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A Study of Sintilimab in Combination With Axitinib in Advanced Renal Cell Cancer (SAARCC)

Primary Purpose

Renal Cell Carcinoma, Clear Cell Renal Cell Carcinoma

Status
Not yet recruiting
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Sintilimab
Axitinib
Sponsored by
Tianjin Medical University Second Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Renal Cell Carcinoma

Eligibility Criteria

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

Inclusion Criteria:

  • Signed written informed consent before performance of study-specific procedures or assessments and must be willing to comply with treatment and follow up
  • Diagnosis of locally advanced or metastatic RCC that is predominantly clear cell histology
  • Must have measurable disease
  • Subject has received no prior systemic therapy
  • A woman is eligible to participate in the study if she is of Non-childbearing potential, has a negative serum pregnancy test within 7 days of the first dose of study treatment, not lactating, and agrees to use adequate contraception during the study until at least 120 days after the last dose of investigational product
  • Eastern Cooperative Oncology Group performance status 0 or 1
  • Adequate organ function as defined in the protocol
  • Left ventricular ejection fraction >= lower limit of normal as assessed by echocardiogram or multigated acquisition scan

Exclusion Criteria:

  • Subject has an active autoimmune disease or a documented history of autoimmune disease or syndrome that requires systemic steroids or immunosuppressive agents
  • Subject is currently participating or has participated in a study of an investigational agent or using an investigational device within 30 days of the first dose of study treatment
  • Subject is expected to require any other form of systemic or localized antineoplastic therapy while on study
  • Subject is on any systemic steroid therapy, within one week before the planned date for first dose of study treatment. Subject is on any other form of immunosuppressive medication
  • Unable to swallow and retain orally administered medication
  • Active peptic ulcer disease, inflammatory bowel disease, ulcerative colitis, or other -Gastrointestinal conditions with increased risk of perforation; history of abdominal fistula, GI perforation, or intra-abdominal abscess within 4 weeks before beginning study treatment
  • Known history of HIV infection or a known history of or is positive for Hepatitis B or Hepatitis C
  • Presence of active infection requiring systemic therapy
  • Corrected QT interval duration prolongation
  • History of any one or more of the following cardiac conditions within the past 6 months: Cardiac angioplasty or stenting; Myocardial infarction; Unstable angina; ----History of Class III or IV congestive heart failure according to New York Heart Association classification
  • History of cerebrovascular accident within the past 6 months
  • Poorly controlled hypertension
  • History of untreated deep venous thrombosis
  • Presence of any non-healing wound, fracture, or ulcer, or presence of symptomatic peripheral vascular disease
  • Evidence of bleeding diathesis or coagulopathy
  • Any serious and/or unstable pre-existing medical, psychiatric, or other conditions that could interfere with subject's safety, obtaining informed consent or compliance to the study procedures
  • Has taken any prohibited medications that are listed in the protocol within 14 days of the first dose of study treatment. Subject has received or will receive a live vaccine within 30 days before the first administration of study treatment

Sites / Locations

  • Tianjin Medical Unversity Second Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Patients with advanced RCC

Arm Description

Patients with a diagnosis of kidney cancer (renal cell carcinoma, advanced or metastatic, previously treated or untreated)

Outcomes

Primary Outcome Measures

Overall response rate (ORR)
To be assessed by RECIST 1.1

Secondary Outcome Measures

Progression free survival (PFS)
Progression Free Survival (PFS) is the time from randomization to date of first documentation of objective progression of disease assessed by BICR (by RECIST version 1.1) or death due to any cause.
Overall Survival (OS)
OS is the time from date of randomization to date of death due to any cause.
Disease Control Rate (DCR)
DC is defined as complete response (CR), partial response (PR), or stable disease (SD) according to the RECIST v.1.1 recorded from randomization until disease progression assessed by BICR or death due to any cause.
Incidence of treatment-related adverse events
To be assessed by CTCAE v4.03.

Full Information

First Posted
June 23, 2021
Last Updated
July 1, 2021
Sponsor
Tianjin Medical University Second Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT04958473
Brief Title
A Study of Sintilimab in Combination With Axitinib in Advanced Renal Cell Cancer
Acronym
SAARCC
Official Title
A Single-center, Non-randomized Controlled, Single-arm, Phase II Clinical Trial of Sintilimab in Combination With Axitinib in the Treatment of Advanced Renal Cell Carcinoma
Study Type
Interventional

2. Study Status

Record Verification Date
July 2021
Overall Recruitment Status
Not yet recruiting
Study Start Date
August 1, 2021 (Anticipated)
Primary Completion Date
August 1, 2022 (Anticipated)
Study Completion Date
August 1, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Tianjin Medical University Second Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
In patients with recurrent or metastatic renal cell carcinoma, a preliminary evaluation of the safety and efficacy of sintilimab combined with axitinib in patients with advanced renal cell carcinoma was conducted.Progression-free survival (PFS), overall survival (OS), disease control rate (DCR) and disease remission rate (ORR) were evaluated.
Detailed Description
Patients with recurrent or metastatic renal cell carcinoma received axitinib tablets (5mg bid po) combined with sintilimab (200mg d1) on a 3-week (21-day) as a one-cycle regimen.6 months of continuous administration (i.e., 8 cycles of sintilimab) or until tumor progression or unacceptable toxicity or death or subject withdraws informed consent;If the drug has been discontinued or the tumor has progressed, and there are no intolerable side effects, the drug can be continued according to the judgment of the researchers and the will of the subjects. Drug safety was evaluated before each cycle.The first efficacy was evaluated after 2 cycles.The efficacy was then evaluated every 2 cycles.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Renal Cell Carcinoma, Clear Cell Renal Cell Carcinoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
40 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Patients with advanced RCC
Arm Type
Experimental
Arm Description
Patients with a diagnosis of kidney cancer (renal cell carcinoma, advanced or metastatic, previously treated or untreated)
Intervention Type
Drug
Intervention Name(s)
Sintilimab
Other Intervention Name(s)
Tyvyt, IBI 308
Intervention Description
PD-1 inhibitor,Sintilimab 200mg IV, every 3 weeks.
Intervention Type
Drug
Intervention Name(s)
Axitinib
Other Intervention Name(s)
Inlyta
Intervention Description
Tyrosine kinase inhibitor,licensed for use in treatment of renal cell carcinoma. Oral treatment Axitinib given 5 mg PO BID.
Primary Outcome Measure Information:
Title
Overall response rate (ORR)
Description
To be assessed by RECIST 1.1
Time Frame
Up to 12 months
Secondary Outcome Measure Information:
Title
Progression free survival (PFS)
Description
Progression Free Survival (PFS) is the time from randomization to date of first documentation of objective progression of disease assessed by BICR (by RECIST version 1.1) or death due to any cause.
Time Frame
From randomization up to 3 years.
Title
Overall Survival (OS)
Description
OS is the time from date of randomization to date of death due to any cause.
Time Frame
Every 3 months up to 3 years.
Title
Disease Control Rate (DCR)
Description
DC is defined as complete response (CR), partial response (PR), or stable disease (SD) according to the RECIST v.1.1 recorded from randomization until disease progression assessed by BICR or death due to any cause.
Time Frame
Every 6 weeks up to 18 months from patient enrollment in the study, then every 12 weeks up to 3 years from randomization
Title
Incidence of treatment-related adverse events
Description
To be assessed by CTCAE v4.03.
Time Frame
Up to 3 years.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Signed written informed consent before performance of study-specific procedures or assessments and must be willing to comply with treatment and follow up Diagnosis of locally advanced or metastatic RCC that is predominantly clear cell histology Must have measurable disease Subject has received no prior systemic therapy A woman is eligible to participate in the study if she is of Non-childbearing potential, has a negative serum pregnancy test within 7 days of the first dose of study treatment, not lactating, and agrees to use adequate contraception during the study until at least 120 days after the last dose of investigational product Eastern Cooperative Oncology Group performance status 0 or 1 Adequate organ function as defined in the protocol Left ventricular ejection fraction >= lower limit of normal as assessed by echocardiogram or multigated acquisition scan Exclusion Criteria: Subject has an active autoimmune disease or a documented history of autoimmune disease or syndrome that requires systemic steroids or immunosuppressive agents Subject is currently participating or has participated in a study of an investigational agent or using an investigational device within 30 days of the first dose of study treatment Subject is expected to require any other form of systemic or localized antineoplastic therapy while on study Subject is on any systemic steroid therapy, within one week before the planned date for first dose of study treatment. Subject is on any other form of immunosuppressive medication Unable to swallow and retain orally administered medication Active peptic ulcer disease, inflammatory bowel disease, ulcerative colitis, or other -Gastrointestinal conditions with increased risk of perforation; history of abdominal fistula, GI perforation, or intra-abdominal abscess within 4 weeks before beginning study treatment Known history of HIV infection or a known history of or is positive for Hepatitis B or Hepatitis C Presence of active infection requiring systemic therapy Corrected QT interval duration prolongation History of any one or more of the following cardiac conditions within the past 6 months: Cardiac angioplasty or stenting; Myocardial infarction; Unstable angina; ----History of Class III or IV congestive heart failure according to New York Heart Association classification History of cerebrovascular accident within the past 6 months Poorly controlled hypertension History of untreated deep venous thrombosis Presence of any non-healing wound, fracture, or ulcer, or presence of symptomatic peripheral vascular disease Evidence of bleeding diathesis or coagulopathy Any serious and/or unstable pre-existing medical, psychiatric, or other conditions that could interfere with subject's safety, obtaining informed consent or compliance to the study procedures Has taken any prohibited medications that are listed in the protocol within 14 days of the first dose of study treatment. Subject has received or will receive a live vaccine within 30 days before the first administration of study treatment
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
BIN HUO, MD
Phone
+86 22 88326610
Email
huobin_doctor@icloud.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
BIN HUO, MD
Organizational Affiliation
Tianjin Medical University Second Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Haitao Wang, PhD
Organizational Affiliation
Tianjin Medical University Second Hospital
Official's Role
Study Director
Facility Information:
Facility Name
Tianjin Medical Unversity Second Hospital
City
Tianjin
State/Province
Tianjin
ZIP/Postal Code
300211
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
BIN HUO, MD
Phone
+86 22 88326610
Email
huobin_doctor@icloud.com

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study of Sintilimab in Combination With Axitinib in Advanced Renal Cell Cancer

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