Kidney Cancer Clinical Trial
A Phase 1, Dose-Escalation Trial of PT2385 Tablets In Patients With Advanced Clear Cell Renal Cell Carcinoma (MK-3795-001)
Summary
PART 1: The primary objective of this study is to identify the maximum tolerated dose (MTD) of MK-3795, formerly called PT2385 and/or the recommended Phase 2 dose (RP2D) of MK-3795 in patients with advanced clear cell renal cell carcinoma (ccRCC).
PART 2: The primary objective of this study is to identify the MTD of MK-3795 up to the RP2D, in combination with nivolumab, in patients with advanced ccRCC.
PART 3: The primary objective of this study is to identify the MTD of MK-3795 up to the RP2D, in combination with cabozantinib tablets, in patients with advanced ccRCC.
Full Description
PART 1: This is a Phase 1, multiple-dose, dose-escalation trial of MK-3795, where patients with advanced ccRCC will be assigned to sequential dose cohorts. Patient safety will be monitored with frequent physical examinations, vital sign measurements, electrocardiograms (ECGs), and hematology and chemistry laboratory studies, and by recording all adverse events (AEs). Blood will be obtained for analysis of the concentration of MK-3795 and to assess biomarkers.
PART 2: This is a Phase 1 trial of MK-3795 in combination with nivolumab, where patients with advanced ccRCC will be assigned to dose cohorts. Patient safety will be monitored with frequent physical examinations, vital sign measurements, ECGs, and hematology and chemistry laboratory studies, and by recording all AEs. Blood will be obtained for analysis of the concentration of MK-3795 and to assess biomarkers. As of Amendment 09 (29 Mar 2024), participants with advanced ccRCC will transition from MK-3795 to belzutifan in combination with nivolumab or belzutifan alone.
PART 3: This is a Phase 1 trial of MK-3795 in combination with cabozantinib tablets, where patients with advanced ccRCC will be assigned to dose cohorts. Patient safety will be monitored with frequent physical examinations, vital sign measurements, ECGs, and hematology and chemistry laboratory studies, and by recording all AEs. Blood will be obtained for analysis of the concentration of MK-3795 and cabozantinb and to assess biomarkers.
Eligibility Criteria
Inclusion Criteria
PART 1
Has locally advanced or metastatic clear cell renal cell carcinoma (ccRCC) and has progressed during treatment with at least one prior therapeutic regimen
Has a life expectancy of ≥ 3 months
Has adequate organ function
Able to swallow oral medications
PART 2 - In addition to PART 1
Received no more than three prior systemic treatment regimens in the advanced or metastatic setting
Must have received at least one but not more than two prior anti-angiogenic therapy regimens
PART 3 - In addition to PART 1
Must have received at least one vascular endothelial growth factor receptor (VEGFR) targeting tyrosine kinase inhibitor
Exclusion Criteria
PART 1
Has a history of untreated brain metastasis or history of leptomeningeal disease or spinal cord compression
Has failed to recover from the reversible effects of prior anticancer therapy
Has uncontrolled or poorly controlled hypertension
Is receiving warfarin anticoagulant therapy or expected to require warfarin
Has had any major cardiovascular event within 6 months prior to study drug administration
Has any other clinically significant cardiac, respiratory, or other medical or psychiatric condition that might interfere with participation in the trial or interfere with the interpretation of trial results
Has had major surgery within 4 weeks before first study drug administration
Has known human immunodeficiency virus (HIV) infection
Has an active infection requiring systemic treatment
Is participating in another therapeutic clinical trial
PART 2 - In addition to PART 1
Has received prior immunotherapy
Has any active or recent history of a known or suspected autoimmune disease
PART 3 - In addition to PART 1
Has gastrointestinal (GI) disorders
Has any history of congenital long QT syndrome
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There are 24 Locations for this study
Los Angeles California, 90048, United States
Aurora Colorado, 80045, United States
New Haven Connecticut, 06510, United States
Miami Florida, 33136, United States
Atlanta Georgia, 30322, United States
Chicago Illinois, 60612, United States
Indianapolis Indiana, 46202, United States
Baltimore Maryland, 21201, United States
Boston Massachusetts, 02114, United States
Boston Massachusetts, 02215, United States
Boston Massachusetts, 02215, United States
Detroit Michigan, 48201, United States
New York New York, 10019, United States
Cleveland Ohio, 44195, United States
Columbus Ohio, 43210, United States
Philadelphia Pennsylvania, 19111, United States
Pittsburgh Pennsylvania, 15232, United States
Germantown Tennessee, 38138, United States
Nashville Tennessee, 37203, United States
Nashville Tennessee, 37232, United States
Dallas Texas, 75239, United States
Fairfax Virginia, 22031, United States
Seattle Washington, 98104, United States
Seattle Washington, 98109, United States
Milwaukee Wisconsin, 53226, United States
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