Renal Cell Cancer MetastaticPhase 1/2NCT03876925
A Single Arm, Open-label,Phase Ib Study of CT053PTSA in Preciously Treated Patients With Advanced and Metastatic RCC
A Phase 1/2 study testing CT053PTSA in people with Renal Cell Cancer Metastatic, run by Sunshine Lake Pharma Co., Ltd. at 1 site in China.
Trial summary
This is a phase Ib,single arm,open label study evaluating the safety and efficacy of CT053PTSA in patients with advanced and metastatic renal cell cancer who have progressed from previous treatment Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Renal Cell Cancer Metastatic
- What is being tested?
- CT053PTSA
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 10 participants
- Where
- 1 siteChina
- Study dates
- 25 Jun 2018to 12 May 2020
- Phase
- Phase 1/2
- Are there results?
- None posted in the registry
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 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically or cytologically confirmed renal cell cancer.Patients must be diagnosed with advanced or metastatic disease,disease progressed to previous treatment .
- Measurable disease according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1)
- Toxicity recovered to NCI CTCAE v.4.03 Grade ≤1 from previous treatments (except alopecia)
- ECOG performance status (PS) 0 or 1
- Life expectancy of ≥ 12 weeks
- Adequate organ function
- Voluntary agreement to provide written informed consent and the willingness and ability to comply with all aspects of the protocol
Who cannot join
- Chemotherapy,radiotherapy,immunotherapy and targeted therapy less than 4 months prior to administration.
- Symptomatic, untreated or unstable central nervous system metastases
- Uncontrolled hypertension that require anti-hypertensive agents to control, or systolic blood pressure (BP) >140mmHg or diastolic BP >90 mmHg before the first administration (BP is the mean blood pressure of two measures that 1 hours interval or above)
- Doppler ultrasound evaluation:Left ventricular ejection fraction < 50%
- Significantly clinical arrhythmia or symptomatic bradycardia, or male with QTCF > 450 ms or female with QTCF > 470 ms, or patients with a history of torsion or congenital QT prolonged syndrome long QT syndrome
- Certain factors that would preclude adequate absorption of CT053PTSA and gefitinib (eg. unable to swallow, chronic diarrhea, intestinal obstruction)
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- Patients with evidence of bleeding tendency, including the following cases: gastrointestinal bleeding, hemorrhagic gastric ulcer, fecal occult blood ++ and above; or melena or hematemesis within 2 months; or visceral bleeding that may occur considered by investigator
- History of organ transplantation
- Any disease of the following bellowed within 12 months prior to administration: Myocardial infarction, severe angina, or unstable angina, coronary or peripheral artery bypass graft, congestive heart failure
- Pulmonary embolism or cerebrovascular events (including transient ischemic attack)within 6 months prior to administration
- Infection of HIV
- Patients with infection of HBV or HCV. Patients with positive of HBsAg or HBcAb,and HBV-DNA can be measured (>500IU/ml). Patients with positive of anti-HCV,and HCV-RNA can be measured by PCR.
- Other malignancies within 5 years prior to enrollment, with the exception of carcinoma in situ of the cervix, basal or squamous cell skin cancer
- Pregnant or lactating woman
- Any other reason the investigator considers the patient is not suitable to participate in the study
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Single Arm, Open-label,Phase Ib Study of CT053PTSA in Preciously Treated Patients With Advanced and Metastatic Renal Cell Cancer
This is a phase Ib,single arm,open label study evaluating the safety and efficacy of CT053PTSA in patients with advanced and metastatic renal cell cancer who have progressed from previous treatment
Read the detailed description
This study is being carried out in two parts,part 1 and part 2. Part 1: This is the dose-escalation part. The primary purpose of the part 1 portion is to determine the dose limiting toxicity (DLT) and maximum tolerated dose (MTD), and recommend the appropriate doses of CT053PTSA for further study Part 2: This is the expansion part.The part 2 portion of this study will continue to evaluate the safety and efficacy of CT053PTSA at the appropriate dose recommended in Part 1,in patients with advanced and metastatic RCC
- Conditions
- Renal Cell Cancer Metastatic
- Being tested
- CT053PTSA
- Keywords
- RCC
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CT053PTSADrug
Also called Ningetinib
Patients will received oral CT053PTSA once daily until disease progression or intolerable toxicity or subject's withdrawal from treatment ,each cycle is defined as 28 days
| Study group | Role | What they receive |
|---|---|---|
| CT053PTSA | Experimental | 60-100mg Receives: Drug: CT053PTSA |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part 1(dose-escalation part):Maximum Tolerated Dose (MTD)
The maximum tolerated dose (MTD) of the CT053PTSA will be determined according to incidence of dose-limiting toxicity (DLT) assessed by NCI CTCAEv4.03
Measured: Cycle 1 Day 1 to Cycle 1 Day 28
Part 2 (expansion part):Overall Response Rate
Overall response rate (ORR),defined as a partial response (PR) or complete response (CR) occurring at any point post-treatment according to Response Evaluation Criteria in Solid Tumors as assessed by RECIST1.1
Measured: up to approximately 24 months
Secondary outcomes (8)
Number of patients with adverse events (AEs) as a measure of safety and tolerability
Safety and tolerability will be assessed through AEs, via monitoring changes in physical examination, clinical laboratory parameters, vital signs and ECGs
Measured: up to approximately 24 months
Disease Control Rate (DCR)
DCR, proportion of patients with best overall response of CR, PR or SD
Measured: up to approximately 24 months
Progression-free Survival (PFS)
PFS, defined as time from date of treatment to disease progression or death due to any cause
Measured: up to approximately 24 months
Duration of Response (DOR)
DOR, defined as time from the first documented CR or PR to first documented progression or death due to any cause
Measured: up to approximately 24 months
Overall Survival (OS)
OS, defined as time from date of treatment to death due to any cause
Measured: up to approximately 24 months
Maximum observed plasma concentration (Cmax)
to assess the pharmacokinetic profile
Measured: Cycle 1 Day1 and Day 28
Time of maximum observed plasma concentration (Tmax)
to assess the pharmacokinetic profile
Measured: Cycle 1 Day1 and Day 28
Area under the plasma concentration time curve (AUC)
to assess the pharmacokinetic profile
Measured: Cycle 1 Day1 and Day 28
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Mar 2019
- Study start25 Jun 2018
- Primary completion1 Mar 2020
- Study completion12 May 2020
Why it stopped: The effect of CT053PTSA in preciously treated patients with advanced and metastatic RCC is not as good as pre-expected
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Renal Cell Cancer MetastaticStudies of the same condition, open and under way.
- More trials run by Sunshine Lake Pharma Co., Ltd.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 1/2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 10 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sunshine Lake Pharma Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Guo Jun, PhD, Principal investigator, Peking University Cancer Hospital & Institute
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03876925
- Sponsor's protocol ID
- PCD-DCT053-17-001
- Status last verified
- Mar 2021
- First submitted
- 14 Mar 2019
- Last updated
- 24 Mar 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 24 Mar 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Single Arm, Open-label,Phase Ib Study of CT053PTSA in Preciously Treated Patients With Advanced and Metastatic Renal Cell Cancer
- ClinicalTrials.gov ID
- NCT03876925
- Acronym / sponsor ID
- PCD-DCT053-17-001
- Conditions
- Renal Cell Cancer Metastatic
- Keywords
- RCC
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: The effect of CT053PTSA in preciously treated patients with advanced and metastatic RCC is not as good as pre-expected
- Enrolment
- 10 participants (actual)
- Lead sponsor
- Sunshine Lake Pharma Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 25 Jun 2018 (actual)
- Primary completion
- 1 Mar 2020 (actual)
- Study completion
- 12 May 2020 (actual)
- First posted
- 15 Mar 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a phase Ib,single arm,open label study evaluating the safety and efficacy of CT053PTSA in patients with advanced and metastatic renal cell cancer who have progressed from previous treatment
Detailed description
This study is being carried out in two parts,part 1 and part 2. Part 1: This is the dose-escalation part. The primary purpose of the part 1 portion is to determine the dose limiting toxicity (DLT) and maximum tolerated dose (MTD), and recommend the appropriate doses of CT053PTSA for further study Part 2: This is the expansion part.The part 2 portion of this study will continue to evaluate the safety and efficacy of CT053PTSA at the appropriate dose recommended in Part 1,in patients with advanced and metastatic RCC
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| CT053PTSA | Experimental | Drug: CT053PTSA60-100mg |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Histologically or cytologically confirmed renal cell cancer.Patients must be diagnosed with advanced or metastatic disease,disease progressed to previous treatment .
- Measurable disease according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1)
- Toxicity recovered to NCI CTCAE v.4.03 Grade ≤1 from previous treatments (except alopecia)
- ECOG performance status (PS) 0 or 1
- Life expectancy of ≥ 12 weeks
Key exclusion criteria (15 listed)
- Chemotherapy,radiotherapy,immunotherapy and targeted therapy less than 4 months prior to administration.
- Symptomatic, untreated or unstable central nervous system metastases
- Uncontrolled hypertension that require anti-hypertensive agents to control, or systolic blood pressure (BP) >140mmHg or diastolic BP >90 mmHg before the first administration (BP is the mean blood pressure of two measures that 1 hours interval or above)
- Doppler ultrasound evaluation:Left ventricular ejection fraction < 50%
- Significantly clinical arrhythmia or symptomatic bradycardia, or male with QTCF > 450 ms or female with QTCF > 470 ms, or patients with a history of torsion or congenital QT prolonged syndrome long QT syndrome
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CT053PTSAAlso: NingetinibPatients will received oral CT053PTSA once daily until disease progression or intolerable toxicity or subject's withdrawal from treatment ,each cycle is defined as 28 days | Drug | CT053PTSA |
Primary outcome
Part 1(dose-escalation part):Maximum Tolerated Dose (MTD)
Time frame: Cycle 1 Day 1 to Cycle 1 Day 28
The maximum tolerated dose (MTD) of the CT053PTSA will be determined according to incidence of dose-limiting toxicity (DLT) assessed by NCI CTCAEv4.03
Part 2 (expansion part):Overall Response Rate
Time frame: up to approximately 24 months
Overall response rate (ORR),defined as a partial response (PR) or complete response (CR) occurring at any point post-treatment according to Response Evaluation Criteria in Solid Tumors as assessed by RECIST1.1
8 secondary outcomes
Number of patients with adverse events (AEs) as a measure of safety and tolerability
Time frame: up to approximately 24 months
Disease Control Rate (DCR)
Time frame: up to approximately 24 months
Progression-free Survival (PFS)
Time frame: up to approximately 24 months
Duration of Response (DOR)
Time frame: up to approximately 24 months
Overall Survival (OS)
Time frame: up to approximately 24 months
Maximum observed plasma concentration (Cmax)
Time frame: Cycle 1 Day1 and Day 28
Time of maximum observed plasma concentration (Tmax)
Time frame: Cycle 1 Day1 and Day 28
Area under the plasma concentration time curve (AUC)
Time frame: Cycle 1 Day1 and Day 28
Results and safety
The study was stopped early (reason given: The effect of CT053PTSA in preciously treated patients with advanced and metastatic RCC is not as good as pre-expected). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Mar 2021.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Guo Jun, PhD principal investigator
Peking University Cancer Hospital & Institute
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing CT053PTSA in people with Renal Cell Cancer Metastatic, run by Sunshine Lake Pharma Co., Ltd. at 1 site in China.
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 7 inclusion and 15 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: stopped early, as of the sponsor's last update on 24 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was stopped early (reason given: The effect of CT053PTSA in preciously treated patients with advanced and metastatic RCC is not as good as pre-expected). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Part 1(dose-escalation part):Maximum Tolerated Dose (MTD) (time frame: Cycle 1 Day 1 to Cycle 1 Day 28). The study lists 2 primary outcomes in all. 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 24 Mar 2021.