A Study of Subcutaneous Nivolumab + Relatlimab Fixed-dose Combination (FDC) in Previously Untreated Metastatic or Unresectable Melanoma (RELATIVITY-127)
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ClinicalTrials.gov Identifier: NCT05625399 |
Recruitment Status :
Recruiting
First Posted : November 22, 2022
Last Update Posted : December 4, 2023
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Melanoma | Drug: Nivolumab + Relatlimab Drug: rHuPH20 | Phase 3 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 570 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | A Phase 3, Randomized, Open-label, Study of Subcutaneous Nivolumab + Relatlimab Fixed-dose Combination Versus Intravenous Nivolumab + Relatlimab Fixed-dose Combination in Participants With Previously Untreated Metastatic or Unresectable Melanoma |
Actual Study Start Date : | March 6, 2023 |
Estimated Primary Completion Date : | February 28, 2025 |
Estimated Study Completion Date : | February 28, 2025 |

Arm | Intervention/treatment |
---|---|
Experimental: Nivolumab + Relatlimab FDC SC |
Drug: Nivolumab + Relatlimab
Specified dose on specified days
Other Names:
Drug: rHuPH20 Specified dose on specified days |
Active Comparator: Nivolumab + Relatlimab FDC IV |
Drug: Nivolumab + Relatlimab
Specified dose on specified days
Other Names:
|
- Time-averaged serum concentration over 28 days after the first dose (Cavgd28) of Nivolumab [ Time Frame: Up to 28 days ]
- Trough serum concentration at steady state (Cminss) of Nivolumab [ Time Frame: Up to 4 months ]
- Cavgd28 of Relatlimab [ Time Frame: Up to 28 days ]
- Cminss of Relatlimab [ Time Frame: Up to 4 months ]
- Objective Response Rate (ORR) by Blinded Independent Central Review (BICR) per RECIST v1.1 [ Time Frame: Up to approximately 3 years ]
- Trough serum concentration at Day 28 after the first dose (Cmind28) of Nivolumab and Relatlimab [ Time Frame: Up to 28 days ]
- Peak serum concentration after the first dose (Cmax1) of Nivolumab and Relatlimab [ Time Frame: Up to 28 days ]
- Time to Cmax1 (Tmax1) of Nivolumab and Relatlimab [ Time Frame: Up to 28 days ]
- Peak serum concentration at steady state (Cmaxss) of Nivolumab and Relatlimab [ Time Frame: Up to 4 months ]
- Time-averaged serum concentration at steady state (Cavgss) of Nivolumab and Relatlimab [ Time Frame: Up to 4 months ]
- Duration of Response (DOR) by BICR per RECIST v1.1 [ Time Frame: Up to approximately 3 years ]
- Disease Control Rate (DCR) by BICR per RECIST v1.1 [ Time Frame: Up to approximately 3 years ]
- Time to Response (TTR), by BICR per RECIST v1.1 [ Time Frame: Up to approximately 3 years ]
- Objective Response Rate (ORR) by Investigator per RECIST v1.1 [ Time Frame: Up to approximately 3 years ]
- DOR by Investigator per RECIST v1.1 [ Time Frame: Up to approximately 3 years ]
- DCR by Investigator per RECIST v1.1 [ Time Frame: Up to approximately 3 years ]
- TTR by Investigator per RECIST v1.1 [ Time Frame: Up to approximately 3 years ]
- Progression Free Survival (PFS) by BICR and Investigator per RECIST v1.1 [ Time Frame: Up to approximately 3 years ]
- Overall Survival [ Time Frame: Up to approximately 3 years ]
- Number of Participants with Adverse Events (AEs) [ Time Frame: Up to approximately 3 years ]
- Change from Baseline in Functional Assessment of Cancer Therapy - Melanoma Subscale (FACT-MS) [ Time Frame: Up to approximately 3 years ]

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 12 Years and older (Child, Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Participants must have an Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 1/Lansky Performance Score ≥ 80% for adolescents (≥ 12 to < 18 years of age).
- Participants must have histologically confirmed Stage III (unresectable) or Stage IV (metastatic) melanoma, per the American Joint Committee for Cancer (AJCC) staging system.
- Participants must have measurable disease by computed tomography (CT) or magnetic resonance imaging (MRI) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1).
- Participants must be ≥ 12 years of age. Participants who are ≥ 12 years of age and < 18 years of age (adolescents) must weigh ≥ 40 kg at the time of signing the informed consent (assent).
- Participants must have histologically confirmed Stage III (unresectable) or Stage IV (metastatic) melanoma, per the AJCC staging system (8th edition).
Exclusion Criteria:
- Participants must not have ocular melanoma.
- Participants must not have a history of myocarditis, regardless of etiology.
- Participants must not have a condition requiring systemic treatment with either corticosteroids (>10 milligrams [mg] daily prednisone equivalent) or other immunosuppressive medications within 14 days of start of study treatment. Inhaled or topical steroids, and adrenal replacement steroid doses >10 mg daily prednisone equivalent, are permitted in the absence of active autoimmune disease.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05625399
Contact: BMS Study Connect Contact Center www.BMSStudyConnect.com | 855-907-3286 | Clinical.Trials@bms.com | |
Contact: First line of the email MUST contain the NCT# and Site #. |

Study Director: | Bristol-Myers Squibb | Bristol-Myers Squibb |
Responsible Party: | Bristol-Myers Squibb |
ClinicalTrials.gov Identifier: | NCT05625399 |
Other Study ID Numbers: |
CA224-127 2022-000575-39 ( EudraCT Number ) U1111-1274-0193 ( Registry Identifier: WHO ) |
First Posted: | November 22, 2022 Key Record Dates |
Last Update Posted: | December 4, 2023 |
Last Verified: | December 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Yes |
Plan Description: | BMS will provide access to individual anonymized participant data upon request from qualified researchers, and subject to certain criteria. Additional information regarding Bristol Myers Squibb's data sharing policy and process can be found at: https://www.bms.com/researchers-and-partners/clinical-trials-and-research/disclosurecommitment.html |
Supporting Materials: |
Study Protocol Statistical Analysis Plan (SAP) Clinical Study Report (CSR) |
Time Frame: | See Plan Description |
Access Criteria: | See Plan Description |
URL: | https://www.bms.com/researchers-and-partners/clinical-trials-and-research/disclosurecommitment.html |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Nivolumab Relatlimab FDC |
Melanoma rHuPH20 OPDUALAG |
Melanoma Neuroendocrine Tumors Neuroectodermal Tumors Neoplasms, Germ Cell and Embryonal Neoplasms by Histologic Type Neoplasms Neoplasms, Nerve Tissue |
Nevi and Melanomas Nivolumab Relatlimab Antineoplastic Agents, Immunological Antineoplastic Agents Immune Checkpoint Inhibitors Molecular Mechanisms of Pharmacological Action |