilimumabEXPERIMENTAL -
Part A, Arm B: nivolumab placebo + ipilimumab placeboPLACEBO_COMPARATOR -
Part B, Arm A: nivolumab + ipilimumabEXPERIMENTAL -
Part B, Arm B: nivolumab placebo + ipilimumab placeboPLACEBO_COMPARATOR -
Part B, Arm C: nivolumab + ipilimumab placeboEXPERIMENTAL -
Nivolumab/IpilimumabEXPERIMENTAL* Induction: Mono-Therapy with Nivolumab * If CR/PR: Nivolumab Maintenance Mono-Therapy * If SD/PD: Nivolumab/Ipilimumab "Boost 1+2"-Combination Therapy * If CR/PR: Nivolumab Maintenance Mono-Therapy * If SD/PD: Nivolumab/Ipilimumab "Boost 3+4"-Combination Therapy * If CR/PR/SD: Nivolumab Maintenance Mono-Therapy
NivolumabEXPERIMENTALNivolumab 240 mg IV over 60 minutes every 14 days.

Interventions

NameTypeDescription
nivolumabBIOLOGICALSpecified dose on specified days
ipilimumabBIOLOGICALSpecified dose on specified days
nivolumab placeboDRUGSpecified dose on specified days
ipilimumab placeboDRUGSpecified dose on specified days
Nivolumab/IpilimumabBIOLOGICAL* Induction: Mono-Therapy with Nivolumab (240 mg i.V. / Q2W x 8) * If CR/PR: Nivolumab Maintenance Mono-Therapy (240 mg i.V. / Q2W) * If SD/PD: Nivolumab/Ipilimumab "Boost 1+2"-Combination Therapy (Nivo 3 mg/kg i.V. and Ipi 1 mg/kg i.V. / Q3W x 2) * If CR/PR: Nivolumab Maintenance Mono-Therapy (240 mg i.V. / Q2W) * If SD/PD: Nivolumab/Ipilimumab "Boost 3+4"-Combination Therapy (Nivo 3 mg/kg i.V. and Ipi 1 mg/kg i.V. / Q3W x 2) * If CR/PR/SD: Nivolumab Maintenance Mono-Therapy (240 mg i.V. / Q2W)
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites200

Inclusion Criteria: * Kidney tumor has been completely resected with negative surgical margins obtained. The randomization must occur greater than 4 weeks and less than (or equal to) 12 weeks from the date of nephrectomy * Pathologic tumor, node, and metastasis (TNM) staging meeting one of the foll...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilCanadaChileChinaColombiaCzechiaFranceGermanyItalyJapanMexicoNetherlandsPolandRomaniaRussiaSingaporeSpainSwitzerlandTurkey (Türkiye)United Kingdom
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Frequently asked questions about Nivolumab/Ipilimumab

What is BMS-936558 used for?

BMS-936558, also known as nivolumab and marketed as Opdivo, is an investigational oncology drug being studied for advanced or metastatic melanoma, non-squamous cell non-small cell lung cancer, localized oesogastric adenocarcinoma, follicular lymphoma, cancer, and gastric cancer. It is developed by Bristol-Myers Squibb Company (BMY) and is currently in Phase 1 clinical development.

What does BMS-936558 target?

BMS-936558 is a monoclonal antibody (target class -mab) that targets the programmed cell death protein 1 (PD-1) receptor. By binding to PD-1, it is designed to enhance the immune system's ability to fight cancer cells. This mechanism is being evaluated across multiple oncology indications.

Who makes BMS-936558?

BMS-936558 is developed by Bristol-Myers Squibb Company, a biopharmaceutical company traded on the New York Stock Exchange under the ticker BMY. The drug is also known as nivolumab and is marketed under the brand name Opdivo.

What phase is BMS-936558 in?

BMS-936558 is currently in Phase 1 clinical development. It has received FDA breakthrough therapy designation and priority review status. The drug is investigational and not yet approved, with ongoing clinical trials evaluating its safety and efficacy in various cancer types.

What clinical trials is BMS-936558 in?

BMS-936558 has been studied in multiple clinical trials, including NCT02741570, a Phase 3 trial in head and neck cancer, and NCT02823574, a Phase 2 trial in the same condition. Other trials include NCT03355560 and NCT03894891, both Phase 2 studies in head and neck cancer. Across 14 trials, total enrollment is 6,828 patients.

Is BMS-936558 the same as Opdivo?

Yes, BMS-936558 is the same as Opdivo. The drug is also known as nivolumab, nivolumab injection, and nivolumab 10 mg/ml. It is being developed by Bristol-Myers Squibb and is currently in Phase 1 trials for multiple oncology indications.