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