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Renal Cell CarcinomaPhase 3NCT03592472

A Study of Pazopanib With or Without Abexinostat in Patients With Locally Advanced or Metastatic Renal Cell Carcinoma (RENAVIV)

A Phase 3 study testing Pazopanib and Abexinostat in people with Renal Cell Carcinoma, run by Xynomic Pharmaceuticals, Inc. at 38 sites in 6 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This is a randomized, Phase 3, double-blind, placebo-controlled study of pazopanib plus abexinostat versus pazopanib plus placebo in patients with locally advanced unresectable or metastatic renal cell carcinoma (RCC). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Renal Cell Carcinoma
What is being tested?
Pazopanib and Abexinostat
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
413 participants
Where
38 sitesin 6 countries
Study dates
17 Jul 2018to 30 Jun 2028
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • To be enrolled in the study, patients will be required to meet all of the following criteria:
  • Patients aged ≥ 18 years at time of study entry.
  • Patients have histologically confirmed RCC with clear cell component.
  • Patients have locally advanced and unresectable or metastatic disease.
  • Measurable disease as assessed only by the investigator (not verified by IRC) according to RECIST version 1.1.
  • Patients must not have had any prior vascular endothelial growth factor (VEGF) tyrosine kinase inhibitor treatment in either (neo)adjuvant or locally advanced/metastatic setting. Up to 1 line of prior cytokine or immune checkpoint inhibitor treatment is allowed in either the (neo)adjuvant or metastatic setting provided screening scans indicate progressive disease (PD) during or following completion of treatment.
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  • Patients have Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Patients have adequate baseline organ function.
  • Patients have adequate baseline hematologic function
  • Patient must be at least 2 weeks from last systemic treatment or dose of radiation prior to date of randomization.

Who cannot join

  • Patients who meet any of the following criteria at Screening will not be enrolled in the study:
  • Has persistent clinically significant toxicities (Grade ≥ 2; per NCI CTCAE version 5 from previous anticancer therapy (excluding alopecia which is permitted and excluding Grades 2 and 3 laboratory abnormalities if they are not associated with symptoms, are not considered clinically significant by the investigator, and can be managed with available medical therapies).
  • Has untreated central nervous system (CNS) metastases. Patients with treated CNS metastases are eligible provided imaging demonstrates no new or progressive metastases obtained at least 4 weeks following completion of treatment. CNS imaging during Screening is not required unless clinically indicated.
  • Has an additional malignancy requiring treatment within the past 3 years. Patients with the following concomitant neoplastic diagnoses are eligible: non-melanoma skin cancer, carcinoma in situ, and non-muscle invasive urothelial carcinoma.
  • Poorly controlled hypertension, defined as systolic blood pressure ≥ 160 or diastolic blood pressure ≥ 100 mmHg. Use of anti-hypertensives and rescreening is permitted.
  • A new pulmonary embolism or deep venous thrombosis diagnosed within 3 months prior to randomization.
Show all 9Show fewer
  • Has a QTcF interval > 480 msec.
  • New York Heart Association Class III or IV congestive heart failure.
  • Use of prohibited medication within 7 days or 5 half-lives, whichever is shorter, prior to first dose of study drug.

Trial locations and contacts

38 sites in 6 countries. Contact the study team or a site near you to ask about taking part.

Sophia Paspal, Ph.D. contact

6104055974

sophia.paspal@xynomicpharma.com

Rahul Aggarwal, M.D. contact

rahul.aggarwal@ucsf.edu

38 sites in 6 countries

United States14 sites
  • St. Luke's Hospital

    Easton, Pennsylvania, 18045

    Completed
  • Precision Cancer Research/Dayton Physicians Network - Treatment

    Kettering, Ohio, 45409

    Withdrawn
  • Northwell Health/Monter Cancer Center

    Lake Success, New York, 11042

    Withdrawn
  • Norton Cancer Institute, Norton Healthcare Pavilion

    Louisville, Kentucky, 40202

    Completed
  • Ochsner Clinic Foundation

    New Orleans, Louisiana, 70121

    Completed
  • GU Research Network/Urology Cancer Center

    Omaha, Nebraska, 68130

    Withdrawn
  • Nebraska Cancer Specialists

    Omaha, Nebraska, 68130

    Completed
  • University Of UA Cancer Center(UACC)/DH-SJHMC

    Phoenix, Arizona, 85004

    Withdrawn
  • Oregon Health and Science University

    Portland, Oregon, 97239

    Completed
  • Mainstreet Physicans Care

    Rochester, New York, 14642

    Completed
  • University of California Davis Comprehensive Cancer Center

    Sacramento, California, 95817

    Withdrawn
  • UCSF Helen Diller Family Comphrensive Cancer Center - Hemato

    San Francisco, California, 94158

    Withdrawn
  • Medical Oncology Associates, PS (dba Summit Cancer Centers)

    Spokane, Washington, 99208

    Withdrawn
  • HOPE Cancer Center of East Texas

    Tyler, Texas, 75701

    Completed

Other trials in United States

Italy9 sites
  • Fondazione del Piemonte per l'Oncologia_Istituto di Candiolo, IRCCS_ Oncologia Medica

    Candiolo, 10060

    Withdrawn
  • A.O. Cannizzaro_UOS Oncologia Medica

    Catania, 95126

    Withdrawn
  • IRCCS Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) UO Oncologia Medica

    Meldola (FC), 47014

    Withdrawn
  • Istituto Europeo di Oncologia_Unità Oncologia Medica Urogenitale e Cervico Facciale

    Milan, 20141

    Withdrawn
  • Istituto Nazionale dei Tumori-Fondazione Pascale- SC Oncologia Medica

    Naples, 80131

    Withdrawn
  • Azienda Ospedaliero-Universitaria Maggiore della Carità Novara_SC Oncologia Medica

    Novara, 28100

    Withdrawn
  • Istituti Clinici Scientifici Maugeri Spa-SB_ UO Oncologia Medica

    Pavia, 27100

    Withdrawn
  • Azienda Ospedaliero Universitaria Pisana_ UO Oncologia Medica Universitaria

    Pisa, 56126

    Withdrawn
  • Fondazione Policlinico Universitario A. Gemelli, U.O.C. Oncologia Medica

    Roma, '00168

    Withdrawn

Other trials in Italy

South Korea5 sites
  • National Cancer Center - Center For Prostate Cancer

    Goyang-si, 10408

    Completed
  • CHA Bundang Medical Center, CHA University

    Seongnam-si, 13496

    Completed
  • Severance Hospital, Yonsei University Health System - Medical Oncology

    Seoul, 03722

    Completed
  • Asan Medical Center - University of Ulsan College of Medicin

    Seoul, 05505

    Completed
  • Samsung Medical Center - Hematology-Oncology

    Seoul, 06351

    Withdrawn

Other trials in South Korea

Poland4 sites
  • Szpital Specjalistyczny w Brzozowie Podkarpacki Osrodek Onkologiczny

    Brzozów, 36-200

    Withdrawn
  • Szpitale Pomorskie Sp. z o.o. Oddział Onkologii i Radioterapii

    Gdynia, 81-519

    Withdrawn
  • Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie Sp. z o.o. Oddział Onkologii Klinicznej z Pododdziałem Dziennym

    Krakow, 31-826

    Completed
  • Clinical Research Center Sp. z o.o., Medic-R Sp. K.

    Poznan, 60-848

    Withdrawn

Other trials in Poland

Spain4 sites
  • H.G.U. de Elche

    Elche, 03203

    Withdrawn
  • Hospital Universitario Fundación Jiménez Díaz

    Madrid, 28040

    Withdrawn
  • Hospital Universitario 12 de Octubre

    Madrid, 28041

    Completed
  • H.U. Virgen de la Victoria

    Málaga, 29010

    Withdrawn

Other trials in Spain

China2 sites, 2 recruiting
  • Beijing Cancer Hospital

    Beijing, 100142

    Bixia Tang, MD, PhD, 13810211044, bixiatang_med@126.com

    Recruiting
  • Zhongshan Hospital Affiliated to Fudan University

    Shanghai, 200032

    Xiaoyi Hu, MD, PhD, 13917166233, hu.xiaoyi@zs-hospital.sh.cn

    Not yet recruiting

Other trials in China

About this study

Official title: A Randomized, Phase 3, Double-blind, Placebo-controlled Study of Pazopanib With or Without Abexinostat in Patients With Locally Advanced or Metastatic Renal Cell Carcinoma(RENAVIV)

This is a randomized, Phase 3, double-blind, placebo-controlled study of pazopanib plus abexinostat versus pazopanib plus placebo in patients with locally advanced unresectable or metastatic renal cell carcinoma (RCC).

Read the detailed description

In this randomized, Phase 3, double-blind, placebo-controlled study, patients will be randomized 2:1 to receive either a combination of pazopanib plus abexinostat or pazopanib plus placebo. At the time of disease progression, patient treatment assignment will be unblinded, and those patients randomized to the pazopanib plus placebo treatment arm will have the option of crossing over to receive treatment with a combination of pazopanib plus abexinostat. After providing written informed consent, patients will be screened for study eligibility within 28 days before their first dose of study drug. After screening assessments, patients who are eligible for inclusion in the study will be randomized and receive their first dose of study drug on Cycle 1 Day 1 (C1D1), within 7 days of randomization. A treatment cycle is 28 days in length. Patients may continue to receive study drug until any of the following events: the development of IRC-verified radiographic progression as assessed by RECIST version 1.1, clinical disease progression, unacceptable toxicity, another discontinuation criterion is met, withdrawal of consent, or closure of the study by the sponsor. No maximum duration of therapy has been set.

Being tested
Pazopanib, Abexinostat, Placebo
Keywords
Renal Cell Carcinoma, Progression-free survival, Abexinostat, Pazopanib, RECIST, Cancer therapy
Medical subject headings
Carcinoma, Renal Cell

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PazopanibDrug

    Also called Votrient®

    All patients will receive pazopanib at a starting dose of 800 mg by mouth (p.o.) daily on Days 1 to 28 of each treatment cycle. Patients should be instructed to take their once- daily oral dose of pazopanib at the same time each morning. Each dose of pazopanib should be taken with an 8 oz/240 mL glass of water either 1 hour before or 2 hours after a meal. Patients should be instructed to swallow the tablets whole and not chew them.

  • AbexinostatDrug

    Also called PCI-24781

    The starting dose and schedule of abexinostat will be 80 mg p.o. BID on Days 1 to 4, 8 to 11, and 15 to 18 of every 28-day cycle, 2 doses 4 hours apart. Each dose of abexinostat should be taken with an 8 oz/240 mL glass of water at least half an hour before meals or more than 2 hours after a meal and must be 4 hours apart. Patients should be instructed to swallow the tablets whole and not chew them.

  • PlaceboOther

    The starting dose and schedule of abexinostat matching placebo will be 80 mg p.o. BID on Days 1 to 4, 8 to 11, and 15 to 18 of every 28-day cycle, 2 doses 4 hours apart. Each dose of placebo should be taken with an 8 oz/240 mL glass of water at least half an hour before meals or more than 2 hours after a meal and must be 4 hours apart. Patients should be instructed to swallow the tablets whole and not chew them.

Study groups in NCT03592472
Study groupRoleWhat they receive
Pazopanib plus abexinostatExperimentalRandomized patients will receive a combination of pazopanib plus abexinostat. The patients will receive pazopanib by mouth (p.o.) daily on Days 1 to 28 of each treatment cycle and will receive abexinostat p.o twice daily (BID) on Days 1 to 4, 8 to 11, and 15 to 18 of every 28-day cycle, 2 doses 4 hours apart. Patients will be instructed to take their once- daily oral dose of pazopanib and BID oral dose of abexinostat at the same time each day.
Receives: Drug: Pazopanib; Drug: Abexinostat
Pazopanib plus placeboPlacebo comparatorRandomized patients will receive a combination of pazopanib plus abexinostat matching placebo. The patients will receive pazopanib by mouth (p.o.) daily on Days 1 to 28 of each treatment cycle and will receive abexinostat matching placebo p.o BID on Days 1 to 4, 8 to 11, and 15 to 18 of every 28-day cycle, 2 doses 4 hours apart. Patients will be instructed to take their once- daily oral dose of pazopanib and BID oral dose of placebo at the same time each day.
Receives: Drug: Pazopanib; Other: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression-free survival (PFS)

    To compare the PFS between treatment arms. PFS is defined as the time (month) interval between date of randomization and date of radiographic disease progression or death for those without prior evidence of progression, as assessed by blinded Independent Review Committee (IRC) according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.

    Measured: From randomization date to date of first documentation of progression OR death (up to approximately 4 years).

Secondary outcomes (9)
  1. PFS by investigator assessment according to RECIST version 1.1.

    To compare the PFS between treatment arms by investigator assessment. PFS is defined as the time (month) interval between date of randomization and date of radiographic disease progression or death for those without prior evidence of progression, as assessed by IRC according to RECIST version 1.1.

    Measured: From randomization date to date of first documentation of progression OR death (up to approximately 4 years).

  2. Overall survival (OS)

    OS is defined as the interval between date of randomization and date of death. The main objective was to compare the OS between treatment arms by investigator assessment.

    Measured: From progression or end of study, every 3 months follow up until death, patient withdrawal from study follow-up, or study closure, whichever occurs first (up to approximately 4 years).

  3. Adverse events by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5

    To characterize the safety profile of pazopanib in combination with abexinostat.

    Measured: From Day 1 until end of treatment visit (up to approximately 4 years).

  4. Objective response rate (ORR)

    ORR is defined as the proportion of patients with objective evidence of CR or PR by RECIST version 1.1. The main objective was to compare the ORR between treatment arms by investigator assessment.

    Measured: Screening, Cycle 3 Day 1 (C3D1), Cycle 5 Day 1 (C5D1), Cycle 7 Day 1 (C7D1), and on Day 1 of every third cycle (each cycle is 28 days in length) thereafter until end-of-treatment visit (up to approximately 4 years).

  5. Duration of response (DOR)

    DOR is defined as the time from the first documentation of response (CR or PR) to the first documentation of objective tumor progression or death due to any cause by RECIST version 1.1. The main objective was to compare the DOR between treatment arms by investigator assessment.

    Measured: Screening, Cycle 3 Day 1 (C3D1), C5D1, C7D1, and on Day 1 of every third cycle (each cycle is 28 days in length) thereafter until end-of-treatment visit (up to approximately 4 years).

  6. ORR by RECIST version 1.1 in cross-over patient population

    To describe the ORR in patients who cross over to receive pazopanib plus abexinostat at the time of disease progression on pazopanib monotherapy by investigator assessment.

    Measured: Screening, Cycle 3 Day 1 (C3D1), C5D1, C7D1, and on Day 1 of every third cycle (each cycle is 28 days in length) thereafter until end-of-treatment visit (up to approximately 4 years).

  7. DOR by RECIST version 1.1 in cross-over patient population

    To describe the DOR in patients who cross over to receive pazopanib plus abexinostat at the time of disease progression on pazopanib monotherapy by investigator assessment.

    Measured: Screening, Cycle 3 Day 1 (C3D1), C5D1, C7D1, and on Day 1 of every third cycle (each cycle is 28 days in length) thereafter until end-of-treatment visit (up to approximately 4 years).

  8. Mean change from Baseline in Functional Assessment of Cancer Therapy Kidney System Index (FKSI-19) scores

    To assess the impact of pazopanib with or without abexinostat on disease-related symptoms and health-related quality of life (QoL) by investigator assessment. QoL will be assessed by measuring change from baseline in FKSI-19. The FKSI-19 assesses disease-related symptoms experienced in the past 7 days. Patients are asked to respond to 12 questions ("I have a lack of energy," "I feel pain," for example) by using a 5-point scale (0=not at all, 1=a little bit, 2=somewhat, 3=quite a bit, 4=very much; possible total score of 0 to 48).

    Measured: First day of treatment Cycle1, Cycle 2, Cycle 6 (each cycle is 28 days in length) until end-of-treatment visit (up to approximately 4 years).

  9. Mean change from Baseline in Functional Assessment of Chronic Illness Therapy (FACIT-F) scores

    To assess the impact of pazopanib with or without abexinostat on disease-related symptoms and QoL by investigator assessment. QoL will be assessed by measuring change from baseline in FACIT-F. The FACIT-F scale measures QoL experienced in the past seven days. The measurement consisted of 5 domains (physical well-being, social/family well-being, emotional well-being, functional well-being, and additional concerns) assessed on a 5-point scale (0=not at all; 1=a little bit; 2=somewhat; 3=quite a bit; 4=very much).

    Measured: First day of treatment Cycle1, Cycle 2, Cycle 6 (each cycle is 28 days in length) and at end-of-treatment visit (up to approximately 4 years).

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Jul 2018
  2. Study start17 Jul 2018
  3. Primary completion30 Dec 2026 (estimated)
  4. Study completion30 Jun 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
413 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03592472
Sponsor's protocol ID
XYN-602
Status last verified
Apr 2025
First submitted
23 Jun 2018
Last updated
13 Apr 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Pazopanib and Abexinostat in people with Renal Cell Carcinoma, run by Xynomic Pharmaceuticals, Inc. at 38 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 13 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 38 sites in United States, Italy, South Korea, Poland, Spain and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Sophia Paspal, Ph.D. (6104055974, sophia.paspal@xynomicpharma.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression-free survival (PFS) (time frame: From randomization date to date of first documentation of progression OR death (up to approximately 4 years).). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Apr 2025.

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