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JOURNAL ONKOLOGIE – STUDIE
STELLAR-002

Study of XL092 in Combination With Immuno-Oncology Agents in Subjects With Solid Tumors

Rekrutierend

NCT-Nummer:
NCT05176483

Studienbeginn:
Dezember 2021

Letztes Update:
02.04.2024

Wirkstoff:
XL092, Nivolumab, Ipilimumab, Nivolumab + Relatlimab

Indikation (Clinical Trials):
Carcinoma, Carcinoma, Renal Cell, Squamous Cell Carcinoma of Head and Neck

Geschlecht:
Alle

Altersgruppe:
Erwachsene (18+)

Phase:
Phase 1

Sponsor:
Exelixis

Collaborator:
-

Kontakt

Studienlocations
(3 von 122)

Exelixis Clinical Site #103
45147 Essen
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Exelixis Clinical Site #113
22763 Hamburg
(Hamburg)
GermanyRekrutierend» Google-Maps
Exelixis Clinical Site #108
69120 Heidelberg
(Baden-Württemberg)
GermanyRekrutierend» Google-Maps
Exelixis Clinical Site #82
44625 Herne
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Exelixis Clinical Site #93
07747 Jena
(Thüringen)
GermanyRekrutierend» Google-Maps
Exelixis Clinical Site #112
81737 München
(Bayern)
GermanyRekrutierend» Google-Maps
Exelixis Clinical Site #102
72622 Nürtingen
(Baden-Württemberg)
GermanyRekrutierend» Google-Maps
Exelixis Clinical Site #107
54292 Trier
(Rheinland-Pfalz)
GermanyRekrutierend» Google-Maps
Exelixis Clinical Site #95
72076 Tübingen
(Baden-Württemberg)
GermanyRekrutierend» Google-Maps
Exelixis Clinical Site #67
85054 Phoenix
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #1
85711 Tucson
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #123
94304 Palo Alto
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #59
93463 Santa Barbara
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #87
80124 Littleton
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #62
06510 New Haven
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #49
19713 Newark
United StatesAktiv, nicht rekrutierend» Google-Maps
Exelixis Clinical Site #48
34747 Celebration
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #11
32610 Gainesville
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #78
32224 Jacksonville
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #47
33136 Miami
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #61
33322 Plantation
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #8
33612 Tampa
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #26
60612 Chicago
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #4
46250 Indianapolis
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #122
40202 Louisville
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #14
21201 Baltimore
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #7
02215 Boston
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #65
48201 Detroit
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #13
48202 Detroit
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #68
55905 Rochester
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #2
68130 Omaha
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #5
68130 Omaha
United StatesAktiv, nicht rekrutierend» Google-Maps
Exelixis Clinical Site #55
89052 Las Vegas
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #88
08816 East Brunswick
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #105
07601 Hackensack
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #60
10032 New York
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #6
10065 New York
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #76
13210 Syracuse
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #12
27710 Durham
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #10
44106 Cleveland
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #51
97239 Portland
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #104
17033 Hershey
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #98
19104 Philadelphia
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #32
15212 Pittsburgh
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #24
15232 Pittsburgh
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #9
29572 Myrtle Beach
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #3
37203 Nashville
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #46
78705 Austin
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #111
75246 Dallas
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #89
75246 Dallas
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #73
75063 Irving
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #50
75075 Plano
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #70
75601 Tyler
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #66
22903 Charlottesville
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #33
53226 Milwaukee
United StatesRekrutierend» Google-Maps
Exelixis Clinical Site #35
4575 Birtinya
AustraliaRekrutierend» Google-Maps
Exelixis Clinical Site #16
4102 Brisbane
AustraliaRekrutierend» Google-Maps
Exelixis Clinical Site #42
2065 Saint Leonards
AustraliaRekrutierend» Google-Maps
Exelixis Clinical Site #31
5020 Salzburg
AustriaAktiv, nicht rekrutierend» Google-Maps
Exelixis Clinical Site #39
1070 Anderlecht
BelgiumRekrutierend» Google-Maps
Exelixis Clinical Site #118
63011 Clermont-Ferrand
FranceRekrutierend» Google-Maps
Exelixis Clinical Site #63
44805 Saint-Herblain
FranceRekrutierend» Google-Maps
Exelixis Clinical Site #75
67200 Strasbourg
FranceRekrutierend» Google-Maps
Exelixis Clinical Site #84
54519 Vandœuvre-lès-Nancy
FranceRekrutierend» Google-Maps
Exelixis Clinical Site #115
94805 Villejuif
FranceRekrutierend» Google-Maps
Exelixis Clinical Site #86
8410101 Be'er Sheva
IsraelRekrutierend» Google-Maps
Exelixis Clinical Site #52
9112001 Jerusalem
IsraelRekrutierend» Google-Maps
Exelixis Clinical Site #71
4941492 Petah Tikva
IsraelRekrutierend» Google-Maps
Exelixis Clinical Site #69
6423906 Tel Aviv
IsraelRekrutierend» Google-Maps
Exelixis Clinical Site #30
1023 Grafton
New ZealandRekrutierend» Google-Maps
Exelixis Clinical Site #45
3204 Hamilton
New ZealandRekrutierend» Google-Maps
Exelixis Clinical Site #20
85-796 Bydgoszcz
PolandRekrutierend» Google-Maps
Exelixis Clinical Site #114
53-413 Wrocław
PolandRekrutierend» Google-Maps
Exelixis Clinical Site #120
08908 L'Hospitalet De Llobregat
SpainRekrutierend» Google-Maps
Exelixis Clinical Site #21
7000 Chur
SwitzerlandAktiv, nicht rekrutierend» Google-Maps
Exelixis Clinical Site #22
9007 St. Gallen
SwitzerlandRekrutierend» Google-Maps
Exelixis Clinical Site #44
8401 Winterthur
SwitzerlandRekrutierend» Google-Maps
Exelixis Clinical Site #110
CB2 0QQ Cambridge
United KingdomRekrutierend» Google-Maps
Exelixis Clinical Site #99
W6 8RF London
United KingdomRekrutierend» Google-Maps
Exelixis Clinical Site #97
HA6 2RN Middlesex
United KingdomRekrutierend» Google-Maps
Alle anzeigen

Studien-Informationen

Brief Summary:

This is a multicenter Phase 1b, open label, dose-escalation and cohort-expansion study,

evaluating the safety, tolerability, PK, preliminary antitumor activity, and effect of

biomarkers of XL092 administered alone, and in combination with nivolumab (doublet),

nivolumab + ipilimumab (triplet) and nivolumab + relatlimab (triplet) in subjects with

advanced solid tumors.

In the Expansion Stage, the safety and efficacy of XL092 as monotherapy and in combination

therapy will be further evaluated in tumor-specific Expansion Cohorts.

Ein-/Ausschlusskriterien

Inclusion Criteria:

- Cytologically or histologically confirmed solid tumor that is unresectable, locally

advanced or metastatic.

- Dose-Escalation Cohorts: Subjects with a solid tumor that is unresectable or

metastatic and for which life-prolonging therapies do not exist or available therapies

are intolerable or no longer effective.

- Expansion Cohort 1 (ccRCC): Subjects with unresectable advanced or metastatic RCC with

a clear cell component who have not received prior systemic therapy.

- Note: Prior non-VEGF targeted adjuvant or neoadjuvant is allowed if disease

recurrence occurred 6 months after the last dose.

- Expansion Cohort 2 (ccRCC): Subjects with unresectable advanced or metastatic RCC with

a clear cell component.

- Must have radiographically progressed after a combination therapy consisting of a

PD-1/PD-L1 targeting mAb with a VEGFR-TKI or a PD-1 targeting mAb with a CTLA-4

mAb as the preceding line of therapy.

- Must have received no more than one prior systemic anticancer therapy for

unresectable advanced or metastatic renal cell carcinoma.

- Expansion Cohort 3 (mCRPC): Men with metastatic adenocarcinoma of the prostate.

- Must have progressed during or after one NHT given for castration-sensitive

locally advanced (T3 or T4) or metastatic castration-sensitive prostate cancer

(CSPC), M0 CRPC, or mCRPC.

- Expansion Cohort 4 (UC, ICI-naive): Subjects with histologically confirmed

unresectable, locally advanced or metastatic transitional cell carcinoma of the

urothelium (including the renal pelvis, ureter, urinary bladder, or urethra).

- Must have progressed during or after prior first-line platinum-based combination

therapy, including subjects who received prior neoadjuvant or adjuvant

platinum-containing therapy with disease recurrence < 12 months from the end of

last therapy.

- Must have received no more than 1 prior line of systemic anticancer therapy for

unresectable, locally advanced or metastatic disease.

- Expansion Cohort 5 (UC, ICI-experienced): Subjects with histologically confirmed

unresectable, locally advanced or metastatic transitional cell carcinoma of the

urothelium (including the renal pelvis, ureter, urinary bladder, or urethra).

- Must have progressed during or after prior PD-1/PD-L1 targeting ICI therapy given

as monotherapy, combination therapy, maintenance therapy or adjuvant therapy.

- Must have received no more than 2 prior lines of systemic anticancer therapy for

unresectable advanced or metastatic disease.

- Expansion Cohort 6 (nccRCC): Subjects with unresectable advanced or metastatic nccRCC

of the following subtypes: Papillary RCC (any type), unclassified RCC, and

translocation-associated. Among the eligible histologic subtypes, sarcomatoid features

are allowed.

- No prior systemic anticancer therapy is allowed except adjuvant or neoadjuvant

therapy if disease recurrence occurred at least 6 months after the last dose.

- Expansion Cohort 7 (HCC): Subjects with inoperable locally advanced, recurrent, or

metastatic HCC that is not amenable to curative treatment or locoregional therapy.

- Expansion Cohort 8 (NSCLC): Subjects with Stage IV non-squamous NSCLC with positive

PD-L1 expression (tumor proportion score [TPS] 1-49%) and without prior systemic

anticancer therapy for metastatic disease.

- Expansion Cohort 9 (NSCLC): Subjects with Stage IV non-squamous NSCLC who have

radiologically progressed following treatment with one prior immune checkpoint

inhibitor (anti-PD-1 or anti-PD-L1) for metastatic disease.

- Expansion Cohort 10 (CRC): Subjects with histologically confirmed unresectable,

locally advanced, or metastatic adenocarcinoma of the colon or rectum.

- Expansion Cohort 11 (HNSCC): Subject with inoperable, refractory, recurrent or

metastatic HNSCC of the oral cavity, oropharynx, hypopharynx, and larynx. PD-L1

combined positive score (CPS) ≥1.

- For all Expansion Cohorts except Cohort 3: Measurable disease per RECIST 1.1 as

determined by the Investigator.

- For expansion cohorts only: Archival tumor tissue material, if available, or fresh

tumor tissue if it can be safely obtained.

- Recovery to baseline or ≤ Grade 1 CTCAE v5 from AE(s) related to any prior treatments

unless AE(s) are deemed clinically nonsignificant by the Investigator and/or stable on

supportive therapy.

- Karnofsky Performance Status (KPS) ≥ 70%.

- Adequate organ and marrow function.

- Sexually active fertile subjects and their partners must agree to use highly effective

methods of contraception.

- Female subjects of childbearing potential must not be pregnant at screening.

Exclusion Criteria:

- For all Dose-Escalation cohorts: Prior treatment with XL092. For all Expansion

Cohorts: Prior treatment with XL092, nivolumab, ipilimumab or relatlimab with the

following exceptions: Prior PD-1/PD-L1, LAG-3 and CTLA-4 targeting therapy for locally

advanced or metastatic disease is allowed for Cohort 2 (ccRCC), Cohort 5 (UC), Cohort

9 (NSCLC).

- For all Dose-Escalation Cohorts and Expansion Cohort 2 (ccRCC), 3 (mCRPC), Cohort 5

(UC), Cohort 9 (NSCLC) and Cohort 10 (CRC): Receipt of any type of small molecule

kinase inhibitor (including investigational kinase inhibitor) within 2 weeks before

first dose of study treatment.

- For Cohort 3 (mCRPC): Receipt of abiraterone within 1 week; cyproterone within 10

days; or receipt of flutamide, nilutamide, bicalutamide, enzalutamide, or other

androgen receptor inhibitors within 2 weeks before first dose of study treatment.

- For all Dose-Escalation Cohorts and Expansion Cohort 2 (ccRCC), Cohort 3 (mCRPC),

Cohort 5 (UC), Cohort 9 (NSCLC) and Cohort 10 (CRC): Receipt of any type of anticancer

antibody or systemic chemotherapy within 4 weeks before first dose of study treatment.

- Any complementary medications (eg, herbal supplements or traditional Chinese

medicines) to treat the disease under study within 2 weeks before first dose of study

treatment.

- Prior external radiation therapy for bone metastasis within 2 weeks, for other tumor

sites within 4 weeks, and prior radium-223 therapy within 6 weeks before first dose of

study treatment, unless otherwise specified.

- Known brain metastases or cranial epidural disease unless adequately treated with

radiotherapy (including radiosurgery) or surgically removed and stable for at least 4

weeks before first dose of study treatment.

- Concomitant anticoagulation with oral anticoagulants and platelet inhibitors.

- Administration of a live, attenuated vaccine within 30 days prior to enrollment.

- Uncontrolled, significant intercurrent or recent illness.

- Corrected QT interval calculated by the Fridericia formula (QTcF) > 480 ms per

electrocardiogram (ECG) within 14 days before first dose of study treatment.

- Subjects with inadequately treated adrenal insufficiency.

- Pregnant or lactating females.

- Any other active malignancy within two years before first dose of study treatment,

except for locally curable cancers that have been apparently cured such as basal or

squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the

prostate, cervix, or breast.

- For Cohort 2 (ccRCC, 2L): Receipt of a prior triplet therapy including a VEGFR-TKI, a

PD1 targeting mAb, and a CTLA-4 mAb.

- For Cohort 3 (mCRPC): Receipt of a taxane-based chemotherapy for mCRPC.

- For Cohort 4 (UC, ICI-naïve): Subjects who have had recurrence within the 6 months of

completing adjuvant anti-PD-(L)1 treatment.

- For Cohort 6 (nccRCC, 1L): Subjects with chromophobe, renal medullary carcinoma, or

pure collecting duct nccRCC.

- For Cohort 7 (HCC):

- Documented hepatic encephalopathy (HE) within 6 months before randomization (see

Section 6.5.2 for a case definition of HE).

- Clinically meaningful ascites (ie, ascites requiring paracentesis or escalation

in diuretics) within 6 months before randomization.

- Subjects who have received any local anticancer therapy including surgery, PEI,

RFA, MWA, transarterial chemoembolization (TACE), or transarterial

radioembolization (TARE) within 28 days prior to randomization.

- Subjects with known fibrolamellar carcinoma, sarcomatoid HCC, or mixed

hepatocellular cholangiocarcinoma

- For Cohort 10 (CRC, 2L+): Receipt of prior therapy with regorafenib and/or TAS-102.

- For Cohort 11 (HNSCC): Primary tumor site of the nasopharyngeal area.

- For Cohorts 1 (ccRCC, 1L), 2 (ccRCC, 2L), 4, 5 (UC), 7 (HCC), 8 (NSCLC 1L PD-L1 low),

9 (NSCLC, 2L+), 10 (CRC, MSS, 2L+), and 11 (HNSCC):

- Troponin T (TnT) or I (TnI) > 2 × institutional ULN.

Note: Additional Inclusion and Exclusion criteria may apply.

Studien-Rationale

Primary outcome:

1. Incidence and severity of adverse events (AEs) and serious adverse events (SAEs), including immune-mediated adverse events (imAEs) (Time Frame - up to 36 months):
To evaluate the safety of XL092 when administered alone or in combination therapy regimens through the evaluation of incidence and severity of AEs and SAEs, including imAEs

2. Expansion Stage: Objective Response Rate (ORR) (Time Frame - up to 24 months):
To evaluate ORR in subjects with measurable disease as assessed by the Investigator per RECIST 1.1

3. Expansion Stage: Progression-Free Survival (PFS) (Time Frame - up to 24 months):
For Cohort 3 (mCRPC): To evaluate duration of radiographic PFS as determined per Prostate Working Group 3 (PCWG3) criteria (Scher et al 2016) by Blinded Independent Radiology Committee (BIRC)

4. Expansion Stage: Overall Survival (OS) (Time Frame - 6 months):
For Cohort 10 (CRC): Overall Survival (OS) rate

Studien-Arme

  • Experimental: XL092 + Nivolumab Dose-Escalation Cohorts
    Approximately 12 subjects will accrue across 1-2 dose levels of XL092 following the "rolling 6" design.
  • Experimental: XL092 + Nivolumab + Ipilimumab Dose-Escalation Cohorts
    Approximately 12 subjects will accrue across 1-2 dose levels of XL092 following the "rolling 6" design.
  • Experimental: XL092 + Nivolumab Expansion Cohorts
    The recommended dose from the dose-escalation stage may be further explored in tumor-specific cohorts.
  • Experimental: XL092 + Nivolumab + Ipilimumab Expansion Cohorts
    The recommended dose from the dose-escalation stage may be further explored in tumor-specific cohorts.
  • Experimental: XL092 Single-Agent Expansion Cohorts
  • Experimental: XL092 + Nivolumab + Relatlimab Dose-Escalation Cohorts
    Approximately 12 subjects will accrue across 1-2 dose levels of XL092 following the "rolling 6" design.
  • Experimental: XL092 + Nivolumab + Relatlimab Expansion Cohorts
    The recommended dose from the dose-escalation stage may be further explored in tumor-specific cohorts.

Geprüfte Regime

  • XL092:
    XL092 orally once daily (qd)
  • Nivolumab (Opdivo):
    360 mg IV infusion once every 3 weeks (q3w)
  • Ipilimumab (Yervoy):
    1 mg/kg IV infusion once every 3 weeks (q3w) for maximum of four doses
  • Nivolumab (Opdivo):
    3 mg/kg IV infusion once every 3 weeks (q3w) for first four doses, and then 480 mg IV infusion once every 4 weeks (q4w)
  • Nivolumab (Opdivo):
    480 mg IV infusion once every 4 weeks (q4w)
  • Nivolumab + Relatlimab:
    IV administration of nivolumab + relatlimab

Quelle: ClinicalTrials.gov


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