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Nivolumab for Lymphoma

Phase 1
Waitlist Available
Research Sponsored by Steven Park, MD
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Age ≥ 65 years at the time of consent
Recovered from all reversible acute toxic effects of prior therapy (other than alopecia) to ≤ Grade 1 or baseline)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 2 years
Awards & highlights

Study Summary

This trial is testing whether nivolumab is a safe and effective treatment for a type of cancer called primary central nervous system lymphoma.

Who is the study for?
This trial is for people aged 65 or older with Primary CNS Lymphoma (PCNSL) who have already had some chemotherapy but not radiation therapy for PCNSL. They should be able to perform daily activities with varying degrees of assistance (ECOG 0-3), have CD20 positive lymphoma, and adequate organ function. Women must not be pregnant, breastfeeding, and willing to use effective contraception.Check my eligibility
What is being tested?
The trial tests Nivolumab as a follow-up treatment after initial chemotherapy in older patients with brain lymphoma. It's split into two stages: first to find a safe dose based on side effects, then to see if it helps stop the cancer from getting worse over two years compared to past data.See study design
What are the potential side effects?
Nivolumab may cause immune system-related inflammation affecting various organs, potential lung issues like pneumonitis, increased risk of infections due to weakened immunity, possible liver enzyme changes indicating liver stress or damage.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am 65 years old or older.
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I have recovered from side effects of my previous treatment, except for hair loss.
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My lymphoma is confirmed to be CD20 positive.
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My kidney function is within the normal range.
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I've completed at least 2 cycles of strong methotrexate chemotherapy without my cancer getting worse.
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My cancer was measurable by scans before starting my first treatment.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~2 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and 2 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Efficacy of Nivolumab
Safety of Nivolumab in Older Subjects
Secondary outcome measures
Conversion Rate from Partial to Complete Response
Objective and Complete Response Rates
Overall Survival (OS)
+1 more

Side effects data

From 2022 Phase 3 trial • 541 Patients • NCT02041533
57%
Nausea
54%
Anaemia
51%
Fatigue
39%
Decreased appetite
36%
Malignant neoplasm progression
32%
Constipation
31%
Diarrhoea
30%
Cough
29%
Vomiting
29%
Dyspnoea
25%
Oedema peripheral
24%
Back pain
21%
Pyrexia
21%
Neutropenia
19%
Headache
19%
Hypomagnesaemia
18%
Arthralgia
16%
Asthenia
16%
Dizziness
16%
Neutrophil count decreased
15%
Thrombocytopenia
15%
Insomnia
14%
Hyponatraemia
14%
Rash
14%
Weight decreased
14%
Platelet count decreased
13%
Blood creatinine increased
13%
White blood cell count decreased
12%
Hypokalaemia
12%
Pruritus
12%
Abdominal pain
12%
Pain in extremity
11%
Myalgia
11%
Alanine aminotransferase increased
11%
Aspartate aminotransferase increased
10%
Alopecia
10%
Dry skin
10%
Hypoalbuminaemia
10%
Muscular weakness
10%
Chest pain
10%
Dysgeusia
10%
Pneumonia
10%
Productive cough
9%
Abdominal pain upper
9%
Upper respiratory tract infection
9%
Hypothyroidism
9%
Mucosal inflammation
9%
Peripheral sensory neuropathy
8%
Lacrimation increased
8%
Nasopharyngitis
8%
Non-cardiac chest pain
8%
Epistaxis
8%
Haemoptysis
8%
Stomatitis
8%
Dysphonia
7%
Bronchitis
7%
Chills
7%
Hypertension
7%
Hyperkalaemia
7%
Hyperglycaemia
7%
Dehydration
7%
Blood alkaline phosphatase increased
7%
Lymphocyte count decreased
7%
Anxiety
6%
Hypophosphataemia
6%
Leukopenia
6%
Pleural effusion
6%
Neuropathy peripheral
6%
Pneumonitis
6%
Oropharyngeal pain
5%
Rash maculo-papular
5%
Hypotension
5%
Musculoskeletal chest pain
5%
Malaise
5%
Pain
5%
Dry mouth
5%
Urinary tract infection
5%
Dyspepsia
5%
Gamma-glutamyltransferase increased
5%
Depression
5%
Muscle spasms
4%
Fall
4%
Pulmonary embolism
3%
Metastases to central nervous system
3%
Myocardial infarction
3%
Febrile neutropenia
3%
Musculoskeletal pain
3%
Chronic obstructive pulmonary disease
2%
Malignant pleural effusion
2%
Sepsis
2%
General physical health deterioration
2%
Adrenal insufficiency
2%
Atrial fibrillation
2%
Cardiac failure
2%
Embolism
1%
Neoplasm progression
1%
Small intestinal haemorrhage
1%
Femur fracture
1%
Cancer pain
1%
Confusional state
1%
Pneumothorax
1%
Circulatory collapse
1%
Bone pain
1%
Hypercalcaemia
1%
Pericardial effusion malignant
1%
Atrial flutter
1%
Bronchial obstruction
1%
Superior vena cava syndrome
1%
Syncope
1%
Performance status decreased
1%
Pancytopenia
1%
Colitis
1%
Pericardial effusion
1%
Gastrointestinal haemorrhage
1%
Ileus
1%
Small intestinal obstruction
1%
Lung cancer metastatic
1%
Respiratory tract infection
1%
Respiratory failure
1%
Tumour pain
1%
Appendicitis
1%
Skin infection
1%
Ataxia
1%
Seizure
100%
80%
60%
40%
20%
0%
Study treatment Arm
Investigator Choice of Chemotherapy
Post Chemotherapy Optional Nivolumab
Nivolumab

Trial Design

2Treatment groups
Experimental Treatment
Group I: Stage 2Experimental Treatment1 Intervention
Expansion Cohort
Group II: Stage 1Experimental Treatment1 Intervention
Safety Run-In
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Nivolumab
2014
Completed Phase 3
~4750

Find a Location

Who is running the clinical trial?

Steven Park, MDLead Sponsor
Bristol-Myers SquibbIndustry Sponsor
2,638 Previous Clinical Trials
4,128,500 Total Patients Enrolled
Wake Forest University Health SciencesLead Sponsor
1,240 Previous Clinical Trials
1,004,193 Total Patients Enrolled
1 Trials studying Brain and Nervous System

Media Library

Nivolumab Clinical Trial Eligibility Overview. Trial Name: NCT04022980 — Phase 1
Brain and Nervous System Research Study Groups: Stage 1, Stage 2
Brain and Nervous System Clinical Trial 2023: Nivolumab Highlights & Side Effects. Trial Name: NCT04022980 — Phase 1
Nivolumab 2023 Treatment Timeline for Medical Study. Trial Name: NCT04022980 — Phase 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are there still slots for participants in this clinical experiment?

"Affirmative, the posted information on clinicaltrials.gov implies that this trial is presently recruiting participants. This study was initially advertised on July 25th 2019 and recently updated November 16th 2022. It requires 20 patients to be recruited from 4 distinct sites."

Answered by AI

What is the participant enrollment rate for this research project?

"To successfully carry out this trial, the sponsor (Bristol-Myers Squibb) requires 20 eligible participants. The study is being managed from multiple locations including UNC Hospitals located in Chapel Hill and Levine Cancer Institute based in Charlotte."

Answered by AI

How many establishments are overseeing this research endeavor?

"There are several sites currently enrolling patients in this trial, such as the UNC Hospitals, The University of North carolina at Chapel Hill in Chapel Hill, Levine Cancer Institute in Charlotte and The University of Texas - MD Anderson Cancer Centerin Houston."

Answered by AI

Has there ever been a comparable trial of this type previously conducted?

"Nivolumab's first trial was conducted in 2012, headed by Ono Pharmaceutical Co. Ltd., and included 659 participants. After the successful completion of Phase 1 & 2 trials, Nivolumab has been studied extensively across 2356 urban centres located within 49 nations -- with 717 clinical studies currently running."

Answered by AI

Have there been any prior investigations into Nivolumab's efficacy?

"Nivolumab was first evaluated in 2012 at a Local Institution, with 252 trials completed since then. Currently, 717 active investigations are underway across the world, chiefly occurring out of Chapel Hill, North carolina."

Answered by AI

How is Nivolumab usually administered to treat medical conditions?

"Nivolumab is frequently prescribed to combat malignant neoplasms. It has also been used with some success in the management of unresectable melanoma, squamous cell carcinomas, and metastatic esophageal adenocarcinoma."

Answered by AI

Is Nivolumab hazardous for patients?

"Our team of scientists at Power ranked the safety profile of Nivolumab as a 1 due to its current status in Phase 1 clinical trials, indicating only limited data regarding efficacy and security."

Answered by AI

What primary goals are investigators hoping to accomplish with this research study?

"The primary goal of this research is to gauge the efficacy of Nivolumab. In order to do so, up to 6 participants will be carefully monitored for potential adverse reactions. Secondary objectives include measuring overall survival (defined as time from enrollment until death), progression-free survival (time between enrollment and first sign of progressive disease or mortality) and response rates via International Criteria for Primary Central Nervous System Lymphoma standards."

Answered by AI
~2 spots leftby Dec 2024