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Clinical Trials Search at Vanderbilt-Ingram Cancer Center

Substudy 03B: A Study of Immune and Targeted Combination Therapies in Participants With Second Line Plus (2L+) Renal Cell Carcinoma (MK-3475-03B)

Substudy 03B is part of a larger research study that is testing experimental treatments for
renal cell carcinoma (RCC). The larger study is the umbrella study (U03).

The goal of substudy 03B is to evaluate the safety and efficacy of experimental combinations
of investigational agents in participants with advanced second line plus (2L+) clear cell
renal cell carcinoma (ccRCC).

This substudy will have two phases: a safety lead-in phase and an efficacy phase. The safety
lead-in phase will be used to demonstrate a tolerable safety profile for the combination of
investigational agents. There will be no hypothesis testing in this study.
Not Available
Phase I/II
Adults
Mol. targeted/Immunotherapy/Biologics
Not Available
Beckermann, Kathryn
International
Vanderbilt University
04-09-2021
Treatment
VICCUROP2070
NCT04626518

Eligibility

18 Years
BOTH
NO
Inclusion Criteria:

Has a histologically confirmed diagnosis of locally advanced/metastatic ccRCC

Has experienced disease progression on or after having received systemic. treatment for locally advanced or metastatic RCC with a PD-(L)1 checkpoint inhibitor (in sequence or in combination with a vascular endothelial growth factor. - tyrosine kinase inhibitor [VEGF-TKI]) where PD-(L)1 checkpoint inhibitor treatment progression is defined by meeting ALL of the following criteria: (a) has received 2 doses of an anti-PD-(L)1 monoclonal antibody (mAb) (b) has shown radiographic disease progression during or after an anti-PD-(L)1 mAb as defined by RECIST 1.1 by investigator (c) disease progression has been documented within 12 weeks from the last dose of an anti-PD-(L)1 mAb

Has experienced disease progression on or after having received systemic treatment for locally advanced or metastatic RCC with a VEGF-TKI (in sequence or in combination with a PD-[L]1 checkpoint inhibitor) where VEGF-TKI treatment progression is defined by meeting the following criterion: has shown radiographic disease progression during or after a treatment with a VEGF-TKI as defined by RECIST 1.1 by investigator.

Is able to swallow oral medication

Has adequate organ function

Participants receiving bone resorptive therapy must have therapy initiated at least 2 weeks before randomization/allocation

Has resolution of toxic effects of prior therapy to Grade 1

Has adequately controlled blood pressure (BP 150/90 mm Hg) with no change in hypertensive medications within 1 week before randomization/allocation

Male participants are abstinent from heterosexual intercourse or agree to use contraception during treatment with and for at least 7 days after the last dose of lenvatinib and /or belzutifan; 7 days after lenvatinib and/or belzutifan is stopped, if the participant is only receiving pembrolizumab, pembrolizumab/quavonlimab, favezelimab/pembrolizumab, MK-4830 or a combination of the aforementioned drugs, no contraception is needed

Female participant is not pregnant or breastfeeding and is not a woman of childbearing potential (WOCBP) or is a WOCBP abstinent from heterosexual intercourse or using contraception during the intervention period and for at least 120 days after the last dose of pembrolizumab, pembrolizumab/quavonlimab, favezelimab/pembrolizumab, MK-4830 or 30 days after the last dose of lenvatinib or belzutifan, whichever occurs last and must abstain from breastfeeding during the study intervention period and for at least 120 days after study intervention



Exclusion Criteria:

Has urine protein 1 g/24 hours and has any of the following: (a) a pulse oximeter reading
Has clinically significant cardiovascular disease within 12 months from the first dose of study intervention administration

Has had major surgery within 3 weeks before first dose of study interventions

Has a history of lung disease

Has a history of inflammatory bowel disease

Has preexisting gastrointestinal (GI) or non-GI fistula

Has malabsorption due to prior GI surgery or disease

Has previously received treatment with a combination of pembrolizumab plus lenvatinib

Has received prior treatment with belzutifan

Has received prior radiotherapy within 2 weeks of start of study intervention

Has received a live or live attenuated vaccine within 30 days before the first dose of study intervention; killed vaccines are allowed

Has received more than 4 previous systemic anticancer treatment regimens

Has a diagnosis of immunodeficiency or is receiving any form of immunosuppressive therapy within 7 days prior to the first dose of study intervention

Has known additional malignancy that is progressing or has required active treatment within the past 3 years

Has known central nervous system (CNS) metastases and/or carcinomatous meningitis

Has an active autoimmune disease that has required systemic treatment in the past 2 years; replacement therapy is not considered a form of systemic treatment and is allowed

Has an active infection requiring systemic therapy

Has a known history of human immunodeficiency virus (HIV) infection

Has a known history of Hepatitis B

Has had an allogenic tissue/solid organ transplant

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