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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02658890
Registration number
NCT02658890
Ethics application status
Date submitted
14/01/2016
Date registered
20/01/2016
Date last updated
28/08/2023
Titles & IDs
Public title
An Investigational Immuno-therapy Study of BMS-986205 Given in Combination With Nivolumab and in Combination With Both Nivolumab and Ipilimumab in Cancers That Are Advanced or Have Spread
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Scientific title
A Phase 1/2a Study of BMS-986205 Administered in Combination With Nivolumab (Anti-PD-1 Monoclonal Antibody) and in Combination With Both Nivolumab and Ipilimumab (Anti-CTLA-4 Monoclonal Antibody) in Advanced Malignant Tumors
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Secondary ID [1]
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0
2015-004914-79
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Secondary ID [2]
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0
CA017-003
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Advanced Cancer
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0
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Melanoma
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0
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Non-Small Cell Lung Cancer
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0
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Condition category
Condition code
Cancer
0
0
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0
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Lung - Non small cell
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Experimental: Combination Therapy (Dose Escalation) - BMS 986205 + Nivolumab specified dose at specified intervals.
Experimental: Combination Therapy (Dose Expansion) - BMS 986205 + Nivolumab specified dose at specified intervals.
Experimental: Combination Therapy 2 (Dose Expansion) - BMS 986205 + both Nivolumab and ipilimumab specified dose at specified intervals
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of Participants With AEs, SAEs, AEs Leading to Discontinuation and Deaths
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Assessment method [1]
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Number of participants with adverse events (AEs), serious adverse events (SAEs), adverse events leading to discontinuation and deaths.
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Timepoint [1]
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From first dose to 100 days after last dose (up to 15 months)
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Primary outcome [2]
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Number of Treated Participant With Laboratory Abnormalities - Thyroid
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Assessment method [2]
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The number of treated participants who experienced a laboratory abnormality of the thyroid during the course of the study.
Free T3 (FT3) Free T4 (FT4) Thyroid stimulating hormone (TSH) Lower Limit of Normal (LLN) Upper limit of normal (ULN) Results reported in International System of Units (SI)
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Timepoint [2]
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0
From first dose to 100 days after last dose (up to 15 months)
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Primary outcome [3]
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Number of Treated Participant With Laboratory Abnormalities - Liver
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Assessment method [3]
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The number of treated participants who experienced a laboratory abnormality of the liver during the course of the study.
Aspartate aminotransferase (AST) Alanine aminotransferase (ALT) Upper Limit of Normal (ULN) Results reported in International System of Units (SI)
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Timepoint [3]
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0
From first dose to 100 days after last dose (up to 15 months)
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Primary outcome [4]
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Number of Participants With a Best Overall Response (BOR) - Parts 2 and 3
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Assessment method [4]
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Best overall response (BOR) is defined as the best response designation over the study as a whole. Complete response (CR) or partial response (PR) determinations included in the BOR assessment must be confirmed by a second scan performed no less than 4 weeks after the criteria for response are first met. For those participants who have surgical resection, only pre-surgical tumor assessments will be considered in the determination of BOR. Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions. Progressive Disease. (PD): At least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. Appearance of 1 or more new lesions is also considered progression. Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD.
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Timepoint [4]
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From first dose to the last tumor assessment prior to subsequent therapy (up to a maximum of 185 weeks)
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Primary outcome [5]
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Percentage of Participants With an Objective Response Rate (ORR)- Parts 2 and 3
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Assessment method [5]
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Objective response rate (ORR) is defined as the percentage of all treated participants whose BOR is either a complete response (CR) or partial response (PR). Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions.
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Timepoint [5]
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From first dose to the last tumor assessment prior to subsequent therapy (up to a maximum of 185 weeks)
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Primary outcome [6]
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Median Duration of Response (DoR) - Parts 2 and 3
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Assessment method [6]
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Duration of response (DoR) was computed for all treated subjects with a best overall response (BOR) of complete response (CR) or partial response (PR) and is defined as the time between the date of first response and the date of disease progression or death, whichever occurs first. Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions.
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Timepoint [6]
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0
From first dose to the date of disease progression, death, or until participants withdraw from the study, whichever occurs first (up to a maximum of 185 weeks)
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Primary outcome [7]
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Progression Free Survival Rate (PFSR) at 24 Weeks - Parts 2 and 3
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Assessment method [7]
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Progression free survival rate (PFSR) is defined as the percentage of participants who remain progression free and surviving at 24 weeks. Reported values are estimates derived from Kaplan-Meier analyses.
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Timepoint [7]
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0
At 24 weeks after first dose
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Primary outcome [8]
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Progression Free Survival Rate (PFSR) at 1 Year - Parts 2 and 3
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Assessment method [8]
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Progression free survival rate (PFSR) is defined as the percentage of participants who remain progression free and surviving at 1 year. Reported values are estimates derived from Kaplan-Meier analyses.
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Timepoint [8]
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0
At 1 year
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Primary outcome [9]
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Progression Free Survival Rate (PFSR) at 2 Years - Parts 2 and 3
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Assessment method [9]
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Progression free survival rate (PFSR) is defined as the percentage of participants who remain progression free and surviving at 2 years. Reported values are estimates derived from Kaplan-Meier analyses.
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Timepoint [9]
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At 2 years
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Secondary outcome [1]
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Cmax
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Assessment method [1]
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Cmax is defined as the maximum observed plasma concentration. Pharmacokinetic parameters measured here are for BMS-986205.
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Timepoint [1]
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0
At cycle 0 day 1 and day 14 [cycle 0= up to 2 weeks]
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Secondary outcome [2]
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Tmax
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Assessment method [2]
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Tmax is defined as the time of maximum observed plasma concentration. Pharmacokinetic parameters measured here are for BMS-986205.
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Timepoint [2]
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At cycle 0 day 1 and day 14 [cycle 0= up to 2 weeks]
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Secondary outcome [3]
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AUC(TAU)
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Assessment method [3]
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AUC(TAU) is defined as the area under the concentration-time curve in 1 dosing interval. Pharmacokinetic parameters measured here are for BMS-986205.
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Timepoint [3]
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Cycle 0 Day 1 (0, 1, 2, 3, 4, 6, 8, 24 hours post-dose), Cycle 0 Day 14 (0, 1, 2, 3, 4, 6, 8, 24 hours post-dose)
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Secondary outcome [4]
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Ctrough
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Assessment method [4]
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Ctrough is defined as the trough observed plasma concentration at the end of the dosing interval.
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Timepoint [4]
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At cycles 0 [up to 2 weeks] and at cycles 3, 5, 7, 10, 11, 13, 15 [each cycle is up to 4 weeks]
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Secondary outcome [5]
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0
CLT/F
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Assessment method [5]
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CLT/F is defined as the apparent total body clearance. Pharmacokinetic parameters measured here are for BMS-986205.
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Timepoint [5]
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At Cycle 0 Day 14 [cycle 0 = up to 2 weeks]
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Secondary outcome [6]
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Accumulation Index (AI) - AUC(TAU)
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Assessment method [6]
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Accumulation index (AI) of AUC(TAU) is calculated based on the ratio of AUC(TAU) at steady state to after the first dose. Pharmacokinetic parameters measured here are for BMS-986205.
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Timepoint [6]
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Cycle 0 Day 1 (0, 1, 2, 3, 4, 6, 8, 24 hours post-dose), Cycle 0 Day 14 (0, 1, 2, 3, 4, 6, 8, 24 hours post-dose)
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Secondary outcome [7]
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Accumulation Index (AI) - Cmax
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Assessment method [7]
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Accumulation index (AI) of Cmax is calculated based on the ratio of Cmax at steady state to after the first dose. Pharmacokinetic parameters measured here are for BMS-986205.
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Timepoint [7]
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At Cycle 0 Day 14 [cycle 0 = up to 2 weeks]
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Secondary outcome [8]
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Change From Baseline in Serum Kynurenine
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Assessment method [8]
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Pharmacodynamics assessed by change from baseline in serum kynurenine. Changes in kynurenine expression were evaluated in serum samples from participants treated using liquid chromatography with tandem mass spectrometry (LC-MS/MS). Kynurenine is an important metabolite of the IDO-1 Enzyme. Change in Kynurenine levels from baseline is an important indicator of BMS-986205 (IDO1 inhibitor) pharmacodynamic activity.
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Timepoint [8]
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At baseline (cycle 1, day 1) and at cycle 1, day 15 [cycle 1 = up to 4 weeks]
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Secondary outcome [9]
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Percent Change From Baseline in Serum Kynurenine
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Assessment method [9]
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Pharmacodynamics assessed by change from baseline in serum kynurenine. Changes in kynurenine expression were evaluated in serum samples from participants treated using liquid chromatography with tandem mass spectrometry (LC-MS/MS). Kynurenine is an important metabolite of the IDO-1 Enzyme. Change in Kynurenine levels from baseline is an important indicator of BMS-986205 (IDO1 inhibitor) pharmacodynamic activity.
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Timepoint [9]
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0
At baseline (cycle 1, day 1) and at cycle 1, day 15 [cycle 1 = up to 4 weeks]
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Secondary outcome [10]
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0
Number of Participants With a Best Overall Response (BOR) - Part 1 and Clinical Pharmacology Substudies
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Assessment method [10]
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0
Best overall response (BOR) is defined as the best response designation over the study as a whole. Complete response (CR) or partial response (PR) determinations included in the BOR assessment must be confirmed by a second scan performed no less than 4 weeks after the criteria for response are first met. For those participants who have surgical resection, only pre-surgical tumor assessments will be considered in the determination of BOR. Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions. Progressive Disease. (PD): At least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. Appearance of 1 or more new lesions is also considered progression. Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD.
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Timepoint [10]
0
0
From first dose to the last tumor assessment prior to subsequent therapy (up to a maximum of 185 weeks)
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Secondary outcome [11]
0
0
Percentage of Participants With an Objective Response Rate (ORR) - Part 1 and Clinical Pharmacology Substudies
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Assessment method [11]
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Objective response rate (ORR) is defined as the percentage of all treated participants whose BOR is either a complete response (CR) or partial response (PR). Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions. CR+PR confidence interval based on the Clopper and Pearson method.
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Timepoint [11]
0
0
From first dose to the last tumor assessment prior to subsequent therapy (up to a maximum of 185 weeks)
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Secondary outcome [12]
0
0
Median Duration of Response (DoR) - Part 1 and Clinical Pharmacology Substudies
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Assessment method [12]
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0
Duration of response (DoR) was computed for all treated subjects with a best overall response (BOR) of complete response (CR) or partial response (PR) and is defined as the time between the date of first response and the date of disease progression or death, whichever occurs first. Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions.
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Timepoint [12]
0
0
From first dose to the last tumor assessment prior to subsequent therapy (up to a maximum of 185 weeks)
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Secondary outcome [13]
0
0
Progression Free Survival Rate (PFSR) at 24 Weeks - Part 1 and Clinical Pharmacology Substudies
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Assessment method [13]
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Progression free survival rate (PFSR) is defined as the percentage of participants who remain progression free and surviving at 24 weeks. Reported values are estimates derived from Kaplan-Meier analyses.
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Timepoint [13]
0
0
At 24 weeks after first dose
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Secondary outcome [14]
0
0
Progression Free Survival Rate (PFSR) at 1 Year - Part 1 and Clinical Pharmacology Substudies
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Assessment method [14]
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0
Progression free survival rate (PFSR) is defined as the percentage of participants who remain progression free and surviving at 1 year. Reported values are estimates derived from Kaplan-Meier analyses.
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Timepoint [14]
0
0
At 1 year
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Secondary outcome [15]
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0
Progression Free Survival Rate (PFSR) at 2 Years - Part 1 and Clinical Pharmacology Substudies
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Assessment method [15]
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0
Progression free survival rate (PFSR) is defined as the percentage of participants who remain progression free and surviving at 2 years. Reported values are estimates derived from Kaplan-Meier analyses.
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Timepoint [15]
0
0
At 2 years
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Secondary outcome [16]
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0
Number of Participants With a Positive Anti-Drug Antibody (ADA) Test
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Assessment method [16]
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A participant with at least one ADA-positive sample relative to baseline after initiation of treatment with nivolumab or ipilimumab. ADA-Positive after initiation of treatment was defined as (1) an ADA detected (positive seroconversion) sample in a subject for whom ADA is not detected at baseline, or (2) an ADA detected sample with ADA titer to be at least 4-fold or greater (=) than baseline positive titer.
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Timepoint [16]
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From first dose to last dose (up to approximately 48 weeks)
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Eligibility
Key inclusion criteria
For more information regarding Bristol-Myers Squibb (BMS) Clinical Trial participation, please visit www.BMSStudyConnect.com
* During dose escalation, subjects with advanced solid tumors that have progressed following at least one standard regimen
* During cohort expansion, subjects with advanced cancer that either have received at least one prior therapy or are treatment naive, depending on the specified tumor type
* Subjects must have measurable disease
* Subject must consent to provide previously collected tumor tissue and a tumor biopsy during screening.
* At least 4 weeks since any previous treatment for cancer
* Must be able to swallow pills or capsules
* Eastern Cooperative Oncology Group(ECOG) Performance Status 0-1
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Minimum age
18
Years
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Maximum age
100
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Active or chronic autoimmune diseases
* Uncontrolled or significant cardiovascular disease
* History of any chronic Hepatitis, active Hepatitis B or C, human immunodeficiency virus (HIV), or acquired immune deficiency syndrome (AIDS)
* Chronic hepatitis: Positive test for Hepatitis B virus surface antigen or Hepatitis C antibody (except for subjects with hepatocellular carcinoma)
* Active central nervous system (CNS) metastases and CNS metastases as the only sites of disease
* Active infection
Other protocol defined inclusion/exclusion criteria could apply
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
14/04/2016
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
26/10/2021
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Sample size
Target
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Accrual to date
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Final
627
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC,WA
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Recruitment hospital [1]
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0
Local Institution - 0045 - North Sydney
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Recruitment hospital [2]
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0
Local Institution - 0029 - Sydney
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Recruitment hospital [3]
0
0
Local Institution - 0046 - Westmead
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Recruitment hospital [4]
0
0
Local Institution - 0044 - Brisbane
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Recruitment hospital [5]
0
0
Local Institution - 0008 - Clayton
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Recruitment hospital [6]
0
0
Local Institution - 0004 - Melbourne
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Recruitment hospital [7]
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0
Local Institution - 0047 - Nedlands
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Recruitment postcode(s) [1]
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0
2146 - North Sydney
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Recruitment postcode(s) [2]
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0
2010 - Sydney
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Recruitment postcode(s) [3]
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0
2145 - Westmead
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Recruitment postcode(s) [4]
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0
4102 - Brisbane
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Recruitment postcode(s) [5]
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0
3168 - Clayton
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Recruitment postcode(s) [6]
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0
3000 - Melbourne
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Recruitment postcode(s) [7]
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0
6009 - Nedlands
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Recruitment outside Australia
Country [1]
0
0
United States of America
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State/province [1]
0
0
Arizona
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Country [2]
0
0
United States of America
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State/province [2]
0
0
California
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Country [3]
0
0
United States of America
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State/province [3]
0
0
Florida
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Country [4]
0
0
United States of America
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State/province [4]
0
0
Georgia
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Country [5]
0
0
United States of America
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State/province [5]
0
0
Illinois
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Country [6]
0
0
United States of America
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State/province [6]
0
0
Maryland
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Country [7]
0
0
United States of America
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State/province [7]
0
0
Michigan
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Country [8]
0
0
United States of America
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State/province [8]
0
0
Missouri
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Country [9]
0
0
United States of America
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State/province [9]
0
0
New Jersey
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Country [10]
0
0
United States of America
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State/province [10]
0
0
New York
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Country [11]
0
0
United States of America
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State/province [11]
0
0
Ohio
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Country [12]
0
0
United States of America
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State/province [12]
0
0
Pennsylvania
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Country [13]
0
0
United States of America
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State/province [13]
0
0
Tennessee
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Country [14]
0
0
Canada
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State/province [14]
0
0
Alberta
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Country [15]
0
0
Canada
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State/province [15]
0
0
British Columbia
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Country [16]
0
0
Canada
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State/province [16]
0
0
Ontario
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Country [17]
0
0
Canada
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State/province [17]
0
0
Quebec
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Country [18]
0
0
Finland
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State/province [18]
0
0
Helsinki
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Country [19]
0
0
France
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State/province [19]
0
0
Lille CEDEX
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Country [20]
0
0
France
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State/province [20]
0
0
Lyon Cedex 08
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Country [21]
0
0
France
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State/province [21]
0
0
Marseille Cedex 5
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Country [22]
0
0
France
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State/province [22]
0
0
Nantes Cedex 01
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Country [23]
0
0
France
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State/province [23]
0
0
Paris
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Country [24]
0
0
France
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State/province [24]
0
0
Toulouse
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Country [25]
0
0
France
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State/province [25]
0
0
Villejuif
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Country [26]
0
0
Germany
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State/province [26]
0
0
Essen
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Country [27]
0
0
Germany
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State/province [27]
0
0
Heilbronn
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Country [28]
0
0
Italy
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State/province [28]
0
0
Milano
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Country [29]
0
0
Italy
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State/province [29]
0
0
Rozzano MI
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Country [30]
0
0
Norway
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State/province [30]
0
0
Oslo
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Country [31]
0
0
Poland
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State/province [31]
0
0
Mazowieckie
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Country [32]
0
0
Spain
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State/province [32]
0
0
Barcelona
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Country [33]
0
0
Spain
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State/province [33]
0
0
Madrid
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Country [34]
0
0
Sweden
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State/province [34]
0
0
Solna
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Bristol-Myers Squibb
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of the study is to determine safety and effectiveness of experimental medication BMS-986205 when combined with Nivolumab and in combination with both Nivolumab and Ipilimumab in patients with cancers that are advanced or have spread. Pharmacokinetics and pharmacodynamics of BMS-986205 when combined with Nivolumab and in combination with Nivolumab and Ipilimumab in this patient population will also be assessed.
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Trial website
https://clinicaltrials.gov/study/NCT02658890
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
0
0
Bristol-Myers Squibb
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Address
0
0
Bristol-Myers Squibb
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Country
0
0
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Phone
0
0
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Fax
0
0
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Email
0
0
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Contact person for public queries
Name
0
0
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Address
0
0
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Country
0
0
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Phone
0
0
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Fax
0
0
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Email
0
0
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/90/NCT02658890/Prot_SAP_000.pdf
Statistical analysis plan
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/90/NCT02658890/Prot_SAP_000.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02658890
Download to PDF