SBRT Plus Anlotinib and Bimepolizumab in Locally Advanced or Metastatic Renal Cell Carcinoma
A Phase II Multicenter Study of Stereotactic Body Radiation Therapy (SBRT) Combined With Anlotinib and Bimepolizumab in Patients With Locally Advanced or Metastatic Renal Cell Carcinoma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Jinluan Li, MD
- Phone Number: +86-15159628678
- Email: lijinluan@fjmu.edu.cn
Study Contact Backup
- Name: Shushang Chen, MD
- Phone Number: +86-18960939103
- Email: 121257401@qq.com
Study Locations
-
-
Fujian
-
Fuzhou, Fujian, China, 350014
- Fujian Cancer Hospital
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Principal Investigator:
- Jinluan Li, MD
-
Contact:
- Jinluan Li, MD
- Phone Number: +86-15959628678
- Email: lijinluan@fjmuedu.cn
-
Contact:
- Shushang Shu, MD
- Phone Number: +86-18960939103
- Email: 121257401@qq.com
-
Principal Investigator:
- Shushang Chen, MD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Aged 18 to 80 years, regardless of sex.
- Histologically or cytologically confirmed locally advanced/metastatic renal cell carcinoma (RCC) inoperable/refused for surgery, or post-operative locally recurrent/metastatic RCC; pathological types include clear cell carcinoma and papillary renal cell carcinoma.
- ECOG performance status 0 or 1.
- At least 50% of all evaluable metastatic lesions are eligible for stereotactic body radiation therapy (SBRT).
- No contraindications to radiotherapy, targeted therapy or immunotherapy.
- At least one radiologically measurable lesion according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
- Capable and willing to comply with the study protocol including scheduled visits, treatment plan, laboratory tests and other study-related procedures during the study period.
- Signed written informed consent form.
Exclusion Criteria:
- With contraindications to targeted or immunotherapeutic drugs.
- A history of other malignant diseases in the recent 5 years, except for cured skin cancer and carcinoma in situ of the cervix.
- With active autoimmune diseases, organ transplantation, or other diseases requiring immunosuppressive therapy or long-term hormone therapy.
- Extensive diffuse metastasis with an expected survival of less than 3 months.
- A history of uncontrolled epilepsy, central nervous system diseases or mental disorders, whose clinical severity is judged by the investigator to potentially hinder the signing of the informed consent form or affect the patient's compliance with oral medication.
- With severe uncontrolled recurrent infections or other serious uncontrolled concomitant diseases.
- Allergic to any component of the study drugs.
- The subject's baseline blood routine and biochemical indicators do not meet the following criteria: hemoglobin ≥80g/L; absolute neutrophil count (ANC) ≥1.5×10⁹/L; platelet ≥100×10⁹/L; ALT and AST ≤2.5 times the upper limit of normal; serum total bilirubin <1.5 times the upper limit of normal; serum creatinine <2 times the upper limit of normal.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: SBRT combined with Anlotinib and Bemarituzumab
Interventions:
|
Dose fractionation: 39-48Gy/3f or 40-50Gy/5f, alternative 20-50Gy/5f if OAR dose-limited.
Dose adjusted per radiation toxicities during treatment.
Oral anti-angiogenic agent, 12 mg qd fasting, 21d/cycle (2w on/1w off)
Intravenous PD-1 inhibitor, 1200 mg q3w, 60min infusion
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Objective Response Rate (ORR)
Time Frame: Assessed at baseline, before the second/fourth cycle of targeted-immunotherapy and at regular intervals during consolidation therapy follow-up throughout the study, from enrollment to 36 month.
|
Assessed at baseline, before the second/fourth cycle of targeted-immunotherapy and at regular intervals during consolidation therapy follow-up throughout the study, from enrollment to 36 month.
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Progression-Free Survival (PFS)
Time Frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months
|
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months
|
|
Disease Control Rate (DCR)
Time Frame: Assessed at baseline, before the second/fourth cycle of targeted-immunotherapy and regular follow-up during consolidation therapy, from enrollment to 36 month.
|
Assessed at baseline, before the second/fourth cycle of targeted-immunotherapy and regular follow-up during consolidation therapy, from enrollment to 36 month.
|
|
Overall Survival (OS)
Time Frame: Followed up for the entire study period until patient death or study conclusion, from enrollment to 36 month.
|
Followed up for the entire study period until patient death or study conclusion, from enrollment to 36 month.
|
|
Objective Response Rate in the Field of Irradiation
Time Frame: Assessed at baseline, post-SBRT (before the 2nd cycle of targeted-immunotherapy) and regular follow-up during consolidation therapy, from enrollment to 36 month..
|
Assessed at baseline, post-SBRT (before the 2nd cycle of targeted-immunotherapy) and regular follow-up during consolidation therapy, from enrollment to 36 month..
|
|
Incidence of treatment-related adverse events (TRAEs) assessed by CTCAE v5.0
Time Frame: From baseline through study treatment period, up to 2 years.
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From baseline through study treatment period, up to 2 years.
|
|
Objective response rate (ORR) of irradiated versus non-irradiated lesions assessed by RECIST v1.1
Time Frame: Baseline, before cycle 2 and cycle 4 of immunotherapy (each cycle is 21 days), and up to 36 months.
|
Baseline, before cycle 2 and cycle 4 of immunotherapy (each cycle is 21 days), and up to 36 months.
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Jiunluan Li, MD, Fujian Cancer Hospital
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Male Urogenital Diseases
- Kidney Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Neoplasms by Histologic Type
- Neoplasms, Glandular and Epithelial
- Adenocarcinoma
- Urologic Neoplasms
- Carcinoma
- Kidney Neoplasms
- Carcinoma, Renal Cell
- Investigative Techniques
- Therapeutics
- Surgical Procedures, Operative
- Radiotherapy
- Stereotaxic Techniques
- Neurosurgical Procedures
- anlotinib
- Radiosurgery
- bemarituzumab
Other Study ID Numbers
Other Study ID Numbers
- BEAM-R
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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