Kidney cancer

2023-505605-16-00 Protocol ONC001-CL-001 Phase I and Phase II (Integrated) - First administration to humans Authorised, recruiting

Start 24 Apr 2024 · Status Authorised, recruiting · 4 EU/EEA countries · 4 sites · Protocol ONC001-CL-001

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - First administration to humans
Status Authorised, recruiting
Participants planned 105
Countries 4
Sites 4

Metastatic Clear Cell Renal Cell Carcinoma (ccRCC) or papillary renal cell carcinoma (pRCC) and with End-Stage Renal Disease (ESRD)

Key facts

Sponsor
Oncorena AB
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
24 Apr 2024 → ongoing
Decision date (initial)
2026-02-20
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2023-505605-16-00
EudraCT number
2020-005651-21

Trial design

CTIS Part I — objectives, methods, condition coding

Conditions and MedDRA coding

Metastatic Clear Cell Renal Cell Carcinoma (ccRCC) or papillary renal cell carcinoma (pRCC) and with End-Stage Renal Disease (ESRD)

VersionLevelCodeTermSystem organ class
22.0 HLT 10038443 Renal failure and impairment 10038359
21.1 PT 10050513 Metastatic renal cell carcinoma 100000004864

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Oncorena AB

Sponsor organisation
Oncorena AB
Address
Scheeletorget 1
City
Lund
Postcode
223 63
Country
Sweden

Scientific contact point

Organisation
Oncorena AB
Contact name
Börje Haraldsson

Public contact point

Organisation
Oncorena AB
Contact name
Börje Haraldsson

Locations

4 EU/EEA countries · 4 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Authorised, recruitment pending 10 1
Portugal Authorised, recruiting 10 1
Spain Authorised, recruitment pending 10 1
Sweden Ongoing, recruiting 75 1
Rest of world 0

Investigational sites

France

1 site · Authorised, recruitment pending
Institut Gustave Roussy
DITEP, 114 Rue Edouard Vaillant, 94800, Villejuif

Portugal

1 site · Authorised, recruiting
Start Research Portugal Unipessoal Lda.
Oncology, Rua Castilho 39 8º E, 1250-068, Lisbon

Spain

1 site · Authorised, recruitment pending
Micancer Center S.L.P.
Oncology, Avinguda De Prat De La Riba 79, 25004, Lleida

Sweden

1 site · Ongoing, recruiting
Karolinska University Hospital
Center for Clinical Cancer Studies, Eugeniavagen 3, 171 64, Solna

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Portugal 2026-03-20
Sweden 2022-06-09 2023-06-22

Oversight and notifications

Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77

Temporary halts 1 · Art. 38 CTR

Temporary halt TH-19417

Halt date
2024-03-19
Planned restart
2024-06-19
Member states concerned
Sweden
Publication date
2024-04-02
Reason
Safety related (clinical or pre-clinical results)
Explanation
The temporary pause in recruitment will allow us to gather information about the G5 gastrointestinal hemorrhage event in terms of causality and to consider whether additional patients should be recruited and if so, what additional safeguards should be put in place.
Follow-up measures
• An ad hoc dose review committee was convened to discuss the G5 gastrointestinal hemorrhage, which is being reported as a SUSAR. The dose review committee recommended a pause in recruitment of new patients to assess the events.
• Regarding the patient with G5 gastrointestinal hemorrhage, we have begun analysis of the events, including discussions with the site team and review of medical records. The patient’s family has consented to an autopsy, which has been performed.
• The dose review committee recommended that the one patient currently under treatment at the next higher dose level be given the option to continue treatment after being apprised of the status of the trial if that patient’s next scan shows benefit (i.e., lack of progression) and following implementation of an additional urgent safety measure to assure that patient’s well-being. The details of that safety measure will be specified in a subsequent document, but broadly it would include assessment of the upper gastrointestinal tract to establish a baseline for comparison, medical prophylaxis for upper GI ulceration, and additional monitoring with the goal of identifying toxicity as early as possible.
• We have communicated to the team caring for the patient currently under treatment the findings about the patient that died and asked them to be particularly vigilant for signs of upper gastrointestinal ulceration or hemorrhage or unexpected anemia. We have requested that the patient’s treatment team stay in close touch with us about the patient’s status.
• This is a temporary pause in patient recruitment. Recruitment would only resume after a substantial amendment that includes additional safeguards for patients.
Benefit-risk balance changed
Yes
Treatment stopped
No

Application history

12 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-06-02 Sweden Acceptable
2023-06-20
2023-06-21
2 SUBSTANTIAL MODIFICATION SM-1 2023-08-03 Sweden Acceptable
2023-10-04
2023-10-05
3 SUBSTANTIAL MODIFICATION SM-2 2024-01-23 Sweden Acceptable
2024-04-02
2024-04-03
4 SUBSTANTIAL MODIFICATION SM-3 2024-04-19 Sweden Acceptable
2024-04-23
2024-04-24
5 SUBSTANTIAL MODIFICATION SM-4 2024-11-08 Sweden Acceptable
2024-12-05
2024-12-06
6 SUBSTANTIAL MODIFICATION SM-5 2025-03-11 Sweden Acceptable
2025-03-24
2025-03-24
7 SUBSTANTIAL MODIFICATION SM-6 2025-05-06 Sweden Acceptable
2025-06-19
2025-06-30
8 NON SUBSTANTIAL MODIFICATION NSM-1 2025-11-07 Sweden Acceptable
2025-06-19
2025-11-07
9 SUBSEQUENT ADDITION OF MSC APP-9 2025-11-20 Acceptable
2025-06-19
2026-02-20
10 SUBSEQUENT ADDITION OF MSC APP-10 2025-12-05 Acceptable
2025-06-19
2026-01-27
11 SUBSEQUENT ADDITION OF MSC APP-11 2026-01-30 Acceptable
2025-06-19
2026-04-24
12 SUBSTANTIAL MODIFICATION SM-7 2026-03-31 Sweden Acceptable 2026-04-15