NCT03606174

Brief Summary

The study will evaluate the clinical activity of PD-(L)1 Checkpoint Inhibitor regimens in combination with the investigational agent sitravatinib in patients with advanced or metastatic urothelial carcinoma.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
260

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Sep 2018

Typical duration for phase_2

Geographic Reach
1 country

36 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 20, 2018

Completed
10 days until next milestone

First Posted

Study publicly available on registry

July 30, 2018

Completed
1 month until next milestone

Study Start

First participant enrolled

September 11, 2018

Completed
3.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 3, 2022

Completed
19 days until next milestone

Study Completion

Last participant's last visit for all outcomes

August 22, 2022

Completed
1 year until next milestone

Results Posted

Study results publicly available

August 24, 2023

Completed
Last Updated

August 24, 2023

Status Verified

August 1, 2023

Enrollment Period

3.9 years

First QC Date

July 20, 2018

Results QC Date

August 3, 2023

Last Update Submit

August 3, 2023

Conditions

Keywords

MGCD516Antineoplastic AgentsImmunologic FactorsNivolumabTyrosine Kinase InhibitorVEGFRTAM RTKsPD-1PD-L1PembrolizumabEnfortumab vedotinCheckpoint InhibitorsAntibody Drug ConjugatesADC

Outcome Measures

Primary Outcomes (1)

  • Objective Response Rate (ORR)

    ORR was defined as the number of participants documented to have a confirmed investigator-assessed complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors (RECIST) V1.1. CR was defined as complete disappearance of all target lesions with the exception of nodal disease. All target nodes must have decreased to normal size (short axis \< 10 mm). PR was defined as a greater than or equal to 30% decrease under baseline of the sum of diameters of all target measurable lesions.

    Up to approximately 3 years

Secondary Outcomes (10)

  • Number of Participants Who Experienced an Adverse Event (AE)

    Day 1 up to approximately 3 years

  • Number of Participants Who Experienced a Serious Adverse Event (SAE)

    Day 1 up to approximately 3 years

  • Number of Participants Who Experienced a Treatment-related Adverse Event

    Day 1 up to approximately 3 years

  • Duration of Response (DOR)

    Up to approximately 3 years

  • Clinical Benefit Rate (CBR)

    Up to approximately 3 years

  • +5 more secondary outcomes

Study Arms (9)

Cohort 1

EXPERIMENTAL

Patients previously treated with checkpoint inhibitor and platinum-based chemotherapy. Nivolumab over 30 min IV infusion (240 mg IV every 2 weeks or 480 mg every 4 weeks) and sitravatinib 120 mg orally once per day continuously in 28-day cycles.

Drug: SitravatinibDrug: Nivolumab

Cohort 2

EXPERIMENTAL

Patients previously treated with checkpoint inhibitor, but ineligible for platinum-based chemotherapy. Nivolumab over 30 min IV infusion (240 mg IV every 2 weeks or 480 mg every 4 weeks) and sitravatinib 120 mg orally once per day continuously in 28-day cycles.

Drug: SitravatinibDrug: Nivolumab

Cohort 3

EXPERIMENTAL

Patients previously treated with selected immunotherapies and platinum-based chemotherapy. Nivolumab over 30 min IV infusion (240 mg IV every 2 weeks or 480 mg every 4 weeks) and sitravatinib 120 mg orally once per day continuously in 28-day cycles.

Drug: SitravatinibDrug: Nivolumab

Cohort 4

EXPERIMENTAL

Patients previously treated with with selected immunotherapies, but ineligible for platinum-based chemotherapy. Nivolumab over 30 min IV infusion (240 mg IV every 2 weeks or 480 mg every 4 weeks) and sitravatinib 120 mg orally once per day continuously in 28-day cycles.

Drug: SitravatinibDrug: Nivolumab

Cohort 5

EXPERIMENTAL

Patients previously treated with platinum-based chemotherapy, but never treated with checkpoint inhibitor. Nivolumab over 30 min IV infusion (240 mg IV every 2 weeks or 480 mg every 4 weeks) and sitravatinib 120 mg orally once per day continuously in 28-day cycles.

Drug: SitravatinibDrug: Nivolumab

Cohort 6

EXPERIMENTAL

Patients ineligible for treatment with platinum-based chemotherapy and never treated with checkpoint inhibitor. Nivolumab over 30 min IV infusion (240 mg IV every 2 weeks or 480 mg every 4 weeks) and sitravatinib 120 mg orally once per day continuously in 28-day cycles.

Drug: SitravatinibDrug: Nivolumab

Cohort 7

EXPERIMENTAL

Patients previously treated with antibody-drug conjugate, checkpoint inhibitor and platinum-based chemotherapy. Nivolumab over 30 min IV infusion (240 mg IV every 2 weeks or 480 mg every 4 weeks) and sitravatinib 120 mg orally once per day continuously in 28-day cycles.

Drug: SitravatinibDrug: Nivolumab

Cohort 8

EXPERIMENTAL

Patients previously treated with antibody-drug conjugate and checkpoint inhibitor, but ineligible for platinum-based chemotherapy. Nivolumab over 30 min IV infusion (240 mg IV every 2 weeks or 480 mg every 4 weeks) and sitravatinib 120 mg orally once per day continuously in 28-day cycles.

Drug: SitravatinibDrug: Nivolumab

Cohort 9

EXPERIMENTAL

Patients previously treated with checkpoint inhibitor and platinum-based chemotherapy. There are 2 parts to this Cohort - a lead-in dose escalation portion and a dose expansion portion. In the dose escalation portion, treatment with up to 3 dose levels of sitravatinib in combination with up to 2 dose levels of pembrolizumab and enfortumab combination regimen to determine the recommended doses to be used in the combination treatment regimen and those doses will be further studied in the dose expansion portion. Pembrolizumab 200 mg over 30 min IV infusion every 3 weeks, sitravatinib orally once per day continuously in 21-day cycles (at 35 mg, 50 mg, 70 mg, or 100 mg) and enfortumab vedotin over 30 min IV infusion on Day 1 and Day 8 in 21-day cycles (at 1 mg/kg or 1.25 mg/kg).

Drug: SitravatinibDrug: PembrolizumabDrug: Enfortumab vedotin

Interventions

Sitravatinib is a small molecule inhibitor of receptor tyrosine kinases

Also known as: MGCD516
Cohort 1Cohort 2Cohort 3Cohort 4Cohort 5Cohort 6Cohort 7Cohort 8Cohort 9

Nivolumab is a programmed death receptor-1 (PD-1) blocking antibody

Also known as: Opdivo
Cohort 1Cohort 2Cohort 3Cohort 4Cohort 5Cohort 6Cohort 7Cohort 8

Pembrolizumab is a programmed death receptor-1 (PD-1) blocking antibody

Also known as: Keytruda
Cohort 9

Enfortumab is a Nectin-4 directed antibody-drug conjugate (ADC) comprised of a monoclonal antibody conjugated to the small molecule microtubule disrupting agent, monomethyl auristatin E (MMAE)

Also known as: Padcev
Cohort 9

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Diagnosis of urothelial carcinoma
  • Adequate bone marrow and organ function

You may not qualify if:

  • Uncontrolled tumor in the brain
  • Unacceptable toxicity with prior checkpoint inhibitor
  • Impaired heart function

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (36)

The University of Arizona Cancer Center

Tucson, Arizona, 85724, United States

Location

University of California Irvine

Irvine, California, 92868, United States

Location

Rocky Mountain Cancer Centers

Aurora, Colorado, 80012, United States

Location

Yale School of Medicine

New Haven, Connecticut, 06510, United States

Location

SCRI - Florida Cancer Specialists- North Region

St. Petersburg, Florida, 33705, United States

Location

Moffitt Cancer Center

Tampa, Florida, 33612, United States

Location

SCRI - Florida Cancer Specialists - West Palm Beach

West Palm Beach, Florida, 33401, United States

Location

The University of Chicago

Chicago, Illinois, 60637, United States

Location

Indiana University - Melvin & Bren Simon Cancer Center

Indianapolis, Indiana, 46202, United States

Location

Norton Cancer Institute - Broadway

Louisville, Kentucky, 40202, United States

Location

Ochsner Cancer Institute

New Orleans, Louisiana, 70121, United States

Location

Maryland Oncology Hematology, P.A.

Lanham, Maryland, 20706, United States

Location

Dana Farber Cancer Institute

Boston, Massachusetts, 02215, United States

Location

Barbara Ann Karmanos Cancer Institute

Detroit, Michigan, 48201, United States

Location

Washington University School of Medicine - Siteman Cancer Center

St Louis, Missouri, 63110, United States

Location

GU Research Network/Urology Cancer Center

Omaha, Nebraska, 68130, United States

Location

Comprehensive Cancer Centers of Nevada - Southwest

Las Vegas, Nevada, 89169, United States

Location

New York Oncology Hematology - Albany Medical Center

Albany, New York, 12206, United States

Location

Roswell Park Cancer Institute

Buffalo, New York, 14263, United States

Location

Northwell Health Monter Cancer Center

Lake Success, New York, 11042, United States

Location

NYU Langone Laura & Isaac Perlmutter Cancer Center

New York, New York, 10016, United States

Location

Memorial Sloan-Kettering Cancer Center

New York, New York, 10065, United States

Location

New York-Presbyterian - Weill Cornell Medical Center

New York, New York, 10065, United States

Location

University of North Carolina - Lineberger Comprehensive Cancer Center

Chapel Hill, North Carolina, 27599, United States

Location

Duke University Hospital

Durham, North Carolina, 27710, United States

Location

The Ohio State University College of Medicine

Columbus, Ohio, 43202, United States

Location

Allegheny General Hospital

Pittsburgh, Pennsylvania, 15212, United States

Location

Vanderbilt University - Ingram Cancer Center

Nashville, Tennessee, 37232, United States

Location

Texas Oncology-Austin Central

Austin, Texas, 78731, United States

Location

Texas Oncology- Memorial City

Houston, Texas, 77024, United States

Location

University of Texas - MD Anderson Cancer Center

Houston, Texas, 77030, United States

Location

University of Texas Health Science Center

San Antonio, Texas, 78229, United States

Location

Texas Oncology - Tyler

Tyler, Texas, 75702, United States

Location

Virginia Cancer Specialists- Fairfax

Fairfax, Virginia, 22031, United States

Location

Virginia Oncology Associates

Norfolk, Virginia, 23502, United States

Location

Seattle Cancer Center Alliance

Seattle, Washington, 98109, United States

Location

MeSH Terms

Conditions

Carcinoma, Transitional Cell

Interventions

sitravatinibNivolumabpembrolizumabenfortumab vedotin

Condition Hierarchy (Ancestors)

CarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasms

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Results Point of Contact

Title
Director, Clinical Operations
Organization
Mirati Therapeutics

Study Officials

  • Hirak Der-Torossian, MD

    Mirati Therapeutics Inc.

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: There are 9 cohorts (having 9-55 maximum patients enrolled in each; based upon response rate). Patients are assigned to cohorts based upon their prior treatments for urothelial carcinoma.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 20, 2018

First Posted

July 30, 2018

Study Start

September 11, 2018

Primary Completion

August 3, 2022

Study Completion

August 22, 2022

Last Updated

August 24, 2023

Results First Posted

August 24, 2023

Record last verified: 2023-08

Data Sharing

IPD Sharing
Will not share

Locations