Phase 2
Completed N=35
A Phase 2 Study of Cabozantinib in Japanese Participants With Advanced Renal Cell Carcinoma
Source: ClinicalTrials.gov NCT03339219 ↗Enrolled (actual)
35
Serious AEs
42.9%
Results posted
Sep 2021
Primary outcomePrimary: Objective Response Rate (ORR) — 25.7 percentage of participants
Summary
The purpose of this study is to evaluate the efficacy of cabozantinib measured by Independent Radiology Committee (IRC)-assessed objective response rate (ORR) in Japanese participants with advanced renal cell carcinoma (RCC) that has progressed after prior vascular endothelial growth factor receptor (VEGFR) tyrosine kinase inhibitor (TKI) therapy.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Objective Response Rate (ORR) |
25.7 | — |
| SECONDARY Clinical Benefit Rate (CBR) |
85.7 | — |
| SECONDARY Progression-Free Survival (PFS) |
11.1 | — |
| SECONDARY Overall Survival (OS) |
NA | — |
| SECONDARY Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs) |
100.0 | — |
| SECONDARY Percentage of Participants With Grade 3 or Higher TEAEs |
82.9 | — |
| SECONDARY Percentage of Participants With Serious TEAEs |
42.9 | — |
| SECONDARY Percentage of Participants With TEAEs Leading to Permanent Treatment Discontinuation |
17.1 | — |
| SECONDARY Percentage of Participants With TEAEs Leading to Dose Modification (Dose Reduction or Interruption) |
88.6; 80.0 | — |
| SECONDARY Percentage of Participants With Clinically Significant Abnormal Laboratory Values |
17.1; 5.7; 2.9; 34.3; 20.0; 2.9 | — |
| SECONDARY Percentage of Participants With Clinically Significant Abnormal Vital Sign |
2.9; 11.8; 64.7; 20.6; 37.1 | — |
Eligibility Criteria
Inclusion Criteria
- Male or female Japanese participants 20 years of age or older on the day of consent.
- Documented histological or cytological diagnosis of renal cell carcinoma (RCC) with a clear-cell component.
- Measurable disease per RECIST 1.1 as determined by the investigator.
- Must have received at least one VEGFR-targeting TKI (eg, sorafenib, sunitinib, axitinib, pazopanib or tivozanib).
- For the most recently received VEGFR-targeting TKI the following criteria must apply:
- Must have radiographically progressed during treatment, or been treated for at least 4 weeks and radiographically progressed within 6 months after the last dose.
Radiographic progression is defined as unequivocal progression of existing tumor lesions or developing new tumor lesions as assessed by the investigator on computerized tomography (CT) or magnetic resonance imaging (MRI) scans.
- The last dose must have been within 6 months before the first day of study drug administration (Week 1 Day 1).
- Recovery to baseline or ≤Grade 1 Common Terminology Criteria for Adverse Events (CTCAE) Version 4.03 from toxicities related to any prior treatments, unless AE(s) are clinically nonsignificant and/or stable on supportive therapy.
- Karnofsky Performance Status (KPS) score of ≥70%.
- Adequate organ and marrow function at Screening.
Exclusion Criteria
- Prior treatment with everolimus, or any other specific or selective target of rapamycin complex 1/phosphoinositide 3-kinase/AKT inhibitor (eg, temsirolimus), or cabozantinib.
- Receipt of any type of small-molecule kinase inhibitor (including investigational kinase inhibitor) within 14 days before Week 1 Day 1.
- Receipt of any type of anticancer antibody (including investigational antibody) within 28 days before Week 1 Day 1.
- Radiation therapy for bone metastasis within 14 days, and/or any other external radiation therapy within 28 days before Week 1 Day 1. Systemic treatment with radionuclides within 42 days before Week 1 Day 1.
Participants with clinically relevant ongoing complications from prior radiation therapy are not eligible.
Data sourced from ClinicalTrials.gov (NCT03339219). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.