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Completed

NCT Number: NCT04169711

Study of ARO-HIF2 in Patients With Advanced Clear Cell Renal Cell Carcinoma

The purpose of this study is to evaluate the safety and efficacy of ARO-HIF2 injection (also referred to as ARO-HIF2) and to determine the recommended Phase 2 dose in the treatment of patients with advanced clear cell renal cell carcinoma (ccRCC).

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Research Site 1, Aurora, Colorado, United States

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Women of childbearing potential must have a negative pregnancy test, cannot be breastfeeding and must be willing to use contraception
  • Willing to provide written informed consent and to comply with study requirements
  • Histologically confirmed locally advanced or metastatic clear cell renal cell carcinoma that has progressed during or after at least two prior therapeutic regimens which must include vascular endothelial growth factor (VEGF)-targeted therapy and checkpoint inhibitor therapy or that has otherwise failed such therapies, is measurable disease per RECIST 1.1 criteria, is biopsy accessible
  • Eastern Cooperative Oncology Group (ECOG) Performance Status 0 or 1
  • Estimated life expectancy of longer than 3 months
  • Adequate organ function at screening

Exclusion criteria

  • History of untreated brain metastasis or leptomeningeal disease or spinal cord compression
  • Failure to recover from reversible effects of prior anti-cancer therapy
  • Has received systemic therapy or radiation therapy within 2 weeks prior to first dose
  • History of solid organ or stem cell transplantation
  • Current use of anti-VEGF or mammalian target of rapamycin (mTOR) agents, or chronic immunosuppressive therapy
  • Any prior use of hypoxia inducible factor 2 (HIF2) inhibitors within 6 months prior to first dose
  • Current use of immune checkpoint inhibitors
  • Use of an investigational agent or device within 2 weeks prior to dosing, or current participation in an investigational study
  • Known HIV, hepatitis B or hepatitis C
  • History of other clinically meaningful disease
  • Major surgery within 4 weeks of Screening
  • Active malignancy requiring therapy other than ccRCC within 3 years of study entry

Note: Other eligibility criteria may apply per protocol.

Treatment and study plan

ARO-HIF2

Drug

Multiple doses of ARO-HIF2 by intravenous infusion

Primary outcomes

  1. Number of Participants with Adverse Events (AEs) Possibly or Probably Related to Treatment

    Time frame: Up to 2 years from first dose

Secondary outcomes

  1. Pharmacokinetics (PK) of ARO-HIF2: Maximum Observed Plasma Concentration (Cmax)

    Time frame: Up to Week 2: predose and up to 48 hours postdose

  2. PK of ARO-HIF2: Time to Maximum Plasma Concentration (Tmax)

    Time frame: Up to Week 2: predose and up to 48 hours postdose

  3. PK of ARO-HIF2: Area Under the Plasma Concentration Versus Time Curve from Zero to 4 Hours (AUC0-4)

    Time frame: Up to Week 2: predose and up to 48 hours postdose

  4. PK of ARO-HIF2: Area Under the Plasma Concentration Versus Time Curve from Zero to 24 Hours (AUC0-24)

    Time frame: Up to Week 2: predose and up to 48 hours postdose

  5. PK of ARO-HIF2: Area Under the Plasma Concentration Versus Time Curve from Zero to the Last Measurable Concentration at a Time=t, Using a Specified Trapezoidal Rule (AUC0-t)

    Time frame: Up to Week 2: predose and up to 48 hours postdose

  6. PK of ARO-HIF2: Area Under the Plasma Concentration Versus Time Curve from Zero to Infinity (AUCinf)

    Time frame: Up to Week 2: predose and up to 48 hours postdose

  7. PK of ARO-HIF2: Terminal Elimination Half-Life (t1/2)

    Time frame: Up to Week 2: predose and up to 48 hours postdose

  8. Systemic Clearance Derived From Intravenous Dose/Area Under the Plasma Concentration Versus Time Curve (CL)

    Time frame: Up to Week 2: predose and up to 48 hours postdose

  9. Amount of Drug Excreted in the Urine Over One Dosing Interval Through 4 Hours Post- Dose (Ae, 0-4)

    Time frame: Up to Week 2: predose and up to 48 hours postdose

  10. Renal Clearance Calculated by Ae, 0-4 h/AUC0-4h (CLR)

    Time frame: Up to Week 2: predose and up to 48 hours postdose

  11. Fraction Excreted (or Equivalently the Percent of Dose Excreted) in the Urine, Calculated by 100 X (Ae, 0-4 h/Dose)

    Time frame: Up to Week 2: predose and up to 48 hours postdose

  12. Overall Response Rate

    Time frame: Baseline until disease progression, up to 2 years

    Percentage of participants with a best overall response of complete response (CR) or partial response (PR) by Response Evaluation Criteria in Solid Tumors (RECIST) V1.1 criteria.

  13. Duration of Response

    Time frame: Baseline until disease progression, up to 2 years

  14. Time to Response

    Time frame: Baseline until disease progression, up to 2 years

  15. Progression Free Survival

    Time frame: up to 2 years

  16. Overall Survival

    Time frame: up to 2 years

Sponsors and collaborators

Lead sponsor

Arrowhead Pharmaceuticals

Industry

Registry information

Official study title

A Phase 1b Dose-Finding Study of ARO-HIF2 in Patients With Advanced Clear Cell Renal Cell Carcinoma

Important dates

Study start
2020
Primary completion
2022
Study completion
2022
First posted
Nov 20, 2019
Registry last updated
Oct 9, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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