Trial Outcomes & Findings for Nivolumab for Recurrent or Progressive IDH Mutant Gliomas (NCT NCT03557359)

NCT ID: NCT03557359

Last Updated: 2025-11-03

Results Overview

The overall response rate is defined as the percentage of patients with a reduction in tumor size while on treatment.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

35 participants

Primary outcome timeframe

Throughout treatment duration or until progressive disease, unacceptable toxicity, or withdrawal of consent, up to 2 years

Results posted on

2025-11-03

Participant Flow

Thirty-five patients were enrolled and 33 patients received at least one dose of nivolumab. Two patients were lost to follow up before beginning treatment. Thirty-two patients completed the full 2-year treatment and one patient discontinued after 23 months due to Grade 2 transaminitis. Thirty-three patients were included in the analysis.

Participant milestones

Participant milestones
Measure
Nivolumab 240 mg
Nivolumab 240 mg will be given every 2 weeks for 8 cycles. Nivolumab will be administered as a 30-minute infusion. A finite treatment duration with immune therapies in this participant population remains an area of ongoing research; therefore the treatment duration chosen was 2 years. Nivolumab: Nivolumab (Opdivo®) is a human monoclonal antibody (HuMAb; immunoglobulin G4 (IgG4)- S228P) that targets the PD-1 cluster of differentiation 279 (CD279) cell surface membrane receptor.
Nivolumab 480 mg
Beginning with Cycle 9, Nivolumab 480 mg will be given every 4 weeks for a total therapy duration of 2 years, or until progressive disease, unacceptable toxicity, or withdrawal of consent. Nivolumab will be administered as a 30-minute infusion. A finite treatment duration with immune therapies in this participant population remains an area of ongoing research; therefore the treatment duration chosen was 2 years. Nivolumab: Nivolumab (Opdivo®) is a human monoclonal antibody (HuMAb; immunoglobulin G4 (IgG4)- S228P) that targets the PD-1 cluster of differentiation 279 (CD279) cell surface membrane receptor.
Dose 1: 240 mg
STARTED
33
0
Dose 1: 240 mg
COMPLETED
32
0
Dose 1: 240 mg
NOT COMPLETED
1
0
Dose 2: 480 mg
STARTED
0
13
Dose 2: 480 mg
COMPLETED
0
13
Dose 2: 480 mg
NOT COMPLETED
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Nivolumab 240 mg
Nivolumab 240 mg will be given every 2 weeks for 8 cycles. Nivolumab will be administered as a 30-minute infusion. A finite treatment duration with immune therapies in this participant population remains an area of ongoing research; therefore the treatment duration chosen was 2 years. Nivolumab: Nivolumab (Opdivo®) is a human monoclonal antibody (HuMAb; immunoglobulin G4 (IgG4)- S228P) that targets the PD-1 cluster of differentiation 279 (CD279) cell surface membrane receptor.
Nivolumab 480 mg
Beginning with Cycle 9, Nivolumab 480 mg will be given every 4 weeks for a total therapy duration of 2 years, or until progressive disease, unacceptable toxicity, or withdrawal of consent. Nivolumab will be administered as a 30-minute infusion. A finite treatment duration with immune therapies in this participant population remains an area of ongoing research; therefore the treatment duration chosen was 2 years. Nivolumab: Nivolumab (Opdivo®) is a human monoclonal antibody (HuMAb; immunoglobulin G4 (IgG4)- S228P) that targets the PD-1 cluster of differentiation 279 (CD279) cell surface membrane receptor.
Dose 1: 240 mg
Adverse Event
1
0

Baseline Characteristics

Nivolumab for Recurrent or Progressive IDH Mutant Gliomas

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Nivolumab
n=35 Participants
Nivolumab 240 mg will be given every 2 weeks for 8 cycles. Beginning with Cycle 9, nivolumab 480 mg will be given every 4 weeks for a total therapy duration of 2 years, or until progressive disease, unacceptable toxicity, or withdrawal of consent. Nivolumab will be administered as a 30-minute infusion. A finite treatment duration with immune therapies in this participant population remains an area of ongoing research; therefore the treatment duration chosen was 2 years. Nivolumab: Nivolumab (Opdivo®) is a human monoclonal antibody (HuMAb; immunoglobulin G4 (IgG4)- S228P) that targets the PD-1 cluster of differentiation 279 (CD279) cell surface membrane receptor.
Age, Categorical
<=18 years
0 Participants
n=15 Participants
Age, Categorical
Between 18 and 65 years
34 Participants
n=15 Participants
Age, Categorical
>=65 years
1 Participants
n=15 Participants
Age, Continuous
44.5 Years
n=15 Participants
Sex: Female, Male
Female
11 Participants
n=15 Participants
Sex: Female, Male
Male
24 Participants
n=15 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
8 Participants
n=15 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
25 Participants
n=15 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=15 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=15 Participants
Race (NIH/OMB)
Asian
2 Participants
n=15 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=15 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=15 Participants
Race (NIH/OMB)
White
32 Participants
n=15 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=15 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=15 Participants
Region of Enrollment
United States
35 participants
n=15 Participants
Recurrent or progressive IDH mutant (grades 2, 3 or 4) gliomas in subjects 18 years of age or older
35 Participants
n=15 Participants

PRIMARY outcome

Timeframe: Throughout treatment duration or until progressive disease, unacceptable toxicity, or withdrawal of consent, up to 2 years

The overall response rate is defined as the percentage of patients with a reduction in tumor size while on treatment.

Outcome measures

Outcome measures
Measure
Nivolumab
n=33 Participants
Nivolumab 240 mg will be given every 2 weeks for 8 cycles. Beginning with Cycle 9, nivolumab 480 mg will be given every 4 weeks for a total therapy duration of 2 years, or until progressive disease, unacceptable toxicity, or withdrawal of consent. Nivolumab will be administered as a 30-minute infusion. A finite treatment duration with immune therapies in this participant population remains an area of ongoing research; therefore the treatment duration chosen was 2 years. Nivolumab: Nivolumab (Opdivo®) is a human monoclonal antibody (HuMAb; immunoglobulin G4 (IgG4)- S228P) that targets the PD-1 cluster of differentiation 279 (CD279) cell surface membrane receptor.
Overall Response Rate
9 percent

SECONDARY outcome

Timeframe: Until the first date that progressive disease is objectively documented or until study completion (36 months)

The duration of overall response is measured from the time measurement criteria are met for CR or PR (whichever is first recorded) until the first date that recurrent or progressive disease is objectively documented (taking as reference for progressive disease the smallest measurements recorded since the treatment started).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Until death or study completion (36 months)

PFS is defined as the duration of time from start of treatment to time of progression or death, whichever occurs first. Participants discontinuing study treatment will remain on study for documentation of progression and death.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Until death or study completion (36 months)

OS is defined as the time from the first dose of nivolumab to death due to any cause. All other participants will be censored at the last date known to be alive.

Outcome measures

Outcome data not reported

Adverse Events

Nivolumab 240 mg

Serious events: 9 serious events
Other events: 29 other events
Deaths: 0 deaths

Nivolumab 480 mg

Serious events: 4 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Nivolumab 240 mg
n=33 participants at risk
Nivolumab 240 mg will be given every 2 weeks for 8 cycles.
Nivolumab 480 mg
n=13 participants at risk
Beginning with Cycle 9, Nivolumab 480 mg will be given every 4 weeks for a total therapy duration of 2 years, or until progressive disease, unacceptable toxicity, or withdrawal of consent.
Nervous system disorders
Nervous system disorders - Other, specify
6.1%
2/33 • 4 years
0.00%
0/13 • 4 years
Gastrointestinal disorders
Diarrhea
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Musculoskeletal and connective tissue disorders
Muscle weakness - Left Side
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Respiratory, thoracic and mediastinal disorders
Dyspnea
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Nervous system disorders
Seizure
9.1%
3/33 • 4 years
0.00%
0/13 • 4 years
Vascular disorders
Hypotension
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Infections and infestations
Lung Infection
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Nervous system disorders
Headache
3.0%
1/33 • 4 years
7.7%
1/13 • 4 years
Nervous system disorders
Hydrocephalus
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Musculoskeletal and connective tissue disorders
Muscle weakness - Right Side
3.0%
1/33 • 4 years
7.7%
1/13 • 4 years
Nervous system disorders
Stroke
0.00%
0/33 • 4 years
15.4%
2/13 • 4 years
Nervous system disorders
Transient ischemic attacks
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years

Other adverse events

Other adverse events
Measure
Nivolumab 240 mg
n=33 participants at risk
Nivolumab 240 mg will be given every 2 weeks for 8 cycles.
Nivolumab 480 mg
n=13 participants at risk
Beginning with Cycle 9, Nivolumab 480 mg will be given every 4 weeks for a total therapy duration of 2 years, or until progressive disease, unacceptable toxicity, or withdrawal of consent.
Investigations
Blood bilirubin increased
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Eye disorders
Blurred vision
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Injury, poisoning and procedural complications
Bruising
6.1%
2/33 • 4 years
0.00%
0/13 • 4 years
Injury, poisoning and procedural complications
Burn
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Musculoskeletal and connective tissue disorders
Buttock pain
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Investigations
Cardiac troponin I increased
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Cardiac disorders
Chest pain - cardiac
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Nervous system disorders
Cognitive disturbance
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Psychiatric disorders
Confusion
12.1%
4/33 • 4 years
0.00%
0/13 • 4 years
Gastrointestinal disorders
Constipation
6.1%
2/33 • 4 years
7.7%
1/13 • 4 years
Respiratory, thoracic and mediastinal disorders
Cough
9.1%
3/33 • 4 years
15.4%
2/13 • 4 years
Psychiatric disorders
Depression
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Gastrointestinal disorders
Diarrhea
15.2%
5/33 • 4 years
15.4%
2/13 • 4 years
Nervous system disorders
Dizziness
12.1%
4/33 • 4 years
16.7%
2/12 • 4 years
Skin and subcutaneous tissue disorders
Dry skin
3.0%
1/33 • 4 years
7.7%
1/13 • 4 years
Gastrointestinal disorders
Dyspepsia
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Gastrointestinal disorders
Dysphagia
6.1%
2/33 • 4 years
0.00%
0/13 • 4 years
Nervous system disorders
Dysphasia
12.1%
4/33 • 4 years
15.4%
2/13 • 4 years
Respiratory, thoracic and mediastinal disorders
Dyspnea
3.0%
1/33 • 4 years
7.7%
1/13 • 4 years
General disorders
Edema limbs
3.0%
1/33 • 4 years
7.7%
1/13 • 4 years
Respiratory, thoracic and mediastinal disorders
Epistaxis
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Reproductive system and breast disorders
Erectile dysfunction
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Nervous system disorders
Facial muscle weakness
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Injury, poisoning and procedural complications
Fall
18.2%
6/33 • 4 years
23.1%
3/13 • 4 years
General disorders
Fatigue
27.3%
9/33 • 4 years
23.1%
3/13 • 4 years
Eye disorders
Flashing lights
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Gastrointestinal disorders
Flatulence
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
General disorders
Gait disturbance
3.0%
1/33 • 4 years
7.7%
1/13 • 4 years
Gastrointestinal disorders
Gastrointestinal disorders - Other, specify
3.0%
1/33 • 4 years
7.7%
1/13 • 4 years
General disorders
General disorders and administration site conditions - Other, specify
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
3.0%
1/33 • 4 years
15.4%
2/13 • 4 years
Metabolism and nutrition disorders
Glucose intolerance
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Nervous system disorders
Headache
24.2%
8/33 • 4 years
23.1%
3/13 • 4 years
Ear and labyrinth disorders
Hearing impaired
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Hepatobiliary disorders
Hepatobiliary disorders - Other, specify
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Respiratory, thoracic and mediastinal disorders
Hiccups
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Vascular disorders
Hot flashes
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Metabolism and nutrition disorders
Hyperglycemia
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Metabolism and nutrition disorders
Hyperkalemia
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Vascular disorders
Hypertension
6.1%
2/33 • 4 years
7.7%
1/13 • 4 years
Endocrine disorders
Hyperthyroidism
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Metabolism and nutrition disorders
Hypocalcemia
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Metabolism and nutrition disorders
Hypokalemia
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Metabolism and nutrition disorders
Hyponatremia
6.1%
2/33 • 4 years
0.00%
0/13 • 4 years
Metabolism and nutrition disorders
Hypophosphatemia
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Vascular disorders
Hypotension
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Endocrine disorders
Hypothyroidism
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Injury, poisoning and procedural complications
Injury, poisoning and procedural complications - Other, specify
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Psychiatric disorders
Insomnia
9.1%
3/33 • 4 years
15.4%
2/13 • 4 years
Nervous system disorders
Lethargy
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Psychiatric disorders
Libido decreased
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Gastrointestinal disorders
Lip pain
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Investigations
Lipase increased
3.0%
1/33 • 4 years
7.7%
1/13 • 4 years
Investigations
Lymphocyte count decreased
18.2%
6/33 • 4 years
15.4%
2/13 • 4 years
Nervous system disorders
Memory impairment
6.1%
2/33 • 4 years
7.7%
1/13 • 4 years
Infections and infestations
Mucosal infection
3.0%
1/33 • 4 years
7.7%
1/13 • 4 years
Musculoskeletal and connective tissue disorders
Muscle weakness left-sided
12.1%
4/33 • 4 years
7.7%
1/13 • 4 years
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Musculoskeletal and connective tissue disorders
Muscle weakness right-sided
3.0%
1/33 • 4 years
15.4%
2/13 • 4 years
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/33 • 4 years
23.1%
3/13 • 4 years
Respiratory, thoracic and mediastinal disorders
Nasal congestion
0.00%
0/33 • 4 years
15.4%
2/13 • 4 years
Gastrointestinal disorders
Nausea
9.1%
3/33 • 4 years
7.7%
1/13 • 4 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specify
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Nervous system disorders
Nervous system disorders - Other, specify
12.1%
4/33 • 4 years
7.7%
1/13 • 4 years
Infections and infestations
Neutrophil count decreased
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
General disorders
Pain
6.1%
2/33 • 4 years
0.00%
0/13 • 4 years
Musculoskeletal and connective tissue disorders
Pain in extremity
6.1%
2/33 • 4 years
15.4%
2/13 • 4 years
Cardiac disorders
Palpitations
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Nervous system disorders
Paresthesia
6.1%
2/33 • 4 years
0.00%
0/13 • 4 years
Infections and infestations
Pharyngitis
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Investigations
Platelet count decreased
6.1%
2/33 • 4 years
7.7%
1/13 • 4 years
Skin and subcutaneous tissue disorders
Pruritus
9.1%
3/33 • 4 years
0.00%
0/13 • 4 years
Skin and subcutaneous tissue disorders
Rash maculo-papular
3.0%
1/33 • 4 years
23.1%
3/13 • 4 years
Reproductive system and breast disorders
Respiratory, thoracic and mediastinal disorders - Other, specify
3.0%
1/33 • 4 years
15.4%
2/13 • 4 years
Psychiatric disorders
Restlessness
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Nervous system disorders
Seizure
9.1%
3/33 • 4 years
23.1%
3/13 • 4 years
Investigations
Serum amylase increased
6.1%
2/33 • 4 years
0.00%
0/13 • 4 years
Cardiac disorders
Sinus bradycardia
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Infections and infestations
Sinusitis
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify
6.1%
2/33 • 4 years
15.4%
2/13 • 4 years
Infections and infestations
Soft tissue infection
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Nervous system disorders
Stroke
0.00%
0/33 • 4 years
15.4%
2/13 • 4 years
Nervous system disorders
Syncope
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Ear and labyrinth disorders
Tinnitus
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Infections and infestations
Tooth infection
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Infections and infestations
Upper respiratory infection
6.1%
2/33 • 4 years
23.1%
3/13 • 4 years
Renal and urinary disorders
Urinary frequency
6.1%
2/33 • 4 years
7.7%
1/13 • 4 years
Renal and urinary disorders
Urinary incontinence
3.0%
1/33 • 4 years
7.7%
1/13 • 4 years
Infections and infestations
Urinary tract infection
6.1%
2/33 • 4 years
0.00%
0/13 • 4 years
Renal and urinary disorders
Urinary tract pain
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Renal and urinary disorders
Urinary urgency
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Injury, poisoning and procedural complications
Vascular access complication
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Investigations
Weight gain
3.0%
1/33 • 4 years
7.7%
1/13 • 4 years
Investigations
Weight loss
0.00%
0/33 • 4 years
15.4%
2/13 • 4 years
Investigations
White blood cell decreased
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Cardiac disorders
Sinus tachycardia
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Respiratory, thoracic and mediastinal disorders
Alopecia
3.0%
1/33 • 4 years
7.7%
1/13 • 4 years
Metabolism and nutrition disorders
Anorexia
0.00%
0/33 • 4 years
15.4%
2/13 • 4 years
Psychiatric disorders
Anxiety
0.00%
0/33 • 4 years
15.4%
2/13 • 4 years
Investigations
Aspartate aminotransferase increased
12.1%
4/33 • 4 years
23.1%
3/13 • 4 years
Immune system disorders
Autoimmune disorder
3.0%
1/33 • 4 years
7.7%
1/13 • 4 years
Musculoskeletal and connective tissue disorders
Back pain
9.1%
3/33 • 4 years
7.7%
1/13 • 4 years
Gastrointestinal disorders
Abdominal Pain
6.1%
2/33 • 4 years
7.7%
1/13 • 4 years
Psychiatric disorders
Agitation
3.0%
1/33 • 4 years
0.00%
0/13 • 4 years
Investigations
Alanine aminotransferase increased
21.2%
7/33 • 4 years
15.4%
2/13 • 4 years
Investigations
Alkaline phosphatase increased
0.00%
0/33 • 4 years
7.7%
1/13 • 4 years
Immune system disorders
Allergic reaction
6.1%
2/33 • 4 years
0.00%
0/13 • 4 years

Additional Information

Fabio Iwamoto

Columbia University

Phone: 212-342-0571

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place