About this trial
A phase I/II, open-label, study to determine the safety and preliminary efficacy of orellanine in patients with metastatic clear-cell or papillary renal carcinoma who have failed standard-of-care therapy. All participants must have end-stage kidney disease and be receiving stable chronic hemodialysis.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Has provided written informed consent.
Has a diagnosis of histologically confirmed advanced ccRCC or pRCC. No conventional therapy is available or considered appropriate by the treating physician or is declined by the patient.
For patients in the expansion portion of the study only: Measurable disease per RECIST version 1.1 criteria.
ECOG performance status of 0 - 2.
Disqualifiers
Diagnosis of any other malignancy within 2 years prior to enrolment, except for adequately treated basal cell or squamous cell skin cancer, superficial melanoma, or carcinoma in situ of the breast or of the cervix, or low grade (Gleason 7 or below) prostate cancer on surveillance with no plans for treatment intervention (e.g., surgery, radiation, or castration)
Radiotherapy within 2 weeks before first dose.
Immuno-oncology therapy (IO) given in the last six (6) months prior to enrolment
Other systemic anti-cancer therapy within 2 weeks before first dose.
Trial design
Single group
Treatments tested in this trial
Orellanine
DrugOrellanine administered intravenously
Treatment groups
Trial outcomes
Primary outcomes
Adverse events and laboratory abnormalities as graded by NCI CTCAE v5.0.
Changes in arterial blood pressure measurements
Changes in pulse rate measurements
Changes in respiratory rate measurements
Secondary outcomes
Efficacy of orellanine based on time to tumor response
Efficacy of orellanine based on best overall response
Area under the curve extrapolated to infinity
Terminal half-life
Sponsors and contacts
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