A Randomized, Double-Blind, Active-Control, Multicenter Phase 3 Trial of Casdatifan and Cabozantinib Versus Placebo and Cabozantinib in Patients With Advanced Clear Cell Renal Cell Carcinoma
Primary:
To compare PFS of casdatifan + cabozantinib versus placebo + cabozantinib in all
randomized patients.
Secondary:
To compare OS of casdatifan + cabozantinib versus placebo + cabozantinib in all
randomized patients.
To assess additional measures of clinical activity in all randomized patients.
To assess the safety and tolerability of casdatifan or placebo in combination with
cabozantinib in all patients treated.
To evaluate disease-related symptoms based on patient- reported outcomes using
National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index 19 Item Version (NFKSI-19) of casdatifan +
cabozantinib versus placebo + cabozantinib in all randomized patients.
Casdatifan
- RWJBarnabas Health
- Jersey City Medical Center, Jersey City
- Monmouth Medical Center
- Rutgers University
Inclusion Criteria: - Unresectable and measurable locally advanced or metastatic renal cell carcinoma with a primary clear cell component. - A Karnofsky Performance Status (KPS) score ≥ 80% - At least 1 target lesion measurable by computed tomography/magnetic resonance imaging per RECIST 1.1, not within a field of prior radiation therapy. - Adequate organ and marrow function, ≤ 72 hours prior to randomization. - Women of childbearing potential (WOCBP) must have a negative serum pregnancy test. Exclusion Criteria: - Received prior treatment with a HIF-2α inhibitor or cabozantinib. - Other prior malignancy active within the previous year except for locally curable cancers that have been apparently cured. - Clinically significant toxicities related to any prior anticancer treatment, or toxicities Grade ≥ 3 per National Cancer Institute Common Terminology Criteria for Adverse Events, version 5.0 (NCI CTCAE v5.0) regardless of relatedness to prior anticancer therapies. - Uncontrolled or poorly controlled hypertension, as defined by a sustained blood pressure > 140/90 mm Hg on more than three antihypertensives - History of leptomeningeal disease or spinal cord compression. NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Please note that we have obtained the inclusion and exclusion criteria information from the National Institutes of Health’s clinical trials web site ClinicalTrials.gov. The listed criteria may not necessarily reflect recent amendments to the protocol and the current criteria.
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