Ph2 Study NKT2152 With Palbociclib & Sasanlimab in Subjects With Advanced Clear Cell Renal Cell Carcinoma (ccRcc)

NCT ID: NCT05935748

Last Updated: 2025-11-12

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

PHASE2

Total Enrollment

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-28

Study Completion Date

2025-09-04

Brief Summary

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The goal of the Lead-in phase of the study is to evaluate the safety, efficacy, pharmacokinetics (PK) and determine recommended dose for expansion (RDE) of NKT2152 in combination with palbociclib (Doublet) and with palbociclib and sasanlimab (Triplet) in subjects with advanced or metastatic clear cell renal cell carcinoma (ccRCC) who received prior therapy. The goal of the Expansion phase of the study is to evaluate the safety, efficacy, PK at the selected RDE and identify the RP2D for NKT2152 in combination with palbociclib (Doublet) and with palbociclib and sasanlimab (Triplet) in subjects with advanced or metastatic clear cell renal cell carcinoma (ccRCC) who received prior therapy.

Detailed Description

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This is a Phase 2 open-label, multicenter, global study of NKT2152. This study is designed as two phases: a Lead-in phase and an Expansion phase. Patients must be 18 years or older, with advanced or metastatic clear cell renal cell carcinoma (ccRCC). Eligible patients must have progressed or relapsed after at least 1 prior anti-vascular endothelial growth factor (VEGF)/VEGF receptor (VEGFR) systemic therapy and 1 immune checkpoint inhibitor (ICI) for advanced or metastatic ccRCC alone or in combination.

The Lead-in phase is designed as a dose escalation phase to evaluate the safety, efficacy, pharmacokinetics (PK) and determine recommended dose for expansion (RDE) of NKT2152 in combination with palbociclib and sasanlimab in advanced or metastatic ccRCC patients who received prior therapy.

The subsequent Expansion phase will evaluate the safety, efficacy, PK at the selected RDE and identify the RP2D for NKT2152 in combination with palbociclib and sasanlimab in advanced or metastatic ccRCC patients who received prior therapy.

Conditions

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ccRCC Clear Cell Renal Cell Carcinoma Kidney Cancer Kidney Neoplasms Renal Cancer Renal Neoplasms Recurrent Renal Cell Carcinoma Metastatic Renal Cell Carcinoma Refractory Renal Cell Carcinoma Advanced Renal Cell Carcinoma Carcinoma Neoplasms Carcinoma, Renal Cell Neoplasms, Glandular and Epithelial Neoplasm by Histology Adenocarcinoma Urologic Neoplasms Urogenital Neoplasms Neoplasms by Site Kidney Diseases Urologic Diseases

Keywords

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HIF2a Hypoxia-inducible factor 2alpha CDK4 inhibitor CDK6 inhibitor PD-1 immune checkpoint inhibitors

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Lead-in/Dose Escalation (doublet \& triplet combination) and Dose Expansion (doublet \& triplet combination)
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Randomization during Expansion phase

Study Groups

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Lead-in Doublet combination

Lead-in Doublet assesses safety of oral dosing NKT2152 at increasing dosage levels in combination with palbociclib to determine a recommended dose for expansion (RDE).

Group Type EXPERIMENTAL

NKT2152

Intervention Type DRUG

Oral HIF2a inhibitor

palbociclib

Intervention Type DRUG

a cyclin-dependent kinases (CDK) 4 and 6 inhibitor

Lead-in Triplet combination

Lead-in Triplet assesses the safety of two doses of NKT2152 identified in the Doublet arm (RDE and RDE-1) by orally dosing ccRCC patients with NKT2152 in combination with palbociclib and sasanlimab

Group Type EXPERIMENTAL

NKT2152

Intervention Type DRUG

Oral HIF2a inhibitor

palbociclib

Intervention Type DRUG

a cyclin-dependent kinases (CDK) 4 and 6 inhibitor

sasanlimab

Intervention Type OTHER

an immunoglobulin G4 (IgG4) monoclonal antibody that blocks PD-1; a solution for injection for subcutaneous administration

Expansion Doublet combination

Subjects randomized to Arm 1 will receive the Doublet combination (NKT2152 in combination with palbociclib) to provide an assessment of anti-tumor activity and to determine the RP2D.

Group Type EXPERIMENTAL

NKT2152

Intervention Type DRUG

Oral HIF2a inhibitor

palbociclib

Intervention Type DRUG

a cyclin-dependent kinases (CDK) 4 and 6 inhibitor

Expansion Triplet combination

Subjects randomized to Arm 2 will receive the Triplet therapy (NKT2152 in combination with palbociclib and sasanlimab) to provide an assessment of anti-tumor activity and to determine the RP2D.

Group Type EXPERIMENTAL

NKT2152

Intervention Type DRUG

Oral HIF2a inhibitor

palbociclib

Intervention Type DRUG

a cyclin-dependent kinases (CDK) 4 and 6 inhibitor

sasanlimab

Intervention Type OTHER

an immunoglobulin G4 (IgG4) monoclonal antibody that blocks PD-1; a solution for injection for subcutaneous administration

Interventions

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NKT2152

Oral HIF2a inhibitor

Intervention Type DRUG

palbociclib

a cyclin-dependent kinases (CDK) 4 and 6 inhibitor

Intervention Type DRUG

sasanlimab

an immunoglobulin G4 (IgG4) monoclonal antibody that blocks PD-1; a solution for injection for subcutaneous administration

Intervention Type OTHER

Other Intervention Names

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IBRANCE®

Eligibility Criteria

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Inclusion Criteria

* Must have locally advanced or metastatic ccRCC and have progressed or relapsed after at least 1 prior anti-VEGF/VEGFR systemic therapy and 1 ICI.
* Measurable disease per the Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1)
* KPS score of at least 70%
* Able to swallow oral medications.

Exclusion Criteria

* Active CNS metastases and/or carcinomatous meningitis
* Has had any major cardiovascular event within 6 months or clinically significant cardiovascular disease
* Major surgery (eg, GI surgery, removal or biopsy of brain metastasis) within 3 months before administration of study drug.
* Has known HIV
* History of hepatitis B or known active hepatitis C infection
* Has received prior treatment with NKT2152, other HIF2α inhibitors, other CDK 4/6 inhibitors, palbociclib, or sasanlimab
* Radiation therapy for bone metastasis within 2 weeks, or any other external radiation therapy within 4 weeks before administration of the first dose of study treatment
* Corrected QT interval calculated by Fridericia formula (QTcF) \> 480 ms within 28 days prior to first dose
* Hypoxia or requires intermittent or chronic supplemental oxygen or any chronic lung condition which has required supplemental oxygen in the past
* Has a history of interstitial lung disease
* Has any active or recent history of a known or suspected autoimmune disease
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role collaborator

NiKang Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of California San Diego

La Jolla, California, United States

Site Status

Northwestern University - Feinberg School of Medicine

Chicago, Illinois, United States

Site Status

Dana-Farber Cancer Institute

Boston, Massachusetts, United States

Site Status

University of Michigan-Rogel Cancer Center

Ann Arbor, Michigan, United States

Site Status

Nebraska Cancer Specialists

Omaha, Nebraska, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

UT Southwestern Medical Center

Dallas, Texas, United States

Site Status

University of Virginia Health System

Charlottesville, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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NKT2152-202

Identifier Type: -

Identifier Source: org_study_id