An Investigational Immuno-Therapy Study to Determine the Safety and Effectiveness of Nivolumab and Daratumumab in Patients With Multiple Myeloma
Non-Hodgkin's Lymphoma, Hodgkin Lymphoma, Multiple Myeloma
About this trial
This is an interventional treatment trial for Non-Hodgkin's Lymphoma
Eligibility Criteria
For more information regarding BMS clinical trial participation, please visit www.BMSStudyConnect.com
Inclusion Criteria:
- Have received at least 3 prior lines of therapy, including a proteasome inhibitor [PI] and an immunomodulatory agent [IMiD] OR have disease that is double refractory to a PI and IMiD
- More than 12 weeks post-transplant of your own blood forming stem cells (autologous transplant)
- Have detectable disease measured by a specific protein in your blood and/or urine
- Must consent to bone marrow aspirate or biopsy.
Exclusion Criteria:
- Solitary bone or extramedullary plasmacytoma as the only evidence of plasma cell dyscrasia, or monoclonal gammopathy of undetermined significance (MGUS), smoldering multiple myeloma (SMM), primary amyloidosis, Waldenstrom's macroglobulinemia, POEMS syndrome or active plasma cell leukemia
- Prior therapy with anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, anti CTLA 4, or anti-CD38 antibody, or allogeneic stem cell transplantation
- Seropositive for human immunodeficiency virus (HIV), Hepatitis B surface antigen or Hepatitis C antibody positive (except if HCV-RNA negative), or history of active chronic hepatitis B or C
- History of central nervous system involvement or symptoms suggestive of central nervous system involvement by multiple myeloma
Other protocol defined inclusion/exclusion criteria could apply
Sites / Locations
- Local Institution - 0035
- Division Of Hematology & Oncology Ctr. For Health Sciences
- Local Institution - 0012
- Local Institution - 0017
- Yale University School Of Medicine
- Local Institution - 0023
- Local Institution - 0037
- Local Institution - 0019
- Local Institution - 0018
- Local Institution - 0003
- The Sidney Kimmel Comprehensive Cancer Center
- Dana-Farber Cancer Institute
- Local Institution - 0009
- Local Institution - 0015
- Local Institution - 0011
- University Of Michigan Health System
- Local Institution - 0002
- Mayo Clinic
- Local Institution - 0033
- John Theurer Cancer Center
- Local Institution - 0014
- Local Institution - 0001
- Memorial Sloan Kettering Cancer Center
- Local Institution - 0028
- Local Institution - 0006
- OHSU Center for Hematologic Malignancies
- Abramson Cancer Center
- Local Institution - 0007
- Fox Chase Cancer Center
- Local Institution - 0004
- Huntsman Cancer Institute At The Univ. Of Utah
- Local Institution - 0005
- Local Institution - 0045
- Local Institution - 0047
- Local Institution
- Local Institution - 0043
- Local Institution - 0044
- Local Institution - 0039
- Local Institution
- Local Institution
- Local Institution - 0040
- Local Institution - 0049
- Local Institution - 0042
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Experimental
Experimental
Experimental
Experimental
Experimental
Nivolumab monotherapy (Dose Escalation)
Nivolumab + Ipilimumab
Nivolumab + Lirilumab
Nivo + Dara + Pom + Dexa vs. Nivo + Dara
Daratumumab vs. Nivolumab + Daratumumab
Nivolumab solution intravenously as specified Non-randomized Enrollment is closed for this cohort
Nivolumab and Ipilimumab solution intravenously as specified Non-randomized Enrollment is closed for this cohort
Non-randomized Nivolumab: 3 mg/kg given every 2 weeks Lirilumab: 3 mg/kg given every 4 weeks Enrollment is closed for this cohort
Randomized Nivolumab: Cycle 1: 240 mg Day 15 Cycle 2-6: 240 mg Days 1, 15 Cycle 7 & beyond: 480 mg Day 1 Daratumumab: Cycle 1-2: 16 mg/kg Days 1, 8, 15, 22 Cycle 3-6: 16 mg/kg Days 1, 15 Cycle 7 & beyond: 16 mg/kg Day 1 Pomalidomide: 4 mg po (by mouth) daily on Days 1 - 21 of each 28-day cycle Dexamethasone: Weeks without daratumumab dosing: 40 mg po daily (Days 1, 8, 15, 22) of each 28-day cycle for participants ≤ 75 years old 20 mg po daily (Days 1, 8, 15, 22) of each 28-day cycle for participants > 75 years old Weeks with daratumumab dosing: 20 mg iv before the daratumumab infusion and 20 mg po after the daratumumab infusion in participants ≤ 75 years old 16 mg iv before the daratumumab infusion and 4 mg po after the daratumumab infusion in participants > 75 years old Enrollment is closed for this cohort
Randomized Nivolumab: Cycle 1: 240 mg Day 15 Cycle 2 & beyond: 480 mg Day 1 Daratumumab: Cycle 1-2: 16 mg/kg Days 1, 8, 15, 22 Cycle 3-6: 16 mg/kg Days 1, 15 Cycle 7 & beyond: 16 mg/kg Day 1