Safety and Efficacy Study of ABX-EGF in Patients With Renal Cancer, Part 2
Primary Purpose
Advanced Renal Cell Carcinoma
Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Panitumumab (ABX-EGF)
Sponsored by
About this trial
This is an interventional treatment trial for Advanced Renal Cell Carcinoma focused on measuring Renal Cancer
Eligibility Criteria
Inclusion Criteria:
- Able to comprehend and sign an IRB approved Informed Cosent Form
- Male or female 18 years of age or older
- Female patients who are post menopausal (no menstrual period for a minimum of six months), surgically sterilized, or are using an oral or implanted contraceptive, double barrier birth control, or an IUD and have a negative serum pregnancy test upon entry into this study; or male patients willing to use contraception upon enrollment into this study
- Pathologic diagnosis of renal cell carcinoma by fine needle aspirate or tissue biopsy
- Prior nephrectomy
Prior Therapy:
- Cohort 1 only: Previously received and failed one prior biotherapy, defined as IL-2 therapy or interferon-alpha (alone or in combination); Karnosky score of > or = 70%
- Cohort 2 only: No prior therapy except nephrectomy and fall within the Motzer intermediate group with one or two of the risk factors, as defined in teh Study Design section.
- Has bi-dimensionally measurable disease
- Has tumor tissue available for diagnostics (acceptable: biopsy, nephrectomy tissue, fine needle aspirate, or archived tissue that is formalin fixed and paraffin embedded). In cases when a fresh biopsy can be obtained, the biopsy should be divided into two; one half should be formalin fixed, and the other half frozen. Tumor samples must be received at the central laboratory prior to patient regisration.
Adequate hematologic data, as follows:
- ANC > 1.5 x 109/L
- Platelet count > 100x 109/L
Adequate renal function, as follows:
1. Creatinine < or = 2.2mg/dL
Adequate hepatic function, as follows:
- Alkaline phosphatase < or = 3x ULN
- AST < or = 3x ULN
- ALT < or = 3x ULN
- Total bilirubin < or = 1.5x ULN
Exclusion Criteria:
- Brain metastases
- Cohort 1 only: Hypercalcemia (calcium level outside the upper limit of normal; antihypercalcemic treatment is allowed)
- Cancer therapy within 30 days of ABX-EGF infusion (hormone therapy is allowed; steroid therapy is only allowed if it is replacement therapy)
- Use of any investigational drug within 30 days of ABX-EGF infusion
- Prior treatment with any anti-EGFr agents
- Left ventricular ejection fraction < 45%, as measured by MUGA Scan
- Myocardial infarction within one year prior to entering the study
- Has other cancer that has been active and required treatment within the past 5 years (prior renal cell carcinoma, basal cell carcinoma, or cervical carcinoma in situ are allowed)
- Pregnant or breast feeding female; male or female of childbearing potential (defined as: post menarche and is biologically capable of becoming pregnant) unwilling to use birth control (as defined in the inclusion criteria) during and for 1 month following treatment
- Known to be HIV positive
- History of any chronic medical or psychiatric condition or laboratory abnormality that in the opinion of the Investigator may increase the risks associated with study participation or study drug administration or may interfere with the interpretation of study results
- Allergy to the ingredients of the study medication or to Staphylococcus Protein A
Sites / Locations
Outcomes
Primary Outcome Measures
Part 2, Cohort 1: Efficacy: Tumor response rate (CR or PR) measured at 8 weeks
Part 2, Cohort 1: Safety: Incidence and severity of AEs
Part 2, Cohort 2: Time to disease progression
Secondary Outcome Measures
Part 2, Cohort 1: Time to disease progression
Part 2, Cohorts 1 & 2: Survival time
Part 2, Cohorts 1 & 2: PFS
Part 2, Cohorts 1 & 2: Best overall response rate
Part 2, Cohorts 1 & 2: Tumor response rate at Weeks 15, 23, 31, and 39
Part 2, Cohorts 1 & 2: Duration of response
Part 2, Cohorts 1 & 2: Percent of patients with progressive disease (measured at 8 weeks following initiation of panitumumab treatment)
Part 2, Cohorts 1 & 2: Time to CR
Part 2, Cohorts 1 & 2: Time to response (PR or CR)
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00425035
Brief Title
Safety and Efficacy Study of ABX-EGF in Patients With Renal Cancer, Part 2
Official Title
A Two-part, Multiple Dose Clinical Trial Evaluating the Safety and Effectiveness of ABX-EGF in Patients With Renal Carcinoma
Study Type
Interventional
2. Study Status
Record Verification Date
May 2013
Overall Recruitment Status
Completed
Study Start Date
February 2003 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
undefined (undefined)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Amgen
4. Oversight
5. Study Description
Brief Summary
Multicenter, 2-part, multiple-dose study designed to evaluate the safety and effectiveness of weekly administration of panitumumab in subjects with renal carcinoma. Part 1 was initiated in 2001 and will not be presented here. Part 2 was designed to examine a dose of 2.5 mg/kg/wk in 2 cohorts.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Renal Cell Carcinoma
Keywords
Renal Cancer
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
115 (false)
8. Arms, Groups, and Interventions
Intervention Type
Drug
Intervention Name(s)
Panitumumab (ABX-EGF)
Primary Outcome Measure Information:
Title
Part 2, Cohort 1: Efficacy: Tumor response rate (CR or PR) measured at 8 weeks
Title
Part 2, Cohort 1: Safety: Incidence and severity of AEs
Title
Part 2, Cohort 2: Time to disease progression
Secondary Outcome Measure Information:
Title
Part 2, Cohort 1: Time to disease progression
Title
Part 2, Cohorts 1 & 2: Survival time
Title
Part 2, Cohorts 1 & 2: PFS
Title
Part 2, Cohorts 1 & 2: Best overall response rate
Title
Part 2, Cohorts 1 & 2: Tumor response rate at Weeks 15, 23, 31, and 39
Title
Part 2, Cohorts 1 & 2: Duration of response
Title
Part 2, Cohorts 1 & 2: Percent of patients with progressive disease (measured at 8 weeks following initiation of panitumumab treatment)
Title
Part 2, Cohorts 1 & 2: Time to CR
Title
Part 2, Cohorts 1 & 2: Time to response (PR or CR)
10. Eligibility
Eligibility Criteria
Inclusion Criteria:
Able to comprehend and sign an IRB approved Informed Cosent Form
Male or female 18 years of age or older
Female patients who are post menopausal (no menstrual period for a minimum of six months), surgically sterilized, or are using an oral or implanted contraceptive, double barrier birth control, or an IUD and have a negative serum pregnancy test upon entry into this study; or male patients willing to use contraception upon enrollment into this study
Pathologic diagnosis of renal cell carcinoma by fine needle aspirate or tissue biopsy
Prior nephrectomy
Prior Therapy:
Cohort 1 only: Previously received and failed one prior biotherapy, defined as IL-2 therapy or interferon-alpha (alone or in combination); Karnosky score of > or = 70%
Cohort 2 only: No prior therapy except nephrectomy and fall within the Motzer intermediate group with one or two of the risk factors, as defined in teh Study Design section.
Has bi-dimensionally measurable disease
Has tumor tissue available for diagnostics (acceptable: biopsy, nephrectomy tissue, fine needle aspirate, or archived tissue that is formalin fixed and paraffin embedded). In cases when a fresh biopsy can be obtained, the biopsy should be divided into two; one half should be formalin fixed, and the other half frozen. Tumor samples must be received at the central laboratory prior to patient regisration.
Adequate hematologic data, as follows:
ANC > 1.5 x 109/L
Platelet count > 100x 109/L
Adequate renal function, as follows:
1. Creatinine < or = 2.2mg/dL
Adequate hepatic function, as follows:
Alkaline phosphatase < or = 3x ULN
AST < or = 3x ULN
ALT < or = 3x ULN
Total bilirubin < or = 1.5x ULN
Exclusion Criteria:
Brain metastases
Cohort 1 only: Hypercalcemia (calcium level outside the upper limit of normal; antihypercalcemic treatment is allowed)
Cancer therapy within 30 days of ABX-EGF infusion (hormone therapy is allowed; steroid therapy is only allowed if it is replacement therapy)
Use of any investigational drug within 30 days of ABX-EGF infusion
Prior treatment with any anti-EGFr agents
Left ventricular ejection fraction < 45%, as measured by MUGA Scan
Myocardial infarction within one year prior to entering the study
Has other cancer that has been active and required treatment within the past 5 years (prior renal cell carcinoma, basal cell carcinoma, or cervical carcinoma in situ are allowed)
Pregnant or breast feeding female; male or female of childbearing potential (defined as: post menarche and is biologically capable of becoming pregnant) unwilling to use birth control (as defined in the inclusion criteria) during and for 1 month following treatment
Known to be HIV positive
History of any chronic medical or psychiatric condition or laboratory abnormality that in the opinion of the Investigator may increase the risks associated with study participation or study drug administration or may interfere with the interpretation of study results
Allergy to the ingredients of the study medication or to Staphylococcus Protein A
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
MD
Organizational Affiliation
Amgen
Official's Role
Study Director
12. IPD Sharing Statement
Citations:
PubMed Identifier
15210739
Citation
Rowinsky EK, Schwartz GH, Gollob JA, Thompson JA, Vogelzang NJ, Figlin R, Bukowski R, Haas N, Lockbaum P, Li YP, Arends R, Foon KA, Schwab G, Dutcher J. Safety, pharmacokinetics, and activity of ABX-EGF, a fully human anti-epidermal growth factor receptor monoclonal antibody in patients with metastatic renal cell cancer. J Clin Oncol. 2004 Aug 1;22(15):3003-15. doi: 10.1200/JCO.2004.11.061. Epub 2004 Jun 21.
Results Reference
result
Links:
URL
http://www.vectibix.com/
Description
FDA-approved Drug Labeling
URL
http://download.veritasmedicine.com/REGFILES/amgen/Amgen_results_disclaimer.pdf
Description
Notice regarding posted summaries of trial results
URL
http://download.veritasmedicine.com/REGFILES/amgen/08D_FDAMA_113_Posting_Summary_954_AMG_954_20020374.pdf
Description
To access clinical trial results information click on this link
URL
http://www.amgentrials.com
Description
AmgenTrials clinical trials website
Learn more about this trial
Safety and Efficacy Study of ABX-EGF in Patients With Renal Cancer, Part 2
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