Cabozantinib and Nivolumab Among Older Patients With Renal Cell Carcinoma

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age70+
SponsorGustave Roussy, Cancer Campus, Grand Paris

About this trial

The goal of the study is to describe real-life use and exposition to nivolumab-cabozantinib among older patients with metastatic clear-cell renal cell cancer

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients ≥ 70 years-old

Confirmed advanced or metastatic renal-cell carcinoma

Patients not previously treated in metastatic setting

Performance Status 0 to 2

Disqualifiers

Participation in another clinical study with an investigational product during the last four weeks and while on study treatment (Patients may be included in CABOLD if they are included in the arm B of CARE1 study EUCT N° 2023-503317-29-00)

Performance Status > 2

Any condition that represent a contraindication to Cabozantinib and/or Nivolumab, as described in summaries of products characteristics, including symptomatic untreated brain metastasis or active auto-immune disease requiring systemic immunosuppressant/modulator (thyroid or adrenal disorder are not an exclusion criteria)

Any severe cardiovascular or thrombo-embolic event in the last three months

Trial design

Design model

Single group

Treatments tested in this trial

  • Nivolumab

    Drug

    Briefly, nivolumab is administered as an approximately 30-minute (240mg every 2 weeks) or 60-minute (480mg every 4 weeks) IV infusion.

  • Cabozantinib

    Drug

    Cabozantinib is a medication that is taken orally every day, once a day away from meals at the initial dose of 40 mg/day.

Treatment groups

50 Participants
are divided into 1 treatment group
Group A: Cabozantinib-NivolumabExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Starting dose of Cabozantinib

Primary outcome measure is treatment patterns, which includes starting dose of cabozantinib.

Time frame
24 weeks after treatment start
2

Dose interruption of Cabozantinib

Primary outcome measure is treatment patterns of Cabozantinib, which includes the proportion of patients who experience any temporary dose interruption within the first 24 weeks of treatment.

Time frame
24 weeks after treatment start
3

Dose modifications of Cabozantinib

Primary outcome measure is treatment patterns, which includes the proportion of patients who experience any form of dose modification of Cabozantinib related to all grade toxicity within the first 24 weeks of treatment.

Time frame
24 weeks after treatment start

Secondary outcomes

1

Overall response rate based on radiological evaluation

Overall response rate based on best radiological response rate with local RECIST 1.1 evaluation observed in the 12 months of the study

Time frame
12 months after treatment start
2

Overall-survival

Defined as the time between the date of inclusion and the date of death whatever the cause. Patients alive at the date of last follow-up visit will be censored at that date.

Time frame
12 months after treatment start
3

Progression free survival

Progression free survival, defined by the time between inclusion date and the date of observation of a progression of the disease according to RECIST 1.1 or death of the patient (all causes combined) or date of last follow-up if the patient is alive without progression or lost to follow up.

Time frame
12 months after treatment start
4

Duration of response

It is defined as the time from first radiological evidence of response (partial or complete response) to disease progression or death among patients who achieve complete or partial response.

Time frame
12 months after treatment start

Other outcomes

Sponsors and contacts

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