Trial Outcomes & Findings for Nivolumab in Biochemically Recurrent dMMR Prostate Cancer (NCT NCT04019964)

NCT ID: NCT04019964

Last Updated: 2026-05-15

Results Overview

Percentage of participants who have received at least 1 dose of Nivolumab who experience a confirmed \>=50% decline in prostate specific antigen (PSA) from baseline, as defined by Prostate Cancer Working Group 3 (PCWG3) criteria.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

8 participants

Primary outcome timeframe

up to 6 months post-intervention, up to 2 years of treatment

Results posted on

2026-05-15

Participant Flow

Participant milestones

Participant milestones
Measure
Nivolumab in Biochemically Recurrent Prostate Cancer
Participants with previous prostatectomy or radiation therapy who subsequently developed detectable prostate specific antigen (PSA) levels ("biochemically recurrent prostate cancer"). Nivolumab: Nivolumab 480mg intravenously every 4 weeks
Overall Study
STARTED
8
Overall Study
COMPLETED
8
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Nivolumab in Biochemically Recurrent dMMR Prostate Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Nivolumab in Biochemically Recurrent Prostate Cancer
n=8 Participants
Participants with previous prostatectomy or radiation therapy who subsequently developed detectable prostate specific antigen (PSA) levels ("biochemically recurrent prostate cancer"). Nivolumab: Nivolumab 480mg intravenously every 4 weeks
Age, Continuous
70 years
n=11 Participants
Sex: Female, Male
Female
0 Participants
n=11 Participants
Sex: Female, Male
Male
8 Participants
n=11 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=11 Participants
Race (NIH/OMB)
Asian
1 Participants
n=11 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=11 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=11 Participants
Race (NIH/OMB)
White
7 Participants
n=11 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=11 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=11 Participants
Prostate-Specific Antigen (PSA)
3.2 ng/ml
n=11 Participants
Prostate-Specific Antigen Doubling Time (PSADT)
5.9 months
n=11 Participants
Testosterone
505 ng/dl
n=11 Participants
Gleason score
Gleason score 7
4 Participants
n=11 Participants
Gleason score
Gleason score 8
1 Participants
n=11 Participants
Gleason score
Gleason score 9
3 Participants
n=11 Participants
Gleason score
Gleason score 10
0 Participants
n=11 Participants
Prostate Directed Therapy
Surgery
7 Participants
n=11 Participants
Prostate Directed Therapy
Radiation
1 Participants
n=11 Participants
Genomic Abnormality
MSH2 mutation
3 Participants
n=11 Participants
Genomic Abnormality
PMS2 mutation
2 Participants
n=11 Participants
Genomic Abnormality
MSH6 mutation
1 Participants
n=11 Participants
Genomic Abnormality
MLH1 mutation
1 Participants
n=11 Participants
Genomic Abnormality
CDK12 mutation
1 Participants
n=11 Participants

PRIMARY outcome

Timeframe: up to 6 months post-intervention, up to 2 years of treatment

Percentage of participants who have received at least 1 dose of Nivolumab who experience a confirmed \>=50% decline in prostate specific antigen (PSA) from baseline, as defined by Prostate Cancer Working Group 3 (PCWG3) criteria.

Outcome measures

Outcome measures
Measure
Nivolumab in Biochemically Recurrent Prostate Cancer
n=8 Participants
Participants with previous prostatectomy or radiation therapy who subsequently developed detectable prostate specific antigen (PSA) levels ("biochemically recurrent prostate cancer"). Nivolumab: Nivolumab 480mg intravenously every 4 weeks
Percentage of Participants With PSA50 Response
2 Participants

SECONDARY outcome

Timeframe: From start of treatment until the date of first documented PSA increase of 25%, assessed up to 28 days after last treatment dose.

Median time from initiation of therapy until confirmed PSA increase of 25% (PCWG3). Estimated using Kaplan-Meier method.

Outcome measures

Outcome measures
Measure
Nivolumab in Biochemically Recurrent Prostate Cancer
n=8 Participants
Participants with previous prostatectomy or radiation therapy who subsequently developed detectable prostate specific antigen (PSA) levels ("biochemically recurrent prostate cancer"). Nivolumab: Nivolumab 480mg intravenously every 4 weeks
PSA Progression-free Survival (PSA-PFS)
6.7 months
Interval 3.9 to
Upper bound of the confidence interval not reached

SECONDARY outcome

Timeframe: up to 6 months post-intervention, up to 2 years of treatment

Number of participants who achieve PSA \< 0.1 ng/mL lasting at least 12 weeks.

Outcome measures

Outcome measures
Measure
Nivolumab in Biochemically Recurrent Prostate Cancer
n=8 Participants
Participants with previous prostatectomy or radiation therapy who subsequently developed detectable prostate specific antigen (PSA) levels ("biochemically recurrent prostate cancer"). Nivolumab: Nivolumab 480mg intravenously every 4 weeks
Number of Participants Who Achieve Undetectable PSA
2 Participants

SECONDARY outcome

Timeframe: up to 100 days post-intervention, up to 2 years of treatment

Number of participants experiencing adverse events Grade 3 or higher as defined by CTCAE v5.0

Outcome measures

Outcome measures
Measure
Nivolumab in Biochemically Recurrent Prostate Cancer
n=8 Participants
Participants with previous prostatectomy or radiation therapy who subsequently developed detectable prostate specific antigen (PSA) levels ("biochemically recurrent prostate cancer"). Nivolumab: Nivolumab 480mg intravenously every 4 weeks
Safety and Tolerability of Nivolumab in Biochemically Recurrent Prostate Cancer as Assessed by Number of Participants Experiencing Treatment-Emergent Adverse Events
3 Participants

SECONDARY outcome

Timeframe: up to 6 months post-intervention, up to 2 years of treatment

Median time from first dose of nivolumab until the development of radiographic metastatic disease on CT imaging and/or bone scan, as defined by PCWG3

Outcome measures

Outcome measures
Measure
Nivolumab in Biochemically Recurrent Prostate Cancer
n=8 Participants
Participants with previous prostatectomy or radiation therapy who subsequently developed detectable prostate specific antigen (PSA) levels ("biochemically recurrent prostate cancer"). Nivolumab: Nivolumab 480mg intravenously every 4 weeks
Metastasis-free Survival
NA months
Standard Deviation NA
Insufficient number of events

SECONDARY outcome

Timeframe: up to 6 months post-intervention, up to 2 years of treatment

Median time from first dose of nivolumab until next systemic therapy

Outcome measures

Outcome measures
Measure
Nivolumab in Biochemically Recurrent Prostate Cancer
n=8 Participants
Participants with previous prostatectomy or radiation therapy who subsequently developed detectable prostate specific antigen (PSA) levels ("biochemically recurrent prostate cancer"). Nivolumab: Nivolumab 480mg intravenously every 4 weeks
Time to Initiation of Next Systemic Therapy
NA months
Standard Deviation NA
Insufficient number of events

Adverse Events

Nivolumab in Biochemically Recurrent Prostate Cancer

Serious events: 1 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Nivolumab in Biochemically Recurrent Prostate Cancer
n=8 participants at risk
Participants with previous prostatectomy or radiation therapy who subsequently developed detectable prostate specific antigen (PSA) levels ("biochemically recurrent prostate cancer"). Nivolumab: Nivolumab 480mg intravenously every 4 weeks
Infections and infestations
COVID-19 Hospitalization
12.5%
1/8 • Number of events 1 • From time of consent up to 100 days after last treatment dose, up to 2 years.

Other adverse events

Other adverse events
Measure
Nivolumab in Biochemically Recurrent Prostate Cancer
n=8 participants at risk
Participants with previous prostatectomy or radiation therapy who subsequently developed detectable prostate specific antigen (PSA) levels ("biochemically recurrent prostate cancer"). Nivolumab: Nivolumab 480mg intravenously every 4 weeks
General disorders
Fatigue
50.0%
4/8 • Number of events 8 • From time of consent up to 100 days after last treatment dose, up to 2 years.
Skin and subcutaneous tissue disorders
Rash/Pruritis
50.0%
4/8 • Number of events 7 • From time of consent up to 100 days after last treatment dose, up to 2 years.
Metabolism and nutrition disorders
Weight loss/anorexia
37.5%
3/8 • Number of events 4 • From time of consent up to 100 days after last treatment dose, up to 2 years.
Nervous system disorders
Dizziness
37.5%
3/8 • Number of events 4 • From time of consent up to 100 days after last treatment dose, up to 2 years.
Respiratory, thoracic and mediastinal disorders
Nasal congestion
25.0%
2/8 • Number of events 2 • From time of consent up to 100 days after last treatment dose, up to 2 years.
Respiratory, thoracic and mediastinal disorders
Cough
25.0%
2/8 • Number of events 2 • From time of consent up to 100 days after last treatment dose, up to 2 years.
General disorders
Lower external edema
25.0%
2/8 • Number of events 2 • From time of consent up to 100 days after last treatment dose, up to 2 years.

Additional Information

Dr. Mark Markowski

Johns Hopkins University

Phone: 410-614-0567

Results disclosure agreements

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