Efficacy and Safety of Fruquintinib in Combination With Sintilimab in Advanced Renal Cell Carcinoma (FRUSICA-2)

NCT ID: NCT05522231

Last Updated: 2025-01-03

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2/PHASE3

Total Enrollment

265 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-27

Study Completion Date

2025-03-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The study consists of two parts, the first part is a randomized, open-label, active-controlled study to evaluate the efficacy and safety of fruquintinib in combination with sintilimab versus axitinib or everolimus monotherapy as second-line treatment for locally advanced or metastatic renal cell carcinoma. The second part is a fruquintinib monotherapy factorial cohort study to evaluate the efficacy and safety of fruquintinib monotherapy as for second-line treatment of locally advanced or metastatic renal cell carcinoma.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

The target populations for this study were patients with histologically or cytologically confirmed, locally advanced/ metastatic renal cell carcinoma who progressed during or after or intolerant to previous first-line VEGFR-TKI therapy.

A total of about 249-264 patients are planned to be enrolled in the study, among whom about 234 patients are planned to be enrolled in the first part. The patients who are successfully enrolled will be randomly assigned into the investigational arm or the control arm in a 1:1 ratio. The enrollment of part 2 will be started after that of part 1 is completed. About 15\~30 patients are planned to be enrolled in the second part. The patients who are successfully enrolled will receive fruquintinib monotherapy.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Advanced Renal Cell Carcinoma

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Investigational arm

fruquintinib, 5 mg, QD, PO, 2 weeks on/1 week off, 3 weeks/cycle; sintilimab, 200 mg, IV infusion, Q3W, 3 weeks/cycle.

Group Type EXPERIMENTAL

fruquintinib+sintilimab

Intervention Type DRUG

fruquintinib, 5 mg, QD, PO, 2 weeks on/1 week off, 3 weeks/cycle; sintilimab, 200 mg, IV infusion, Q3W, 3 weeks/cycle.

Control arm (comparator)

axitinib, 5 mg, twice daily (BID), PO, 3 weeks/cycle, dose escalation will be at the investigator 's discretion ;Everolimus, 10 mg, QD, PO, 3 weeks/cycle.

Group Type ACTIVE_COMPARATOR

axitinib / everolimus

Intervention Type DRUG

axitinib, 5 mg, twice daily (BID), PO, 3 weeks/cycle, dose escalation will be at the investigator 's discretion based on clinical; everolimus, 10 mg, QD, PO, 3 weeks/cycle.

Fruquintinib monotherapy factorial study

fruquintinib, 5 mg, QD, PO, 3 weeks on/ 1 week off, 4 weeks/cycle.

Group Type OTHER

fruquintinib

Intervention Type DRUG

fruquintinib, 5 mg, QD, PO, 3 weeks on/ 1 week off, 4 weeks/cycle.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

fruquintinib+sintilimab

fruquintinib, 5 mg, QD, PO, 2 weeks on/1 week off, 3 weeks/cycle; sintilimab, 200 mg, IV infusion, Q3W, 3 weeks/cycle.

Intervention Type DRUG

axitinib / everolimus

axitinib, 5 mg, twice daily (BID), PO, 3 weeks/cycle, dose escalation will be at the investigator 's discretion based on clinical; everolimus, 10 mg, QD, PO, 3 weeks/cycle.

Intervention Type DRUG

fruquintinib

fruquintinib, 5 mg, QD, PO, 3 weeks on/ 1 week off, 4 weeks/cycle.

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

HMPL-013 + IBI308 HMPL-013

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

1. 18 to 75 (inclusive) years of age on the date when ICF was signed;
2. Histologically or cytologically confirmed renal clear cell carcinoma;
3. Patients with locally advanced/metastatic renal carcinoma;
4. Patients with renal carcinoma who progressed during or after or intolerant to previous first-line VEGFR-TKI therapy for advanced/metastatic disease;
5. At least 1 measurable lesion according to RECIST 1.1;
6. ECOG PS of 0 or 1;
7. Adequate organ function.

Exclusion Criteria

1. Had previously received therapy targeting immune modulatory receptors or related pathways (including but not limited to therapy targeting PD-1, CTLA-4, IDO, PD-L1, LAG-3, TIGIT, IL-2R and GITR, etc, but excluding related cytokine therapy such as IL2), excluding patients who had received immunotherapy such as anti-PD- (L) 1 antibody in adjuvant/neoadjuvant therapy setting and did not progress within 6 months after discontinuation;
2. Receiving approved systemic anti-tumor therapy within 2 weeks prior to the first dose;
3. Toxicities caused by prior anti-tumor therapy before the first dose that did not recover to Grade 0 or 1 per the NCI CTCAE v5.0 or to the level specified in the enrollment criteria (excluding alopecia and peripheral neurotoxicity ≤ CTCAE Grade 2);
4. Immunosuppression medication within 4 weeks prior to randomization;
5. Patients with active autoimmune or inflammatory diseases;
6. Known central nervous system (CNS) metastasis;
7. History of pneumonitis requiring corticosteroid therapy, or history of or current interstitial lung disease, or current active pulmonary infection, etc.;
8. Toxicities caused by prior anti-tumor therapy before the first dose that did not recover to Grade 0 or 1 per the National Cancer Institute Common Terminology Criteria for Adverse events (NCI CTCAE) v5.0 or to the level specified in the enrollment criteria (excluding alopecia and peripheral neurotoxicities ≤CTCAE Grade 2 caused by platinum-based chemotherapy; thyroid dysfunction with stable disease control after symptomatic treatment);
9. Human Immunodeficiency Virus (HIV) Infection (HIV 1/2 Antibody positive);
10. Uncontrolled hypertension despite standard therapy;
11. Patient with evidence or history of haemorrhagic tendency within 2 months prior to the first dose, regardless of severity.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Hutchmed

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Dingwei Ye

Role: PRINCIPAL_INVESTIGATOR

Fudan University

Zhi Song He

Role: PRINCIPAL_INVESTIGATOR

Peking University First Hospital

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Beijing Chao-Yang Hospital, Capital Medical University

Beijing, , China

Site Status

Cancer Hospital Chinese Academy of Medical Sciences

Beijing, , China

Site Status

Peking Union Medical College Hospital

Beijing, , China

Site Status

Peking University First Hospital

Beijing, , China

Site Status

Peking University Third Hospital

Beijing, , China

Site Status

The First Affiliated Hospital of Bengbu Medical College

Bengbu, , China

Site Status

The First Hospital of Jilin University

Changchun, , China

Site Status

Hunan Cancer Hospital

Changsha, , China

Site Status

Xiangya Hospital Central South University

Changsha, , China

Site Status

Sichuan Provincial People's Hospital

Chengdu, , China

Site Status

West China Hospital of Sichuan University

Chengdu, , China

Site Status

Chongqing University Cancer Hospital

Chongqing, , China

Site Status

The First Affilated Hospital of Fujian Medical University

Fuzhou, , China

Site Status

Sun Yat-sen Memorial Hospital, Sun Yat-sen University

Guangzhou, , China

Site Status

Sun Yat-sen University Cancer Center

Guangzhou, , China

Site Status

The First Affiliated Hospital, Sun Yat-sen University

Guangzhou, , China

Site Status

The First Affiliated Hospital, Zhejiang University

Hangzhou, , China

Site Status

Harbin Medical University Cancer Hospital

Ha’erbin, , China

Site Status

Anhui Provincial Hospital

Hefei, , China

Site Status

The First Affiliated Hospital of Anhui Medical University

Hefei, , China

Site Status

Qilu Hospital of Shandong University

Jinan, , China

Site Status

Shandong Cancer Hospital & Institute

Jinan, , China

Site Status

Yunnan Cancer Hospital

Kunming, , China

Site Status

Lanzhou University Second Hospital

Lanzhou, , China

Site Status

The First Affiliated Hospital of Nanchang University

Nanchang, , China

Site Status

Jiangsu Cancer Hospital

Nanjing, , China

Site Status

Jiangsu Province Hospital

Nanjing, , China

Site Status

Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School

Nanjing, , China

Site Status

Guangxi Medical University Cancer Hospital

Nanning, , China

Site Status

Nantong Tumor Hospital

Nantong, , China

Site Status

The Affiliated Hospital of Qingdao University

Qingdao, , China

Site Status

Fudan University Shanghai Cancer Center

Shanghai, , China

Site Status

Renji Hospital,Shanghai Jiaotong University School of Medicine

Shanghai, , China

Site Status

Ruijin Hospital, Shanghai Jiaotong University School of Medicine

Shanghai, , China

Site Status

Shanghai General Hospital

Shanghai, , China

Site Status

Zhongshan Hospital Fudan University

Shanghai, , China

Site Status

Liaoning Cancer Hospital & Institution

Shenyang, , China

Site Status

The First Hospital of China Medical University

Shenyang, , China

Site Status

The Second Hospital of Tianjin Medical University

Tianjin, , China

Site Status

Tianjin Medical University Cancer Institute & Hospital

Tianjin, , China

Site Status

The First Affiliated Hospital of Wenzhou medical university

Wenzhou, , China

Site Status

Tongji Hospital Tongji Medical College of HUST

Wuhan, , China

Site Status

Wuhan Union Hospital of China

Wuhan, , China

Site Status

The Second Affiliated Hospital of Xi'an Jiaotong University (Xibei Hosiptal)

Xi'an, , China

Site Status

The First Affiliated Hospital of Xiamen University

Xiamen, , China

Site Status

Henan Cancer Hospital

Zhengzhou, , China

Site Status

Henan Provincial People's Hospital

Zhengzhou, , China

Site Status

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, , China

Site Status

Countries

Review the countries where the study has at least one active or historical site.

China

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2022-013-00CH1

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.