A Study of Bempegaldesleukin (NKTR-214: BEMPEG) in Combination With Nivolumab Compared With the Investigator's Choice of a Tyrosine Kinase Inhibitor (TKI) Therapy (Either Sunitinib or Cabozantinib Monotherapy) for Advanced Metastatic Renal Cell Carcinoma (RCC)

NCT ID: NCT03729245

Last Updated: 2023-04-11

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

623 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-18

Study Completion Date

2022-10-19

Brief Summary

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The main purpose of this study is to compare the objective response rate (ORR) and overall survival (OS) of bempegaldesleukin (NKTR-214: BEMPEG) combined with nivolumab to that of tyrosine kinase inhibitor (TKI) monotherapy (sunitinib or cabozantinib) in IMDC intermediate- or poor-risk patients and IMDC all-risk patients with previously untreated advanced renal cell carcinoma (RCC).

Detailed Description

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Conditions

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Renal Cell Carcinoma Metastatic Renal Cell Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Combination of bempegaldesleukin + nivolumab

Patients in Arm A will receive bempegaldesleukin in combination with nivolumab.

Group Type EXPERIMENTAL

bempegaldesleukin

Intervention Type BIOLOGICAL

Specified dose on specified days

nivolumab

Intervention Type BIOLOGICAL

Specified dose on specified days

sunitinib or cabozantinib

Patients in Arm B will receive the Investigator's choice of either one of two treatment options.

Group Type ACTIVE_COMPARATOR

sunitinib

Intervention Type DRUG

Specified dose on specified days

cabozantinib

Intervention Type DRUG

Specified dose on specified days

Interventions

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bempegaldesleukin

Specified dose on specified days

Intervention Type BIOLOGICAL

sunitinib

Specified dose on specified days

Intervention Type DRUG

nivolumab

Specified dose on specified days

Intervention Type BIOLOGICAL

cabozantinib

Specified dose on specified days

Intervention Type DRUG

Other Intervention Names

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BEMPEG BMS-986321 Sutent® Opdivo® BMS-936558 Cabometyx®

Eligibility Criteria

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Inclusion Criteria

* Provide written, informed consent to participate in the study and follow the study procedures
* Karnofsky Performance Status (KPS) of at least 70%
* Measurable disease per mRECIST 1.1 criteria
* Histologically confirmed RCC with a clear-cell component (may have sarcomatoid features); advanced (not amenable to curative surgery or radiation therapy) or metastatic (AJCC Stage IV) RCC
* Patients with any International Metastatic Renal Cell Carcinoma Database Consortium (IMDC) score (favorable-, intermediate-, or poor-risk) are eligible. At least one IMDC prognostic factor must be present to qualify as either intermediate- or poor-risk renal cell carcinoma.
* No prior systemic therapy (including neoadjuvant, adjuvant, or vaccine therapy) for RCC

Exclusion Criteria

* An active, known or suspected autoimmune disease that has required systemic treatment within the past 3 months (exceptions exist)
* Patients who have a known additional malignancy that is progressing or requires active treatment (exceptions exist)
* Any tumor invading the wall of a major blood vessels
* Any tumor invading the gastrointestinal (GI) tract or any evidence of endotracheal or endobronchial tumor within 28 days prior to randomization
* Need for \>2 medications for management of hypertension (including diuretics)
* History of pulmonary embolism, deep vein thrombosis (not including tumor thrombus), or clinically significant thromboembolic event within 3 months of randomization
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role collaborator

Nektar Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Director

Role: STUDY_DIRECTOR

Nektar Therapeutics

Locations

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Alaska Urological

Anchorage, Alaska, United States

Site Status

Western Regional Medical Center - CTCA - PPDS

Goodyear, Arizona, United States

Site Status

CARTI Cancer Center

Little Rock, Arkansas, United States

Site Status

City of Hope National Medical Center

Duarte, California, United States

Site Status

University of California Irvine

Orange, California, United States

Site Status

Innovative Clinical Research Institute

Whittier, California, United States

Site Status

University of Miami

Miami, Florida, United States

Site Status

Winship Cancer Institute, Emory University

Atlanta, Georgia, United States

Site Status

Tulane Medical Center

New Orleans, Louisiana, United States

Site Status

University of Maryland Greenebaum Cancer Center

Baltimore, Maryland, United States

Site Status

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, United States

Site Status

North Shore Hematology Oncology Association PC

Port Jefferson Station, New York, United States

Site Status

Kettering Medical Center

Kettering, Ohio, United States

Site Status

Providence Cancer Institute, Franz Clinic

Portland, Oregon, United States

Site Status

Lehigh Valley Physician Group (LVPG) - Hematology Oncology

Allentown, Pennsylvania, United States

Site Status

Penn State Milton S Hershey Medical Center

Hershey, Pennsylvania, United States

Site Status

Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status

Eastern Regional Medical Center - CTCA

Philadelphia, Pennsylvania, United States

Site Status

MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Huntsman Cancer Hospital - PPDS

Salt Lake City, Utah, United States

Site Status

Centro de Investigación Clínica - Clínica Viedma

Viedma, Río Negro Province, Argentina

Site Status

Centro de Investigación Pergamino S.A

Buenos Aires, , Argentina

Site Status

Centro Médico Austral

Buenos Aires, , Argentina

Site Status

Instituto Médico Especializado Alexander Fleming

Buenos Aires, , Argentina

Site Status

Centro Médico Privado CEMAIC

Córdoba, , Argentina

Site Status

Sanatorio Allende S.A.

Córdoba, , Argentina

Site Status

Sanatorio Privado Duarte Quirós, de Clínica Colombo S.A.

Córdoba, , Argentina

Site Status

Centro Oncologico Riojano Integral (cori)

La Rioja, , Argentina

Site Status

Hospital Provincial Del Centenario

Rosario, , Argentina

Site Status

CAIPO Centro para la atención integral del paciente oncológico

San Miguel de Tucumán, , Argentina

Site Status

Sanatorio Parque de Rosario

Santa Fe, , Argentina

Site Status

Orange Cancer Centre

Orange, New South Wales, Australia

Site Status

Royal North Shore Hospital

Saint Leonards, New South Wales, Australia

Site Status

Macquarie University

Sydney, New South Wales, Australia

Site Status

Adelaide Cancer Centre

Kurralta Park, South Australia, Australia

Site Status

Barwon Health

Parkville, Victoria, Australia

Site Status

Centro de Oncologia Da Bahia

Salvador, Estado de Bahia, Brazil

Site Status

Ensino E Terapia de Inovação Clínica Assistência Multidiciplinar Em Oncologia Ética

Salvador, Estado de Bahia, Brazil

Site Status

Cenantron - Centro Avancado de Tratamento Oncologico Ltda

Belo Horizonte, Minas Gerais, Brazil

Site Status

Oncocentro, Belo Horizonte

Belo Horizonte, Minas Gerais, Brazil

Site Status

Liga Paranaense de Combate Ao Cancer - Hospital Erasto Gaertner

Curitiba, Paraná, Brazil

Site Status

Liga Norte Riograndense Contra O Cancer

Natal, Rio Grande do Norte, Brazil

Site Status

Associação Hospital de Caridade Ijuí

Ijuí, Rio Grande do Sul, Brazil

Site Status

Hospital Bruno Born

Lajeado, Rio Grande do Sul, Brazil

Site Status

Universidade Federal do Rio Grande do Sul - UFRGS

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Irmandade Da Santa Casa de Misericordia de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Hospital Mae de Deus

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Hospital Sao Lucas Da Pontificia Universidade Catolica Do Rio Grande Do Sul (PUCRS)

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Clínica de Oncologia de Porto Alegre SS Ltda

Rio Grande, Rio Grande do Sul, Brazil

Site Status

Instituto Joinvilense de Hematologia E Oncologia

Joinville, Santa Catarina, Brazil

Site Status

Fundação Pio XII Hospital de Câncer de Barretos

Barretos, São Paulo, Brazil

Site Status

Hospital das Clinicas - UNICAMP

Campinas, São Paulo, Brazil

Site Status

Hospital Amaral Carvalho

Jaú, São Paulo, Brazil

Site Status

Fundação do ABC - Faculdade de Medicina do ABC

Santo André, São Paulo, Brazil

Site Status

Instituto de Pesquisas Clínicas Para Estudos Multicêntricos

Caxias do Sul, , Brazil

Site Status

Instituto Do Câncer Do Ceará ICC

Fortaleza, , Brazil

Site Status

Animi

Lages, , Brazil

Site Status

Instituto Nacional de Câncer

Rio de Janeiro, , Brazil

Site Status

Instituto COI de Pesquisa, Educação e Gestão

Rio de Janeiro, , Brazil

Site Status

Hospital de Base Da Faculdade de Medicina de São José Do Rio Preto

São José do Rio Preto, , Brazil

Site Status

Hospital Alemão Oswaldo Cruz

São Paulo, , Brazil

Site Status

Fundação Antônio Prudente - AC Camargo Câncer Center

São Paulo, , Brazil

Site Status

Hospital Santa Marcelina

São Paulo, , Brazil

Site Status

Corporacion de Beneficencia Osorno

Osorno, Los Lagos Region, Chile

Site Status

Clinical Research Chile SpA

Valdivia, Los Ríos Region, Chile

Site Status

Oncovida

Santiago, , Chile

Site Status

Clinica Santa Maria

Santiago, , Chile

Site Status

Fundación Arturo López Pérez (FALP) - PPDS

Santiago, , Chile

Site Status

Centro Investigacion Clinica Del Sur

Temuco, , Chile

Site Status

Oncocentro APYS

Viña del Mar, , Chile

Site Status

Centro de Investigaciones Clínicas Vina del Mar

Viña del Mar, , Chile

Site Status

Health Pharma Professional Research S.A de C.V.

Mexico City, Mexico City, Mexico

Site Status

Centro de Investigacion Clinica Chapultepec S.A. de C.V.

Morelia, Michoacán, Mexico

Site Status

Axis Heilsa S. De R.L. de C.V.

Monterrey, Nuevo León, Mexico

Site Status

Accelerium, S. de R.L. de C.V.

Monterrey, , Mexico

Site Status

Unidad Médica Onco-Hematológica

Puebla City, , Mexico

Site Status

Auckland City Hospital

Auckland, , New Zealand

Site Status

Clinica Peruana Americana

Trujillo, La Lobertad, Peru

Site Status

Clinica Internacional S.A. - Sede San Borja

Lima, , Peru

Site Status

ONCOCARE S.A.C. (Clinica Aliada)

Lima, , Peru

Site Status

Hospital Nacional Cayetano Heredia

Lima, , Peru

Site Status

Altay Regional Oncology Center

Barnaul, , Russia

Site Status

Chelyabinsk Regional Clinical Oncology Dispensary

Chelyabinsk, , Russia

Site Status

LLC Evimed

Chelyabinsk, , Russia

Site Status

Kursk Regional Oncology Centre

Kursk, , Russia

Site Status

Central Clinical Hospital With Polyclinic of President Administration of RF

Moscow, , Russia

Site Status

Federal State Institution Medical Radiology Research Center

Obninsk, , Russia

Site Status

Clinical Oncology Dispensary

Omsk, , Russia

Site Status

PMI Euromedservice

Pushkin, , Russia

Site Status

Hospital Orkli LLC

Saint Petersburg, , Russia

Site Status

Railway Clinical Hospital JSC RZhD

Saint Petersburg, , Russia

Site Status

Hospital Orkli LLC

Saint Petersburg, , Russia

Site Status

State Institution of Healthcare "Volgograd Regional Urology and Nephrology Centre"

Volzhskiy, , Russia

Site Status

Regional Clinical Oncology Hospital

Yaroslavl, , Russia

Site Status

National Cancer Centre

Singapore, , Singapore

Site Status

Oncocare Cancer Centre

Singapore, , Singapore

Site Status

Countries

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United States Argentina Australia Brazil Chile Mexico New Zealand Peru Russia Singapore

References

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Tannir NM, Formiga MN, Penkov K, Kislov N, Vasiliev A, Gunnar Skare N, Hong W, Dai S, Tang L, Qureshi A, Zalevsky J, Tagliaferri MA, George D, Agarwal N, Pal S. Bempegaldesleukin Plus Nivolumab Versus Sunitinib or Cabozantinib in Previously Untreated Advanced Clear Cell Renal Cell Carcinoma: A Phase III Randomized Study (PIVOT-09). J Clin Oncol. 2024 Aug 10;42(23):2800-2811. doi: 10.1200/JCO.23.02082. Epub 2024 Jun 5.

Reference Type DERIVED
PMID: 38838287 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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CA045002

Identifier Type: OTHER

Identifier Source: secondary_id

17-214-09

Identifier Type: -

Identifier Source: org_study_id

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