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Tyrosine Kinase Inhibitor
Nivolumab + Axitinib for Kidney Cancer
Phase 1 & 2
Waitlist Available
Research Sponsored by Fox Chase Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Age > 18 years
Histologically or cytologically confirmed advanced RCC with predominantly clear cell subtype
Must not have
Patients with active, symptomatic brain metastases or leptomeningeal metastases
Patients with a condition requiring systemic treatment with corticosteroids or other immunosuppressive medications within 14 days of study drug administration
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from date of initiation of treatment to death or when the patient is lost to follow up, approximately 25 months on average
Awards & highlights
No Placebo-Only Group
Summary
This trial is testing a combination of drugs to treat advanced renal cell carcinoma in both previously treated and untreated patients. The first part of the trial will establish a safe and tolerable dose, and the second part will test the efficacy of the combination at that dose.
Who is the study for?
Adults over 18 with advanced kidney cancer, specifically clear cell renal cell carcinoma. Participants can be new to treatment or have had previous therapy but must have measurable cancer lesions and good organ function. They should not have uncontrolled high blood pressure, autoimmune diseases, recent major surgery or radiation, active infections like HIV/HBV/HCV, or be pregnant.
What is being tested?
The study is testing the combination of Nivolumab (an immunotherapy drug) and Axitinib (a medication that inhibits blood vessel growth in tumors) in patients with advanced kidney cancer. It includes a Phase I part to find safe doses and a Phase II part to test effectiveness in both new and previously treated patients.
What are the potential side effects?
Possible side effects include immune-related reactions affecting organs, high blood pressure due to Axitinib, fatigue, liver issues especially if combined with other hepatotoxic drugs, bleeding disorders might worsen; specific allergies to components of the drugs are also concerns.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am older than 18 years.
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My kidney cancer is mainly of the clear cell type.
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I am fully active or can carry out light work.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have active brain or spinal cord cancer symptoms.
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I haven't taken steroids or immunosuppressants in the last 14 days.
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I have no major issues with my digestive system.
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I have been diagnosed with an immune system disorder.
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I haven't had major surgery in the last 4 weeks or radiation therapy in the last 2 weeks.
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I am currently receiving treatment for another cancer.
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I am using or might need strong CYP3A4/5 inducer drugs.
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I have been diagnosed with HIV/AIDS.
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I haven't had cancer treatment or radiation in the last 14 days.
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I have been treated with axitinib before.
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I am using or might need strong CYP3A4/5 inhibitors.
Select...
I have hepatitis B or C.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ from date of initiation of treatment to death or when the patient is lost to follow up, approximately 25 months on average
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from date of initiation of treatment to death or when the patient is lost to follow up, approximately 25 months on average
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Incidence of treatment-related adverse events
Overall response rate (ORR)
Secondary study objectives
Duration of response (DOR)
Overall survival (OS)
PD-L1 expression on tumor biospecimens
+4 moreSide effects data
From 2019 Phase 2 trial • 13 Patients • NCT0212964730%
Mucositis
10%
Fatigue
10%
Rash
10%
nausea
100%
80%
60%
40%
20%
0%
Study treatment Arm
Axitinib
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
3Treatment groups
Experimental Treatment
Group I: Phase II patients: cohort 2Experimental Treatment2 Interventions
Phase II cohort 2 patients must not have received prior systemic therapy for advanced RCC.
Group II: Phase II patients: cohort 1Experimental Treatment2 Interventions
Phase II cohort 1 patients must have received at least 1 prior tyrosine kinase inhibitor for RCC.
Group III: Phase I patientsExperimental Treatment2 Interventions
Phase I patients must have received at least 1 prior tyrosine kinase inhibitor for RCC.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Nivolumab
2015
Completed Phase 3
~4010
Axitinib
2020
Completed Phase 2
~3050
Find a Location
Who is running the clinical trial?
Fox Chase Cancer CenterLead Sponsor
234 Previous Clinical Trials
39,275 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have active brain or spinal cord cancer symptoms.My bone marrow, kidney, and liver are functioning well.I haven't taken steroids or immunosuppressants in the last 14 days.I have no major issues with my digestive system.You have a wound that is not healing properly.I am aware that my treatment may affect my liver.I am older than 18 years.I have received specific treatments for my metastatic disease or was treated with high dose interleukin-2.I have advanced kidney cancer and haven't received any systemic therapy for it.I have had heart problems in the last year.I have been diagnosed with an immune system disorder.I have had a blood clot in my veins or lungs in the last 6 months.I haven't had major surgery in the last 4 weeks or radiation therapy in the last 2 weeks.I have an autoimmune disease, but it's not one of the exceptions listed.I am currently receiving treatment for another cancer.I am using or might need strong CYP3A4/5 inducer drugs.If there are stored tumor samples, they will be used for further testing. If there are no stored samples, you can still participate in the study.I haven't had significant bleeding or a bleeding disorder in the last 30 days.You have at least one specific type of visible abnormality that can be measured according to a particular set of guidelines.I have been diagnosed with HIV/AIDS.My kidney cancer is mainly of the clear cell type.Your high blood pressure is not under control.I haven't had cancer treatment or radiation in the last 14 days.I can provide tissue samples from a cancer spread site for testing.I have been treated with axitinib before.I am fully active or can carry out light work.I am using or might need strong CYP3A4/5 inhibitors.I have hepatitis B or C.
Research Study Groups:
This trial has the following groups:- Group 1: Phase II patients: cohort 1
- Group 2: Phase I patients
- Group 3: Phase II patients: cohort 2
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.