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A Study of NKT2152, a HIF2α Inhibitor, in Patients With Advanced Clear Cell Renal Cell Carcinoma

Primary Purpose

ccRCC, Clear Cell Renal Cell Carcinoma, Kidney Cancer

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Oral NKT2152
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 HIF2α, NKT2152

Eligibility Criteria

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

Inclusion Criteria:

  • Has the ability to understand and willingness to sign a written informed consent form before the performance of any study procedures
  • Has locally advanced or metastatic ccRCC and has progressed during treatment, are relapsed, refractory and not amenable to curative therapy or standard therapy (Phase 1); has progressed during treatment with at least 1 prior therapeutic regimen (Phase 2) that contains a PD-1 or PD-L1 compound and/or a VEGF targeting agent, and a total of ≤ 4 prior therapeutic regimens.
  • Must have measurable disease per the Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1)
  • Is of age ≥ 18 years
  • Has an Eastern Cooperative Oncology Group performance status of 0-2
  • Has a life expectancy of ≥ 3 months
  • Has adequate organ function

Exclusion Criteria:

  • Known symptomatic brain metastases requiring >10 mg/day of prednisone (or its equivalent). Patients with previously diagnosed brain metastases are eligible if they have completed their treatment, have recovered from the acute effects of radiation therapy or surgery prior to the start of NKT2152 treatment, fulfill the above steroid requirement for these metastases, and are neurologically stable based on central nervous system imaging ≥4 weeks after CNS-directed treatment.
  • Has a pulse oximetry reading less than 92% at screening, requires intermittent supplemental oxygen, or requires chronic supplemental oxygen.
  • History of another malignancy except for the following: adequately treated local basal cell or squamous carcinoma of the skin, in situ cervical cancer, adequately treated papillary noninvasive bladder cancer, other adequately treated Stage 1 or stage 2 cancers currently in complete remission, or any other cancer that has been in complete remission for ≥2 years
  • Has failed to recover from the effects of prior anticancer therapy to baseline level or grade 1 severity (except for alopecia) per National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE); patients with treatable adverse effects such as hypothyroidism or hypertension may be enrolled if the adverse effect is controlled with treatment
  • Has any other clinically significant cardiac, respiratory, or other medical or psychiatric condition that might interfere with participation in the trial or interfere with the interpretation of trial results
  • Has received prior treatment with a HIF2α inhibitor

Sites / Locations

  • HonorHealthRecruiting
  • Sarah Cannon Research InstituteRecruiting
  • Indiana University Simon Comprehensive Cancer CenterRecruiting
  • National Cancer Institute
  • Dana Farber Cancer InstituteRecruiting
  • Nebraska Cancer SpecialistsRecruiting
  • MD Anderson Cancer CenterRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Phase 1 dose escalation

Phase 2 dose expansion

Arm Description

Phase 1 is designed to determine the maximum tolerated dose and/or identify the recommended Phase 2 dose of NKT2152 as a single agent administered orally once daily in ccRCC patients

Phase 2 will evaluate the safety, pharmacokinetics and antitumor efficacy of NKT2152 as a single agent administered orally once daily in ccRCC patients

Outcomes

Primary Outcome Measures

Number of Participants with Dose Limiting Toxicity (DLT) events during the DLT monitoring period (first 21 days of dosing) in the Dose Escalation Phase (Phase 1)
DLTs graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5 .0.
Recommended Phase 2 Dose (RP2D) Determined in the Dose Escalation Phase (Phase 1)
The RP2D will be determined based on observed dose-limiting toxicities (DLTs) and using the totality of PK and biological data in Phase 1.
Objective Response Rate (ORR) determined by the Investigator in the Dose Expansion Phase (Phase 2)
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

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.
Area under the plasma concentration time curve (AUC0-t) of NKT2152
Area under the plasma concentration time curve (AUC0-t) of NKT2152.
Area under the plasma concentration time curve (AUC0-∞) of NKT2152
Area under the plasma concentration time curve (AUC0-∞) of NKT2152
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)
Objective Response Rate (ORR) determined by the Investigator in the Dose Escalation Phase (Phase 1)
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.
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.
Disease control rate (DCR) determined by the Investigator
DCR 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.
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.
Overall survival (OS)
OS defined as the time from the date the participant started study drug to death for any reason.

Full Information

First Posted
October 14, 2021
Last Updated
October 17, 2022
Sponsor
NiKang Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05119335
Brief Title
A Study of NKT2152, a HIF2α Inhibitor, in Patients With Advanced Clear Cell Renal Cell Carcinoma
Official Title
A Phase 1/2, Open Label Dose-escalation and Expansion Trial of NKT2152, an Orally Administered HIF2α Inhibitor, to Investigate Safety, Pharmacokinetics, Pharmacodynamics and Clinical Activity in Patients With Advanced Clear Cell Renal Cell Carcinoma
Study Type
Interventional

2. Study Status

Record Verification Date
October 2022
Overall Recruitment Status
Recruiting
Study Start Date
October 26, 2021 (Actual)
Primary Completion Date
September 2024 (Anticipated)
Study Completion Date
September 2026 (Anticipated)

3. Sponsor/Collaborators

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

4. Oversight

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

5. Study Description

Brief Summary
The goal of the Phase 1 portion is to identify the maximum tolerated dose (MTD) and/or the recommended Phase 2 Dose (RP2D) of NKT2152. The Phase 2 portion will evaluate the efficacy of NKT2152 in ccRCC.
Detailed Description
This is a Phase 1/2 open label multicenter study of NKT2152. Phase 1 is a first in human (FIH) dose escalation study in patients aged 18 years or older with clear cell renal carcinoma (ccRCC) who have exhausted available standard therapy as determined by the investigator. Eligible patients will have received <=4 prior lines lines of therapy. Phase 1 is designed to determine the MTD and/or RP2D of NKT2152 as a single agent administered orally once daily. Depending on the tolerability and PK, additional dosing schedules may be tested. Phase 2 will evaluate the safety, pharmacokinetics and antitumor efficacy of NKT2152 in ccRCC patients.

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
Keywords
HIF2α, NKT2152

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Model Description
Phase 1 dose escalation and Phase 2 dose expansion
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
98 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Phase 1 dose escalation
Arm Type
Experimental
Arm Description
Phase 1 is designed to determine the maximum tolerated dose and/or identify the recommended Phase 2 dose of NKT2152 as a single agent administered orally once daily in ccRCC patients
Arm Title
Phase 2 dose expansion
Arm Type
Experimental
Arm Description
Phase 2 will evaluate the safety, pharmacokinetics and antitumor efficacy of NKT2152 as a single agent administered orally once daily in ccRCC patients
Intervention Type
Drug
Intervention Name(s)
Oral NKT2152
Intervention Description
Oral HIF2α inhibitor
Primary Outcome Measure Information:
Title
Number of Participants with Dose Limiting Toxicity (DLT) events during the DLT monitoring period (first 21 days of dosing) in the Dose Escalation Phase (Phase 1)
Description
DLTs graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5 .0.
Time Frame
21 days
Title
Recommended Phase 2 Dose (RP2D) Determined in the Dose Escalation Phase (Phase 1)
Description
The RP2D will be determined based on observed dose-limiting toxicities (DLTs) and using the totality of PK and biological data in Phase 1.
Time Frame
Approximately 2 years
Title
Objective Response Rate (ORR) determined by the Investigator in the Dose Expansion Phase (Phase 2)
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
Approximately 1 year
Secondary Outcome Measure Information:
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
Approximately 2 years
Title
Area under the plasma concentration time curve (AUC0-t) of NKT2152
Description
Area under the plasma concentration time curve (AUC0-t) of NKT2152.
Time Frame
Up to Day 22
Title
Area under the plasma concentration time curve (AUC0-∞) of NKT2152
Description
Area under the plasma concentration time curve (AUC0-∞) of NKT2152
Time Frame
Up to Day 22
Title
Maximum observed plasma concentration (Cmax) of NKT2152
Description
Maximum observed plasma concentration (Cmax) of NKT2152
Time Frame
Up to Day 22
Title
Time to maximum observed plasma concentration of NKT2152 (Tmax)
Description
Time to maximum observed plasma concentration of NKT2152 (Tmax)
Time Frame
Up to Day 22
Title
Objective Response Rate (ORR) determined by the Investigator in the Dose Escalation Phase (Phase 1)
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
Approximately 1 year
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
Approximately 1 year
Title
Disease control rate (DCR) determined by the Investigator
Description
DCR 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
Approximately 1 year
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
Through study completion, an average of 2 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
Through study completion, an average of 2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Has the ability to understand and willingness to sign a written informed consent form before the performance of any study procedures Has locally advanced or metastatic ccRCC and has progressed during treatment, are relapsed, refractory and not amenable to curative therapy or standard therapy (Phase 1); has progressed during treatment with at least 1 prior therapeutic regimen (Phase 2) that contains a PD-1 or PD-L1 compound and/or a VEGF targeting agent, and a total of ≤ 4 prior therapeutic regimens. Must have measurable disease per the Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) Is of age ≥ 18 years Has an Eastern Cooperative Oncology Group performance status of 0-2 Has a life expectancy of ≥ 3 months Has adequate organ function Exclusion Criteria: Known symptomatic brain metastases requiring >10 mg/day of prednisone (or its equivalent). Patients with previously diagnosed brain metastases are eligible if they have completed their treatment, have recovered from the acute effects of radiation therapy or surgery prior to the start of NKT2152 treatment, fulfill the above steroid requirement for these metastases, and are neurologically stable based on central nervous system imaging ≥4 weeks after CNS-directed treatment. Has a pulse oximetry reading less than 92% at screening, requires intermittent supplemental oxygen, or requires chronic supplemental oxygen. History of another malignancy except for the following: adequately treated local basal cell or squamous carcinoma of the skin, in situ cervical cancer, adequately treated papillary noninvasive bladder cancer, other adequately treated Stage 1 or stage 2 cancers currently in complete remission, or any other cancer that has been in complete remission for ≥2 years Has failed to recover from the effects of prior anticancer therapy to baseline level or grade 1 severity (except for alopecia) per National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE); patients with treatable adverse effects such as hypothyroidism or hypertension may be enrolled if the adverse effect is controlled with treatment Has any other clinically significant cardiac, respiratory, or other medical or psychiatric condition that might interfere with participation in the trial or interfere with the interpretation of trial results Has received prior treatment with a HIF2α inhibitor
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Sponsor Contact
Phone
(302) 415-5127
Email
clinicaltrials@nikangtx.com
Facility Information:
Facility Name
HonorHealth
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85258
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Michael Gordon, MD
Facility Name
Sarah Cannon Research Institute
City
Denver
State/Province
Colorado
ZIP/Postal Code
80218
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Gerald Falchook, MD
Facility Name
Indiana University Simon Comprehensive Cancer Center
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Theodore Logan, MD
First Name & Middle Initial & Last Name & Degree
Theodore Logan, MD
Facility Name
National Cancer Institute
City
Bethesda
State/Province
Maryland
ZIP/Postal Code
20892-9760
Country
United States
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ram Srinivasan, MD
First Name & Middle Initial & Last Name & Degree
Ram Srinivasan, MD
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
Toni Choueiri, MD
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
Ralph Hauke, MD
Phone
402-334-4773
Email
rhauke@nebraskacancer.com
First Name & Middle Initial & Last Name & Degree
Ralph Hauke, MD
Facility Name
MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Eric Jonasch, MD

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

A Study of NKT2152, a HIF2α Inhibitor, in Patients With Advanced Clear Cell Renal Cell Carcinoma

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