Nivolumab and Epacadostat With Platinum Doublet Chemotherapy Versus Platinum Doublet Chemotherapy in Non-Small Cell Lung Cancer
Primary Purpose
Lung Cancer
Status
Terminated
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Nivolumab
Epacadostat
Placebo
Carboplatin
Cisplatin
Gemcitabine
Paclitaxel
Pemetrexed
Sponsored by

About this trial
This is an interventional treatment trial for Lung Cancer focused on measuring Non-small cell lung cancer, programmed cell death protein 1 (PD-1) antibody, indoleamine 2,3-dioxygenase (IDO) inhibitor
Eligibility Criteria
Inclusion Criteria:
- Histologically confirmed stage IV or recurrent NSCLC of squamous or non-squamous histology that is not amenable to therapy with curative intent (surgery or radiation therapy with or without chemotherapy).
- No prior treatment with systemic anti-cancer therapy for Stage IV disease.
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to1.
- Measurable disease by computed tomography or magnetic resonance imaging per RECIST v1.1.
- Documentation of program death ligand-1 (PD-L1) status of 0 to 49% by IHC performed by the central laboratory prior to randomization.
- Other protocol inclusion criteria may apply
Exclusion Criteria:
- Known epidermal growth factor receptor (EGFR) mutations sensitive to available targeted inhibitor therapy.
- Known ALK or ROS1 rearrangements sensitive to available targeted inhibitor therapy.
- Untreated central nervous system (CNS) metastases.
- Unevaluable PD-L1 status or PD-L1 status of ≥ 50% by IHC performed by a central laboratory.
- Carcinomatous meningitis.
- Active, known or suspected autoimmune disease.
- Prior treatment with anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CTLA-4 antibody, IDO1 targeted agent, or any other antibody or drug targeting T cell co-stimulation or checkpoint pathways.
- History of allergy or hypersensitivity to platinum-containing compounds or study drug components.
- Physical and laboratory test findings outside the protocol-defined range.
- Other protocol exclusion criteria may apply.
Sites / Locations
- Pacific Cancer Medical Center, Inc
- Cancer Center of Kansas
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Active Comparator
Experimental
Arm Label
Arm A
Arm B
Arm C
Arm Description
Nivolumab plus epacadostat in combination with platinum doublet
Platinum doublet chemotherapy
Nivolumab plus placebo in combination with platinum doublet chemotherapy.
Outcomes
Primary Outcome Measures
Overall Survival (OS) of Nivolumab Plus Epacadostat in Combination With Chemotherapy (Arm A) Compared to Chemotherapy (Arm B)
Defined as the time from randomization to the date of death from any cause.
Progression-free Survival (PFS) of Nivolumab Plus Epacadostat in Combination With Chemotherapy (Arm A) Compared to Chemotherapy (Arm B)
Defined as the time between the date of randomization and the first date of documented progression assessed by blinded independent central review, or death due to any cause, whichever occurs first.
Secondary Outcome Measures
Objective Response Rate (ORR) of Nivolumab Plus Epacadostat in Combination With Chemotherapy (Arm A) Compared to Chemotherapy (Arm B)
Defined as the proportion of participants who achieve a confirmed best response of complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) criteria as assessed by blinded independent central review.
Duration of Response (DOR) of Nivolumab Plus Epacadostat in Combination With Chemotherapy (Arm A) Compared to Chemotherapy (Arm B)
Defined as the time between the date of first confirmed response and the date of the first documented tumor progression (per RECIST v1.1) assessed by blinded independent central review or death due to any cause, whichever occurs first.
Estimate of OS of Nivolumab and Placebo in Combination With Chemotherapy (Arm C)
Defined as the time from randomization to the date of death from any cause.
Estimate of PFS of Nivolumab and Placebo in Combination With Chemotherapy (Arm C)
Defined as the time between the date of randomization and the first date of documented progression assessed by blinded independent central review or death due to any cause, whichever occurs first.
Estimate of ORR of Nivolumab and Placebo in Combination With Chemotherapy (Arm C)
Defined as the proportion of participants who achieve a confirmed best response of CR or PR per RECIST v1.1 criteria as assessed by blinded independent central review.
Estimate of DOR of Nivolumab and Placebo in Combination With Chemotherapy (Arm C)
Defined as the time between the date of first confirmed response and the date of the first documented tumor progression (per RECIST v1.1) assessed by blinded independent central review or death due to any cause, whichever occurs first.
Full Information
NCT ID
NCT03348904
First Posted
November 16, 2017
Last Updated
June 12, 2019
Sponsor
Incyte Corporation
Collaborators
Bristol-Myers Squibb
1. Study Identification
Unique Protocol Identification Number
NCT03348904
Brief Title
Nivolumab and Epacadostat With Platinum Doublet Chemotherapy Versus Platinum Doublet Chemotherapy in Non-Small Cell Lung Cancer
Official Title
A Phase 3, Randomized, Global Trial of Nivolumab and Epacadostat With Platinum Doublet Chemotherapy Versus Platinum Doublet Chemotherapy in First-line Treatment of Stage IV or Recurrent Non-Small Cell Lung Cancer (NSCLC)
Study Type
Interventional
2. Study Status
Record Verification Date
June 2019
Overall Recruitment Status
Terminated
Why Stopped
Study halted prematurely and will not resume; participants are no longer being examined or receiving intervention.
Study Start Date
December 27, 2017 (Actual)
Primary Completion Date
May 22, 2018 (Actual)
Study Completion Date
May 22, 2018 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Incyte Corporation
Collaborators
Bristol-Myers Squibb
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this study was to evaluate the efficacy and safety of the combination of nivolumab plus epacadostat in combination with platinum chemotherapy compared with platinum chemotherapy alone, in participants with treatment-naïve Stage 4 or recurrent non-small cell lung cancer (NSCLC).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lung Cancer
Keywords
Non-small cell lung cancer, programmed cell death protein 1 (PD-1) antibody, indoleamine 2,3-dioxygenase (IDO) inhibitor
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
2 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Arm A
Arm Type
Experimental
Arm Description
Nivolumab plus epacadostat in combination with platinum doublet
Arm Title
Arm B
Arm Type
Active Comparator
Arm Description
Platinum doublet chemotherapy
Arm Title
Arm C
Arm Type
Experimental
Arm Description
Nivolumab plus placebo in combination with platinum doublet chemotherapy.
Intervention Type
Drug
Intervention Name(s)
Nivolumab
Other Intervention Name(s)
BMS-936558
Intervention Description
Nivolumab administered intravenously at the protocol-defined dose every 3 weeks.
Intervention Type
Drug
Intervention Name(s)
Epacadostat
Other Intervention Name(s)
INCB024360
Intervention Description
Epacadostat administered orally at the protocol-defined dose twice daily.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Matching placebo for epacadostat administered orally twice daily.
Intervention Type
Drug
Intervention Name(s)
Carboplatin
Intervention Description
Carboplatin administered intravenously at the protocol-defined dose every 3 weeks for up to 4 cycles.
Intervention Type
Drug
Intervention Name(s)
Cisplatin
Intervention Description
Cisplatin administered intravenously at the protocol-defined dose every 3 weeks for up to 4 cycles.
Intervention Type
Drug
Intervention Name(s)
Gemcitabine
Intervention Description
Gemcitabine administered intravenously at the protocol-defined dose every 3 weeks for up to 4 cycles.
Intervention Type
Drug
Intervention Name(s)
Paclitaxel
Intervention Description
Paclitaxel administered intravenously at the protocol-defined dose every 3 weeks for up to 4 cycles.
Intervention Type
Drug
Intervention Name(s)
Pemetrexed
Intervention Description
Pemetrexed administered intravenously at the protocol-defined dose every 3 weeks for up to 4 cycles. Optional continuation maintenance every 3 weeks, if eligible.
Primary Outcome Measure Information:
Title
Overall Survival (OS) of Nivolumab Plus Epacadostat in Combination With Chemotherapy (Arm A) Compared to Chemotherapy (Arm B)
Description
Defined as the time from randomization to the date of death from any cause.
Time Frame
Approximately 38 months
Title
Progression-free Survival (PFS) of Nivolumab Plus Epacadostat in Combination With Chemotherapy (Arm A) Compared to Chemotherapy (Arm B)
Description
Defined as the time between the date of randomization and the first date of documented progression assessed by blinded independent central review, or death due to any cause, whichever occurs first.
Time Frame
Approximately 25 months
Secondary Outcome Measure Information:
Title
Objective Response Rate (ORR) of Nivolumab Plus Epacadostat in Combination With Chemotherapy (Arm A) Compared to Chemotherapy (Arm B)
Description
Defined as the proportion of participants who achieve a confirmed best response of complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) criteria as assessed by blinded independent central review.
Time Frame
Approximately 25 months
Title
Duration of Response (DOR) of Nivolumab Plus Epacadostat in Combination With Chemotherapy (Arm A) Compared to Chemotherapy (Arm B)
Description
Defined as the time between the date of first confirmed response and the date of the first documented tumor progression (per RECIST v1.1) assessed by blinded independent central review or death due to any cause, whichever occurs first.
Time Frame
Approximately 25 months
Title
Estimate of OS of Nivolumab and Placebo in Combination With Chemotherapy (Arm C)
Description
Defined as the time from randomization to the date of death from any cause.
Time Frame
Approximately 38 months
Title
Estimate of PFS of Nivolumab and Placebo in Combination With Chemotherapy (Arm C)
Description
Defined as the time between the date of randomization and the first date of documented progression assessed by blinded independent central review or death due to any cause, whichever occurs first.
Time Frame
Approximately 25 months
Title
Estimate of ORR of Nivolumab and Placebo in Combination With Chemotherapy (Arm C)
Description
Defined as the proportion of participants who achieve a confirmed best response of CR or PR per RECIST v1.1 criteria as assessed by blinded independent central review.
Time Frame
Approximately 25 months
Title
Estimate of DOR of Nivolumab and Placebo in Combination With Chemotherapy (Arm C)
Description
Defined as the time between the date of first confirmed response and the date of the first documented tumor progression (per RECIST v1.1) assessed by blinded independent central review or death due to any cause, whichever occurs first.
Time Frame
Approximately 25 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Histologically confirmed stage IV or recurrent NSCLC of squamous or non-squamous histology that is not amenable to therapy with curative intent (surgery or radiation therapy with or without chemotherapy).
No prior treatment with systemic anti-cancer therapy for Stage IV disease.
Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to1.
Measurable disease by computed tomography or magnetic resonance imaging per RECIST v1.1.
Documentation of program death ligand-1 (PD-L1) status of 0 to 49% by IHC performed by the central laboratory prior to randomization.
Other protocol inclusion criteria may apply
Exclusion Criteria:
Known epidermal growth factor receptor (EGFR) mutations sensitive to available targeted inhibitor therapy.
Known ALK or ROS1 rearrangements sensitive to available targeted inhibitor therapy.
Untreated central nervous system (CNS) metastases.
Unevaluable PD-L1 status or PD-L1 status of ≥ 50% by IHC performed by a central laboratory.
Carcinomatous meningitis.
Active, known or suspected autoimmune disease.
Prior treatment with anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CTLA-4 antibody, IDO1 targeted agent, or any other antibody or drug targeting T cell co-stimulation or checkpoint pathways.
History of allergy or hypersensitivity to platinum-containing compounds or study drug components.
Physical and laboratory test findings outside the protocol-defined range.
Other protocol exclusion criteria may apply.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sridhar K. Rabindran, PhD
Organizational Affiliation
Bristol-Myers Squibb Research and Development
Official's Role
Study Director
Facility Information:
Facility Name
Pacific Cancer Medical Center, Inc
City
Anaheim
State/Province
California
ZIP/Postal Code
92801
Country
United States
Facility Name
Cancer Center of Kansas
City
Wichita
State/Province
Kansas
ZIP/Postal Code
67214
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Nivolumab and Epacadostat With Platinum Doublet Chemotherapy Versus Platinum Doublet Chemotherapy in Non-Small Cell Lung Cancer
We'll reach out to this number within 24 hrs