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Protocol Details

DART: Dual Anti-CTLA-4 And Anti-Pd-1 Blockade In Rare Tumors

This study is NOT currently recruiting participants.

Summary | Eligibility | Citations | Contacts

Summary

Number

17-C-0090

Sponsoring Institute

National Cancer Institute (NCI)

Recruitment Detail

Type: Completed Study; data analyses ongoing
Gender: Male & Female
Min Age: 18 Years
Max Age: 110

Referral Letter Required

No

Population Exclusion(s)

Pregnant Women;
Fetuses;
Children

Keywords

Immunotherapy;
Immune Checkpoint Inhibition;
Targeted Therapy;
NCI MATCH

Recruitment Keyword(s)

None

Condition(s)

Rare Cancers

Investigational Drug(s)

Ipilimumab
Nivolumab

Investigational Device(s)

None

Intervention(s)

Drug: Ipilimumab
Drug: Nivolumab

Supporting Site

National Cancer Institute/SWOGNational Cancer Institute

Background:

For people with rare cancers, usual treatment is either surgery, radiation, drugs, or a combination of these, but there may be no standard of care treatment. Their cancer also may get worse with treatment. Researchers are testing the study drugs ipilimumab and nivolumab. They think these drugs combined may reduce symptoms or stop tumors from growing for several months or more in people with rare cancers.

Objective:

To test the effects of ipilimumab and nivolumab combined in treating rare cancers and cancers of unknown primary origin.

Eligibility:

People ages 18 and older who have been identified to have rare cancers

Design:

Participants will be screened with blood and urine tests.

Before starting treatment, participants will have:

Medical history

Physical exam

Computed tomography (CT) or magnetic resonance imaging (MRI) scan to measure their tumor: For the scans, they lie in a machine that takes pictures of the body.

Blood and urine tests

Optional tumor biopsy

Participants will get the study drugs over 6-week cycles. On day 1, they will get both drugs by vein and have blood tests. They will also give their medical history and have a physical exam. On days 15 and 29, they will get nivolumab only.

Participants will have CT or MRI every 8 12 weeks.

Participants will have treatment for as long as their cancer does not get worse and they can tolerate the side effects.

After they stop treatment, participants will have visits at least every 3 months for 3 years.

Participants may be asked to allow their blood and tissue samples and health records to be stored for future research.

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Eligibility

ELIGIBILITY CRITERIA:

Adults with histologically confirmed rare cancer and/or cancer of unknown primary that did not have a match to a molecularly guided therapy on EAY131 "NCIMATCH" protocol or who progressed on molecularly-matched therapy and have no further molecularly-matched treatment recommendations per EAY131, "NCIMATCH".

Rare cancers eligible for this study were derived from the RareCare initiative and have an incidence of < 6/100,000/year; the study defines 30 individual histological strata as well as a stratum for cancers of unknown primary and a stratum for other rare tumors not specified in the prior strata.


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Citations:

Gatta G, van der Zwan JM, Casali PG, Siesling S, Dei Tos AP, Kunkler I, Otter R, Licitra L, Mallone S, Tavilla A, Trama A, Capocaccia R; RARECARE working group.. Rare cancers are not so rare: the rare cancer burden in Europe. Eur J Cancer. 2011 Nov;47(17):2493-511. doi: 10.1016/j.ejca.2011.08.008. Epub 2011 Oct 25.

Postow MA, Callahan MK, Wolchok JD. Immune Checkpoint Blockade in Cancer Therapy. J Clin Oncol. 2015 Jun 10;33(17):1974-82. doi: 10.1200/JCO.2014.59.4358. Epub 2015 Jan 20.

Postow MA, Chesney J, Pavlick AC, Robert C, Grossmann K, McDermott D, Linette GP, Meyer N, Giguere JK, Agarwala SS, Shaheen M, Ernstoff MS, Minor D, Salama AK, Taylor M, Ott PA, Rollin LM, Horak C, Gagnier P, Wolchok JD, Hodi FS. Nivolumab and ipilimumab versus ipilimumab in untreated melanoma. N Engl J Med. 2015 May 21;372(21):2006-17. doi: 10.1056/NEJMoa1414428. Epub 2015 Apr 20.

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Contacts:

Principal Investigator

Referral Contact

For more information:

Naoko Takebe, M.D.
National Cancer Institute (NCI)
NIHBC 10 - CLINICAL CENTER BG RM 8D53
10 CENTER DR
BETHESDA MD 20892
(240) 541-4515
takeben@mail.nih.gov

Mary Jane Ong
National Cancer Institute (NCI)
BG 10 RM 8D53
10 CENTER DR
BETHESDA MD 20814
(240) 858-3296
maryjane.ong@nih.gov

NCI Referral Office
National Institute of Health Clinical Center (CC), 9000 Rockville Pike, Bethesda, Maryland 20892, United States: NCI Clinical Trials Referral Office
1-888-NCI-1937

Clinical Trials Number:

NCT02834013

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