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TerminatedNCT05935748Updated Nov 12, 2025

Ph2 Study NKT2152 With Palbociclib & Sasanlimab in Subjects With Advanced Clear Cell Renal Cell Carcinoma (ccRcc)

A Phase 2 interventional study of NKT2152 and palbociclib in ccRCC, Clear Cell Renal Cell Carcinoma and Kidney Cancer, sponsored by NiKang Therapeutics, Inc.. Terminated at 8 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-11-12.

Sponsored by NiKang Therapeutics, Inc. · Phase 2, Interventional, and Treatment

Why this study was terminated
This study was terminated as a result of Sponsor portfolio reprioritization.
Phase
Phase 2
Study type
Interventional
Enrollment
18
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of the Lead-in phase of the study is to evaluate the safety, efficacy, pharmacokinetics (PK) and determine recommended dose for expansion (RDE) of NKT2152 in combination with palbociclib (Doublet) and with palbociclib and sasanlimab (Triplet) in subjects with advanced or metastatic clear cell renal cell carcinoma (ccRCC) who received prior therapy. The goal of the Expansion phase of the study is to evaluate the safety, efficacy, PK at the selected RDE and identify the RP2D for NKT2152 in combination with palbociclib (Doublet) and with palbociclib and sasanlimab (Triplet) in subjects with advanced or metastatic clear cell renal cell carcinoma (ccRCC) who received prior therapy.

Read the detailed description

This is a Phase 2 open-label, multicenter, global study of NKT2152. This study is designed as two phases: a Lead-in phase and an Expansion phase. Patients must be 18 years or older, with advanced or metastatic clear cell renal cell carcinoma (ccRCC). Eligible patients must have progressed or relapsed after at least 1 prior anti-vascular endothelial growth factor (VEGF)/VEGF receptor (VEGFR) systemic therapy and 1 immune checkpoint inhibitor (ICI) for advanced or metastatic ccRCC alone or in combination.

The Lead-in phase is designed as a dose escalation phase to evaluate the safety, efficacy, pharmacokinetics (PK) and determine recommended dose for expansion (RDE) of NKT2152 in combination with palbociclib and sasanlimab in advanced or metastatic ccRCC patients who received prior therapy.

The subsequent Expansion phase will evaluate the safety, efficacy, PK at the selected RDE and identify the RP2D for NKT2152 in combination with palbociclib and sasanlimab in advanced or metastatic ccRCC patients who received prior therapy.

02

Conditions studied

  • ccRCC
  • Clear Cell Renal Cell Carcinoma
  • Kidney Cancer
  • Kidney Neoplasms
  • Renal Cancer
  • Renal Neoplasms
  • Recurrent Renal Cell Carcinoma
  • Metastatic Renal Cell Carcinoma
  • Refractory Renal Cell Carcinoma
  • Advanced Renal Cell Carcinoma
  • Carcinoma
  • Neoplasms
  • Carcinoma, Renal Cell
  • Neoplasms, Glandular and Epithelial
  • Neoplasm by Histology
  • Adenocarcinoma
  • Urologic Neoplasms
  • Urogenital Neoplasms
  • Neoplasms by Site
  • Kidney Diseases
  • Urologic Diseases

Keywords

  • HIF2a
  • Hypoxia-inducible factor 2alpha
  • CDK4 inhibitor
  • CDK6 inhibitor
  • PD-1
  • immune checkpoint inhibitors
03

Who can participate

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

Inclusion criteria

  • Must have locally advanced or metastatic ccRCC and have progressed or relapsed after at least 1 prior anti-VEGF/VEGFR systemic therapy and 1 ICI.
  • Measurable disease per the Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1)
  • KPS score of at least 70%
  • Able to swallow oral medications.

Exclusion criteria

Exclusion Criteria:

  • Active CNS metastases and/or carcinomatous meningitis
  • Has had any major cardiovascular event within 6 months or clinically significant cardiovascular disease
  • Major surgery (eg, GI surgery, removal or biopsy of brain metastasis) within 3 months before administration of study drug.
  • Has known HIV
  • History of hepatitis B or known active hepatitis C infection
  • Has received prior treatment with NKT2152, other HIF2α inhibitors, other CDK 4/6 inhibitors, palbociclib, or sasanlimab
  • Radiation therapy for bone metastasis within 2 weeks, or any other external radiation therapy within 4 weeks before administration of the first dose of study treatment
  • Corrected QT interval calculated by Fridericia formula (QTcF) > 480 ms within 28 days prior to first dose
  • Hypoxia or requires intermittent or chronic supplemental oxygen or any chronic lung condition which has required supplemental oxygen in the past
  • Has a history of interstitial lung disease
  • Has any active or recent history of a known or suspected autoimmune disease
04

Study design

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

Study arms

  • Experimental
    Lead-in Doublet combination

    Lead-in Doublet assesses safety of oral dosing NKT2152 at increasing dosage levels in combination with palbociclib to determine a recommended dose for expansion (RDE).

    Drug: NKT2152 · Drug: palbociclib

  • Experimental
    Lead-in Triplet combination

    Lead-in Triplet assesses the safety of two doses of NKT2152 identified in the Doublet arm (RDE and RDE-1) by orally dosing ccRCC patients with NKT2152 in combination with palbociclib and sasanlimab

    Drug: NKT2152 · Drug: palbociclib · Other: sasanlimab

  • Experimental
    Expansion Doublet combination

    Subjects randomized to Arm 1 will receive the Doublet combination (NKT2152 in combination with palbociclib) to provide an assessment of anti-tumor activity and to determine the RP2D.

    Drug: NKT2152 · Drug: palbociclib

  • Experimental
    Expansion Triplet combination

    Subjects randomized to Arm 2 will receive the Triplet therapy (NKT2152 in combination with palbociclib and sasanlimab) to provide an assessment of anti-tumor activity and to determine the RP2D.

    Drug: NKT2152 · Drug: palbociclib · Other: sasanlimab

Interventions

  • DrugNKT2152

    Oral HIF2a inhibitor

  • Drugpalbociclib

    a cyclin-dependent kinases (CDK) 4 and 6 inhibitor

    Also known as: IBRANCE®

  • Othersasanlimab

    an immunoglobulin G4 (IgG4) monoclonal antibody that blocks PD-1; a solution for injection for subcutaneous administration

05

What researchers measure

Primary outcomes

  1. Number of Participants with Dose Limiting Toxicity (DLT) events during the DLT monitoring period (first 28 days of dosing) in the Lead-in Phase

    DLTs graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5 .0.

    Time frame: 28 days

  2. Objective Response Rate (ORR) determined by the Investigator

    ORR defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.

    Time frame: 1 years

Secondary outcomes

  1. Progression-free survival (PFS)

    PFS defined as the time from the date the participant started study drug to the date the participant experiences an event of disease progression or death.

    Time frame: 2 years

  2. Duration of Response (DOR)

    Duration of overall response is defined as the time from the date of first documented CR or PR, assessed by investigator and based on RECIST v. 1.1, to the documented date of progressive disease (PD) or death, whichever occurred first.

    Time frame: 1 years

  3. Time to Response (TTR)

    TTR is defined as the time from first dose to the first documented CR or PR which is subsequently confirmed.

    Time frame: 1 years

  4. Overall Survival (OS)

    OS defined as the time from the date the participant started study drug to death for any reason.

    Time frame: 2 years

  5. Clinical Benefit Rate (CBR)

    CBR defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) or a stable disease (SD) of 8 weeks or longer based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.

    Time frame: 1 years

  6. Number of Participants with Adverse Events

    An adverse event (AE) is defined as any untoward medical occurrence in a patient and which does not necessarily have a causal relationship with this treatment. The investigator assessed the relationship of each event to the use of study drug as either probably related, possibly related, probably not related or not related.

    Time frame: 2 years

  7. Maximum observed plasma concentration (Cmax) of NKT2152

    Maximum observed plasma concentration (Cmax) of NKT2152

    Time frame: 1 years

  8. Time to maximum observed plasma concentration of NKT2152 (Tmax)

    Time to maximum observed plasma concentration of NKT2152 (Tmax)

    Time frame: 1 years

  9. Observed trough concentration of NKT2152 (Ctrough)

    Observed trough concentration of NKT2152 (Ctrough)

    Time frame: 1 years

  10. Area under the plasma concentration time curve (AUC0-t) of NKT2152, and accumulation ratio (RAC)

    Area under the plasma concentration time curve (AUC0-t) of NKT2152, and accumulation ratio (RAC)

    Time frame: 1 years

  11. Maximum observed plasma concentration (Cmax) of palbociclib

    Maximum observed plasma concentration (Cmax) of palbociclib

    Time frame: 1 years

  12. Time to maximum observed plasma concentration of palbociclib (Tmax)

    Time to maximum observed plasma concentration of palbociclib (Tmax)

    Time frame: 1 years

  13. Observed trough concentration of palbociclib (Ctrough)

    Observed trough concentration of palbociclib (Ctrough)

    Time frame: 1 years

  14. Area under the plasma concentration time curve (AUC0-t) of palbociclib, and accumulation ratio (RAC)

    Area under the plasma concentration time curve (AUC0-t) of palbociclib, and accumulation ratio (RAC)

    Time frame: 1 years

  15. Observed trough concentration of sasanlimab (Ctrough)

    Observed trough concentration of sasanlimab (Ctrough)

    Time frame: 1 years

  16. Maximum observed plasma concentration (Cmax) of sasanlimab

    Maximum observed plasma concentration (Cmax) of sasanlimab

    Time frame: 1 years

06

Study locations

8 sites
  • University of California San Diego
    La Jolla, California 92093, United States
  • Northwestern University - Feinberg School of Medicine
    Chicago, Illinois 60611, United States
  • Dana-Farber Cancer Institute
    Boston, Massachusetts 02215, United States
  • University of Michigan-Rogel Cancer Center
    Ann Arbor, Michigan 48109, United States
  • Nebraska Cancer Specialists
    Omaha, Nebraska 68130, United States
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065-6094, United States
  • UT Southwestern Medical Center
    Dallas, Texas 75390-9324, United States
  • University of Virginia Health System
    Charlottesville, Virginia 22908, United States
07

References and documents

Individual participant data

Plan to share: No — IPD are not planned to be shared at this time

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT05935748
Lead sponsor
NiKang Therapeutics, Inc.
Collaborators
Pfizer
Responsible party
Sponsor
First posted
Jul 7, 2023
Start date
Jul 28, 2023
Primary completion
Jun 30, 2025
Completion
Sep 4, 2025
Last update
Nov 12, 2025

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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