The aim of the study BCD-263-2/UNIVERSE is to demonstrate comparable efficacy and similar safety and immunogenicity profile of BCD-263 and Opdivo after repeated intravenous doses in subjects with advanced unresectable or metastatic melanoma of the skin.
Following screening, subjects will be randomized to receive either BCD-263 or Opdivo in a 1:1 ratio and enter the main study period. During the main study period, subjects will receive therapy with BCD-263 or Opdivo, which will be administered intravenously until disease progression or signs of unacceptable toxicity develop (whichever occurs earlier). At Week 25, after completion of all scheduled procedures subjects in both groups will continue to receive open-label BCD-263 for up to a total of 2 years of therapy, or disease progression, or signs of unacceptable toxicity (whichever occurs first). Following discontinuation of the study therapy, the subjects will enter a follow-up period, during which data on overall survival will be collected through telephone contacts.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
392
Overall response rate (ORR) according to RECIST 1.1
To compare the overall response rates (ORRs) after administration of BCD-263 and Opdivo in subjects with advanced unresectable or metastatic skin melanoma
Time frame: Week 25
Time to response
To compare time to response according to RECIST 1.1 and iRECIST criteria after administration of BCD-263 or Opdivo
Time frame: Week 25
Duration of response
To compare duration of response according to RECIST 1.1 and iRECIST criteria after administration of BCD-263 or Opdivo
Time frame: week 25
DCR
To compare disease control rate according to RECIST 1.1 and iRECIST criteria after administration of BCD-263 or Opdivo
Time frame: week 25
PFS
To compare progression-free survival according to RECIST 1.1 and iRECIST criteria after administration of BCD-263 or Opdivo
Time frame: week 25
Overall survival
To compare overall survival according to RECIST 1.1 and iRECIST criteria after administration of BCD-263 or Opdivo
Time frame: week 25
Safety assessment
The subjects will undergo the vital sign assessment, physical and instrumental examination, sampling for complete blood count, blood chemistry, thyroid hormone tests, and urinalysis, as well as assessment of the presence and characteristics of adverse events to assess the safety of the investigational product
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Healthcare Institution "Brest Regional Oncological Dispensary"
Brest, Belarus
Health Institution "Gomel Regional Clinical Oncology Center"
Homyel, Belarus
Healthcare Institution "Minsk City Clinical Cancer Center"
Minsk, Belarus
State Institution "Republic Scientific and Practical Centre for Oncology and Medical Radiology Named after N.N.Aleksandrov"
Minsk, Belarus
Shaheed Zulfiqar Ali Bhutto Medical University
Islamabad, Pakistan
Rehman Medical Institute
Peshawar, Pakistan
Chelyabinsk Regional Clinical Center for Oncology and Nuclear Medicine
Chelyabinsk, Chelyabinsk Oblast, Russia
Clinical Oncologic Dispensary No. 1
Krasnodar, Krasnodar Kari, Russia
Krasnoyarsk Regional Clinical Oncological Dispensary named after A.I. Kryzhanovsky
Krasnoyarsk, Krasnoyarsk Krai, Russia
JSC "Modern Medical Technologies"
Saint Petersburg, Sankt-Peterburg, Russia
...and 34 more locations
Time frame: Through week 105
Immunogenicity assessment
Proportion of subjects with binding and/or neutralizing antibodies to nivolumab
Time frame: Through week 105