IMA901 in Patients Receiving Sunitinib for Advanced/Metastatic Renal Cell Carcinoma
Metastatic Renal Cell Carcinoma
About this trial
This is an interventional treatment trial for Metastatic Renal Cell Carcinoma focused on measuring Metastatic Renal Cell Carcinoma, First line, Eligible for sunitinib
Eligibility Criteria
Inclusion Criteria:
- Aged at least 18 years.
- HLA type: HLA-A*02-positive
- Metastatic and/or locally advanced RCC with clear cell histology (histological confirmation by local pathologist required). NOTE: prior nephrectomy is NOT required.
- Measurable and/or non-measurable tumor lesions as per RECIST 1.1
- Patients who are candidates for a first-line therapy with sunitinib.
Favorable or intermediate risk according to the 6-score risk criteria in patients treated with VEGF-targeted agents according to Heng [Heng et al. 2009]. The patient has a favorable risk if none, or intermediate risk if one or two of the following criteria apply (if three or more criteria apply the patient is not eligible):
- Hemoglobin < LLN,
- Serum corrected calcium > ULN,
- Karnofsky performance status < 80%,
- Time from initial diagnosis to initiation of therapy < 1 year,
- Absolute neutrophil count > ULN,
- Platelets > ULN.
- Able to understand the nature of the study and give written informed consent.
- Willingness and ability to comply with the study protocol for the duration of the study.
- Female patients who are post menopausal (no menstrual period for a minimum of 1 year), or surgically sterile (bilateral tubal ligation, bilateral oophorectomy, or hysterectomy) or practice a medically acceptable method of birth control.
- Male patients willing to use contraception (upon study entry and during the course of the study or have undergone vasectomy.
Exclusion Criteria:
- Prior systemic therapy for metastatic disease. (Note: prior adjuvant treatment for non-metastatic disease is allowed, however adjuvant therapy must have been stopped ≥ 1 year before Visit C).
- History of or current brain metastases.
- Abnormal ≥ CTC Grade 3 laboratory values for hematology (Hb, WBC, neutrophils, lymphocytes, platelets), liver (serum bilirubin, ALAT or ASAT) and renal function (serum creatinine).
- Metastatic second malignancy.
- Localized second malignancy expected to influence the patient's life span.
- Patients with a history or evidence of systemic autoimmune disease, e.g., rheumatoid arthritis, multiple sclerosis, systemic lupus erythematodes (SLE), scleroderma, Sjögren's syndrome, Wegener's granulomatosis, Guillain-Barre syndrome.
- Known active hepatitis B or C infection.
- Known HIV infection.
- Active infections requiring oral or intravenous antibiotics.
- Any other known infection with a biological agent that can cause a severe disease and poses a severe danger to lab personnel working on patients' blood or tissue.
- Received study drug within any clinical study (including approved and experimental drugs) within 4 weeks before sunitinib start.
Serious intercurrent illness, which according to the investigator, poses an undue risk for the patient when participating in the trial, including, but not limited to, any of the following:
- Clinically significant cardiovascular disease (e.g., uncontrolled hypertension; clinically significant cardiac arrhythmia, clinically significant QT-prolongation),
- New York Heart Association class III-IV congestive heart failure,
- Symptomatic peripheral vascular disease,
- Severe pulmonary dysfunction,
- Psychiatric illness or social situation that would preclude study compliance.
Less than 12 months since any of the following:
- Myocardial infarction,
- Severe or unstable angina,
- Coronary or peripheral artery bypass graft,
- Cerebrovascular event incl. transient ischemic attack,
- Pulmonary embolism / deep vein thrombosis (DVT).
- Pregnancy or breastfeeding.
- Any condition which in the judgment of the investigator would place the patient at undue risk or interfere with the results of the study.
Sites / Locations
- University of Arkansas for Medical Sciences
- Cedars-Siani Medical Center, Samuel Oschin Comprehensive Cancer Institute
- Kaiser Permanente Oncology Hematology Clinic
- Georgetown University Medical Center, Lombardi Comprehensive Cancer Center
- M.D. Anderson Cancer Center
- The University of Chicago Medicine
- North Central Cancer Treatment Group, Illinois Cancer Care
- IU Simon Cancer Center
- Weinberg Cancer Institute at Franklin Hospital
- Karmanos Cancer Institute
- Clinical Research Alliance
- University of Cincinnati
- Cleveland Clinic Taussig Cancer Institute
- UPMC Cancer Pavilion, University of Pittsburgh Cancer Institute, Division of Hematology / Oncology
- Vanderbilt-Ingram Cancer Center
- South Texas Oncology & Hematology, P.A., The Start Center For Cancer Care
- Seattle Cancer Care Alliance
- Hôpital Saint André
- Centre Francois Baclesse, Comite Urologie-Gynecologie
- CHU Estaing, Service d'hematologie clinique adulte et de therapie cellulaire
- Hospital Européen Georges Pompidou, Service d'oncologie medicale
- Centre Rene Gauducheau, Service d'oncologie medicale
- Universitätsmedizin Berlin, Charité Campus Benjamin Franklin, Urologische Klinik und Hochschulambulanz
- Klinik für Hämatologie und internistische Onkologie, Augusta-Krankenanstalt gGmbH
- Medizinische Klinik III für Hämatologie und Onkologie, Universitätsklinikum Bonn
- Universitätsklinikum Essen, Klinik für Innere Medizin (Tumorforschung)
- Klinik für Hämatologie, Hämostaseologie, Onkologie und Stammzelltransplantation, Medizinische Hochschule Hannover
- Nationales Centrum für Tumorerkrankungen (NCT), Medizinische Onkologie
- Klinik und Poliklinik für Urologie, Abteilung für Operative Medizin, Universitätsklinikum Leipzig
- Klinikum rechts der Isar, Urologischen Klinik und Poliklinik, Technische Universität München
- Urologische Klinik Dr. Castringius, München-Planegg
- Klinikum St. Elisabeth Straubing GmbH
- Klinik für Urologie, Universitätsklinikum Tübingen
- Klinik für Innere Medizin III, Hämatologie - Onkologie - Rheumatologie - Infektionskrankheiten, Universitätsklinikum Ulm
- Schwarzwald-Baar Klinikum Villingen-Schwenningen, Abteilung Hämatologie und Onkologie
- Péterfy Utcai Hospital, Urology department
- Semmelweis University, Urology Clinic
- Urology Department, Bajcsy-Zsilinszky Hospital
- Uzsoki Utcai Hospital, Oncoradiology Center
- University of Debrecen, Faculty of Medicine, Institute of Oncology
- University of Debrecen, Faculty of Medicine, Urology Clinic
- Kenézy Hospital, Urology Department
- Oncology Centre, Markhot Ferenc Training Hospital and Clinic
- Pándy Kálmán County Hospital, Oncology and Radiotherapy Center
- Urology department, BAZ County Hospital
- Urology Clinic, University of Pécs
- Oncology Therapy Clinic, University of Szeged
- County Oncology Centre, Hetényi Géza Hospital
- Oncology Department, Zala County Hospital
- Presidio Ospedaliero Ospedale San Donato, U.O. Oncologia Medica
- Centro di riferimento Oncologico di Aviano
- Medical Oncology Unit, Policlinico Sant'Orsola Malpighi
- Department of Oncology and Haematology, Division of Medical Oncology, University of Modena and Reggio Emilia
- Dipartimento di Oncologia, IRCCS Fondazione
- Medical Oncology, Hospital Santa Maria Nuova of Reggio Emilia
- Oncologia Medica, "Ospedale Infermi"
- Ospedale S.S Annunziata Sasari
- IRCC-Istituto di Ricerca e Cura del Cancro
- University Medical Center St. Radboud Centraal, Department of Urology
- University Hospital, UOS - Radiumhospital
- Białostockie Centrum Onkologii
- Prof. Franciszek Łukaszczyk Oncology Center
- Pomeranian Medical University Hospital, NZOZ Innowacyjna Medycyna
- Wojewódzki Szpital Zespolony, Oncology Department
- Uniwersyteckie Centrum Kliniczne, Klinika Urologii
- Chemotherapy Department Center of Oncology of the Lublin Region
- Olsztyński Oncology Center "KOPERNIK"
- Przemienienia Pańskiego Clinical Hospital no. 1, Oncology Clinic
- Private Outpatient Clinic MRUKMED
- Samodzielny Publiczny Szpital Kliniczny Nr 2 PUM w Szczecinie
- Dzieciątka Jezus Clinical Hospital of Medical University, General Urology and Oncology Clinic
- Niepubliczny Zaklad Opieki Zdrowotnej "Magodent"
- Urology and Urological Oncology Department and Clinic
- Fundeni Clinical Institute
- "Prof. Dr. Ioan Chiricuta" Oncology Institute
- "Prof. Dr. Ioan Chiricuta" Oncology Institute
- Medisprof SRL
- SC Oncolab SRL
- Emergency Clinical County Hospital Oradea
- Targu-Mures Clinical County Hospital, Oncology and Radiotherapy Department
- State Budget Institution of Healthcare "Chelyabinsk regional clinical oncological Dispensary"
- Republican Clinical Oncology Dispensary of Ministry of Health of Republic Tatarstan
- Institution of Russian Academy of Medical Science, "Russian Oncological Scientific Center named after N.N. Blokhin of Russian Academy of Medical Science"
- Federal State Institution "Russian Scientific Center of Radiology and Nuclear Medicine of Healthcare of Russian Federation"
- Moscow Hertsen Scientific Research Oncological Institute
- State Institution "City Clinical Hospital NO20"
- Orenburg Regional Clinical Oncological Dispensary
- State Educational Institution of High Professional Education "Rostov State Medical University of Roszdrav"
- State Budget Institution of Ryazan Region "Regional Clinical Oncological Diespensary"
- Nonstate Institution of Healthcare "Railway clinical Hospital at Station Saratov-2 of "RZGD" PC"
- State Institution of Healthcare "Leningrad Regional Oncological Dispensary"
- Saint-Petersburg State Institution of Healthcare "City Universal Hospital N02"
- Saint Petersburg State Institution of Healthcare "City Clinical Oncological Dispensary"
- Federal State Institution "Russian Scientific Center of Radiology and Surgery Technologies" of Ministry of Healthcare of Russian Federation"
- Federal State Institution "Scientific Research Institute of Oncology named after N.N. Petrov of Ministry of Healthcare of Russian Federation"
- Saint-Petersburg Clinical Scientific and Practical Centre of Special Methods of Medical Aid (Oncology)
- State Institution of Healthcare of Yaroslavl Region "Regional Clinical Oncological Hospital"
- Royal Bournemouth Hospital
- Addenbrooke's Hospital & Peterborough District Hospital, Cambridge University Hospitals NHS Foundation Trust, Oncology Center
- Leeds Institute of Molecular Medicine, Section of Oncology and Clinical Research, St. James's University Hospital
- Paterson Institute for Cancer Research, Christie Hospital NHS Foundation Trust, Medical Oncology
- Oxford Cancer and Haematology Centre, University of Oxford, The Churchill Hospital, Oxford Radcliffe Hospital NHS Trust, Dept.of Medical Oncology
- ROSEMERE CANCER CENTRE, Royal Preston Hospital, Lancashire Teaching Hospital
- CRUK Research Unit, Somers Cancer Research Building, Southampton General Hospital
- Postgraduate Medical School, University of Surrey
- South West Wales Cancer Institute, Singleton Hospital, School of Medicine
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Sunitinib
IMA901 plus GM-CSF added to sunitinib after single dose of cy
Sunitib as Standard therapy per Label.
After 1 cycle of sunitinib, intradermal vaccinations with IMA901 plus GM-CSF as adjuvant after a single dose of cyclophosphamide will be applied for a period of 4 months while continuing treatment with sunitinib