Clinical Trials /

Savolitinib vs. Sunitinib in MET-driven PRCC.

NCT03091192

Description:

This study is designed for patients diagnosed with MET-driven, unresectable and locally advanced or metastatic Papillary Renal Cell Carcinoma. The purpose of this study is to see if an investigational new anti-cancer medication, savolitinib, is effective in treating patients with MET-driven PRCC, how it compares with another medication frequently used to treat this disease called sunitinib, and what side effects it might cause.

Related Conditions:
  • Papillary Renal Cell Carcinoma
Recruiting Status:

Active, not recruiting

Phase:

Phase 3

Trial Eligibility

Document

Title

  • Brief Title: Savolitinib vs. Sunitinib in MET-driven PRCC.
  • Official Title: A Phase III, Open Label, Randomised, Controlled, Multi-Centre Study To Assess the Efficacy and Safety of Savolitinib Versus Sunitinib in Patients With MET-Driven, Unresectable and Locally Advanced, Or Metastatic Papillary Renal Cell Carcinoma (PRCC)

Clinical Trial IDs

  • ORG STUDY ID: D5082C00003
  • NCT ID: NCT03091192

Conditions

  • Carcinoma
  • Carcinoma, Renal Cell
  • Kidney Neoplasms
  • Urologic Neoplasms
  • Kidney Diseases
  • Neoplasms by Site
  • Enzyme Inhibitors
  • Protein Kinase Inhibitors

Interventions

DrugSynonymsArms
SavolitinibAZD6094 (HMPL-504)/VolitinibSavolitinib
SunitinibSunitinib

Purpose

This study is designed for patients diagnosed with MET-driven, unresectable and locally advanced or metastatic Papillary Renal Cell Carcinoma. The purpose of this study is to see if an investigational new anti-cancer medication, savolitinib, is effective in treating patients with MET-driven PRCC, how it compares with another medication frequently used to treat this disease called sunitinib, and what side effects it might cause.

Trial Arms

NameTypeDescriptionInterventions
SavolitinibExperimentalSee: intervention description
  • Savolitinib
SunitinibActive ComparatorSee: intervention description
  • Sunitinib

Eligibility Criteria

        Inclusion Criteria:

          1. Histologically confirmed PRCC, which is unresectable/locally advanced or metastatic
             with measurable disease as per RECIST 1.1. Patients with papillary urothelial
             carcinoma or renal pelvis cancer of the kidney are not considered PRCC and are not
             eligible.

          2. Confirmation of MET-driven PRCC without co-occurring FH or VHL mutations from an FFPE
             tumour sample using the sponsor-designated central laboratory validated NGS assay

          3. Patients who have received no prior systemic therapy as well as those who have
             received prior systemic therapy for PRCC in the advanced setting.* Patients can be
             treatment-naïve, or previously treated, but cannot have previously received sunitinib
             or a MET inhibitor. Patients who have received prior systemic therapy must have had
             disease progression in soft tissue disease or bone within 6 months of the last dose of
             the most recent systemic therapy

          4. Adequate haematological, renal, cardiac and liver functions

          5. Karnofsky performance status ≥ 80

        Exclusion Criteria:

          1. Most recent cytotoxic chemotherapy, immunotherapy, chemo-immunotherapy, or
             investigational agents <28 days from the date of randomisation. Most recent non
             cytotoxic targeted therapy <14 days from the date of randomisation.

          2. Prior treatment with a MET inhibitor (e.g. foretinib, crizotinib, cabozantinib,
             onartuzumab or previous savolitinib) or sunitinb.

          3. Treatment with strong inducers or inhibitors of CYP3A4 or strong inhibitors of CYP1A2,
             taken within 2 weeks or not possible to be stopped for at least 2 week before the date
             of randomisation. Herbal medications cannot be taken within 7 days of the date of
             randomisation (3 weeks for St John's wort).

          4. Wide field radiotherapy administered ≤28 days or limited field radiation for
             palliation ≤7 days prior to the date of randomisation

          5. Major surgical procedures ≤28 days of randomisation or minor surgical procedures ≤7
             days. No waiting is required following port-a-cath placement.

          6. Previously untreated brain metastases

          7. Serious active infection or gastrointestinal disease

          8. Presence of other active cancers, or history of treatment for invasive cancer within
             the last 5 years.

          9. Mean resting QTcF >470 msec for women and >450 msec for men on the Part 2 screening
             triplicate ECGs or factors that may increase the risk of QTcF prolongation such as
             chronic hypokalaemia not correctable with supplements, congenital or familial long QT
             syndrome, or family history of unexplained sudden death under 40 years of age in
             first-degree relatives or any concomitant medication known to prolong the QT interval
             and cause Torsades de Pointes
      
Maximum Eligible Age:130 Years
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Progression Free Survival (PFS) by Blinded Independent Central Review (BICR)
Time Frame:RECIST tumour assessments every 6 weeks from randomisation until disease progression as defined by Recist 1.1 and confirmed by BICR.
Safety Issue:
Description:Per Response Evaluation Criteria in Solid Tumours (RECIST v1.1) assessed by MRI or CT: Progressive Disease (PD): >= 20% increase in the sum of diameters of TLs and an absolute increase in sum of diameters of >=5mm (compared to the previous minimum sum) or progression of NTLs or a new lesion. PFS is the time from date of randomisation until the date of PD (defined by Recist 1.1 and confirmed by BICR) or death (by any cause in the absence of progression) regardless of whether the patient withdrew from randomised therapy or received another anti-cancer therapy prior to progression.

Secondary Outcome Measures

Measure:Overall Survival (OS)
Time Frame:RECIST tumour assessments every 6 weeks from randomisation until disease progression as defined by Recist 1.1 and confirmed by BICR.
Safety Issue:
Description:Time between the date of randomisation and the date of death due to any cause.
Measure:Objective Response Rate (ORR) by BICR
Time Frame:RECIST tumour assessments every 6 weeks from randomisation until disease progression as defined by Recist 1.1 and confirmed by BICR.
Safety Issue:
Description:Per Response Evaluation Criteria in Solid Tumours (RECIST v1.1) assessed by MRI or CT: Complete Response (CR): Disappearance of all target and non-target lesions and no new lesions; Partial Response (PR): >= 30% decrease in the sum of diameters of Target Lesions (compared to baseline) and no new lesions. ORR is the percentage of patients with at least 1 visit response of CR or PR prior to progression or any further therapy.
Measure:Duration of Response (DoR) by BICR
Time Frame:RECIST tumour assessments every 6 weeks from randomisation until disease progression as defined by Recist 1.1 and confirmed by BICR.
Safety Issue:
Description:Per Response Evaluation Criteria in Solid Tumours (RECIST v1.1) assessed by MRI or CT: Complete Response (CR): Disappearance of all target and non-target lesions and no new lesions; Partial Response (PR): >= 30% decrease in the sum of diameters of Target Lesions (compared to baseline) and no new lesions. DoR is the time from the date of first documented response until the date of documented progression or death in the absence of disease progression.
Measure:Disease Control Rate (DCR) at 6 Months by BICR
Time Frame:RECIST tumour assessments every 6 weeks from randomisation until disease progression as defined by Recist 1.1 and confirmed by BICR.
Safety Issue:
Description:Disease control rate at 6 months is defined as the percentage of patients who have a best objective response of Complete Response or Partial Response in that period or who have demonstrated Stable Disease for a minimum interval of 23 weeks.
Measure:Disease Control Rate (DCR) at 12 Months by BICR
Time Frame:RECIST tumour assessments every 6 weeks from randomisation until disease progression as defined by Recist 1.1 and confirmed by BICR.
Safety Issue:
Description:Disease control rate at 12 months is defined as the percentage of patients who have a best objective response of complete responses or partial responses in that period or who have demonstrated stable disease for a minimum interval of 47 weeks.

Details

Phase:Phase 3
Primary Purpose:Interventional
Overall Status:Active, not recruiting
Lead Sponsor:AstraZeneca

Trial Keywords

  • Papillary Renal Cell Cancer
  • AZD6094
  • Savolitinib

Last Updated

August 17, 2021