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Safety Study of Specific Tumor Target Drug Plus Immune System Therapy in Patients With Kidney Cancer

Primary Purpose

Carcinoma, Renal Cell

Status
Terminated
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Bevacizumab
Interleukin-2
Sponsored by
The Methodist Hospital Research Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Carcinoma, Renal Cell focused on measuring kidney cancer, M3thodist

Eligibility Criteria

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

Inclusion Criteria:

  • Pathological proof of clear cell carcinoma (or mixed tumors ≥ 75% clear cell component)
  • Evidence of measurable metastatic disease, no progression diseases or the patient's condition will not need radiotherapy in the next 4 weeks.
  • Previous definitive radiotherapy to 1 metastatic site is acceptable
  • At least 4 weeks have elapsed since radiation therapy
  • Patients must be free of serious co-morbidity and have a life expectancy of ≥24 weeks
  • Patients should have adequate physiologic reserves as evidence of adequate performance status, blood parameters, hepatic and kidney function, no evidence of active cardiac diseases and showing an acceptable function and adequate coagulation profile.

Exclusion Criteria:

  • History of central nervous System metastases
  • Known HIV positive
  • Recent history of brain's vascular disease within 6 months; patients requiring regular antianginal therapy (coronary disease) or insufficient circulation in lower extremities are not eligible
  • Active autoimmune disease
  • Patients who have had steroid therapy in the past three weeks
  • Patients taking concurrent anticancer drugs
  • Biphosphonates (Zometa) are not allowed, unless started 4 weeks prior to participation in the study
  • Female patients pregnant or breast-feeding
  • The patient has an unstable medical condition, such as uncontrolled Diabetes mellitus or Hypertension; active infections requiring systemic antibiotics, antivirals, or antifungal; clinical evidence of cardiac or pulmonary dysfunction including, uncontrolled arrhythmias, unstable coagulation disorders; or recent myocardial infarction (within 6 months)
  • Any condition including abnormal laboratory results, that in the opinion of the investigator places the patient at an unacceptable risk if he/she participate in the study
  • Prior malignancy (within the last 3 years), except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer or other cancer for which the patient has been - free for at least 3 years
  • Uncontrolled Blood pressure > 150/100
  • Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to Day 0, anticipation of need for major surgical procedure during the course of the study
  • Minor surgery 7 days before day 0
  • Serious, non healing wound, ulcer, or bone fracture; and,inability to accomplish the treatment

Sites / Locations

  • Baylor College of Medicine - Methodist Hospital

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

treatment arm

Arm Description

PI relocated, currently data is no longer available

Outcomes

Primary Outcome Measures

time to progression
currently data no longer available

Secondary Outcome Measures

Collect data on tumor responses produced by interleukin-2 and Bevacizumab
currently data no longer available
Evaluate safety and toxicity of the combination of interleukin-2 and Bevacizumab for patients with progressive metastatic renal cell carcinoma.
currently data no longer available

Full Information

First Posted
February 23, 2007
Last Updated
March 15, 2016
Sponsor
The Methodist Hospital Research Institute
Collaborators
Genentech, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00440973
Brief Title
Safety Study of Specific Tumor Target Drug Plus Immune System Therapy in Patients With Kidney Cancer
Official Title
Phase II Study of Interleukin- 2 and Bevacizumab in Patients With Progressive Metastatic Renal Cell Carcinoma
Study Type
Interventional

2. Study Status

Record Verification Date
March 2016
Overall Recruitment Status
Terminated
Why Stopped
contract issues
Study Start Date
October 2006 (undefined)
Primary Completion Date
October 2007 (Actual)
Study Completion Date
November 2007 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
The Methodist Hospital Research Institute
Collaborators
Genentech, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine if the combination of therapy to strengthen the immune system (Interleukin - 2) plus a specific tumor target therapy (Bevacizumab) can prolong the time between the start of treatment and disease progression, decrease tumor size, as well as determine if the combination therapy is safer and less toxic than the standard treatment for renal cell carcinoma.
Detailed Description
The standard first-line treatment for patients with metastatic RCC is IL-2 at higher doses, but associated with higher frequency of toxicities. IL-2 given at lower doses have demonstrated similar results than higher doses but it requires further study. RCC is highly vascular and expresses high levels of VEGF. Bevacizumab is a monoclonal antibody directed against the Vascular Endothelial Growth Factor (VEGF) responsible for angiogenesis. The study is designed to evaluate a response defined as time to progression, safety and toxicity in patients with metastatic renal cell carcinoma. Tissue correlation to evaluate the impact of vascular VEGF on clinical outcome will be retrospectively performed

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Carcinoma, Renal Cell
Keywords
kidney cancer, M3thodist

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
treatment arm
Arm Type
Other
Arm Description
PI relocated, currently data is no longer available
Intervention Type
Drug
Intervention Name(s)
Bevacizumab
Other Intervention Name(s)
Avastin
Intervention Description
monoclonal antibody with anti-angiogenesis properties used as chemotherapy
Intervention Type
Drug
Intervention Name(s)
Interleukin-2
Other Intervention Name(s)
IL-2
Intervention Description
immunotherapy - cytokine signaling molecule used as an immune system regulator to trigger T & B lymphocyte proliferation
Primary Outcome Measure Information:
Title
time to progression
Description
currently data no longer available
Time Frame
During study (currently data no longer available)
Secondary Outcome Measure Information:
Title
Collect data on tumor responses produced by interleukin-2 and Bevacizumab
Description
currently data no longer available
Time Frame
During study (currently data no longer available)
Title
Evaluate safety and toxicity of the combination of interleukin-2 and Bevacizumab for patients with progressive metastatic renal cell carcinoma.
Description
currently data no longer available
Time Frame
During study (currently data no longer available)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Pathological proof of clear cell carcinoma (or mixed tumors ≥ 75% clear cell component) Evidence of measurable metastatic disease, no progression diseases or the patient's condition will not need radiotherapy in the next 4 weeks. Previous definitive radiotherapy to 1 metastatic site is acceptable At least 4 weeks have elapsed since radiation therapy Patients must be free of serious co-morbidity and have a life expectancy of ≥24 weeks Patients should have adequate physiologic reserves as evidence of adequate performance status, blood parameters, hepatic and kidney function, no evidence of active cardiac diseases and showing an acceptable function and adequate coagulation profile. Exclusion Criteria: History of central nervous System metastases Known HIV positive Recent history of brain's vascular disease within 6 months; patients requiring regular antianginal therapy (coronary disease) or insufficient circulation in lower extremities are not eligible Active autoimmune disease Patients who have had steroid therapy in the past three weeks Patients taking concurrent anticancer drugs Biphosphonates (Zometa) are not allowed, unless started 4 weeks prior to participation in the study Female patients pregnant or breast-feeding The patient has an unstable medical condition, such as uncontrolled Diabetes mellitus or Hypertension; active infections requiring systemic antibiotics, antivirals, or antifungal; clinical evidence of cardiac or pulmonary dysfunction including, uncontrolled arrhythmias, unstable coagulation disorders; or recent myocardial infarction (within 6 months) Any condition including abnormal laboratory results, that in the opinion of the investigator places the patient at an unacceptable risk if he/she participate in the study Prior malignancy (within the last 3 years), except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer or other cancer for which the patient has been - free for at least 3 years Uncontrolled Blood pressure > 150/100 Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to Day 0, anticipation of need for major surgical procedure during the course of the study Minor surgery 7 days before day 0 Serious, non healing wound, ulcer, or bone fracture; and,inability to accomplish the treatment
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Robert J. Amato, D.O.
Organizational Affiliation
Baylor College of Medicine - Methodist Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Baylor College of Medicine - Methodist Hospital
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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Safety Study of Specific Tumor Target Drug Plus Immune System Therapy in Patients With Kidney Cancer

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