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Study of BMS-936558 vs. Everolimus in Pre-Treated Advanced Or Metastatic Clear-cell RCC

Phase 1
Conditions
Advanced or metastatic (medically or surgically unresectable) clear-cell Renal Cell Carcinoma
MedDRA version: 14.1Level: PTClassification code 10038414Term: Renal cell carcinoma stage IVSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA version: 14.1Level: PTClassification code 10050513Term: Metastatic renal cell carcinomaSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA version: 14.1Level: PTClassification code 10067946Term: Renal cell carcinomaSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Therapeutic area: Diseases [C] - Cancer [C04]
Registration Number
EUCTR2011-005132-26-HU
Lead Sponsor
Bristol-Myers Squibb International Corporation
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
975
Inclusion Criteria

1.Men & women = 18 years of age
2.Histologic confirmation of RCC with clear-cell component
3.Advanced/metastatic RCC
4.Measurable disease per RECIST 1.1 criteria
5.Received 1 or 2 prior anti-angiogenic therapy regimens in advanced or metastatic setting
6.No more than 3 total prior systemic treatment regimens in the advanced or metastatic setting, and evidence of progression on or after last treatment regimen received and within 6 months of enrollment
7.Karnofsky Performance Score = 70%

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 585
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 390

Exclusion Criteria

1.Any CNS metastases or history of CNS metastases
2.Prior therapy with an mTOR inhibitor
3.Any active known or suspected autoimmune disease.
4.Uncontrolled adrenal insufficiency
5.Active chronic liver disease
6.Prior malignancy active within past 3 years, except for locally curable cancers

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: The purpose of the study is to compare the clinical benefit, as measured by duration of overall survival, of BMS-936558 vs. Everolimus in subjects with advanced or metastatic clear-cell renal cell carcinoma who have received prior anti-angiogenic therapy.;Secondary Objective: 1.Progression-free survival<br>2.Objective response rate<br>3.Duration of objective response<br>4.Duration of OS in PD-L1 positive vs negative subgroups<br>5.Overall safety & tolerability <br>6.Disease related symptom progression rate<br>;Primary end point(s): The primary endpoint is overall survival.;Timepoint(s) of evaluation of this end point: Overall survival will be followed at every clinic visit (every 2-4 weeks) while on treatment and then every 3 months.
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): 1.Progression-free survival<br>2.Objective response rate<br>3.Duration of objective response<br>4.Duration of OS in PD-L1 positive vs negative subgroups<br>5.Overall safety & tolerability <br>6.Disease related symptom progression rate<br>;Timepoint(s) of evaluation of this end point: 1.Disease assessments Q 8 wks after randomization for 12 months then Q 12 wks until progression of disease<br>2.See above<br>3.See above<br>4.At time of OS analysis (see #38 for timeframe of collection of OS)<br>5.Continuously throughout study treatment and up to 100 days from last dose<br>6.Baseline, Day 1 of each cycle (starting with cycle 2), then at first 2 follow-up visits<br>
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