Renal Cell Carcinoma
Conditions
Keywords
renal, cell, renal carcinoma, metastatic, recurrent, treatment naive
Brief summary
* Multi-Center * Randomized * Open-Label Study of single agent IMO-2055 * Patients who have Metastatic or Locally Recurrent Clear Cell Renal Carcinoma (RCC)
Detailed description
This is a study of 2 dose levels (0.16 or 0.64 mg/kg) of IMO-2055 administered by weekly subcutaneous (SC) injections in two patient populations, treatment naïve or previously treated patients. Each dose group (treatment naive or previously treated) will be randomized to receive one of the 2 doses being studied.
Interventions
immunostimulatory oligonucleotide
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically confirmed stage IV clear cell renal carcinoma with metastatic or locally recurrent disease that is not surgically resectable. * At least one measurable lesion * Adequate organ function * Any prior treatment of renal cell cancer was concluded at least 4 weeks prior. * If female and of childbearing potential, a negative serum pregnancy test performed and documented no more than 14 days before the first dose of study drug.
Exclusion criteria
* Known untreated central nervous system (CNS) metastasis * Pre-existing autoimmune or antibody-mediated diseases * Other significant medical disease.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Best Response by RECIST v1.0 | From start of treatment every 8 weeks (every 2 cycles), 1 month post-treatment, then every 3 months (up to 1 year) until documented disease progression or initiation of an alternative therapeutic treatment regimen. | Best overall objective (i.e., radiological) response by RECIST v1.0 for target lesions: Complete Response (CR): Disappearance of all target lesions; Partial Response (PR): At least a 30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR in patients with clear cell metastatic or locally recurrent renal cell carcinoma treated with IMO-2055. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/Severity | From start of treatment through one month after the end of study visit (up to 28 weeks) | Number of patients with Treatment-emergent adverse events (TEAEs) by National Cancer Institute (NCI) grade/severity that began on or after the date of the first injection of study drug or worsened in severity or frequency after study drug was administered. |
| Duration of Response by RECIST v1.0 | Every 8 weeks (2 cycles) from first response to documented disease progression during treatment, 1 month post-treatment, then every 3 months (up to 1 year) until documented disease progression or initiation of an alternative therapeutic treatment regimen. | Time in days from the date of the first response by RECIST v1.0 to documented disease progression or death from any cause. |
| Overall Survival at 1 Year | From date of randomization until the date of progression or date of death from any cause, whichever came first, asses up to 1 year after the last dose of study drug. | Overall survival is defined as (date of death +1 - date of randomization). Patients without an event (death) during treatment or follow-up will have their date censored on the last visit the patient was known to be alive. |
| Time to Disease Progression. | Every 8 weeks (2 cycles) during the study and every 3 months for 1 year until documented disease progression | Time between the date of randomization to the Study Day of documented disease progression (an increase in tumor burden of at least 20%, appearance of new lesions, or unequivocal progression of non-measurable disease) or death (whichever comes first) by RECIST v1.0. Patients who had not progressed at last disease assessment, but whose progression status was unknown at the date last known alive, date of death, or date of study exit (whichever comes first), had event time censored at the date of last assessment. Patients who did not die and did not progress during treatment or follow-up had their event time censored on the last contact date. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Previous Treatment, 0.16mg/kg Patients will have clear cell renal carcinoma with previous treatment. Patients will receive weekly SC injections of IMO-2055 at a dose of 0.16mg/kg
IMO-2055: immunostimulatory oligonucleotide | 23 |
| Previous Treatment, 0.64mg/kg Patients will have clear cell renal carcinoma with previous treatment. Patients will receive weekly SC injections of IMO-2055 at a dose of 0.64mg/kg
IMO-2055: immunostimulatory oligonucleotide | 21 |
| Treatment Naive, 0.16mg/kg Patients will have clear cell renal carcinoma without previous treatment. Patients will receive weekly SC injections of IMO-2055 at a dose of 0.16mg/kg
IMO-2055: immunostimulatory oligonucleotide | 22 |
| Treatment Naive, 0.64mg/kg Patients will have clear cell renal carcinoma without previous treatment. Patients will receive weekly SC injections of IMO-2055 at a dose of 0.64mg/kg
IMO-2055: immunostimulatory oligonucleotide | 23 |
| Total | 89 |
Baseline characteristics
| Characteristic | Previous Treatment, 0.16mg/kg | Previous Treatment, 0.64mg/kg | Treatment Naive, 0.16mg/kg | Treatment Naive, 0.64mg/kg | Total |
|---|---|---|---|---|---|
| Age, Continuous | 60.1 Years STANDARD_DEVIATION 10.6 | 59.2 Years STANDARD_DEVIATION 10.3 | 65.6 Years STANDARD_DEVIATION 9.4 | 60.6 Years STANDARD_DEVIATION 12 | 61.4 Years STANDARD_DEVIATION 10.7 |
| Sex: Female, Male Female | 10 Participants | 2 Participants | 11 Participants | 8 Participants | 31 Participants |
| Sex: Female, Male Male | 13 Participants | 19 Participants | 11 Participants | 15 Participants | 58 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 23 | 1 / 23 | 1 / 23 | 1 / 23 |
| other Total, other adverse events | 23 / 23 | 23 / 23 | 21 / 23 | 22 / 23 |
| serious Total, serious adverse events | 6 / 23 | 10 / 23 | 5 / 23 | 8 / 23 |
Outcome results
Best Response by RECIST v1.0
Best overall objective (i.e., radiological) response by RECIST v1.0 for target lesions: Complete Response (CR): Disappearance of all target lesions; Partial Response (PR): At least a 30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR in patients with clear cell metastatic or locally recurrent renal cell carcinoma treated with IMO-2055.
Time frame: From start of treatment every 8 weeks (every 2 cycles), 1 month post-treatment, then every 3 months (up to 1 year) until documented disease progression or initiation of an alternative therapeutic treatment regimen.
Population: ITT Population
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Previous Treatment, 0.16mg/kg | Best Response by RECIST v1.0 | 0 Participants |
| Previous Treatment, 0.64mg/kg | Best Response by RECIST v1.0 | 1 Participants |
| Treatment Naive, 0.16mg/kg | Best Response by RECIST v1.0 | 0 Participants |
| Treatment Naive, 0.64mg/kg | Best Response by RECIST v1.0 | 1 Participants |
Duration of Response by RECIST v1.0
Time in days from the date of the first response by RECIST v1.0 to documented disease progression or death from any cause.
Time frame: Every 8 weeks (2 cycles) from first response to documented disease progression during treatment, 1 month post-treatment, then every 3 months (up to 1 year) until documented disease progression or initiation of an alternative therapeutic treatment regimen.
Population: Participants with reported response as reflected in Outcome Measure 1
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Previous Treatment, 0.64mg/kg | Duration of Response by RECIST v1.0 | 179 Days |
| Treatment Naive, 0.64mg/kg | Duration of Response by RECIST v1.0 | 52 Days |
Number of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/Severity
Number of patients with Treatment-emergent adverse events (TEAEs) by National Cancer Institute (NCI) grade/severity that began on or after the date of the first injection of study drug or worsened in severity or frequency after study drug was administered.
Time frame: From start of treatment through one month after the end of study visit (up to 28 weeks)
Population: Safety Population
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Previous Treatment, 0.16mg/kg | Number of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/Severity | Patients with at least 1 TEAE | 23 Participants |
| Previous Treatment, 0.16mg/kg | Number of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/Severity | Patients with at least 1 serious TEAE | 6 Participants |
| Previous Treatment, 0.16mg/kg | Number of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/Severity | Patients with at least 1 severe (Grade+) TEAE | 9 Participants |
| Previous Treatment, 0.16mg/kg | Number of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/Severity | Patients with a TEAE related to treatment | 21 Participants |
| Previous Treatment, 0.64mg/kg | Number of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/Severity | Patients with at least 1 serious TEAE | 10 Participants |
| Previous Treatment, 0.64mg/kg | Number of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/Severity | Patients with at least 1 severe (Grade+) TEAE | 14 Participants |
| Previous Treatment, 0.64mg/kg | Number of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/Severity | Patients with at least 1 TEAE | 23 Participants |
| Previous Treatment, 0.64mg/kg | Number of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/Severity | Patients with a TEAE related to treatment | 22 Participants |
| Treatment Naive, 0.16mg/kg | Number of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/Severity | Patients with a TEAE related to treatment | 16 Participants |
| Treatment Naive, 0.16mg/kg | Number of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/Severity | Patients with at least 1 TEAE | 21 Participants |
| Treatment Naive, 0.16mg/kg | Number of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/Severity | Patients with at least 1 severe (Grade+) TEAE | 6 Participants |
| Treatment Naive, 0.16mg/kg | Number of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/Severity | Patients with at least 1 serious TEAE | 5 Participants |
| Treatment Naive, 0.64mg/kg | Number of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/Severity | Patients with at least 1 severe (Grade+) TEAE | 11 Participants |
| Treatment Naive, 0.64mg/kg | Number of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/Severity | Patients with at least 1 TEAE | 22 Participants |
| Treatment Naive, 0.64mg/kg | Number of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/Severity | Patients with at least 1 serious TEAE | 8 Participants |
| Treatment Naive, 0.64mg/kg | Number of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/Severity | Patients with a TEAE related to treatment | 19 Participants |
Overall Survival at 1 Year
Overall survival is defined as (date of death +1 - date of randomization). Patients without an event (death) during treatment or follow-up will have their date censored on the last visit the patient was known to be alive.
Time frame: From date of randomization until the date of progression or date of death from any cause, whichever came first, asses up to 1 year after the last dose of study drug.
Population: ITT Population
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Previous Treatment, 0.16mg/kg | Overall Survival at 1 Year | 15 Participants |
| Previous Treatment, 0.64mg/kg | Overall Survival at 1 Year | 14 Participants |
| Treatment Naive, 0.16mg/kg | Overall Survival at 1 Year | 14 Participants |
| Treatment Naive, 0.64mg/kg | Overall Survival at 1 Year | 15 Participants |
Time to Disease Progression.
Time between the date of randomization to the Study Day of documented disease progression (an increase in tumor burden of at least 20%, appearance of new lesions, or unequivocal progression of non-measurable disease) or death (whichever comes first) by RECIST v1.0. Patients who had not progressed at last disease assessment, but whose progression status was unknown at the date last known alive, date of death, or date of study exit (whichever comes first), had event time censored at the date of last assessment. Patients who did not die and did not progress during treatment or follow-up had their event time censored on the last contact date.
Time frame: Every 8 weeks (2 cycles) during the study and every 3 months for 1 year until documented disease progression
Population: ITT Population
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Previous Treatment, 0.16mg/kg | Time to Disease Progression. | 103.0 Days |
| Previous Treatment, 0.64mg/kg | Time to Disease Progression. | 131.0 Days |
| Treatment Naive, 0.16mg/kg | Time to Disease Progression. | 138.5 Days |
| Treatment Naive, 0.64mg/kg | Time to Disease Progression. | 59.0 Days |