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Study of IMO-2055 in Metastatic or Locally Recurrent Clear Cell Renal Carcinoma

A Phase 2, Multi-Center, Randomized, Open-Label Study of Two Dose Levels of IMOxine® (IMO-2055 for Injection) in Patients With Metastatic or Locally Recurrent Clear Cell Renal Carcinoma

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00729053
Enrollment
92
Registered
2008-08-06
Start date
2004-06-30
Completion date
2008-11-30
Last updated
2018-06-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Renal Cell Carcinoma

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

Idera Pharmaceuticals, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

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

MeasureTime frameDescription
Best Response by RECIST v1.0From 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

MeasureTime frameDescription
Number of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/SeverityFrom 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 v1.0Every 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 YearFrom 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 progressionTime 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

ArmCount
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
Total89

Baseline characteristics

CharacteristicPrevious Treatment, 0.16mg/kgPrevious Treatment, 0.64mg/kgTreatment Naive, 0.16mg/kgTreatment Naive, 0.64mg/kgTotal
Age, Continuous60.1 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 Participants2 Participants11 Participants8 Participants31 Participants
Sex: Female, Male
Male
13 Participants19 Participants11 Participants15 Participants58 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 231 / 231 / 231 / 23
other
Total, other adverse events
23 / 2323 / 2321 / 2322 / 23
serious
Total, serious adverse events
6 / 2310 / 235 / 238 / 23

Outcome results

Primary

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

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Previous Treatment, 0.16mg/kgBest Response by RECIST v1.00 Participants
Previous Treatment, 0.64mg/kgBest Response by RECIST v1.01 Participants
Treatment Naive, 0.16mg/kgBest Response by RECIST v1.00 Participants
Treatment Naive, 0.64mg/kgBest Response by RECIST v1.01 Participants
Secondary

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

ArmMeasureValue (NUMBER)
Previous Treatment, 0.64mg/kgDuration of Response by RECIST v1.0179 Days
Treatment Naive, 0.64mg/kgDuration of Response by RECIST v1.052 Days
Secondary

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

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Previous Treatment, 0.16mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/SeverityPatients with at least 1 TEAE23 Participants
Previous Treatment, 0.16mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/SeverityPatients with at least 1 serious TEAE6 Participants
Previous Treatment, 0.16mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/SeverityPatients with at least 1 severe (Grade+) TEAE9 Participants
Previous Treatment, 0.16mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/SeverityPatients with a TEAE related to treatment21 Participants
Previous Treatment, 0.64mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/SeverityPatients with at least 1 serious TEAE10 Participants
Previous Treatment, 0.64mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/SeverityPatients with at least 1 severe (Grade+) TEAE14 Participants
Previous Treatment, 0.64mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/SeverityPatients with at least 1 TEAE23 Participants
Previous Treatment, 0.64mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/SeverityPatients with a TEAE related to treatment22 Participants
Treatment Naive, 0.16mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/SeverityPatients with a TEAE related to treatment16 Participants
Treatment Naive, 0.16mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/SeverityPatients with at least 1 TEAE21 Participants
Treatment Naive, 0.16mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/SeverityPatients with at least 1 severe (Grade+) TEAE6 Participants
Treatment Naive, 0.16mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/SeverityPatients with at least 1 serious TEAE5 Participants
Treatment Naive, 0.64mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/SeverityPatients with at least 1 severe (Grade+) TEAE11 Participants
Treatment Naive, 0.64mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/SeverityPatients with at least 1 TEAE22 Participants
Treatment Naive, 0.64mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/SeverityPatients with at least 1 serious TEAE8 Participants
Treatment Naive, 0.64mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) by National Cancer Institute (NCI) Grade/SeverityPatients with a TEAE related to treatment19 Participants
Secondary

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

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Previous Treatment, 0.16mg/kgOverall Survival at 1 Year15 Participants
Previous Treatment, 0.64mg/kgOverall Survival at 1 Year14 Participants
Treatment Naive, 0.16mg/kgOverall Survival at 1 Year14 Participants
Treatment Naive, 0.64mg/kgOverall Survival at 1 Year15 Participants
Secondary

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

ArmMeasureValue (MEDIAN)
Previous Treatment, 0.16mg/kgTime to Disease Progression.103.0 Days
Previous Treatment, 0.64mg/kgTime to Disease Progression.131.0 Days
Treatment Naive, 0.16mg/kgTime to Disease Progression.138.5 Days
Treatment Naive, 0.64mg/kgTime to Disease Progression.59.0 Days

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026