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CompletedNCT02187302Updated May 28, 2020

CRLX101(NLG207) in Combination With Bevacizumab for Metastatic Renal Cell Carcinoma (mRCC) Versus Standard of Care (SOC)

A Phase 2 interventional study of CRLX101 and Bevacizumab in Metastatic Renal Cell Carcinoma, sponsored by NewLink Genetics Corporation. Completed at 43 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-05-28.

Sponsored by NewLink Genetics Corporation · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
115
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

This study to evaluate treatment in patients with metastatic renal cell carcinoma (RCC) which has progressed through 2 to 3 prior lines of therapy, with the investigational drug CRLX101 in combination with bevacizumab compared to treatment with a standard of care therapy. The study will compare which treatment resulted in longer time before progression of the RCC. Patients will be treated and followed for progression of their disease on average for up to 6 months.

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Conditions studied

  • Metastatic Renal Cell Carcinoma

Keywords

  • nanopharmaceutical,
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In context

Carcinoma

6,741 studies on the registry are indexed under Carcinoma; 1,161 are open to participants now.

This study's enrollment of 115 is above the median of 45 across 5,170 interventional studies indexed under Carcinoma.

Browse Carcinoma studies →

Lead sponsor

NewLink Genetics Corporation is the lead sponsor of 34 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Must have histologically confirmed renal cell carcinoma of any pathologic subtype.
  • Must have unresectable metastatic disease, and have tumor(s) present that is (are) evaluable by the RECIST, v1.1; may have spinal-associated metastases but must have concluded dexamethasone therapy and be evaluated by the Investigator to have stable CNS disease.
  • Must have received 2 or 3 prior lines of conventional molecularly targeted therapy
  • Must have full recovery from any toxicities from prior therapy CTCAE Grade 1 or less with the exception of Grade 2 alopecia) prior to randomization.
  • ECOG performance status 0 or 1.
  • Age 18 years and older.
  • Life expectancy of at least 3 months.
  • Must have normal organ and marrow function reported within 14 days prior to randomization
  • Ability to understand and willingness to sign a written informed consent document.
  • Able to comply with study visit schedule and assessments.

Exclusion criteria

Exclusion Criteria:

  • Any conventional molecularly targeted therapy within 2 weeks or, chemotherapy or radiotherapy within 2 weeks (local) or 4 weeks (systemic) prior to entering the study.
  • Failure to recover to grade 1 or less all prior adverse events.
  • Any major surgery within 4 weeks of study randomization.
  • Any prior treatment with topoisomerase I therapy.
  • Prior treatment with any drugs or therapies that will be administered during the course of this trial including CRLX101, any topoisomerase 1 inhibitor, bevacizumab or the conventional molecularly targeted agent intended for use as standard of care treatment.
  • Patients receiving any other current investigational therapeutic agent.
  • Other active malignancies
  • Patients with brain metastasis treated or untreated, or other CNS disease
  • Any clinically significant cardiac disease defined as NYHA class III or IV.
  • Uncontrolled hypertension
  • Uncontrolled concurrent illness
  • History of non-healing wounds or ulcers.
  • Pregnancy, or inadequate contraception for men or women of childbearing age, or lactating / breast-feeding
  • Patients with known HIV or with solid organ transplant
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
115 participants (actual)

Study arms

  • Experimental
    CRLX101 + bevacizumab

    CRLX101 in combination with bevacizumab: * CRLX101 15 mg/m\^2 IV on days 1 and 15 of a 28-day cycle; * bevacizumab 10 mg/kg IV on days 1 and 15 of a 28-day cycle.

    Drug: CRLX101 · Drug: Bevacizumab

  • Active comparator
    Standard of Care

    Standard of care treatment include one of the following agents to which the patient can have no prior exposure: sorafenib; everolimus; pazopanib; axitinib; bevacizumab; sunitinib, or other approved drug considered by the Medical Monitor to represent an acceptable standard of care therapy

    Drug: Standard of Care (Investigator Choice)

Interventions

  • DrugCRLX101

    Also known as: NLG207

  • DrugBevacizumab

    Also known as: Avastin

  • DrugStandard of Care (Investigator Choice)

    Also known as: sorafenib (Nexavar), sunitinib (Sutent), axitinib (Inlyta), pazopanib (Votrient), bevacizumab (Avastin),, everolimus (Afinitor), Other

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What researchers measure

Primary outcomes

  1. Progression Free Survival (PFS)

    To assess progression free survival (PFS) in patients with clear cell metastatic renal cell carcinoma (RCC) treated with CRLX101 in combination with bevacizumab (CRLX101+bevacizumab) vs. standard of care (SOC) per investigator's choice, as assessed by blinded independent radiological review (IRR) according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1

    Time frame: at least 6 months

Secondary outcomes

  1. Overall Safety and tolerability (AEs, SAEs, Clinical Laboratory Parameters, Vital Signs, Concomitant Medications)

    AEs will be coded using MedDRA and graded according to CTCAE (v 4.03). The number and percentage of patients with any treatment-emergent AE (TEAE) will be summarized for each treatment group. The number of patients with TEAEs assessed by the Investigator as at least possibly related to treatment will be tabulated. The number of patients with any CTCAE grade ≥ 3 treatment-emergent AE will be tabulated. Serious AEs (SAEs) will also be tabulated. For Clinical Laboratory Parameters - Shift tables that present changes from baseline to worst on-study values relative to CTCAE grading will be produced. For Vital Signs - By-patient data listings of vital sign measurements will be presented. For Concomitant Medications - The use of concomitant medications will be included in by-patient data listings. A summary table of concomitant medications by WHO drug class will also be provided.

    Time frame: at least 30 days post last dose of study drug

  2. Overall survival

    To compare time to death between treatment groups of CRLX101 in combination with bevacizumab compared to SOC.

    Time frame: on average 12 months after discontinuation of study treatment

  3. Objective response rate

    Evaluate response rates comparing the investigational treatment of CRLX101 in combination with bevacizumab compared to SOC as assessed by blinded IRR as well as by the Investigator

    Time frame: at least 6 months

  4. Duration of Response

    Evaluate time to response comparing the investigational treatment of CRLX101 in combination with bevacizumab compared to SOC as assessed by blinded IRR as well as by the Investigator

    Time frame: at least 6 months

  5. PFS

    To assess PFS in patients with clear cell metastatic RCC treated with CRLX101+bevacizumab vs. SOC per investigator's choice, as assessed at the site level by the Investigator according to RECIST version 1.1

    Time frame: at least 6 months

  6. PFS

    To assess PFS (as assessed at the site level by the Investigator and separately by blinded IRR) in clear cell RCC patients treated with CRLX101+bevacizumab compared to bevacizumab treatment alone

    Time frame: at least 6 months

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Study locations

43 sites
  • University of California San Diego
    La Jolla, California 92093, United States
  • David Geffen School of Medicine UCLA
    Los Angeles, California 90024, United States
  • Cedars Sinai Medical Center
    Los Angeles, California 90048, United States
  • Rocky Mountain Cancer Centers
    Denver, Colorado 80218, United States
  • Emory University
    Atlanta, Georgia 30322, United States
  • Kaiser Permanente
    Honolulu, Hawaii 96819, United States
  • Decatur Memorial Hospital
    Decatur, Illinois 62526, United States
  • Indiana University School of Medicine
    Indianapolis, Indiana 46202, United States
  • Franciscan St. Francis Health
    Indianapolis, Indiana 46237, United States
  • June E. Nylen Cancer Center
    Sioux City, Iowa 51101, United States
  • The University of Kansas Cancer Center
    Fairway, Kansas 66205, United States
  • Cancer Center of Kansas
    Wichita, Kansas 67214, United States
  • Our Lady of the Lake Physician Group
    Baton Rouge, Louisiana 70808, United States
  • University of Maryland, Greenebaum Cancer Center
    Baltimore, Maryland 21201, United States
  • Ann Arbor Hematoloty-Oncology
    Ann Arbor, Michigan 48106, United States
  • Karmanos Cancer Institute
    Detroit, Michigan 48201, United States
  • North Mississippi Hematology and Oncology Associates
    Tupelo, Mississippi 38801, United States
  • University of Nebraska Medical Center
    Omaha, Nebraska 68130, United States
  • Comprehensive Cancer Centers of Nevada
    Las Vegas, Nevada 89169, United States
  • MD Anderson Cooper Cancer Institute
    Voorhees, New Jersey 08043, United States
  • New York Oncology Hematology
    Albany, New York 12208, United States
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
  • SUNY Upstate Medical University
    Syracuse, New York 13210, United States
  • UNC Chapel Hill
    Chapel Hill, North Carolina 27599, United States
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
  • University of Pittsburgh Medical Center Cancer Institute
    Pittsburgh, Pennsylvania 15232, United States
  • Cancer Centers of the Carolinas
    Greenville, South Carolina 29615, United States
  • Texas Oncology, Amarillo
    Amarillo, Texas 79106, United States
  • Texas Oncology P.A.
    Austin, Texas 78745, United States
  • Texas Oncology, Dallas
    Dallas, Texas 75246, United States
  • Texas Oncology, El Paso
    El Paso, Texas 79902, United States
  • Texas Oncology, Flower Mound
    Flower Mound, Texas 75028, United States
  • Texas Oncology, Fort Worth
    Fort Worth, Texas 76104, United States
  • Texas Oncology, P.A.
    Houston, Texas 77024, United States
  • Cancer Center Network of South Texas
    San Antonio, Texas 78217, United States
  • Utah Cancer Specialists
    Salt Lake City, Utah 84106, United States
  • CAMC Health Education and Research Institute
    Charleston, West Virginia 25304, United States
  • St. Vincent Regional Cancer Center CCOP
    Green Bay, Wisconsin 54301, United States
  • National Cancer Center
    Goyang-si Gyeonggi-do, 410-769, Korea, Republic of
  • Seoul National University Hospital
    Seoul, 110-744, Korea, Republic of
  • Severence Hospital
    Seoul, 120-752, Korea, Republic of
  • Samsung Medical Center
    Seoul, 135-710, Korea, Republic of
  • Asan Medical Center
    Seoul, 138-736, Korea, Republic of
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References and documents

Publications

  • Voss MH, Hussain A, Vogelzang N, Lee JL, Keam B, Rha SY, Vaishampayan U, Harris WB, Richey S, Randall JM, Shaffer D, Cohn A, Crowell T, Li J, Senderowicz A, Stone E, Figlin R, Motzer RJ, Haas NB, Hutson T. A randomized phase II trial of CRLX101 in combination with bevacizumab versus standard of care in patients with advanced renal cell carcinoma. Ann Oncol. 2017 Nov 1;28(11):2754-2760. doi: 10.1093/annonc/mdx493. PubMed 28950297 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 28, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02187302
Lead sponsor
NewLink Genetics Corporation
Responsible party
Sponsor
First posted
Jul 11, 2014
Start date
Jul 2014
Primary completion
Jul 2016
Completion
Jan 2017
Last update
May 28, 2020

Study contacts

NewLink Genetics
study chair · NewLink Genetics Inc

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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