ClinicalTrials.gg
Not yet recruitingNCT07576725Updated Sep 17, 2026

Low Dose, Reduced Frequency Nivolumab for the Treatment of Unresectable or Metastatic Cancer, AFFORD IO Trial

A Phase 2 interventional study of Biospecimen Collection and Computed Tomography in Clinical Stage III Cutaneous Melanoma AJCC v8, Clinical Stage III Cutaneous Merkel Cell Carcinoma AJCC v8 and Clinical Stage IV Cutaneous Melanoma AJCC v8, sponsored by Fred Hutchinson Cancer Center. Not yet recruiting at 1 site in Uganda. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-17.

Sponsored by Fred Hutchinson Cancer Center · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This phase II trial studies how well low dose, reduced frequency nivolumab works in treating patients with cancer that cannot be removed by surgery (unresectable) or that has spread from where it first started (primary site) to other places in the body (metastatic). Immunotherapy with monoclonal antibodies, such as nivolumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Nivolumab is a type of immune checkpoint inhibitor (ICI). ICIs have revolutionized the treatment of numerous cancers with remarkable improvement in participant outcomes. However, accessibility of ICIs is extremely poor on a global scale, mainly due to high costs. Previous research has suggested that these drugs can be given at lower doses and reduced frequency than their approved dosing regimens, with similar results. Giving nivolumab at a lower dose and less often may help reduce the cost of therapy, improve immunotherapy accessibility, and therefore improve survival outcomes globally.

Read the detailed description

OUTLINE:

INDUCTION PHASE: Patients receive nivolumab intravenously (IV) over approximately 30 minutes on days 1 and 45 in the absence of disease progression or unacceptable toxicity. Patients who are benefitting after 45 days proceed to Maintenance Phase.

MAINTENANCE PHASE: Patients receive nivolumab IV over approximately 30 minutes every 90 days (days 90, 180, 270 and 360) in the absence of disease progression or unacceptable toxicity.

All patients also undergo computed tomography (CT)/magnetic resonance imaging (MRI) and blood sample collection throughout the study. Patients may also undergo urine sample collection throughout the study.

After completion of study treatment, patients are followed up at 90 days and then every 12 months for up to 4 years.

02

Conditions studied

  • Clinical Stage III Cutaneous Melanoma AJCC v8
  • Clinical Stage III Cutaneous Merkel Cell Carcinoma AJCC v8
  • Clinical Stage IV Cutaneous Melanoma AJCC v8
  • Clinical Stage IV Cutaneous Merkel Cell Carcinoma AJCC v8
  • Hodgkin Lymphoma
  • Kaposi Sarcoma
  • Metastatic Acral Lentiginous Melanoma
  • Metastatic Basal Cell Carcinoma
  • Metastatic Cervical Carcinoma
  • Metastatic Clear Cell Renal Cell Carcinoma
  • Metastatic Colorectal Carcinoma
  • Metastatic Cutaneous Melanoma
  • Metastatic Head and Neck Squamous Cell Carcinoma
  • Metastatic Kaposi Sarcoma
  • Metastatic Lung Non-Small Cell Carcinoma
  • Metastatic Malignant Solid Neoplasm
  • Metastatic Merkel Cell Carcinoma
  • Metastatic Mucosal Melanoma
  • Metastatic Skin Squamous Cell Carcinoma
  • Metastatic Urothelial Carcinoma
  • Stage III Cervical Cancer AJCC v8
  • Stage III Colorectal Cancer AJCC v8
  • Stage III Head and Neck Cutaneous Squamous Cell Carcinoma AJCC v8
  • Stage III Lung Cancer AJCC v8
  • Stage III Renal Cell Cancer AJCC v8
  • Stage IV Cervical Cancer AJCC v8
  • Stage IV Colorectal Cancer AJCC v8
  • Stage IV Head and Neck Cutaneous Squamous Cell Carcinoma AJCC v8
  • Stage IV Lung Cancer AJCC v8
  • Stage IV Renal Cell Cancer AJCC v8
  • Unresectable Acral Lentiginous Melanoma
  • Unresectable Basal Cell Carcinoma
  • Unresectable Cervical Carcinoma
  • Unresectable Clear Cell Renal Cell Carcinoma
  • Unresectable Colorectal Carcinoma
  • Unresectable Cutaneous Melanoma
  • Unresectable Head and Neck Squamous Cell Carcinoma
  • Unresectable Lung Non-Small Cell Carcinoma
  • Unresectable Malignant Solid Neoplasm
  • Unresectable Merkel Cell Carcinoma
  • Unresectable Mucosal Melanoma
  • Unresectable Skin Squamous Cell Carcinoma
  • Unresectable Urothelial Carcinoma
03

In context

Hodgkin Disease

1,383 studies on the registry are indexed under Hodgkin Disease; 163 are open to participants now.

This study's planned enrollment of 50 is above the median of 40 across 1,095 interventional studies indexed under Hodgkin Disease.

Browse Hodgkin Disease studies →

Lead sponsor

Fred Hutchinson Cancer Center is the lead sponsor of 547 studies on the registry; 80 are open to participants now.

Of its 59 completed or terminated interventional studies of FDA-regulated products, 46 (78%) have results posted.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participants are eligible if they have one of these confirmed, unresectable or cancer types listed below, based upon historical responsiveness to anti-PD-(L)1 agents

    • Non-small cell lung cancer (NSCLC) with documented expression (combined positive score [CPS] ≥ 1) (NOTE: Participants with known driver oncogenic mutations/rearrangements, including EGFR, ALK and ROS-1, will be excluded.)
    • Head and neck squamous cell carcinoma (HNSCC) with documented PD-L1 expression (CPS ≥ 1)
    • Clear cell renal cell carcinoma (ccRCC) (NOTE: Other subtypes may be permitted after approval by the Medical Monitor)
    • Melanoma (cutaneous, acral-lentiginous and mucosal subtypes), and non-melanoma skin cancers, (cutaneous squamous cell carcinoma [CSCC], basal cell carcinoma [BCC] and Merkel cell carcinoma [MCC])
    • Hodgkin's lymphoma
    • Urothelial carcinoma
    • Cervical cancer with documented PD-L1 expression (CPS ≥ 1)
    • Colorectal cancer with high microsatellite instability (MSI) or mismatch repair deficiency
    • Kaposi sarcoma (KS) without clinical concern for multicentric Castleman's disease (MCD)
    • Any cancer type with historical data suggesting an ORR > 20% with anti-PD(L)-1 agents (NOTE: All participants in this category must be approved by the Medical Monitor prior to enrollment.)
  • Must have experienced disease progression after or deemed not to be a good candidate for available curative systemic therapy options
  • Presence of at least one measurable tumor, per v1.1
  • Age 18 or older. (NOTE: Both men and women, and members of all races and ethnic groups are eligible for this trial.)
  • (ECOG) performance score of 0-2
  • (ANC) ≥ 1.0 × 10\^9/L
  • count ≥ 75 × 10\^9/L
  • ≥ 9 g/dL (NOTE: Participants may have been transfused)
  • Total level ≤ 1.5 × the (ULN) (or total bilirubin ≤ 2.5 × upper limit of normal [ULN] in participants with Gilbert's syndrome)
  • Estimated ≥ 30mL/min according to the Cockcroft-Gault formula or according to local institutional standard
  • Must consent to undergo serial research blood draws at study defined timepoints, unless deemed unsafe or not feasible by the treating investigator
  • Must have an ability to understand and provide consent to the institutional review board (IRB)-approved form (ICF) document(s)
  • Women of must have a negative serum or urine pregnancy test at screening
  • Both male and female participants must be willing to use highly effective , as stipulated in national or local guidelines, throughout the study and for at least 180 days after the last treatment administration, if the risk of conception exists

Exclusion criteria

Exclusion Criteria:

  • Prior exposure to any immune- for any reason
  • Residual adverse event(s) from prior therapy grade > 1 (National Cancer Institute [NCI]- [CTCAE] v6.0) that could interfere with study endpoints or put participant safety at risk, as determined by the treating investigator
  • Known active central nervous system (CNS) and/or prior history of cancer involvement
  • Known history of another active (besides the eligible cancer diagnosis) within the last 3 years from day 1 of nivolumab that could interfere with study endpoints or put participant safety at risk. (NOTE: Exception will be made for adequately treated basal or squamous cell carcinoma of the skin or carcinoma in situ [skin, bladder, cervical, colorectal, breast] or low grade prostatic intraepithelial neoplasia or grade 1 prostate cancer. Any other neoplasm, which has been treated adequately and is adjudged by the treating investigator to have a low risk of progression during the study, could be enrolled only after approval from the medical monitor.)
  • Known active virus (HBV) or virus (HCV), defined as follows:

    • Active HBV is defined as a known positive hepatitis B virus surface antigen (HBsAg) result or positive total hepatitis B virus core antibody (anti-HBc) results in the absence of hepatitis B virus surface antibody (anti-HBsAb). (NOTE: When HBsAg is negative and HBcAb is positive, HBV-DNA should be measured. When HBV-deoxyribonucleic acid [DNA] is negative, this participant could be enrolled with close monitoring of HBV activities.)
    • Active hepatitis C virus (HCV) is defined as a known positive HCV antibody result and quantitative HCV-ribonucleic acid (RNA) results greater than the lower limits of detection of the assay. (NOTE: Participants who have had definitive treatment for HCV are permitted if HCV-RNA is undetectable.)
  • Known uncontrolled infection. (NOTE: HIV-infected participants may be allowed if all the following criteria are met: ≥ 100/μL, viral load less than 200 copies/mL, and clinically stable on antiretroviral therapy [ART] for at least 3 months.)

    • These participants will be enrolled only after approval from the medical monitor
  • Known active disease or an allograft requiring systemic with (> 10 mg/day of prednisone or equivalent) or immunosuppressive drugs within the past 2 years before the first dose of nivolumab. (NOTE: Exceptions will be made for participants with autoimmune conditions such as diabetes type I, vitiligo, psoriasis, hypothyroid or hyperthyroid diseases not requiring immunosuppressive treatment; participants receiving physiologic corticosteroid replacement therapy at doses \< 10 mg/day of prednisone or equivalent for adrenal or pituitary insufficiency; participants with a condition such as asthma or that requires intermittent use of steroids or those who require brief courses of corticosteroids for prophylaxis [e.g., contrast dye allergy], nivolumab-related standard premedication, and/or treatment of non-serious immune related adverse events. Any other situation must be discussed with the medical monitor for risk/benefit assessment.)
  • Immunosuppressed status due to severe uncontrolled diabetes, concurrent uncontrolled hematological malignancy, or other comorbidities
  • Known history of serious, active infections (aside from well-controlled HIV, as per exclusion criterion #6) requiring systemic antimicrobial agents within 14 days before the first dose of nivolumab. (NOTE: Chronic infections such as herpes simplex virus requiring suppressive therapy may be allowed after discussion with the medical monitor for risk/benefit assessment.)
  • Known history of interstitial lung disease, or active noninfectious pneumonitis
  • Clinically significant (i.e., active) cardiovascular disease such as cerebral vascular accident or myocardial infarction within 6 months prior to first dose of nivolumab, ongoing unstable angina or congestive heart failure ( Classification class II-IV), or serious cardiac arrhythmia that could jeopardize participant safety on the study
  • Receipt of (s) within 30 days of planned start of nivolumab. (NOTE: Examples of live vaccines include but are not limited to measles, mumps, rubella, varicella-zoster [chickenpox], yellow fever, rabies, bacillus Calmette Guerin [BCG], and typhoid vaccines. Seasonal influenza vaccines for injection are generally killed-virus vaccines and are allowed; however, intranasal influenza vaccines are live, attenuated vaccines and are not allowed.)
  • Known severe acute or chronic medical conditions such as uncontrolled seizure disorder, serious psychiatric illness, or laboratory abnormalities, that may increase the risk associated with study participation or may interfere with the interpretation of study endpoints and, in the judgment of the treating investigator, would make the participant inappropriate for entry into this study
  • Known active tuberculosis (TB). (NOTE: Participants with latent TB will be allowed, provided they are receiving tuberculosis preventive therapy, after approval of the medical monitor.)
  • Known allergy or to any component of the study drug formulation (including and additives) that could interfere with study endpoints or put participant safety at risk
  • Pregnant or breast-feeding woman
Terms in these criteria, in plain language(30)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

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

Study arms

  • Experimental
    Treatment (low dose, reduced frequency nivolumab)

    INDUCTION PHASE: Patients receive nivolumab IV over approximately 30 minutes on days 1 and 45 in the absence of disease progression or unacceptable toxicity. Patients who are benefitting after 45 days proceed to Maintenance Phase. MAINTENANCE PHASE: Patients receive nivolumab IV over approximately 30 minutes every 90 days (days 90, 180, 270 and 360) in the absence of disease progression or unacceptable toxicity. All patients also undergo CT/MRI and blood sample collection throughout the study. Patients may also undergo urine sample collection throughout the study.

    Procedure: Biospecimen Collection · Procedure: Computed Tomography · Procedure: Magnetic Resonance Imaging · Biological: Nivolumab

Interventions

  • ProcedureBiospecimen Collection

    Undergo collection of urine and/or blood samples

    Also known as: Biological Sample Collection, Biospecimen Collected, Specimen Collection

  • ProcedureComputed Tomography

    Undergo CT

    Also known as: CAT, CAT Scan, Computed Axial Tomography, Computerized Axial Tomography, Computerized axial tomography (procedure), Computerized Tomography, Computerized Tomography (CT) scan, CT, CT Scan, Diagnostic CAT Scan, Diagnostic CAT Scan Service Type, tomography

  • ProcedureMagnetic Resonance Imaging

    Undergo MRI

    Also known as: Magnetic Resonance, Magnetic Resonance Imaging (MRI), Magnetic resonance imaging (procedure), Magnetic Resonance Imaging Scan, Medical Imaging, Magnetic Resonance / Nuclear Magnetic Resonance, MR, MR Imaging, MRI, MRI Scan, MRIs, NMR Imaging, NMRI, Nuclear Magnetic Resonance Imaging, sMRI, Structural MRI

  • BiologicalNivolumab

    Given IV

    Also known as: ABP 206, BCD-263, BMS 936558, BMS-936558, BMS936558, CMAB819, MDX 1106, MDX-1106, MDX1106, NIVO, Nivolumab Biosimilar ABP 206, Nivolumab Biosimilar BCD-263, Nivolumab Biosimilar CMAB819, ONO 4538, ONO-4538, ONO4538, Opdivo

06

What researchers measure

Primary outcomes

  1. Objective response

    Defined as the best objective response of complete response (CR) or partial response (PR), as determined by investigator assessment per Response Evaluation Criteria in Solid Tumors (RECIST) version (v)1.1.

    Time frame: Up to 4 years after completion of study treatment

Secondary outcomes

  1. Duration of response (DOR)

    Will be assessed per RECIST 1.1. The Kaplan-Meier (KM) technique will be used to obtain estimates of DOR. For event-based survival analyses in participants without documentation of the event, survival will be censored on the last date the participant was known to be event free. The standard error of the KM estimates will be computed using the Greenwood formula (Kalbfleisch \& Prentice, 2002), and standard errors from the matrix form of Greenwood's formula for cumulative incidence estimates. Median time to event, if reached, will be presented with a 90% confidence interval based on the Brookmeyer and Crowley method (Kalbfleisch \& Prentice, 2002).

    Time frame: From the earliest date of disease response (CR or PR) until the earliest date of disease progression, or the date of death from any cause, assessed up to 4 years after completion of study treatment

  2. Disease control

    Defined as achievement of CR, PR, or stable disease as a patient's best objective response to the study treatment, per RECIST v1.1. For event-based survival analyses in participants without documentation of the event, survival will be censored on the last date the participant was known to be event free. The standard error of the KM estimates will be computed using the Greenwood formula (Kalbfleisch \& Prentice, 2002), and standard errors from the matrix form of Greenwood's formula for cumulative incidence estimates. Median time to event, if reached, will be presented with a 90% confidence interval based on the Brookmeyer and Crowley method (Kalbfleisch \& Prentice, 2002).

    Time frame: Up to 4 years after completion of study treatment

  3. Progression free survival (PFS)

    The KM technique will be used to obtain estimates of PFS. For event-based survival analyses in participants without documentation of the event, survival will be censored on the last date the participant was known to be event free. The standard error of the KM estimates will be computed using the Greenwood formula (Kalbfleisch \& Prentice, 2002), and standard errors from the matrix form of Greenwood's formula for cumulative incidence estimates. Median time to event, if reached, will be presented with a 90% confidence interval based on the Brookmeyer and Crowley method (Kalbfleisch \& Prentice, 2002).

    Time frame: From date of first dose of study treatment until the earliest date of disease progression, or the date of death from any cause, assessed up to 4 years after completion of study treatment

  4. Overall survival (OS)

    The KM technique will be used to obtain estimates of OS. For event-based survival analyses in participants without documentation of the event, survival will be censored on the last date the participant was known to be event free. The standard error of the KM estimates will be computed using the Greenwood formula (Kalbfleisch \& Prentice, 2002), and standard errors from the matrix form of Greenwood's formula for cumulative incidence estimates. Median time to event, if reached, will be presented with a 90% confidence interval based on the Brookmeyer and Crowley method (Kalbfleisch \& Prentice, 2002).

    Time frame: From date of first dose of study treatment until the date of death from any cause, assessed up to 4 years after completion of study treatment

  5. Disease specific survival

    For event-based survival analyses in participants without documentation of the event, survival will be censored on the last date the participant was known to be event free. The standard error of the KM estimates will be computed using the Greenwood formula (Kalbfleisch \& Prentice, 2002), and standard errors from the matrix form of Greenwood's formula for cumulative incidence estimates. Median time to event, if reached, will be presented with a 90% confidence interval based on the Brookmeyer and Crowley method (Kalbfleisch \& Prentice, 2002).

    Time frame: From date of first dose of study treatment until the date of death, assessed up to 4 years after completion of study treatment

  6. Incidence of adverse events

    Will include immune-related adverse events, treatment interruption and treatment discontinuation, and the use of immunosuppressive medications for toxicities.

    Time frame: Up to 90 days years after completion of study treatment

  7. Accrual and by compliance with treatment timepoints

    Feasibility defined by accrual and by compliance with treatment timepoints in this unique setting.

    Time frame: Up to 4 years after completion of study treatment

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07576725
Collaborators
The Wayne D. Kuni and Joan E. Kuni Foundation
Responsible party
Sponsor
First posted
May 8, 2026
Start date
Dec 1, 2026 (estimated)
Primary completion
Aug 31, 2029 (estimated)
Completion
Aug 31, 2029 (estimated)
Last update
Sep 17, 2026

Study contacts

Shailender Bhatia, MD
Contact
sbhatia@uw.edu
206-606-6765
Shailender Bhatia, MD
principal investigator · Fred Hutch/University of Washington Cancer Consortium

Oversight

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

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Discussion

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Studies of the drug tested here: Nivolumab

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