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The purpose of this study is to assess the safety and efficacy of nivolumab combined with ipilimumab in intermediate and poor-risk participants with previously untreated advanced renal cell carcinoma (RCC) or metastatic RCC (mRCC) in India.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nivolumab + ipilimumab | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nivolumab | Biological | Specified dose on specified days |
|
| Measure | Description | Time Frame |
|---|---|---|
| Total Number of Participants Experiencing High Grade Immune-Mediated Adverse Events (IMAE) | IMAEs are a type of adverse event that occurs when the immune system reacts against the body's own tissues, including diarrhea/colitis, hepatitis, pneumonitis, nephritis and renal dysfunction, rash, and endocrine (adrenal insufficiency, hypophysitis, hypothyroidism/thyroiditis, hyperthyroidism, and diabetes mellitus). IMAE analyses includes events, regardless of causality, which occurred during the study and follow-up. Only participants who received immune-modulating medication for treatment of the event are reported, with the exception of endocrine events, which will be included regardless of treatment since these events are often managed without immunosuppression. High grade (Grade 3 to 4 and Grade 5) IMAEs are reported. IMAEs are graded on a scale from 1 to 5, in which Grade 3 is severe or medically significant but not immediately life-threatening; Grade 4 events may require hospitalization; Grade 5 events are fatal. | From first dose until 100 days after the last dose or for a maximum of 52 weeks from the date of the first on-study dose of nivolumab, whichever occurs earlier. |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Onset of High Grade Immune-Mediated Adverse Event (IMAE) | Time to onset is defined as the time between the day of the first dose of study treatment and the onset date of the earliest AE (Grades 3-5) in this category. All IMAEs that occurred between first dose and 100 days past last dose are recorded. IMAEs are a type of adverse event that occurs when the immune system reacts against the body's own tissues. IMAE analyses includes events, regardless of causality, which occurred during the study and follow-up. Only participants who received immune-modulating medication for treatment of the event are reported, with the exception of endocrine events, which will be included regardless of treatment since these events are often managed without immunosuppression. High grade (Grades 3 through 5) IMAEs are reported. IMAEs are graded on a scale from 1 to 5, in which Grade 3 is severe or medically significant but not immediately life-threatening; Grade 4 events may require hospitalization; Grade 5 events are fatal. |
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Inclusion Criteria:
Exclusion Criteria:
Other protocol-defined inclusion/exclusion criteria apply
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| Name | Affiliation | Role |
|---|---|---|
| Bristol-Myers Squibb | Bristol-Myers Squibb | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Local Institution - 0005 | Ahmedabad | Gujarat | 380054 | India | ||
| Local Institution - 0011 |
Not provided
| Label | URL |
|---|---|
| BMS Clinical Trial Information | View source |
| BMS Clinical Trial Patient Recruiting | View source |
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| ID | Title | Description |
|---|---|---|
| FG000 | Nivolumab + Ipilimumab | Participants received nivolumab 3mg/kg Q3W combined with ipilimumab 1mg/kg Q3W for 4 doses followed by nivolumab 3mg/kg Q2W for up to 52 weeks. |
| 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 | Nov 10, 2023 |
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| Ipilimumab | Biological | Specified dose on specified days |
|
|
| From first dose until onset of IMAE (up to approximately 15 months) |
| Time to Resolution of High Grade Immune-Mediated Adverse Event (IMAE) | Time to resolution of IMAEs is defined as the longest time from onset to complete resolution or improvement to the grade at baseline among all clustered AEs experienced by the participant in this category per adverse event criteria category. Events which worsened into grade 5 events (death) or have a resolution date equal to the date of death are considered unresolved. If a clustered AE is considered as unresolved, the resolution date will be censored to the last known alive date. Improvement to the grade at baseline implies that all different events in the clustered adverse event should at least have improved to the corresponding (i.e. with same preferred term) baseline grade. High grade (Grades 3 through 5) IMAEs are reported. IMAEs are graded on a scale from 1 to 5, in which Grade 3 is severe or medically significant but not immediately life-threatening; Grade 4 events may require hospitalization; Grade 5 events are fatal. | From first dose until resolution of IMAE (up to approximately 15 months) |
| The Number of Participants Who Received Immune-Modulating Medication | Immune modulating medications are medications entered on an immune modulating medication form or available from the most current pre-defined list of immune modulating medications. This list is revisited whenever UMC WHO releases a new version and updated accordingly. | From first dose up to 100 days after last dose (up to approximately 15 months) |
| Objective Response Rate (ORR) | Objective Response Rate (ORR) was defined as the number of participants with a best overall response of confirmed Complete Response (CR) or Partial Response (PR) (per RECIST 1.1 criteria) divided by the number of all treated participants. RECIST 1.1 = Response Evaluation Criteria in Solid Tumors. CR= Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm. PR= At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. | From first dose up to 100 days after last dose (up to approximately 15 months) |
| Time to Response (TTR) | TTR is defined as the time from the date of first dose to the date of the first confirmed documented response (CR or PR). For the non-responders, TTR was censored at the maximum time of response + 1 day of all participants. CR= Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm. PR= At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. | From first dose to the date of CR or PR (up to approximately 15 months) |
| Duration of Response (DoR) | Duration of Response (DOR) is defined as the time between the date of first documented response (CR or PR) that was subsequently confirmed to the date of the first documented progression as determined using RECIST 1.1, or death due to any cause, whichever occurs first. For participants who neither progress nor die, the duration of response will be censored on the date of their last evaluable tumor assessment. For participants who start subsequent therapy before progression or die, the duration of response will be censored on the date of their last evaluable tumor assessment conducted on or prior to the initiation of the subsequent therapy. CR= Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm. PR= At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Analysis based on Kaplan Meier estimates. | From first documented response (CR or PR) up to first documented progression or death due to any cause, whichever occurs first (up to approximately 3 years) |
| Trivandrum |
| Kerala |
| 695011 |
| India |
| Local Institution - 0013 | Mumbai | Maharashtra | 400 057 | India |
| Local Institution - 0001 | Mumbai | Maharashtra | 400012 | India |
| Local Institution - 0007 | New Delhi | National Capital Territory of Delhi | 110029 | India |
| Local Institution - 0006 | Bangalore | 560017 | India |
| Local Institution - 0017 | Delhi | 110085 | India |
| Local Institution - 0002 | Karnataka | 560027 | India |
| Local Institution - 0019 | Kolkata | 711103 | India |
| Local Institution - 0016 | Mumbai | 400053 | India |
| Local Institution - 0012 | Pune | 411001 | India |
| COMPLETED |
|
| NOT COMPLETED |
|
|
All treated participants
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| ID | Title | Description |
|---|---|---|
| BG000 | Nivolumab + Ipilimumab | Participants received nivolumab 3mg/kg Q3W combined with ipilimumab 1mg/kg Q3W for 4 doses followed by nivolumab 3mg/kg Q2W for up to 52 weeks. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | Years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Race/Ethnicity, Customized | Number | Participants |
|
| 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 | Total Number of Participants Experiencing High Grade Immune-Mediated Adverse Events (IMAE) | IMAEs are a type of adverse event that occurs when the immune system reacts against the body's own tissues, including diarrhea/colitis, hepatitis, pneumonitis, nephritis and renal dysfunction, rash, and endocrine (adrenal insufficiency, hypophysitis, hypothyroidism/thyroiditis, hyperthyroidism, and diabetes mellitus). IMAE analyses includes events, regardless of causality, which occurred during the study and follow-up. Only participants who received immune-modulating medication for treatment of the event are reported, with the exception of endocrine events, which will be included regardless of treatment since these events are often managed without immunosuppression. High grade (Grade 3 to 4 and Grade 5) IMAEs are reported. IMAEs are graded on a scale from 1 to 5, in which Grade 3 is severe or medically significant but not immediately life-threatening; Grade 4 events may require hospitalization; Grade 5 events are fatal. | All treated participants | Posted | Count of Participants | Participants | From first dose until 100 days after the last dose or for a maximum of 52 weeks from the date of the first on-study dose of nivolumab, whichever occurs earlier. |
|
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | Time to Onset of High Grade Immune-Mediated Adverse Event (IMAE) | Time to onset is defined as the time between the day of the first dose of study treatment and the onset date of the earliest AE (Grades 3-5) in this category. All IMAEs that occurred between first dose and 100 days past last dose are recorded. IMAEs are a type of adverse event that occurs when the immune system reacts against the body's own tissues. IMAE analyses includes events, regardless of causality, which occurred during the study and follow-up. Only participants who received immune-modulating medication for treatment of the event are reported, with the exception of endocrine events, which will be included regardless of treatment since these events are often managed without immunosuppression. High grade (Grades 3 through 5) IMAEs are reported. IMAEs are graded on a scale from 1 to 5, in which Grade 3 is severe or medically significant but not immediately life-threatening; Grade 4 events may require hospitalization; Grade 5 events are fatal. | All treated participants who experienced at least 1 IMAE | Posted | Median | Full Range | Weeks | From first dose until onset of IMAE (up to approximately 15 months) |
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | Time to Resolution of High Grade Immune-Mediated Adverse Event (IMAE) | Time to resolution of IMAEs is defined as the longest time from onset to complete resolution or improvement to the grade at baseline among all clustered AEs experienced by the participant in this category per adverse event criteria category. Events which worsened into grade 5 events (death) or have a resolution date equal to the date of death are considered unresolved. If a clustered AE is considered as unresolved, the resolution date will be censored to the last known alive date. Improvement to the grade at baseline implies that all different events in the clustered adverse event should at least have improved to the corresponding (i.e. with same preferred term) baseline grade. High grade (Grades 3 through 5) IMAEs are reported. IMAEs are graded on a scale from 1 to 5, in which Grade 3 is severe or medically significant but not immediately life-threatening; Grade 4 events may require hospitalization; Grade 5 events are fatal. | All treated participants who experienced at least 1 IMAE that was resolved. Participants who experienced an IMAE that did not resolve were censored. | Posted | Median | Full Range | Weeks | From first dose until resolution of IMAE (up to approximately 15 months) |
| |||||||||||||||||||||||||||||||||||||
| Secondary | The Number of Participants Who Received Immune-Modulating Medication | Immune modulating medications are medications entered on an immune modulating medication form or available from the most current pre-defined list of immune modulating medications. This list is revisited whenever UMC WHO releases a new version and updated accordingly. | All treated participants | Posted | Count of Participants | Participants | From first dose up to 100 days after last dose (up to approximately 15 months) |
|
| |||||||||||||||||||||||||||||||||||||
| Secondary | Objective Response Rate (ORR) | Objective Response Rate (ORR) was defined as the number of participants with a best overall response of confirmed Complete Response (CR) or Partial Response (PR) (per RECIST 1.1 criteria) divided by the number of all treated participants. RECIST 1.1 = Response Evaluation Criteria in Solid Tumors. CR= Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm. PR= At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. | All response evaluable participants - a total of 16 participants were excluded from "all response evaluable participants" population as they did not have measurable disease at baseline or at least 1 evaluable on-study assessment | Posted | Number | 95% Confidence Interval | Percentage of participants | From first dose up to 100 days after last dose (up to approximately 15 months) |
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | Time to Response (TTR) | TTR is defined as the time from the date of first dose to the date of the first confirmed documented response (CR or PR). For the non-responders, TTR was censored at the maximum time of response + 1 day of all participants. CR= Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm. PR= At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. | All confirmed responders | Posted | Median | Full Range | Months | From first dose to the date of CR or PR (up to approximately 15 months) |
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | Duration of Response (DoR) | Duration of Response (DOR) is defined as the time between the date of first documented response (CR or PR) that was subsequently confirmed to the date of the first documented progression as determined using RECIST 1.1, or death due to any cause, whichever occurs first. For participants who neither progress nor die, the duration of response will be censored on the date of their last evaluable tumor assessment. For participants who start subsequent therapy before progression or die, the duration of response will be censored on the date of their last evaluable tumor assessment conducted on or prior to the initiation of the subsequent therapy. CR= Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm. PR= At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Analysis based on Kaplan Meier estimates. | All treated participants who have measurable disease at baseline and at least one on-study assessment | Posted | Median | Full Range | Months | From first documented response (CR or PR) up to first documented progression or death due to any cause, whichever occurs first (up to approximately 3 years) |
|
Participants were assessed for all-cause mortality from their randomization to study completion, (up to approximately 3 years). SAEs and Other AEs were assessed from first dose to 100 days following last dose (up to approximately 15 months)
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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 | Nivolumab + Ipilimumab | Participants received nivolumab 3mg/kg Q3W combined with ipilimumab 1mg/kg Q3W for 4 doses followed by nivolumab 3mg/kg Q2W for up to 52 weeks. | 11 | 101 | 37 | 101 | 80 | 101 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | 26.1 | Systematic Assessment |
| |
| Acute coronary syndrome | Cardiac disorders | 26.1 | Systematic Assessment |
| |
| Cardiac arrest | Cardiac disorders | 26.1 | Systematic Assessment |
| |
| Myocardial infarction | Cardiac disorders | 26.1 | Systematic Assessment |
| |
| Myocardial ischaemia | Cardiac disorders | 26.1 | Systematic Assessment |
| |
| Myocarditis | Cardiac disorders | 26.1 | Systematic Assessment |
| |
| Adrenal insufficiency | Endocrine disorders | 26.1 | Systematic Assessment |
| |
| Hyperthyroidism | Endocrine disorders | 26.1 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | 26.1 | Systematic Assessment |
| |
| Stomatitis | Gastrointestinal disorders | 26.1 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | 26.1 | Systematic Assessment |
| |
| Death | General disorders | 26.1 | Systematic Assessment |
| |
| Multiple organ dysfunction syndrome | General disorders | 26.1 | Systematic Assessment |
| |
| Pyrexia | General disorders | 26.1 | Systematic Assessment |
| |
| Bile duct stone | Hepatobiliary disorders | 26.1 | Systematic Assessment |
| |
| Contrast media reaction | Immune system disorders | 26.1 | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | 26.1 | Systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | 26.1 | Systematic Assessment |
| |
| Sepsis | Infections and infestations | 26.1 | Systematic Assessment |
| |
| Septic shock | Infections and infestations | 26.1 | Systematic Assessment |
| |
| Staphylococcal sepsis | Infections and infestations | 26.1 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | 26.1 | Systematic Assessment |
| |
| Electrolyte imbalance | Metabolism and nutrition disorders | 26.1 | Systematic Assessment |
| |
| Hypocalcaemia | Metabolism and nutrition disorders | 26.1 | Systematic Assessment |
| |
| Hypoglycaemia | Metabolism and nutrition disorders | 26.1 | Systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | 26.1 | Systematic Assessment |
| |
| Hyponatraemia | Metabolism and nutrition disorders | 26.1 | Systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | 26.1 | Systematic Assessment |
| |
| Malignant neoplasm progression | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 26.1 | Systematic Assessment |
| |
| Metastases to central nervous system | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 26.1 | Systematic Assessment |
| |
| Rectal adenocarcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 26.1 | Systematic Assessment |
| |
| Altered state of consciousness | Nervous system disorders | 26.1 | Systematic Assessment |
| |
| Guillain-Barre syndrome | Nervous system disorders | 26.1 | Systematic Assessment |
| |
| Hemiparesis | Nervous system disorders | 26.1 | Systematic Assessment |
| |
| Hemiplegia | Nervous system disorders | 26.1 | Systematic Assessment |
| |
| Acute kidney injury | Renal and urinary disorders | 26.1 | Systematic Assessment |
| |
| Renal impairment | Renal and urinary disorders | 26.1 | Systematic Assessment |
| |
| Acquired hydrocele | Reproductive system and breast disorders | 26.1 | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | 26.1 | Systematic Assessment |
| |
| Immune-mediated lung disease | Respiratory, thoracic and mediastinal disorders | 26.1 | Systematic Assessment |
| |
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | 26.1 | Systematic Assessment |
| |
| Pneumonitis | Respiratory, thoracic and mediastinal disorders | 26.1 | Systematic Assessment |
| |
| Respiratory distress | Respiratory, thoracic and mediastinal disorders | 26.1 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | 26.1 | Systematic Assessment |
| |
| Hyperthyroidism | Endocrine disorders | 26.1 | Systematic Assessment |
| |
| Hypothyroidism | Endocrine disorders | 26.1 | Systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | 26.1 | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | 26.1 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | 26.1 | Systematic Assessment |
| |
| Asthenia | General disorders | 26.1 | Systematic Assessment |
| |
| Fatigue | General disorders | 26.1 | Systematic Assessment |
| |
| Pain | General disorders | 26.1 | Systematic Assessment |
| |
| Pyrexia | General disorders | 26.1 | Systematic Assessment |
| |
| Blood creatinine increased | Investigations | 26.1 | Systematic Assessment |
| |
| Weight increased | Investigations | 26.1 | Systematic Assessment |
| |
| Decreased appetite | Metabolism and nutrition disorders | 26.1 | Systematic Assessment |
| |
| Hyperglycaemia | Metabolism and nutrition disorders | 26.1 | Systematic Assessment |
| |
| Hyponatraemia | Metabolism and nutrition disorders | 26.1 | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | 26.1 | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | 26.1 | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | 26.1 | Systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | 26.1 | Systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | 26.1 | Systematic Assessment |
|
Bristol-Myers Squibb Co. agreements with investigators vary; constant is our right to embargo communications regarding trial results prior to public release for a period ≤60 days from submittal for review. We will not prohibit investigators from publishing, but will prohibit the disclosure of previously undisclosed confidential information other than study results, and request postponement of single-center publications until after disclosure of the clinical trial's primary publication
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Bristol-Myers Squibb Study Director | Bristol-Myers Squibb | Please Email | Clinical.Trials@bms.com |
| Dec 10, 2024 |
| Prot_SAP_000.pdf |
Not provided
| ID | Term |
|---|---|
| D007680 | Kidney Neoplasms |
| ID | Term |
|---|---|
| D014571 | Urologic Neoplasms |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052801 | Male Urogenital Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D000077594 | Nivolumab |
| D000074324 | Ipilimumab |
| 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 |
Not provided
Not provided
| Title | Measurements |
|---|---|
|
| Adrenal Insufficiency Grade 3-4 |
|
| Diarrhea/Colitis Grade 3-5 |
|
| Hepatitis Grade 3-5 |
|
| Nephritis and Renal Dysfunction Grade 5 |
|
| Rash Grade 5 |
|
| Hypersensitivity Grade 3-5 |
|
| Adrenal Insufficiency Grade 5 |
|
| Hypothyroidism/Thyroiditis Grade 3-5 |
|
| Diabetes Mellitus Grade 3-5 |
|
| Hyperthyroidism Grade 3-5 |
|
| Hypophysitis Grade 3-5 |
|
| Participants |
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