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A Study Evaluating the Efficacy and Safety of Sunitinib With or Without Bevacizumab in First-Line Patients With Metastatic Renal Cell Cancer (SABRE-R)

Primary Purpose

Renal Cell Carcinoma

Status
Terminated
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
bevacizumab
sunitinib
placebo
Sponsored by
Genentech, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Renal Cell Carcinoma focused on measuring RCC, Renal cell cancer, Avastin, Sutent

Eligibility Criteria

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

Inclusion Criteria:

  • Signed Informed Consent Form
  • Histologically confirmed metastatic RCC
  • Measurable disease, as defined by RECIST
  • Age ≥ 18 years
  • ECOG performance status of 0 or 1
  • Prior nephrectomy
  • Ability and capacity to comply with study and follow-up procedures

Exclusion Criteria:

  • RCC with predominantly sarcomatoid features
  • Prior systemic or adjuvant therapy for RCC
  • Radiotherapy for RCC within 28 days prior to Day 1
  • Prior treatment with bevacizumab, sunitinib, sorafenib, axitinib, thalidomide, or other similar agents
  • Current need for dialysis
  • Life expectancy of < 12 weeks
  • Current, recent, or planned participation in an experimental drug study
  • Inadequate organ function
  • Active infection or fever > 38.5°C within 3 days of starting treatment
  • History of other malignancies within 5 years prior to Day 1
  • Any other medical conditions (including mental illness or substance abuse) deemed by the clinician to be likely to interfere with a patient's ability to provide informed consent, cooperate, or participate in the study, or to interfere with the interpretation of the results
  • Inadequately controlled hypertension
  • Prior history of hypertensive crisis or hypertensive encephalopathy
  • New York Heart Association (NYHA) Class II or greater CHF
  • History of myocardial infarction or unstable angina within 6 months prior to Day 1
  • History of stroke or transient ischemic attack within 6 months prior to Day 1
  • Known CNS disease except for treated brain metastasis
  • Significant vascular disease (e.g., aortic aneurysm, aortic dissection) or recent peripheral arterial thrombosis within 6 months prior to Day 1
  • History of hemoptysis (≥ 1/2 teaspoon of bright red blood per episode) within 1 month prior to Day 1
  • Evidence of bleeding diathesis or significant coagulopathy (in the absence of therapeutic anticoagulation)
  • Major surgical procedure or anticipation of need for major surgical procedure during the course of the study
  • Serious, non-healing wound; active ulcer; or untreated bone fracture
  • Known hypersensitivity to any component of bevacizumab
  • Pregnancy (positive pregnancy test) or lactation
  • Current, ongoing treatment with full-dose warfarin

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    1

    2

    Arm Description

    Outcomes

    Primary Outcome Measures

    All Adverse Events (Lab Toxicities Reported Were Only Grade 3 and Higher)
    Grades according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), v3.0, laboratory toxicities based on local laboratory assessments.

    Secondary Outcome Measures

    Full Information

    First Posted
    June 25, 2007
    Last Updated
    April 9, 2009
    Sponsor
    Genentech, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00491738
    Brief Title
    A Study Evaluating the Efficacy and Safety of Sunitinib With or Without Bevacizumab in First-Line Patients With Metastatic Renal Cell Cancer (SABRE-R)
    Official Title
    A Multicenter, Phase II, Randomized, Blinded, Placebo-Controlled Trial Evaluating the Efficacy and Safety of Sutent With or Without Bevacizumab in First-Line Patients With Metastatic Renal Cell Cancer
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2009
    Overall Recruitment Status
    Terminated
    Why Stopped
    Based on the data collected, the combination of bevacizumab and sunitinib appeared to be poorly tolerated.
    Study Start Date
    August 2007 (undefined)
    Primary Completion Date
    January 2008 (Actual)
    Study Completion Date
    undefined (undefined)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Genentech, Inc.

    4. Oversight

    5. Study Description

    Brief Summary
    This is a Phase II, multicenter, randomized, blinded, placebo-controlled study designed to evaluate the safety and efficacy of combining bevacizumab with sunitinib relative to placebo with sunitinib in patients with metastatic RCC who have not received prior systemic therapy for metastatic disease. The study will enroll approximately 100 patients at approximately 20 centers in the United States.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Renal Cell Carcinoma
    Keywords
    RCC, Renal cell cancer, Avastin, Sutent

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    16 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    1
    Arm Type
    Experimental
    Arm Title
    2
    Arm Type
    Placebo Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    bevacizumab
    Intervention Description
    Intravenous repeating dose
    Intervention Type
    Drug
    Intervention Name(s)
    sunitinib
    Intervention Description
    Oral repeating dose
    Intervention Type
    Drug
    Intervention Name(s)
    placebo
    Intervention Description
    Intravenous repeating dose
    Primary Outcome Measure Information:
    Title
    All Adverse Events (Lab Toxicities Reported Were Only Grade 3 and Higher)
    Description
    Grades according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), v3.0, laboratory toxicities based on local laboratory assessments.
    Time Frame
    5 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Signed Informed Consent Form Histologically confirmed metastatic RCC Measurable disease, as defined by RECIST Age ≥ 18 years ECOG performance status of 0 or 1 Prior nephrectomy Ability and capacity to comply with study and follow-up procedures Exclusion Criteria: RCC with predominantly sarcomatoid features Prior systemic or adjuvant therapy for RCC Radiotherapy for RCC within 28 days prior to Day 1 Prior treatment with bevacizumab, sunitinib, sorafenib, axitinib, thalidomide, or other similar agents Current need for dialysis Life expectancy of < 12 weeks Current, recent, or planned participation in an experimental drug study Inadequate organ function Active infection or fever > 38.5°C within 3 days of starting treatment History of other malignancies within 5 years prior to Day 1 Any other medical conditions (including mental illness or substance abuse) deemed by the clinician to be likely to interfere with a patient's ability to provide informed consent, cooperate, or participate in the study, or to interfere with the interpretation of the results Inadequately controlled hypertension Prior history of hypertensive crisis or hypertensive encephalopathy New York Heart Association (NYHA) Class II or greater CHF History of myocardial infarction or unstable angina within 6 months prior to Day 1 History of stroke or transient ischemic attack within 6 months prior to Day 1 Known CNS disease except for treated brain metastasis Significant vascular disease (e.g., aortic aneurysm, aortic dissection) or recent peripheral arterial thrombosis within 6 months prior to Day 1 History of hemoptysis (≥ 1/2 teaspoon of bright red blood per episode) within 1 month prior to Day 1 Evidence of bleeding diathesis or significant coagulopathy (in the absence of therapeutic anticoagulation) Major surgical procedure or anticipation of need for major surgical procedure during the course of the study Serious, non-healing wound; active ulcer; or untreated bone fracture Known hypersensitivity to any component of bevacizumab Pregnancy (positive pregnancy test) or lactation Current, ongoing treatment with full-dose warfarin
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Frank Scappaticci, M.D., Ph.D.
    Organizational Affiliation
    Genentech, Inc.
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    A Study Evaluating the Efficacy and Safety of Sunitinib With or Without Bevacizumab in First-Line Patients With Metastatic Renal Cell Cancer (SABRE-R)

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