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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 below
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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:
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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.
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I have hepatitis B or C.

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
This trial's timeline: 3 weeks for screening, Varies for treatment, and from date of initiation of treatment to death or when the patient is lost to follow up, approximately 25 months on average for reporting.

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 more

Side effects data

From 2019 Phase 2 trial • 13 Patients • NCT02129647
30%
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

Axitinib (Tyrosine Kinase Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT03172754 — Phase 1 & 2
Kidney Cancer Research Study Groups: Phase II patients: cohort 1, Phase I patients, Phase II patients: cohort 2
Kidney Cancer Clinical Trial 2023: Axitinib Highlights & Side Effects. Trial Name: NCT03172754 — Phase 1 & 2
Axitinib (Tyrosine Kinase Inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03172754 — Phase 1 & 2
~3 spots leftby Apr 2025