A Study of Pazopanib With or Without Abexinostat in Patients With Locally Advanced or Metastatic Renal Cell Carcinoma (RENAVIV)
Renal Cell Carcinoma
About this trial
This is an interventional treatment trial for Renal Cell Carcinoma focused on measuring Renal Cell Carcinoma, Progression-free survival, Abexinostat, Pazopanib, RECIST, Cancer therapy
Eligibility Criteria
Inclusion Criteria:
To be enrolled in the study, patients will be required to meet all of the following criteria:
- Patients aged ≥ 18 years at time of study entry.
- Patients have histologically confirmed RCC with clear cell component.
- Patients have locally advanced and unresectable or metastatic disease.
- Measurable disease as assessed only by the investigator (not verified by IRC) according to RECIST version 1.1.
- Patients must not have had any prior vascular endothelial growth factor (VEGF) tyrosine kinase inhibitor treatment in either (neo)adjuvant or locally advanced/metastatic setting. Up to 1 line of prior cytokine or immune checkpoint inhibitor treatment is allowed in either the (neo)adjuvant or metastatic setting provided screening scans indicate progressive disease (PD) during or following completion of treatment.
- Patients have Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Patients have adequate baseline organ function.
- Patients have adequate baseline hematologic function
- Patient must be at least 2 weeks from last systemic treatment or dose of radiation prior to date of randomization.
Exclusion Criteria:
Patients who meet any of the following criteria at Screening will not be enrolled in the study:
- Has persistent clinically significant toxicities (Grade ≥ 2; per NCI CTCAE version 5 from previous anticancer therapy (excluding alopecia which is permitted and excluding Grades 2 and 3 laboratory abnormalities if they are not associated with symptoms, are not considered clinically significant by the investigator, and can be managed with available medical therapies).
- Has untreated central nervous system (CNS) metastases. Patients with treated CNS metastases are eligible provided imaging demonstrates no new or progressive metastases obtained at least 4 weeks following completion of treatment. CNS imaging during Screening is not required unless clinically indicated.
- Has an additional malignancy requiring treatment within the past 3 years. Patients with the following concomitant neoplastic diagnoses are eligible: non-melanoma skin cancer, carcinoma in situ, and non-muscle invasive urothelial carcinoma.
- Poorly controlled hypertension, defined as systolic blood pressure ≥ 160 or diastolic blood pressure ≥ 100 mmHg. Use of anti-hypertensives and rescreening is permitted.
- A new pulmonary embolism or deep venous thrombosis diagnosed within 3 months prior to randomization.
- Has a QTcF interval > 480 msec.
- New York Heart Association Class III or IV congestive heart failure.
- Use of prohibited medication within 7 days or 5 half-lives, whichever is shorter, prior to first dose of study drug.
Sites / Locations
- University Of UA Cancer Center(UACC)/DH-SJHMC
- University of California Davis Comprehensive Cancer Center
- UCSF Helen Diller Family Comphrensive Cancer Center - Hemato
- Norton Cancer Institute, Norton Healthcare Pavilion
- Ochsner Clinic Foundation
- GU Research Network/Urology Cancer Center
- Nebraska Cancer Specialists
- Northwell Health/Monter Cancer Center
- Mainstreet Physicans Care
- Precision Cancer Research/Dayton Physicians Network - Treatment
- Oregon Health and Science University
- St. Luke's Hospital
- HOPE Cancer Center of East Texas
- Medical Oncology Associates, PS (dba Summit Cancer Centers)
- Beijing Cancer HospitalRecruiting
- Zhongshan Hospital Affiliated to Fudan University
- Fondazione del Piemonte per l'Oncologia_Istituto di Candiolo, IRCCS_ Oncologia Medica
- A.O. Cannizzaro_UOS Oncologia Medica
- IRCCS Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) UO Oncologia Medica
- Istituto Europeo di Oncologia_Unità Oncologia Medica Urogenitale e Cervico Facciale
- Istituto Nazionale dei Tumori-Fondazione Pascale- SC Oncologia Medica
- Azienda Ospedaliero-Universitaria Maggiore della Carità Novara_SC Oncologia Medica
- Istituti Clinici Scientifici Maugeri Spa-SB_ UO Oncologia Medica
- Azienda Ospedaliero Universitaria Pisana_ UO Oncologia Medica Universitaria
- Fondazione Policlinico Universitario A. Gemelli, U.O.C. Oncologia Medica
- National Cancer Center - Center For Prostate Cancer
- CHA Bundang Medical Center, CHA University
- Severance Hospital, Yonsei University Health System - Medical Oncology
- Asan Medical Center - University of Ulsan College of Medicin
- Samsung Medical Center - Hematology-Oncology
- Szpital Specjalistyczny w Brzozowie Podkarpacki Osrodek Onkologiczny
- Szpitale Pomorskie Sp. z o.o. Oddział Onkologii i Radioterapii
- Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie Sp. z o.o. Oddział Onkologii Klinicznej z Pododdziałem Dziennym
- Clinical Research Center Sp. z o.o., Medic-R Sp. K.
- H.G.U. de Elche
- Hospital Universitario Fundación Jiménez Díaz
- Hospital Universitario 12 de Octubre
- H.U. Virgen de la Victoria
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Pazopanib plus abexinostat
Pazopanib plus placebo
Randomized patients will receive a combination of pazopanib plus abexinostat. The patients will receive pazopanib by mouth (p.o.) daily on Days 1 to 28 of each treatment cycle and will receive abexinostat p.o twice daily (BID) on Days 1 to 4, 8 to 11, and 15 to 18 of every 28-day cycle, 2 doses 4 hours apart. Patients will be instructed to take their once- daily oral dose of pazopanib and BID oral dose of abexinostat at the same time each day.
Randomized patients will receive a combination of pazopanib plus abexinostat matching placebo. The patients will receive pazopanib by mouth (p.o.) daily on Days 1 to 28 of each treatment cycle and will receive abexinostat matching placebo p.o BID on Days 1 to 4, 8 to 11, and 15 to 18 of every 28-day cycle, 2 doses 4 hours apart. Patients will be instructed to take their once- daily oral dose of pazopanib and BID oral dose of placebo at the same time each day.