RecruitingPhase 2NCT05817903

Axitinib Intensification Plus Nivolumab or Nivolumab Alone After Nivolumab Plus Ipilimumab in mRCC Patients

Phase II Study of Axitinib Intensification Plus Nivolumab Compared to Nivolumab Alone After Induction With Nivolumab Plus Ipilimumab in mRCC Patients Without Previous Complete Response (AxIn Study).


Sponsor

Consorzio Oncotech

Enrollment

118 participants

Start Date

Apr 18, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This phase II open label trial randomized patients who completed the induction with nivolumab plus ipilimumab without complete response or progressive disease will be randomized 1:1 to receive axitinib in addition to nivolumab (Arm A) or continue with nivolumab alone (Arm B).Treatment will be continued until progression of disease, unacceptable toxicity, patient's refusal, or physician decision whichever occurred first.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This trial tests whether adding more of the drug axitinib (which blocks tumor blood vessel growth) to ongoing immunotherapy with nivolumab can improve outcomes for people with advanced kidney cancer (clear cell type) who have already completed an initial immunotherapy course without major side effects. The study compares adding axitinib versus continuing nivolumab alone. **You may be eligible if...** - You have advanced kidney cancer (predominantly clear cell subtype) - You have completed an initial treatment course of nivolumab plus ipilimumab without serious side effects (no grade 2 or higher toxicity) - You did not achieve a complete response or disease progression during that initial treatment - You are 18 or older with at least one measurable tumor **You may NOT be eligible if...** - You had serious side effects during the initial immunotherapy - Your kidney function or other organ function is significantly impaired - You are pregnant or breastfeeding Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGAxitinib

Axitinib will be started at the standard dose of 5 mg BID until progression of disease, unacceptable toxicity, patient' or physician' decision.

DRUGNivolumab

Nivolumab will be administered at a flat dose of 480 mg IV every four weeks until progression of disease, unacceptable toxicity, patient' or physician' decision


Locations(23)

ASST degli Spedali Civili di Brescia

Brescia, Italy

Istituto di Candiolo - Fondazione del Piemonte per l'Oncologia - IRCCS

Candiolo, Italy

Azienda Ospedaliera per l'emergenza Cannizzaro

Catania, Italy

ASST di Cremona

Cremona, Italy

Azienda Ospedaliero Universitaria Careggi

Florence, Italy

Ospedale Policlinico San Martino

Genova, Italy

Fondazione IRCCS - Istituto Nazionale dei Tumori

Milan, Italy

Istituto Europeo di Oncologia - IEO

Milan, Italy

A.O.U. Policlinico di Modena

Modena, Italy

Policlinico Duilio Casula - Azienda Ospedaliero-Universitaria di Cagliari

Monserrato, Italy

Azienda Ospedaliero-Universitaria Maggiore della Carità

Novara, Italy

Istituto Oncologico Veneto

Padova, Italy

Casa Di Cura La Maddalena S.P.A.

Palermo, Italy

Azienda Ospedaliera Universitaria di Parma

Parma, Italy

Azienda Ospedalieo-Universitaria Pisana

Pisa, Italy

San Carlo - Azienda Ospedaliera Regionale

Potenza, Italy

Presidio Ospedaliero S. Maria Delle Grazie

Pozzuoli, Italy

IRCCS - AUSL di Reggio Emilia

Reggio Emilia, Italy

Fondazione Policlinico Universitario A. Gemelli IRCCS

Roma, Italy

Azienda Ospedaliera San Camillo Forlanini

Romano di Lombardia, Italy

IRCCS - Istituto Clinico Humanitas

Rozzano, Italy

Azienda Ospedaliera Universitaria Integrata Verona - Borgo Roma

Verona, Italy

Ospedale di Belcolle

Viterbo, Italy

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NCT05817903


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