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Papillary Renal Cell CancerPhase 2NCT02127710

A Phase II Trial to Evaluate the Efficacy of AZD6094 (HMPL-504) in Patients With Papillary Renal Cell Carcinoma (PRCC)

A Phase 2 study testing AZD6094 in people with Papillary Renal Cell Cancer, run by AstraZeneca at 23 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is an open-label, single-arm, multicentre, global, phase II study designed to evaluate the efficacy and safety of AZD6094 in patients with papillary renal cell carcinoma (PRCC) who are treatment naïve or previously treated. Read more about this study

Who is it for?
Ages 18 to 99 years
Conditions the study is for
Papillary Renal Cell Cancer
What is being tested?
AZD6094
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
111 participants
Where
23 sitesin 4 countries
Study dates
30 Apr 2014to 20 Apr 2020
Phase
Phase 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 to 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Provision of informed consent prior to any study specific procedures, sampling and analyses.
  • Histologically confirmed PRCC, which is locally advanced or metastatic.
  • Availability of an archival tumor sample or a pre-treatment fresh tumor sample for confirmation of PRCC by a central laboratory and other biomarker
  • Treatment naïve or have failed on previous treatment for PRCC. Previous treatments may include: targeted therapy (i.e. sunitinib, sorafenib, bevacizumab, pazopanib, temsirolimus, and everolimus), traditional immunotherapy (i.e. interferon-a, Interleukin-2), chemotherapy or a combination of chemoimmunotherapy.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • At least one lesion, not previously irradiated, and not chosen for a biopsy if performed during the screening period that can be accurately measured at baseline and which is suitable for accurate repeated measurements.
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  • Adequate hematological function defined as:
  • Absolute neutrophil count ≥1500/μL
  • Haemoglobin ≥9 g/dL
  • Platelets ≥100,000/μL
  • Adequate liver function defined as:
  • Alanine aminotransferase and aspartate aminotransferase ≤2.5 x the upper limit of normal (ULN)
  • Total bilirubin ≤1.5 x ULN
  • Adequate renal function defined as glomerular filtration rate ≥ 40 mL/min,
  • Adequate coagulation parameters, defined as International Normalisation Ratio <1.5 x ULN or activated partial thromboplastin time <1.5 x ULN.
  • Patients with known tumor thrombus or deep vein thrombosis are eligible if stable on low molecular weight heparin for ≥4 weeks.
  • Females should be using adequate contraceptive measures should not be breast feeding, and must have a negative pregnancy test prior to start of dosing if of childbearing potential or must have evidence of non-childbearing potential
  • Male patients should be willing to use barrier contraception, i.e. condoms.
  • Ability to swallow and retain oral medications.
  • Predicted life expectancy ≥12 weeks.
  • Aged at least 18 years.
  • Willingness and ability to comply with study and follow-up procedures.
  • Ability to understand the nature of this study and give written informed consent.

Who cannot join

  • Most recent chemotherapy, immunotherapy, chemo-immunotherapy, or investigational agents <21 days of the first dose of study treatment. Most recent targeted therapy <14 days of the first dose of study treatment.
  • Unresolved toxicities from any prior therapy greater than Common Terminology Criteria for Adverse Events Grade 1 at the time of starting study treatment with the exception of alopecia.
  • Prior or current treatment with a cMet inhibitor
  • Strong inducers or inhibitors of cytochrome P450 3A4 (CYP3A4), strong inhibitors of cytochrome P450 1A2 (CYP1A2), or CYP3A4 substrates with a narrow therapeutic range within 2 weeks before the first dose of study treatment (3 weeks for St John's Wort)
  • Wide field radiotherapy (including therapeutic radioisotopes such as strontium-89) administered ≤28 days or limited field radiation for palliation ≤7 days prior to starting study drug or has not recovered from side effects of such therapy
  • Major surgical procedures ≤28 days of beginning study drug or minor surgical procedures ≤7 days. No waiting is required following port-a-cath placement.
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  • Previously untreated brain metastases.
  • Current leptomeningeal metastases or spinal cord compression due to disease.
  • Acute or chronic liver or pancreatic disease.
  • Uncontrolled diabetes mellitus.
  • Gastrointestinal disease or other condition that will interfere significantly with the absorption, distribution, metabolism, or excretion of oral therapy
  • Any of the following cardiac diseases currently or within the last 6 months:
  • Unstable angina pectoris
  • Congestive heart failure (New York Heart Association ≥ Grade 2)
  • Acute myocardial infarction
  • Stroke or transient ischemic attack
  • Inadequately controlled hypertension (i.e., systolic blood pressure >160 mmHg or diastolic blood pressure >100 mmHg) (patients with values above these levels must have their blood pressure controlled with medication prior to starting treatment).
  • Mean resting correct QT interval (QTc) >470 msec obtained from triplicate electrocardiagrams
  • Any clinically important abnormalities in rhythm, conduction or morphology of resting electrocardiograms, e.g. complete left bundle branch block, third degree heart block, second degree heart block, PR interval >250 msec.
  • Any factors that increase the risk of QTc prolongation or risk of arrhythmic events such as heart failure, hypokalaemia, congenital or familial long QT syndrome or family history of unexplained sudden death under 40 years of age or any concomitant medications known to prolong QT interval.
  • Currently receiving treatment with therapeutic doses of warfarin sodium. Low molecular weight heparin is allowed.
  • Serious active infection at the time of treatment, or another serious underlying medical condition that would impair the ability of the patient to receive protocol treatment.
  • Known diagnosis of human immunodeficiency virus, hepatitis B, or hepatitis C.
  • Presence of other active cancers, or history of treatment for invasive cancer ≤5years. Patients with Stage I cancer who have received definitive local treatment at least 3 years previously, and are considered unlikely to recur are eligible. All patients with previously treated in situ carcinoma (i.e., non-invasive) are eligible, as are patients with history of non-melanoma skin cancer.
  • Psychological, familial, sociological, or geographical conditions that do not permit compliance with the protocol.

Trial locations and contacts

23 sites in 4 countries.

23 sites in 4 countries

United States13 sites
  • Research Site

    Birmingham, Alabama, 35294

  • Research Site

    Boston, Massachusetts, 02215

  • Research Site

    Chicago, Illinois, 60637

  • Research Site

    Dallas, Texas, 75246

  • Research Site

    Detroit, Michigan, 48201

  • Research Site

    Duarte, California, 91010

  • Research Site

    Fort Myers, Florida, 33916

  • Research Site

    Houston, Texas, 77030

  • Research Site

    Iowa City, Iowa, 52242

  • Research Site

    Nashville, Tennessee, 37203

  • Research Site

    New York, New York, 10021

  • Research Site

    Palo Alto, California, 94305

  • Research Site

    Philadelphia, Pennsylvania, 19111

Other trials in United States

United Kingdom5 sites
  • Research Site

    Cambridge, CB2 0QQ

  • Research Site

    Glasgow, G12 OYN

  • Research Site

    London, EC1M 6BQ

  • Research Site

    London, W1G 6AD

  • Research Site

    Manchester, M20 4BX

Other trials in United Kingdom

Canada4 sites
  • Research Site

    Calgary, Alberta, T2N 4N2

  • Research Site

    Edmonton, Alberta, T6G 1Z2

  • Research Site

    Toronto, Ontario, M4N 3M5

  • Research Site

    Toronto, Ontario, M5G 2M9

Other trials in Canada

Spain1 site
  • Research Site

    Barcelona, 08041

Other trials in Spain

About this study

This is an open-label, single-arm, multicentre, global, phase II study designed to evaluate the efficacy and safety of AZD6094 in patients with papillary renal cell carcinoma (PRCC) who are treatment naïve or previously treated.

An independent central pathology review of tumour samples will be used to confirm the diagnosis of PRCC of all patients enrolling. However, locally available pathology results confirming PRCC will be allowed for timely study entry.

Read the detailed description

The study will comprise two stages. In Stage 1 approximately 20 patients will be enrolled. This group is considered sufficient to provide preliminary assessment of the anti-tumour activity of AZD6094 in the form of non-binding futility analysis.

If ≤ 2 tumour responses are observed in the first 20 evaluable patients termination of the study will be considered taking into account the relevant molecular profile of the patients and additional information from related studies in the drug development programme.

All patients entering the study will take AZD6094 600 mg by mouth (PO) once daily (QD). Treatment will be given continuously.

Following the baseline assessment, efficacy will be assessed by objective tumour assessments every 6 weeks (±7 days), for the first 12 months and every 12 weeks thereafter until objective disease progression as defined by RECIST v1.1 There will be a data cut-off after all patients have completed at least 12 weeks of treatment with AZD6094 or withdrawn. The database will be locked and data analysis will be performed on this dataset.

Any patients still receiving study drug at the time of data cut-off will be able to continue to receive AZD6094 while deriving clinical benefit. Such patients will continue to be monitored for the occurrence of serious adverse events up to 28 days after the last dose of AZD6094.

After database lock (DBL) tumour assessments will be performed every 12 weeks (±7 days) until objective disease progression as defined by RECIST v1.1.

Patients discontinuing treatment due to documented disease progression will enter a survival follow-up period, where they will be followed for the initiation of subsequent anti-cancer therapies every 3 months until death, loss to follow-up or withdrawal of consent, whichever comes first.

Patients discontinuing treatment prior to documented disease progression will enter a progression-free survival follow-up period where they will continue to have disease assessments every 6 weeks (±7 days) for the first 12 months of follow-up and every 12 weeks thereafter until objective disease progression as defined by RECIST v1.1, death, loss to follow-up or withdrawal of consent, whichever comes first. After DBL, tumour assessments will be performed in the progression free survival patient population every 12 weeks (±7 days) until objective disease progression as defined by RECIST v1.1

Being tested
AZD6094
Keywords
AZD6094, Savolitinib, Papillary Renal Cell Cancer
Medical subject headings
Carcinoma, Renal Cell

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AZD6094Drug

    Also called Savolitinib, HMPL - 504

    AZD6094 is a potent and selective small molecule mesenchymal epithelial transition (c-MET) kinase inhibitor.

Study groups in NCT02127710
Study groupRoleWhat they receive
AZD6094 600 mg daily continuouslyExperimentalAll patients entering the study will take AZD6094 600 mg by mouth (PO) once daily (QD). Treatment will be given continuously.
Receives: Drug: AZD6094

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Objective Response Rate (RECIST Version 1.1)

    The primary outcome measure was Objective Response Rate (ORR), defined as the proportion of patients with either a complete response or a partial response by investigator assessment according to Response Evaluation Criteria for Solid Tumours (RECIST) v1.1.

    Measured: Up to 12 months

  2. Objective Response Rate (RECIST Version 1.1) Stratified by c-MET Status in Efficacy Analysis Set

    The primary outcome measure was ORR, defined as the proportion of patients with either a complete response or a partial response by investigator assessment according to RECIST v1.1.

    Measured: 12 Months

  3. Objective Response Rate (RECIST Version 1.1) Stratified by c-MET Status in Safety Analysis Set

    The primary outcome measure was ORR, defined as the proportion of patients with either a confirmed complete response/partial response by investigator assessment according to RECIST v1.1.

    Measured: 12 Months

Secondary outcomes (15)
  1. Progression Free Survival Stratified by c-MET Status in the Efficacy Analysis Set

    Measured: Up to 12 months

  2. Overall Survival Stratified by c-MET Status in the Efficacy Analysis Set

    Measured: Up to 12 months

  3. Progression Free Survival Stratified by c-MET Status in the Safety Analysis Set

    Measured: Up to 12 months

  4. Overall Survival Stratified by c-MET Status in the Safety Analysis Set

    Measured: Up to 12 months

  5. Change From Baseline in Target Lesion Tumour Size at 12 Weeks in Efficacy Analysis Set

    12 week summary for patients in the Efficacy analysis set, by MET status. The numbers of patients analysed represent the numbers evaluable at the 12 week timepoint.

    Measured: 12 Weeks (at 12 weeks timepoint)

  6. Change From Baseline in Target Lesion Tumour Size at 12 Weeks in Safety Analysis Set.

    12 week summary for patients in the Safety analysis set by MET Status. The number of patients analysed represent the number of evaluable patients at the 12 week timepoint.

    Measured: 12 Weeks (at 12 week timepoint)

  7. Duration of Response

    Duration of Response is the time from the first documentation of confirmed complete response/partial response until the date of progression, or death in the absence of progression. There were 8 responders: one of whom subsequently progressed or died and seven of whom were still classified as responders at the time of data cut-off and were therefore censored. It was not possible to determine a median or 75th percentile.

    Measured: Up to 12 months

  8. Peak Plasma Concentration of AZD6094 Following Single Dose

    The number of patients analysed represent the number of patients with evaluable PK parameters for this endpoint.

    Measured: 24 Hours

  9. Time to Peak Plasma Concentration of AZD6094 After Single Dose

    The number of patients analysed represent the number of patients with evaluable PK parameters for this endpoint.

    Measured: 24 Hours

  10. Apparent Volume of Distribution of AZD6094 Following Single Dose

    The number of patients analysed represent the number of patients with evaluable PK parameters for this endpoint.

    Measured: 24 Hours

  11. Area Under Plasma Concentration Time Curve for AZD6094 After Single Dose

    The number of patients analysed represent the number of patients with evaluable PK parameters for this endpoint.

    Measured: 24 Hours

  12. Area Under Plasma Concentration Time Curve for AZD6094 After Single Dose (Time Zero to Last Measurement)

    The number of patients analysed represent the number of patients with evaluable PK parameters for this endpoint.

    Measured: 24 Hours

  13. Apparent Total Clearance of AZD6094 From Plasma After Single Dose

    The number of patients analysed represent the number of patients with evaluable PK parameters for this endpoint.

    Measured: 24 Hours

  14. Mean Residence Time of AZD6094 After Single Dose

    The number of patients analysed represent the number of evaluable PK parameters for this endpoint.

    Measured: 24 Hours

  15. Elimination Half-Life of AZD6094 After Single Dose

    The number of patients analysed represent the number of patients with evaluable PK parameters for this endpoint.

    Measured: 24 Hours

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 May 2014 (estimated)
  2. Study start30 Apr 2014
  3. Primary completion14 Apr 2016
  4. Study completion20 Apr 2020

Resources

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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
111 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02127710
Sponsor's protocol ID
D5082C00002
Other IDs
GU 111
Status last verified
Mar 2021
First submitted
23 Apr 2014
Last updated
19 Apr 2021
Data monitoring committee
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing AZD6094 in people with Papillary Renal Cell Cancer, run by AstraZeneca at 23 sites in 4 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 23 inclusion and 25 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 19 Apr 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 23 sites in United States, United Kingdom, Canada, Spain. 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 phase mean?

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 12 Oct 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?

Objective Response Rate (RECIST Version 1.1) (time frame: Up to 12 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?
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 19 Apr 2021.

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