About this trial
The researchers are doing this study to test the safety of BMS-986504 in combination with standard disease-specific anticancer medication in people with metastatic/advanced unresectable MTAP-deleted solid tumor cancer.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diffuse pleural mesothelioma (DPM)
Gastroesophageal carcinoma (GEC) including adenocarcinoma or squamous cell carcinoma of the esophagus, gastroesophageal junction, or stomach.
PD-L1 CPS ≥1 (using clone 73-10, DAKO)
HER2 overexpression negative (using clone 4B5, Ventana): HER2 IHC 0-1+, or HER2 2+ with ISH showing HER2:CEP17 ratio <2 and average HER2 copy number <6.0 signals/cell
Disqualifiers
Prior treatment with PRMT5i or MAT2Ai
Symptomatic CNS metastases
Patients with treated brain metastases are eligible if follow up brain imaging after CNS directed therapy shows no evidence of progression and the patient is on a stable dose of corticosteroids
Received palliative radiation therapy within 3 days prior to initiation of study treatment or definitive SRS including CNS SRS within 14 days prior to initiation of study treatment
Trial design
Parallel
Treatments tested in this trial
BMS-986504
DrugBMS-986504 PO daily
Ipilimumab
DrugIpilimumab (1mg/kg Q6wk)
Nivolumab
DrugNivolumab (360mg flat dose Q3wk)
5-FU
Drugare continued until disease progression or intolerance
Leucovorin
Drugare continued until disease progression or intolerance
Oxaliplatin
Drugare continued until disease progression or intolerance
Gemcitabine
DrugGemcitabine are given for a maximum of 6 cycles
Platinum
DrugPlatinum are given for a maximum of 6 cycles
Treatment groups
Trial outcomes
Primary outcomes
determine a recommended phase II dose (RP2D) of BMS-986504 in combination with standard-of-care therapy
The Common Terminology Criteria for Adverse Events (CTCAE) 5.0 will be used to determine all adverse events and dose-limiting toxicities.
Secondary outcomes
Overall Response Rate (ORR)
The Response Evaluation Criteria in Solid Tumors (RECIST v1.1) criteria will be used to determine ORR .
Progression-free survival (PFS)
Determined by RECIST v1.1 or modified (m)RECIST criteria. Progression-free survival (PFS): is defined as the duration of time from the start of treatment to disease progression or death.
Sponsors and contacts
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Memorial Sloan Kettering Cancer Center
Lead sponsor
Bristol-Myers Squibb
Collaborator