A Study of Bempegaldesleukin (NKTR-214: BEMPEG) in Combination With Nivolumab Compared With the Investigator's Choice of a Tyrosine Kinase Inhibitor (TKI) Therapy (Either Sunitinib or Cabozantinib Monotherapy) for Advanced Metastatic Renal Cell Carcinoma (RCC)
Renal Cell Carcinoma, Metastatic Renal Cell Carcinoma
About this trial
This is an interventional treatment trial for Renal Cell Carcinoma focused on measuring Kidney Cancer, Kidney Neoplasms, Renal Cancer, Renal Neoplasms, CD122, CD122-Biased Agonist, CD122-Biased Cytokine, IL-2 receptor agonist, Immuno-oncology therapy, NKTR-214, Nivolumab, Opdivo®, PD-L1, PD-1, Bempegaldesleukin, IL-2, BEMPEG, CD122-Preferential, IL-2 pathway agonist, Checkpoint inhibition, Immune checkpoint inhibitor
Eligibility Criteria
Key Inclusion Criteria:
- Provide written, informed consent to participate in the study and follow the study procedures
- Karnofsky Performance Status (KPS) of at least 70%
- Measurable disease per mRECIST 1.1 criteria
- Histologically confirmed RCC with a clear-cell component (may have sarcomatoid features); advanced (not amenable to curative surgery or radiation therapy) or metastatic (AJCC Stage IV) RCC
- Patients with any International Metastatic Renal Cell Carcinoma Database Consortium (IMDC) score (favorable-, intermediate-, or poor-risk) are eligible. At least one IMDC prognostic factor must be present to qualify as either intermediate- or poor-risk renal cell carcinoma.
- No prior systemic therapy (including neoadjuvant, adjuvant, or vaccine therapy) for RCC
Key Exclusion Criteria:
- An active, known or suspected autoimmune disease that has required systemic treatment within the past 3 months (exceptions exist)
- Patients who have a known additional malignancy that is progressing or requires active treatment (exceptions exist)
- Any tumor invading the wall of a major blood vessels
- Any tumor invading the gastrointestinal (GI) tract or any evidence of endotracheal or endobronchial tumor within 28 days prior to randomization
- Need for >2 medications for management of hypertension (including diuretics)
- History of pulmonary embolism, deep vein thrombosis (not including tumor thrombus), or clinically significant thromboembolic event within 3 months of randomization
Additional protocol defined inclusion/exclusion criteria and exceptions apply
Sites / Locations
- Alaska Urological
- Western Regional Medical Center - CTCA - PPDS
- CARTI Cancer Center
- City of Hope National Medical Center
- University of California Irvine
- Innovative Clinical Research Institute
- University of Miami
- Winship Cancer Institute, Emory University
- Tulane Medical Center
- University of Maryland Greenebaum Cancer Center
- Comprehensive Cancer Centers of Nevada
- North Shore Hematology Oncology Association PC
- Kettering Medical Center
- Providence Cancer Institute, Franz Clinic
- Lehigh Valley Physician Group (LVPG) - Hematology Oncology
- Penn State Milton S Hershey Medical Center
- Thomas Jefferson University
- Eastern Regional Medical Center - CTCA
- MD Anderson Cancer Center
- Huntsman Cancer Hospital - PPDS
- Centro de Investigación Clínica - Clínica Viedma
- Centro de Investigación Pergamino S.A
- Centro Médico Austral
- Instituto Médico Especializado Alexander Fleming
- Centro Médico Privado CEMAIC
- Sanatorio Allende S.A.
- Sanatorio Privado Duarte Quirós, de Clínica Colombo S.A.
- Centro Oncologico Riojano Integral (cori)
- Hospital Provincial Del Centenario
- CAIPO Centro para la atención integral del paciente oncológico
- Sanatorio Parque de Rosario
- Orange Cancer Centre
- Royal North Shore Hospital
- Macquarie University
- Adelaide Cancer Centre
- Barwon Health
- Centro de Oncologia Da Bahia
- Ensino E Terapia de Inovação Clínica Assistência Multidiciplinar Em Oncologia Ética
- Cenantron - Centro Avancado de Tratamento Oncologico Ltda
- Oncocentro, Belo Horizonte
- Liga Paranaense de Combate Ao Cancer - Hospital Erasto Gaertner
- Liga Norte Riograndense Contra O Cancer
- Associação Hospital de Caridade Ijuí
- Hospital Bruno Born
- Universidade Federal do Rio Grande do Sul - UFRGS
- Irmandade Da Santa Casa de Misericordia de Porto Alegre
- Hospital Mae de Deus
- Hospital Sao Lucas Da Pontificia Universidade Catolica Do Rio Grande Do Sul (PUCRS)
- Clínica de Oncologia de Porto Alegre SS Ltda
- Instituto Joinvilense de Hematologia E Oncologia
- Fundação Pio XII Hospital de Câncer de Barretos
- Hospital das Clinicas - UNICAMP
- Fundação do ABC - Faculdade de Medicina do ABC
- Hospital Amaral Carvalho
- Instituto de Pesquisas Clínicas Para Estudos Multicêntricos
- Instituto Do Câncer Do Ceará ICC
- Animi
- Instituto Nacional de Câncer
- Instituto COI de Pesquisa, Educação e Gestão
- Hospital de Base Da Faculdade de Medicina de São José Do Rio Preto
- Hospital Alemão Oswaldo Cruz
- Fundação Antônio Prudente - AC Camargo Câncer Center
- Hospital Santa Marcelina
- Corporacion de Beneficencia Osorno
- Clinical Research Chile SpA
- Oncovida
- Clinica Santa Maria
- Fundación Arturo López Pérez (FALP) - PPDS
- Centro Investigacion Clinica Del Sur
- Oncocentro APYS
- Centro de Investigaciones Clínicas Vina del Mar
- Health Pharma Professional Research S.A de C.V.
- Centro de Investigacion Clinica Chapultepec S.A. de C.V.
- Axis Heilsa S. De R.L. de C.V.
- Accelerium, S. de R.L. de C.V.
- Unidad Médica Onco-Hematológica
- Auckland City Hospital
- Clinica Peruana Americana
- Clinica Internacional S.A. - Sede San Borja
- ONCOCARE S.A.C. (Clinica Aliada)
- Hospital Nacional Cayetano Heredia
- Altay Regional Oncology Center
- Chelyabinsk Regional Clinical Oncology Dispensary
- LLC Evimed
- Kursk Regional Oncology Centre
- Central Clinical Hospital With Polyclinic of President Administration of RF
- Federal State Institution Medical Radiology Research Center
- Clinical Oncology Dispensary
- PMI Euromedservice
- Hospital Orkli LLC
- Railway Clinical Hospital JSC RZhD
- Hospital Orkli LLC
- State Institution of Healthcare "Volgograd Regional Urology and Nephrology Centre"
- Regional Clinical Oncology Hospital
- National Cancer Centre
- Oncocare Cancer Centre
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Combination of bempegaldesleukin + nivolumab
sunitinib or cabozantinib
Patients in Arm A will receive bempegaldesleukin in combination with nivolumab.
Patients in Arm B will receive the Investigator's choice of either one of two treatment options.