Study Testing the Biologic Activity and Safety of a Immunotherapeutic in Patients With Newly Diagnosed Advanced Stage Kidney Cancer in Combination With a Marketed Renal Cell Carcinoma Treatment
Primary Purpose
Renal Cell Carcinoma
Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
AGS-003
Sunitinib
Sponsored by
About this trial
This is an interventional treatment trial for Renal Cell Carcinoma focused on measuring Kidney cancer, Renal cancer, Renal Cell Carcinoma
Eligibility Criteria
Inclusion Criteria:
Male and female subjects ≥18 years of age with newly diagnosed advanced stage RCC will be eligible for inclusion in this study if all of the following criteria apply:
- Newly diagnosed advanced stage RCC.
- Eligible for unilateral nephrectomy or partial nephrectomy; OR, Has lesion accessible for excisional biopsy/metastasectomy.
- Measurable disease.
- Candidate for sunitinib treatment as labeled.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Memorial Sloan Kettering Cancer Center (MSKCC) risk group 0 or 1.
- No brain metastases detected by MRI.
- Normal renal function in the contralateral kidney.
- Able to abstain from taking prohibited prescription or prohibited non-prescription drugs.
- Use of appropriate birth control methods for the duration of the study for women of childbearing potential and men with female partners of childbearing potential.
Clinically acceptable Screening results according to the following specific limits:
- Adequate hematologic function.
- Adequate renal and hepatic function.
- Adequate coagulation function.
- Normal serum calcium.
- Ability to communicate effectively with study personnel; considered reliable, willing, and cooperative in terms of compliance with the Protocol requirements.
- Voluntary informed consent given to participate in the study.
Exclusion Criteria:
Subjects will NOT be eligible for inclusion in this study if any of the following criteria apply:
- Nephrectomy for RCC therapy is required.
- Any serious medical condition or illness considered by the investigator to constitute an unwarranted high risk for investigational treatment.
- Uncontrolled hypertension.
- Type I diabetes mellitus (insulin therapy for Type II diabetes IS permitted).
- Prior systemic therapy for advanced stage RCC.
- Active autoimmune disease.
- Prior history of malignancy other than RCC within the preceding 5 years, except for adequately treated cervical cancer or non-melanoma skin cancer.
- Use of prohibited prescription or prohibited non-prescription drugs during 2 months prior to entry into the study.
- Active, acute, or chronic clinically significant infections.
- Use of another investigational drug or participation in any investigational drug study within the 28 days prior to the start of study enrollment.
- Planned or elective anti-cancer surgical treatment other than nephrectomy/excisional biopsy/metastasectomy.
- History of hypercalcemia, symptomatic hypercalcemia, or hypercalcemia requiring management.
- Known hypersensitivity to dimethyl sulfoxide (DMSO).
- Body weight less than 30 kg.
- Pregnancy or lactation.
Sites / Locations
- City of Hope
- UCLA
- The Urology Center of Colorado
- Emory University
- The Indiana University Cancer Center
- University of Iowa
- University of Kansas Hospital
- University of Minnesota Cancer Center
- Carolina's Medical Center / Blumenthal Cancer Center
- Barrett Cancer
- CORTPA
- Urology of Virginia-Sentara Medical Group
- Princess Margaret Hospital
- Jewish General Hospital
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
1: AGS-003+sunitinib
Arm Description
Single arm study AGS-003 plus sunitinib
Outcomes
Primary Outcome Measures
Clinical antitumor activity will be assessed as an objective tumor response as defined by RECIST. Tumor response is documented using standard definitions of CR and must be confirmed no less than 4 weeks after the criteria for response are first met.
Secondary Outcome Measures
The monitoring of clinical activity, immune response and safety across multiple doses.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00678119
Brief Title
Study Testing the Biologic Activity and Safety of a Immunotherapeutic in Patients With Newly Diagnosed Advanced Stage Kidney Cancer in Combination With a Marketed Renal Cell Carcinoma Treatment
Official Title
A Phase II Study Testing the Safety and Activity of AGS-003 as an Immunotherapeutic in Subjects With Newly Diagnosed Advanced Stage Renal Cell Carcinoma in Combination With Sunitinib
Study Type
Interventional
2. Study Status
Record Verification Date
July 2013
Overall Recruitment Status
Completed
Study Start Date
January 2008 (undefined)
Primary Completion Date
May 2012 (Actual)
Study Completion Date
May 2012 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Argos Therapeutics
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Study to investigate an anticancer cellular immunotherapeutic, AGS-003, when used in combination with sunitinib in subjects with previously untreated advanced stage RCC.
Detailed Description
The purpose of this study is to investigate an anticancer immunotherapeutic, AGS-003, when used in combination with sunitinib (the treatment regimen) in a single-stage, Phase II design in subjects with previously untreated advanced stage RCC after nephrectomy/excisional biopsy/metastasectomy. AGS-003 is formulated using mature DCs co-electroporated with CD40L IVT RNA and autologous total tumor RNA
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Renal Cell Carcinoma
Keywords
Kidney cancer, Renal cancer, Renal Cell Carcinoma
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
25 (Actual)
8. Arms, Groups, and Interventions
Arm Title
1: AGS-003+sunitinib
Arm Type
Experimental
Arm Description
Single arm study AGS-003 plus sunitinib
Intervention Type
Biological
Intervention Name(s)
AGS-003
Intervention Description
Dendritic cell Immunotherapeutic
Intervention Type
Drug
Intervention Name(s)
Sunitinib
Other Intervention Name(s)
Sutent
Intervention Description
An approved drug for the treatment of RCC
Primary Outcome Measure Information:
Title
Clinical antitumor activity will be assessed as an objective tumor response as defined by RECIST. Tumor response is documented using standard definitions of CR and must be confirmed no less than 4 weeks after the criteria for response are first met.
Time Frame
24 weeks
Secondary Outcome Measure Information:
Title
The monitoring of clinical activity, immune response and safety across multiple doses.
Time Frame
24 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male and female subjects ≥18 years of age with newly diagnosed advanced stage RCC will be eligible for inclusion in this study if all of the following criteria apply:
Newly diagnosed advanced stage RCC.
Eligible for unilateral nephrectomy or partial nephrectomy; OR, Has lesion accessible for excisional biopsy/metastasectomy.
Measurable disease.
Candidate for sunitinib treatment as labeled.
Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Memorial Sloan Kettering Cancer Center (MSKCC) risk group 0 or 1.
No brain metastases detected by MRI.
Normal renal function in the contralateral kidney.
Able to abstain from taking prohibited prescription or prohibited non-prescription drugs.
Use of appropriate birth control methods for the duration of the study for women of childbearing potential and men with female partners of childbearing potential.
Clinically acceptable Screening results according to the following specific limits:
Adequate hematologic function.
Adequate renal and hepatic function.
Adequate coagulation function.
Normal serum calcium.
Ability to communicate effectively with study personnel; considered reliable, willing, and cooperative in terms of compliance with the Protocol requirements.
Voluntary informed consent given to participate in the study.
Exclusion Criteria:
Subjects will NOT be eligible for inclusion in this study if any of the following criteria apply:
Nephrectomy for RCC therapy is required.
Any serious medical condition or illness considered by the investigator to constitute an unwarranted high risk for investigational treatment.
Uncontrolled hypertension.
Type I diabetes mellitus (insulin therapy for Type II diabetes IS permitted).
Prior systemic therapy for advanced stage RCC.
Active autoimmune disease.
Prior history of malignancy other than RCC within the preceding 5 years, except for adequately treated cervical cancer or non-melanoma skin cancer.
Use of prohibited prescription or prohibited non-prescription drugs during 2 months prior to entry into the study.
Active, acute, or chronic clinically significant infections.
Use of another investigational drug or participation in any investigational drug study within the 28 days prior to the start of study enrollment.
Planned or elective anti-cancer surgical treatment other than nephrectomy/excisional biopsy/metastasectomy.
History of hypercalcemia, symptomatic hypercalcemia, or hypercalcemia requiring management.
Known hypersensitivity to dimethyl sulfoxide (DMSO).
Body weight less than 30 kg.
Pregnancy or lactation.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Fred Miesowicz
Organizational Affiliation
Argos Therapeutics
Official's Role
Study Director
Facility Information:
Facility Name
City of Hope
City
Duarte
State/Province
California
ZIP/Postal Code
91010
Country
United States
Facility Name
UCLA
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095
Country
United States
Facility Name
The Urology Center of Colorado
City
Denver
State/Province
Colorado
ZIP/Postal Code
80211
Country
United States
Facility Name
Emory University
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Facility Name
The Indiana University Cancer Center
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Facility Name
University of Iowa
City
Iowa City
State/Province
Iowa
ZIP/Postal Code
52242
Country
United States
Facility Name
University of Kansas Hospital
City
Kansas City
State/Province
Kansas
ZIP/Postal Code
66160
Country
United States
Facility Name
University of Minnesota Cancer Center
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55455
Country
United States
Facility Name
Carolina's Medical Center / Blumenthal Cancer Center
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28204
Country
United States
Facility Name
Barrett Cancer
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45267
Country
United States
Facility Name
CORTPA
City
Dallas
State/Province
Texas
ZIP/Postal Code
75230
Country
United States
Facility Name
Urology of Virginia-Sentara Medical Group
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23502
Country
United States
Facility Name
Princess Margaret Hospital
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G2M9
Country
Canada
Facility Name
Jewish General Hospital
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H3T1E2
Country
Canada
12. IPD Sharing Statement
Citations:
PubMed Identifier
25901286
Citation
Amin A, Dudek AZ, Logan TF, Lance RS, Holzbeierlein JM, Knox JJ, Master VA, Pal SK, Miller WH Jr, Karsh LI, Tcherepanova IY, DeBenedette MA, Williams WL, Plessinger DC, Nicolette CA, Figlin RA. Survival with AGS-003, an autologous dendritic cell-based immunotherapy, in combination with sunitinib in unfavorable risk patients with advanced renal cell carcinoma (RCC): Phase 2 study results. J Immunother Cancer. 2015 Apr 21;3:14. doi: 10.1186/s40425-015-0055-3. eCollection 2015.
Results Reference
derived
Links:
URL
http://www.argostherapeutics.com
Description
Argos Therapeutics Website
URL
http://www.nkca.org
Description
Kidney Cancer Association
Learn more about this trial
Study Testing the Biologic Activity and Safety of a Immunotherapeutic in Patients With Newly Diagnosed Advanced Stage Kidney Cancer in Combination With a Marketed Renal Cell Carcinoma Treatment
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