An Investigational Immuno-therapy Study Of Nivolumab In Combination With Trametinib With Or Without Ipilimumab In Participants With Previously Treated Cancer of the Colon or Rectum That Has Spread (CheckMate 9N9)
Primary Purpose
Colorectal Cancer, Colorectal Tumors, Colorectal Carcinoma
Status
Active
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Nivolumab
Trametinib
Ipilimumab
Regorafenib
Sponsored by
About this trial
This is an interventional treatment trial for Colorectal Cancer
Eligibility Criteria
Inclusion Criteria:
- Histologically or cytologically confirmed previously treated metastatic colorectal cancer with adenocarcinoma histology and in Stage IV per American Joint Committee on Cancer (version 4.0) at study entry
- Microsatellite status should be performed per local standard of practice, immunohistochemistry (IHC) and/or PCR. If IHC results are equivocal, PCR is required for determining microsatellite stable (MSS) status
- Must have measurable disease per RECIST 1.1. Participants with lesions in a previously irradiated field as the sole site of measurable disease will be permitted to enroll provided the lesion(s) have demonstrated clear progression and can be measured accurately
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1 at screening and on cycle 1 day 1 (C1D1)
Exclusion Criteria:
- BRAF V600 mutant colorectal cancer
- Active brain metastases or leptomeningeal metastases
- Active, known or suspected autoimmune disease
- Participants with a condition requiring systemic treatment with either corticosteroids (> 10 mg daily prednisone equivalents) or other immunosuppressive medications within 14 days of study treatment administration
- History of interstitial lung disease or pneumonitis
- Prior treatment with immune checkpoint inhibitors and mitogen-activated protein kinase enzymes (MEK) inhibitors
- History of allergy or hypersensitivity to study drug components
Other protocol defined inclusion/exclusion criteria apply
Sites / Locations
- Local Institution - 0022
- Local Institution - 0027
- Local Institution - 0067
- Local Institution - 0001
- Local Institution - 0107
- Local Institution - 0111
- Local Institution - 0028
- Local Institution - 0116
- Local Institution - 0103
- Local Institution - 0104
- Local Institution - 0029
- Local Institution - 0100
- Local Institution - 0003
- Thomas Jefferson University - Clinical Research Institute
- Local Institution - 0101
- Local Institution - 0002
- Local Institution - 0120
- Local Institution - 0122
- Local Institution - 0123
- Local Institution - 0119
- Local Institution - 0044
- Local Institution - 0043
- Local Institution - 0068
- Local Institution - 0055
- Local Institution - 0069
- Local Institution
- Local Institution - 0113
- Local Institution - 0070
- Local Institution - 0077
- Local Institution - 0076
- Local Institution - 0117
- Local Institution - 0118
- Local Institution - 0072
- Local Institution - 0071
- Local Institution - 0073
- Local Institution - 0004
- Local Institution - 0095
- Local Institution - 0093
- Local Institution - 0092
- Local Institution - 0094
- Local Institution - 0079
- Local Institution - 0052
- Local Institution - 0114
- Local Institution - 0051
- Local Institution - 0115
- Local Institution - 0080
- Local Institution - 0096
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm Type
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Arm Label
Part 1 Cohort 1 3rd Line (3L): nivolumab + trametinib
Part 1A Cohort 2 2nd Line (2L): nivolumab + ipilimumab + trametinib
Part 1A Cohort 3 (2L): nivolumab + ipilimumab + trametinib
Part 2 Cohort 4 (3L): nivolumab + ipilimumab + trametinib
Part 2 Cohort 5 (3L): Regorafenib
Part 1B Cohort 6 (2L): nivolumab + ipilimumab + trametinib
Arm Description
Outcomes
Primary Outcome Measures
Incidence of dose limiting toxicity (DLTs)
Incidence of Adverse Events (AEs)
Incidence of Serious Adverse Events (SAEs)
Incidence of Deaths
Incidence of clinically significant changes in clinical laboratory results: Hematology tests
Incidence of clinically significant changes in clinical laboratory results: Clinical Chemistry tests
Incidence of clinically significant changes in clinical laboratory results: Urinalysis tests
Objective response rate (ORR) by investigator (Part 1B and Part 2)
Secondary Outcome Measures
Objective response rate (ORR) (Part 1A and Part 1)
Disease control rate (DCR)
Duration of response (DOR)
Time to response (TTR)
Progression-free survival (PFS) by investigator per response evaluation criteria in solid tumors (RECIST) v1.1
Best overall response (BOR)
Overall survival (OS)
Incidence of Adverse Events (AEs)
Incidence of Serious Adverse Events (SAEs)
Incidence of Deaths
Incidence of clinically significant changes in clinical laboratory results: Hematology tests
Incidence of clinically significant changes in clinical laboratory results: Clinical Chemistry tests
Incidence of clinically significant changes in clinical laboratory results: Urinalysis tests
Full Information
NCT ID
NCT03377361
First Posted
December 14, 2017
Last Updated
October 11, 2023
Sponsor
Bristol-Myers Squibb
Collaborators
Novartis
1. Study Identification
Unique Protocol Identification Number
NCT03377361
Brief Title
An Investigational Immuno-therapy Study Of Nivolumab In Combination With Trametinib With Or Without Ipilimumab In Participants With Previously Treated Cancer of the Colon or Rectum That Has Spread
Acronym
CheckMate 9N9
Official Title
A Study Of Nivolumab In Combination With Trametinib With Or Without Ipilimumab In Participants With Previously Treated Metastatic Colorectal Cancers
Study Type
Interventional
2. Study Status
Record Verification Date
October 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
February 1, 2018 (Actual)
Primary Completion Date
March 11, 2024 (Anticipated)
Study Completion Date
March 11, 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bristol-Myers Squibb
Collaborators
Novartis
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to investigate treatment with nivolumab in combination with trametinib with or without ipilimumab in participants with previously treated cancer of the colon or rectum that has spread.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Colorectal Cancer, Colorectal Tumors, Colorectal Carcinoma, Colorectal Neoplasm
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
232 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Part 1 Cohort 1 3rd Line (3L): nivolumab + trametinib
Arm Type
Experimental
Arm Title
Part 1A Cohort 2 2nd Line (2L): nivolumab + ipilimumab + trametinib
Arm Type
Experimental
Arm Title
Part 1A Cohort 3 (2L): nivolumab + ipilimumab + trametinib
Arm Type
Experimental
Arm Title
Part 2 Cohort 4 (3L): nivolumab + ipilimumab + trametinib
Arm Type
Experimental
Arm Title
Part 2 Cohort 5 (3L): Regorafenib
Arm Type
Experimental
Arm Title
Part 1B Cohort 6 (2L): nivolumab + ipilimumab + trametinib
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
Nivolumab
Other Intervention Name(s)
Opdivo, BMS-936558
Intervention Description
Specified dose on specified days
Intervention Type
Drug
Intervention Name(s)
Trametinib
Other Intervention Name(s)
Mekinist
Intervention Description
Specified dose on specified days
Intervention Type
Biological
Intervention Name(s)
Ipilimumab
Other Intervention Name(s)
Yervoy, BMS-734016
Intervention Description
Specified dose on specified days
Intervention Type
Drug
Intervention Name(s)
Regorafenib
Intervention Description
Specified dose on specified days
Primary Outcome Measure Information:
Title
Incidence of dose limiting toxicity (DLTs)
Time Frame
Up to 23 months
Title
Incidence of Adverse Events (AEs)
Time Frame
Approximately 100 months
Title
Incidence of Serious Adverse Events (SAEs)
Time Frame
Approximately 100 months
Title
Incidence of Deaths
Time Frame
Up to 100 months
Title
Incidence of clinically significant changes in clinical laboratory results: Hematology tests
Time Frame
Up to 77 months
Title
Incidence of clinically significant changes in clinical laboratory results: Clinical Chemistry tests
Time Frame
Up to 77 months
Title
Incidence of clinically significant changes in clinical laboratory results: Urinalysis tests
Time Frame
Up to 77 months
Title
Objective response rate (ORR) by investigator (Part 1B and Part 2)
Time Frame
Approximately 24 months
Secondary Outcome Measure Information:
Title
Objective response rate (ORR) (Part 1A and Part 1)
Time Frame
Approximately 24 months
Title
Disease control rate (DCR)
Time Frame
Approximately 24 months
Title
Duration of response (DOR)
Time Frame
Approximately 24 months
Title
Time to response (TTR)
Time Frame
Approximately 24 months
Title
Progression-free survival (PFS) by investigator per response evaluation criteria in solid tumors (RECIST) v1.1
Time Frame
Approximately 24 months
Title
Best overall response (BOR)
Time Frame
Up to 24 months
Title
Overall survival (OS)
Time Frame
Approximately 40 months
Title
Incidence of Adverse Events (AEs)
Time Frame
Approximately 100 months
Title
Incidence of Serious Adverse Events (SAEs)
Time Frame
Approximately 100 months
Title
Incidence of Deaths
Time Frame
Up to 100 months
Title
Incidence of clinically significant changes in clinical laboratory results: Hematology tests
Time Frame
Up to 77 months
Title
Incidence of clinically significant changes in clinical laboratory results: Clinical Chemistry tests
Time Frame
Up to 77 months
Title
Incidence of clinically significant changes in clinical laboratory results: Urinalysis tests
Time Frame
Up to 77 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Histologically or cytologically confirmed previously treated metastatic colorectal cancer with adenocarcinoma histology and in Stage IV per American Joint Committee on Cancer (version 4.0) at study entry
Microsatellite status should be performed per local standard of practice, immunohistochemistry (IHC) and/or PCR. If IHC results are equivocal, PCR is required for determining microsatellite stable (MSS) status
Must have measurable disease per RECIST 1.1. Participants with lesions in a previously irradiated field as the sole site of measurable disease will be permitted to enroll provided the lesion(s) have demonstrated clear progression and can be measured accurately
Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1 at screening and on cycle 1 day 1 (C1D1)
Exclusion Criteria:
BRAF V600 mutant colorectal cancer
Active brain metastases or leptomeningeal metastases
Active, known or suspected autoimmune disease
Participants with a condition requiring systemic treatment with either corticosteroids (> 10 mg daily prednisone equivalents) or other immunosuppressive medications within 14 days of study treatment administration
History of interstitial lung disease or pneumonitis
Prior treatment with immune checkpoint inhibitors and mitogen-activated protein kinase enzymes (MEK) inhibitors
History of allergy or hypersensitivity to study drug components
Other protocol defined inclusion/exclusion criteria apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bristol-Myers Squibb
Organizational Affiliation
Bristol-Myers Squibb
Official's Role
Study Director
Facility Information:
Facility Name
Local Institution - 0022
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35249
Country
United States
Facility Name
Local Institution - 0027
City
Los Angeles
State/Province
California
ZIP/Postal Code
90033
Country
United States
Facility Name
Local Institution - 0067
City
Los Angeles
State/Province
California
ZIP/Postal Code
90089
Country
United States
Facility Name
Local Institution - 0001
City
San Francisco
State/Province
California
ZIP/Postal Code
94158
Country
United States
Facility Name
Local Institution - 0107
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32610
Country
United States
Facility Name
Local Institution - 0111
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
Local Institution - 0028
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21287
Country
United States
Facility Name
Local Institution - 0116
City
Hattiesburg
State/Province
Mississippi
ZIP/Postal Code
39401-7233
Country
United States
Facility Name
Local Institution - 0103
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
Local Institution - 0104
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Name
Local Institution - 0029
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28204
Country
United States
Facility Name
Local Institution - 0100
City
Lancaster
State/Province
Pennsylvania
ZIP/Postal Code
17604
Country
United States
Facility Name
Local Institution - 0003
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
Thomas Jefferson University - Clinical Research Institute
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19107
Country
United States
Facility Name
Local Institution - 0101
City
Temple
State/Province
Texas
ZIP/Postal Code
76508
Country
United States
Facility Name
Local Institution - 0002
City
Madison
State/Province
Wisconsin
ZIP/Postal Code
53792-0001
Country
United States
Facility Name
Local Institution - 0120
City
Ciudad Autónoma de Buenos Aires
State/Province
Buenos Aires
ZIP/Postal Code
C1426ANZ
Country
Argentina
Facility Name
Local Institution - 0122
City
Buenos Aires
State/Province
Distrito Federal
ZIP/Postal Code
C1096AAS
Country
Argentina
Facility Name
Local Institution - 0123
City
Ciudad Autónoma de Buenos Aires
State/Province
Distrito Federal
ZIP/Postal Code
1181
Country
Argentina
Facility Name
Local Institution - 0119
City
Buenos Aires
ZIP/Postal Code
1431
Country
Argentina
Facility Name
Local Institution - 0044
City
Blacktown
State/Province
New South Wales
ZIP/Postal Code
2148
Country
Australia
Facility Name
Local Institution - 0043
City
Southport
State/Province
Queensland
ZIP/Postal Code
4215
Country
Australia
Facility Name
Local Institution - 0068
City
Elizabeth Vale
State/Province
South Australia
ZIP/Postal Code
05112
Country
Australia
Facility Name
Local Institution - 0055
City
Clayton
State/Province
Victoria
ZIP/Postal Code
0
Country
Australia
Facility Name
Local Institution - 0069
City
Heidelberg
State/Province
Victoria
ZIP/Postal Code
3084
Country
Australia
Facility Name
Local Institution
City
Woluwe-Saint-Lambert
ZIP/Postal Code
1200
Country
Belgium
Facility Name
Local Institution - 0113
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T6G 1Z2
Country
Canada
Facility Name
Local Institution - 0070
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 2M9
Country
Canada
Facility Name
Local Institution - 0077
City
Montréal
State/Province
Quebec
ZIP/Postal Code
H2X 3E4
Country
Canada
Facility Name
Local Institution - 0076
City
Ottawa
ZIP/Postal Code
K1H 8L6
Country
Canada
Facility Name
Local Institution - 0117
City
Santiago
State/Province
Metropolitana
ZIP/Postal Code
000000
Country
Chile
Facility Name
Local Institution - 0118
City
Santiago
State/Province
Región Metropolitana De Santiago
ZIP/Postal Code
8420383
Country
Chile
Facility Name
Local Institution - 0072
City
Olomouc
State/Province
Olomoucký Kraj
ZIP/Postal Code
779 00
Country
Czechia
Facility Name
Local Institution - 0071
City
Brno
ZIP/Postal Code
65653
Country
Czechia
Facility Name
Local Institution - 0073
City
Hradec Kralove
ZIP/Postal Code
500 05
Country
Czechia
Facility Name
Local Institution - 0004
City
Hannover
ZIP/Postal Code
30625
Country
Germany
Facility Name
Local Institution - 0095
City
Catania
ZIP/Postal Code
95124
Country
Italy
Facility Name
Local Institution - 0093
City
Milan
ZIP/Postal Code
20133
Country
Italy
Facility Name
Local Institution - 0092
City
Padova
ZIP/Postal Code
35128
Country
Italy
Facility Name
Local Institution - 0094
City
Rozzano
ZIP/Postal Code
20089
Country
Italy
Facility Name
Local Institution - 0079
City
Badalona
State/Province
Barcelona [Barcelona]
ZIP/Postal Code
08916
Country
Spain
Facility Name
Local Institution - 0052
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
Local Institution - 0114
City
Madrid
ZIP/Postal Code
28007
Country
Spain
Facility Name
Local Institution - 0051
City
Madrid
ZIP/Postal Code
28041
Country
Spain
Facility Name
Local Institution - 0115
City
Madrid
ZIP/Postal Code
28050
Country
Spain
Facility Name
Local Institution - 0080
City
Pamplona
ZIP/Postal Code
31008
Country
Spain
Facility Name
Local Institution - 0096
City
Sevilla
ZIP/Postal Code
41013
Country
Spain
12. IPD Sharing Statement
Links:
URL
https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html
Description
BMS Clinical Trial Information
URL
http://www.BMSStudyConnect.com
Description
BMS Clinical Trial Patient Recruiting
URL
http://www.fda.gov/safety/medwatch/safetyinformation/default.htm
Description
FDA Safety Alerts and Recalls
URL
https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html
Description
Investigator Inquiry Form
Learn more about this trial
An Investigational Immuno-therapy Study Of Nivolumab In Combination With Trametinib With Or Without Ipilimumab In Participants With Previously Treated Cancer of the Colon or Rectum That Has Spread
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