A Phase 2 interventional study of Ipilimumab in Melanoma, sponsored by Bristol-Myers Squibb. Completed at 58 sites in 18 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-07-27.
Sponsored by Bristol-Myers Squibb · Phase 2, Interventional, and Treatment
The purpose of this study was to evaluate the continued use of ipilimumab in patients who had reinduction at the time of disease progression or to continue maintenance treatment. In addition, this study will continue to follow patients who have taken ipilimumab, but who are not eligible for maintenance or reinduction therapy.
3,006 studies on the registry are indexed under Melanoma; 520 are open to participants now.
This study's enrollment of 248 is above the median of 38 across 2,351 interventional studies indexed under Melanoma.
Browse Melanoma studies →Bristol-Myers Squibb is the lead sponsor of 1,538 studies on the registry; 116 are open to participants now.
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Key Inclusion Criteria
First Reinduction:
Extended Maintenance
Follow-up:
Key Exclusion Criteria
Participants who initially received ipilimumab, 0.3 mg/kg, in a parent study received ipilimumab, 10 mg/kg in the current study. Ipilimumab was administered as an individual open-label dose every 3 weeks for the first 10 weeks of reinduction for a total of 4 separate doses unless the patient experienced disease progression or withdrew consent. Participants had to wait 3 weeks from the last dose of ipilimumab in a parent study to the first dose of ipilimumab in the current study.
Drug: Ipilimumab
Participants who initially received ipilimumab, 3 mg/kg, in a parent study received ipilimumab, 10 mg/kg in the current study. Ipilimumab was administered as an individual open-label dose every 3 weeks for the first 10 weeks of reinduction for a total of 4 separate doses unless the patient experienced disease progression or withdrew consent. Participants had to wait 3 weeks from the last dose of ipilimumab in a parent study to the first dose of ipilimumab in the current study.
Drug: Ipilimumab
Participants who initially received ipilimumab, 10 mg/kg, in a parent study received ipilimumab, 10 mg/kg in the current study. Ipilimumab was administered as an individual open-label dose every 3 weeks for the first 10 weeks of reinduction for a total of 4 separate doses unless the patient experienced disease progression or withdrew consent. Participants had to wait 3 weeks from the last dose of ipilimumab in a parent study to the first dose of ipilimumab in the current study.
Drug: Ipilimumab
Participants who received ipilimumab, 0.3 mg/kg, in a parent study and who achieved extended clinical benefit received the same dose of ipilimumab (0.3 mg/kg) as maintenance in the current study. Maintenance dosing was administered every 12 weeks until disease progression, unacceptable toxicity, or withdrawal of consent.
Drug: Ipilimumab
Participants who received ipilimumab, 3 mg/kg, in a parent study and who achieved extended clinical benefit received the same dose of ipilimumab (3 mg/kg) as maintenance in the current study. Maintenance dosing was administered every 12 weeks until disease progression, unacceptable toxicity, or withdrawal of consent.
Drug: Ipilimumab
Participants who received ipilimumab, 10 mg/kg, in a parent study and who achieved extended clinical benefit received the same dose of ipilimumab (10 mg/kg) as maintenance in the current study. Maintenance dosing was administered every 12 weeks until disease progression, unacceptable toxicity, or withdrawal of consent.
Drug: Ipilimumab
Participants did not receive any additional study treatment in current study but continued follow-up for the collection of survival data.
Intravenous solution, 0.3, 3, or 10 mg/kg; 1 dose every 3 weeks or every 3 months until patient discontinuation
Also known as: BMS-734016, MDX-010
Number of Participants With On-study Adverse Events (AEs), AEs Leading to Discontinuation, Serious Adverse Events (SAEs), Drug-related AEs, Immune-related AEs (irAEs), and Death as Outcome
An AE is any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. An SAE is a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Drug-related is defined as having certain, probable, possible, or missing relationship to study drug. An IrAE is an AE characterized by a potential association with inflammation and considered by the investigator to be drug related. Grade (Gr) 1=Mild, Gr 2=Moderate, Gr 3=Severe, Gr 4=Life-threatening or disabling, Gr 5=Death.
Time frame: Continuously from first dose to 70 days after last dose of study drug. For deaths, Day 1 of enrollment to 70 days after last dose of study drug.
Overall Survival (OS)
OS was computed for all patients who entered this study and is defined as the time between the first dose of study therapy and death. If a patient has not died, OS was censored at the time of last contact.
Time frame: From first dose of study drug in parent study to death or date of last censoring.
Percentage of Participants Surviving at 1, 1.5, and 2 Years
Survival rate was defined as the time from first dose of study drug to 1, 1.5, and 2 years.
Time frame: From first dose of study drug in parent study to up to 2 years after reinduction
Number of Participants With On-study Immune-related Adverse Events (irAEs)
irAEs were defined as adverse events characterized by a potential association with inflammation and considered by the investigator as drug related. These prespecified terms were grouped into the following organ-specific subcategories: gastrointestinal, hepatic, skin, endocrine, neurologic, and other (includes blood, eye, immune system, investigations, infections, renal, and respiratory systems). Patients may have 1 or more events.
Time frame: From first dose of study drug during reinduction to the earliest of 70 days after last dose or day before second reinduction first dose date
Progression-free Survival (PFS)
PFS was defined as the time between the date of the baseline tumor assessment in this study and the date of progression or death, whichever occurred first.
Time frame: From day of first reinduction in current study to date of progression or death, whichever occurred first.
| Milestone | First Reinduction: Ipilimumab, 10 to 10 mg/kg | First Reinduction: Ipilimumab, 3 to 10 mg/kg | First Reinduction: Ipilimumab, 0.3 to 10 mg/kg | First Reinduction: Ipilimumab, Other Dosage | Extended Maintenance Only: Ipilimumab, 10 mg/kg | Extended Maintenance Only: Ipilimumab, 3 mg/kg | Extended Maintenance Only: Ipilimumab, 0.3 mg/kg | Follow-up |
|---|---|---|---|---|---|---|---|---|
| Started | 53 | 34 | 24 | 11 | 45 | 13 | 4 | 58 |
| Received treatment | 53 | 34 | 24 | 11 | 33 | 12 | 4 | 0 |
| Completed | 9 | 5 | 3 | 3 | 14 | 4 | 0 | 0 |
| Not completed | 44 | 29 | 21 | 8 | 31 | 9 | 4 | 58 |
| Withdrew: Disease progression | 27 | 19 | 10 | 4 | 8 | 3 | 1 | 0 |
| Withdrew: Study drug toxicity | 6 | 1 | 5 | 0 | 4 | 1 | 1 | 0 |
| Withdrew: Death | 3 | 3 | 1 | 1 | 1 | 1 | 0 | 0 |
| Withdrew: Withdrawal by subject | 2 | 0 | 2 | 1 | 1 | 2 | 1 | 0 |
| Withdrew: Deterioration without progression | 2 | 2 | 3 | 0 | 1 | 0 | 0 | 0 |
| Withdrew: Adverse event | 1 | 2 | 0 | 2 | 1 | 0 | 0 | 0 |
| Withdrew: Not specified (before treatment) | 2 | 0 | 0 | 0 | 12 | 1 | 0 | 0 |
| Withdrew: Not specified (after start of treatment) | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 0 |
| Withdrew: Physician decision | 1 | 2 | 0 | 0 | 0 | 1 | 1 | 0 |
| Withdrew: Tumor assessment only (not treated) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Withdrew: Follow-up only (not treated or assessed) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 57 |
An AE is any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. An SAE is a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Drug-related is defined as having certain, probable, possible, or missing relationship to study drug. An IrAE is an AE characterized by a potential association with inflammation and considered by the investigator to be drug related. Grade (Gr) 1=Mild, Gr 2=Moderate, Gr 3=Severe, Gr 4=Life-threatening or disabling, Gr 5=Death.
| Participants | First Reinduction: Ipilimumab, 10 to 10 mg/kg | First Reinduction: Ipilimumab, 3 to 10 mg/kg | First Reinduction: Ipilimumab, 0.3 to 10 mg/kg |
|---|---|---|---|
| AEs: Any Grade | 51 | 33 | 24 |
| AEs: Grade 3 or 4 | 18 | 10 | 10 |
| AEs: Grade 5 (Fatal) | 4 | 7 | 8 |
| AEs leading to discontinuation: Any grade | 13 | 6 | 8 |
| AEs leading to discontinuation: Grade 3 or 4 | 9 | 3 | 6 |
| AEs leading to discontinuation: Grade 5 (Fatal) | 1 | 2 | 1 |
| SAEs: Any grade | 23 | 19 | 14 |
| SAEs: Grade 3 or 4 | 13 | 8 | 5 |
| SAEs: Grade 5 (Fatal) | 4 | 7 | 8 |
| Drug-related AEs: Any grade | 42 | 28 | 21 |
| Drug-related AEs: Grade 3 or 4 | 9 | 3 | 9 |
| Drug-related AEs: Grade 5 (Fatal) | 0 | 0 | 0 |
| irAEs: Any grade | 30 | 23 | 18 |
| irAEs: Grade 3 or 4 | 7 | 2 | 6 |
| irAEs: Grade 5 (Fatal) | 0 | 0 | 0 |
| Deaths | 36 | 27 | 19 |
OS was computed for all patients who entered this study and is defined as the time between the first dose of study therapy and death. If a patient has not died, OS was censored at the time of last contact.
| Months | First Reinduction: Ipilimumab, 10 to 10 mg/kg | First Reinduction: Ipilimumab, 3 to 10 mg/kg | First Reinduction: Ipilimumab, 0.3 to 10 mg/kg |
|---|---|---|---|
| Overall Survival (OS) | 30.8 (24.2 to 41.1) | 18.7 (9.7 to 30.4) | 15.2 (10.7 to 21.4) |
Survival rate was defined as the time from first dose of study drug to 1, 1.5, and 2 years.
| Percentage of participants | First Reinduction: Ipilimumab, 10 to 10 mg/kg | First Reinduction: Ipilimumab, 3 to 10 mg/kg | First Reinduction: Ipilimumab, 0.3 to 10 mg/kg | Extended Maintenance: Ipilimumab, 10 mg/kg | Extended Maintenance: Ipilimumab, 3 mg/kg | Extended Maintenance: Ipilimumab, 0.3 mg/kg | Follow-up |
|---|---|---|---|---|---|---|---|
| 1 year | 80.9 | 55.9 | 65.6 | 100 | 100 | 75.0 | 87.8 |
| 1.5 years | 71.3 | 50.0 | 35.0 | 100 | 84.6 | 75.0 | 79.0 |
| 2 years | 63.6 | 38.2 | 30.6 | 91.0 | 84.6 | 75.0 | 64.9 |
irAEs were defined as adverse events characterized by a potential association with inflammation and considered by the investigator as drug related. These prespecified terms were grouped into the following organ-specific subcategories: gastrointestinal, hepatic, skin, endocrine, neurologic, and other (includes blood, eye, immune system, investigations, infections, renal, and respiratory systems). Patients may have 1 or more events.
| Participants | First Reinduction: Ipilimumab, 10 to 10 mg/kg | First Reinduction: Ipilimumab, 3 to 10 mg/kg | First Reinduction: Ipilimumab, 0.3 to 10 mg/kg |
|---|---|---|---|
| Any irAE: Any grade | 30 | 23 | 18 |
| Any irAE: Grade 3 or 4 | 7 | 2 | 6 |
| Any irAE: Grade 5 (Fatal) | 0 | 0 | 0 |
| Gastrointestinal irAE: Any grade | 11 | 7 | 14 |
| Gastrointestinal irAE: Grade 3 or 4 | 2 | 1 | 3 |
| Hepatic irAE: Any grade | 3 | 0 | 1 |
| Hepatic irAE: Grade 3 or 4 | 2 | 0 | 1 |
| Endocrine irAE: Any grade | 3 | 2 | 1 |
| Endocrine irAE: Grade 3 or 4 | 1 | 0 | 1 |
| Skin irAE: Any grade | 18 | 18 | 10 |
| Skin irAE: Grade 3 or 4 | 2 | 1 | 1 |
| Neurologic irAE: Any grade | 1 | 0 | 0 |
| Neurologic irAE: Grade 3 or 4 | 0 | 0 | 0 |
| Other irAE: Any grade | 2 | 3 | 1 |
| Other irAE: Grade 3 or 4 | 0 | 0 | 0 |
PFS was defined as the time between the date of the baseline tumor assessment in this study and the date of progression or death, whichever occurred first.
| Months | First Reinduction: Ipilimumab, 10 to 10 mg/kg | First Reinduction: Ipilimumab, 3 to 10 mg/kg | First Reinduction: Ipilimumab, 0.3 to 10 mg/kg |
|---|---|---|---|
| Progression-free Survival (PFS) | 3.4 (2.6 to 7.8) | 2.6 (2.6 to 2.8) | 2.6 (2.0 to 11.1) |
Collected over From date of first re-induction first dose to the earliest of 70 days after first re-induction/maintenance last dose date or day before second re-induction first dose date, up to April 2014 (approximately 7 years). Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| First Reinduction: Ipilimumab, 10 to 10 mg/kg | — | 23/53 (43.4%) | 46/53 (86.8%) |
| First Reinduction: Ipilimumab, 3 to 10 mg/kg | — | 19/34 (55.9%) | 32/34 (94.1%) |
| First Reinduction: Ipilimumab, 0.3 to 10 mg/kg | — | 14/24 (58.3%) | 21/24 (87.5%) |
| First Reinduction: Ipilimumab, Other Dosage | — | 7/11 (63.6%) | 9/11 (81.8%) |
| Extended Maintenance Only: Ipilimumab, 10 mg/kg | — | 12/33 (36.4%) | 28/33 (84.8%) |
| Extended Maintenance Only: Ipilimumab, 3 mg/kg | — | 3/12 (25%) | 11/12 (91.7%) |
| Extended Maintenance Only: Ipilimumab, 0.3 mg/kg | — | 2/4 (50%) | 3/4 (75%) |
| Follow-up | — | 20/58 (34.5%) | 34/58 (58.6%) |
| Event | First Reinduction: Ipilimumab, 10 to 10 mg/kg | First Reinduction: Ipilimumab, 3 to 10 mg/kg | First Reinduction: Ipilimumab, 0.3 to 10 mg/kg | First Reinduction: Ipilimumab, Other Dosage | Extended Maintenance Only: Ipilimumab, 10 mg/kg | Extended Maintenance Only: Ipilimumab, 3 mg/kg | Extended Maintenance Only: Ipilimumab, 0.3 mg/kg | Follow-up |
|---|---|---|---|---|---|---|---|---|
| Disease progressionGeneral disorders | 4/53 | 5/34 | 6/24 | 0/11 | 0/33 | 0/12 | 0/4 | 12/58 |
| Lymphocytic hypophysitisEndocrine disorders | 0/53 | 0/34 | 0/24 | 0/11 | 0/33 | 0/12 | 1/4 | 0/58 |
| Myocardial infarctionCardiac disorders | 0/53 | 0/34 | 0/24 | 0/11 | 0/33 | 0/12 | 1/4 | 0/58 |
| DiarrhoeaGastrointestinal disorders | 1/53 | 3/34 | 4/24 | 0/11 | 0/33 | 0/12 | 0/4 | 0/58 |
| Back painMusculoskeletal and connective tissue disorders | 0/53 | 0/34 | 0/24 | 1/11 | 0/33 | 0/12 | 0/4 | 0/58 |
| Central nervous system haemorrhageNervous system disorders | 0/53 | 0/34 | 0/24 | 1/11 | 0/33 | 0/12 | 0/4 | 0/58 |
| ColitisGastrointestinal disorders | 2/53 | 1/34 | 2/24 | 1/11 | 3/33 | 0/12 | 0/4 | 0/58 |
| DeathGeneral disorders | 0/53 | 0/34 | 0/24 | 1/11 | 0/33 | 0/12 | 0/4 | 0/58 |
| DehydrationMetabolism and nutrition disorders | 1/53 | 0/34 | 2/24 | 1/11 | 0/33 | 0/12 | 0/4 | 0/58 |
| Intervertebral disc disorderMusculoskeletal and connective tissue disorders | 0/53 | 0/34 | 0/24 | 1/11 | 0/33 | 0/12 | 0/4 | 0/58 |
| Event | First Reinduction: Ipilimumab, 10 to 10 mg/kg | First Reinduction: Ipilimumab, 3 to 10 mg/kg | First Reinduction: Ipilimumab, 0.3 to 10 mg/kg | First Reinduction: Ipilimumab, Other Dosage | Extended Maintenance Only: Ipilimumab, 10 mg/kg | Extended Maintenance Only: Ipilimumab, 3 mg/kg | Extended Maintenance Only: Ipilimumab, 0.3 mg/kg | Follow-up |
|---|---|---|---|---|---|---|---|---|
| FatigueGeneral disorders | 20/53 | 11/34 | 10/24 | 6/11 | 8/33 | 4/12 | 1/4 | 12/58 |
| DiarrhoeaGastrointestinal disorders | 17/53 | 8/34 | 9/24 | 4/11 | 16/33 | 4/12 | 0/4 | 3/58 |
| Decreased appetiteMetabolism and nutrition disorders | 9/53 | 5/34 | 5/24 | 5/11 | 2/33 | 2/12 | 0/4 | 1/58 |
| NauseaGastrointestinal disorders | 15/53 | 4/34 | 7/24 | 4/11 | 5/33 | 2/12 | 0/4 | 5/58 |
| RashSkin and subcutaneous tissue disorders | 10/53 | 10/34 | 4/24 | 4/11 | 6/33 | 4/12 | 0/4 | 6/58 |
| PruritusSkin and subcutaneous tissue disorders | 13/53 | 12/34 | 6/24 | 3/11 | 10/33 | 3/12 | 0/4 | 8/58 |
| CoughRespiratory, thoracic and mediastinal disorders | 8/53 | 5/34 | 3/24 | 3/11 | 7/33 | 0/12 | 0/4 | 1/58 |
| HeadacheNervous system disorders | 6/53 | 7/34 | 1/24 | 3/11 | 5/33 | 1/12 | 0/4 | 1/58 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 5/53 | 5/34 | 3/24 | 0/11 | 1/33 | 1/12 | 1/4 | 1/58 |
| Axillary painGeneral disorders | 0/53 | 0/34 | 0/24 | 0/11 | 0/33 | 0/12 | 1/4 | 0/58 |
All patients who were enrolled and passed screening in the current study
| Age, Continuous(Years) | First Reinduction: Ipilimumab, 10 to 10 mg/kg | First Reinduction: Ipilimumab, 3 to 10 mg/kg | First Reinduction: Ipilimumab, 0.3 to 10 mg/kg | First Reinduction: Ipilimumab, Other Dosage | Extended Maintenance: Ipilimumab, 10 mg/kg | Extended Maintenance: Ipilimumab, 3 mg/kg | Extended Maintenance: Ipilimumab, 0.3 mg/kg | Follow-up | Total |
|---|---|---|---|---|---|---|---|---|---|
| Mean | 55.4 ± 11.7 | 58.8 ± 9.9 | 56.0 ± 15.3 | 57.8 ± 13.7 | 60.5 ± 12.42 | 59.0 ± 16.65 | 65.5 ± 4.80 | 56.3 ± 12.96 | 57.7 ± 12.55 |
| Sex: Female, Male(Participants) | First Reinduction: Ipilimumab, 10 to 10 mg/kg | First Reinduction: Ipilimumab, 3 to 10 mg/kg | First Reinduction: Ipilimumab, 0.3 to 10 mg/kg | First Reinduction: Ipilimumab, Other Dosage | Extended Maintenance: Ipilimumab, 10 mg/kg | Extended Maintenance: Ipilimumab, 3 mg/kg | Extended Maintenance: Ipilimumab, 0.3 mg/kg | Follow-up | Total |
|---|---|---|---|---|---|---|---|---|---|
| Female | 21 | 11 | 4 | 1 | 20 | 5 | 1 | 22 | 85 |
| Male | 32 | 23 | 20 | 10 | 25 | 8 | 3 | 36 | 157 |
| Race/Ethnicity, Customized(Participants) | First Reinduction: Ipilimumab, 10 to 10 mg/kg | First Reinduction: Ipilimumab, 3 to 10 mg/kg | First Reinduction: Ipilimumab, 0.3 to 10 mg/kg | First Reinduction: Ipilimumab, Other Dosage | Extended Maintenance: Ipilimumab, 10 mg/kg | Extended Maintenance: Ipilimumab, 3 mg/kg | Extended Maintenance: Ipilimumab, 0.3 mg/kg | Follow-up | Total |
|---|---|---|---|---|---|---|---|---|---|
| Asian | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 2 |
| Black or African American | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| White | 51 | 34 | 24 | 10 | 45 | 13 | 4 | 55 | 236 |
| More than one race | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| American Indian/Alaska native | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
| Other: Brazilian | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
| Eastern Cooperative Oncology Group (ECOG) Performance Status(Units on a scale) | First Reinduction: Ipilimumab, 10 to 10 mg/kg | First Reinduction: Ipilimumab, 3 to 10 mg/kg | First Reinduction: Ipilimumab, 0.3 to 10 mg/kg | First Reinduction: Ipilimumab, Other Dosage | Extended Maintenance: Ipilimumab, 10 mg/kg | Extended Maintenance: Ipilimumab, 3 mg/kg | Extended Maintenance: Ipilimumab, 0.3 mg/kg | Follow-up | Total |
|---|---|---|---|---|---|---|---|---|---|
| 0 | 37 | 22 | 10 | 9 | 40 | 12 | 3 | 29 | 162 |
| 1 | 16 | 11 | 13 | 2 | 5 | 1 | 1 | 10 | 59 |
| 2 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 3 |
| 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
| Not reported | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 17 | 17 |
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