About this trial
To determine the Objective Response Rate (ORR) of immunotherapy with Nivolumab (Group 1) and Nivolumab plus Relatlimab (Group 2) in patients with locally advanced/metastatic squamous cell carcinoma of the skin using Response Criteria in Solid Tumors Version 1.1 (RECIST1.1) per site assessment (Time Frame Group 2: From first dose up to 5 years)
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Men and women, 18 years of age and older on day of signing written informed consent
Histologically or cytologically documented locally-advanced and/or metastatic squamous cell carcinoma of the skin (stage III/IV AJCC 2010) that is incurable
Archival tumor tissue available for evaluation of PD-L1 and LAG-3 expression
Measurable disease based on Response Criteria in Solid Tumors Version 1.1 (RECIST 1.1)
Disqualifiers
Patient is currently participating and receiving study therapy or has participated in a study of an investigational agent and received study therapy or used an investigational device within 4 weeks of the first dose of treatment
Prior therapy with CTLA-4, PD-1 or LAG-3 antibodies
History of myocarditis, regardless of etiology
Troponin T (TnT) or I (TnI) > 2× institutional upper limit of normal (ULN). Participants with TnT or TnI levels between > 1× to 2× ULN will be permitted if repeat levels within 24 hours are ≤ 1× ULN. If TnT or TnI levels are between > 1× to 2× ULN within 24 hours, the participant may undergo a cardiac evaluation and be considered for treatment, based on a favorable benefit/risk assessment by the Investigator. When repeat levels within 24 hours are not available, a repeat test should be conducted as soon as possible. If TnT or TnI repeat levels beyond 24 hours are < 2× ULN, the participant may undergo a cardiac evaluation and be considered for treatment, based on a favorable benefit/risk assessment by the Investigator
Trial design
Single group
Treatments tested in this trial
Nivolumab
DrugNivolumab will be given on Day 1 of every 14-day cycle (Q2W) at a dose of 240 mg as an IV infusion until progression, unacceptable toxicity or discontinuation for other reasons for up to 2 years.
Nivolumab plus Relatlimab
DrugPatients wil receive a fixed-dose combination of nivolumab 480 mg and relatlimab 160 mg by intravenous infusion every four weeks (Q4W) (Group 2) for up to two years after initial dosing or until PD - or absence of investigator-assessed clinical benefit
Treatment groups
Trial outcomes
Primary outcomes
Objective Response Rate (ORR)
using Response Criteria in Solid Tumors Version 1.1 (RECIST1.1) per site assessment
Secondary outcomes
Disease Control Rate (DCR)
Disease Control Rate (DCR) using Response Criteria in Solid Tumors version 1.1 (RECIST1.1) per site assessment
Duration of Response (DOR) in patients who achieve partial response (PR) or better
Progression Free Survival (PFS)
Overall Survival (OS)
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Salzburger Landeskliniken
Lead sponsor
Bristol-Myers Squibb
Collaborator