Doxorubicin and Gemcitabine in Treating Patients With Locally Recurrent or Metastatic Unresectable Renal Cell Carcinoma
Metastatic Renal Cell Carcinoma, Renal Cell Carcinoma With Sarcomatoid Features
About this trial
This is an interventional treatment trial for Metastatic Renal Cell Carcinoma focused on measuring Sarcomatoid, Gemcitabine, Doxorubicin, Renal cell cancer, Kidney cancer
Eligibility Criteria
INCLUSION CRITERIA: Histologically confirmed renal cell carcinoma Features must be of sarcomatoid histology Locally recurrent or metastatic disease not amenable to resection Measurable disease Must have a prior nephrectomy provided all other eligibility criteria are met, and adequately recovered from any recent surgery At least 4 weeks since prior radiotherapy and recovered ECOG performance status of 0-1 WBC greater than 3,000/mm^3 or absolute neutrophil count greater than 1,500/mm^3 Platelet count greater than 100,000/mm^3 Bilirubin less than 1.5 mg/dL Aspartate aminotransferase (AST) less than 2 times upper limit of normal Creatinine no greater than 2.0 mg/dL LVEF at least lower limit of normal by MUGA Negative pregnancy test Fertile patients must use effective contraception Other prior malignancy allowed provided patient was curatively treated and has been disease free from that cancer Age of 18 and over Diagnostic material from the kidney or metastatic site biopsy available for central pathologic review EXCLUSION CRITERIA: Prior treatment for advanced disease Previously irradiated lesions as the sole site of disease for patients with prior radiation therapy Concurrent local radiotherapy for pain control or for life-threatening situations Myocardial infarction within the past year Congestive heart failure within the past year Significant ischemic or valvular heart disease within the past year Prior or concurrent brain metastases Concurrent serious medical illness that would preclude study treatment Active infection that would preclude study treatment Pregnant or nursing
Sites / Locations
- USC/Norris Comprehensive Cancer Center and Hospital
- University of Colorado Cancer Center at UC Health Sciences Center
- Rush-Copley Cancer Care Center
- Robert H. Lurie Comprehensive Cancer Center at Northwestern University
- Hematology and Oncology Associates
- Veterans Affairs Medical Center - Lakeside Chicago
- Mercy Hospital and Medical Center
- University of Chicago Cancer Research Center
- Midwest Center for Hematology/Oncology
- Joliet Oncology-Hematology Associates, Limited - West
- North Shore Oncology and Hematology Associates, Limited - Libertyville
- Cancer Care and Hematology Specialists of Chicagoland - Niles
- Hematology Oncology Associates - Skokie
- Hematology/Oncology of the North Shore at Gross Point Medical Center
- Carle Cancer Center at Carle Foundation Hospital
- CCOP - Carle Cancer Center
- Elkhart General Hospital
- Indiana University Cancer Center
- William N. Wishard Memorial Hospital
- Howard Community Hospital at Howard Regional Health System
- Center for Cancer Therapy at LaPorte Hospital and Health Services
- Saint Anthony Memorial Health Centers
- CCOP - Northern Indiana CR Consortium
- Memorial Hospital of South Bend
- Saint Joseph Regional Medical Center
- McFarland Clinic, PC
- Cedar Rapids Oncology Associates
- Siouxland Hematology-Oncology Associates, LLP
- Siouxland Regional Cancer Center
- St. Luke's Regional Medical Center
- Cancer Research Center at Boston Medical Center
- Beth Israel Deaconess Medical Center
- Saint Joseph Mercy Cancer Center
- CCOP - Michigan Cancer Research Consortium
- Oakwood Cancer Center at Oakwood Hospital and Medical Center
- Barbara Ann Karmanos Cancer Institute
- Genesys Hurley Cancer Institute
- Hurley Medical Center
- Van Elslander Cancer Center at St. John Hospital and Medical Center
- Foote Hospital
- Borgess Medical Center
- West Michigan Cancer Center
- Bronson Methodist Hospital
- Sparrow Regional Cancer Center
- Seton Cancer Institute - Saginaw
- Lakeland Cancer Care Center at Lakeland Hospital - St. Joseph
- St. John Macomb Hospital
- CCOP - Duluth
- Miller-Dwan Medical Center
- St. Mary's - Duluth Clinic Cancer Center
- Mayo Clinic Cancer Center
- CCOP - Montana Cancer Consortium
- Hematology-Oncology Centers of the Northern Rockies - Billings
- Northern Rockies Radiation Oncology Center
- St. Vincent Healthcare
- Billings Clinic Cancer Center
- Deaconess Billings Clinic - Downtown
- Bozeman Deaconess Cancer Center
- St. James Community Hospital
- Great Falls Clinic
- St. Peter's Hospital
- Glacier Oncology, PLLC
- Kalispell Medical Oncology
- Kalispell Regional Medical Center
- Community Medical Center
- Guardian Oncology and Center for Wellness
- Montana Cancer Specialists at Montana Cancer Center
- Montana Cancer Center at St. Patrick Hospital and Health Sciences Center
- Hunterdon Regional Cancer Center at Hunterdon Medical Center
- CCOP - Northern New Jersey
- Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School
- Our Lady of Mercy Medical Center Comprehensive Cancer Center
- Roswell Park Cancer Institute
- CCOP - Hematology-Oncology Associates of Central New York
- St. Rita's Medical Center
- Penn State Cancer Institute at Milton S. Hershey Medical Center
- Central Pennsylvania Hematology and Medical Oncology Associates, PC
- Lewistown Hospital
- Fox Chase Cancer Center - Philadelphia
- Mount Nittany Medical Center
- Avera Cancer Institute
- Medical X-Ray Center, PC
- Sioux Valley Hospital and University of South Dakota Medical Center
- Community Comprehensive Cancer Center at Camden-Clark Memorial Hospital
- Gundersen Lutheran Cancer Center at Gundersen Lutheran Medical Center
- University of Wisconsin Paul P. Carbone Comprehensive Cancer Center
- Marshfield Clinic - Marshfield Center
- Aurora Sinai Medical Center
- Medical Consultants, Limited
- Marshfield Clinic - Indianhead Center
- Welch Cancer Center at Sheridan Memorial Hospital
Arms of the Study
Arm 1
Experimental
Doxorubicin/Gemcitabine
Doxorubicin was given at 50 mg/m² by IV slow push, followed by gemcitabine 1500 mg/m² IV infusion over 30 minutes on day 1. Patients will receive G-CSF at a subcutaneous dose of 5mcg/kg/day on days 2 or 3 to 10 or neulasta at a dose of 6mg on day 2. Growth factor must be administered as close as possible to 24 hours after the completion of chemotherapy. It is recommended that neulasta be administered only on day 2 due to its prolonged half-life. Cycles were repeated every 2 weeks.