CANTATA: CB-839 With Cabozantinib vs. Cabozantinib With Placebo in Patients With Metastatic Renal Cell Carcinoma (CANTATA)
Advanced Renal Cell Carcinoma, Metastatic Renal Cell Carcinoma
About this trial
This is an interventional treatment trial for Advanced Renal Cell Carcinoma focused on measuring Tumor Metabolism, RCC, Glutaminase Inhibitor, CB-839, CANTATA, TKI, Tyrosine Kinase Inhibitor, cabozantinib, Cabometyx, Cometriq, glutaminase, glutamine, renal cell, clear cell, kidney cancer, cMET, MET, HGFR, telaglenastat
Eligibility Criteria
Inclusion Criteria:
- Documented histological or cytological diagnosis of renal cell carcinoma with a clear-cell component
- Adult patients
- Karnofsky Performance Score (KPS) ≥ 70%
- Measurable Disease per RECIST 1.1
- 1-2 lines of prior therapy for advanced or metastatic RCC including one anti-angiogenic therapy (any VEGF pathway-targeted agent used either as monotherapy or as a component of a combination regimen) OR the combination regimen of nivolumab + ipilimumab
- Adequate hepatic, renal, cardiac and hematologic function
Exclusion Criteria:
- Prior treatment with cabozantinib (or other MET inhibitor) or CB-839
- Receipt of other anticancer therapy within 2-6 weeks, depending on the treatment
- Untreated or active brain metastases or central nervous system cancer, as defined per protocol
- Prior gastric surgery, small bowel resection, or other conditions that may impede adequate absorption of oral study drug
- Known active infection with HIV, Hepatitis B or C virus
- Inability to discontinue proton-pump-inhibitor use before randomization
- Patients who are pregnant or lactating
Sites / Locations
- University of Alabama at Birmingham
- Mayo Clinic Cancer Center
- The University of Arizona Cancer Center
- Cedars-Sinai Medical Center, Samuel Oschin Comprehensive Cancer Institute
- Stanford Cancer Center
- Salinas Valley Memorial Healthcare System
- St. Joseph Heritage Healthcare
- Penrose Cancer Center, Research Department
- Georgetown University Medical Center
- Florida Cancer Specialists
- University of Miami Sylvester Comprehensive Cancer Center
- Florida Cancer Specialists
- H.Lee Moffitt Cancer & Research Institute (Moffitt Cancer Center)
- Emory Winship Cancer Institute
- Georgia Cancer Center at Augusta University
- Northwest Georgia Oncology Centers, PC
- St. Luke's Mountain States Tumor Institute
- Northwestern University
- University of Chicago
- NorthShore University HealthSystem
- AMITA Health Cancer Institute & Outpatient Center
- Orchard Healthcare Research, Inc.
- Northwestern Medicine Cancer Center Warrenville
- Goshen Center for Cancer Care
- East Jefferson General Hospital
- Ochsner Clinic Foundation
- University of Maryland, Greenebaum Comprehensive Cancer Center
- Massachusetts General Hospital
- Beth Israel Deaconess Medical Center
- Dana-Farber Cancer Institute
- Karmanos Cancer Institute
- HealthPartners Institute, Regions Cancer Care Center
- Hattiesburg Clinic Hematology/Oncology
- University of Mississippi Medical Center
- Mercy Hospital
- HCA Midwest Health
- Comprehensive Cancer Centers of Nevada
- San Juan Oncology Associates, PC
- Roswell Park Cancer Center
- North Shore Hematology Oncology Associates PC dba NY Cancer and Blood Specialists
- NYU Winthrop Hospital
- Northern Westchester Hospital
- Stony Brook Cancer Center
- Levine Cancer Institute
- Duke University Medical Center
- INTEGRIS Cancer Institute of Oklahoma Proton Campus
- Fox Chase Cancer Center
- Allegheny General Hospital
- University of Pittsburgh Medical Center (UPMC) Hillman Cancer Center
- Medical University of South Carolina
- Saint Francis Hospital Cancer Center
- West Cancer Center
- The Sarah Cannon Research Institute
- Vanderbilt University Medical Center
- The Center for Cancer and Blood Disorders
- The University of Texas MD Anderson Cancer Center
- University of Utah, Huntsman Cancer Institute
- Kadlec Clinic Hematology and Oncology
- Froedtert Hospital and the Medical College of Wisconsin
- Southern Highlands Private Hospital (Cancer Centre)
- Chris O'Brien Lifehouse
- MacQuarie University Hospital
- Liverpool Hospital
- Tweed Hospital
- Pindara Private Hospital
- Cairns Hospital
- Mater Misericordiae Limited - Division of Cancer Services
- Princess Alexandra Hospital
- Ballarat Health Services
- Peninsula Private Hospital
- Cabrini Hospital
- Goulburn Valley Health
- Hollywood Private Hospital
- Centre hospitalier régional universitaire (CHRU) de Besançon - Jean-Minjoz
- CHU de Bordeaux Hôpital Saint André
- Centre François Baclesse
- Centre Jean Perrin
- Centre hospitalier universitaire (CHU) Henri-Mondor
- Centre Georges-François Leclerc
- Centre Léon Bérard
- Institut Paoli-Calmettes Service d'Urologie
- Institut de Cancérologie de Montpellier (ICM)
- Centre Antoine Lacassagne
- Hôpital Européen Georges-Pompidou (HEGP)
- Institut de Cancérologie de l'Ouest (ICO) - Centre René Gauducheau
- CHU de Strasbourg (Les Hôpitaux Universitaires de Strasbourg)
- IUCTO Bureau des Essais Cliniques (Institut Claudius Regaud)
- Institut de Cancérologie de Lorraine
- Institut Gustave Roussy - Le département de Medecine oncologique
- Medical University Heidelberg, NCT (National Center for Tumour Diseases), Medical Oncology
- Technischen Universitat München - Urologische Klinik
- Charité Universitätsmedizin Berlin, Dept. of Interdisciplinary Urology
- Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Klinik und Poliklinik
- Universitätsklinikum Essen (AöR) Westdeutsches Tumorzentrum
- Medizinische Hochschule Hannover
- Universitätsklinikum Tübingen, Klinik für Urologie
- Presidio Ospedaliero Antonio Perrino - U.O.C. Oncologia Medica
- S.C. Oncologia - ASST Cremona P.O. Ospedale di Cremona
- U.O.C. ASST Santi Paolo e Carlo - Ospedale San Carlo Borromeo
- Fondazione IRCCS Istituto Nazionale dei Tumori
- Istituto Europeo di Oncologia - Divisione di Oncologia Medica Urogenitale e Cervico Facciale
- University of Modena and Reggio Emilia (Azienda Ospedaliera-Universitaria Policlinico Modena)
- Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale"
- Azienda Ospedaliero Universitaria San Luigi Gonzaga
- Unità Operativa (UO) di Oncologia Medica - ICS Maugeri
- U.O. Oncologia Ospedale degli Infermi - Dipartimento di Oncologia ed Ematologia
- Policlinico Universitario A. Gemelli
- Policlinico Universitario Campus Bio-Medico
- Auckland City Hospital
- Christchurch Hospital
- Waikato Hospital
- Wellington Regional Hospital
- Hospital Universitario Virgen del Rocío
- Hospital Universitari VHIO - Vall d'Hebron Departamento de Oncologia
- El Hospital Clínic i Provincial de Barcelona (HCPB)
- Hospital de la Santa Creu i Sant Pau
- Institut Català d'Oncologia (ICO) L'Hospitalet
- Institut Català d'Oncologia
- HGU Gregorio Marañon
- MD Anderson Cancer Center Madrid
- El Hospital Universitario 12 de Octubre
- Centro Integral Oncologico Clara Campal (CIOCC) HM
- Hospital Parc Taulí de Sabadell
- Hospital Universitario Virgen de Macarena
- Fundación Instituto Valencia d'Oncología (IVO)
- The Christie NHS Foundation Trust
- Beatson West of Scotland Cancer Centre
- Mount Vernon Cancer Centre
- Nottingham University Hospitals NHS Trust - City Hospital Campus
- St. Bartholomew's Hospital, Barts Health NHS Trust
- The Royal Marsden NHS Foundation Trust
- Sarah Cannon Research Institute UK Limited
- Southampton General Hospital
Arms of the Study
Arm 1
Arm 2
Placebo Comparator
Experimental
Pbo-Cabo
CB-Cabo
Placebo twice daily (BID) + cabozantinib (60 mg once daily [QD]) administered orally on Days 1 through 28 of each 28-day cycle until disease progression per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) or unacceptable toxicity, whichever occurred first.
CB-839 800 mg BID + cabozantinib (60 mg QD) administered orally on Days 1 through 28 of each 28-day cycle until disease progression per RECIST v1.1 or unacceptable toxicity, whichever occurred first.