Trial Outcomes & Findings for Nivolumab and Ipilimumab in Mucinous Colorectal and Appendiceal Tumors (NCT NCT03693846)

NCT ID: NCT03693846

Last Updated: 2022-10-20

Results Overview

To determine six-month progression-free survival by iRECIST from start of study treatment until 6 months

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

11 participants

Primary outcome timeframe

Start of treatment until 6 months later

Results posted on

2022-10-20

Participant Flow

Eleven subjects were consented/enrolled and active on study treatment for at least one cycle.

Participant milestones

Participant milestones
Measure
Nivolumab and Ipilimumab
Treatment will consist of nivolumab 480mg every 4 weeks and ipilimumab 1mg/kg every 8 weeks. Nivolumab: IV infusion per institutional guidelines and the Package Insert Ipilimumab: IV infusion per institutional guidelines and the Package Insert
Overall Study
STARTED
11
Overall Study
COMPLETED
11
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Nivolumab and Ipilimumab in Mucinous Colorectal and Appendiceal Tumors

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Nivolumab and Ipilimumab
n=11 Participants
Treatment will consist of nivolumab 480mg every 4 weeks and ipilimumab 1mg/kg every 8 weeks. Nivolumab: IV infusion per institutional guidelines and the Package Insert Ipilimumab: IV infusion per institutional guidelines and the Package Insert
Age, Categorical
<=18 years
0 Participants
n=39 Participants
Age, Categorical
Between 18 and 65 years
6 Participants
n=39 Participants
Age, Categorical
>=65 years
5 Participants
n=39 Participants
Sex: Female, Male
Female
4 Participants
n=39 Participants
Sex: Female, Male
Male
7 Participants
n=39 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=39 Participants
Race (NIH/OMB)
Asian
0 Participants
n=39 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=39 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=39 Participants
Race (NIH/OMB)
White
8 Participants
n=39 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=39 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=39 Participants
Region of Enrollment
United States
11 participants
n=39 Participants

PRIMARY outcome

Timeframe: Start of treatment until 6 months later

To determine six-month progression-free survival by iRECIST from start of study treatment until 6 months

Outcome measures

Outcome measures
Measure
Nivolumab and Ipilimumab
n=11 Participants
Treatment will consist of nivolumab 480mg every 4 weeks and ipilimumab 1mg/kg every 8 weeks. Nivolumab: IV infusion per institutional guidelines and the Package Insert Ipilimumab: IV infusion per institutional guidelines and the Package Insert
Number of Participants With Progression-Free Survival at 6 Months
0 Participants

SECONDARY outcome

Timeframe: start of treatment until disease progression or death, assessed up to 2 years

to determine Progression-Free survival from start of study treatment until time of documented disease progression or death assessed up to 2 years

Outcome measures

Outcome measures
Measure
Nivolumab and Ipilimumab
n=11 Participants
Treatment will consist of nivolumab 480mg every 4 weeks and ipilimumab 1mg/kg every 8 weeks. Nivolumab: IV infusion per institutional guidelines and the Package Insert Ipilimumab: IV infusion per institutional guidelines and the Package Insert
Progression-Free Survival
1.91 months
Interval 0.72 to 2.99

SECONDARY outcome

Timeframe: From start of treatment until death assessed up to 2 years

Overall survival (OS) is defined as the duration of time from start of treatment to death

Outcome measures

Outcome measures
Measure
Nivolumab and Ipilimumab
n=11 Participants
Treatment will consist of nivolumab 480mg every 4 weeks and ipilimumab 1mg/kg every 8 weeks. Nivolumab: IV infusion per institutional guidelines and the Package Insert Ipilimumab: IV infusion per institutional guidelines and the Package Insert
Overall Survival
3.45 Months
Interval 1.61 to 4.04

SECONDARY outcome

Timeframe: From start of treatment until progression or death assessed up to 2 years

The objective response rate is determined by the percentage of individuals on study attaining a complete or partial response as noted by by iRECIST and RECIST v1.1 Criteria

Outcome measures

Outcome measures
Measure
Nivolumab and Ipilimumab
n=11 Participants
Treatment will consist of nivolumab 480mg every 4 weeks and ipilimumab 1mg/kg every 8 weeks. Nivolumab: IV infusion per institutional guidelines and the Package Insert Ipilimumab: IV infusion per institutional guidelines and the Package Insert
Objective Response Rate
0 Percentage of participants

SECONDARY outcome

Timeframe: From the first recorded partial or complete response until progressive disease or death, whichever came first, assessed up to 2 years

Time from the first recorded partial or complete response using RECIST v.1.1 criteria until disease progression or death

Outcome measures

Outcome measures
Measure
Nivolumab and Ipilimumab
n=11 Participants
Treatment will consist of nivolumab 480mg every 4 weeks and ipilimumab 1mg/kg every 8 weeks. Nivolumab: IV infusion per institutional guidelines and the Package Insert Ipilimumab: IV infusion per institutional guidelines and the Package Insert
Duration of Response
NA Months
The duration of response was not reportable as there were no objective responses

Adverse Events

Nivolumab and Ipilimumab

Serious events: 9 serious events
Other events: 11 other events
Deaths: 5 deaths

Serious adverse events

Serious adverse events
Measure
Nivolumab and Ipilimumab
n=11 participants at risk
Treatment will consist of nivolumab 480mg every 4 weeks and ipilimumab 1mg/kg every 8 weeks. Nivolumab: IV infusion per institutional guidelines and the Package Insert Ipilimumab: IV infusion per institutional guidelines and the Package Insert
Gastrointestinal disorders
Small Intestine Obstruction
18.2%
2/11 • Number of events 2 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.
Gastrointestinal disorders
Small Intestine Perforation
9.1%
1/11 • Number of events 1 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.
Cardiac disorders
Myocarditis
9.1%
1/11 • Number of events 1 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.
Gastrointestinal disorders
Colonic Obstruction
9.1%
1/11 • Number of events 1 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.
Vascular disorders
Thromboembolic Event
9.1%
1/11 • Number of events 1 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.
Infections and infestations
Sepsis
9.1%
1/11 • Number of events 1 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.
General disorders
Non-Cardiac Chest Pain
9.1%
1/11 • Number of events 1 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.
Cardiac disorders
Atrial fibrillation
18.2%
2/11 • Number of events 2 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.
Respiratory, thoracic and mediastinal disorders
Aspiration Pneumonia
9.1%
1/11 • Number of events 1 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.
Gastrointestinal disorders
Abdominal Pain
9.1%
1/11 • Number of events 3 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.
Gastrointestinal disorders
Abdominal Distension
9.1%
1/11 • Number of events 1 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.
Gastrointestinal disorders
Vomiting
9.1%
1/11 • Number of events 2 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.
Respiratory, thoracic and mediastinal disorders
Dyspnea
9.1%
1/11 • Number of events 1 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.
Gastrointestinal disorders
Nausea
9.1%
1/11 • Number of events 3 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.

Other adverse events

Other adverse events
Measure
Nivolumab and Ipilimumab
n=11 participants at risk
Treatment will consist of nivolumab 480mg every 4 weeks and ipilimumab 1mg/kg every 8 weeks. Nivolumab: IV infusion per institutional guidelines and the Package Insert Ipilimumab: IV infusion per institutional guidelines and the Package Insert
Gastrointestinal disorders
Nausea
45.5%
5/11 • Number of events 5 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.
Gastrointestinal disorders
Abdominal Pain
54.5%
6/11 • Number of events 6 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.
Gastrointestinal disorders
Ascites
36.4%
4/11 • Number of events 4 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.
Gastrointestinal disorders
Abdominal Bloating
27.3%
3/11 • Number of events 3 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.
Vascular disorders
Thromboembolic Event
18.2%
2/11 • Number of events 2 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.
General disorders
Fatigue
18.2%
2/11 • Number of events 2 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.
Injury, poisoning and procedural complications
Infusion Related Reaction
18.2%
2/11 • Number of events 2 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.
Metabolism and nutrition disorders
Anorexia
18.2%
2/11 • Number of events 2 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.
Investigations
Hypokalemia
27.3%
3/11 • Number of events 3 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.
Investigations
Hyponatremia
18.2%
2/11 • Number of events 2 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
18.2%
2/11 • Number of events 2 • From ICF signature to 100 days following the last administration of study treatment.
All Serious Adverse Events or pregnancies that occur following the subject's written consent to participate in the study through 100 days of discontinuation of dosing must be reported. At each contact with the subject, the investigator must seek information on adverse events by specific questioning and, as appropriate, by examination.

Additional Information

Thomas Karasic, MD

University of Pennsylvania

Phone: 215-614-1858

Results disclosure agreements

  • Principal investigator is a sponsor employee Institution/Investigator shall provide sponsor with a copy of each publication at the earliest practicable time, but in any event not less than thirty (30) days prior to its submission to a journal, publisher, or meeting or fifteen (15) days prior to any public disclosure of any manuscript or other public disclosure (e.g., presentation).
  • Publication restrictions are in place

Restriction type: OTHER