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Carcinoma, Renal CellPhase 1NCT04895748

DFF332 as a Single Agent and in Combination With Everolimus & Immuno-Oncology Agents in Advanced/Relapsed Renal Cancer & Other Malignancies

A Phase 1 study testing DFF332, RAD001 and PDR001 in people with Carcinoma, Renal Cell, run by Novartis Pharmaceuticals at 11 sites in 7 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This was a first in human study of DFF332, a small molecule that targets a protein called HIF2α. By acting on HIF2α, DFF332 may be able to stop the growth of certain types of cancer. Read more about this study

Who is it for?
Ages 18 to 100 years
Conditions the study is for
Carcinoma, Renal Cell
What is being tested?
DFF332, RAD001 and PDR001
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
11 sitesin 7 countries
Study dates
30 Nov 2021to 13 Feb 2026
Phase
Phase 1
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 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female ≥ 18 years of age For Arm 1B: Male and female of age ≥ 12 years of age
  • Histologically confirmed and documented clear cell renal cell carcinoma (ccRCC). Disease must be measurable as determined by RECIST v1.1.
  • For Arm 1B: histologically confirmed and documented malignancies in the context of the following cancer predisposing syndromes/disorders or harboring somatic mutations on one of these genes:
  • Malignancies with VHL mutations (e.g. Von Hippel-Lindau disease)
  • Malignancies with FH mutations (e.g. Hereditary leiomyomatosis and renal cell carcinoma)
  • Malignancies with mutations in SDHD, SDHAF2, SDHC, SDHB, SDHA (e.g. Hereditary paraganglioma and pheochromocytoma syndrome)
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  • Malignancies with EPAS1/HIF2A mutations
  • Malignancies with ELOC/TCEB1 mutations Note: Mutations must have been previously identified through local molecular assays.
  • Patient with unresectable, locally advanced or metastatic ccRCC with documented disease progression following all standard of care therapy, including PD-1/L1 checkpoint inhibitor and a VEGF targeted therapy as monotherapy or in combination.
  • Escalation: No restriction on the number of prior treatments Expansion (with the exception of Arm 1B): Up to 3 prior lines of treatment for advanced/metastatic disease For Arm 1B: Patients must have either metastatic disease or locally advanced disease that is unresectable or that patients be unfit for resection or other treatment modalities. Patients must have received prior standard therapy appropriate for their tumor type and stage of disease, and have no available therapies of proven clinical benefit; or in the opinion of the investigator, would be unlikely to tolerate or derive clinically meaningful benefit from appropriate standard of care therapy.
  • For patients age ≥ 16 years: ECOG performance status ≤ 1 For patients age ≥ 12 and < 16 years: Lansky performance status ≥ 70

Who cannot join

  • History of seizure disorder \& extrapyramidal (EPS) symptoms
  • Impaired cardiac function or clinically significant cardiac disease, including any of the following:
  • Clinically significant and/or uncontrolled heart disease such as congestive heart failure requiring treatment (NYHA Grade ≥ 2), uncontrolled hypertension
  • Patients with corrected QT using the Fridericia's correction (QTcF) > 470 msec for all patients on screening ECG or congenital long QT syndrome Acute myocardial infarction or unstable angina < 3 months prior to study entry
  • History of stroke or transient ischemic event requiring medical therapy
  • Concomitant clinically significant cardiac arrhythmias, e.g. sustained ventricular tachycardia, and clinically significant second or third degree AV block without a pacemaker
Show all 18Show fewer
  • Treatment with any of the following anti-cancer therapies prior to the first dose of study treatment within the stated timeframes:
  • ≤ 4 weeks for radiation therapy or limited field radiation for palliation within ≤ 2 weeks prior to the first dose of study treatment.
  • ≤ 4 weeks or ≤ 5 half-lives (whichever is shorter) for chemotherapy or biological therapy (including monoclonal antibodies) or continuous or intermittent small molecule therapeutics or any other investigational agent.
  • ≤ 6 weeks for cytotoxic agents with major delayed toxicities, such as nitrosourea and mitomycin C.
  • ≤ 4 weeks for immuno-oncologic therapy, such as CTLA-4, PD-1, or PD-L1 antagonists.
  • Patients who have undergone major surgery ≤ 4 weeks prior to first dose of study treatment or who have not recovered for the surgical procedure.
  • Patient previously treated with a HIF2α inhibitor.
  • Uncontrolled concurrent illness including, but not limited to, ongoing active infection, uncontrolled hypertension, active peptic ulcer disease or gastritis, active bleeding diatheses, including any Patient known to have evidence of acute or chronic hepatitis B, hepatitis C, human immunodeficency virus (HIV), or a psychiatric illness/social situation that in the investigator's opinion would limit compliance with study requirements or compromise the ability of the patient to give written informed consent. Patients with chronic HBV or HCV disease that is controlled under antiviral therapy are allowed in the expansion parts but not in the escalation parts.
  • Use of any live vaccines against infectious diseases within 4 weeks of initiation of study treatment.
  • Presence of Grade ≥ 2 toxicity according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAEv5.0), from prior cancer therapy with the exception of neuropathy (inclusion of patients with neuropathy of Grade 2 or less is permitted), ototoxicity, and alopecia.
  • Pregnant or nursing (lactating) women
  • Other protocol-defined inclusion/exclusion criteria may apply.

Trial locations and contacts

11 sites in 7 countries.

11 sites in 7 countries

United States5 sites
  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • City of Hope National Medical

    Duarte, California, 91010

  • Uni Of TX MD Anderson Cancer Cntr

    Houston, Texas, 77030

  • Memorial Sloane Ketterin Cancer Ctr

    New York, New York, 10065

  • WA Uni School Of Med

    St Louis, Missouri, 63110

Other trials in United States

Czechia1 site
  • Novartis Investigative Site

    Brno, 656 53

Other trials in Czechia

France1 site
  • Novartis Investigative Site

    Villejuif, 94800

Other trials in France

Italy1 site
  • Novartis Investigative Site

    Milan, MI, 20133

Other trials in Italy

Japan1 site
  • Novartis Investigative Site

    Koto Ku, Tokyo, 1358550

Other trials in Japan

Singapore1 site
  • Novartis Investigative Site

    Singapore, 119228

Other trials in Singapore

Spain1 site
  • Novartis Investigative Site

    Barcelona, 08035

Other trials in Spain

About this study

Official title: A Phase I/Ib, Open-label, Multi-center Study of DFF332 as a Single Agent and in Combination With Everolimus or IO Agents in Patients With Advanced/Relapsed ccRCC and Other Malignancies With HIF2α Stabilizing Mutations

This was a first in human study of DFF332, a small molecule that targets a protein called HIF2α. By acting on HIF2α, DFF332 may be able to stop the growth of certain types of cancer. DFF332 was planned to be tested at different doses as single agent and in combination with Everolimus (RAD001, an mTOR inhibitor), and also in combination with Spartalizumab (PDR001, an anti-PD1) plus Taminadenant (NIR178, an adenosine A2A receptor antagonist), in patients with advanced clear cell renal cell carcinoma and other malignancies with HIF stabilizing mutations.

Read the detailed description

This was a first in human (FIH), Phase I/Ib, open-label, multi-center study of DFF332 as a single agent and in combination with Everolimus or Spartalizumab plus Taminadenant in patients with advanced clear cell renal cell carcinoma and other malignancies with HIF stabilizing mutations.

The study consisted of two parts, dose escalation and dose expansion. The dose escalation part of the study initially evaluated DFF332 single agent. Dose escalation groups receiving DFF332 in combination with Everolimus or DFF332 in combination with Spartalizumab plus Taminadenant were planned to be opened after at least two dose levels of single agent DFF332 had been evaluated.

The dose expansion part of single agent included two treatment arms: Arm1A was planned to enroll ccRCC patients (age 18 yo or above) and Arm1B was planned to enroll patients with malignancies harboring HIF stabilizing mutations (age 12 yo and above). These included the following:

  • Malignancies with VHL mutations (e.g. Von Hippel-Lindau disease)
  • Malignancies with FH mutations (e.g. Hereditary leiomyomatosis and renal cell carcinoma)
  • Malignancies with mutations in SDHD, SDHAF2, SDHC, SDHB, SDHA (e.g. Hereditary paraganglioma and pheochromocytoma syndrome)
  • Malignancies with EPAS1/HIF2A mutations
  • Malignancies with ELOC/TCEB1 mutations

The expansion part of the combination therapies was planned to enroll patients with ccRCC and to include Arm2A (DFF332 with Everolimus) and Arm3A (DFF332 with Spartalizumab plus Taminadenant).

Novartis halted enrollment of study CDFF332A12101 in September 2023 due to business reasons and not due to safety concerns. The DFF332 single agent dose expansion arms and the dose escalation and expansion of the combination arms did not open.

Being tested
DFF332, RAD001, PDR001, NIR178
Keywords
ccRCC, RCC, Kidney, DFF332, NIR178, PDR001, RAD001, Everolimus, Spartalizumab, Taminadenant, Von Hippel-Lindau Disease, Hereditary leiomyomatosis and renal cell cancer syndrome, Paraganglioma, Pheochromocytoma
Medical subject headings
Carcinoma, Renal Cell, von Hippel-Lindau Disease, Hereditary leiomyomatosis and renal cell cancer, Paraganglioma, Pheochromocytoma

What participants receive

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

  • DFF332Drug

    Hif2alpha inhibitor

  • RAD001Drug

    Also called Everolimus

    mTOR inhibitor

  • PDR001Drug

    Also called Spartalizumab

    anti-PD-1

  • NIR178Drug

    Also called Taminadenant

    Adenosine A2A antagonist receptor

Study groups in NCT04895748
Study groupRoleWhat they receive
Arm 1 Dose Escalation DFF332ExperimentalDFF332 Single Agent
Receives: Drug: DFF332
Arm 2 Dose Escalation DFF332 + EverolimusExperimentalCombination treatment DFF332 + Everolimus. This arm did not open.
Receives: Drug: DFF332; Drug: RAD001
Arm 3 Dose Escalation DFF332 + Spartalizumab + TaminadenantExperimentalCombination treatment DFF332 + Spartalizumab + Taminadenant. This arm did not open.
Receives: Drug: DFF332; Drug: PDR001; Drug: NIR178
Arm 1a Dose Expansion DFF332 in ccRCCExperimentalDFF332 Single Agent in patients with ccRCC (age 18 years old and above). This arm did not open.
Receives: Drug: DFF332
Arm 1b Dose Expansion DFF332 in HIF stabilizing malignanciesExperimentalDFF332 Single Agent in patients with HIF stabilizing malignancies (age 12 years old and above). This arm did not open.
Receives: Drug: DFF332
Arm 2a Dose Expansion DFF332 + Everolimus in ccRCCExperimentalCombination treatment DFF332 + Everolimus in patients with ccRCC (age 18 years old and above). This arm did not open.
Receives: Drug: DFF332; Drug: RAD001
Arm 3a Dose Expansion DFF332 + Spartalizumab + Taminadenant in ccRCCExperimentalCombination treatment DFF332 + Spartalizumab + Taminadenant in patients with ccRCC (age 18 years old and above). This arm did not open.
Receives: Drug: DFF332; Drug: PDR001; Drug: NIR178

What is being measured

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

  1. Incidence and severity of adverse events (AEs) and serious adverse events (SAEs)

    Number of participants with AEs/SAEs to characterize the safety and tolerability of DFF332 as a single agent, in combination with Everolimus (RAD001), and in combination with Spartalizumab (PDR001) plus Taminadenant (NIR178) in patients with advanced clear cell Renal Cell Carcinoma (ccRCC) and advanced malignancies with Hypoxia Inducible Factor (HIF) stabilizing mutations

    Measured: 3 years

  2. Number of participants with dose interruptions and dose reductions

    Number of participants with dose interruptions and dose reductions to characterize the tolerability of DFF332 as a single agent, in combination with Everolimus (RAD001), and in combination with Spartalizumab (PDR001) plus Taminadenant (NIR178) in patients with advanced ccRCC and advanced malignancies with HIF stabilizing mutations.

    Measured: 3 years

  3. Dose intensity for DFF332 for dose escalation and expansion

    Dose intensity will be computed as the ratio of actual cumulative dose received and actual duration of exposure

    Measured: 3 years

  4. Incidence of Dose Limiting Toxicities (DLTs) in Cycle 1 (28 days) for DFF332 as a single agent and in combinations

    Number of participants with DLTs

    Measured: 28 days

Secondary outcomes (7)
  1. Overall Response Rate (ORR)

    To assess the anti-tumor activity of DFF332 as single agent and combination in patients with advanced ccRCC and with advanced malignancies with HIF stabilizing mutations based on RECIST v1.1

    Measured: 3 years

  2. Best Overall Response (BOR)

    To assess the anti-tumor activity of DFF332 as single agent and combination in patients with advanced ccRCC and with advanced malignancies with HIF stabilizing mutations based on RECIST v1.1

    Measured: 3 years

  3. Progression Free Survival (PFS) for Recommended Dose (RD) only

    To assess the anti-tumor activity of DFF332 as single agent and combination in patients with advanced ccRCC and with advanced malignancies with HIF stabilizing mutations based on RECIST v1.1

    Measured: 3 years

  4. Duration of Response (DOR) for Recommended Dose (RD) Only

    To assess the anti-tumor activity of DFF332 as single agent and combination in patients with advanced ccRCC and with advanced malignancies with HIF stabilizing mutations based on RECIST v1.1

    Measured: 3 years

  5. Disease Control Rate (DCR)

    To assess the anti-tumor activity of DFF332 as single agent and combination in patients with advanced ccRCC and with advanced malignancies with HIF stabilizing mutations based on RECIST v1.1

    Measured: 3 years

  6. Maximum Concentration (Cmax) of DFF332 single agent and combination

    PK parameters will be based on plasma concentration of DFF332 and Taminadenant, whole blood concentration of Everolimus, serum concentration of Spartalizumab

    Measured: 3 years

  7. Area under the concentration-time curve (AUC) of DFF332 single agent and combination

    PK parameters will be based on plasma concentration of DFF332 single agent and in combination.

    Measured: 3 years

Timeline

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

  1. First posted20 May 2021
  2. Study start30 Nov 2021
  3. Primary completion13 Feb 2026
  4. Study completion13 Feb 2026

Why it stopped: Business decision and not related to safety concerns

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 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04895748
Sponsor's protocol ID
CDFF332A12101
Other IDs
2024-513379-41
Status last verified
Mar 2026
First submitted
19 May 2021
Last updated
3 Mar 2026
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 1 study testing DFF332, RAD001 and PDR001 in people with Carcinoma, Renal Cell, run by Novartis Pharmaceuticals at 11 sites in 7 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 11 inclusion and 18 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 3 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in United States, Czechia, France, Italy, Japan and 2 more countries. 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 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.

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: Business decision and not related to safety concerns). 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?

Incidence and severity of adverse events (AEs) and serious adverse events (SAEs) (time frame: 3 years). The study lists 4 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 3 Mar 2026.

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