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Clinical Trials List

Protocol NumberCA209-7DX
NCT Number(ClinicalTrials.gov Identfier)NCT04100018

2020-04-01 - 2024-01-10

Phase III

Recruiting6

ICD-10C61

Malignant neoplasm of prostate

ICD-10Z51.12

Encounter for antineoplastic immunotherapy

ICD-9185

Malignant neoplasm of prostate

A Phase 3, Randomized, Double-Blind Study of Nivolumab or Placebo in Combination With Docetaxel, in Men With Metastatic Castration-resistant Prostate Cancer

  • Trial Applicant

    BRISTOL-MYERS SQUIBB (TAIWAN) LTD.

  • Sponsor

    Bristol-Myers Squibb

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2025/08/20

Investigators and Locations

Principal Investigator Yi-Hsiu Huang Digestive System Department

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 江博暉

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

The Actual Total Number of Participants Enrolled

0 Recruiting

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Wen-Pin Su

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

The Actual Total Number of Participants Enrolled

0 Recruiting

Condition/Disease

Metastatic Castration-resistant Prostate Cancer

Objectives

Primary Objective  To compare the rPFS (using PCWG3) of nivolumab in combination with docetaxel to placebo in combination with docetaxel, in men with metastatic castration resistant prostate cancer (mCRPC).  To compare the OS of nivolumab in combination with docetaxel to placebo in combination with docetaxel, in men with metastatic castration resistant prostate cancer (mCRPC). Secondary Objective  To assess the antitumor activity of nivolumab in combination with docetaxel  To characterize the safety and tolerability of nivolumab in combination with docetaxel.  To evaluate the progression of pain during treatment. Exploratory Objective  To investigate the time to initiation of subsequent systemic therapy (TT-SST)  To investigate the time to first symptomatic skeletal event (TT-SSE)  To evaluate the change in pain intensity and health-related cancer related symptoms and quality of life  To assess the participant’s quality of life and overall health status  To investigate the time to and duration of PSA response  To explore the circulating tumor cell count conversion rate (CTC-CR) and CTC0 at Week 13.  To evaluate the pharmacokinetics of nivolumab when administered in combination with docetaxel. To explore exposure response relationships between select exposure measures, and safety, and efficacy endpoints, as appropriate.  To characterize the immunogenicity of nivolumab when administered in combination with docetaxel.  To evaluate the immunomodulatory activity of nivolumab when administered in combination with docetaxel as measured by flow cytometric analyses of peripheral blood mononuclear cells (PBMCs), myeloid derived suppressor cells, and serum soluble factor analysis.  To evaluate the association between biomarkers in the peripheral blood (eg, CXCL9, CXCL10, gamma interferon signature) and tumor tissue and treatment efficacy.

Test Drug

OPDIVO (nivolumab) Injection 10mg/mL

Active Ingredient

Nivolumab

Dosage Form

IVT

Dosage

10mg/mL

Endpoints

Primary Outcome Measures :
Radiographic progressive free survival (rPFS) assessed by Blinded Independent Central Review (BICR) per Prostate Cancer Working Group (PCWG3) [ Time Frame: From the date of randomization to the first date of documented progression or death due to any cause, whichever occurs first, approximately 2 years ]
Overall Survival (OS) [ Time Frame: From the date of randomization to the date of death from any cause, approximately 3 years. For participants who are alive, their survival time will be censored at the last date that they were known to be alive ]

Inclution Criteria

Inclusion Criteria:

Histologic confirmation of adenocarcinoma of the prostate without small cell features
Current evidence of metastatic disease documented by either bone lesions on radionuclide bone scan and/or soft tissue lesions on computerized tomography/magnetic resonance imaging (CT/MRI)
Eastern Cooperative Oncology Group (ECOG) performance status 0-1
Ongoing androgen deprivation therapy (ADT) with a gonadotropin-releasing hormone (GnRH) analogue or bilateral orchiectomy
Documented prostate cancer progression per Prostate Cancer Working Group (PCWG3) criteria within 6 months prior to screening
Chemotherapy-naïve for metastatic castration-resistant prostate cancer (mCRPC), with 1 to 2 prior second generation hormonal therapies in the recurrent non-metastatic setting and/or metastatic setting, and no more than 1 second generation hormonal therapy in the mCRPC setting. Must have progressed during or after second generation hormonal therapy or have documented intolerance to second generation hormonal therapy
Sufficient tumor samples from either a fresh biopsy (obtained during screening) or archival tumor tissue in the form of formalin-fixed paraffin-embedded (FFPE) block or unstained tumor tissue slides
Men must agree to follow specific methods of contraception, if applicable

Exclusion Criteria

Exclusion Criteria:

Prior malignancy active within the previous 3 years (i.e. participants with a history of prior malignancy are eligible if treatment was completed at least 3 years before enrollment) except for locally curable cancers that have been apparently cured, such as basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the breast
Active brain metastases
Active, known, or suspected autoimmune disease
Condition requiring systemic treatment with corticosteroids (> 10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days of start of study treatment. Inhaled or topical steroids or adrenal replacement steroid doses are permitted in the absence of active autoimmune disease
Prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CTLA-4 antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways
Prior treatment with docetaxel or other chemotherapy for mCRPC. Prior docetaxel for metastatic castration-sensitive prostate cancer is permitted if at least 12 months have elapsed from last dose of docetaxel

The Estimated Number of Participants

  • Taiwan

    34 participants

  • Global

    984 participants