Safety and Efficacy of Bevacizumab Plus RAD001 Versus Interferon Alfa-2a and Bevacizumab for the First-line Treatment in Adult Patients With Kidney Cancer
Carcinoma, Adenocarcinoma, Renal Cell
About this trial
This is an interventional treatment trial for Carcinoma focused on measuring Renal cell carcinoma, Adults, Bevacizumab, RAD001, Everolimus, Interferon, Clear, Roferon, Avastin, Nephrectomy, newly diagnosed
Eligibility Criteria
Inclusion Criteria:
- Patients with metastatic renal cell carcinoma
- Patients with at least one measurable lesion
- Patients with progressive metastatic renal cell carcinoma
- Patients who had a prior partial or complete nephrectomy
- Patients with a Karnofsky Performance Status ≥70%.
- Adequate bone marrow function
- Adequate liver function
- Adequate renal function
- Adequate coagulation profile
Exclusion Criteria:
- 4 weeks post-major surgery
- Patients who had radiation therapy within 28 days prior to start of study
- Patients in need for major surgical procedure during the course of the study.
- Patients with a serious non-healing wound, ulcer, or bone fracture.
- Patients with a history of seizure(s) not controlled with standard medical therapy.
- Patients who have received prior systemic treatment for their metastatic RCC.
- Patients who received prior therapy with VEGF pathway inhibitor
- Patients who have previously received systemic mTOR inhibitors
- Patients with a known hypersensitivity RAD001 (everolimus) or other rapamycins or to its excipients.
- Patients with history or current central nervous system (CNS) metastases or spinal cord compression.
- Patients with a history of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 6 months prior to study enrollment.
- Patients with proteinuria at screening.
- Patients with inadequately controlled hypertension
- Patients receiving ongoing or with recent need for full therapeutic dose of oral or parenteral anticoagulants or chronic daily treatment with aspirin
- Patients receiving chronic systemic treatment with corticosteroids or another immunosuppressive agent.
- Patients with a known history of HIV
- Patients with hypersensitivity to interferon alfa-2a or any component of the product.
- Patients with an active, bleeding diathesis or coagulopathy or recurrent thromboembolism
- Patients who have any severe and/or uncontrolled medical conditions or other conditions
- Left Ventricular Ejection Fraction < lower limit of institutional normal assessed by ECHO or MUGA
- Patients who have a history of another primary malignancy ≤ 3 years
- Female patients who are pregnant or breast feeding
- Patients who are using other investigational agents or who had received investigational drugs ≤ 4 weeks prior to study treatment start.
- Patients unwilling to or unable to comply with the protocol
Other protocol-defined inclusion/exclusion criteria may apply
Sites / Locations
- Highlands Oncology Group Dept of Highlands Oncology Grp
- City of Hope National Medical Center Dept.ofCityofHopeMedicalCtr(3)
- USC/Kenneth Norris Comprehensive Cancer Center Regulatory Contact 3
- University of California at Los Angeles Dept. of Hem/Oncology
- Karmanos Cancer Institute Dept.of KarmanosCancerInst (5)
- Nevada Cancer Institute Dept. of Nevada Cancer (3)
- St. Luke's Hospital and Health Network St. Luke's Cancer Network
- Las Colinas Hematology Oncology Grapevine
- Seattle Cancer Care Alliance Dept. of SCCA
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
bevacizumab, RAD001 (everolimus)
bevacizumab, interferon alfa-2a (IFN)
Participants received oral everolimus 10 mg qd plus intravenous bevacizumab 10mg/kg every 2 weeks
Participants received subcutaneous IFN dose escalated from 3 MIU (million international unit) during week 1, 6 MIU during week 2, and 9 MIU during week 3 of treatment and subsequently (if tolerated), 3 times per week plus intravenous bevacizumab 10 mg/kg every 2 weeks