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Ph2 Study NKT2152 With Palbociclib & Sasanlimab in Subjects With Advanced Clear Cell Renal Cell Carcinoma (ccRcc)

Primary Purpose

ccRCC, Clear Cell Renal Cell Carcinoma, Kidney Cancer

Status
Recruiting
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
NKT2152
palbociclib
sasanlimab
Sponsored by
NiKang Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for ccRCC focused on measuring HIF2a, Hypoxia-inducible factor 2alpha, CDK4 inhibitor, CDK6 inhibitor, PD-1, immune checkpoint inhibitors

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Must have locally advanced or metastatic ccRCC and have progressed or relapsed after at least 1 prior anti-VEGF/VEGFR systemic therapy and 1 ICI. Measurable disease per the Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) KPS score of at least 70% Able to swallow oral medications. Exclusion Criteria: Active CNS metastases and/or carcinomatous meningitis Has had any major cardiovascular event within 6 months or clinically significant cardiovascular disease Major surgery (eg, GI surgery, removal or biopsy of brain metastasis) within 3 months before administration of study drug. Has known HIV History of hepatitis B or known active hepatitis C infection Has received prior treatment with NKT2152, other HIF2α inhibitors, other CDK 4/6 inhibitors, palbociclib, or sasanlimab Radiation therapy for bone metastasis within 2 weeks, or any other external radiation therapy within 4 weeks before administration of the first dose of study treatment Corrected QT interval calculated by Fridericia formula (QTcF) > 480 ms within 28 days prior to first dose Hypoxia or requires intermittent or chronic supplemental oxygen or any chronic lung condition which has required supplemental oxygen in the past Has a history of interstitial lung disease Has any active or recent history of a known or suspected autoimmune disease

Sites / Locations

  • Dana-Farber Cancer InstituteRecruiting
  • Nebraska Cancer SpecialistsRecruiting
  • University of Virginia Health SystemRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Lead-in Doublet combination

Lead-in Triplet combination

Expansion Doublet combination

Expansion Triplet combination

Arm Description

Lead-in Doublet assesses safety of oral dosing NKT2152 at increasing dosage levels in combination with palbociclib to determine a recommended dose for expansion (RDE).

Lead-in Triplet assesses the safety of two doses of NKT2152 identified in the Doublet arm (RDE and RDE-1) by orally dosing ccRCC patients with NKT2152 in combination with palbociclib and sasanlimab

Subjects randomized to Arm 1 will receive the Doublet combination (NKT2152 in combination with palbociclib) to provide an assessment of anti-tumor activity and to determine the RP2D.

Subjects randomized to Arm 2 will receive the Triplet therapy (NKT2152 in combination with palbociclib and sasanlimab) to provide an assessment of anti-tumor activity and to determine the RP2D.

Outcomes

Primary Outcome Measures

Number of Participants with Dose Limiting Toxicity (DLT) events during the DLT monitoring period (first 28 days of dosing) in the Lead-in Phase
DLTs graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5 .0.
Objective Response Rate (ORR) determined by the Investigator
ORR defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.

Secondary Outcome Measures

Progression-free survival (PFS)
PFS defined as the time from the date the participant started study drug to the date the participant experiences an event of disease progression or death.
Duration of Response (DOR)
Duration of overall response is defined as the time from the date of first documented CR or PR, assessed by investigator and based on RECIST v. 1.1, to the documented date of progressive disease (PD) or death, whichever occurred first.
Time to Response (TTR)
TTR is defined as the time from first dose to the first documented CR or PR which is subsequently confirmed.
Overall Survival (OS)
OS defined as the time from the date the participant started study drug to death for any reason.
Clinical Benefit Rate (CBR)
CBR defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) or a stable disease (SD) of 8 weeks or longer based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
Number of Participants with Adverse Events
An adverse event (AE) is defined as any untoward medical occurrence in a patient and which does not necessarily have a causal relationship with this treatment. The investigator assessed the relationship of each event to the use of study drug as either probably related, possibly related, probably not related or not related.
Maximum observed plasma concentration (Cmax) of NKT2152
Maximum observed plasma concentration (Cmax) of NKT2152
Time to maximum observed plasma concentration of NKT2152 (Tmax)
Time to maximum observed plasma concentration of NKT2152 (Tmax)
Observed trough concentration of NKT2152 (Ctrough)
Observed trough concentration of NKT2152 (Ctrough)
Area under the plasma concentration time curve (AUC0-t) of NKT2152, and accumulation ratio (RAC)
Area under the plasma concentration time curve (AUC0-t) of NKT2152, and accumulation ratio (RAC)
Maximum observed plasma concentration (Cmax) of palbociclib
Maximum observed plasma concentration (Cmax) of palbociclib
Time to maximum observed plasma concentration of palbociclib (Tmax)
Time to maximum observed plasma concentration of palbociclib (Tmax)
Observed trough concentration of palbociclib (Ctrough)
Observed trough concentration of palbociclib (Ctrough)
Area under the plasma concentration time curve (AUC0-t) of palbociclib, and accumulation ratio (RAC)
Area under the plasma concentration time curve (AUC0-t) of palbociclib, and accumulation ratio (RAC)
Observed trough concentration of sasanlimab (Ctrough)
Observed trough concentration of sasanlimab (Ctrough)
Maximum observed plasma concentration (Cmax) of sasanlimab
Maximum observed plasma concentration (Cmax) of sasanlimab

Full Information

First Posted
June 29, 2023
Last Updated
October 3, 2023
Sponsor
NiKang Therapeutics, Inc.
Collaborators
Pfizer
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1. Study Identification

Unique Protocol Identification Number
NCT05935748
Brief Title
Ph2 Study NKT2152 With Palbociclib & Sasanlimab in Subjects With Advanced Clear Cell Renal Cell Carcinoma (ccRcc)
Official Title
A Phase 2 Trial to Evaluate the Safety and Efficacy of NKT2152 in Combination With Palbociclib (Doublet) and With Palbociclib and Sasanlimab (Triplet) in Subjects With Advanced or Metastatic Clear Cell Renal Cell Carcinoma
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
July 28, 2023 (Actual)
Primary Completion Date
June 2026 (Anticipated)
Study Completion Date
September 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
NiKang Therapeutics, Inc.
Collaborators
Pfizer

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The goal of the Lead-in phase of the study is to evaluate the safety, efficacy, pharmacokinetics (PK) and determine recommended dose for expansion (RDE) of NKT2152 in combination with palbociclib (Doublet) and with palbociclib and sasanlimab (Triplet) in subjects with advanced or metastatic clear cell renal cell carcinoma (ccRCC) who received prior therapy. The goal of the Expansion phase of the study is to evaluate the safety, efficacy, PK at the selected RDE and identify the RP2D for NKT2152 in combination with palbociclib (Doublet) and with palbociclib and sasanlimab (Triplet) in subjects with advanced or metastatic clear cell renal cell carcinoma (ccRCC) who received prior therapy.
Detailed Description
This is a Phase 2 open-label, multicenter, global study of NKT2152. This study is designed as two phases: a Lead-in phase and an Expansion phase. Patients must be 18 years or older, with advanced or metastatic clear cell renal cell carcinoma (ccRCC). Eligible patients must have progressed or relapsed after at least 1 prior anti-vascular endothelial growth factor (VEGF)/VEGF receptor (VEGFR) systemic therapy and 1 immune checkpoint inhibitor (ICI) for advanced or metastatic ccRCC alone or in combination. The Lead-in phase is designed as a dose escalation phase to evaluate the safety, efficacy, pharmacokinetics (PK) and determine recommended dose for expansion (RDE) of NKT2152 in combination with palbociclib and sasanlimab in advanced or metastatic ccRCC patients who received prior therapy. The subsequent Expansion phase will evaluate the safety, efficacy, PK at the selected RDE and identify the RP2D for NKT2152 in combination with palbociclib and sasanlimab in advanced or metastatic ccRCC patients who received prior therapy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
ccRCC, Clear Cell Renal Cell Carcinoma, Kidney Cancer, Kidney Neoplasms, Renal Cancer, Renal Neoplasms, Recurrent Renal Cell Carcinoma, Metastatic Renal Cell Carcinoma, Refractory Renal Cell Carcinoma, Advanced Renal Cell Carcinoma, Carcinoma, Neoplasms, Carcinoma, Renal Cell, Neoplasms, Glandular and Epithelial, Neoplasm by Histology, Adenocarcinoma, Urologic Neoplasms, Urogenital Neoplasms, Neoplasms by Site, Kidney Diseases, Urologic Diseases
Keywords
HIF2a, Hypoxia-inducible factor 2alpha, CDK4 inhibitor, CDK6 inhibitor, PD-1, immune checkpoint inhibitors

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
Lead-in/Dose Escalation (doublet & triplet combination) and Dose Expansion (doublet & triplet combination)
Masking
None (Open Label)
Masking Description
Randomization during Expansion phase
Allocation
Randomized
Enrollment
172 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Lead-in Doublet combination
Arm Type
Experimental
Arm Description
Lead-in Doublet assesses safety of oral dosing NKT2152 at increasing dosage levels in combination with palbociclib to determine a recommended dose for expansion (RDE).
Arm Title
Lead-in Triplet combination
Arm Type
Experimental
Arm Description
Lead-in Triplet assesses the safety of two doses of NKT2152 identified in the Doublet arm (RDE and RDE-1) by orally dosing ccRCC patients with NKT2152 in combination with palbociclib and sasanlimab
Arm Title
Expansion Doublet combination
Arm Type
Experimental
Arm Description
Subjects randomized to Arm 1 will receive the Doublet combination (NKT2152 in combination with palbociclib) to provide an assessment of anti-tumor activity and to determine the RP2D.
Arm Title
Expansion Triplet combination
Arm Type
Experimental
Arm Description
Subjects randomized to Arm 2 will receive the Triplet therapy (NKT2152 in combination with palbociclib and sasanlimab) to provide an assessment of anti-tumor activity and to determine the RP2D.
Intervention Type
Drug
Intervention Name(s)
NKT2152
Intervention Description
Oral HIF2a inhibitor
Intervention Type
Drug
Intervention Name(s)
palbociclib
Other Intervention Name(s)
IBRANCE®
Intervention Description
a cyclin-dependent kinases (CDK) 4 and 6 inhibitor
Intervention Type
Other
Intervention Name(s)
sasanlimab
Intervention Description
an immunoglobulin G4 (IgG4) monoclonal antibody that blocks PD-1; a solution for injection for subcutaneous administration
Primary Outcome Measure Information:
Title
Number of Participants with Dose Limiting Toxicity (DLT) events during the DLT monitoring period (first 28 days of dosing) in the Lead-in Phase
Description
DLTs graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5 .0.
Time Frame
28 days
Title
Objective Response Rate (ORR) determined by the Investigator
Description
ORR defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
Time Frame
1 years
Secondary Outcome Measure Information:
Title
Progression-free survival (PFS)
Description
PFS defined as the time from the date the participant started study drug to the date the participant experiences an event of disease progression or death.
Time Frame
2 years
Title
Duration of Response (DOR)
Description
Duration of overall response is defined as the time from the date of first documented CR or PR, assessed by investigator and based on RECIST v. 1.1, to the documented date of progressive disease (PD) or death, whichever occurred first.
Time Frame
1 years
Title
Time to Response (TTR)
Description
TTR is defined as the time from first dose to the first documented CR or PR which is subsequently confirmed.
Time Frame
1 years
Title
Overall Survival (OS)
Description
OS defined as the time from the date the participant started study drug to death for any reason.
Time Frame
2 years
Title
Clinical Benefit Rate (CBR)
Description
CBR defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) or a stable disease (SD) of 8 weeks or longer based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
Time Frame
1 years
Title
Number of Participants with Adverse Events
Description
An adverse event (AE) is defined as any untoward medical occurrence in a patient and which does not necessarily have a causal relationship with this treatment. The investigator assessed the relationship of each event to the use of study drug as either probably related, possibly related, probably not related or not related.
Time Frame
2 years
Title
Maximum observed plasma concentration (Cmax) of NKT2152
Description
Maximum observed plasma concentration (Cmax) of NKT2152
Time Frame
1 years
Title
Time to maximum observed plasma concentration of NKT2152 (Tmax)
Description
Time to maximum observed plasma concentration of NKT2152 (Tmax)
Time Frame
1 years
Title
Observed trough concentration of NKT2152 (Ctrough)
Description
Observed trough concentration of NKT2152 (Ctrough)
Time Frame
1 years
Title
Area under the plasma concentration time curve (AUC0-t) of NKT2152, and accumulation ratio (RAC)
Description
Area under the plasma concentration time curve (AUC0-t) of NKT2152, and accumulation ratio (RAC)
Time Frame
1 years
Title
Maximum observed plasma concentration (Cmax) of palbociclib
Description
Maximum observed plasma concentration (Cmax) of palbociclib
Time Frame
1 years
Title
Time to maximum observed plasma concentration of palbociclib (Tmax)
Description
Time to maximum observed plasma concentration of palbociclib (Tmax)
Time Frame
1 years
Title
Observed trough concentration of palbociclib (Ctrough)
Description
Observed trough concentration of palbociclib (Ctrough)
Time Frame
1 years
Title
Area under the plasma concentration time curve (AUC0-t) of palbociclib, and accumulation ratio (RAC)
Description
Area under the plasma concentration time curve (AUC0-t) of palbociclib, and accumulation ratio (RAC)
Time Frame
1 years
Title
Observed trough concentration of sasanlimab (Ctrough)
Description
Observed trough concentration of sasanlimab (Ctrough)
Time Frame
1 years
Title
Maximum observed plasma concentration (Cmax) of sasanlimab
Description
Maximum observed plasma concentration (Cmax) of sasanlimab
Time Frame
1 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Must have locally advanced or metastatic ccRCC and have progressed or relapsed after at least 1 prior anti-VEGF/VEGFR systemic therapy and 1 ICI. Measurable disease per the Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) KPS score of at least 70% Able to swallow oral medications. Exclusion Criteria: Active CNS metastases and/or carcinomatous meningitis Has had any major cardiovascular event within 6 months or clinically significant cardiovascular disease Major surgery (eg, GI surgery, removal or biopsy of brain metastasis) within 3 months before administration of study drug. Has known HIV History of hepatitis B or known active hepatitis C infection Has received prior treatment with NKT2152, other HIF2α inhibitors, other CDK 4/6 inhibitors, palbociclib, or sasanlimab Radiation therapy for bone metastasis within 2 weeks, or any other external radiation therapy within 4 weeks before administration of the first dose of study treatment Corrected QT interval calculated by Fridericia formula (QTcF) > 480 ms within 28 days prior to first dose Hypoxia or requires intermittent or chronic supplemental oxygen or any chronic lung condition which has required supplemental oxygen in the past Has a history of interstitial lung disease Has any active or recent history of a known or suspected autoimmune disease
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Sponsor Contact
Phone
3024155127
Email
clinicaltrials@nikangtx.com
Facility Information:
Facility Name
Dana-Farber Cancer Institute
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Elena Stratis
Email
ElenaM_Stratis@dfci.harvard.edu
First Name & Middle Initial & Last Name & Degree
Meredith Flynn
Phone
6176325701
Email
meredith_flynn@dfci.harvard.edu
Facility Name
Nebraska Cancer Specialists
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68130
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Tiffiny Bradley
Phone
402-905-9761
Email
tbradley@nebraskacancer.com
First Name & Middle Initial & Last Name & Degree
Hanna Kurz
Phone
402-905-9761
Email
HKurz@nebraskacancer.com
Facility Name
University of Virginia Health System
City
Charlottesville
State/Province
Virginia
ZIP/Postal Code
22908
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sydney Sanders
Phone
434-924-9333
Email
UEA8PX@uvahealth.org
First Name & Middle Initial & Last Name & Degree
Alexandra Cash
Phone
434-243-4305
Email
AEC5GN@uvahealth.org

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
IPD are not planned to be shared at this time

Learn more about this trial

Ph2 Study NKT2152 With Palbociclib & Sasanlimab in Subjects With Advanced Clear Cell Renal Cell Carcinoma (ccRcc)

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