ABEMA Alone or in COMBO With MK-6482

Study Overview
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Brief Summary
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This research study will assess whether abemaciclib alone or in combination with MK-6482 are safe and effective in slowing down the growth of clear cell renal cell carcinoma (ccRCC). The names of the study drugs in this investigational combination are: Abemaciclib MK-6482

Detailed Description
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This a two-arm, non-randomized phase 1/1B trial aiming at assessing the safety and activity of abemaciclib alone (arm 1), and abemaciclib plus MK-6482 (arm 2) in patients with advanced refractory clear-cell renal cell carcinoma (croc). A Phase I clinical trial tests the safety of an investigational drug or drug combination and also tries to define the appropriate dose of the investigational drug or drug combination to use for further studies. Investigational means that the drug is being studied.The U.S. Food and Drug Administration (FDA) has not approved either abemaciclib or MK-6482 for renal (kidney) cancer but abemaciclib has been approved to treat other forms of cancer. Abemaciclib is in a class of drugs known as CDK4 & 6 inhibitors. These proteins control how fast cells grow and divide and are found on both normal and cancer cells. They become overactive in cancer cells causing cells to grow and divide uncontrollably. Abemaciclib blocks these proteins just as the cells start to grow and divide and in other cancers has been shown to slow down cancer cell growth and division, causing cancer cells to become inactive or even die. MK-6482 is an oral, first-in-class selective small-molecule inhibitor that targets hypoxia-inducible factor (HIF)-2a, which promotes the growth of new vessels that fuel kidney cancer. This study is looking at two different treatments: Arm 1 - abemaciclib alone: To determine the response rate of abemaciclib alone in patients with advanced ccRCC Arm 2 - combination therapy of abemaciclib and MK-6482 To determine the maximum dose of abemaciclib and MK-6482 in combination. To determine the response rate of abemaciclib and MK-6482 in patients with advanced ccRCC. The research study procedures include screening for eligibility, study treatment, participant evaluations and safety follow-up visits, in addition to general health status follow-up after study treatment. It is estimated that participants will receive 12 to 18 months of study treatment and 3 months of safety follow-up, totaling about 15 to 21 months from the start of study treatment. After the safety follow-up visits, the study doctor may request that participants return to clinic for additional tumor assessments or his/her staff will contact participants about every 6 months to follow their health status and find out about any anticancer treatments participants may have begun after study treatment. It is expected that about 40 people will take part in this research study. The pharmaceutical company Eli Lilly is supporting this research study by providing funding for the research study, tests required for research purposes only, and the study drugs. The pharmaceutical company Merck is supporting this research study by providing study drug.

Official Title
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A Phase I/IB Trial of Abemaciclib Alone or in Combination With MK-6482 in Advanced Renal Cell Carcinoma

Conditions
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Clear Cell Renal Cell Carcinoma

Intervention / Treatment
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* Drug: Abemaciclib
* Drug: MK-6482


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Histologically or cytologically confirmed unresectable advanced or metastatic renal cell carcinoma with clear cell component. Patients with extensive sarcomatoid histology are accepted. Participants must have failed or developed an intolerance to at least 1 prior anti-VEGFR systemic therapy and 1 immune checkpoint inhibitor for metastatic RCC. No limit on the number of prior lines of therapies. Measurable disease as per RECIST 1.1. See section 12 for the evaluation of measurable disease. Age ≥ 18 years ECOG performance status ≤2 (Karnofsky ≥60%, see Appendix A) Participants must undergo fresh tumor biopsy unless medically unsafe or not feasible. Normal organ and marrow function as defined below: Absolute neutrophil count ≥1,500/mcL Platelets ≥100,000/mcL Hemoglobin ≥10g/dL (transfusions allowed) Total bilirubin ≤2.0 x institutional upper limit of normal with the following exception: patients with known Gilbert disease should have a serum bilirubin ≤ 3 x ULN AST(SGOT)/ALT(SGPT)≤3.0 × institutional upper limit of normal with the following exception: patients with known liver metastases should have AST and ALT ≤ 5 x ULN Creatinine clearance ≥30 mL/min/1.73 m2 according to the Cockcroft-Gault equation. (APPENDIX F) Urine protein/creatinine ratio (UPC ratio) ≤2 Women of child-bearing potential and men must agree to use adequate contraception (intrauterine device or barrier method of birth control; abstinence) prior to study entry, for the duration of study participation and 6 months after completion abemaciclib plus MK- 6482 and at least 3 weeks after the completion of abemaciclib administration. If condoms are used as a barrier method, a spermicidal agent should be added as a double barrier protection. A negative pregnancy serum test should be obtained within 7 days of therapy initiation. Should a woman become pregnant or suspect she is pregnant while she or her partner is participating in this study, she must discontinue treatment immediately. Data on fetal outcome and breast-feeding are to be collected for regulatory reporting and drug safety evaluation.. Men treated or enrolled on this protocol must also agree to use adequate contraception prior to the study, for the duration of study participation, and 6 months after completion abemaciclib plus MK-6482 and at least 3 weeks after the completion of abemaciclib administration. Ability to swallow oral medications Ability to understand and willingness to sign a written informed consent document. Exclusion Criteria: A patient will be excluded from the study if he or she meets any of the following criteria: Patients receiving any other investigational agents. Patients who received prior CDK4/6 inhibitors. For Arm 2 only, patients who have received prior HIF-2α inhibitor. Participants who have received any continuous or intermittent small molecule therapeutics (excluding monoclonal antibodies) ≤ 4 effective half-lives prior to starting study drug or who have not recovered from side effects of such therapy to grade 1 or less (except for non-clinically significant laboratory abnormalities). Patients must have discontinued all biologic therapy including therapeutic antibodies at least 28 days before C1D1. Participants who have received wide field radiotherapy ≤ 4 weeks or limited field radiation for palliation ≤ 2 weeks prior to starting study drug or who have not recovered from side effects of such therapy to at least grade 1. O2 saturation <92% by arterial blood gas analysis or pulse oximetry on room air Untreated deep vein thrombosis or pulmonary embolism, or event of deep vein thrombosis or pulmonary embolism within 2 weeks of treatment start. Patient should be on at least 1 week of anticoagulation before C1D1. The patient has serious and/or uncontrolled preexisting medical condition(s) that, in the judgment of the investigator, would preclude participation in this study (for example, interstitial lung disease, severe dyspnea at rest or requiring oxygen therapy, severe renal impairment [e.g. estimated creatinine clearance <30ml/min], history of major surgical resection involving the stomach or small bowel, or preexisting Crohn's disease or ulcerative colitis or a preexisting chronic condition resulting in baseline Grade 2 or higher diarrhea). Patient with active systemic bacterial infection (requiring IV antibiotics at the time of initiating study treatment), fungal infection, or detectable viral infection. Patients with known viral infection (such as HIV) are excluded given the potential for interactions between antiretroviral agents and abemaciclib, and the potential for increased risk of lifethreatening infection with therapy that is myelosuppressive. If you are not known to have HIV, a HIV test is required. Patients with known Hepatitis B or Hepatitis C infection are excluded only if there is evidence of active infection (detectable Hepatitis B surface antigen, detectable Hepatitis C RNA). Prior allogenic stem cell or solid organ transplant. Impairment of gastrointestinal function or gastrointestinal disease that may significantly alter the absorption of oral drugs (e.g., ulcerative diseases, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome, or small bowel resection). Participants who have undergone major surgery ≤ 4 weeks (28 days) prior to starting study drug(s) or who have not recovered from side effects of such therapy. Participants who are currently taking therapeutic doses of warfarin sodium or any other coumadin-derivative anticoagulant. Other malignancy diagnosed within 2 years of first study treatment unless negligible risk of metastases or death according to the investigator (included but not limited to carcinoma in situ of the cervix, basal or squamous cell skin cancer, localized prostate cancer, ductal carcinoma in situ of the breast, non-muscle invasive urothelial carcinoma, or other malignancy not deemed to impact patients 5-year life expectancy). Has a personal history of any of the following conditions: syncope of cardiovascular etiology, ventricular arrhythmia of pathological origin (including, but not limited to, ventricular tachycardia and ventricular fibrillation), sudden cardiac arrest. Has had any major cardiovascular event within 6 months prior to study drug administration iincluding but not limited to: myocardial infarction, unstable angina, cerebrovascular accident, transient ischemic event or New York Heart Association Class III or IV heart failure. Patients with history of DVT or PE are eligible provided DVT or PE occurred at least 2 weeks prior to C1D1 and anticoagulation has been initiated at least 1 week before C1D1. History of symptomatic respiratory condition considered clinically significant by the investigator. History of asymptomatic radiation pneumonitis within a previous radiation field is permitted. Participants with a known hypersensitivity to the study compounds or to its excipients. Participant is unable or unwilling to abide by the study protocol or cooperate fully with the investigator Females that are pregnant or lactating Participants who have taken herbal medications and certain fruits within 7 days prior to starting study drug. Herbal medications include, but are not limited to St. John's wort, Kava, ephedra (ma huang), gingko biloba, dehydroepiandrosterone (DHEA), yohimbe, saw palmetto, and ginseng. Fruits include the CYP3A inhibitors Seville oranges, grapefruit, pommelos.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Sequential Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Abemaciclib-Arm 1<br>Arm 1 Abemaciclib will be taken at a standard recommended starting dose 2X daily during 28 day study cycles and will be taken until radiographic progression, unacceptable toxicity or withdrawal. Imaging assessments will be performed every 8 weeks during the first six months of the study, then every 12 weeks, in both Arm 1 and Arm 2. | Drug: Abemaciclib<br>* Tablet taken orally<br>* Other names: Verzenio;|
| Experimental: Abemaciclib and MK-6482-Arm 2<br>Arm 2 Arm 2 will start enrolling only after there is experience with Arm 1 to see what abemaciclib effects are when given alone, Dose escalation will occur following a 3+3 design. Abemaciclib will be taken 2X daily uring 28 day study cycle MK-6482 will be taken 1x daily during 28 day study cycle Imaging assessments will be performed every 8 weeks during the first six months of the study, then every 12 weeks, in both arms. | Drug: Abemaciclib<br>* Tablet taken orally<br>* Other names: Verzenio;Drug: MK-6482<br>* Tablet taken orally<br>* Other names: HIF-2α inhibitor;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Objective response rate (ORR) Abemaciclib/Arm 1 | Percentage of patients with partial (PR) or complete response (CR) as best overall response according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 by central review. | start of the treatment until disease progression/recurrence (taking as reference for progressive disease the smallest measurements recorded since the treatment started up to 21 Months | 
| Objective response rate (ORR) Abemaciclib and MK-6482/Arm 2 | Percentage of patients with partial (PR) or complete response (CR) as best overall response according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 by central review. | start of the treatment until disease progression/recurrence (taking as reference for progressive disease the smallest measurements recorded since the treatment started up to 21 Months | 
| Maximum Tolerated Dose (MTD) of Abemaciclib and MK-6482/Arm 2 | MTD of abemaciclib plus MK-6482, defined as the highest dose studied at which no more than 1 of 6 subjects has experienced a dose limiting toxicity (DLT) in cycle 1. | start of the treatment until disease progression/recurrence (taking as reference for progressive disease the smallest measurements recorded since the treatment started) up to 21 Months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Participants With Treatment-Related Adverse Events as Assessed by CTCAE 5- Abemaciclib and MK-6482/Arm 2 | Graded and analyzed using CTCAE version 5 | Baseline, day 1 of every cycle (every 4 weeks) and End of Treatment up 21 months | 
| Duration of response (DOR) Abemaciclib(Arm 1) | Response and progression will be evaluated in this study using the international criteria proposed by the Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1) | Every 8 weeks during the first six months of the study, then every 12 weeks, in both arms up to 21 months | 
| Progression-free survival (PFS) Abemaciclib/Arm 1 | Response and progression will be evaluated in this study using the international criteria proposed by the Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1) | Defined as the time from trial treatment start to the earlier of progression or death due to any cause up to 21 months. | 
| Overall survival (OS) Abemaciclib/Arm 1 | Estimated using the method of Kaplan-Meier, for each treatment arm. Median and event-free rate at selected timepoints along with 95% confidence intervals will be provided. | Defined as the time from trial treatment start to death due to any cause, or censored at date last known alive up to 21 months | 
| Duration of response (DOR) Abemaciclib and MK-6482/Arm 2 | Response and progression will be evaluated in this study using the international criteria proposed by the Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1) | Every 8 weeks during the first six months of the study, then every 12 weeks, in both arms up to 21 months | 
| Progression-free survival (PFS) Abemaciclib and MK-6482/Arm 2 | Response and progression will be evaluated in this study using the international criteria proposed by the Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1) | Defined as the time from trial treatment start to the earlier of progression or death due to any cause up to 21 months | 
| Overall survival (OS) Abemaciclib and MK-6482/Arm 2 | Estimated using the method of Kaplan-Meier, for each treatment arm. Median and event-free | Defined as the time from trial treatment start to death due to any cause, or censored at date last known alive up to 21 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Clear Cell Renal Cell Carcinoma