A Study to Investigate the Efficacy and Safety of Volrustomig ± Casdatifan vs Nivolumab + Ipilimumab as 1L Treatment for Advanced ccRCC

Sponsor: AstraZeneca

Sponsor score: 40
Inactive

ClinicalTrials ID:NCT07000149

Patient View

This Phase Ib/III study evaluates volrustomig ± casdatifan vs. nivolumab + ipilimumab for advanced ccRCC. Phase Ib determines volrustomig's RP3D. Eligibility includes confirmed advanced ccRCC, no prior 1L systemic therapy, and measurable lesions. Interventions involve IV volrustomig, oral casdatifan, and IV nivolumab and ipilimumab.

Patient Parameters

Program Overview

This is a Phase Ib/III, randomized, multicenter, global study evaluating the efficacy and safety of volrustomig in combination with casdatifan for the first-line (1L) treatment of participants with advanced clear cell renal cell carcinoma (ccRCC).

Description

The primary purpose of this study is to determine the recommended Phase III dose (RP3D) of volrustomig and measure the efficacy and safety of volrustomig in combination with casdatifan compared with nivolumab plus ipilimumab in participants with advanced ccRCC (as 1L treatment).

The study comprises of 2 parts -

In Phase 1b part of the study, participants will be randomized in a 1:1 ratio to receive either dose 1 or dose 2 of volrustomig in combination with casdatifan.

In Phase III part of the study, participants will be randomized in 1:1:1 to receive either Volrustomig (at the dose to be determined in the Phase Ib) in combination with casdatifan, volrustomig monotherapy or standard of care (nivolumab plus ipilimumab).

Eligibility Criteria

Inclusion Criteria

  • Histologically or cytologically confirmed RCC with clear cell component.
  • Advanced/metastatic RCC or recurrent disease that has not previously been treated with systemic therapy in the 1L setting.
  • Karnofsky Performance Status ≥ 70%.
  • Provision of acceptable tumor sample.
  • At least one lesion that can be accurately measured at baseline as ≥ 10 mm in the longest diameter (except lymph nodes, which must have short axis ≥ 15 mm) with computed tomography (CT) or magnetic resonance imaging (MRI) and is suitable for accurate repeated measurements.

Exclusion Criteria

  • History of leptomeningeal disease or spinal cord compression.
  • Symptomatic brain metastases.
  • Medical history of severe chronic obstructive pulmonary disease.
  • Active or prior documented autoimmune or inflammatory disorders.
  • Prior systemic therapy for advanced/metastatic RCC. Note - Other inclusion and exclusion criteria may apply as stated in the protocol.

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