Renal Cell CarcinomaPhase 1/2NCT01034631
BNC105P in Combination With Everolimus/Following Everolimus For Progressive Metastatic Clear Cell Renal Cell Carcinoma
A Phase 1/2 study testing Everolimus and BNC105P in people with Renal Cell Carcinoma, run by Hoosier Cancer Research Network at 108 sites in 3 countries.
Trial summary
The purpose of this study is to determine whether BNC105P in combination with/following everolimus is effective in the treatment of progressive metastatic clear cell renal cell carcinoma following prior tyrosine kinase inhibitors. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Renal Cell Carcinoma
- What is being tested?
- Everolimus and BNC105P
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 154 participants
- Where
- 108 sitesin 3 countries
- Study dates
- Jan 2010to Dec 2016
- Phase
- Phase 1/2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histological or cytological proof of component (any percent) of clear cell RCC (renal cell carcinoma).
- Metastatic or locally advanced unresectable RCC. NOTE: Prior nephrectomy is not mandatory.
- Progressive disease after 1-2 prior VEGF-directed tyrosine kinase inhibitors (TKIs).
- Measurable disease according to RECIST and obtained by imaging within 30 days prior to registration for protocol therapy.
- Written informed consent and HIPAA authorization for release of personal health information.
- Age > 18 years at the time of consent.
- Females of childbearing potential and males must be willing to use an effective method of contraception (hormonal or barrier method of birth control; abstinence) from the time consent is signed until 4 weeks after treatment discontinuation.
- Females of childbearing potential must have a negative pregnancy test within 7 days prior to registration for protocol therapy.
Who cannot join
- No active brain metastases. Patients with neurological symptoms must undergo a head CT scan or brain MRI to exclude brain metastasis within 30 days prior to registration on protocol therapy. NOTE: A patient with prior brain metastasis are eligible if they have completed their radiation treatment for brain metastasis ≥30 days prior to registration for protocol therapy, are off steroids, and are asymptomatic.
- No other currently active malignancy.
- No treatment with any investigational agent within 14 days prior to registration for protocol therapy. NOTE: If treated with investigational agent within 14 days prior to registration, AE must be resolved back to baseline.
- Prior cancer treatment must be completed at least 14 days prior to registration for protocol therapy and the patient must have recovered from the acute toxic effects of the regimen. With the exception of Bevacizumab treatment, which must be completed 30 days prior to registration for protocol therapy.
- Prior radiation therapy to < 25% of the bone marrow [see bone marrow radiation chart in the study procedure manual (SPM)] allowed if completed within 30 days prior to registration for protocol therapy.
- Corrected QT interval (QTc) ≤ 450 msec at least 7 days prior to registration for protocol therapy.
Show all 14Show fewer
- No clinically significant infections as judged by the treating investigator.
- No liver disease such as cirrhosis, chronic active hepatitis or chronic persistent hepatitis.
- No collecting duct, medullary or sarcomatoid histology.
- No prior treatment with temsirolimus or everolimus in the phase II component of the study. NOTE: Prior treatment with these agents is permitted in the phase I component of the study.
- No use of full dose, therapeutic anti-coagulation with warfarin or related anti-coagulants or unfractionated or low molecular weight heparins.
- No uncontrolled hypertension (BP >150/100mmHg despite full doses of 1 anti-hypertensive medication).
- No thrombotic event within 6 months (deep vein thrombosis, pulmonary embolism) of registration for protocol therapy.
- No grade 2 or greater peripheral neuropathy.
Trial locations and contacts
108 sites in 3 countries.
108 sites in 3 countries
United States94 sites
New York Oncology Hematology, PC
Albany, New York, 12208
Presbyterian Medical Group
Albuquerque, New Mexico, 87110
University of New Mexico Cancer Center: Albuquerque
Albuquerque, New Mexico, 87131
St. Joseph Mercy Hospital
Ann Arbor, Michigan, 48106
Northeast Georgia Cancer Care, LLC
Athens, Georgia, 30607
Texas Oncology: Austin North
Austin, Texas, 78758
Medical Oncology LLC
Baton Rouge, Louisiana, 70809
Texas Oncology: Bedford
Bedford, Texas, 76022
Tufts Medical Center
Boston, Massachusetts, 02111
Bozeman Deaconness Cancer Center
Bozeman, Montana, 59715
Harrison HealthPartners Bremerton Hematology & Oncology
Bremerton, Washington, 98310
Cancer Care Centers of Florida: Brooksville
Brooksville, Florida, 34613
Roswell Park Cancer Institute
Buffalo, New York, 14263
Providence Health System: Roy and Patricia Disney Family Cancer Center
Burbank, California, 91505
MUSC Hollings Cancer Center
Charleston, South Carolina, 29425
Northwestern University, Robert H. Lurie Comprehensive Cancer Center
Chicago, Illinois, 60611
Compassionate Cancer Care Medical Group, Inc.
Corona, California, 92879
Compassionate Cancer Care Medical Group
Corona, California, 92879
Hematology and Oncology Associates of Rhode Island
Cranston, Rhode Island, 02920
Texas Oncology, PA
Dallas, Texas, 75246
Geisinger Medical Center
Danville, Pennsylvania, 17822
Centura Health Research Center
Denver, Colorado, 80210
City of Hope
Duarte, California, 91010
Dublin Hematology & Oncology Care
Dublin, Georgia, 31021
Trinitas Regional Medical Center
Elizabeth, New Jersey, 07202
Deaconess Clinic
Evansville, Indiana, 47713
Broward Oncology Associates
Fort Lauderdale, Florida, 33308
Fort Wayne Oncology & Hematology, Inc
Fort Wayne, Indiana, 46815
Texas Oncology: Fort Worth
Fort Worth, Texas, 76104
Robert A. Moss, M.D., FACP, Inc.
Fountain Valley, California, 92708
California Cancer Associates for Research and Excellence
Fresno, California, 93720
University of Florida, Shands Cancer Center
Gainesville, Florida, 32610
Medical & Surgical Specialists, LLC
Galesburg, Illinois, 61401
The Jones Clinic, PC
Germantown, Tennessee, 38138
Gettysburg Cancer Center
Gettysburg, Pennsylvania, 17235
Western Oncology & Hematology
Golden, Colorado, 80401
IU Health Goshen
Goshen, Indiana, 46527
Cancer and Hematology Centers of Western Michigan
Grand Rapids, Michigan, 49546
Sletten Cancer Specialists
Great Falls, Montana, 59405
Marin Specialty Care
Greenbrae, California, 94904
Kentucky Cancer Clinic
Hazard, Kentucky, 41701
South Carolina Cancer Specialists
Hilton Head Island, South Carolina, 29926
Genesis Cancer Center
Hot Springs, Arkansas, 71913
Texas Oncology: Houston Memorial City
Houston, Texas, 77024
Methodist Hospital Research Institute
Houston, Texas, 77030
Houston Cancer Center
Houston, Texas, 77055
Indiana University Melvin and Bren Simon Cancer Center
Indianapolis, Indiana, 46202
IU Health Central Indiana Cancer Centers
Indianapolis, Indiana, 46219
Community Regional Cancer Center
Indianapolis, Indiana, 46256
Cancer Specialists of North Florida
Jacksonville, Florida, 32256
Cascade Cancer Center
Kirkland, Washington, 98034
Horizon Oncology Research
Lafayette, Indiana, 47905
NYU Langone Arena Oncology
Lake Success, New York, 11042
Good Samaritan Hospital
Los Angeles, California, 90017
UCLA Med - Hematology & Oncology
Los Angeles, California, 90095
Joe Arrington Cancer Research and Treatment Center
Lubbock, Texas, 79410
Lynchburg Hematology Oncology Clinic, Inc.
Lynchburg, Virginia, 24501
Dartmouth-Hitchcock Medical Center
Manchester, New Hampshire, 03102
Metairie Oncologists
Metairie, Louisiana, 70006
Advanced Pharma CR, LLC
Miami, Florida, 33136
Signal Point Clinical Research Center
Middletown, Ohio, 45042
University of Wisconsin, Clinical Cancer Center
Milwaukee, Wisconsin, 53226
IU Health at Ball Memorial Hospital Cancer Center
Muncie, Indiana, 47303
Monroe Medical Associates
Munster, Indiana, 46321
Northwest Alabama Cancer Center
Muscle Shoals, Alabama, 35661
Cancer Care Centers of Florida
New Port Richey, Florida, 34652
Tisch Cancer Institute at Mount Sinai Medical Center
New York, New York, 10029
Oncology Hematology Associates of SW Indiana
Newburgh, Indiana, 47630
Hematology Oncology Associates of Rockland
Nyack, New York, 10960
Ocala Cancer Institute
Ocala, Florida, 34471
Mercy Physicians Of Oklahoma
Oklahoma City, Oklahoma, 73120
Methodist Cancer Center
Omaha, Nebraska, 68114
Purchase Cancer Group
Paducah, Kentucky, 42001
First Health of the Carolinas
Pinehurst, North Carolina, 28374
Allegheny Cancer Center
Pittsburgh, Pennsylvania, 15212
Kootenai Cancer Center
Post Falls, Idaho, 83854
Compassionate Cancer Care Medical Group
Riverside, California, 92501
Mayo Clinic
Rochester, Minnesota, 55905
Cancer Care Centers of Brevard
Rockledge, Florida, 32955
CTRC at The UT Health Science Center at San Antonio
San Antonio, Texas, 78229
Group Health Medical Centers
Seattle, Washington, 98109
University of Washington, Seattle Cancer Care Alliance
Seattle, Washington, 98109
Siouxland Hematology Oncology Associates, LLP, Nylen Cancer Center
Sioux City, Iowa, 51101
Edward H. Kaplan, M.D., & Associates
Skokie, Illinois, 60076
Somerset Hematology Oncology Associates
Somerville, New Jersey, 08876
Northern Indiana Cancer Research Consortium
South Bend, Indiana, 46601
Rockwood Clinic
Spokane, Washington, 99204
Willamette Valley Cancer Institute
Springfield, Oregon, 97477
Mount Nittany Medical Center
State College, Pennsylvania, 16803
Berks Hematology Oncology Associates
West Reading, Pennsylvania, 19611
American Institute of Research
Whittier, California, 90603
Cancer Center of Kansas
Wichita, Kansas, 67214
Lawrence M. Stallings, M.D.
Wooster, Ohio, 44691
Metro Health Cancer Care
Wyoming, Michigan, 49519
Australia13 sites
Royal Adelaide Hospital
Adelaide, South Australia, 5000
Royal Prince Alfred Hospital: Sydney Cancer Centre
Camperdown, New South Wales, 2050
Peninsula Oncology Centre
Frankston, Victoria, 3199
Gallipoli Medical Research Foundation: Greenslopes Private Hospital
Greenslopes, Queensland, 4120
Austin Hospital
Heidelberg, Victoria, 3084
Royal Brisbane & Women's Hospital
Herston, Queensland, 4029
Ashford Cancer Centre
Kurralta Park, South Australia, 5037
Gallipoli Medical Research Foundation: Launceston General Hospital
Launceston, Tasmania, 7250
Alfred Hospital
Melbourne, Victoria, 3004
Royal Perth Hospital
Perth, Western Australia, 6000
Prince of Wales Hospital
Randwick, New South Wales, 2031
Sydney Adventist Hospital Ltd.
Wahroonga, New South Wales, 2076
Princess Alexandra Hospital
Woolloongabba, Queensland, 4201
About this study
Official title: Phase I/II Study of BNC105P in Combination With Everolimus or Following Everolimus For Progressive Metastatic Clear Cell Renal Cell Carcinoma Following Prior Tyrosine Kinase Inhibitors
The purpose of this study is to determine whether BNC105P in combination with/following everolimus is effective in the treatment of progressive metastatic clear cell renal cell carcinoma following prior tyrosine kinase inhibitors.
Read the detailed description
OUTLINE: This is a multi-center study.
Phase I: Patients will be accrued in the classic 3 patients per dose per cohort design, 21-day cycle
- Dose Level 1 Everolimus 10 mg BNC105P 4.2 mg/m2
- Dose Level 2 Everolimus 10 mg BNC105P 8.4 mg/m2
- Dose Level 3 Everolimus 10 mg BNC105P 12.6 mg/m2
- Dose Level 4 Everolimus 10 mg BNC105P 16 mg/m2
Phase II: Patients will be randomized 1:1 to Arm A or Arm B
Combination Arm A: Everolimus 10 mg + BNC105P MTD (from Phase 1 study) 21 day cycle
Sequential Arm B: Everolimus 10 mg 21 day cycle
- Patients to receive BNC105P monotherapy at 16 mg/m2 following progression or intolerable toxicity on everolimus therapy.
Karnofsky Performance Score (KPS) ≥70 within 7 days prior to registration for protocol therapy.
Life Expectancy: Not specified
Hematopoietic:
- White blood cell count (WBC) > 3.5 K/mm3
- Hemoglobin (Hgb) > 8.5 g/dL
- Platelets > 100 K/mm3
- Absolute neutrophil count (ANC) > 1.5 K/mm3
Hepatic:
- Total Bilirubin < 1.25 x ULN
- Aminotransferase (AST and ALT) < 2.5 x ULN
Renal:
- Serum Creatinine < 2.5 x ULN (upper limit normal)
Cardiovascular:
- No significant cardiovascular events within 6 months (CVA, CAD, peripheral arterial obstruction, arrhythmias, cardiac dysfunction) of registration for protocol therapy
- No history of clinical CHF or LVEF <50% by Echo (or MUGA) within 30 days prior to registration for protocol therapy.
- Conditions
- Renal Cell Carcinoma
- Being tested
- Everolimus, BNC105P
- Keywords
- Metastatic Kidney Cancer, BNC105P
- Medical subject headings
- Carcinoma, Renal Cell, Kidney Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EverolimusDrug
Everolimus 10 mg. Taken orally, every evening, 1 hr before or 2 hrs after meals
BNC105PDrug
BNC105P, up to 16 mg/m^2
| Study group | Role | What they receive |
|---|---|---|
| Combination Arm A: Everolimus + BNC105P | Active comparator | Combination Arm A: Everolimus 10 mg, BNC105P MTD (from Phase 1 study) 21 day cycle Receives: Drug: Everolimus; Drug: BNC105P |
| Sequential Arm B:Everolimus followed by BNC105P Monotherapy | Active comparator | Sequential Arm B: Everolimus 10 mg, 21 day cycle
Patients to receive BNC105P monotherapy at 16 mg/m2 following progression or intolerable toxicity on everolimus therapy. Receives: Drug: Everolimus; Drug: BNC105P |
What is being measured
The primary outcome is the main question the study is designed to answer.
Phase I: Maximum Tolerated Dose of BNC105P in Combination With Everolimus.
Phase I
Measured: Until disease progression or unacceptable toxicity, up to 24 cycles or 24 months
Phase I: Toxicities of BNC105P in Combination With Everolimus.
Determine the toxicities of BNC105P in combination with everolimus. Drug-related treatment emergent adverse events by CTCAE grade 2 or greater are reported
Measured: Until disease progression or unacceptable toxicity, up to 24 cycles or 24 months
Phase II: 6-month Progression Free Survival (PFS) With the Addition of BNC105P to Everolimus.
Improvement in 6-month PFS with the addition of BNC105P to everolimus. Progression is defined using RECIST criteria as at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions
Measured: 6 months
Secondary outcomes (7)
Phase I: Response Rate of BNC105P in Combination With Everolimus.
Number of objective responses per RECIST criteria. Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD. Progressive Disease (PD): At least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started.
Measured: Until disease progression or unacceptable toxicity, up to 24 cycles or 24 months
Geometric Mean Half-life of BNC105 and BNC105P in Combination With Everolimus.
Determine the PK Profile for BN105P in combination with everolimus by calculating the geometric mean half-life of BNC105P
Measured: 12 months
Phase II: Response Rate With Combination Therapy Compared to Everolimus Alone
Objective response is defined as a confirmed CR or PR per RECIST criteria. Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD. Progressive Disease (PD): At least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started.
Measured: 12 months
Phase II: Progression Free Survival (PFS) With BNC105P Alone in Patients After Progressing on Everolimus.
Median time to progression for arm P participants who crossed over to BNC105P monotherapy after progression. Progression is defined per RECIST criteria as at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions
Measured: 12 months
Phase II: Adverse Events of Everolimus and BNC105P When Administered as a Combination or Sequential Regimen.
Determine adverse events of everolimus and BNC105P when administered as a combination or sequential regimen. Total number of serious and non-serious adverse events for Arm A and Arm B are summarized. Complete adverse event information is supplied in the Adverse Events reporting section.
Measured: 12 months
Phase II: Overall Survival
Determine overall survival probability, up to a maximum of 5 years from registration for protocol therapy.
Measured: 60 months
Exploratory Objective: Correlation of PFS With Biomarkers
Exploratory analysis of serum biomarkers were undertaken to generate a potential signature for response. The correlation with 6 month progression free survival P value for four plasma biomarkers is reported.
Measured: 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Dec 2009 (estimated)
- Study startJan 2010
- Primary completionDec 2016
- Study completionDec 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Renal Cell CarcinomaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 154 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoosier Cancer Research Network
- Sponsor type
- University, hospital or other
- Collaborators
- Bionomics Limited
- Responsible party
- Sponsor
- Investigators
- Thomas Hutson, D.O., Study chair, Hoosier Cancer Research Network
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01034631
- Sponsor's protocol ID
- HOG GU09-145
- Status last verified
- Apr 2017
- First submitted
- 15 Dec 2009
- Last updated
- 11 Jul 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Thomas E. Hutson, Long H. Dang, Richard C. Lauer, Alexander Starodub, Ralph J. Hauke, Matt D. Galsky, Kathryn A. Bylow, Theodore Logan, Charles Lance Cowey, David C. Bibby, Gabriel Kremmidiotis, Elizabeth E. Doolin, Tina C. Lavranos, Guru Sonpavde, Noah M. Hahn, Christopher Sweeney, John Sarantopoulos. Phase I results of a phase I/II trial of BNC105P with everolimus in metastatic renal cell carcinoma (mRCC) patients previously treated with VEGFR tyrosine kinase inhibitors. J Clin Oncol 30, 2012 (suppl; abstr 4603) http://www.asco.org/ASCOv2/Meetings/Abstracts&vmview=abst_detail_view&confID=114&abstractID=91911
John Sarantopoulos, Long H. Dang, Richard C. Lauer, Alexander Starodub, Ralph J. Hauke, Matt D. Galsky, Kathryn A. Bylow, Charles Lance Cowey, David C. Bibby, Gabriel Kremmidiotis, Elizabeth E. Doolin, Tina C. Lavranos, Jose Luis Iglesias, Guru Sonpavde, Theodore Logan, Noah M. Hahn, Christopher Sweeney, Thomas E. Hutson. A phase I/II trial of BNC105P with everolimus in metastatic renal cell carcinoma (mRCC) patients: Updated phase I results of the Disruptor-1 trial. J Clin Oncol 31, 2013 (suppl; abstr 4563. http://abstracts2.asco.org/AbstView_132_107981.html
Pal S, Azad A, Bhatia S, Drabkin H, Costello B, Sarantopoulos J, Kanesvaran R, Lauer R, Starodub A, Hauke R, Sweeney CJ, Hahn NM, Sonpavde G, Richey S, Breen T, Kremmidiotis G, Leske A, Doolin E, Bibby DC, Simpson J, Iglesias J, Hutson T. A Phase I/II Trial of BNC105P with Everolimus in Metastatic Renal Cell Carcinoma. Clin Cancer Res. 2015 Aug 1;21(15):3420-7. doi: 10.1158/1078-0432.CCR-14-3370. Epub 2015 Mar 18.
PubMed 25788492Yang ES, Nassar AH, Adib E, Jegede OA, Alaiwi SA, Manna DLD, Braun DA, Zarei M, Du H, Pal SK, Naik G, Sonpavde GP. Gene Expression Signature Correlates with Outcomes in Metastatic Renal Cell Carcinoma Patients Treated with Everolimus Alone or with a Vascular Disrupting Agent. Mol Cancer Ther. 2021 Aug;20(8):1454-1461. doi: 10.1158/1535-7163.MCT-20-1091. Epub 2021 Jun 9.
PubMed 34108261
Study at a glance
From the registry record, last updated by the sponsor on 11 Jul 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase I/II Study of BNC105P in Combination With Everolimus or Following Everolimus For Progressive Metastatic Clear Cell Renal Cell Carcinoma Following Prior Tyrosine Kinase Inhibitors
- ClinicalTrials.gov ID
- NCT01034631
- Acronym / sponsor ID
- HOG GU09-145
- Conditions
- Renal Cell Carcinoma
- Keywords
- Metastatic Kidney Cancer, BNC105P
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 154 participants (actual)
- Lead sponsor
- Hoosier Cancer Research NetworkUniversity, hospital or other
- Collaborators
- Bionomics Limited
- Study start
- Jan 2010
- Primary completion
- Dec 2016 (actual)
- Study completion
- Dec 2016 (actual)
- First posted
- 17 Dec 2009 (estimated)
- Results
- Posted 24 May 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine whether BNC105P in combination with/following everolimus is effective in the treatment of progressive metastatic clear cell renal cell carcinoma following prior tyrosine kinase inhibitors.
Detailed description
OUTLINE: This is a multi-center study.
Phase I: Patients will be accrued in the classic 3 patients per dose per cohort design, 21-day cycle
- Dose Level 1 Everolimus 10 mg BNC105P 4.2 mg/m2
- Dose Level 2 Everolimus 10 mg BNC105P 8.4 mg/m2
- Dose Level 3 Everolimus 10 mg BNC105P 12.6 mg/m2
- Dose Level 4 Everolimus 10 mg BNC105P 16 mg/m2
Phase II: Patients will be randomized 1:1 to Arm A or Arm B
Combination Arm A: Everolimus 10 mg + BNC105P MTD (from Phase 1 study) 21 day cycle
Sequential Arm B: Everolimus 10 mg 21 day cycle
- Patients to receive BNC105P monotherapy at 16 mg/m2 following progression or intolerable toxicity on everolimus therapy.
Karnofsky Performance Score (KPS) ≥70 within 7 days prior to registration for protocol therapy.
Life Expectancy: Not specified
Hematopoietic:
- White blood cell count (WBC) > 3.5 K/mm3
- Hemoglobin (Hgb) > 8.5 g/dL
- Platelets > 100 K/mm3
- Absolute neutrophil count (ANC) > 1.5 K/mm3
Hepatic:
- Total Bilirubin < 1.25 x ULN
- Aminotransferase (AST and ALT) < 2.5 x ULN
Renal:
- Serum Creatinine < 2.5 x ULN (upper limit normal)
Cardiovascular:
- No significant cardiovascular events within 6 months (CVA, CAD, peripheral arterial obstruction, arrhythmias, cardiac dysfunction) of registration for protocol therapy
- No history of clinical CHF or LVEF <50% by Echo (or MUGA) within 30 days prior to registration for protocol therapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Combination Arm A: Everolimus + BNC105P | Active comparator | Drug: Everolimus, Drug: BNC105PCombination Arm A: Everolimus 10 mg, BNC105P MTD (from Phase 1 study) 21 day cycle |
| Sequential Arm B:Everolimus followed by BNC105P Monotherapy | Active comparator | Drug: Everolimus, Drug: BNC105PSequential Arm B: Everolimus 10 mg, 21 day cycle Patients to receive BNC105P monotherapy at 16 mg/m2 following progression or intolerable toxicity on everolimus therapy. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Histological or cytological proof of component (any percent) of clear cell RCC (renal cell carcinoma).
- Metastatic or locally advanced unresectable RCC. NOTE: Prior nephrectomy is not mandatory.
- Progressive disease after 1-2 prior VEGF-directed tyrosine kinase inhibitors (TKIs).
- Measurable disease according to RECIST and obtained by imaging within 30 days prior to registration for protocol therapy.
- Written informed consent and HIPAA authorization for release of personal health information.
Key exclusion criteria (14 listed)
- No active brain metastases. Patients with neurological symptoms must undergo a head CT scan or brain MRI to exclude brain metastasis within 30 days prior to registration on protocol therapy. NOTE: A patient with prior brain metastasis are eligible if they have completed their radiation treatment for brain metastasis ≥30 days prior to registration for protocol therapy, are off steroids, and are asymptomatic.
- No other currently active malignancy.
- No treatment with any investigational agent within 14 days prior to registration for protocol therapy. NOTE: If treated with investigational agent within 14 days prior to registration, AE must be resolved back to baseline.
- Prior cancer treatment must be completed at least 14 days prior to registration for protocol therapy and the patient must have recovered from the acute toxic effects of the regimen. With the exception of Bevacizumab treatment, which must be completed 30 days prior to registration for protocol therapy.
- Prior radiation therapy to < 25% of the bone marrow [see bone marrow radiation chart in the study procedure manual (SPM)] allowed if completed within 30 days prior to registration for protocol therapy.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EverolimusEverolimus 10 mg. Taken orally, every evening, 1 hr before or 2 hrs after meals | Drug | Combination Arm A: Everolimus + BNC105P, Sequential Arm B:Everolimus followed by BNC105P Monotherapy |
| BNC105PBNC105P, up to 16 mg/m^2 | Drug | Combination Arm A: Everolimus + BNC105P, Sequential Arm B:Everolimus followed by BNC105P Monotherapy |
Primary outcome
Phase I: Maximum Tolerated Dose of BNC105P in Combination With Everolimus.
Time frame: Until disease progression or unacceptable toxicity, up to 24 cycles or 24 months
Phase I
Phase I: Toxicities of BNC105P in Combination With Everolimus.
Time frame: Until disease progression or unacceptable toxicity, up to 24 cycles or 24 months
Determine the toxicities of BNC105P in combination with everolimus. Drug-related treatment emergent adverse events by CTCAE grade 2 or greater are reported
Phase II: 6-month Progression Free Survival (PFS) With the Addition of BNC105P to Everolimus.
Time frame: 6 months
Improvement in 6-month PFS with the addition of BNC105P to everolimus. Progression is defined using RECIST criteria as at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions
7 secondary outcomes
Phase I: Response Rate of BNC105P in Combination With Everolimus.
Time frame: Until disease progression or unacceptable toxicity, up to 24 cycles or 24 months
Geometric Mean Half-life of BNC105 and BNC105P in Combination With Everolimus.
Time frame: 12 months
Phase II: Response Rate With Combination Therapy Compared to Everolimus Alone
Time frame: 12 months
Phase II: Progression Free Survival (PFS) With BNC105P Alone in Patients After Progressing on Everolimus.
Time frame: 12 months
Phase II: Adverse Events of Everolimus and BNC105P When Administered as a Combination or Sequential Regimen.
Time frame: 12 months
Phase II: Overall Survival
Time frame: 60 months
Exploratory Objective: Correlation of PFS With Biomarkers
Time frame: 6 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Jul 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publicationThomas E. Hutson, Long H. Dang, Richard C. Lauer, Alexander Starodub, Ralph J. Hauke, Matt D. Galsky, Kathryn A. Bylow, Theodore Logan, Charles Lance Cowey, David C. Bibby, Gabriel Kremmidiotis, Elizabeth E. Doolin, Tina C. Lavranos, Guru Sonpavde, Noah M. Hahn, Christopher Sweeney, John Sarantopoulos. Phase I results of a phase I/II trial of BNC105P with everolimus in metastatic renal cell carcinoma (mRCC) patients previously treated with VEGFR tyrosine kinase inhibitors. J Clin Oncol 30, 2012 (suppl; abstr 4603) http://www.asco.org/ASCOv2/Meetings/Abstracts&vmview=abst_detail_view&confID=114&abstractID=91911
- Results publicationJohn Sarantopoulos, Long H. Dang, Richard C. Lauer, Alexander Starodub, Ralph J. Hauke, Matt D. Galsky, Kathryn A. Bylow, Charles Lance Cowey, David C. Bibby, Gabriel Kremmidiotis, Elizabeth E. Doolin, Tina C. Lavranos, Jose Luis Iglesias, Guru Sonpavde, Theodore Logan, Noah M. Hahn, Christopher Sweeney, Thomas E. Hutson. A phase I/II trial of BNC105P with everolimus in metastatic renal cell carcinoma (mRCC) patients: Updated phase I results of the Disruptor-1 trial. J Clin Oncol 31, 2013 (suppl; abstr 4563. http://abstracts2.asco.org/AbstView_132_107981.html
- Results publication: PubMed 25788492Pal S, Azad A, Bhatia S, Drabkin H, Costello B, Sarantopoulos J, Kanesvaran R, Lauer R, Starodub A, Hauke R, Sweeney CJ, Hahn NM, Sonpavde G, Richey S, Breen T, Kremmidiotis G, Leske A, Doolin E, Bibby DC, Simpson J, Iglesias J, Hutson T. A Phase I/II Trial of BNC105P with Everolimus in Metastatic Renal Cell Carcinoma. Clin Cancer Res. 2015 Aug 1;21(15):3420-7. doi: 10.1158/1078-0432.CCR-14-3370. Epub 2015 Mar 18.
- Derived from this study: PubMed 34108261Yang ES, Nassar AH, Adib E, Jegede OA, Alaiwi SA, Manna DLD, Braun DA, Zarei M, Du H, Pal SK, Naik G, Sonpavde GP. Gene Expression Signature Correlates with Outcomes in Metastatic Renal Cell Carcinoma Patients Treated with Everolimus Alone or with a Vascular Disrupting Agent. Mol Cancer Ther. 2021 Aug;20(8):1454-1461. doi: 10.1158/1535-7163.MCT-20-1091. Epub 2021 Jun 9.
- Hoosier Cancer Research Network HomepageLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Thomas Hutson, D.O. study chair
Hoosier Cancer Research Network
108 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing Everolimus and BNC105P in people with Renal Cell Carcinoma, run by Hoosier Cancer Research Network at 108 sites in 3 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 11 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 108 sites in United States, Australia, Singapore. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 24 May 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Phase I: Maximum Tolerated Dose of BNC105P in Combination With Everolimus. (time frame: Until disease progression or unacceptable toxicity, up to 24 cycles or 24 months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01034631, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Jul 2022.