Study to Compare Tivozanib in Combination With Nivolumab to Tivozanib Monotherapy in Subjects With Renal Cell Carcinoma
Renal Cell Carcinoma
About this trial
This is an interventional treatment trial for Renal Cell Carcinoma focused on measuring Immune Checkpoint Inhibitor, Open-label, Monotherapy, Disease Progression
Eligibility Criteria
Inclusion Criteria:
- Radiographic disease progression during or following at least 6 weeks of treatment with ICI for locally advanced or metastatic RCC with a clear cell component either in first- or second-line treatment.
- Subjects must have recovered from the adverse events of prior therapy or returned to baseline.
- Histologically or cytologically confirmed RCC with a clear cell component.
- Measurable disease per RECIST criteria Version 1.1.
- Eastern Cooperative Oncology Group performance status of 0 or 1.
- All participants must follow protocol defined contraceptive measures.
Exclusion Criteria:
- More than 2 prior lines of therapy in the advanced or metastatic setting.
- History of life-threatening toxicity related to prior immune therapy.
- Active, known, or suspected autoimmune disease as well as those that required discontinuation of prior immuno-oncological (IO) therapy due to immune mediated AEs.
- Uncontrolled hypertension.
- More than 1 prior line of therapy with a checkpoint inhibitor in the metastatic setting.
- Subjects on immune suppressive therapy for organ transplant or subjects with a history of genetic or acquired immune suppression disease such as human immunodeficiency virus (HIV) [Patients with HIV who have CD4+ T-cell counts >350 cells/µL, without a history of acquired immune deficiency syndrome (AIDS)-defining opportunistic infections, and are on established antiretroviral therapy which does not include a cytochrome P450 (CYP)3A4 inducer, for at least 4 weeks and have an HIV viral load less than 400 copies/mL, are eligible].
- History of clinically significant interstitial lung disease or current non-infectious pneumonitis.
Sites / Locations
- Genesis Cancer and Blood Institute
- City of Hope Comprehensive Cancer Center
- Chao Family Comprehensive Cancer Center, UC Irvine
- University of California San Diego
- Leland Stanford Junior University
- Kaiser Permanente Riverside Medical Center
- US Oncology - Rocky Mountain Cancer Centers - Midtown
- Florida Cancer Specialists & Res Inst
- Florida Cancer Specialists & Research Institute (FCS) - Tampa Cancer Center Location
- The University of Kansas Cancer Center
- University of Kentucky UK Markey Cancer Center
- Tulane Cancer Center Clinic - Oncology
- University of Maryland Medical Center-Greenebaum Cancer Ctr
- John Hopkins Medicine - Hematology/oncology
- Maryland Oncology Hematology
- Dana-Farber Cancer Institute - Medicine
- Henry Ford Hospital
- Saint Luke's Hospital - Saint Luke's Cancer Institute - Kans
- St. Vincent Frontier Cancer Center
- Oncology Hematology West PC dba Nebraska Cancer Specialists
- University of New Mexico - Comprehensive Cancer Center
- Roswell - Roswell Park Cancer Institute - Medical Oncology
- Memorial Sloan Kettering Cancer Center - Westchester
- Memorial Sloan Kettering Cancer Center (MSKCC) - Memorial Hospital
- Memorial Sloan Kettering Cancer Center - Nassau
- Cleveland Clinic
- Lehigh Valley Physician Group
- Allegheny General Hospital (AGH)
- UH Cleveland Medical Center
- Chattanooga Oncology and Hematology Associates
- Baptist Cancer Center
- Tennessee Oncology, PLLC
- Vanderbilt-Ingram Cancer Center
- Texas Oncology - Central Austin Cancer Center
- Texas Oncology - Baylor Charles A. Sammons Cancer Center
- US Oncology Texas Oncology (CCC of South Texas) - San Antonio Medical Center
- Inova Schar Cancer Institute - Medical Oncology
- Virginia Oncology Associates
- University Of Washington - Medical Center
- Northwest Medical Specialties PLLC
- Centro Oncológico Korben
- Clínica Viedma
- Centro Oncologico de Rosario
- Centro para la Atención Integral del paciente Oncológico
- Liverpool Hospital Cancer Therapy Centre
- Mater Misericordiae Limited
- Princess Alexandra Hospital
- Flinders Medical Centre
- Cabrini Health - Cabrini Institute
- St Vincent's Hospital Melbourne
- Sunshine Hospital
- ZNA Jan Palfijn
- Institut Jules Bordet - Oncologie Médicale
- Jessa Ziekenhuis - Campus Virga Jesse - Medische Oncologie
- UZ Gent - Medische Oncologie
- AZ Sint-Jan Brugge - Oostende AV - Campus Sint-Jan - Oncology
- CHU Brugmann - Victor Horta
- AZ Groeninge - Campus Kennedylaan
- Centro Gaucho Integrado de Onc
- Clinica de Neoplasias Litoral
- Universidade Estadual de Campi
- Hospital Nossa Senhora da Conc
- Pontificia Universidade
- Instituto Brasileiro de Controle do Cancer - ibcc
- Tom Baker Cancer Centre
- BC Cancer - Vancouver Centre
- Sunnybrook Research Institute, sunnybrook Health Sciences Ct
- University Health Network - Princess Margaret Cancer Centre
- Meditek Ltda.
- Centro de Estudios Clinicos In
- Centro de Estudios Clínicos SAGA SpA
- ACEREY Centro de Investigación Clínica Oncológica
- University Hospital Brno
- FN Hradec Kralove
- FN Kralovske Vinohrady
- Fakultni Thomayerova nemocnice
- Institut de cancérologie de Strasbourg Europe - ICANS
- Institut Paoli Calmettes - Hôpital de jour
- Hopital Saint-Andre - Service d'Oncologie Medicale
- Hopital Foch
- CHU Michallon - Hopital Nord - Cancérologie Et Hématologie
- Hôpital privé Le Bois
- Centre Hospitalier de Poitiers
- Hospices Civils de Lyon (HCL) - Centre Hospitalier Lyon-Sud
- Centre Leon Berard - departement d'oncologie medicale
- Clinique Victor Hugo - Hematologie
- CHD Vendee La Roche sur Yon - Gastro-Entérologie
- Centre de Lutte Contre le Cancer (CLCC)
- ICO - Site Rene Gauducheau - Oncologie Medicale
- Hopital Trousseau - medical oncology
- Institut de Cancérologie de Lorraine
- Centre de Lutte Contre le Cancer (CLCC) - Gustave Roussy (Institut de Cancerologie Gustave-Roussy)
- Universitätsklinikum Heidelberg
- University Hospital Tuebingen
- Medizinische Hochschule Hannover
- Praxis Eckert
- P.O. Ss. Annunziata
- IRST
- Ospedale S.Donato, AUSL 8 di Arezzo
- Azienda Mater Domini
- PO di Cremona, ASST di Cremona - Oncologia medica
- AOUC Azienda Ospedaliero-Universitaria Careggi
- European Institute of Oncology
- IRCCS Fondazione "Giovanni Pas
- IRCCS Policlinico San Matteo
- Fondazione Policlinico Universitario Agostino Gemelli
- AO S.Camillo-Forlanini
- Azienda Ospedaliera Santa Maria di Terni
- Oaxaca Site Management Organization S.C. (OSMO) - Investigacion Clinica - Pharmacy
- Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
- Szpital Specjalistyczny im. L. Rydygiera w Krakowie
- Europejskie Centrum Zdrowia Otwock, Szpital im. F. Chopina
- Szpital Specjalist. w Brzozowie,Podkarpacki Ośrodek Onkologi
- Nzoz Mrukmed Lekarz Beata Madej-Mruk I Partner Sp. P.
- COPERNICUS Podmiot Leczn. Sp z o.o.,Wojew. Centrum Onkologii
- Szpital Kliniczny Przemienienia Panskiego UM w Poznaniu
- Wojewodzki Szpital Specjalistyczny
- Centralny Szpital Kliniczny Ministerstwa Spraw Wewnetrznych
- Narodowy Instytut Onkologii im. Marii Skłodowskiej-Curie - Państwowy Instytut Badawczy
- H. Prof. Doutor Fernando Fonseca
- Hospital Particular do Algarve - Gambelas-Faro
- H. de Santa Maria. Centro Hospitalar Lisboa Norte - Oncologia
- H. Santo Antonio. Centro Hospitalar do Porto
- Instituto Português Oncologia Francisco Gentil do Porto
- H.G.U. de Elche
- Hospital Universitario Son Espases
- Hospital Universitari Parc Tau
- Hospital Universitario Y Politécnico La Fe
- Institut Català d'Oncologia-Hospital Universitari Germans Trias i Pujol
- Hospital de La Santa Creu i Sant Pau
- Hospital Universitario Vall d'
- Institut Catalá d´Oncología (I.C.O.)
- Hospital Del Mar
- ICO-Hospital Universitari de G
- Hospital Universitario Ramón y Cajal
- Hospital Clínico San Carlos
- Hospital U. 12 Octubre
- Hospital Universitario La Paz
- C.H.U. de Orense
- Hospital Universitario Virgen
- Fundación Instituto Valenciano
- Addenbrooke's Hospital - Oncology
- Mount Vernon Cancer Centre
- Royal Blackburn Hospital - Oncology
- Imperial College Healthcare NHS Trust - Hammersmith Hospital
- Royal Marsden - Sutton
- Royal Marsden Hospital
- Royal Derby Hospital
- Leeds Teaching Hospitals NHS Trust
- The Christie NHS Foundation Trust - Medical Oncology
- New Cross Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Tivozanib in Combination with Nivolumab
Tivozanib
Subjects with advanced RCC will receive 0.89 mg of tivozanib once daily (QD) for 3 weeks followed by 1 week off study drug and nivolumab every 4 weeks on Day 1 of each Cycle, until disease progression or unacceptable toxicities occur, other withdrawal criteria are met, or completion of 2 years of treatment [for nivolumab] whichever occurs first.
Subjects with advanced RCC will receive 1.34 mg of tivozanib once daily (QD) for 3 weeks followed by 1 week off study drug until disease progression or unacceptable toxicities occur, or other withdrawal criteria are met.