NCT04522323

Brief Summary

The purpose of this study is to evaluate MEDI5752 in combination with Lenvatinib (or Axitinib), in subjects with advanced renal cell carcinoma.

Trial Health

58
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
67

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started Aug 2020

Longer than P75 for phase_1

Geographic Reach
4 countries

20 active sites

Status
active not recruiting

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 22, 2020

Completed
14 days until next milestone

Study Start

First participant enrolled

August 5, 2020

Completed
16 days until next milestone

First Posted

Study publicly available on registry

August 21, 2020

Completed
5.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 26, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 26, 2025

Completed
Last Updated

July 25, 2025

Status Verified

July 1, 2025

Enrollment Period

5.1 years

First QC Date

July 22, 2020

Last Update Submit

July 24, 2025

Conditions

Keywords

renal cell carcinomaMEDI5752PD-1/CTLA-4 bispecificPD-1CTLA-4bispecificaxitiniblenvatinib

Outcome Measures

Primary Outcomes (7)

  • Number of subjects experiencing adverse events (AEs)/serious adverse events (SAEs)

    The primary safety endpoint is as assessed by the number of subjects with adverse events and serious adverse events (SAEs) graded per NCI CTCAE v5.0.

    Informed consent through 90-Day Post Last Dose.

  • Number of Participants With Dose Limiting Toxicities (DLT) of MEDI5752 and Lenvatinib (or Axitinib) during the Dose Exploration period.

    Determine the MTD and recommended Phase 2 dose (RP2D) of the combination of MEDI5752 and Lenvatinib. A dose limiting toxicity (DLT) is defined as MEDI5752 treatment-related AE of any Grade 3 or higher toxicity (as defined in the protocol) CTCAE v5.0.

    Informed consent through the first 21 days of treatment with MEDI5752 and Lenvatinib (or Axitinib) in the Dose Exploration Period.

  • Number of subjects experiencing adverse events (AEs) leading to discontinuation.

    The primary safety endpoint is as assessed by the number of subjects with serious adverse events (SAEs) graded per NCI CTCAE v5.0.

    Informed consent through 90-Day Post Last Dose.

  • Number of subjects experiencing abnormal laboratory evaluations.

    The primary safety endpoint is as assessed by the number of subjects experiencing changes in laboratory evaluations from baseline.

    Informed Consent through 90 post treatment date.

  • Number of subjects experiencing changes in vital signs reported as Adverse Events.

    The primary safety endpoint is assessed by the change in vital signs from baseline.

    Informed consent through 90-Day Post Last Dose

  • Number of subjects experiencing abnormal electrocardiograms (ECG) reported as Adverse Events.

    The primary safety endpoint is as assessed by the change in ECG parameters from baseline.

    Informed consent through 90-Day Post Last Dose

  • Preliminary antitumor activity of MEDI5752 combined with Lenvatinib (or Axitinib) by Objective response rate per RECIST version (v) 1.1.

    The primary efficacy endpoint is assessed by the antitumor activity of MEDI5752 combined with Lenvatinib.

    First subject enrolled through 18 months from last subject enrolled, an average of 30 months.

Secondary Outcomes (11)

  • Antitumor activity of MEDI5752 combined with Lenvatinib by measuring the progression free survival (PFS) according to RECIST v1.1.

    Last Subject Enrolled through study completion, an average of 48 months.

  • Antitumor activity of MEDI5752 combined with Lenvatinib by measuring the Best Overall Response (BOR) according to RECIST v1.1.

    First subject enrolled through 18 months from last subject enrolled, an average of 30 months.

  • Antitumor activity of MEDI5752 combined with Lenvatinib by measuring the Disease Control Rate (DCR).

    Informed Consent through the date of first documented progression, end of study, date of death, or two years after last subject starts treatment whichever should occur first

  • Antitumor activity of MEDI5752 combined with Lenvatinib by measuring the Duration of Response (DOR) according to RECIST v1.1.

    Informed Consent through the date of first documented progression, end of study, date of death, or two years after last subject starts treatment whichever should occur first

  • Antitumor activity of MEDI5752 combined with Lenvatinib by measuring the Time to Response (TTR) according to RECIST v1.1.

    Informed Consent through the date of first documented progression, end of study, date of death, or two years after last subject starts treatment whichever should occur first

  • +6 more secondary outcomes

Study Arms (2)

Dose Exploration

EXPERIMENTAL

The Dose exploration Phase is made up of Part A, B and Part C. Part A will evaluate the safety and tolerability of MEDI5752 in combination with Axitinib (2 patients), and Part B and C will evaluate the safety and tolerability of MEDI5752 in combination with Lenvatinib (\~72 patients)

Biological: MEDI5752Drug: AxitinibDrug: Lenvatinib

Dose Expansion

EXPERIMENTAL

Evaluate safety and anti-tumor activity of MEDI5752 in combination with Lenvatinib (\~105 patients )

Biological: MEDI5752Drug: AxitinibDrug: Lenvatinib

Interventions

MEDI5752BIOLOGICAL

MEDI5752

Dose ExpansionDose Exploration

INLYTA

Dose ExpansionDose Exploration

LENVIMA

Dose ExpansionDose Exploration

Eligibility Criteria

Age18 Years - 101 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age ≥ 18 at the time of screening
  • Body weight \> 35 kg
  • Written informed consent
  • Histologically or cytologically proven advanced RCC with clear cell component
  • Advanced RCC not previously treated in that setting
  • Provision of tumor material (≥ 5 unstained slides or tissue block) from an archival or fresh tissue sample
  • ECOG performance status of 0 or 1
  • Subjects must have at least 1 measurable lesion according to RECIST v1.1
  • Life expectancy ≥ 12 weeks
  • Adequate organ and marrow function
  • Female subjects of childbearing potential must have negative pregnancy test at screening and prior to each administration of investigational product, and must use at least one highly effective method of contraception.
  • Strongly recommend nonsterilized male partners of female subjects of childbearing potential use a male condom plus spermicide from screening to 7.6 months after the last dose of MEDI5752 and 30 days after the last dose of lenvatinib.

You may not qualify if:

  • Any condition that, in the opinion of the investigator, would interfere with evaluation of the investigational product or interpretation of subject safety or study results
  • Concurrent enrollment in another clinical study, unless it is an observational study.
  • Previous treatment with mTOR inhibitors, PD-1, PD-L1, or CTLA-4 inhibitors for RCC or any other immune checkpoint inhibitor
  • Previous treatment with VEGF inhibitors
  • Evidence of the following infections: active infection including tuberculosis, human immunodeficiency virus, chronic or active hepatitis B or chronic or active hepatitis C
  • History of organ transplant
  • Active or prior documented autoimmune or inflammatory disorders
  • Current or prior use of immunosuppressive medication within 14 days prior to the first dose of investigational product.
  • Poorly controlled blood pressure (BP) defined as systolic BP ≥ 140/90 mmHg at screening and not able to be controlled prior to Cycle 1 Day 1 and any change in antihypertensive medications within 1 week prior to Cycle 1 Day 1.
  • Thromboembolic (arterial or venous) events within previous 6 months
  • Any concurrent therapy for cancer
  • Receipt of live attenuated vaccine within 30 days prior to the first dose of investigational product
  • Known allergy or hypersensitivity to investigational product(s) or any of the excipients of the investigational product(s)
  • Untreated or progressive CNS metastatic disease, any leptomeningeal disease, or cord compression
  • History of another primary malignancy
  • +9 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (20)

Research Site

Washington D.C., District of Columbia, 20007, United States

Location

Research Site

Fort Myers, Florida, 33908, United States

Location

Research Site

St Louis, Missouri, 63156, United States

Location

Research Site

New York, New York, 10065, United States

Location

Research Site

Cleveland, Ohio, 44195, United States

Location

Research Site

Hershey, Pennsylvania, 17033, United States

Location

Research Site

Nashville, Tennessee, 37232, United States

Location

Research Site

Frankston, 3199, Australia

Location

Research Site

Waratah, 2298, Australia

Location

Research Site

Villejuif, 94805, France

Location

Research Site

Barcelona, 08003, Spain

Location

Research Site

Barcelona, 08025, Spain

Location

Research Site

Barcelona, 08035, Spain

Location

Research Site

Barcelona, 08908, Spain

Location

Research Site

Córdoba, 14004, Spain

Location

Research Site

Madrid, 28040, Spain

Location

Research Site

Madrid, 28041, Spain

Location

Research Site

Sabadell, 08208, Spain

Location

Research Site

Seville, 41013, Spain

Location

Research Site

Valencia, 46009, Spain

Location

MeSH Terms

Conditions

Carcinoma, Renal CellDiabetes Mellitus, Insulin-Dependent, 12

Interventions

Axitiniblenvatinib

Condition Hierarchy (Ancestors)

AdenocarcinomaCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsKidney NeoplasmsUrologic NeoplasmsUrogenital NeoplasmsNeoplasms by SiteFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesKidney DiseasesUrologic DiseasesMale Urogenital Diseases

Intervention Hierarchy (Ancestors)

BenzamidesAmidesOrganic ChemicalsBenzoatesAcids, CarbocyclicCarboxylic AcidsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsIndazolesPyrazolesAzolesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-Ring

Study Officials

  • AstraZeneca Early Oncology

    AstraZeneca

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 22, 2020

First Posted

August 21, 2020

Study Start

August 5, 2020

Primary Completion

September 26, 2025

Study Completion

September 26, 2025

Last Updated

July 25, 2025

Record last verified: 2025-07

Data Sharing

IPD Sharing
Will share

Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Time Frame
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure
Access Criteria
When a request has been approved AstraZeneca will provide access to the deidentified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure
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