Prüfung von Cabozantinib mit oder ohne Atezolizumab bei Patienten mit fortgeschrittenem papillärem Nierenkrebs, PAPMET2-Studie
Eine randomisierte Phase-II-Studie mit Cabozantinib (NSC #761968) mit oder ohne Atezolizumab (NSC #783608) bei Patienten mit fortgeschrittenem papillärem Nierenzellkarzinom (PAPMET2)
This phase II trial compares the effect of atezolizumab in combination with usual treatment with cabozantinib to cabozantinib alone in patients with papillary renal cell carcinoma that has spread from where it first started (primary site) to other places in the body (metastatic). Papillary renal cell carcinoma (PRCC) is a type of kidney cancer that forms in the lining of the tiny tubes in the kidney that return filtered substances that the body needs back to the blood and remove extra fluid and waste as urine. Most papillary tumors look like long, thin finger-like growths under a microscope. It is also called papillary kidney cancer or PRCC. Immunotherapy with monoclonal antibodies, such as atezolizumab, may help the body's immune system attack the tumor and may interfere with the ability of tumor cells to grow and spread. Cabozantinib is in a class of medications called kinase inhibitors. It works by blocking the action of an abnormal protein that signals tumor cells to multiply and may also prevent the growth of new blood vessels that tumors need to grow. By these actions it may help slow or stop the spread of tumor cells. Combination therapy with atezolizumab and cabozantinib may shrink the tumor and allow a longer survival time in patients with metastatic renal cell carcinoma.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
PRIMARY OBJECTIVE:
I. To compare progression-free survival in participants with metastatic papillary renal cell carcinoma (mPRCC) randomized to cabozantinib (cabozantinib S-malate) with atezolizumab versus cabozantinib alone.
SECONDARY OBJECTIVES:
I. To compare overall survival in participants with mPRCC randomized to cabozantinib with atezolizumab versus cabozantinib alone.
II. To compare Response Evaluation Criteria in Solid Tumors (RECIST) objective response rate (confirmed and unconfirmed, complete and partial response) in participants with mPRCC randomized to cabozantinib with atezolizumab versus cabozantinib alone.
III. To evaluate the quantitative and qualitive adverse events observed in each treatment arm.
BANKING OBJECTIVE:
I. To bank biospecimens for future correlative studies.
OUTLINE: Patients are randomized to 1 of 2 arms.
ARM I: Patients receive cabozantinib S-malate orally (PO) once daily (QD) on days 1-21 of each cycle. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. Patients also undergo computed tomography (CT) or magnetic resonance imaging (MRI) and blood and urine sample collection throughout the trial. Patients may also undergo bone scan throughout the trial.
ARM II: Patients receive cabozantinib S-malate PO QD on days 1-21 and atezolizumab intravenously (IV) over 30-60 minutes on day 1 of each cycle. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. Patients also undergo CT scan or MRI and blood and urine sample collection throughout the trial. Patients may also undergo bone scan throughout the trial.
After completion of study treatment, patients are followed up every 3 months for 2 years and then every 6 months for up to 5 years.
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Phase 2
Kontakte und Standorte
Studienorte
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Arizona
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Gilbert, Arizona, Vereinigte Staaten, 85234
- Banner MD Anderson Cancer Center
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Phoenix, Arizona, Vereinigte Staaten, 85004
- Cancer Center at Saint Joseph's
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Arkansas
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Little Rock, Arkansas, Vereinigte Staaten, 72205
- University of Arkansas for Medical Sciences
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California
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Anaheim, California, Vereinigte Staaten, 92806
- Kaiser Permanente-Anaheim
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Baldwin Park, California, Vereinigte Staaten, 91706
- Kaiser Permanente-Baldwin Park
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Bellflower, California, Vereinigte Staaten, 90706
- Kaiser Permanente-Bellflower
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Duarte, California, Vereinigte Staaten, 91010
- City of Hope Comprehensive Cancer Center
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Dublin, California, Vereinigte Staaten, 94568
- Epic Care-Dublin
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Emeryville, California, Vereinigte Staaten, 94608
- Epic Care Partners in Cancer Care
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Fontana, California, Vereinigte Staaten, 92335
- Kaiser Permanente-Fontana
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Harbor City, California, Vereinigte Staaten, 90710
- Kaiser Permanente South Bay
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Irvine, California, Vereinigte Staaten, 92618
- Kaiser Permanente-Irvine
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Los Angeles, California, Vereinigte Staaten, 90027
- Kaiser Permanente Los Angeles Medical Center
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Los Angeles, California, Vereinigte Staaten, 90034
- Kaiser Permanente West Los Angeles
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Martinez, California, Vereinigte Staaten, 94553-3156
- Contra Costa Regional Medical Center
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Ontario, California, Vereinigte Staaten, 91761
- Kaiser Permanente-Ontario
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Panorama City, California, Vereinigte Staaten, 91402
- Kaiser Permanente - Panorama City
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Riverside, California, Vereinigte Staaten, 92505
- Kaiser Permanente-Riverside
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Sacramento, California, Vereinigte Staaten, 95817
- University of California Davis Comprehensive Cancer Center
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San Diego, California, Vereinigte Staaten, 92120
- Kaiser Permanente-San Diego Zion
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San Marcos, California, Vereinigte Staaten, 92078
- Kaiser Permanente-San Marcos
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Walnut Creek, California, Vereinigte Staaten, 94597
- Epic Care Cyberknife Center
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Woodland Hills, California, Vereinigte Staaten, 91367
- Kaiser Permanente-Woodland Hills
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District of Columbia
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Washington D.C., District of Columbia, Vereinigte Staaten, 20007
- MedStar Georgetown University Hospital
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Idaho
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Boise, Idaho, Vereinigte Staaten, 83706
- Saint Alphonsus Cancer Care Center-Boise
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Boise, Idaho, Vereinigte Staaten, 83712
- Saint Luke's Cancer Institute - Boise
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Caldwell, Idaho, Vereinigte Staaten, 83605
- Saint Alphonsus Cancer Care Center-Caldwell
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Coeur d'Alene, Idaho, Vereinigte Staaten, 83814
- Kootenai Health - Coeur d'Alene
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Fruitland, Idaho, Vereinigte Staaten, 83619
- Saint Luke's Cancer Institute - Fruitland
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Meridian, Idaho, Vereinigte Staaten, 83642
- Saint Luke's Cancer Institute - Meridian
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Nampa, Idaho, Vereinigte Staaten, 83687
- Saint Alphonsus Cancer Care Center-Nampa
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Nampa, Idaho, Vereinigte Staaten, 83687
- Saint Luke's Cancer Institute - Nampa
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Post Falls, Idaho, Vereinigte Staaten, 83854
- Kootenai Clinic Cancer Services - Post Falls
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Sandpoint, Idaho, Vereinigte Staaten, 83864
- Kootenai Clinic Cancer Services - Sandpoint
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Twin Falls, Idaho, Vereinigte Staaten, 83301
- Saint Luke's Cancer Institute - Twin Falls
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Illinois
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Bloomington, Illinois, Vereinigte Staaten, 61704
- Illinois CancerCare-Bloomington
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Canton, Illinois, Vereinigte Staaten, 61520
- Illinois CancerCare-Canton
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Carthage, Illinois, Vereinigte Staaten, 62321
- Illinois CancerCare-Carthage
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Chicago, Illinois, Vereinigte Staaten, 60611
- Northwestern University
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Danville, Illinois, Vereinigte Staaten, 61832
- Carle at The Riverfront
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DeKalb, Illinois, Vereinigte Staaten, 60115
- Northwestern Medicine Cancer Center Kishwaukee
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Decatur, Illinois, Vereinigte Staaten, 62526
- Decatur Memorial Hospital
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Decatur, Illinois, Vereinigte Staaten, 62526
- Cancer Care Specialists of Illinois - Decatur
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Dixon, Illinois, Vereinigte Staaten, 61021
- Illinois CancerCare-Dixon
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Effingham, Illinois, Vereinigte Staaten, 62401
- Crossroads Cancer Center
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Effingham, Illinois, Vereinigte Staaten, 62401
- Carle Physician Group-Effingham
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Eureka, Illinois, Vereinigte Staaten, 61530
- Illinois CancerCare-Eureka
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Galesburg, Illinois, Vereinigte Staaten, 61401
- Illinois CancerCare-Galesburg
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Geneva, Illinois, Vereinigte Staaten, 60134
- Northwestern Medicine Cancer Center Delnor
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Glenview, Illinois, Vereinigte Staaten, 60026
- Northwestern Medicine Glenview Outpatient Center
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Grayslake, Illinois, Vereinigte Staaten, 60030
- Northwestern Medicine Grayslake Outpatient Center
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Kewanee, Illinois, Vereinigte Staaten, 61443
- Illinois CancerCare-Kewanee Clinic
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Lake Forest, Illinois, Vereinigte Staaten, 60045
- Northwestern Medicine Lake Forest Hospital
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Macomb, Illinois, Vereinigte Staaten, 61455
- Illinois CancerCare-Macomb
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Mattoon, Illinois, Vereinigte Staaten, 61938
- Carle Physician Group-Mattoon/Charleston
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Maywood, Illinois, Vereinigte Staaten, 60153
- Loyola University Medical Center
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O'Fallon, Illinois, Vereinigte Staaten, 62269
- Cancer Care Center of O'Fallon
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Orland Park, Illinois, Vereinigte Staaten, 60462
- Northwestern Medicine Orland Park
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Ottawa, Illinois, Vereinigte Staaten, 61350
- Illinois CancerCare-Ottawa Clinic
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Pekin, Illinois, Vereinigte Staaten, 61554
- Illinois CancerCare-Pekin
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Peoria, Illinois, Vereinigte Staaten, 61615
- Illinois CancerCare-Peoria
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Peru, Illinois, Vereinigte Staaten, 61354
- Illinois CancerCare-Peru
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Princeton, Illinois, Vereinigte Staaten, 61356
- Illinois CancerCare-Princeton
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Rockford, Illinois, Vereinigte Staaten, 61114
- UW Health Carbone Cancer Center Rockford
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Shiloh, Illinois, Vereinigte Staaten, 62269
- Memorial Hospital East
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Springfield, Illinois, Vereinigte Staaten, 62702
- Southern Illinois University School of Medicine
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Springfield, Illinois, Vereinigte Staaten, 62702
- Springfield Clinic
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Springfield, Illinois, Vereinigte Staaten, 62781
- Springfield Memorial Hospital
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Urbana, Illinois, Vereinigte Staaten, 61801
- Carle Cancer Center
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Warrenville, Illinois, Vereinigte Staaten, 60555
- Northwestern Medicine Cancer Center Warrenville
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Washington, Illinois, Vereinigte Staaten, 61571
- Illinois CancerCare - Washington
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Iowa
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Ames, Iowa, Vereinigte Staaten, 50010
- Mary Greeley Medical Center
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Ames, Iowa, Vereinigte Staaten, 50010
- McFarland Clinic - Ames
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Ankeny, Iowa, Vereinigte Staaten, 50023
- UI Health Care Mission Cancer and Blood - Ankeny Clinic
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Boone, Iowa, Vereinigte Staaten, 50036
- McFarland Clinic - Boone
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Clive, Iowa, Vereinigte Staaten, 50325
- UI Health Care Mission Cancer and Blood - West Des Moines Clinic
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Des Moines, Iowa, Vereinigte Staaten, 50314
- Mercy Medical Center - Des Moines
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Des Moines, Iowa, Vereinigte Staaten, 50309
- UI Health Care Mission Cancer and Blood - Des Moines Clinic
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Des Moines, Iowa, Vereinigte Staaten, 50314
- UI Health Care Mission Cancer and Blood - Laurel Clinic
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Fort Dodge, Iowa, Vereinigte Staaten, 50501
- McFarland Clinic - Trinity Cancer Center
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Jefferson, Iowa, Vereinigte Staaten, 50129
- McFarland Clinic - Jefferson
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Marshalltown, Iowa, Vereinigte Staaten, 50158
- McFarland Clinic - Marshalltown
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Waukee, Iowa, Vereinigte Staaten, 50263
- UI Health Care Mission Cancer and Blood - Waukee Clinic
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Kansas
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Topeka, Kansas, Vereinigte Staaten, 66606
- Cotton O'Neil Cancer Center / Stormont Vail Health
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Louisiana
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Metairie, Louisiana, Vereinigte Staaten, 70006
- East Jefferson General Hospital
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Metairie, Louisiana, Vereinigte Staaten, 70006
- LSU Healthcare Network / Metairie Multi-Specialty Clinic
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Metairie, Louisiana, Vereinigte Staaten, 70002
- Mary Bird Perkins Cancer Center - Metairie
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New Orleans, Louisiana, Vereinigte Staaten, 70112
- University Medical Center New Orleans
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New Orleans, Louisiana, Vereinigte Staaten, 70115
- Touro Infirmary
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Maryland
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Baltimore, Maryland, Vereinigte Staaten, 21287
- Johns Hopkins University/Sidney Kimmel Cancer Center
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Michigan
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Ann Arbor, Michigan, Vereinigte Staaten, 48106
- Trinity Health Saint Joseph Mercy Hospital Ann Arbor
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Battle Creek, Michigan, Vereinigte Staaten, 49017
- Bronson Battle Creek
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Brighton, Michigan, Vereinigte Staaten, 48114
- Trinity Health IHA Medical Group Hematology Oncology - Brighton
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Brighton, Michigan, Vereinigte Staaten, 48114
- Trinity Health Medical Center - Brighton
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Canton, Michigan, Vereinigte Staaten, 48188
- Trinity Health IHA Medical Group Hematology Oncology - Canton
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Canton, Michigan, Vereinigte Staaten, 48188
- Trinity Health Medical Center - Canton
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Caro, Michigan, Vereinigte Staaten, 48723
- Caro Cancer Center
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Chelsea, Michigan, Vereinigte Staaten, 48118
- Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
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Chelsea, Michigan, Vereinigte Staaten, 48118
- Chelsea Hospital
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Detroit, Michigan, Vereinigte Staaten, 48201
- Wayne State University/Karmanos Cancer Institute
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Farmington Hills, Michigan, Vereinigte Staaten, 48334
- Weisberg Cancer Treatment Center
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Flint, Michigan, Vereinigte Staaten, 48503
- Hurley Medical Center
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Flint, Michigan, Vereinigte Staaten, 48503
- Genesee Hematology Oncology PC
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Flint, Michigan, Vereinigte Staaten, 48503
- Genesys Hurley Cancer Institute
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Flint, Michigan, Vereinigte Staaten, 48503
- Cancer Hematology Centers - Flint
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Grand Rapids, Michigan, Vereinigte Staaten, 49503
- Corewell Health Grand Rapids Hospitals - Butterworth Hospital
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Kalamazoo, Michigan, Vereinigte Staaten, 49007
- West Michigan Cancer Center
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Kalamazoo, Michigan, Vereinigte Staaten, 49007
- Bronson Methodist Hospital
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Kalamazoo, Michigan, Vereinigte Staaten, 49009
- Beacon Kalamazoo Cancer Center
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Lansing, Michigan, Vereinigte Staaten, 48912
- University of Michigan Health - Sparrow Lansing
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Livonia, Michigan, Vereinigte Staaten, 48154
- Trinity Health Saint Mary Mercy Livonia Hospital
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Marlette, Michigan, Vereinigte Staaten, 48453
- Saint Mary's Oncology/Hematology Associates of Marlette
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Muskegon, Michigan, Vereinigte Staaten, 49444
- Trinity Health Muskegon Hospital
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Niles, Michigan, Vereinigte Staaten, 49120
- Corewell Health Lakeland Hospitals - Niles Hospital
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Norton Shores, Michigan, Vereinigte Staaten, 49444
- Cancer and Hematology Centers of Western Michigan - Norton Shores
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Pontiac, Michigan, Vereinigte Staaten, 48341
- Trinity Health Saint Joseph Mercy Oakland Hospital
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Saginaw, Michigan, Vereinigte Staaten, 48604
- Oncology Hematology Associates of Saginaw Valley PC
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Saginaw, Michigan, Vereinigte Staaten, 48601
- MyMichigan Medical Center Saginaw
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Saint Joseph, Michigan, Vereinigte Staaten, 49085
- Corewell Health Lakeland Hospitals - Marie Yeager Cancer Center
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Tawas City, Michigan, Vereinigte Staaten, 48764
- MyMichigan Medical Center Tawas
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Traverse City, Michigan, Vereinigte Staaten, 49684
- Munson Medical Center
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West Branch, Michigan, Vereinigte Staaten, 48661
- Saint Mary's Oncology/Hematology Associates of West Branch
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Wyoming, Michigan, Vereinigte Staaten, 49519
- University of Michigan Health - West
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Ypsilanti, Michigan, Vereinigte Staaten, 48197
- Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
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Ypsilanti, Michigan, Vereinigte Staaten, 48106
- Huron Gastroenterology PC
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Minnesota
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Coon Rapids, Minnesota, Vereinigte Staaten, 55433
- Mercy Hospital
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Edina, Minnesota, Vereinigte Staaten, 55435
- Fairview Southdale Hospital
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Maplewood, Minnesota, Vereinigte Staaten, 55109
- Saint John's Hospital - Healtheast
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Minneapolis, Minnesota, Vereinigte Staaten, 55407
- Abbott-Northwestern Hospital
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Saint Louis Park, Minnesota, Vereinigte Staaten, 55416
- Park Nicollet Clinic - Saint Louis Park
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Saint Paul, Minnesota, Vereinigte Staaten, 55101
- Regions Hospital
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Saint Paul, Minnesota, Vereinigte Staaten, 55102
- United Hospital
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Mississippi
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Jackson, Mississippi, Vereinigte Staaten, 39216
- University of Mississippi Medical Center
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Missouri
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Cape Girardeau, Missouri, Vereinigte Staaten, 63703
- Saint Francis Medical Center
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City of Saint Peters, Missouri, Vereinigte Staaten, 63376
- Siteman Cancer Center at Saint Peters Hospital
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Creve Coeur, Missouri, Vereinigte Staaten, 63141
- Siteman Cancer Center at West County Hospital
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Farmington, Missouri, Vereinigte Staaten, 63640
- Parkland Health Center - Farmington
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Sainte Genevieve, Missouri, Vereinigte Staaten, 63670
- Sainte Genevieve County Memorial Hospital
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St Louis, Missouri, Vereinigte Staaten, 63110
- Washington University School of Medicine
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St Louis, Missouri, Vereinigte Staaten, 63129
- Siteman Cancer Center-South County
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St Louis, Missouri, Vereinigte Staaten, 63136
- Siteman Cancer Center at Christian Hospital
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St Louis, Missouri, Vereinigte Staaten, 63131
- Missouri Baptist Medical Center
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St Louis, Missouri, Vereinigte Staaten, 63141
- Mercy Hospital Saint Louis
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St Louis, Missouri, Vereinigte Staaten, 63128
- Mercy Hospital South
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Sullivan, Missouri, Vereinigte Staaten, 63080
- Missouri Baptist Sullivan Hospital
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Montana
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Anaconda, Montana, Vereinigte Staaten, 59711
- Community Hospital of Anaconda
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Billings, Montana, Vereinigte Staaten, 59101
- Billings Clinic Cancer Center
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Billings, Montana, Vereinigte Staaten, 59102
- Saint Vincent Frontier Cancer Center
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Bozeman, Montana, Vereinigte Staaten, 59715
- Bozeman Health Deaconess Hospital
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Great Falls, Montana, Vereinigte Staaten, 59405
- Benefis Sletten Cancer Institute
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Kalispell, Montana, Vereinigte Staaten, 59901
- Logan Health Medical Center
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Missoula, Montana, Vereinigte Staaten, 59804
- Community Medical Center
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Nevada
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Las Vegas, Nevada, Vereinigte Staaten, 89102
- OptumCare Cancer Care at Charleston
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Las Vegas, Nevada, Vereinigte Staaten, 89183
- OptumCare Cancer Care at Fort Apache
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New Jersey
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Hackensack, New Jersey, Vereinigte Staaten, 07601
- Hackensack University Medical Center
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North Carolina
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Cary, North Carolina, Vereinigte Staaten, 27518
- Duke Cancer Center Cary
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Clinton, North Carolina, Vereinigte Staaten, 28328
- Southeastern Medical Oncology Center-Clinton
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Durham, North Carolina, Vereinigte Staaten, 27710
- Duke University Medical Center
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Goldsboro, North Carolina, Vereinigte Staaten, 27534
- Southeastern Medical Oncology Center-Goldsboro
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Jacksonville, North Carolina, Vereinigte Staaten, 28546
- Southeastern Medical Oncology Center-Jacksonville
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Pinehurst, North Carolina, Vereinigte Staaten, 28374
- FirstHealth of the Carolinas-Moore Regional Hospital
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Raleigh, North Carolina, Vereinigte Staaten, 27609
- Duke Cancer Center Raleigh
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Ohio
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Avon, Ohio, Vereinigte Staaten, 44011
- UH Seidman Cancer Center at UH Avon Health Center
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Beachwood, Ohio, Vereinigte Staaten, 44122
- UHHS-Chagrin Highlands Medical Center
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Centerville, Ohio, Vereinigte Staaten, 45459
- Miami Valley Hospital South
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Cleveland, Ohio, Vereinigte Staaten, 44106
- Case Western Reserve University
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Dayton, Ohio, Vereinigte Staaten, 45409
- Miami Valley Hospital
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Dayton, Ohio, Vereinigte Staaten, 45415
- Miami Valley Hospital North
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Dayton, Ohio, Vereinigte Staaten, 45415
- Dayton Physician LLC - Englewood
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Dayton, Ohio, Vereinigte Staaten, 45409
- Premier Blood and Cancer Center
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Franklin, Ohio, Vereinigte Staaten, 45005-1066
- Atrium Medical Center-Middletown Regional Hospital
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Greenville, Ohio, Vereinigte Staaten, 45331
- Miami Valley Cancer Care and Infusion
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Kettering, Ohio, Vereinigte Staaten, 45429
- Kettering Medical Center
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Troy, Ohio, Vereinigte Staaten, 45373
- Upper Valley Medical Center
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Oklahoma
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Oklahoma City, Oklahoma, Vereinigte Staaten, 73104
- University of Oklahoma Health Sciences Center
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Tulsa, Oklahoma, Vereinigte Staaten, 74146
- Oklahoma Cancer Specialists and Research Institute-Tulsa
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Oregon
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Newberg, Oregon, Vereinigte Staaten, 97132
- Providence Newberg Medical Center
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Ontario, Oregon, Vereinigte Staaten, 97914
- Saint Alphonsus Cancer Care Center-Ontario
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Oregon City, Oregon, Vereinigte Staaten, 97045
- Providence Willamette Falls Medical Center
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Portland, Oregon, Vereinigte Staaten, 97239
- Oregon Health and Science University
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Portland, Oregon, Vereinigte Staaten, 97213
- Providence Portland Medical Center
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Portland, Oregon, Vereinigte Staaten, 97225
- Providence Saint Vincent Medical Center
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Texas
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Dallas, Texas, Vereinigte Staaten, 75390
- UT Southwestern/Simmons Cancer Center-Dallas
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Dallas, Texas, Vereinigte Staaten, 75237
- UT Southwestern Simmons Cancer Center - RedBird
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Fort Worth, Texas, Vereinigte Staaten, 76104
- UT Southwestern/Simmons Cancer Center-Fort Worth
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Richardson, Texas, Vereinigte Staaten, 75080
- UT Southwestern Clinical Center at Richardson/Plano
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San Antonio, Texas, Vereinigte Staaten, 78229
- University of Texas Health Science Center at San Antonio
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Utah
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Farmington, Utah, Vereinigte Staaten, 84025
- Farmington Health Center
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Salt Lake City, Utah, Vereinigte Staaten, 84112
- Huntsman Cancer Institute/University of Utah
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Virginia
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Richmond, Virginia, Vereinigte Staaten, 23235
- VCU Massey Cancer Center at Stony Point
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Richmond, Virginia, Vereinigte Staaten, 23298
- VCU Massey Comprehensive Cancer Center
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West Virginia
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Charleston, West Virginia, Vereinigte Staaten, 25304
- Vandalia Health/CAMC Institute for Academic Medicine
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Wisconsin
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Eau Claire, Wisconsin, Vereinigte Staaten, 54701
- Marshfield Medical Center-EC Cancer Center
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Marshfield, Wisconsin, Vereinigte Staaten, 54449
- Marshfield Medical Center-Marshfield
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Minocqua, Wisconsin, Vereinigte Staaten, 54548
- Marshfield Medical Center - Minocqua
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Rice Lake, Wisconsin, Vereinigte Staaten, 54868
- Marshfield Medical Center-Rice Lake
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Stevens Point, Wisconsin, Vereinigte Staaten, 54482
- Marshfield Medical Center-River Region at Stevens Point
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Weston, Wisconsin, Vereinigte Staaten, 54476
- Marshfield Medical Center - Weston
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
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Participants must have a histologically confirmed diagnosis of metastatic papillary renal cell carcinoma (PRCC), either type 1 or type 2. (NOTE: A designation of type 1 or type 2 should be made by the local pathologist if possible but is not required). Mixed histologies which contain type 1 or type 2 along with any other RCC histology/histologies will be allowed provided that they contain a papillary component
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Participants must have measurable disease per RECIST 1.1 criteria. All measurable lesions must be assessed by CT or MRI within 28 days prior to registration. All non-measurable lesions must be assessed by CT or MRI, or nuclear medicine bone scan within 42 days prior to registration. The CT from a combined positron emission tomography (PET)/CT may be used to document only non-measurable disease unless it is of diagnostic quality. If there is clinical suspicion for bone metastases at the time of enrollment (at the discretion of the investigator), bone scan must be performed at baseline (within 42 days prior to registration)
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Participants with new or progressive brain metastases (active brain metastases) must not require immediate central nervous system (CNS) specific treatment at the time of study registration or anticipated during the first cycle of therapy. Patients with leptomeningeal disease are excluded from enrolling
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Participants with measurable disease, per RECIST version (v)1.1, must be present outside the CNS
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Participants must have no history of intracranial hemorrhage or spinal cord hemorrhage
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Participants must not have undergone stereotactic radiotherapy within 7 days prior to initiation of study treatment, whole-brain radiotherapy within 14 days prior to initiation of study treatment, or neurosurgical resection within 28 days prior to initiation of study treatment
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Participants must not have ongoing requirements for corticosteroids as therapy for CNS disease
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Participants, if needed, must receive a stable dose of anti-convulsant therapy
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Participants must not have cavitating pulmonary lesions
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Participants must not have uncontrolled pleural effusions, pericardial effusions, or ascites requiring recurrent drainage procedures (once monthly or more frequently). Participants with indwelling catheters (e.g., PleurX [registered trademark]) are allowed
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Participants must not have tumor invading the gastrointestinal (GI) tract or evidence of endotracheal or endobronchial tumor within 28 days prior to registration
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Participants must not have evidence of tumor invading or encasing any major blood vessels
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Participants must not have had major surgery within 28 days prior to registration, and participants must have recovered from any adverse effects of surgery
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Participants must not have had prior treatment with cabozantinib for any reason
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Participants must not have had prior treatment or adjuvant therapy with PD-1/PD-L1 checkpoint inhibitors for any reason within the past 6 months
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Participants must not have received more than one prior systemic therapy for advanced or metastatic renal cell carcinoma with the exception of another VEGF inhibitor Food and Drug Administration (FDA)-approved for advanced RCC (i.e., pazopanib, bevacizumab, sorafenib or axitinib). If a participant develops metastatic disease within six months of discontinuation of adjuvant therapy, this will constitute one prior systemic therapy for advanced or metastatic RCC. If a patient develops metastatic disease and more than six months has elapsed since discontinuation of adjuvant therapy, this will not constitute prior systemic therapy for advanced or metastatic RCC
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Participants must not take within 14 days prior to registration, nor plan to take while on protocol treatment, any strong CYP3A4 inhibitors (e.g. boceprevir, cobicistat, danoprevir, elvitegravir/RIT, fluvoxamine, indinavir, itraconazole, ketoconazole, lopinavir/RIT, nefazodone, nelfinavir, posaconazole, ritonavir, telaprevir, telithromycin, tipranavir/RIT, or voriconazole,); Please refer to https://drug-interactions.medicine.iu.edu/MainTable.aspx for the updated CYP3A4 inhibitors or inducers
-
Participants must not take within 14 days prior to registration, nor plan to take while on protocol treatment, any strong CYP3A4 inducers (e.g. avasimibe, phenytoin, rifampin, rifabutin); Please refer to https://drug-interactions.medicine.iu.edu/MainTable.aspx for the updated CYP3A4 inhibitors or inducers
-
Participants must complete all prior radiation therapy at least 14 days prior to registration. Participants must have recovered to =< grade 1 from all associated toxicities at the time of registration unless the toxicity is determined to be not clinically significant by the registering investigator
-
Participants must not be receiving or planning to receive any other investigational agents at time of registration
-
Participants must not have been diagnosed with a clinically significant autoimmune disease, exceptions such as diabetes, eczema, and vitiligo are allowed. Other non-clinically significant autoimmune diseases are allowed if approved by the registering investigator
-
Participants must not be on steroid doses > 10 mg prednisone equivalent. Replacement steroid doses for adrenal insufficiency will be allowed. Also, short duration steroid therapy to prevent allergic reactions are acceptable (e.g. prior to CT imaging)
-
Participants must be >= 18 years of age
-
Participants must have a complete physical examination and medical history within 28 days prior to registration
-
Participants must have a Zubrod performance status of 0-2
-
White blood count (WBC) >= 2 x 10^3/uL (within 28 days prior to registration)
-
Absolute neutrophil count (ANC) >= 1.5 x 10^3/uL (within 28 days prior to registration)
-
Platelet count >= 100 x 10^3/uL (within 28 days prior to registration)
-
Lymphocyte count >= 0.5 x 10^3/uL (within 28 days prior to registration)
-
Hemoglobin (>= 9 g/dL) (within 28 days prior to registration). Participants may be transfused to meet this criterion
-
Total serum bilirubin =< 1.5 x the institutional upper limit of normal (ULN) unless history of Gilbert's disease (within 28 days prior to registration). Participants with history of Gilbert's disease must have total bilirubin =< 5 x institutional ULN
-
Aspartate aminotransferase (AST) must be =< 3 x the institutional ULN unless the liver is involved with the tumor, in which case serum transaminase (SGOT) must be =< 5 x the institutional ULN (within 28 days prior to registration)
-
Alanine aminotransferase (ALT), must be =< 3 x the institutional ULN unless the liver is involved with the tumor, in which case serum transaminase (SGPT) must be =< 5 x the institutional ULN (within 28 days prior to registration)
-
Participants must have serum creatinine =< 2 x the institutional ULN OR creatinine clearance (either measured or calculated) > 30 mL/min and obtained within 28 days prior to registration
-
Participants must not have any clinical evidence of congestive heart failure (CHF) (specifically, New York Heart Association [NYHA] class III [moderate] or class IV [severe]) at the time of registration
-
Participants must not have known history of congenital long QT syndrome and must not have experienced unstable angina pectoris, clinically significant cardiac arrhythmias, or stroke (transient ischemic attack [TIA] or other ischemic event) within 90 days prior to registration
-
Participants must not have experienced myocardial infarction or thromboembolic event requiring anticoagulation within 90 days of registration, unless clinically stable with ongoing medical management
-
Participants must have urine protein < 3+ within 28 days prior to registration. If urine protein is 3+ or greater, then urine protein by 24-hour collection must show less than 3 grams of protein
-
Participants must have documented blood pressure of systolic blood pressure (SBP) < 150 mm Hg or diastolic blood pressure (DBP) < 100 mm Hg within 14 days prior to registration
-
Participants with known human immunodeficiency virus (HIV) must be on effective anti-retroviral therapy at registration and have undetectable viral load within 6 months of registration
-
Participants with evidence of chronic hepatitis B virus (HBV) infection must have undetectable HBV viral load while on suppressive therapy within 6 months prior to registration, if indicated
-
Participants with a history of hepatitis C virus (HCV) infection must have been treated and cured. Participants currently being treated for HCV infection must have undetectable HCV viral load within 6 months prior to registration
-
Participants must be able to take oral medications (i.e., swallow pills whole). Participants must not have gastrointestinal tract disease resulting in an inability to take oral medication or a requirement for IV alimentation, prior surgical procedures that could in the opinion of the treating investigator affect absorption, or active peptic ulcer disease. Participants with intractable nausea or vomiting are not eligible
-
Participants must not have had any clinically-significant GI bleeding within 3 months prior to registration and participants must not have a GI disorder which (at the discretion of the investigator) bears a high risk of perforation or fistula (e.g. Crohn's disease)
-
Participants must not have had hemoptysis of >= (2.5 mL) of red blood, and do not demonstrate any other signs indicative of pulmonary hemorrhage within 3 months prior registration
-
Participants with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial
-
Participants must not be pregnant or nursing, due to VEGF therapy being toxic to embryogenesis. Individuals who are of reproductive potential must have agreed to use an effective contraceptive method with details provided as a part of the consent process. A person who has had menses at any time in the preceding 12 consecutive months or who has semen likely to contain sperm is considered to be of "reproductive potential." In addition to routine contraceptive methods, "effective contraception" also includes refraining from sexual activity that might result in pregnancy and surgery intended to prevent pregnancy (or with a side-effect of pregnancy prevention) including hysterectomy, bilateral oophorectomy, bilateral tubal ligation/occlusion, and vasectomy with testing showing no sperm in the semen
-
Participants must not be on warfarin, at therapeutic doses. Low dose aspirin for cardio-protection (per local applicable guidelines) and low molecular weight heparin (LMWH) are allowed
-
Participants must be offered the opportunity to participate in specimen banking. With participant consent, specimens must be collected and submitted via the Southwest Oncology Group (SWOG) Specimen Tracking System
-
Participants must be informed of the investigational nature of this study and must sign and give informed consent in accordance with institutional and federal guidelines
- NOTE: For participants with impaired decision-making capabilities, legally authorized representatives may sign and give informed consent on behalf of study participants in accordance with applicable federal, local, and Central Institutional Review Board (CIRB) regulations
-
As a part of the OPEN registration process the treating institution's identity is provided in order to ensure that the current (within 365 days) date of institutional review board approval for this study has been entered in the system
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Aktiver Komparator: Arm I (cabozantinib S-malate)
Patients receive cabozantinib S-malate PO QD on days 1-21 of each cycle. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. Patients also undergo CT scan or MRI and blood and urine sample collection throughout the trial. Patients may also undergo bone scan throughout the trial. |
Undergo MRI
Andere Namen:
Given PO
Andere Namen:
Undergo collection of blood and urine samples
Andere Namen:
Undergo CT scans
Andere Namen:
Undergo bone scans
Andere Namen:
|
|
Experimental: Arm II (cabozantinib S-malate, atezolizumab)
Patients receive cabozantinib S-malate PO QD on days 1-21 and atezolizumab IV over 30-60 minutes on day 1 of each cycle. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. Patients also undergo CT scan or MRI and blood and urine sample collection throughout the trial. Patients may also undergo bone scan throughout the trial. |
Undergo MRI
Andere Namen:
Given PO
Andere Namen:
Given IV
Andere Namen:
Undergo collection of blood and urine samples
Andere Namen:
Undergo CT scans
Andere Namen:
Undergo bone scans
Andere Namen:
|
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Progression free survival
Zeitfenster: From date of registration to date of first documentation of progression or symptomatic deterioration, or death due to any cause, assessed up to 5 years
|
A proportional hazards model will be used to evaluate the experimental arm compared to the control arm, adjusted for the stratification factors as covariates in the model. A one-sided p-value =< 0.05 will indicate statistical significance. Participants last known to be alive and progression free are censored at date of last contact. |
From date of registration to date of first documentation of progression or symptomatic deterioration, or death due to any cause, assessed up to 5 years
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Overall survival
Zeitfenster: From date of registration to date of death due to any cause, assessed up to 5 years
|
Will be estimated by the Kaplan-Meier method, and a stratified log-rank test will be used to compare the treatment arms. Participants last known to be alive are censored at date of last contact. |
From date of registration to date of death due to any cause, assessed up to 5 years
|
|
Objective response rate
Zeitfenster: Up to 5 years
|
Will be estimated to within +/- 11% (95% confidence interval). |
Up to 5 years
|
|
Incidence of adverse events
Zeitfenster: Day 1 of each cycle
|
Will be estimated to within +/- 11% (95% confidence interval). Will utilize the National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0 for toxicity and serious adverse event reporting. |
Day 1 of each cycle
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Hauptermittler: Benjamin L Maughan, SWOG Cancer Research Network
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
- Urogenitale Erkrankungen
- Urogenitale Neoplasmen
- Neubildungen nach Standort
- Neubildungen
- Männliche Urogenitalerkrankungen
- Nierenerkrankungen
- Urologische Erkrankungen
- Weibliche Urogenitalerkrankungen
- Weibliche Urogenitalerkrankungen und Schwangerschaftskomplikationen
- Neubildungen nach histologischem Typ
- Neubildungen, Drüsen und Epithelien
- Adenokarzinom
- Urologische Neubildungen
- Karzinom
- Nierentumoren
- Karzinom, Nierenzelle
- Untersuchungstechniken
- Klinische Labortechniken
- Diagnosetechniken und Verfahren
- Diagnose
- Chemie -Techniken, analytisch
- Spektrumanalyse
- Handhabung von Proben
- Magnetresonanzspektroskopie
- Atezolizumab
- Cabozantinib
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- NCI-2022-04668
- U10CA180888 (US NIH Stipendium/Vertrag)
- NCI-2022-04668 (Registrierungskennung: CTRP (Clinical Trial Reporting Program))
- S2200 (Andere Kennung: CTEP)
- S2200 (Andere Kennung: SWOG)
Plan für individuelle Teilnehmerdaten (IPD)
Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?
Beschreibung des IPD-Plans
NCI is committed to sharing data in accordance with NIH policy. For more details on how clinical trial data is shared, access the link to the NIH data sharing policy page.
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
Produkt, das in den USA hergestellt und aus den USA exportiert wird
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