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Safety and Efficacy Study of ABX-EGF in Patients With Renal Cancer, Part 2

Primary Purpose

Advanced Renal Cell Carcinoma

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Panitumumab (ABX-EGF)
Sponsored by
Amgen
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Renal Cell Carcinoma focused on measuring Renal Cancer

Eligibility Criteria

undefined - undefined (Child, Adult, Older Adult)

Inclusion Criteria:

  • Able to comprehend and sign an IRB approved Informed Cosent Form
  • Male or female 18 years of age or older
  • Female patients who are post menopausal (no menstrual period for a minimum of six months), surgically sterilized, or are using an oral or implanted contraceptive, double barrier birth control, or an IUD and have a negative serum pregnancy test upon entry into this study; or male patients willing to use contraception upon enrollment into this study
  • Pathologic diagnosis of renal cell carcinoma by fine needle aspirate or tissue biopsy
  • Prior nephrectomy
  • Prior Therapy:

    1. Cohort 1 only: Previously received and failed one prior biotherapy, defined as IL-2 therapy or interferon-alpha (alone or in combination); Karnosky score of > or = 70%
    2. Cohort 2 only: No prior therapy except nephrectomy and fall within the Motzer intermediate group with one or two of the risk factors, as defined in teh Study Design section.
  • Has bi-dimensionally measurable disease
  • Has tumor tissue available for diagnostics (acceptable: biopsy, nephrectomy tissue, fine needle aspirate, or archived tissue that is formalin fixed and paraffin embedded). In cases when a fresh biopsy can be obtained, the biopsy should be divided into two; one half should be formalin fixed, and the other half frozen. Tumor samples must be received at the central laboratory prior to patient regisration.
  • Adequate hematologic data, as follows:

    1. ANC > 1.5 x 109/L
    2. Platelet count > 100x 109/L
  • Adequate renal function, as follows:

    1. Creatinine < or = 2.2mg/dL

  • Adequate hepatic function, as follows:

    1. Alkaline phosphatase < or = 3x ULN
    2. AST < or = 3x ULN
    3. ALT < or = 3x ULN
    4. Total bilirubin < or = 1.5x ULN

Exclusion Criteria:

  • Brain metastases
  • Cohort 1 only: Hypercalcemia (calcium level outside the upper limit of normal; antihypercalcemic treatment is allowed)
  • Cancer therapy within 30 days of ABX-EGF infusion (hormone therapy is allowed; steroid therapy is only allowed if it is replacement therapy)
  • Use of any investigational drug within 30 days of ABX-EGF infusion
  • Prior treatment with any anti-EGFr agents
  • Left ventricular ejection fraction < 45%, as measured by MUGA Scan
  • Myocardial infarction within one year prior to entering the study
  • Has other cancer that has been active and required treatment within the past 5 years (prior renal cell carcinoma, basal cell carcinoma, or cervical carcinoma in situ are allowed)
  • Pregnant or breast feeding female; male or female of childbearing potential (defined as: post menarche and is biologically capable of becoming pregnant) unwilling to use birth control (as defined in the inclusion criteria) during and for 1 month following treatment
  • Known to be HIV positive
  • History of any chronic medical or psychiatric condition or laboratory abnormality that in the opinion of the Investigator may increase the risks associated with study participation or study drug administration or may interfere with the interpretation of study results
  • Allergy to the ingredients of the study medication or to Staphylococcus Protein A

Sites / Locations

    Outcomes

    Primary Outcome Measures

    Part 2, Cohort 1: Efficacy: Tumor response rate (CR or PR) measured at 8 weeks
    Part 2, Cohort 1: Safety: Incidence and severity of AEs
    Part 2, Cohort 2: Time to disease progression

    Secondary Outcome Measures

    Part 2, Cohort 1: Time to disease progression
    Part 2, Cohorts 1 & 2: Survival time
    Part 2, Cohorts 1 & 2: PFS
    Part 2, Cohorts 1 & 2: Best overall response rate
    Part 2, Cohorts 1 & 2: Tumor response rate at Weeks 15, 23, 31, and 39
    Part 2, Cohorts 1 & 2: Duration of response
    Part 2, Cohorts 1 & 2: Percent of patients with progressive disease (measured at 8 weeks following initiation of panitumumab treatment)
    Part 2, Cohorts 1 & 2: Time to CR
    Part 2, Cohorts 1 & 2: Time to response (PR or CR)

    Full Information

    First Posted
    January 18, 2007
    Last Updated
    May 10, 2013
    Sponsor
    Amgen
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00425035
    Brief Title
    Safety and Efficacy Study of ABX-EGF in Patients With Renal Cancer, Part 2
    Official Title
    A Two-part, Multiple Dose Clinical Trial Evaluating the Safety and Effectiveness of ABX-EGF in Patients With Renal Carcinoma
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2013
    Overall Recruitment Status
    Completed
    Study Start Date
    February 2003 (undefined)
    Primary Completion Date
    undefined (undefined)
    Study Completion Date
    undefined (undefined)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Amgen

    4. Oversight

    5. Study Description

    Brief Summary
    Multicenter, 2-part, multiple-dose study designed to evaluate the safety and effectiveness of weekly administration of panitumumab in subjects with renal carcinoma. Part 1 was initiated in 2001 and will not be presented here. Part 2 was designed to examine a dose of 2.5 mg/kg/wk in 2 cohorts.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Advanced Renal Cell Carcinoma
    Keywords
    Renal Cancer

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    115 (false)

    8. Arms, Groups, and Interventions

    Intervention Type
    Drug
    Intervention Name(s)
    Panitumumab (ABX-EGF)
    Primary Outcome Measure Information:
    Title
    Part 2, Cohort 1: Efficacy: Tumor response rate (CR or PR) measured at 8 weeks
    Title
    Part 2, Cohort 1: Safety: Incidence and severity of AEs
    Title
    Part 2, Cohort 2: Time to disease progression
    Secondary Outcome Measure Information:
    Title
    Part 2, Cohort 1: Time to disease progression
    Title
    Part 2, Cohorts 1 & 2: Survival time
    Title
    Part 2, Cohorts 1 & 2: PFS
    Title
    Part 2, Cohorts 1 & 2: Best overall response rate
    Title
    Part 2, Cohorts 1 & 2: Tumor response rate at Weeks 15, 23, 31, and 39
    Title
    Part 2, Cohorts 1 & 2: Duration of response
    Title
    Part 2, Cohorts 1 & 2: Percent of patients with progressive disease (measured at 8 weeks following initiation of panitumumab treatment)
    Title
    Part 2, Cohorts 1 & 2: Time to CR
    Title
    Part 2, Cohorts 1 & 2: Time to response (PR or CR)

    10. Eligibility

    Eligibility Criteria
    Inclusion Criteria: Able to comprehend and sign an IRB approved Informed Cosent Form Male or female 18 years of age or older Female patients who are post menopausal (no menstrual period for a minimum of six months), surgically sterilized, or are using an oral or implanted contraceptive, double barrier birth control, or an IUD and have a negative serum pregnancy test upon entry into this study; or male patients willing to use contraception upon enrollment into this study Pathologic diagnosis of renal cell carcinoma by fine needle aspirate or tissue biopsy Prior nephrectomy Prior Therapy: Cohort 1 only: Previously received and failed one prior biotherapy, defined as IL-2 therapy or interferon-alpha (alone or in combination); Karnosky score of > or = 70% Cohort 2 only: No prior therapy except nephrectomy and fall within the Motzer intermediate group with one or two of the risk factors, as defined in teh Study Design section. Has bi-dimensionally measurable disease Has tumor tissue available for diagnostics (acceptable: biopsy, nephrectomy tissue, fine needle aspirate, or archived tissue that is formalin fixed and paraffin embedded). In cases when a fresh biopsy can be obtained, the biopsy should be divided into two; one half should be formalin fixed, and the other half frozen. Tumor samples must be received at the central laboratory prior to patient regisration. Adequate hematologic data, as follows: ANC > 1.5 x 109/L Platelet count > 100x 109/L Adequate renal function, as follows: 1. Creatinine < or = 2.2mg/dL Adequate hepatic function, as follows: Alkaline phosphatase < or = 3x ULN AST < or = 3x ULN ALT < or = 3x ULN Total bilirubin < or = 1.5x ULN Exclusion Criteria: Brain metastases Cohort 1 only: Hypercalcemia (calcium level outside the upper limit of normal; antihypercalcemic treatment is allowed) Cancer therapy within 30 days of ABX-EGF infusion (hormone therapy is allowed; steroid therapy is only allowed if it is replacement therapy) Use of any investigational drug within 30 days of ABX-EGF infusion Prior treatment with any anti-EGFr agents Left ventricular ejection fraction < 45%, as measured by MUGA Scan Myocardial infarction within one year prior to entering the study Has other cancer that has been active and required treatment within the past 5 years (prior renal cell carcinoma, basal cell carcinoma, or cervical carcinoma in situ are allowed) Pregnant or breast feeding female; male or female of childbearing potential (defined as: post menarche and is biologically capable of becoming pregnant) unwilling to use birth control (as defined in the inclusion criteria) during and for 1 month following treatment Known to be HIV positive History of any chronic medical or psychiatric condition or laboratory abnormality that in the opinion of the Investigator may increase the risks associated with study participation or study drug administration or may interfere with the interpretation of study results Allergy to the ingredients of the study medication or to Staphylococcus Protein A
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    MD
    Organizational Affiliation
    Amgen
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    15210739
    Citation
    Rowinsky EK, Schwartz GH, Gollob JA, Thompson JA, Vogelzang NJ, Figlin R, Bukowski R, Haas N, Lockbaum P, Li YP, Arends R, Foon KA, Schwab G, Dutcher J. Safety, pharmacokinetics, and activity of ABX-EGF, a fully human anti-epidermal growth factor receptor monoclonal antibody in patients with metastatic renal cell cancer. J Clin Oncol. 2004 Aug 1;22(15):3003-15. doi: 10.1200/JCO.2004.11.061. Epub 2004 Jun 21.
    Results Reference
    result
    Links:
    URL
    http://www.vectibix.com/
    Description
    FDA-approved Drug Labeling
    URL
    http://download.veritasmedicine.com/REGFILES/amgen/Amgen_results_disclaimer.pdf
    Description
    Notice regarding posted summaries of trial results
    URL
    http://download.veritasmedicine.com/REGFILES/amgen/08D_FDAMA_113_Posting_Summary_954_AMG_954_20020374.pdf
    Description
    To access clinical trial results information click on this link
    URL
    http://www.amgentrials.com
    Description
    AmgenTrials clinical trials website

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    Safety and Efficacy Study of ABX-EGF in Patients With Renal Cancer, Part 2

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