ENTRATA- A Randomized, Double-Blind, Placebo-Controlled Phase 2 Study Comparing CB-839 in Combination With Everolimus (CBE) vs. Placebo With Everolimus (PboE) in Patients With Advanced or Metastatic Renal Cell Carcinoma (RCC)
Condition: Clear Cell Renal Cell Carcinoma
Intervention:
- Drug: CB-839 plus everolimus
- Drug: Placebo plus everolimus
Purpose: Phase 2 Study Comparing CB-839 in Combination with Everolimus (CBE) vs. Placebo with Everolimus (PboE) in Patients with Advanced or Metastatic RCC
Study Type: Interventional
Clinical Trials Identifier NCT 8-digits: NCT03163667
Sponsor: Calithera Biosciences, Inc
Primary Outcome Measures:
- Measure: Progression Free Survival (PFS)
- Time Frame: 30 months
- Safety Issue:
Secondary Outcome Measures:
- Measure: Overall Survival (OS)
- Time Frame: 42 months
- Safety Issue:
Estimated Enrollment: 63
Study Start Date: July 1, 2017
Phase: Phase 2
Eligibility:
- Age: minimum 18 Years maximum N/A
- Gender: All
Inclusion Criteria:
- Karnofsky Performance Score (KPS) ≥ 70%
- Estimated Life Expectancy of at least 3 mo
- Documented histological or cytological diagnosis of renal cell carcinoma with a clear-cell component.
- Measurable Disease per RECIST 1.1 as determined by the Investigator
- Must have received at least two prior lines of systemic therapy, including at least one VEGFR-targeting TKI (e.g., sunitinib, sorafenib, pazopanib, cabozantinib) a) Radiographic progression of mRCC must have occurred (per investigator assessment) on or after the most recent systemic therapy and within 6 mo prior to C1D1.
- Prior treatment with other anti-cancer therapies including cytokines, monoclonal antibodies, immunotherapies, and cytotoxic chemotherapy is allowed
Exclusion Criteria:
- Prior treatment with mTOR inhibitors (everolimus or temsirolimus) or CB-839
- Receipt of any anticancer therapy within the following windows before randomization:
- TKI therapy within 2 weeks or 5 half-lives, whichever is longer
- Any type of anti-cancer antibody within 4 weeks
- Cytotoxic chemotherapy within 4 weeks
- Investigational therapy within 4 weeks or 5 half-lives, whichever is longer
- Radiation therapy for bone metastasis within 2 weeks, any other external radiation therapy within 4 weeks before randomization. Patients with clinically relevant ongoing complications from prior radiation therapy are not eligible.
- Unable to receive medications PO or any condition that may prevent adequate absorption of oral study medication
- Major surgery within 28 days prior to randomization
- Patients with active and/or untreated central nervous system (CNS) cancer are not eligible. Patients with treated brain metastasis must have 1) documented radiographic stability of at least 4 weeks duration demonstrated on baseline contrast-enhanced CNS imaging (eg contrast-enhanced MRI of the brain) prior to randomization and 2) must be symptomatically stable and off steroids for at least 2 weeks before randomization.
- Requirement for continued proton pump inhibitor after randomization
- Chronic treatment with corticosteroids or other immunosuppressive agents except (i) inhaled or topical steroids or replacement dose corticosteroids equivalent to ≤ 10 mg prednisone and (ii) patients receiving physiological doses of hydrocortisone for adrenal insufficiency
Locations:
- The University of Arizona Cancer Center
- Tucson Arizona 85724 United States
- Highlands Oncology Group
- Rogers Arkansas 72758 United States
- Los Angeles Hematology Oncology Medical Group
- Los Angeles California 90017 United States
- UCLA Department of Medicine – Hematology/Oncology
- Los Angeles California 90095 United States
- Stanford Cancer Center
- Stanford California 94305 United States
- Florida Cancer Specialists- South
- Fort Myers Florida 33901 United States
- Florida Cancer Specialists- North
- Saint Petersburg Florida 33705 United States
- University Cancer & Blood Center, LLC
- Athens Georgia 30607 United States
- Northwest Georgia Oncology Centers, P.C.
- Marietta Georgia 30060 United States
- St. Luke’s Mountain States Tumor Institute
- Boise Idaho 83712 United States
- Northwestern University
- Chicago Illinois 60611 United States
- Parkview Research Center
- Fort Wayne Indiana 46845 United States
- University of Iowa Hospitals and Clinics
- Iowa City Iowa 52242 United States
- Norton Cancer Institute, Norton Healthcare Pavilion
- Louisville Kentucky 40202 United States
- Ochsner Clinical Foundation
- New Orleans Louisiana 70121 United States
- Anne Arundel Medical Center Oncology and Hematology
- Annapolis Maryland 21401 United States
- University of Maryland, Greenebaum Comprehensive Cancer Center
- Baltimore Maryland 21201 United States
- Metro-Minnesota Community Oncology Research Consortium
- Saint Louis Park Minnesota 55416 United States
- Mercy Clinic Oncology & Hematology
- Joplin Missouri 64804 United States
- SCRI HCA Midwest
- Kansas City Missouri 64132 United States
- Washington University School of Medicine
- Saint Louis Missouri 63110 United States
- St. Vincent Frontier Cancer Center
- Billings Montana 59102 United States
- Comprehensive Cancer Centers of Nevada
- Las Vegas Nevada 89148 United States
- Montefiore Medical Center
- Bronx New York 10461 United States
- North Shore Hematology Oncology Associates PC DBA NY Cancer and Blood Specialists
- East Setauket New York 11733 United States
- NYU Winthrop Hospital – Cancer Clinical Trials Oncology/Hematology
- Mineola New York 11501 United States
- Memorial Sloan Kettering Cancer Center
- New York New York 10065 United States
- SUNY Upstate Medical University
- Syracuse New York 13210 United States
- University of Cincinnati Medical Center
- Cincinnati Ohio 45219 United States
- Ann B. Barshinger Cancer Institute / Lancaster General Hospital
- Lancaster Pennsylvania 17604 United States
- Monongahela Valley Hospital
- Monongahela Pennsylvania 15063 United States
- Charleston Hematology Oncology Associates,PA
- Charleston South Carolina 29414 United States
- UT/Erlanger Oncology & Hematology
- Chattanooga Tennessee 37403 United States
- Sarah Cannon Research Institute – Tennessee Oncology
- Nashville Tennessee 37203 United States
- The University of Texas MD Anderson Cancer Center
- Houston Texas 77030 United States
- Utah Cancer Specialists
- Salt Lake City Utah 84106 United States
- Wenatchee Valley Hospital and Clinics
- Wenatchee Washington 98801 United States
- University of Wisconsin Carbone Cancer Center
- Madison Wisconsin 53705 United States
View trial on ClinicalTrials.gov