PIVOT-12: Study to Compare Adjuvant Immunotherapy of Bempegaldesleukin Combined With Nivolumab Versus Nivolumab After Complete Resection of Melanoma in Patients at High Risk for Recurrence

Sponsor
Nektar Therapeutics (Industry)
Overall Status
Active, not recruiting
CT.gov ID
NCT04410445
Collaborator
Bristol-Myers Squibb (Industry)
775
212
2
83.1
3.7
0

Study Details

Study Description

Brief Summary

The main purpose of this study is to compare the efficacy of bempegaldesleukin plus nivolumab versus nivolumab in patients with completely resected Stage IIIA/B/C/D, or Stage IV cutaneous melanoma who are at high risk for recurrence.

Condition or Disease Intervention/Treatment Phase
  • Biological: Bempegaldesleukin
  • Biological: Nivolumab
Phase 3

Detailed Description

The main purpose of this study is to compare the efficacy, as measured by recurrence-free survival (RFS) by blinded independent central review (BICR), of bempegaldesleukin plus nivolumab versus nivolumab in patients with completely resected Stage IIIA (lymph node [LN] metastasis > 1 mm), Stage IIIB/C/D, or Stage IV (American Joint Committee on Cancer [AJCC] 8th edition) cutaneous melanoma with no evidence of disease (NED) who are at high risk for recurrence.

Study Design

Study Type:
Interventional
Actual Enrollment :
775 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Intervention Model Description:
Patients will be randomized in a 1:1 ratio to one of two treatment armsPatients will be randomized in a 1:1 ratio to one of two treatment arms
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 3, Randomized, Open-label Study to Compare Adjuvant Immunotherapy of Bempegaldesleukin Combined With Nivolumab Versus Nivolumab After Complete Resection of Melanoma in Patients at High Risk for Recurrence (PIVOT-12)
Actual Study Start Date :
Jul 27, 2020
Anticipated Primary Completion Date :
Jul 1, 2027
Anticipated Study Completion Date :
Jul 1, 2027

Arms and Interventions

Arm Intervention/Treatment
Experimental: Combination of bempegaldesleukin (NKTR-214) + nivolumab

Arm A: Participants will receive bempegaldesleukin (NKTR-214) IV in combination with nivolumab every 3 weeks.

Biological: Bempegaldesleukin
Specified dose on specified days
Other Names:
  • NKTR-214
  • BMS-986321
  • Biological: Nivolumab
    Specified dose on specified days
    Other Names:
  • Opdivo®
  • BMS-936558
  • Active Comparator: Nivolumab

    Arm B: Participants will receive nivolumab IV alone every 4 weeks.

    Biological: Nivolumab
    Specified dose on specified days
    Other Names:
  • Opdivo®
  • BMS-936558
  • Outcome Measures

    Primary Outcome Measures

    1. RFS of bempegaldesleukin plus nivolumab versus nivolumab alone by BICR, is defined as the time between date of randomization and date of first recurrence, new primary melanoma, or all-cause death [Approximately up to 60 months]

    Secondary Outcome Measures

    1. Overall Survival (OS) defined as the time between the date of randomization and the date of death due to any cause [Approximately up to 83 months]

    2. Distant metastasis-free survival (DMFS) by BICR and by Investigator in patients who have Stage IIIA (LN metastasis > 1 mm) or IIIB/C/D melanoma at study entry. [Approximately up to 60 months]

      To evaluate distant metastasis-free survival (DMFS) by BICR and by Investigator in patients who have Stage IIIA (LN metastasis > 1 mm) or IIIB/C/D melanoma at study entry. Distant Metastasis Free Survival is defined as the time between the date of randomization and the date of first distant metastasis or date of death due to any cause.

    3. Overall safety and tolerability of bempegaldesleukin plus nivolumab will be measured by the incidence of AEs, SAEs, deaths, and laboratory abnormalities using CTCAE Version 5.0 criteria [Approximately up to 60 months]

    4. Patient Reported Outcomes will be measured by changes from baseline in scores for the global health/quality of life and physical functioning subscales of the European Organisation for Research and Treatment of Cancer Core Quality of Life Questionnaire [Approximately up to 60 months]

    5. The predictive strength of PD-L1 expression as a biomarker will be measured by the endpoint RFS by BICR based on PD-L1 expression level [Approximately up to 60 months]

    6. RFS by Investigator will be measured similarly to the primary endpoint, but recurrence and new primary melanoma will be decided by the Investigator [Approximately up to 60 months]

    7. Time to disease progression after the next line of treatment for study patients following discontinuation of bempegaldesleukin plus nivolumab versus nivolumab [Approximately up to 60 months]

      To evaluate time to disease progression after the next line of treatment for study patients following discontinuation of bempegaldesleukin plus nivolumab versus nivolumab

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    12 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Male or female patients, age 12 years or older at the time of signing the informed consent form (age 18 years or older where local regulations, countries, and/or institutional policies do not allow for patients < 18 years of age (adolescents) to participate). In regions where adolescents are not allowed to participate in the study due to age restrictions, enrolled patients must be ≥ 18 years of age.

    • Histologically confirmed Stage IIIA (LN metastasis > 1 mm), IIIB/C/D, or IV (M1a/b/c/d) cutaneous melanoma by AJCC (8th edition) at study entry that has been completely surgically resected within 12 weeks prior to randomization.

    • Tumor tissue available from biopsy or resected disease must be provided to central laboratory for PD-L1 status analysis. Must have PD-L1 expression classification for stratification purposes.

    • Disease-free status documented by a complete physical examination and imaging studies within 28 days prior to randomization.

    Exclusion Criteria:
    • History of ocular/uveal melanoma or mucosal melanoma.

    • Active, known or suspected autoimmune disease. Patients with Type I diabetes mellitus, hypothyroidism only requiring hormone replacement, skin disorders not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger are permitted to enroll.

    • Conditions requiring systemic treatment with either corticosteroids (> 10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days of randomization. Inhaled or topical steroids, and adrenal replacement steroid doses > 10 mg daily prednisone equivalent, are permitted in the absence of active autoimmune disease.

    • Prior therapy for melanoma except surgery for the melanoma lesion(s) and/or adjuvant radiation therapy for central nervous system lesions.

    • Prior therapy with interferon, talimogene laherparepvec (Imylgic®), interleukin-2 (IL-2) directed therapy, anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, or anti-cytotoxic T lymphocyte-associated protein 4 antibody (including ipilimumab or any other antibody or drug specifically targeting T cell co-stimulation or checkpoint pathways).

    • Prior malignancy active within the previous 3 years except for locally potentially curable cancers that have been apparently cured.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Honor Health Scottsdale Arizona United States 85258
    2 Banner MD Anderson Cancer Center Little Rock Arkansas United States 72205
    3 Kaiser Foundation Hospital, Inpatient Pharmacy Anaheim California United States 92805
    4 Kaiser Permanente Fontana California United States 92335
    5 St. Joseph Heritage Healthcare Fullerton California United States 92835
    6 Hematology Oncology Medical Group of Orange County, Inc. Orange California United States 92868
    7 University of California Irvine Orange California United States 92868
    8 Emad Ibrahim, MD, Inc Redlands California United States 92373
    9 Kaiser Permanente Riverside California United States 92505
    10 Southern California Permanente Medical Group Riverside California United States 92505
    11 San Francisco Oncology Associates San Francisco California United States 94115
    12 California Cancer Associates for Research and Excellence San Marcos California United States 92069
    13 Kaiser Permanente San Marcos California United States 92078
    14 Angeles Clinic and Research Institute Santa Monica California United States 90404
    15 John Wayne Cancer Institute Santa Monica California United States 90404
    16 Rocky Mountain Cancer Centers (Littleton) - USOR Aurora Colorado United States 80012
    17 University of Colorado - Cancer Center - PPDS Aurora Colorado United States 80045
    18 MedStar Georgetown University Hospital Washington District of Columbia United States 20007
    19 Orlando Health Cancer Institute Longwood Florida United States 32750
    20 Rush University Medical Center Chicago Illinois United States 60612
    21 Goshen Center For Cancer Care Goshen Indiana United States 46526
    22 University of Kentucky Lexington Kentucky United States 40536
    23 Ochsner Clinic Foundation New Orleans Louisiana United States 70121
    24 Massachusetts General Hospital Boston Massachusetts United States 02114
    25 Mayo Clinic - PIN Rochester Minnesota United States 55905
    26 Washington University School of Medicine Saint Louis Missouri United States 63110
    27 Frontier Cancer Center and Blood Institute Billings Montana United States 59102
    28 Nebraska Cancer Specialists Omaha Nebraska United States 68130
    29 Nebraska Methodist Hospital Omaha Nebraska United States 68130
    30 University of Nebraska Medical Center Omaha Nebraska United States 68198
    31 Hackensack University Medical Center Hackensack New Jersey United States 07601
    32 Atlantic Health System Morristown New Jersey United States 07960
    33 NYU Langone Medical Center New York New York United States 10016
    34 Columbia University Medical Center - PIN New York New York United States 10021
    35 Icahn School of Medicine at Mount Sinai New York New York United States 10029
    36 University of North Carolina at Chapel Hill Chapel Hill North Carolina United States 32750
    37 Duke Cancer Institute Durham North Carolina United States 27710
    38 University Hospitals Cleveland Medical Center Cleveland Ohio United States 44106
    39 The Cleveland Clinic Foundation Cleveland Ohio United States 44195
    40 Providence Cancer Institute, Franz Clinic Portland Oregon United States 97213
    41 Oregon Health and Science University Portland Oregon United States 97216
    42 Lehigh Valley Physician Group (LVPG) - Hematology Oncology Allentown Pennsylvania United States 18103
    43 Penn State Milton S Hershey Medical Center Hershey Pennsylvania United States 17033
    44 Jefferson University Hospital Philadelphia Pennsylvania United States 19107
    45 H Lee Moffitt Cancer Center and Research Institute Pittsburgh Pennsylvania United States 15232
    46 Hillman Cancer Center Pittsburgh Pennsylvania United States 15232
    47 Prisma Health Cancer Institute Greenville South Carolina United States 29605
    48 SCRI Tennessee Oncology Chattanooga Chattanooga Tennessee United States 37404
    49 University of Tennessee Medical Center Knoxville Tennessee United States 37920
    50 SCRI Tennessee Oncology Nashville Nashville Tennessee United States 37203
    51 Vanderbilt University Medical Center Nashville Tennessee United States 37232
    52 Department of Pharmacy Investigational Drug Services Dallas Texas United States 75235
    53 Texas Oncology (Loop) - USOR Dallas Texas United States 75246
    54 University of Texas Southwestern Medical Center Dallas Texas United States 75390
    55 MD Anderson Cancer Center Houston Texas United States 77030
    56 Utah Cancer Specialists (Salt Lake City) Salt Lake City Utah United States 90603
    57 University of Virginia Cancer Center Charlottesville Virginia United States 22903
    58 Inova Schar Cancer Institute Fairfax Virginia United States 22031
    59 Blue Ridge Cancer Care - USOR Roanoke Virginia United States 24014
    60 Seattle Cancer Care Alliance Seattle Washington United States 98109
    61 Northwest Medical Specialties Tacoma Washington United States 98405
    62 University of Wisconsin Madison Wisconsin United States 53792
    63 Royal Adelaide Hospital Adelaide Australia 5000
    64 Cairns Hospital Cairns Australia 4870
    65 Icon Cancer Care Wesley Chermside Australia 4032
    66 Gallipoli Medical Research Foundation Greenslopes Australia 4120
    67 Austin Health Heidelberg Australia 3084
    68 Alfred Hospital Melbourne Australia 3004
    69 Affinity Clinical Research Nedlands Australia 6009
    70 Sir Charles Gairdner Hospital Nedlands Australia 6009
    71 Melanoma Institute Australia North Sydney Australia 2000
    72 Gold Coast University Hospital Southport Australia 4215
    73 Tasman Oncology Research Southport Australia 4215
    74 Blacktown Hospital Westmead Australia 2145
    75 Princess Alexandra Hospital Woolloongabba Australia 4102
    76 Medizinische Universität Graz Graz Austria 8036
    77 Ordensklinikum Linz, Krankenhaus der Elisabethinen GmbH Lienz Austria
    78 Landeskrankenhaus Feldkirch Rankweil Austria 6830
    79 Salzburger Landeskliniken Salzburg Austria
    80 Universitätsklinikum St. Pölten St.Pölten Austria 3100
    81 Allgemeines Krankenhaus der Stadt Wien Vienna Austria 1090
    82 Mou/Mmci - Ppds Brno Czechia 65653
    83 Fakultni nemocnice Hradec Kralove Hradec Králové Czechia
    84 Krajska nemocnice Liberec, a.s. Liberec Czechia 46063
    85 Fakultni nemocnice Olomouc Olomouc Czechia 79900
    86 Fakultni nemocnice Ostrava Ostrava Poruba Czechia 70852
    87 Nemocnice Na Bulovce Prague Czechia 16000
    88 Vseobecna Fakultni Nemocnice V Praze Praha Czechia 12808
    89 Centre Hospitalier Universitaire (CHU) Amiens-Picardie - Hopital Sud Amiens France 80054
    90 CHU Angers Angers France 49100
    91 Hôpital Saint-André Bordeau France
    92 CHRU de Tours Chambray-lès-Tours France
    93 CHU Estaing Clermont-Ferrand France 63003
    94 Hôpital Albert Michallon La Tronche La Tronche France 38043
    95 CHRU Lille Lille France 59037
    96 Hôtel Dieu - Nantes Nantes France 44093
    97 CHU de Nice Nice France 6202
    98 Hôpital Saint Louis Paris France 75475
    99 Groupe Hospitalier Bichat Claude Bernard Paris France 75877
    100 Hospices Civils de Lyon Pierre-Bénite France 69310
    101 EDOG - Centre Eugene Marquis Centre Regional de Lutte Contre Le Cancer - PPDS Rennes France 35042
    102 Hôpital Charles Nicolle Rouen France 76031
    103 Centre Hospitalier Universitaire de Saint Etienne Saint-Priest-en-Jarez France 42055
    104 Institut Gustave Roussy Villejuif France 94801
    105 Charité - Universitätsmedizin Berlin Berlin Germany 10117
    106 Ruhr Universität Bochum Bochum Germany 44791
    107 Elben Klinken Stade - Buxtehude Buxtehude Germany 21614
    108 Universitätsklinikum Carl Gustav Carus an der TU Dresden Dresden Germany 81307
    109 Helios Klinikum Erfurt Erfurt Germany 99089
    110 Universitätsklinikum Essen Essen Germany 45147
    111 SRH Wald-Klinikum Gera GmbH Gera Germany 7548
    112 Universitatsklinikum Halle (Saale) Halle Germany 6097
    113 Universitätsklinikum Hamburg Eppendorf Hamburg Germany 20246
    114 Medizinische Hochschule Hannover Hannover Germany 30625
    115 University Clinic Heidelberg Heidelberg Germany 69120
    116 SLK Kliniken Heilbronn GmbH Heilbronn Germany 74078
    117 Universitatsklinikum Schleswig-Holstein Kiel Germany 24105
    118 Uniklinik Köln Köln Germany 50937
    119 Universitatsklinikum Leipzig Leipzig Germany 04103
    120 Klinikum der Stadt Ludwigshafen gGmbH Ludwigshafen Germany 67063
    121 Universitätsklinik Magdeburg Magdeburg Germany 39014
    122 Klinikum Mannheim Universitätsklinikum gGmbH Mannheim Germany 76297
    123 Universitatsklinikum Munster Münster Germany 48149
    124 Fachklinik Hornheide Münster Germany 48157
    125 University Clinic Regensburg Regensburg Germany 93053
    126 Helios Klinikum Schwerin Schwerin Germany 19049
    127 Universitätsklinikum Tübingen Tübingen Germany 76297
    128 Universitätsklinikum Ulm Ulm Germany 89081
    129 Universitätsklinikum Würzburg Würzburg Germany 97080
    130 Laiko General Hospital of Athens Ampelokipoi Greece 11526
    131 Henry Dunant Hospital Athens Greece 11526
    132 Metropolitan Hospital - First Oncology Clinic Athens Greece 18547
    133 Metropolitan Hospital - Fourth Oncology Clinic Athens Greece 18547
    134 Pepagni Hospital Heraklion Greece 71110
    135 Medical Center of Athens Maroúsi Greece 15125
    136 Interbalkan Medical Center of Thessaloniki Pylaía Greece TK57001
    137 Theageneio Anticancer Oncology Hospital of Thessaloniki Thessaloníki Greece 54645
    138 Papageorgiou General Hospital of Thessaloniki Thessaloníki Greece 56429
    139 Bioclinic Thessaloniki (Galinos clinic) Thessaloníki Greece 86
    140 HaEmek Medical Center Afula Israel 18101
    141 Soroka University Medical Centre Be'er Sheva Israel 8410501
    142 Rambam Medical Center - PPDS Haifa Israel 31096
    143 Hadassah Medical Center - PPDS Jerusalem Israel 9574425
    144 Rabin Medical Center - PPDS Petah tikva Israel 49100
    145 Sheba Medical Center - PPDS Ramat Gan Israel
    146 IRCCS Giovanni Paolo II Istituto Oncologico Bari Italy 70124
    147 ASST Papa Giovanni XXIII - Azienda Ospedaliera Papa Giovanni XXIII Bergamo Italy
    148 Fondazione del Piemonte per l'Oncologia (IRCCS) Candiolo Italy 10060
    149 Ospedale Policlinico San Martino Genova Italy
    150 Istituto Scientifico Romagnolo Per Lo Studio E La Cura Dei Tumori IRST - PPDS Meldola Italy 47014
    151 Istituto Europeo Di Oncologia Milano Italy 20141
    152 Istituto Nazionale Dei Tumori Milano Italy
    153 Azienda Ospedaliero Universitaria Di Modena Policlinico Modena Italy 41100
    154 Istituto Nazionale Per Lo Studio E La Cura Dei Tumori Fondazione Giovanni Pascale Napoli Italy 80131
    155 Istituto Oncologico Veneto - I.R.C.C.S. Padova Italy 35128
    156 Azienda Ospedaliera Universitaria Senese Siena Italy 53100
    157 VU Medisch Centrum Amsterdam Netherlands 1081HV
    158 Zuyderland Medisch Centrum Heerlen Netherlands 6419
    159 Medisch Centrum Leeuwarden Leeuwarden Netherlands 8934
    160 Leiden University Medical Center Leiden Netherlands 2333ZA
    161 Radboud University Nijmegen Medical Centre Nijmegen Netherlands 6525GA
    162 Universitair Medisch Centrum Utrecht Utrecht Netherlands 3584
    163 Maxima Medisch Centrum Veldhoven Netherlands
    164 Isala Klinieken Zwolle Netherlands 8025AB
    165 Christchurch Hospital Christchurch New Zealand 8140
    166 Dunedin Hospital Dunedin New Zealand 9054
    167 Auckland City Hospital Heidelberg New Zealand 3084
    168 Tauranga Hospital Tauranga New Zealand 3143
    169 Wellington Hospital Wellington New Zealand 6021
    170 Bialostockie Centrum Onkologii im. Marii Sklodowskiej-Curie w Bialymstoku Białystok Poland 15-027
    171 Centrum Onkologii im. Prof. Franciszka Lukaszczyka w Bydgoszczy Bydgoszcz Poland 85796
    172 Uniwersyteckie Centrum Kliniczne Gdańsk Poland 80952
    173 NZOZ NEUROMED M. I M. Nastaj Spolka Partnerska Lublin Poland 20064
    174 Szpital Kliniczny im. Heliodora Swiecickiego w Poznaniu Poznań Poland 60780
    175 Centro Hospitalar E Universitário de Coimbra EPE Coimbra Portugal 3004-561
    176 Centro Hospitalar Lisboa Norte, E.P.E. - Hospital de Santa Maria Lisboa Portugal 1649-035
    177 Hospital CUF Tejo Lisboa Portugal 1649-035
    178 Instituto Português de Oncologia de Lisboa Francisco Gentil, E.P.E. Lisbon Portugal 1099-023
    179 Instituto Portugues de Oncologia Do Porto Francisco Gentil Epe - PPDS Porto Portugal 4200-072
    180 Onco Clinic Consult SA Bucharest Romania 022328
    181 Oncology Center Sfantul Nectarie Cluj-Napoca Romania 400641
    182 Medisprof SRL Craiova Romania 200396
    183 Affidea Romania SRL Dolj Romania 200008
    184 Chelyabinsk Regional Clinical Oncology Dispensary Chelyabinsk Russian Federation 454087
    185 Clinical Oncology Centre #1 Krasnodar Russian Federation 350040
    186 Krasnoyarsk Regional Oncology Center n.a. A.I. Kryzhanovskiy Krasnoyarsk Russian Federation 660133
    187 Kursk Regional Oncology Centre Kursk Russian Federation 305524
    188 PMI Euromedservice Pushkin Russian Federation 196603
    189 Ryazan Regional Clinical Oncology Dispensary Ryazan' Russian Federation 390011
    190 FSBI National Medical Research Center of Oncology n.a. N.N.Petrov of MHRF Saint Petersburg Russian Federation 191758
    191 Railway Clinical Hospital JSC RZhD Saint Petersburg Russian Federation 195271
    192 Regional Clinical Oncology Hospital Yaroslavl Russian Federation 150040
    193 Hospital Universitario A Coruña A Coruña Spain 15006
    194 Hospital Universitario Germans Trias i Pujol Badalona Spain 08911
    195 Hospital de La Santa Creu i Sant Pau Barcelona Spain 08025
    196 Hospital Universitari Dexeus - Grupo Quironsalud Barcelona Spain 08028
    197 Hospital Universitario Vall d'Hebron - PPDS Barcelona Spain 08035
    198 ICO l'Hospitalet - Hospital Duran i Reynals Córdoba Spain 14004
    199 Hospital Universitario Virgen de La Arrixaca El Palmar Spain
    200 Hospital Universitario de Jaen Jaén Spain 23007
    201 C.H. Regional Reina Sofia - PPDS L'Hospitalet De Llobregat Spain 08904
    202 Hospital Universitario 12 de Octubre Madrid Spain 28041
    203 Hospital Universitario HM Sanchinarro - CIOCC Madrid Spain 28050
    204 Hospital General Universitario Gregorio Maranon Madrid Spain 4628007
    205 Hospital Universitario Virgen de la Victoria Málaga Spain 29789
    206 Hospital Universitario Virgen Macarena Sevilla Spain 41009
    207 Consorcio Hospital General Universitario de Valencia Valencia Spain
    208 Addenbrooke's Hospital Cambridge United Kingdom CB20QQ
    209 Castle Hill Hospital Cottingham United Kingdom HU165JQ
    210 Leicester Royal Infirmary Leicester United Kingdom LE15WW
    211 Nottingham City Hospital Nottingham United Kingdom BG72UH
    212 Royal Cornwall Hospital Truro United Kingdom TR13LJ

    Sponsors and Collaborators

    • Nektar Therapeutics
    • Bristol-Myers Squibb

    Investigators

    • Study Director: Study Director, Nektar Therapeutics

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Nektar Therapeutics
    ClinicalTrials.gov Identifier:
    NCT04410445
    Other Study ID Numbers:
    • 20-214-29/CA045-022
    First Posted:
    Jun 1, 2020
    Last Update Posted:
    Apr 11, 2022
    Last Verified:
    Apr 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    Undecided
    Plan to Share IPD:
    Undecided
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Nektar Therapeutics
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Apr 11, 2022