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Monoclonal Antibodies
Savolitinib + Durvalumab vs. Sunitinib for Kidney Cancer (SAMETA Trial)
Phase 3
Recruiting
Led By Toni Choueiri
Research Sponsored by AstraZeneca
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
No prior systemic anti-cancer treatment in the metastatic setting; no prior exposure to MET inhibitors, Durvalumab or Sunitinib in any setting
PRCC must be centrally confirmed as MET-driven using a sponsor-designated central laboratory validated NGS assay
Must not have
History of liver cirrhosis of any origin and clinical stage; or history of other serious liver disease or chronic disease with relevant liver involvement, with or without normal LFTs
Active or prior documented autoimmune or inflammatory disorders
Timeline
Screening 3 weeks
Treatment Varies
Follow Up approximately 28 months and 42 months post first subject randomized
Awards & highlights
Pivotal Trial
No Placebo-Only Group
Summary
This trial is testing a new drug combo vs. an existing drug to see which is more effective in treating a particular type of kidney cancer.
Who is the study for?
This trial is for adults with MET-driven, unresectable and locally advanced or metastatic Papillary Renal Cell Carcinoma (PRCC). Participants must have measurable lesions, good organ/bone marrow function, a life expectancy of at least 12 weeks, no prior cancer treatments in the metastatic setting or exposure to the drugs being tested. They should not have serious liver disease, brain metastases unless stable and asymptomatic, significant heart issues within the past 6 months, active infections like HIV/TB/HBV/HCV or autoimmune/inflammatory disorders.
What is being tested?
The study compares savolitinib combined with durvalumab against sunitinib alone and durvalumab alone in patients with PRCC that's driven by MET gene changes. The goal is to see which combination works better for this type of kidney cancer that can't be removed by surgery.
What are the potential side effects?
Potential side effects include immune-related reactions due to durvalumab affecting organs like lungs or intestines; high blood pressure and fatigue from sunitinib; and liver issues from savolitinib. Side effects vary per individual based on their health condition.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I haven't had any cancer treatment in the metastatic stage or been treated with MET inhibitors, Durvalumab, or Sunitinib.
Select...
My PRCC is confirmed to be MET-driven by a specific lab test.
Select...
I am able to care for myself but may not be able to do active work.
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My kidney cancer cannot be surgically removed and has spread.
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I have at least one tumor that can be measured and has not been treated with radiation.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have a history of serious liver disease or cirrhosis.
Select...
I have or had an autoimmune or inflammatory disorder.
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I have heart issues or take medication that affects my heart's rhythm.
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I do not have an active infection like HIV, TB, hepatitis B, or hepatitis C.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ approximately 28 months and 42 months post first subject randomized
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~approximately 28 months and 42 months post first subject randomized
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Progression-Free Survival (PFS) /savolitinib plus durvalumab relative to sunitinib
Secondary study objectives
Assessment of patient-reported symptoms, functioning, and HRQoL /savolitinib plus durvalumab relative to sunitinib
Disease Control Rate (DCR) at 24 and 48 weeks /savolitinib plus durvalumab relative to sunitinib
Duration of Response (DoR) / savolitinib plus durvalumab relative to durvalumab monotherapy
+10 moreAwards & Highlights
Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
3Treatment groups
Experimental Treatment
Active Control
Group I: Arm CExperimental Treatment1 Intervention
durvalumab 1500mg
Group II: Arm AExperimental Treatment2 Interventions
savolitinib 600mg plus durvalumab 1500mg
Group III: Arm BActive Control1 Intervention
sunitinib 50mg
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
savolitinib
2014
Completed Phase 2
~1000
durvalumab
2017
Completed Phase 2
~280
Find a Location
Who is running the clinical trial?
AstraZenecaLead Sponsor
4,400 Previous Clinical Trials
289,122,513 Total Patients Enrolled
Toni ChoueiriPrincipal InvestigatorDana-Farber Cancer Institute
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have a history of serious liver disease or cirrhosis.I have or had an autoimmune or inflammatory disorder.My brain or spinal tumors are stable and I've been symptom-free for at least 14 days.I haven't had any cancer treatment in the metastatic stage or been treated with MET inhibitors, Durvalumab, or Sunitinib.My PRCC is confirmed to be MET-driven by a specific lab test.I have heart issues or take medication that affects my heart's rhythm.I am able to care for myself but may not be able to do active work.I have not received a live vaccine in the last 30 days.You are expected to live for at least 12 weeks from the start of the trial.My kidney cancer cannot be surgically removed and has spread.My organs and bone marrow are working well.I have at least one tumor that can be measured and has not been treated with radiation.I do not have an active infection like HIV, TB, hepatitis B, or hepatitis C.
Research Study Groups:
This trial has the following groups:- Group 1: Arm B
- Group 2: Arm A
- Group 3: Arm C
Awards:
This trial has 2 awards, including:- Pivotal Trial - The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
- 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.
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