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| ID | Type | Description | Link |
|---|---|---|---|
| NCI-2019-00405 | Registry Identifier | CTRP (Clinical Trial Reporting Program) | |
| 2018-0419 | Other Identifier | M D Anderson Cancer Center |
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This phase I/II trial studies the side effects and best dose of anti-glucocorticoid-induced tumor necrosis factor receptor (GITR) agonistic monoclonal antibody BMS-986156 (BMS-986156) when given together with ipilimumab and nivolumab with or without stereotactic body radiation therapy and to see how well they work in treating patients with lung/chest or liver cancer that has spread to other places in the body. Immunotherapy with monoclonal antibodies, such as BMS-986156, ipilimumab, and nivolumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Stereotactic body radiation therapy uses special equipment to position a patient and deliver radiation to tumors with high precision. This method can kill tumor cells with fewer doses over a shorter period and cause less damage to normal tissue. It is not yet known whether giving BMS-986156, ipilimumab, and nivolumab with or without stereotactic body radiation therapy will work better in treating patients with lung/chest or liver cancers.
PRIMARY OBJECTIVES:
I. To determine the safe dose of BMS-986156 and dose limiting toxicities (DLT) (30 mg versus [vs] 100 mg) when combined with ipilimumab (3 mg/kg) for patients with metastatic cancer.
II. To evaluate the safety and toxicity profile of ipilimumab (3mg/kg) with BMS-986156 (30 or 100 mg) administered in combination with stereotactic body radiation therapy (SBRT) targeting 1-4 LIVER lesion(s) for patients with metastatic cancers.
III. To evaluate the safety and toxicity profile of ipilimumab (3mg/kg) with BMS-986156 (30 or 100 mg) administered in combination with SBRT targeting 1-4 LUNG lesion(s) for patients with metastatic cancer.
IV. To determine safety and toxicity profile of nivolumab (480 mg) with BMS-986156 (30 mg) administered in combination with SBRT targeting 1-4 LIVER lesion(s) for patients with metastatic cancers.
V. To determine safety and toxicity profile of nivolumab (480 mg) with BMS-986156 (30 mg) administered in combination with SBRT targeting 1-4 LUNG lesion(s) for patients with metastatic cancers.
SECONDARY OBJECTIVES:
I. To determine antitumor activity of ipilimumab therapy with BMS-986156 (30 or 100 mg) as well as nivolumab with BMS-986156 (30 mg) with SBRT treatment for 1-4 lung lesions in both the SBRT treated lesion and non-irradiate tumors.
II. To determine antitumor activity of ipilimumab therapy with or without BMS-986156 (30 or 100 mg) as well as nivolumab with BMS-986156 (30 mg) with SBRT treatment for 1-4 liver lesions in both the SBRT treated lesion and non-irradiate tumors.
III. To compare response and progression of the non-irradiated tumors between BMS-986156 with ipilimumab vs BMS-986156 with nivolumab, using both immune-related response criteria (irRC) and Response Evaluation Criteria in Solid Tumors (RECIST) version (V) 1.1.
IV. To evaluate the predictive potential value of tumor-associated and systemic immune biomarkers for therapy effectiveness and toxicity prediction.
V. To evaluate whether skeletal mass, neutrophil, neutrophil to lymphocyte ratio, and tumor bulk are correlated with clinical outcomes and adverse events.
VI. To evaluate whether tumor kinetics in combination with clinical correlates can help determine treatment response.
VII. To evaluate whether tumor mutational burden correlates with improved clinical outcomes and response criteria.
OUTLINE: This is a phase I, dose-escalation study of anti-GITR agonistic monoclonal antibody BMS-986156, followed by a phase II study. Patients are assigned to 1 of 3 groups.
GROUP I: Patients receive ipilimumab intravenously (IV) over 90 minutes and anti-GITR agonistic monoclonal antibody BMS-986156 IV over 60 minutes on day 1. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Beginning day 1 of cycle 5 (day 85), patients receive nivolumab IV over 30 minutes. Treatment repeats every 28 days for up to 26 cycles in the absence of disease progression or unacceptable toxicity.
GROUP II: Patients receive ipilimumab IV over 90 minutes and anti-GITR agonistic monoclonal antibody BMS-986156 IV over 60 minutes on day 1. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. After completion of cycle 2, patients then undergo SBRT on days 29-32 for 4 fractions or on days 29-40 for 10 fractions. Beginning day 1 of cycle 5 (day 85), patents receive nivolumab IV over 30 minutes. Treatment repeats every 28 days for up to 26 cycles in the absence of disease progression or unacceptable toxicity.
GROUP III: Patients receive nivolumab IV over 30 minutes and anti-GITR agonistic monoclonal antibody BMS-986156 over 60 minutes on day 1. Patients also undergo SBRT over 30-45 minutes on days 1-4 for 4 fractions or on days 1-12 for 10 fractions. Treatment repeats every 28 days for up to 26 cycles of nivolumab and for up to 4 cycles of anti-GITR agonistic monoclonal antibody BMS-986156 in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed up at 30 days, then every 2-4 months for up to 1 year.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group I (ipilimumab, BMS-986156, nivolumab) | Experimental | Patients receive ipilimumab IV over 90 minutes and anti-GITR agonistic monoclonal antibody BMS-986156 IV over 60 minutes on day 1. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Beginning day 1 of cycle 5 (day 85), patients receive nivolumab IV over 30 minutes. Treatment repeats every 28 days for up to 26 cycles in the absence of disease progression or unacceptable toxicity. |
|
| Group II (ipilimumab, BMS-986156, SBRT, nivolumab) | Experimental | Patients receive ipilimumab IV over 90 minutes and anti-GITR agonistic monoclonal antibody BMS-986156 IV over 60 minutes on day 1. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. After completion of cycle 2, patients then undergo SBRT on days 29-32 for 4 fractions or on days 29-40 for 10 fractions. Beginning day 1 of cycle 5 (day 85), patents receive nivolumab IV over 30 minutes. Treatment repeats every 28 days for up to 26 cycles in the absence of disease progression or unacceptable toxicity. |
|
| Group III (nivolumab, BMS-986156, SBRT) | Experimental | Patients receive nivolumab IV over 30 minutes and anti-GITR agonistic monoclonal antibody BMS-986156 over 60 minutes on day 1. Patients also undergo SBRT over 30-45 minutes on days 1-4 for 4 fractions or on days 1-12 for 10 fractions. Treatment repeats every 28 days for up to 26 cycles of nivolumab and for up to 4 cycles of anti-GITR agonistic monoclonal antibody BMS-986156 in the absence of disease progression or unacceptable toxicity. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Anti-GITR Agonistic Monoclonal Antibody BMS-986156 | Drug | Given IV |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Dose Limiting Toxicities (DLTs) | Evaluate dose of BMS-986156 (30 mg vs 100 mg) and dose limiting toxicities (DLTs) when combined with ipilimumab (3 mg/kg), and evaluate DLTs when BMS-986156 administered in combination with ipilimumab (3 mg/kg) or nivolumab (480 mg) with SABR | Median duration of follow-up 32.3 months (95% CI 8.6 to 56.0) |
| Measure | Description | Time Frame |
|---|---|---|
| Assess SBRT and Palliative Radiation Completion | Explore antitumor activity with SBRT and palliative radiation. | Median duration of follow-up 32.3 months (95% CI 8.6 to 56.0) |
| Immune-related Tumor Response |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Joe Chang | M.D. Anderson Cancer Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| M D Anderson Cancer Center | Houston | Texas | 77030 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39384194 | Derived | Chang JY, Xu X, Shroff GS, Comeaux NI, Li W, Rodon Ahnert J, Karp DD, Dumbrava EE, Verma V, Chen A, Welsh J, Hong DS. Phase I/II study of BMS-986156 with ipilimumab or nivolumab with or without stereotactic ablative radiotherapy in patients with advanced solid malignancies. J Immunother Cancer. 2024 Oct 9;12(10):e009975. doi: 10.1136/jitc-2024-009975. |
| Label | URL |
|---|---|
| MD Anderson Cancer Center | View source |
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Three patients on theIpilimumab + BMS-986156 (30 mg/kg) arm, one patient on Ipilimumab + BMS-986156 (100 mg/kg) arm and one patient on the Ipilimumab + BMS-986156 with SBRT arm discontinued BMS-986156 with Ipilimumab due to treatment-related adverse events.
Dates of recruitment period: 08/2019 to 12/2021; Location: Single center trial that recruited patients at one hospital site (MD Anderson Cancer Center, Houston, TX)
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| ID | Title | Description |
|---|---|---|
| FG000 | Ipilimumab + BMS-986156 (30 mg/kg) Arm | Group 1: Administered four cycles of Ipilimumab (3 mg/kg) + BMS-986156 (30 mg as dose level 1) every 3 weeks. |
| FG001 | Ipilimumab + BMS-986156 (100 mg/kg) Arm |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Feb 14, 2020 |
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| Ipilimumab | Biological | Given IV |
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| Nivolumab | Biological | Given IV |
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| Stereotactic Body Radiation Therapy | Radiation | Undergo SBRT |
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Number of immune related responses of different immunotherapy schemes with or without SABR; Assessing complete response (CR), partial response (PR), and stable disease (SD)
| Median duration of follow-up 32.3 months (95% CI 8.6 to 56.0) |
| Out-of-field (Abscopal) Disease Control Rate (ACR) | Patient's change of tumor since intiation of treatment and patient's exhibiting out of field disease control. | Median duration of follow-up 32.3 months (95% CI 8.6 to 56.0) |
| Out-of-field (Abscopal) Response Rate (ARR) | Assesses partial response (PR) rate and complete response (CR) rate | Median duration of follow-up 32.3 months (95% CI 8.6 to 56.0) |
| Tumor Burden: Disease Control Rate | Assessing complete response (CR), partial response (PR), and stable disease (SD) | Median duration of follow-up 32.3 months (95% CI 8.6 to 56.0) |
Group 1: Administered four cycles of Ipilimumab (3 mg/kg) + BMS-986156 (100 mg as dose level 2) every 3 weeks.
| FG002 | Ipilimumab + BMS-986156 With SBRT Arm | Group 2: Administered four cycles of Ipilimumab (3 mg/kg) + BMS-986156 (100 mg) every 3 weeks with SABR (50 Gy/4 fx or 60-70 Gy/10 fx to liver/lung lesions). |
| FG003 | Nivolumab + BMS-986156 With SBRT Arm | Group 3: Administered four cycles of nivolumab (480 mg) + BMS-986156 (30 mg), every 4 weeks with SABR. Maintenance nivolumab given up to 2 years. |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Ipilimumab + BMS-986156 Arm (30 mg/kg) | Group 1: Administered four cycles of Ipilimumab (3 mg/kg) + BMS-986156 (30 mg as dose level 1) every 3 weeks. |
| BG001 | Ipilimumab + BMS-986156 Arm (100 mg/kg) | Group 1: Administered four cycles of Ipilimumab (3 mg/kg) + BMS-986156 (100 mg as dose level 2) every 3 weeks. |
| BG002 | Ipilimumab + BMS-986156 With SBRT Arm | Group 2: Administered four cycles of Ipilimumab (3 mg/kg) + BMS-986156 (100 mg) every 3 weeks with SABR (50 Gy/4 fx or 60-70 Gy/10 fx to liver/lung lesions). |
| BG003 | Nivolumab + BMS-986156 With SBRT Arm | Group 3: Administered four cycles of nivolumab (480 mg) + BMS-986156 (30 mg), every 4 weeks with SABR. Maintenance nivolumab given up to 2 years. |
| BG004 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Median | Inter-Quartile Range | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Dose Limiting Toxicities (DLTs) | Evaluate dose of BMS-986156 (30 mg vs 100 mg) and dose limiting toxicities (DLTs) when combined with ipilimumab (3 mg/kg), and evaluate DLTs when BMS-986156 administered in combination with ipilimumab (3 mg/kg) or nivolumab (480 mg) with SABR | Posted | Number | Dose limiting toxicities | Median duration of follow-up 32.3 months (95% CI 8.6 to 56.0) |
|
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| ||||||||||||||||||||||||||||||||||||
| Secondary | Assess SBRT and Palliative Radiation Completion | Explore antitumor activity with SBRT and palliative radiation. | Patients in the Ipilimumab + BMS-986156 Arm were not treated with SBRT and were not assessed for this Outcome Measure | Posted | Number | Count of participants | Median duration of follow-up 32.3 months (95% CI 8.6 to 56.0) |
| |||||||||||||||||||||||||||||||||||||
| Secondary | Immune-related Tumor Response | Number of immune related responses of different immunotherapy schemes with or without SABR; Assessing complete response (CR), partial response (PR), and stable disease (SD) | Posted | Number | Count of participants | Median duration of follow-up 32.3 months (95% CI 8.6 to 56.0) |
| ||||||||||||||||||||||||||||||||||||||
| Secondary | Out-of-field (Abscopal) Disease Control Rate (ACR) | Patient's change of tumor since intiation of treatment and patient's exhibiting out of field disease control. | Patients in the Ipilimumab + BMS-986156 Arms were not treated with SBRT and were not assessed for this Outcome Measure | Posted | Number | Count of participants | Median duration of follow-up 32.3 months (95% CI 8.6 to 56.0) |
| |||||||||||||||||||||||||||||||||||||
| Secondary | Out-of-field (Abscopal) Response Rate (ARR) | Assesses partial response (PR) rate and complete response (CR) rate | Posted | Number | Count of participants | Median duration of follow-up 32.3 months (95% CI 8.6 to 56.0) |
| ||||||||||||||||||||||||||||||||||||||
| Secondary | Tumor Burden: Disease Control Rate | Assessing complete response (CR), partial response (PR), and stable disease (SD) | Posted | Number | Count of participants | Median duration of follow-up 32.3 months (95% CI 8.6 to 56.0) |
|
Baseline to at least 100 days after the last dose of study treatment, up to 5 years.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Ipilimumab + BMS-986156 Arm (30 mg/kg) | Group 1: Administered four cycles of Ipilimumab (3 mg/kg) + BMS-986156 (30 mg as dose level 1) every 3 weeks. | 2 | 10 | 6 | 10 | 10 | 10 |
| EG001 | Ipilimumab + BMS-986156 Arm (100 mg/kg) | Group 1: Administered four cycles of Ipilimumab (3 mg/kg) + BMS-986156 (100 mg as dose level 2) every 3 weeks. | 3 | 10 | 10 | 10 | 10 | 10 |
| EG002 | Ipilimumab + BMS-986156 With SBRT Arm | Group 2: Administered four cycles of Ipilimumab (3 mg/kg) + BMS-986156 (100 mg) every 3 weeks with SABR (50 Gy/4 fx or 60-70 Gy/10 fx to liver/lung lesions). | 1 | 10 | 5 | 10 | 10 | 10 |
| EG003 | Nivolumab + BMS-986156 With SBRT Arm | Group 3: Administered four cycles of nivolumab (480 mg) + BMS-986156 (30 mg), every 4 weeks with SABR. Maintenance nivolumab given up to 2 years. | 3 | 20 | 9 | 20 | 20 | 20 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Colitis | Gastrointestinal disorders | Systematic Assessment |
| ||
| Dyspnea | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Diarrhea | Gastrointestinal disorders | Systematic Assessment |
| ||
| Pneumonitis | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Hepatobiliary disorders - Other, specify | Gastrointestinal disorders | Systematic Assessment |
| ||
| Thromboembolic event | Vascular disorders | Systematic Assessment |
| ||
| Fatigue | General disorders | Systematic Assessment |
| ||
| Hypercalcemia | Musculoskeletal and connective tissue disorders | Systematic Assessment |
| ||
| Nausea | Gastrointestinal disorders | Systematic Assessment |
| ||
| Neck pain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
| ||
| Pelvic pain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
| ||
| Delirium | Nervous system disorders | Systematic Assessment |
| ||
| Lung infection | Infections and infestations | Systematic Assessment |
| ||
| Adult respiratory distress syndrome | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Alanine aminotransferase increased | Gastrointestinal disorders | Systematic Assessment |
| ||
| Anemia | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Anorectal infection | Infections and infestations | Systematic Assessment |
| ||
| Aspartate aminotransferase increased | Gastrointestinal disorders | Systematic Assessment |
| ||
| Aspiration | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Back pain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
| ||
| Blood and lymphatic system disorders - Other, specify | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Cardiac disorders - Other, specify | Cardiac disorders | Systematic Assessment |
| ||
| Dehydration | General disorders | Systematic Assessment |
| ||
| Dysphagia | General disorders | Systematic Assessment |
| ||
| Gastric hemorrhage | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Headache | General disorders | Systematic Assessment |
| ||
| Hypoxia | General disorders | Systematic Assessment |
| ||
| Palpitations | Cardiac disorders | Systematic Assessment |
| ||
| Penile pain | General disorders | Systematic Assessment |
| ||
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Renal and urinary disorders - Other, specify | Renal and urinary disorders | Systematic Assessment |
| ||
| Sinus tachycardia | Cardiac disorders | Systematic Assessment |
| ||
| Spermatic cord obstruction | General disorders | Systematic Assessment |
| ||
| Urinary tract infection | Infections and infestations | Systematic Assessment |
| ||
| Vasovagal reaction | Nervous system disorders | Systematic Assessment |
| ||
| Respiratory failure | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Blood bilirubin increased | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Death NOS | General disorders | Systematic Assessment |
| ||
| Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specify * | General disorders | Systematic Assessment |
| ||
| Encephalopathy | Nervous system disorders | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Dyspnea | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Fatigue | General disorders | Systematic Assessment |
| ||
| Abdominal pain | General disorders | Systematic Assessment |
| ||
| Anorexia | General disorders | Systematic Assessment |
| ||
| Back pain | General disorders | Systematic Assessment |
| ||
| Rash | Skin and subcutaneous tissue disorders | Systematic Assessment |
| ||
| Diarrhea | Gastrointestinal disorders | Systematic Assessment |
| ||
| Aspartate aminotransferase increased | Gastrointestinal disorders | Systematic Assessment |
| ||
| Cough | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Edema limbs | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Generalized muscle weakness | Musculoskeletal and connective tissue disorders | Systematic Assessment |
| ||
| Nausea | Gastrointestinal disorders | Systematic Assessment |
| ||
| Chest wall pain | General disorders | Systematic Assessment |
| ||
| Creatinine increased | Renal and urinary disorders | Systematic Assessment |
| ||
| Skin and subcutaneous tissue disorders - Other, specify | Skin and subcutaneous tissue disorders | Systematic Assessment |
| ||
| Weight loss | Metabolism and nutrition disorders | Systematic Assessment |
| ||
| Anemia | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Fever | General disorders | Systematic Assessment |
| ||
| General disorders and administration site conditions - Other, specify | General disorders | Systematic Assessment |
| ||
| Pain | General disorders | Systematic Assessment |
| ||
| Alanine aminotransferase increased | Gastrointestinal disorders | Systematic Assessment |
| ||
| Hypokalemia | General disorders | Systematic Assessment |
| ||
| Constipation | Gastrointestinal disorders | Systematic Assessment |
| ||
| Dizziness | General disorders | Systematic Assessment |
| ||
| Hypercalcemia | General disorders | Systematic Assessment |
| ||
| Peripheral sensory neuropathy | Nervous system disorders | Systematic Assessment |
| ||
| Insomnia | General disorders | Systematic Assessment |
| ||
| Hypothyroidism | General disorders | Systematic Assessment |
| ||
| Arthralgia | Musculoskeletal and connective tissue disorders | Systematic Assessment |
| ||
| Colitis | Gastrointestinal disorders | Systematic Assessment |
| ||
| Dysphagia | Gastrointestinal disorders | Systematic Assessment |
| ||
| Headache | General disorders | Systematic Assessment |
| ||
| Sinus tachycardia | Cardiac disorders | Systematic Assessment |
| ||
| Gastrointestinal disorders - Other, specify | Gastrointestinal disorders | Systematic Assessment |
| ||
| Leukocytosis | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Mucositis oral | Gastrointestinal disorders | Systematic Assessment |
| ||
| Postnasal drip | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Urinary frequency | Renal and urinary disorders | Systematic Assessment |
| ||
| Vomiting | Gastrointestinal disorders | Systematic Assessment |
| ||
| White blood cell decreased | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Urinary tract infection | Infections and infestations | Systematic Assessment |
| ||
| Abdominal distension | Gastrointestinal disorders | Systematic Assessment |
| ||
| Blood and lymphatic system disorders - Other, specify | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Blood bilirubin increased | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Ascites | Gastrointestinal disorders | Systematic Assessment |
| ||
| Dry skin | Skin and subcutaneous tissue disorders | Systematic Assessment |
| ||
| Hyponatremia | General disorders | Systematic Assessment |
| ||
| Hepatobiliary disorders - Other, specify | Gastrointestinal disorders | Systematic Assessment |
| ||
| Respiratory, thoracic and mediastinal disorders - Other, specify | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Hypoxia | Cardiac disorders | Systematic Assessment |
| ||
| Pneumonitis | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Allergic reaction | General disorders | Systematic Assessment |
| ||
| Cardiac disorders - Other, specify | Cardiac disorders | Systematic Assessment |
| ||
| Dehydration | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Renal and urinary disorders - Other, specify | Renal and urinary disorders | Systematic Assessment |
| ||
| Thromboembolic event | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Hyperuricemia | Renal and urinary disorders | Systematic Assessment |
| ||
| Lung infection | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Adult respiratory distress syndrome | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Anorectal infection | Infections and infestations | Systematic Assessment |
| ||
| Aspiration | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Cardiac disorders - Cardiac troponin T increased | Cardiac disorders | Systematic Assessment |
| ||
| Gastric hemorrhage | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Hypotension | Vascular disorders | Systematic Assessment |
| ||
| Palpitations | Cardiac disorders | Systematic Assessment |
| ||
| Penile pain | General disorders | Systematic Assessment |
| ||
| Portal vein thrombosis | Vascular disorders | Systematic Assessment |
| ||
| Spermatic cord obstruction | General disorders | Systematic Assessment |
| ||
| Stridor | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Vasovagal reaction | Nervous system disorders | Systematic Assessment |
| ||
| Delirium | Nervous system disorders | Systematic Assessment |
| ||
| Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specify* | General disorders | Systematic Assessment |
| ||
| Encephalopathy | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Respiratory failure | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Anxiety | General disorders | Systematic Assessment |
| ||
| Blurred vision | General disorders | Systematic Assessment |
| ||
| Bone pain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
| ||
| Dry mouth | General disorders | Systematic Assessment |
| ||
| Gait disturbance | Nervous system disorders | Systematic Assessment |
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| Investigations - Other, specify | Investigations | Systematic Assessment |
| ||
| Musculoskeletal and connective tissue disorder - Other, specify | Musculoskeletal and connective tissue disorders | Systematic Assessment |
| ||
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Neck pain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
| ||
| Nervous system disorders - Other, specify | Nervous system disorders | Systematic Assessment |
| ||
| Neutrophil count decreased | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Pelvic pain | Renal and urinary disorders | Systematic Assessment |
| ||
| Sleep apnea | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Social circumstances - Other, specify | Nervous system disorders | Systematic Assessment |
| ||
| Toothache | Nervous system disorders | Systematic Assessment |
| ||
| Urinary retention | Renal and urinary disorders | Systematic Assessment |
| ||
| Urinary tract pain | Renal and urinary disorders | Systematic Assessment |
| ||
| Vaginal pain | General disorders | Systematic Assessment |
| ||
| Weight gain | Metabolism and nutrition disorders | Systematic Assessment |
| ||
| Adrenal insufficiency | General disorders | Systematic Assessment |
| ||
| Hyperhidrosis | Nervous system disorders | Systematic Assessment |
| ||
| Memory impairment | Nervous system disorders | Systematic Assessment |
| ||
| Uveitis | General disorders | Systematic Assessment |
|
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Joe Chang, MD | MD Anderson Cancer Center | (713) 563-2337 | jychang@mdanderson.org |
| Aug 13, 2025 |
| Prot_SAP_001.pdf |
| ICF | No | No | Yes | Informed Consent Form | Apr 15, 2020 | Apr 17, 2025 | ICF_000.pdf |
Not provided
| ID | Term |
|---|---|
| D009362 | Neoplasm Metastasis |
| ID | Term |
|---|---|
| D009385 | Neoplastic Processes |
| D009369 | Neoplasms |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
| ID | Term |
|---|---|
| D000074324 | Ipilimumab |
| D060908 | CTLA-4 Antigen |
| D000077594 | Nivolumab |
| D016634 | Radiosurgery |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
| D000082102 | Immune Checkpoint Proteins |
| D061025 | Costimulatory and Inhibitory T-Cell Receptors |
| D011971 | Receptors, Immunologic |
| D011956 | Receptors, Cell Surface |
| D008565 | Membrane Proteins |
| D000945 | Antigens, Differentiation, T-Lymphocyte |
| D000943 | Antigens, Differentiation |
| D000954 | Antigens, Surface |
| D000941 | Antigens |
| D001685 | Biological Factors |
| D015415 | Biomarkers |
| D011878 | Radiotherapy |
| D013812 | Therapeutics |
| D013238 | Stereotaxic Techniques |
| D019635 | Neurosurgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D008919 | Investigative Techniques |
Not provided
Not provided
| Male |
|
| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
|
|
|
|
Group 3: Administered four cycles of nivolumab (480 mg) + BMS-986156 (30 mg), every 4 weeks with SABR. Maintenance nivolumab given up to 2 years.
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