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Nivolumab/Ipilimumab

Phase 3

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

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment2,110
FDA Designations
BREAKTHROUGH_THERAPYPRIORITY_REVIEW
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
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 KidneyPHASE3 COMPLETED 1,641Jul 7, 2017Feb 1, 2024Dec 18, 2024200 United States, Argentina +23
NCT02917772Tailored ImmunoTherapy Approach With Nivolumab in Subjects With Metastatic or Advanced Renal Cell CarcinomaPHASE2 COMPLETED 200Oct 1, 2016Oct 1, 2022Oct 6, 202235 Austria, Belgium +6
NCT03012581Secured Access to Nivolumab for Adult Patients With Selected Rare Cancer TypesPHASE2 COMPLETED 269Jun 16, 2017Nov 11, 2023Feb 28, 20241 France
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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 — 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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