Clinical trial • Phase I/II • Oncology
BMS-986523 for Advanced solid tumor malignancies
Phase I/II trial of BMS-986523 for Advanced solid tumor malignancies.
Overview
- Trial Therapeutic Area
- Oncology
- Trial Disease
- Advanced solid tumor malignancies
- Trial Stage
- Phase I/II
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 18-12-2025
- First CTIS Authorization Date
- 09-04-2026
Trial design
Randomised, open-label, monotherapy with bms-986523; combination arms with pembrolizumab (dose and schedule not specified), cetuximab (dose and schedule not specified), and gemcitabine plus nab-paclitaxel (doses/schedules not specified).-controlled, adaptive Phase I/II trial across 2 sites in Spain.
- Randomised
- Yes
- Open Label
- Yes
- Comparator
- Monotherapy with BMS-986523; combination arms with pembrolizumab (dose and schedule not specified), cetuximab (dose and schedule not specified), and gemcitabine plus nab-paclitaxel (doses/schedules not specified).
- Adaptive
- True, dose-finding/escalation to determine best dose and schedule with evaluation of dose-limiting toxicities (DLTs) as part of safety/tolerability assessments.
- Biomarker Stratified
- True, biomarker: KRAS alteration (mutation or amplification)
- Single Multiple Or Escalation Dose Combined
- Yes
- Target Sample Size
- 236
Eligibility
Recruits 236 Vulnerable populations not selected (isVulnerablePopulationSelected=false). Subject information and informed consent forms are listed (L1_ES_SIS and ICF documents); no specific assent or additional consent processes for minors or other vulnerable groups are described in the provided data..
- Vulnerable Population
- Vulnerable populations not selected (isVulnerablePopulationSelected=false). Subject information and informed consent forms are listed (L1_ES_SIS and ICF documents); no specific assent or additional consent processes for minors or other vulnerable groups are described in the provided data.
Inclusion criteria
- {"criterion_text":"- Histologically confirmed diagnosis of a locally advanced and unresectable or metastatic solid tumor malignancy with a known KRAS alteration (mutation or amplification): Part 1A: All tumor types (Arms A and B); Part 2A: NSCLC, CRC, and PDAC (Arm C); Part 1B: NSCLC (Arm D), CRC (Arm E), and PDAC (Arm F).\n- Participants should have previously received, be ineligible for, or declined (after having been provided adequate information to make an informed decision) select standard of care treatments depending on their assigned study arm."}
Exclusion criteria
- {"criterion_text":"- Untreated central nervous system (CNS) metastases.\n- Concurrent malignancy (present during screening) requiring treatment or history of prior malignancy active within 2 years prior to treatment.\n- Prior treatment with a (K)RAS directed therapy including approved treatments and investigational agents."}
Endpoints
Primary endpoints
- {"endpoint_text":"- How often side effects occur, including serious ones, side effects that meet study rules for a dose-limiting toxicity, and side effects that make people stop study treatment or cause death.","definition_or_measurement_approach":"Safety assessed by reporting of adverse events, including serious adverse events, events meeting dose-limiting toxicity (DLT) criteria per study rules, and treatment discontinuations or deaths (as described in the endpoint text)."}
Secondary endpoints
- {"endpoint_text":"- Overall response rate to BMS-986523 and how long that response lasts based on RECIST v1.1 as judged by the study doctor.","definition_or_measurement_approach":"Tumor response assessed by RECIST v1.1 as judged by the investigator; duration of response measured from first documented response until progression or death."}
- {"endpoint_text":"- How BMS-986523 moves through and is processed by the body, including the highest level of the drug in the blood (Cmax), how long it takes to reach that level (Tmax), and overall exposure (AUC), based on blood tests over time.","definition_or_measurement_approach":"Pharmacokinetic measures including Cmax, Tmax, and AUC determined from serial blood sampling and bioanalytical assays over time."}
Recruitment
- Planned Sample Size
- 236
- Recruitment Window Months
- 31
- Consent Approach
- Informed consent is obtained from participants; subject information and informed consent form documents are listed (multiple L1_ES_SIS and ICF PDFs, Spanish versions indicated). No specific details on assent, age-specific consent forms, or additional languages are provided in the available data.
Geography
- Total Number Of Sites
- 2
- Total Number Of Participants
- 16
Spain
- Earliest CTIS Part Ii Submission Date
- 10-02-2026
- Latest Decision Or Authorization Date
- 29-04-2026
- Processing Time Days
- 78
- Number Of Sites
- 2
- Number Of Participants
- 16
Sites
- Site Name
- Institut Catala D'oncologia
- Department Name
- Oncology
- Contact Person Name
- Cinta Hierro Carbo
- Contact Person Email
- chierro@iconcologia.net
- Site Name
- Hospital Universitario Hm Sanchinarro
- Department Name
- Oncology
- Contact Person Name
- Irene Montero
- Contact Person Email
- irene.moreno@startmadrid.com
Sponsor
Primary sponsor
- Full Name
- Bristol-Myers Squibb Services Unlimited Company
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- Ireland
Contract research organisations
- Name
- Perceptive Informatics Inc.
- Responsibilities
- Medical image analysis/ review - X-ray, MRI, ultrasound, etc, Imaging Analysis
- Name
- Mosaic Laboratories LLC
- Responsibilities
- Biomarker (IHC on paired biopsies)
- Name
- Medidata Solutions Inc.
- Responsibilities
- Data management platform
- Name
- Endpoint Clinical Inc.
- Responsibilities
- IVRS – treatment randomisation Subject Number Assignment, Treatment/Arm Assignment, Drug (re) Supplies Assignment
- Name
- Azenta Germany GmbH
- Responsibilities
- Sample storage for CA256-0001
- Name
- Iqvia Inc.
- Responsibilities
- Site payments and multiple operational responsibilities
- Name
- Accenture Solutions Private Limited
- Responsibilities
- Embarc operations
- Name
- Pharmaceutical Product Development LLC
- Responsibilities
- Clinical laboratory and PK bioanalysis services (detailed duties listed)
Third parties
- {"country":"United States","full_name":"Perceptive Informatics Inc.","duties_or_roles":"Medical image analysis/ review - X-ray, MRI, ultrasound, etc, Imaging Analysis","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Mosaic Laboratories LLC","duties_or_roles":"Biomarker (IHC on paired biopsies)","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"Data management platform","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Endpoint Clinical Inc.","duties_or_roles":"Other - IVRS – treatment randomisation Subject Number Assignment, Treatment/Arm Assignment, Drug (re) Supplies Assignment","organisation_type":"Pharmaceutical company"}
- {"country":"Germany","full_name":"Azenta Germany GmbH","duties_or_roles":"Sample storage for CA256-0001","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Iqvia Inc.","duties_or_roles":"Multiple operational duties including Site payments (other duties indicated by codes but not fully described)","organisation_type":"Pharmaceutical company"}
- {"country":"India","full_name":"Accenture Solutions Private Limited","duties_or_roles":"Embarc operations","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Pharmaceutical Product Development LLC","duties_or_roles":"clinical chemistry, clinical haematology, clinical microbiology, serology/ endocrinology, medical image analysis/ review - x ray, MRI, ultrasound, etc, PK Bioanalysis -PK Blood Sample and 4-Beta Hydroxycholesterol Blood Sample (Part 1A only)","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- BMS-986523
- Active Substance
- BMS-986523
- Modality
- Small molecule
- Routes Of Administration
- Oral
- Route
- Oral
- Investigational Product Name
- BMS-986523
- Active Substance
- BMS-986523
- Modality
- Small molecule
- Routes Of Administration
- Oral
- Route
- Oral
- Combination Treatment
- Yes
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