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Checkpoint Inhibitor
Cabozantinib + Atezolizumab for Adrenocortical Cancer
Phase 2
Waitlist Available
Led By Bassel Nazha, MD, MPH
Research Sponsored by Emory University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Histologically documented adrenal cortical carcinoma
Tumor tissue samples must be available for submission prior to initiation of study treatment. If not, agree to undergo biopsy
Timeline
Screening 3 weeks
Treatment Varies
Follow Up every 12 weeks, assessed up to 2 years
Awards & highlights
Study Summary
This trial tests if a combo of drugs can help treat advanced adrenal cortical cancer. The drugs may inhibit tumor growth/blood vessel formation and help body's immune system attack.
Who is the study for?
Adults with advanced or inoperable adrenal cortical cancer, who may have had previous treatments. They must be physically able to perform daily activities (ECOG <=2), expect to live at least 12 weeks, and not have certain viral infections. Women of childbearing age need a negative pregnancy test and agree to use effective contraception.Check my eligibility
What is being tested?
The trial is testing the combination of Cabozantinib, which blocks tumor growth signals, with Atezolizumab, an immunotherapy that helps the immune system fight cancer. The study aims to see if this combo is better than using each drug alone for treating adrenal cortical cancer.See study design
What are the potential side effects?
Possible side effects include fatigue, high blood pressure, hand-foot syndrome (redness and pain in hands/feet), diarrhea, decreased appetite, nausea; Atezolizumab can cause immune-related issues like inflammation in organs such as lungs or intestines.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
My cancer is confirmed to be adrenal cortical carcinoma.
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I can provide tumor samples or agree to a biopsy before starting the study.
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I have either not been treated or have received multiple treatments.
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My cancer has spread or cannot be removed by surgery.
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I am a woman who can have children and have a negative pregnancy test.
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I am 18 years old or older.
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I can take care of myself but might not be able to do heavy physical work.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ every 12 weeks, assessed up to 2 years
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~every 12 weeks, assessed up to 2 years
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Overall response rate (ORR)
Secondary outcome measures
Incidence of adverse events
Overall survival
Progression free survival
Trial Design
1Treatment groups
Experimental Treatment
Group I: Treatment (cabozantinib, Atezolizumab)Experimental Treatment5 Interventions
Patients receive cabozantinib orally (PO) once daily (QD) on days 1-21 of each cycle and Atezolizumab IV over 30-60 minutes on day 1 of each cycle. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. Patients also undergo computed tomography (CT) and/or magnetic resonance imaging (MRI) at screening and then every 12 weeks on study and undergo collection of blood samples at screening, on study, and at end of treatment. Patients without archival tissue also undergo biopsy at screening.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Computed Tomography
2017
Completed Phase 2
~2720
Magnetic Resonance Imaging
2017
Completed Phase 3
~1190
Biospecimen Collection
2004
Completed Phase 2
~1730
Cabozantinib S-malate
2013
Completed Phase 2
~470
Atezolizumab
2017
Completed Phase 3
~5860
Find a Location
Who is running the clinical trial?
Emory UniversityLead Sponsor
1,636 Previous Clinical Trials
2,560,552 Total Patients Enrolled
National Cancer Institute (NCI)NIH
13,657 Previous Clinical Trials
40,933,646 Total Patients Enrolled
1 Trials studying Adrenal Cortex Carcinoma
109 Patients Enrolled for Adrenal Cortex Carcinoma
Bassel Nazha, MD, MPHPrincipal InvestigatorEmory University Hospital/Winship Cancer Institute
3 Previous Clinical Trials
79 Total Patients Enrolled
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Is this clinical research presently accepting participants?
"Clinicaltrials.gov attests that the trial is no longer actively recruiting patients, as was last evidenced on August 17th 2023 when it was updated for the final time since its inception on October 1st 2023. Nevertheless, there are currently 2566 other trials searching for volunteers."
Answered by AI
What potential risks may patients encounter when taking cabozantinib and atezolizumab?
"Due to the nature of this Phase 2 trial, and the lack of evidence for efficacy but some data on safety, Treatment (cabozantinib, atezolizumab) was ranked a 2 by our team."
Answered by AI
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