Study Stopped
The study was terminated due to sponsor decision / portfolio prioritization, and not due to safety reasons.
A Phase 2 Study of Sitravatinib in Combination With PD-(L)1 Checkpoint Inhibitor Regimens in Patients With Advanced or Metastatic Urothelial Carcinoma
1 other identifier
interventional
260
1 country
36
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Sep 2018
Typical duration for phase_2
36 active sites
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
CompletedFirst Posted
Study publicly available on registry
July 30, 2018
CompletedStudy Start
First participant enrolled
September 11, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 3, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
August 22, 2022
CompletedResults Posted
Study results publicly available
August 24, 2023
CompletedAugust 24, 2023
August 1, 2023
3.9 years
July 20, 2018
August 3, 2023
August 3, 2023
Conditions
Keywords
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
EXPERIMENTALPatients 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.
Cohort 2
EXPERIMENTALPatients 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.
Cohort 3
EXPERIMENTALPatients 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.
Cohort 4
EXPERIMENTALPatients 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.
Cohort 5
EXPERIMENTALPatients 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.
Cohort 6
EXPERIMENTALPatients 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.
Cohort 7
EXPERIMENTALPatients 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.
Cohort 8
EXPERIMENTALPatients 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.
Cohort 9
EXPERIMENTALPatients 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).
Interventions
Sitravatinib is a small molecule inhibitor of receptor tyrosine kinases
Nivolumab is a programmed death receptor-1 (PD-1) blocking antibody
Pembrolizumab is a programmed death receptor-1 (PD-1) blocking antibody
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)
Eligibility Criteria
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
University of California Irvine
Irvine, California, 92868, United States
Rocky Mountain Cancer Centers
Aurora, Colorado, 80012, United States
Yale School of Medicine
New Haven, Connecticut, 06510, United States
SCRI - Florida Cancer Specialists- North Region
St. Petersburg, Florida, 33705, United States
Moffitt Cancer Center
Tampa, Florida, 33612, United States
SCRI - Florida Cancer Specialists - West Palm Beach
West Palm Beach, Florida, 33401, United States
The University of Chicago
Chicago, Illinois, 60637, United States
Indiana University - Melvin & Bren Simon Cancer Center
Indianapolis, Indiana, 46202, United States
Norton Cancer Institute - Broadway
Louisville, Kentucky, 40202, United States
Ochsner Cancer Institute
New Orleans, Louisiana, 70121, United States
Maryland Oncology Hematology, P.A.
Lanham, Maryland, 20706, United States
Dana Farber Cancer Institute
Boston, Massachusetts, 02215, United States
Barbara Ann Karmanos Cancer Institute
Detroit, Michigan, 48201, United States
Washington University School of Medicine - Siteman Cancer Center
St Louis, Missouri, 63110, United States
GU Research Network/Urology Cancer Center
Omaha, Nebraska, 68130, United States
Comprehensive Cancer Centers of Nevada - Southwest
Las Vegas, Nevada, 89169, United States
New York Oncology Hematology - Albany Medical Center
Albany, New York, 12206, United States
Roswell Park Cancer Institute
Buffalo, New York, 14263, United States
Northwell Health Monter Cancer Center
Lake Success, New York, 11042, United States
NYU Langone Laura & Isaac Perlmutter Cancer Center
New York, New York, 10016, United States
Memorial Sloan-Kettering Cancer Center
New York, New York, 10065, United States
New York-Presbyterian - Weill Cornell Medical Center
New York, New York, 10065, United States
University of North Carolina - Lineberger Comprehensive Cancer Center
Chapel Hill, North Carolina, 27599, United States
Duke University Hospital
Durham, North Carolina, 27710, United States
The Ohio State University College of Medicine
Columbus, Ohio, 43202, United States
Allegheny General Hospital
Pittsburgh, Pennsylvania, 15212, United States
Vanderbilt University - Ingram Cancer Center
Nashville, Tennessee, 37232, United States
Texas Oncology-Austin Central
Austin, Texas, 78731, United States
Texas Oncology- Memorial City
Houston, Texas, 77024, United States
University of Texas - MD Anderson Cancer Center
Houston, Texas, 77030, United States
University of Texas Health Science Center
San Antonio, Texas, 78229, United States
Texas Oncology - Tyler
Tyler, Texas, 75702, United States
Virginia Cancer Specialists- Fairfax
Fairfax, Virginia, 22031, United States
Virginia Oncology Associates
Norfolk, Virginia, 23502, United States
Seattle Cancer Center Alliance
Seattle, Washington, 98109, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Director, Clinical Operations
- Organization
- Mirati Therapeutics
Study Officials
- STUDY DIRECTOR
Hirak Der-Torossian, MD
Mirati Therapeutics Inc.
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
- 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