At a glance
ClinicalIndex Comparison Record- ✓Age at least 18 years
- ✓Non-metastatic adenocarcinoma of the colon (rectosigmoid included, not undergoing neoadjuvant treatment)
- ✓No distant metastases on imaging and physical exam
- ✓For dMMR cohorts: >cT3 and/or N+
- ✕Signs of obstruction, macroscopic bleeding, or suspicion of perforation
- ✕Prior treatment with CTLA-4, PD-1, or PD-L1 checkpoint inhibitors
- ✕For MSS tumors: current use of NSAIDs or COX2-inhibitors, or active peptic ulcer, GI bleeding, unstable ischemic heart disease, significant established ischemic heart disease, peripheral arterial disease, or cerebrovascular disease
- ✕Prior or planned post-surgery radiotherapy
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Neoadjuvant Immune Checkpoint Inhibition and Novel IO Combinations in Early-stage Colon Cancer (Amended Protocol of: Nivolumab, Ipilimumab and COX2-inhibition in Early Stage Colon Cancer: an Unbiased Approach for Signals of Sensitivity: The NICHE TRIAL)
In Brief
A Phase 2 clinical trial evaluating Nivolumab, Ipilimumab, and 3 other interventions for Colon Carcinoma. Currently recruiting, targeting 353 participants across 6 sites.
Detailed Summary
In this exploratory study, patients with stage 1-3 adenocarcinoma of the colon with no signs of distant metastases will be treated with short-term immunotherapy + novel IO combinations (i.e. anti-IL 8, COX2-inhibitors, anti-LAG3). This treatment will be given during the window period until surgical resection of the tumor. The duration of treatment will be in between approximately 6 and 12 weeks.
Study Details
Timeline
Interventions
Nivolumab 3mg/kg (day 1 and day 15), administered neoadjuvant before surgery
Ipilimumab 1 mg/kg (day 1) ,administered neoadjuvant before surgery
celecoxib will be administered starting day 1 until 1 day before surgery daily (if patient is randomized to group 2 (only applicable for patients with a MSS tumor)
BMS-986253 2400mg IV will be administered on day 1 and 15 (only applicable for patients with MSS tumors)
Relatlimab will be administered IV, in cohort 5 240mg on day 1 and day 15, in cohort 6 480mg on day 1 and day 29, in cohort 7 160mg on day 1, day 29 and day 57