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Phase 1/1b Study to Evaluate the Safety and Tolerability of Ciforadenant Alone and in Combination With Atezolizumab in Advanced Cancers

Primary Purpose

Renal Cell Cancer, Metastatic Castration Resistant Prostate Cancer

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Ciforadenant
Ciforadenant
Ciforadenant
Ciforadenant + atezolizumab
Ciforadenant
Sponsored by
Corvus Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Renal Cell Cancer focused on measuring RCC, Kidney Cancer, mCRPC, Prostate Cancer

Eligibility Criteria

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

Renal Cell Carcinoma Inclusion Criteria

  1. Eastern Cooperative Oncology Group (ECOG) Performance Status 0-2.
  2. Documented pathologic diagnosis of clear cell RCC.
  3. Relapsed or refractory to 1-2 prior lines of therapy containing at least an anti-PD-(L)1 agent.
  4. Measurable disease according to RECIST v1.1
  5. Mandatory newly collected tumor biopsy sample obtained prior to treatment initiation.

Renal Cell Carcinoma Exclusion Criteria

  1. History of severe hypersensitivity reaction to monoclonal antibodies.
  2. Has immunodeficiency or requires treatment with systemic immunosuppressive medication within 2 weeks prior to initiation of study treatment or anticipation of need for systemic immunosuppressant medication during study treatment.
  3. Has an active autoimmune disease requiring systemic treatment with in the past 2 years OR a documented history of clinically severe autoimmune disease.

Metastatic Castration-Resistant Prostate Cancer Inclusion Criteria

  1. Documentation of disease: progressive CRPC with histologically or cytologically confirmed adenocarcinoma of the prostate.
  2. Patients must have radiologically evident metastatic disease, but it can be measurable or non-measurable disease:

    • Measurable disease: nodal, visceral, or extra nodal lesions according to RECIST v1.1 using a diagnostic computed tomography
    • Non-measurable disease: bone only disease (up to 1/3 of study population) per PCWG3 criteria
  3. 1-3 prior lines of therapy, including at least one newer generation androgen synthesis inhibitor (e.g., abiraterone) or androgen receptor antagonist (e.g., enzalutamide, apalutamide, darolutamide).
  4. Mandatory newly collected tumor biopsy sample obtained prior to treatment initiation.
  5. Eastern Cooperative Oncology Group (ECOG) Performance Status 0-2.

Metastatic Castration-Resistant Prostate Cancer Exclusion Criteria

  1. Has pure small-cell histology and variants with predominant (≥ 50%) neuroendocrine differentiation.
  2. Has a history of severe hypersensitivity reaction to monoclonal antibodies.
  3. Has immunodeficiency or requires treatment with systemic immunosuppressive medication within 2 weeks prior to initiation of study treatment or anticipation of need for systemic immunosuppressant medication during study treatment.
  4. Has an active autoimmune disease requiring systemic treatment with in the past 2 years OR a documented history of clinically severe autoimmune disease.

Sites / Locations

  • University of Arizona Cancer Center
  • University of California - San Francisco
  • Stanford Cancer Institute
  • Yale University
  • University of Miami Hospital and Clinics
  • Rush University Medical Center
  • University of Chicago Medical Center
  • Sidney Kimmel Comprehensive Cancer Center - Johns Hopkins University School of Medicine
  • Massachusetts General Hospital
  • Karmanos Cancer Institute
  • Roswell Park Cancer Institute
  • Memorial Sloan Kettering Cancer Center
  • Cleveland Clinic
  • University of Pittsburgh Medical Center Cancer Center
  • Medical College of Wisconsin
  • Royal Brisbane and Women's Hospital
  • Monash Health
  • Cross Cancer Institute
  • British Columbia Cancer Agency - Vancouver Centre
  • The Ottawa Hospital Cancer Centre

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort 1 - Closed

Cohort 2 - Closed

Cohort 3 - Closed

Cohort 4

Cohort 5 - Closed

Arm Description

Ciforadenant

Ciforadenant

Ciforadenant

Ciforadenant + atezolizumab

Ciforadenant

Outcomes

Primary Outcome Measures

Incidence of dose-limiting toxicities (DLTs) of ciforadenant as a single agent and in combination with atezolizumab
Objective response rate per RECIST v1.1 criteria of ciforadenant as a single agent and in combination with atezolizumab
Incidence of treatment-emergent adverse events, as assessed by NCI CTCAE v.4.03, of ciforadenant as a single agent and in combination with atezolizumab
Mean and median Area under the curve (AUC) of ciforadenant
Mean and median Maximum concentration (Cmax) of ciforadenant
Identify the MDL (maximum dose level) of single agent ciforadenant

Secondary Outcome Measures

Full Information

First Posted
January 8, 2016
Last Updated
August 27, 2021
Sponsor
Corvus Pharmaceuticals, Inc.
Collaborators
Genentech, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02655822
Brief Title
Phase 1/1b Study to Evaluate the Safety and Tolerability of Ciforadenant Alone and in Combination With Atezolizumab in Advanced Cancers
Official Title
A Phase 1/1b, Open-Label, Multicenter, Repeat-Dose, Dose-Selection Study of Ciforadenant as Single Agent and in Combination With Atezolizumab in Patients With Selected Incurable Cancers
Study Type
Interventional

2. Study Status

Record Verification Date
July 2021
Overall Recruitment Status
Completed
Study Start Date
January 2016 (undefined)
Primary Completion Date
June 2021 (Actual)
Study Completion Date
July 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Corvus Pharmaceuticals, Inc.
Collaborators
Genentech, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a phase 1/1b open-label, multicenter, dose-selection study of ciforadenant, an oral small molecule targeting the adenosine-A2A receptor on T-lymphocytes and other cells of the immune system. This trial will study the safety, tolerability, and anti-tumor activity of ciforadenant as a single agent and in combination with atezolizumab, a PD-L1 inhibitor against various solid tumors. Ciforadenant blocks adenosine from binding to the A2A receptor. Adenosine suppresses the anti-tumor activity of T cells and other immune cells.
Detailed Description
This is a phase 1/1b open-label, multicenter, dose-selection study of ciforadenant, an oral small molecule targeting the adenosine-A2A receptor on T-lymphocytes and other cells of the immune system. This trial will study the safety, tolerability, and anti-tumor activity of ciforadenant as a single agent and in combination with atezolizumab, an intravenous PD-L1 inhibitor. Ciforadenant blocks adenosine from binding to the A2A receptor. Adenosine suppresses the anti-tumor activity of T cells and other immune cells.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Renal Cell Cancer, Metastatic Castration Resistant Prostate Cancer
Keywords
RCC, Kidney Cancer, mCRPC, Prostate Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
502 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1 - Closed
Arm Type
Experimental
Arm Description
Ciforadenant
Arm Title
Cohort 2 - Closed
Arm Type
Experimental
Arm Description
Ciforadenant
Arm Title
Cohort 3 - Closed
Arm Type
Experimental
Arm Description
Ciforadenant
Arm Title
Cohort 4
Arm Type
Experimental
Arm Description
Ciforadenant + atezolizumab
Arm Title
Cohort 5 - Closed
Arm Type
Experimental
Arm Description
Ciforadenant
Intervention Type
Drug
Intervention Name(s)
Ciforadenant
Intervention Description
100 mg orally twice daily for the first 14 days of each 28-day cycle.
Intervention Type
Drug
Intervention Name(s)
Ciforadenant
Intervention Description
100 mg orally twice daily for 28 days of each 28-day cycle.
Intervention Type
Drug
Intervention Name(s)
Ciforadenant
Intervention Description
200 mg orally once daily for the first 14 days of each 28-day cycle.
Intervention Type
Drug
Intervention Name(s)
Ciforadenant + atezolizumab
Intervention Description
Ciforadenant 100 mg orally twice daily in combination with atezolizumab intravenously.
Intervention Type
Drug
Intervention Name(s)
Ciforadenant
Intervention Description
Start with 150mg orally twice daily for 28-day cycles; then, increase increments by 100mg/day for 6 dose levels.
Primary Outcome Measure Information:
Title
Incidence of dose-limiting toxicities (DLTs) of ciforadenant as a single agent and in combination with atezolizumab
Time Frame
28 days following first administration of ciforadenant
Title
Objective response rate per RECIST v1.1 criteria of ciforadenant as a single agent and in combination with atezolizumab
Time Frame
From start of treatment to end of treatment, up to 72 months
Title
Incidence of treatment-emergent adverse events, as assessed by NCI CTCAE v.4.03, of ciforadenant as a single agent and in combination with atezolizumab
Time Frame
Continuously, up to 72 months
Title
Mean and median Area under the curve (AUC) of ciforadenant
Time Frame
Up to 12 months
Title
Mean and median Maximum concentration (Cmax) of ciforadenant
Time Frame
Up to 12 months
Title
Identify the MDL (maximum dose level) of single agent ciforadenant
Time Frame
From start of treatment to end of treatment, up to 72 months.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Renal Cell Carcinoma Inclusion Criteria Eastern Cooperative Oncology Group (ECOG) Performance Status 0-2. Documented pathologic diagnosis of clear cell RCC. Relapsed or refractory to 1-2 prior lines of therapy containing at least an anti-PD-(L)1 agent. Measurable disease according to RECIST v1.1 Mandatory newly collected tumor biopsy sample obtained prior to treatment initiation. Renal Cell Carcinoma Exclusion Criteria History of severe hypersensitivity reaction to monoclonal antibodies. Has immunodeficiency or requires treatment with systemic immunosuppressive medication within 2 weeks prior to initiation of study treatment or anticipation of need for systemic immunosuppressant medication during study treatment. Has an active autoimmune disease requiring systemic treatment with in the past 2 years OR a documented history of clinically severe autoimmune disease. Metastatic Castration-Resistant Prostate Cancer Inclusion Criteria Documentation of disease: progressive CRPC with histologically or cytologically confirmed adenocarcinoma of the prostate. Patients must have radiologically evident metastatic disease, but it can be measurable or non-measurable disease: Measurable disease: nodal, visceral, or extra nodal lesions according to RECIST v1.1 using a diagnostic computed tomography Non-measurable disease: bone only disease (up to 1/3 of study population) per PCWG3 criteria 1-3 prior lines of therapy, including at least one newer generation androgen synthesis inhibitor (e.g., abiraterone) or androgen receptor antagonist (e.g., enzalutamide, apalutamide, darolutamide). Mandatory newly collected tumor biopsy sample obtained prior to treatment initiation. Eastern Cooperative Oncology Group (ECOG) Performance Status 0-2. Metastatic Castration-Resistant Prostate Cancer Exclusion Criteria Has pure small-cell histology and variants with predominant (≥ 50%) neuroendocrine differentiation. Has a history of severe hypersensitivity reaction to monoclonal antibodies. Has immunodeficiency or requires treatment with systemic immunosuppressive medication within 2 weeks prior to initiation of study treatment or anticipation of need for systemic immunosuppressant medication during study treatment. Has an active autoimmune disease requiring systemic treatment with in the past 2 years OR a documented history of clinically severe autoimmune disease.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mehrdad Mobasher, MD, MPH
Organizational Affiliation
Corvus Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
University of Arizona Cancer Center
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85719
Country
United States
Facility Name
University of California - San Francisco
City
San Francisco
State/Province
California
ZIP/Postal Code
94143
Country
United States
Facility Name
Stanford Cancer Institute
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States
Facility Name
Yale University
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06510
Country
United States
Facility Name
University of Miami Hospital and Clinics
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
Rush University Medical Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Facility Name
University of Chicago Medical Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60637
Country
United States
Facility Name
Sidney Kimmel Comprehensive Cancer Center - Johns Hopkins University School of Medicine
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21287
Country
United States
Facility Name
Massachusetts General Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
Karmanos Cancer Institute
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48201
Country
United States
Facility Name
Roswell Park Cancer Institute
City
Buffalo
State/Province
New York
ZIP/Postal Code
14263
Country
United States
Facility Name
Memorial Sloan Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Facility Name
Cleveland Clinic
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Facility Name
University of Pittsburgh Medical Center Cancer Center
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15232
Country
United States
Facility Name
Medical College of Wisconsin
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53226
Country
United States
Facility Name
Royal Brisbane and Women's Hospital
City
Brisbane
State/Province
Queensland
ZIP/Postal Code
4029
Country
Australia
Facility Name
Monash Health
City
Clayton
State/Province
Victoria
ZIP/Postal Code
3168
Country
Australia
Facility Name
Cross Cancer Institute
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T6G 1Z2
Country
Canada
Facility Name
British Columbia Cancer Agency - Vancouver Centre
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V5Z 4E6
Country
Canada
Facility Name
The Ottawa Hospital Cancer Centre
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K1H 8L6
Country
Canada

12. IPD Sharing Statement

Learn more about this trial

Phase 1/1b Study to Evaluate the Safety and Tolerability of Ciforadenant Alone and in Combination With Atezolizumab in Advanced Cancers

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