CClinicalTrials.gg
Status unknownNCT04761744Updated Feb 21, 2021

A Phase II Study of Nivolumab in Patients With Genetic Alterations in DNA Damage Repair and Response Who Progressed After Standard Treatment for Metastatic Solid Cancers

A Phase 2 interventional study of Nivolumab in DDR Gene Mutation and Metastatic Solid Tumor, sponsored by Korean Cancer Study Group. Status unknown at 2 sites in Korea, Republic of. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2021-02-21.

Sponsored by Korean Cancer Study Group · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Feb 2021), so the status shown — last known as Recruiting — may be out of date.

From the registry’s dates

  • Registered 1 year 8 months after the study started (first participant enrolled Jun 2019, registered Feb 2021).
Phase
Phase 2
Study type
Interventional
Enrollment
48
Allocation
Not applicable
Ages
20 Years and older
Sex
All
01

Study summary

A Phase II Study of Nivolumab in Patients with Genetic alterations in DNA Damage repair and response Who Progressed after Standard treatment for Metastatic Solid Cancers

Read the detailed description

All the patients will be included in the final analysis, with a total of 48 patients to be enrolled.

Treatment will occur until disease progression, unacceptable toxicity or patient withdrawal.

Study treatment consists of nivolumab 3mg/kg, and will be repeated every 2 weeks.

Response evaluation will be performed every 6 weeks (+/- 1 week window period is allowed).

02

Conditions studied

  • DDR Gene Mutation
  • Metastatic Solid Tumor

Keywords

  • Nivolumab
03

In context

Lead sponsor

Korean Cancer Study Group is the lead sponsor of 9 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Patient has histologically and/or cytologically confirmed diagnosis of cancers in colon, stomach, biliary tract, breast, bladder and upper urinary tract, endometrium, ovarian, prostate, and other cancers.
  2. Alterations in DNA damage repair and response genes assessed by next-generation sequencing (K-MASTER panel assay of ≥370 genes)
  3. Progressed after at least first-line systemic chemotherapy for metastatic setting.
  4. ≥ 1 measurable lesion(s) by RECIST 1.1.
  5. Unresectable advanced or metastatic disease.
  6. Age over 20 years old.
  7. ECOG 0-1, but final decision by clinical.
  8. Adequate organ functions.

    1. Bone marrow function: Hemoglobin ≥ 9.0 g/dL, ANC ≥ 1,500/mm3, platelet ≥ 100,000/mm3
    2. Hepatic functions: bilirubin ≤ 1.5 X ULN, AST/ALT ≤ 2.5 X ULN (≤ 5 X ULN in cases of liver metastasis)
    3. Renal functions: serum Cr ≤ 1.5 X ULN or calculated CCr (Cockroft) ≥ 30 ml/min
  9. Be willing and able to comply with the protocol for the duration of the study.
  10. Give written informed consent prior to study-specific screening procedures, with the understanding that the patient has the right to withdraw the study at any time, without prejudice.
  11. Female subjects must either be of non-reproductive potential (≥ 60 years old and no menses for ≥ 1 year without an alternative medical cause, or history of hysterectomy, or history of bilateral tubal ligation, or history of bilateral oophorectomy) or must have a negative serum pregnancy test upon study entry.
  12. Women of childbearing potential and men must agree to use highly efficient contraception since signing of the IC form until at least 6 Month after the last study drug administration.

Exclusion criteria

Exclusion Criteria:

  1. Any prior treatment with PD-1 or PD-L1 inhibitor.
  2. Receipt of the last dose of chemotherapy ≤ 28 days prior to the first dose of study drugs.
  3. Current or prior use of immunosuppressive medication within 28 days before the first dose of nivolumab, with the exceptions for the following:

    1. intranasal, inhaled, topical steroids, or local steroid injection (e.g., intra-articular injection);
    2. Systemic corticosteroids at physiologic doses ≤ 10 mg/day of prednisone or equivalent;
    3. Steroids as premedication for hypersensitivity reactions (e.g., CT scan premedication).
  4. Concurrent or previous history of another primary cancer within 3 years prior to randomization except for curatively treated cervical cancer in situ, non-melanomatous skin cancer, superficial bladder cancer (pTis and pT1) and curatively treated thyroid cancer of any stage. Concurrent, histologically confirmed, unresected thyroid cancer without distant metastasis could be allowed with the agreement of the chief principal investigator.
  5. Uncontrolled CNS metastases; permitted if asymptomatic or neurologically stable.
  6. Prior radiation therapy would be permitted, but non-radiated evaluable lesions should be present at study entry.
  7. Radiation therapy during study treatment is not permitted, but if the local investigator decides that radiation therapy should be given during study treatments, he should be convinced that there is no evidence of disease progression with agreement of the chief principal investigator.
  8. Clinically significant (i.e., active) cardiovascular disease: cerebral vascular accident/stroke (\< 6 months prior to enrollment), myocardial infarction (\< 6 months prior to enrollment), unstable angina, congestive heart failure (≥ New York Heart Association Classification Class II), or serious cardiac arrhythmia requiring medication.
  9. Active or prior documented autoimmune disease within the past 2 years; subjects with diabetes type I, vitiligo, psoriasis, or hypo- or hyperthyroid diseases not requiring immunosuppressive treatment are eligible.
  10. Active or prior documented inflammatory bowel disease.
  11. History of prior immunodeficiency.
  12. History of allogeneic organ transplantation.
  13. Known prior severe hypersensitivity to investigational product or any component in its formulations, including known severe hypersensitivity reactions to monoclonal antibodies (NCI CTCAE v4.03 Grade ≥ 3)
  14. Clinical diagnosis of active tuberculosis.
  15. Vaccination within 4 weeks of the first dose of nivolumab and while on trials is prohibited except for administration of inactivated vaccines
  16. Known history of testing positive for HIV
  17. Hepatitis B virus (HBV) or hepatitis C virus (HCV) infection at screening (positive HBV surface antigen or HCV RNA if anti-HCV antibody screening test positive). Except, resolved HBV infection (as evidenced by detectable HBV surface antibody, detectable HBV core antibody, undetectable HBV DNA, and undetectable HBV surface antigen) or Chronic HBV infection (as evidenced by detectable HBV surface antigen or HBV DNA). Subjects with chronic HBV infection must have HBV DNA \<100IU/ml and must be on antiviral therapy)
  18. Major surgery or significant traumatic injury within 28 days prior to study treatment.
  19. Non-healing wound, ulcer, or bone fracture.
  20. Current evidence of significant gastrointestinal bleeding or (impending) obstruction.
  21. Concomitant participation in another clinical trial.
  22. Pregnant of breast-feeding subjects. Women of child-bearing potential must have pregnancy test within 7 days and a negative result must be documented before start of study treatment.
  23. Substance abuse, medical, psychological or social conditions that may interfere with the subject's participation in the study or evaluation of the study results.
  24. Active infection requiring systemic therapy.
  25. Persisting toxicity related to prior therapy (NCI CTCAE v. 4.03 Grade > 1); however, alopecia, sensory neuropathy Grade ≤ 2, or other Grade ≤ 2 not constituting a safety risk based on investigator's judgment are acceptable.
  26. Other severe acute or chronic medical conditions including colitis, inflammatory bowel disease, pneumonitis, pulmonary fibrosis or psychiatric conditions including recent (within the past year) or active suicidal ideation or behavior; or laboratory abnormalities that may increase the risk associated with study participation or study treatment administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the patient inappropriate for entry into this study.
  27. Patient who can't comply with the protocol and who is not willing to comply with the protocol.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
48 participants (estimated)

Study arms

  • Experimental
    Nivolumab

    Drug: Nivolumab

Interventions

  • DrugNivolumab

    Study treatment consists of nivolumab 3mg/kg, and will be repeated every 2 weeks.

06

What researchers measure

Primary outcomes

  1. Objective response rate

    the percentage of patients experiencing confirmed complete response (CR) and partial response (PR) assessed by RECIST criteria v.1.1

    Time frame: within maximum 3 years

Secondary outcomes

  1. Progression free survival

    the time from study entry until the first observation of disease progression

    Time frame: within maximum 3 years

  2. Overall survival

    the time from study entry until death

    Time frame: within maximum 3 years

07

Study locations

1 of 2 sites recruiting
  • Korean Cancer Study Group
    Seoul, Chongro-ku 110999, Korea, Republic of
    Active, not recruiting
  • Korea University Anam Hospital
    Seoul, Seongbuk-gu, Inchon-ro 136-705, Korea, Republic of
    Recruiting
08

References and documents

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Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 21, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04761744
Lead sponsor
Korean Cancer Study Group
Responsible party
Kyong-Hwa, Park (Professor, Korean Cancer Study Group) — Principal investigator
First posted
Feb 21, 2021
Start date
Jun 14, 2019
Primary completion
Mar 2021 (estimated)
Completion
Dec 2021 (estimated)
Last update
Feb 21, 2021

Study contacts

Kyong Hwa Park, MD, PhD
Contact
khpark@korea.ac.kr
+821047617651
Kyong Hwa Park, MD, PhD
principal investigator · Korean Cancer Study Group

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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