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En studie av immunsjekkpunkthemmerkombinasjoner med axitinib hos deltakere med ubehandlet lokalt avansert, ikke-opererbart eller metastatisk nyrecellekarsinom

2. november 2026 oppdatert av: Hoffmann-La Roche

En randomisert åpen fase II-studie av immunkontrollpunkthemmerkombinasjoner med axitinib hos pasienter med tidligere ubehandlet lokalt avansert ikke-opererbart eller metastatisk nyrecellekarsinom

This study will evaluate the safety of tobemstomig (RO7247669) in combination with axitinib alone or with tiragolumab (anti-TIGIT) and axitinib as compared to pembrolizumab and axitinib in participants with previously untreated, unresectable locally advanced or metastatic clear-cell renal cell carcinoma (ccRCC).

Studieoversikt

Status

Fullført

Forhold

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Faktiske)

199

Fase

  • Fase 2

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

  • Australia
    • Queensland
      • Birtinya, Queensland, Australia, 4575
        • Sunshine Coast University Hospital
  • Forente stater
    • Alabama
      • Birmingham, Alabama, Forente stater, 35294
        • University of Alabama at Birmingham
    • California
      • Orange, California, Forente stater, 92868
        • UC Irvine Medical Center
    • Georgia
      • Atlanta, Georgia, Forente stater, 30322
        • Emory University
    • Maryland
      • Baltimore, Maryland, Forente stater, 21287
        • Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
    • Tennessee
      • Nashville, Tennessee, Forente stater, 37232
        • Vanderbilt University Medical Center
      • Nashville, Tennessee, Forente stater, 37203
        • SCRI Oncology Partners
    • Texas
      • Dallas, Texas, Forente stater, 75390-9179
        • UT Southwestern Medical Center
  • Frankrike
      • Avignon, Frankrike, 84918
        • Institut Sainte Catherine
      • Besançon, Frankrike, 25030
        • CHU Besançon - Hôpital Jean Minjoz
      • Bordeaux, Frankrike, 33075
        • CHU de Bordeaux - Groupe Hospitalier Saint-André - Hopital Saint-Andre
      • Caen, Frankrike, 14076
        • Centre Francois Baclesse
      • Lyon, Frankrike, 69373
        • Centre Leon Berard
      • Villejuif, Frankrike, 94800
        • Institut Gustave Roussy
  • Kina
      • Beijing, Kina, 100142
        • Beijing Cancer Hospital
      • Nanjing, Kina, 210008
        • Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School
      • Tianjin, Kina, 300060
        • Tianjin Cancer Hospital
  • Polen
      • Brzozów, Polen, 36-200
        • Szpital Specjalistyczny Podkarpacki O?rodek Onkologiczny
      • Bydgoszcz, Polen, 85-796
        • Centrum Onkologii im. Prof. Franciszka ?ukaszczyka
      • Krakow, Polen, 31-501
        • Szpital Uniwersytecki w Krakowie, Oddzia? Kliniczny Kliniki Onkologii
      • Późna, Polen, 60-569
        • Szpital Kliniczny im. Heliodora ?wi?cickiego UM w Poznaniu
  • Spania
      • Barcelona, Spania, 08035
        • Hospital Universitari Vall d'Hebron
      • Barcelona, Spania, 08025
        • Hospital de la Santa Creu i Sant Pau
      • Madrid, Spania, 28034
        • Hospital Universitario Ramon y Cajal
      • Madrid, Spania, 28041
        • Hospital Universitario 12 de Octubre
      • Madrid, Spania, 28040
        • Hospital Universitario Clínico San Carlos
      • Seville, Spania, 41013
        • Hospital Universitario Virgen del Rocio
      • Valencia, Spania, 46026
        • Hospital Universitari i Politecnic La Fe
    • Cordoba
      • Córdoba, Cordoba, Spania, 14004
        • Hospital Universitario Reina Sofia
  • Storbritannia
      • London, Storbritannia, EC1A 7BE
        • Barts & London School of Med
      • Manchester, Storbritannia, M2O 4BX
        • Christie Hospital Nhs Trust
  • Sør -Korea
      • Goyang-si, Sør -Korea, 10408
        • National Cancer Center
      • Jeollanam-do, Sør -Korea, 58128
        • Chonnam National University Hwasun Hospital
      • Seoul, Sør -Korea, 05505
        • Asan Medical Center
      • Seoul, Sør -Korea, 06351
        • Samsung Medical Center
      • Seoul, Sør -Korea, 03722
        • Severance Hospital, Yonsei University Health System
  • Tyskland
      • Dresden, Tyskland, 01307
        • Universitätsklinikum "Carl Gustav Carus"
      • Hamburg, Tyskland, 20246
        • Universitätsklinikum Hamburg-Eppendorf Onkologisches Zentrum Medizinische Klinik II
      • Hanover, Tyskland, 30625
        • Medizinische Hochschule Hannover
      • München, Tyskland, 81675
        • Klinikum rechts der Isar der TU München
      • Nürtingen, Tyskland, 72622
        • Studienpraxis Urologie
      • Ulm, Tyskland, 89081
        • Universitätsklinikum Ulm

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  • Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1
  • International Metastatic RCC Database Consortium (IMDC) risk intermediate (score of 1 or 2) or poor (score of 3-6)
  • Measurable disease with at least one measurable lesion
  • Histologically confirmed ccRCC with or without sarcomatoid features
  • Negative for HIV, hepatitis B, or hepatitis C virus (HCV)

Exclusion Criteria:

  • Pregnant or breastfeeding, or intention of becoming pregnant during the study or within 90 days after the final dose of tiragolumab, 4 months after the final dose of tobemstomig (RO7249669) and pembrolizumab, or for 1 week after the final dose of axitinib, whichever occurs last
  • Inability to swallow a tablet or malabsorption syndrome
  • Prior treatment for localized and/or metastatic RCC with systemic RCC-directed therapy, including T-cell costimulating or immune checkpoint blockade therapies
  • Ongoing use or anticipated need for treatment with a strong CYP3A4/5 inhibitor or inducer
  • Major surgical procedure, other than for diagnosis, within 4 weeks prior to initiation of study treatment, or anticipation of need for a major surgical procedure during the study
  • Uncontrolled or symptomatic hypercalcemia or symptomatic hypercalcemia requiring continued use of bisphosphonate therapy or denosumab
  • Symptomatic, untreated, or actively progressing central nervous system (CNS) metastases
  • History of leptomeningeal disease
  • Uncontrolled tumor-related pain
  • Uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures (once monthly or more frequently)
  • Moderate to severe hepatic impairment (Child-Pugh B or C)
  • Uncontrolled hypertension
  • Prior history of hypertensive crisis or hypertensive encephalopathy
  • Significant cardiovascular/cerebrovascular disease within 3 months (12 months for UK participants) prior to randomization
  • History of clinically significant ventricular dysrhythmias or risk factors for ventricular dysrhythmias
  • History of congenital QT syndrome
  • Resting heart rate (HR) > 100 bpm (or clinically significant tachycardia)
  • Stroke (including transient ischemic attack), myocardial infarction, or other symptomatic ischemic event, or thromboembolic event (e.g., deep venous thrombosis [DVT], pulmonary embolism [PE]) within 3 months (12 months for UK participants) before randomization
  • Significant vascular disease (e.g., aortic aneurysm or arterial dissection requiring surgical repair or recent peripheral arterial thrombosis) within 6 months prior to Day 1 of Cycle 1
  • Tumors invading pulmonary blood vessels, cavitating pulmonary lesions or known endobronchial disease
  • Tumor invading the gastrointestinal (GI) tract, including abdominal or tracheoesophageal fistulas
  • Evidence of abdominal free air not explained by paracentesis or recent surgical procedure
  • Active peptic ulcer disease, acute pancreatitis, acute obstruction of the pancreatic or biliary duct, appendicitis, cholangitis, cholecystitis, diverticulitis, gastric outlet obstruction
  • Intra-abdominal abscess within 6 months before initiation of study treatment
  • Clinical signs or symptoms of GI obstruction or requirement for routine parenteral hydration, parenteral nutrition, or tube feeding
  • Evidence of bleeding diathesis or significant coagulopathy
  • Grade ≥ 3 hemorrhage or bleeding event within 28 days prior to initiation of study treatment
  • Clinically significant hematuria, hematemesis, hemoptysis of > 0.5 teaspoon (2.5 mL) of red blood, coagulopathy, or other history of significant bleeding (e.g., pulmonary hemorrhage) within 3 months before initiation of study treatment
  • Active or history of autoimmune disease or immune deficiency
  • Treatment with systemic immunosuppressive medication within 2 weeks prior to initiation of study treatment, or anticipation of need for systemic immunosuppressive medication during study treatment
  • Prior allogeneic stem cell or solid organ transplantation
  • History of idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis obliterans), drug-induced pneumonitis, or idiopathic pneumonitis, or evidence of active pneumonitis on screening chest computed tomography (CT) scan
  • History of another primary malignancy other than RCC within 2 years prior to screening, with the exception of malignancies with a negligible risk of metastasis or death (e.g., 5-year OS rate > 90%)
  • Administration of a live, attenuated vaccine within 4 weeks before randomization or anticipation that such a live, attenuated vaccine will be required during the study
  • Active tuberculosis (TB)
  • Severe infection within 4 weeks prior to initiation of study treatment
  • Participants with active Epstein-Barr virus (EBV) infection or known or suspected chronic active EBV infection at screening
  • Treatment with therapeutic oral or IV antibiotics within 2 weeks prior to initiation of study treatment
  • Known hypersensitivity to Chinese hamster *ovary cell products or to any component of tobemstomig, tiragolumab, pembrolizumab, or axitinib

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Arm A (Tobemstomig + Axitinib)

Participants will receive intravenous (IV) tobemstomig every three weeks (Q3W) on Day 1 of each 21-day cycle. Participants will also receive oral (PO) axitinib twice daily (BID).
Legemiddel: Tobemstomig

Participants will receive IV tobemstomig Q3W.

Andre navn:
  • RO7247669
Legemiddel: Axitinib

Participants will receive axitinib PO BID.

Andre navn:
  • Inlyta
Eksperimentell: Arm B (Tobemstomig + Tiragolumab + Axitinib)

Participants will receive IV tobemstomig followed by IV tiragolumab Q3W on Day 1 of 21-day cycle. Participants will also receive axitinib PO BID.
Legemiddel: Tobemstomig

Participants will receive IV tobemstomig Q3W.

Andre navn:
  • RO7247669
Legemiddel: Axitinib

Participants will receive axitinib PO BID.

Andre navn:
  • Inlyta
Legemiddel: Tiragolumab

Participants will receive IV tiragolumab Q3W.
Aktiv komparator: Control Arm (Pembrolizumab + Axitinib)

Participants will receive IV pembrolizumab Q3W on Day 1 of each 21-day cycle. Participants will also receive axitinib PO BID.
Legemiddel: Axitinib

Participants will receive axitinib PO BID.

Andre navn:
  • Inlyta
Legemiddel: Pembrolizumab

Participants will receive IV pembrolizumab Q3W.

Andre navn:
  • Keytruda

Hva måler studien?

Primære resultatmål

Resultatmål
Tidsramme
Forekomst og alvorlighetsgrad av bivirkninger (AES)
Tidsramme: Opp til maksimalt 2 år
Opp til maksimalt 2 år

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Hoffmann-La Roche

Etterforskere

  • Studieleder: Clinical Trials, Hoffmann-LaRoche

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

21. april 2023

Primær fullføring (Faktiske)

5. oktober 2026

Studiet fullført (Faktiske)

5. oktober 2026

Datoer for studieregistrering

Først innsendt

28. mars 2023

Først innsendt som oppfylte QC-kriteriene

28. mars 2023

Først lagt ut (Faktiske)

10. april 2023

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

3. november 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

2. november 2026

Sist bekreftet

1. november 2026

Mer informasjon

Begreper knyttet til denne studien

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • BO43936

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

JA

IPD-planbeskrivelse

For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data_sharing

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Ja

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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