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Monoclonal Antibodies

Immunotherapy + Radiation for Advanced Cancer

Phase 1 & 2
Waitlist Available
Led By James Welsh
Research Sponsored by M.D. Anderson Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
All patients must have at least one metastatic or primary lesion within the bone, lung/chest, liver or adrenal located in an anatomical location amenable to radiation treatment with either 50 Gy in 4 fractions, 60 Gy in 10 fractions, or 30 Gy in 5 fx. Patients may not have more then 80% liver displaced with cancer
Patients must have histological confirmation of solid metastatic cancer with at least one metastatic or primary lesion in the bone, adrenal, liver or lung/chest
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 12 months
Awards & highlights

Study Summary

This trial is testing a combination of immunotherapy drugs and radiation to treat patients with metastatic solid malignancies. The goal is to see if this combination can kill more tumor cells with fewer side effects.

Who is the study for?
Adults with metastatic solid cancers, not breastfeeding or donating sperm, and willing to use contraception. They must have normal organ/marrow function, no severe allergies to immunotherapy drugs, and can't be on certain medications. Eligible even if they've had prior cancer treatments (except anti-CTLA4-NF drugs) or controlled autoimmune disorders.Check my eligibility
What is being tested?
The trial is testing a combination of an experimental drug BMS986218 with Nivolumab and precise radiation therapy on patients with metastatic cancers. The goal is to see how well this trio works together in stopping cancer growth by enhancing the body's immune response.See study design
What are the potential side effects?
Potential side effects include typical reactions from immunotherapies such as fatigue, inflammation in organs, allergic reactions, and possibly complications related to pre-existing conditions like autoimmune diseases.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have a cancer lesion in a place suitable for radiation and less than 80% of my liver is affected by cancer.
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My cancer has spread to my bones, adrenal glands, liver, or lungs.
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I am not pregnant and have taken a test to confirm this if I'm able to have children.
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I am 18 years old or older.
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My kidney function, measured by creatinine levels or clearance, is within the required range.
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I am fully active or able to carry out light work.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 12 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 12 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Incidence of adverse events
Secondary outcome measures
Neoplasms

Trial Design

2Treatment groups
Experimental Treatment
Group I: Arm II (BMS-986218, SBRT, nivolumab)Experimental Treatment3 Interventions
Patients receive anti-CTLA4 monoclonal antibody BMS-986218 and SBRT as in Arm 1. Beginning cycle 2, patients also receive nivolumab IV over 30 minutes starting on day 1. Cycles repeat every 28 days for up to 2 years in the absence of disease progression or unacceptable toxicity.
Group II: Arm I (BMS-986218, SBRT)Experimental Treatment2 Interventions
Patients receive anti-CTLA4 monoclonal antibody BMS-986218 IV over 30 minutes on day 1. Treatment repeats every 28 days for 4 cycles in the absence of disease progression or unacceptable toxicity. Patients also undergo SBRT on days 36-39 (days 8-11 of cycle 2).
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Nivolumab
2014
Completed Phase 3
~4750
Stereotactic Body Radiation Therapy
2012
Completed Phase 2
~780

Find a Location

Who is running the clinical trial?

M.D. Anderson Cancer CenterLead Sponsor
2,987 Previous Clinical Trials
1,798,222 Total Patients Enrolled
James WelshPrincipal InvestigatorM.D. Anderson Cancer Center
4 Previous Clinical Trials
507 Total Patients Enrolled

Media Library

Anti-CTLA4 Monoclonal Antibody BMS-986218 (Monoclonal Antibodies) Clinical Trial Eligibility Overview. Trial Name: NCT04785287 — Phase 1 & 2
Cancer Research Study Groups: Arm II (BMS-986218, SBRT, nivolumab), Arm I (BMS-986218, SBRT)
Cancer Clinical Trial 2023: Anti-CTLA4 Monoclonal Antibody BMS-986218 Highlights & Side Effects. Trial Name: NCT04785287 — Phase 1 & 2
Anti-CTLA4 Monoclonal Antibody BMS-986218 (Monoclonal Antibodies) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04785287 — Phase 1 & 2
~3 spots leftby May 2025