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Tretinoin Plus Interferon Alfa in Treating Patients With Metastatic Kidney Cancer

Primary Purpose

Kidney Cancer

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
recombinant interferon alfa
tretinoin liposome
Sponsored by
Weill Medical College of Cornell University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Kidney Cancer focused on measuring stage IV renal cell cancer, recurrent renal cell cancer

Eligibility Criteria

18 Years - 120 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

DISEASE CHARACTERISTICS: Histologically confirmed metastatic renal cell carcinoma Bidimensionally measurable disease No active brain metastases PATIENT CHARACTERISTICS: Age: 18 and over Performance status: Karnofsky 60-100% Life expectancy: More than 3 months Hematopoietic: WBC at least 3,000/mm^3 Platelet count at least 100,000/mm^3 No coagulation disorders Hepatic: Bilirubin less than 1.5 mg/dL SGOT and SGPT less than 112.5 IU/L each or less than 2.5 times upper limit of normal No clinically significant hepatic disease, including autoimmune hepatitis Renal: Creatinine less than 2 mg/dL OR Creatinine clearance greater than 50 mL/min No clinically significant renal disease Cardiovascular: No clinically significant cardiac disease No thrombophlebitis Pulmonary: No severe debilitating pulmonary disease No pulmonary embolism Other: No history of diabetes mellitus prone to ketoacidosis No known hypersensitivity to retinoids or retinoic acid derivatives or to interferon or any component of the injection for this study No thyroid abnormalities that hinder maintaining thyroid function at the normal range No severe infection No severe malnutrition No clinically significant retinal abnormalities No pre-existing psychiatric condition, especially depression or a history of severe psychiatric disorder No other concurrent malignancy except nonmelanoma skin cancer or curatively treated carcinoma in situ of the cervix Not pregnant or nursing Negative pregnancy test Fertile patients must use 2 effective methods of contraception during and for 1 month after study participation PRIOR CONCURRENT THERAPY: Biologic therapy: No more than 1 prior biological response modifier therapy or immunotherapy Chemotherapy: No more than 1 prior chemotherapy regimen Endocrine therapy: No concurrent steroids Radiotherapy: At least 4 weeks since prior radiotherapy Surgery: At least 4 weeks since prior major surgery Other: No prior retinoid therapy

Sites / Locations

  • New York Weill Cornell Cancer Center at Cornell University
  • Herbert Irving Comprehensive Cancer Center at Columbia University

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

All subjects

Arm Description

Weekly ATRA-IV with recombinant interferon alfa

Outcomes

Primary Outcome Measures

Best Response as Measured by CT, Bone Scans, and Clinical Progression
Number of Subjects With Toxicity by Clinical Evaluation From First Dose to 30 Days After Last Dose

Secondary Outcome Measures

Change in Retinoic Acid Receptor Expression on Tissue as Measured by Number of Subjects With the Presence of Peripheral Blood Lymphocytes During the First and Fifth Dose
Duration of Response (Progression-free Survival) as Measured by CT, Bone Scans, and Clinical Progression From Initiation of Therapy Until an Increase of ≥ 25% From the Smallest Sum of All Tumor Measurements Obtained During the Best Response

Full Information

First Posted
November 1, 1999
Last Updated
March 17, 2022
Sponsor
Weill Medical College of Cornell University
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1. Study Identification

Unique Protocol Identification Number
NCT00003656
Brief Title
Tretinoin Plus Interferon Alfa in Treating Patients With Metastatic Kidney Cancer
Official Title
Phase II Trial of Atragen and Interferon Alfa-2b in Patients With Advanced Renal Cell Carcinoma
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Completed
Study Start Date
January 1999 (Actual)
Primary Completion Date
May 2008 (Actual)
Study Completion Date
May 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Weill Medical College of Cornell University

4. Oversight

5. Study Description

Brief Summary
RATIONALE: Tretinoin may help kidney cancer cells develop into normal cells. Interferon alfa may interfere with the growth of cancer cells. PURPOSE: Phase II trial to study the effectiveness of liposomal tretinoin plus interferon alfa in treating patients who have metastatic kidney cancer.
Detailed Description
OBJECTIVES: Determine the response in patients with metastatic renal cell carcinoma treated with tretinoin liposome and interferon alfa-2b. Determine the toxicity of this regimen in these patients. Study retinoic acid receptor expression on tissue obtained from selected patients who have tumor biopsies. OUTLINE: This is a dose-escalation study of tretinoin liposome with concurrent individual dose escalation of interferon alfa-2b. (Phase I closed to accrual as of 9/24/03.) Patients receive tretinoin liposome IV over 30 minutes once weekly and interferon alfa-2b subcutaneously on five consecutive days (M-F) for 8 weeks. Courses repeat every 8 weeks in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of tretinoin liposome until the maximum tolerated dose (MTD) has been determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Once the MTD is determined additional patients are accrued and treated at that dose. (Phase I closed to accrual as of 9/24/03.) During the first 3 weeks of the study, patients receive interferon alfa-2b at weekly dose escalations. After week 3, patients continue at the highest acceptable dose level of interferon alfa-2b for the remainder of the study. (Phase I closed to accrual as of 9/24/03.) Patients are followed at 30 days after the last treatment. PROJECTED ACCRUAL: A total of 3-18 patients will be accrued into the phase I portion of this study (Phase I closed to accrual as of 9/24/03). A total of 14-25 patients will be accrued into the phase II portion of this study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Kidney Cancer
Keywords
stage IV renal cell cancer, recurrent renal cell cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
26 (Actual)

8. Arms, Groups, and Interventions

Arm Title
All subjects
Arm Type
Experimental
Arm Description
Weekly ATRA-IV with recombinant interferon alfa
Intervention Type
Biological
Intervention Name(s)
recombinant interferon alfa
Intervention Type
Drug
Intervention Name(s)
tretinoin liposome
Primary Outcome Measure Information:
Title
Best Response as Measured by CT, Bone Scans, and Clinical Progression
Time Frame
After 8 weeks
Title
Number of Subjects With Toxicity by Clinical Evaluation From First Dose to 30 Days After Last Dose
Time Frame
In 30 days after the last dose, an average of 1 year.
Secondary Outcome Measure Information:
Title
Change in Retinoic Acid Receptor Expression on Tissue as Measured by Number of Subjects With the Presence of Peripheral Blood Lymphocytes During the First and Fifth Dose
Time Frame
At baseline and 5th week
Title
Duration of Response (Progression-free Survival) as Measured by CT, Bone Scans, and Clinical Progression From Initiation of Therapy Until an Increase of ≥ 25% From the Smallest Sum of All Tumor Measurements Obtained During the Best Response
Time Frame
At 6 months and 12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
120 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed metastatic renal cell carcinoma Bidimensionally measurable disease No active brain metastases PATIENT CHARACTERISTICS: Age: 18 and over Performance status: Karnofsky 60-100% Life expectancy: More than 3 months Hematopoietic: WBC at least 3,000/mm^3 Platelet count at least 100,000/mm^3 No coagulation disorders Hepatic: Bilirubin less than 1.5 mg/dL SGOT and SGPT less than 112.5 IU/L each or less than 2.5 times upper limit of normal No clinically significant hepatic disease, including autoimmune hepatitis Renal: Creatinine less than 2 mg/dL OR Creatinine clearance greater than 50 mL/min No clinically significant renal disease Cardiovascular: No clinically significant cardiac disease No thrombophlebitis Pulmonary: No severe debilitating pulmonary disease No pulmonary embolism Other: No history of diabetes mellitus prone to ketoacidosis No known hypersensitivity to retinoids or retinoic acid derivatives or to interferon or any component of the injection for this study No thyroid abnormalities that hinder maintaining thyroid function at the normal range No severe infection No severe malnutrition No clinically significant retinal abnormalities No pre-existing psychiatric condition, especially depression or a history of severe psychiatric disorder No other concurrent malignancy except nonmelanoma skin cancer or curatively treated carcinoma in situ of the cervix Not pregnant or nursing Negative pregnancy test Fertile patients must use 2 effective methods of contraception during and for 1 month after study participation PRIOR CONCURRENT THERAPY: Biologic therapy: No more than 1 prior biological response modifier therapy or immunotherapy Chemotherapy: No more than 1 prior chemotherapy regimen Endocrine therapy: No concurrent steroids Radiotherapy: At least 4 weeks since prior radiotherapy Surgery: At least 4 weeks since prior major surgery Other: No prior retinoid therapy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David M. Nanus, MD
Organizational Affiliation
Weill Medical College of Cornell University
Official's Role
Study Chair
Facility Information:
Facility Name
New York Weill Cornell Cancer Center at Cornell University
City
New York
State/Province
New York
ZIP/Postal Code
10021
Country
United States
Facility Name
Herbert Irving Comprehensive Cancer Center at Columbia University
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
12216088
Citation
Goldberg JS, Vargas M, Rosmarin AS, Milowsky MI, Papanicoloau N, Gudas LJ, Shelton G, Feit K, Petrylak D, Nanus DM. Phase I trial of interferon alpha2b and liposome-encapsulated all-trans retinoic acid in the treatment of patients with advanced renal cell carcinoma. Cancer. 2002 Sep 15;95(6):1220-7. doi: 10.1002/cncr.10809.
Results Reference
background
Links:
URL
https://www.ncbi.nlm.nih.gov/pubmed/?term=12216088
Description
Clinical trial summary from the National Cancer Institute's PDQ® database

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Tretinoin Plus Interferon Alfa in Treating Patients With Metastatic Kidney Cancer

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