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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