Description:
This is a Phase 1b/2 study of AVB-S6-500 designed to evaluate the safety and efficacy of
AVB-S6-500 in combination with cabozantinib in subjects with advanced clear cell renal cell
carcinoma (ccRCC) that have progressed on or after at least one prior line of treatment. The
phase 1b portion of the study is open label and patients will receive AVB-S6-500+Cabozantinib
in 3+3 dose escalation. The Phase 2 portion of the study is randomized, 2-arm, open-label
study to compare efficacy and tolerability of AVB-S6-500+cabozantinib versus cabozantinib
alone
Title
- Brief Title: Safety and Efficacy Study of AVB-S6-500 in Patients With Advanced Clear Cell Renal Cell Carcinoma
- Official Title: A Phase 1b/2, Randomized, Study of AVB-S6-500 in Combination With Cabozantinib Versus Cabozantinib Alone in Patients With Advanced Clear Cell Renal Cell Carcinoma Who Have Received Front-Line Treatment
Clinical Trial IDs
- ORG STUDY ID:
AVB500-RCC-003
- NCT ID:
NCT04300140
Conditions
- Clear Cell Renal Cell Carcinoma
Interventions
Drug | Synonyms | Arms |
---|
AVB-S6-500 | | Phase 1b: AVB-S6-500+Cabo |
Cabozantinib (Cabo) | Cabometyx® | Phase 1b: AVB-S6-500+Cabo |
Purpose
This is a Phase 1b/2 study of AVB-S6-500 designed to evaluate the safety and efficacy of
AVB-S6-500 in combination with cabozantinib in subjects with advanced clear cell renal cell
carcinoma (ccRCC) that have progressed on or after at least one prior line of treatment. The
phase 1b portion of the study is open label and patients will receive AVB-S6-500+Cabozantinib
in 3+3 dose escalation. The Phase 2 portion of the study is randomized, 2-arm, open-label
study to compare efficacy and tolerability of AVB-S6-500+cabozantinib versus cabozantinib
alone
Trial Arms
Name | Type | Description | Interventions |
---|
Phase 1b: AVB-S6-500+Cabo | Experimental | | - AVB-S6-500
- Cabozantinib (Cabo)
|
Phase 2: AVB-S6-500+Cabo | Experimental | | - AVB-S6-500
- Cabozantinib (Cabo)
|
Phase 2: Cabo alone | Experimental | | |
Eligibility Criteria
Inclusion Criteria:
- Age 18 years or older
- Histologically confirmed metastatic clear cell Renal Cell Carcinoma confirmed by
imaging and has progressed on/after at least one front-line treatment regimen
- Must have archived or fresh tissue biopsy for biomarker testing
- Must have radiologic imaging with a computed tomography (CT) scan or magnetic
resonance imaging (MRI) within 28 days of enrollment
- Must have at least one measurable lesion according to RECIST 1.1
- ECOG performance status of 0-1
- Adequate gastrointestinal (GI), bone marrow, liver and kidney function
- Life expectancy minimum of >12 weeks
- At least 28 days between termination of prior major surgery or anticancer therapy or
14 days from last radiation therapy and administration of AVB-S6-500
Exclusion Criteria:
- Received prior treatment with cabozantinib
- Concurrent anti-cancer therapy or any other interventional treatment or other
interventional research trial
- Significant cardiac disease history
- History of prior malignancy within the past 3 years except adequately treated basal or
squamous cell skin cancer, superficial bladder cancer or carcinoma in situ of the
prostate, cervix or breast
- Symptomatic CNS metastasis or metastases
- Active GI disease that would impact absorption of cabozantinib
- Nephrotic range proteinuria at screening
- Evidence of active pleural effusion (ie, ascites, anasarca, etc) that requires
therapeutic intervention within 28 days prior to AVB-S6-500 administration
- Has had a major bleed in the last 3 months, uncontrolled hypertension despite
treatment with Antihypertensives or is not appropriate for treatment with cabozantinib
in the Investigator's opinion
- Serious active infection requiring IV antibiotics and/or hospitalization at study
entry
- Has active, suspected, or previously documented autoimmune disease, defined as
requiring systemic treatment
- Active coronavirus disease 2019, human immunodeficiency virus, Hepatitis B or
Hepatitis C virus.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Identify the recommended Phase 2 dose of AVB-S6-500 in combination with cabozantinib |
Time Frame: | 10 months |
Safety Issue: | |
Description: | Measured by dose limiting toxicities experienced in Phase 1b |
Secondary Outcome Measures
Measure: | Pharmacokinetics: AUC |
Time Frame: | 30 months |
Safety Issue: | |
Description: | Area under the AVB-S6-500 concentration-time curve. |
Measure: | Pharmacokinetics: Cmax |
Time Frame: | 30 months |
Safety Issue: | |
Description: | Maximum observed AVB-S6-500 concentration. |
Measure: | Pharmacokinetics: Tmax |
Time Frame: | 30 months |
Safety Issue: | |
Description: | Time of maximum observed AVB-S6-500 concentration. |
Measure: | Pharmacokinetics: t1/2 |
Time Frame: | 30 months |
Safety Issue: | |
Description: | Apparent terminal half-life of AVB-S6-500. |
Measure: | Pharmacodynamic marker assessment |
Time Frame: | 30 months |
Safety Issue: | |
Description: | Change from the baseline in GAS6 serum levels. |
Measure: | Anti-drug antibody (ADA) titers |
Time Frame: | 30 months |
Safety Issue: | |
Description: | Change from baseline in ADA titer. |
Measure: | Objective response rate |
Time Frame: | 30 months |
Safety Issue: | |
Description: | Proportion of subjects who have a partial or complete confirmed response to therapy relative to baseline as assessed per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. |
Measure: | Clinical benefit rate |
Time Frame: | 30 months |
Safety Issue: | |
Description: | Proportion of subjects who have a complete or partial response to therapy or maintain stable disease. |
Measure: | Duration of response (DOR) |
Time Frame: | 30 months |
Safety Issue: | |
Description: | Measured from the date of partial or complete response to therapy until the cancer progresses. |
Measure: | Overall survival |
Time Frame: | 60 months |
Safety Issue: | |
Description: | Time following the treatment until death. |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Aravive, Inc. |
Trial Keywords
- Clear cell renal cell carcinoma
- Renal cell carcinoma
- Recurrent renal cell carcinoma
- Kidney cancer
- Kidney Neoplasms
- Kidney Diseases
- Urologic Neoplasms
Last Updated
July 26, 2021