Safety and Efficacy Study of AVB-S6-500 (Batiraxcept) in Patients With Advanced or Metastatic Clear Cell Renal Cell Carcinoma

NCT ID: NCT04300140

Last Updated: 2023-10-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-26

Study Completion Date

2023-08-14

Brief Summary

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This is a Phase 1b/2 study of AVB-S6-500 designed to evaluate the safety and efficacy of AVB-S6-500 in combination with cabozantinib, AVB-S6-500 in combination with cabozantinib and nivolumab and AVB-S6-500 monotherapy in subjects with advanced or metastatic clear cell renal cell carcinoma (ccRCC). The phase 1b portion of the study is open label and patients with advanced ccRCC who had progressed on or after at least one prior line of treatment will receive AVB-S6-500 + cabozantinib. Two dose levels will be evaluated. The Phase 2 portion of the study is open-label 3-part study to evaluate efficacy and tolerability of AVB-S6-500 + cabozantinib, AVB-S6-500 + cabozantinib + nivolumab, and AVB-S6-500 alone.

Detailed Description

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Conditions

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Clear Cell Renal Cell Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Phase 1b: Batiraxcept + cabozantinib

Two dose levels of batiraxcept administered Q2W (once every two weeks) in combination with QD (once a day) cabozantinib will be evaluated.

Group Type EXPERIMENTAL

Batiraxcept

Intervention Type DRUG

Batiraxcept is experimental drug

Cabozantinib (Cabo)

Intervention Type DRUG

Cabozantinib is standard of care as monotherapy and in combination with nivolumab in ccRCC

Phase 2 Part A: batiraxcept + cabozantinib

One dose level of batiraxcept administered Q2W in combination with QD cabozantinib will be evaluated.

Group Type EXPERIMENTAL

Batiraxcept

Intervention Type DRUG

Batiraxcept is experimental drug

Cabozantinib (Cabo)

Intervention Type DRUG

Cabozantinib is standard of care as monotherapy and in combination with nivolumab in ccRCC

Phase 2 Part B: batiraxcept + cabozantinib + nivolumab

One dose level of batiraxcept administered Q2W in combination with QD cabozantinib and nivolumab.

Group Type EXPERIMENTAL

Batiraxcept

Intervention Type DRUG

Batiraxcept is experimental drug

Cabozantinib (Cabo)

Intervention Type DRUG

Cabozantinib is standard of care as monotherapy and in combination with nivolumab in ccRCC

Nivolumab

Intervention Type DRUG

Nivolumab is standard of care in the first line treatment of ccRCC

Phase 2 Part C: batiraxcept alone

One dose level of batiraxcept administered Q2W will be evaluated.

Group Type EXPERIMENTAL

Batiraxcept

Intervention Type DRUG

Batiraxcept is experimental drug

Interventions

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Batiraxcept

Batiraxcept is experimental drug

Intervention Type DRUG

Cabozantinib (Cabo)

Cabozantinib is standard of care as monotherapy and in combination with nivolumab in ccRCC

Intervention Type DRUG

Nivolumab

Nivolumab is standard of care in the first line treatment of ccRCC

Intervention Type DRUG

Other Intervention Names

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AVB-S6-500 Cabometyx® Opdivo®

Eligibility Criteria

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Inclusion Criteria

* Age 18 years or older
* Histologically confirmed advanced or metastatic clear cell Renal Cell Carcinoma confirmed by imaging. Phase 1b and Phase 2 Part A: has progressed on/after at least one front-line of treatment; Phase 2 Part B: No prior systemic treatment; Phase 2 Part C: not amenable to curative intent therapy.
* Must have radiologic imaging with a computed tomography (CT) scan or magnetic resonance imaging (MRI) within 28 days of enrollment
* Must have at least one measurable lesion according to RECIST 1.1
* ECOG performance status of 0-1
* Adequate bone marrow, liver and kidney function
* Life expectancy of \>12 weeks
* At least 28 days between termination of prior major surgery or anticancer therapy or 14 days from last radiation therapy and administration of AVB-S6-500

Exclusion Criteria

* Received prior treatment with cabozantinib (Phase1b and Phase 2 Part A)
* Received prior treatment with nivolumab (Phase 2 Part B)
* Concurrent anti-cancer therapy or any other interventional treatment or other interventional research trial
* History of prior malignancy within the past 3 years except adequately treated basal or squamous cell skin cancer, superficial bladder cancer or carcinoma in situ of the prostate, cervix or breast
* Symptomatic CNS metastasis or metastases
* Active GI disease that would impact absorption of cabozantinib
* Nephrotic range proteinuria at screening
* Evidence of pleural effusion, ascites etc that requires therapeutic intervention within 28 days prior to AVB-S6-500 administration
* Phase 2 Part A and Part B: Has had a major bleed in the last 3 months, uncontrolled hypertension despite treatment with antihypertensives or is not appropriate for treatment with cabozantinib in the Investigator's opinion
* Serious active infection requiring IV antibiotics and/or hospitalization at study entry
* Phase 2 Part B: Has active, known or suspected autoimmune disease, defined as requiring systemic treatment
* Active COVID-19, HIV, Hepatitis B or Hepatitis C virus.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Aravive, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of Maryland Greenebaum Comprehensive Cancer Center

Baltimore, Maryland, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

Karmanos Cancer Institute

Detroit, Michigan, United States

Site Status

Comprehensive Cancer Care of Nevada

Las Vegas, Nevada, United States

Site Status

Roswell Park Cancer Institute

Buffalo, New York, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

OU Health Stephenson Cancer Center

Oklahoma City, Oklahoma, United States

Site Status

University of Pennsylvania Abramson Cancer Center

Philadelphia, Pennsylvania, United States

Site Status

Allegheny Health Network

Pittsburgh, Pennsylvania, United States

Site Status

Hollings Cancer Center (HCC)

Charleston, South Carolina, United States

Site Status

Vanderbilt-Ingram Cancer Center (VICC)

Nashville, Tennessee, United States

Site Status

University of Texas Southwestern

Dallas, Texas, United States

Site Status

UT MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Froedtert Hospital and the Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

References

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Beckermann KE, Shah NJ, Campbell MT, Haas NB, Nelson A, Ornstein MC, Mao S, Keshava-Prasad HS, Hammers H, Gao X, Gourdin T, George S, Hoimes CJ, Hussain A, Jonasch E, Rini BI, Voss MH. Phase 1b/2 study of batiraxcept alone and in combination with cabozantinib with or without nivolumab for advanced clear cell renal cell carcinoma. Oncologist. 2025 Jun 4;30(6):oyaf138. doi: 10.1093/oncolo/oyaf138.

Reference Type DERIVED
PMID: 40549043 (View on PubMed)

Other Identifiers

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AVB500-RCC-003

Identifier Type: -

Identifier Source: org_study_id

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