Safety Study of TroVax Alone vs. TroVax Plus Interferon Alpha in Patients With Renal Cancer

This is an interventional treatment trial for Carcinoma, Renal Cell focused on measuring Advanced renal cancer, metastatic renal cancer, RCC, kidney cancer, M3thodist Read More

Inclusion Criteria:

• Locally advanced or metastatic histologically confirmed clear cell or papillary cell renal carcinoma.
• Primary tumor surgically removed.
• Stable or progressive disease as defined by RECIST criteria.
• Age ≥ 18 years.
• At least one prior standard of care therapy (IL-2, IFN-α, or approved kinase inhibitor)
• At least four weeks from prior use of standard of care therapy.
• Karnofsky performance status ≥ 80%.
• Corrected Serum Calcium ≥ 10 g/dL.
• Patients on stable doses of bisphosphonates (Fosamax, Actonel, Didrocal) that show subsequent tumor progression may continue on this medication; however patients are not allowed to start bisphosphonates within one month prior to starting trial, or throughout the duration of the trial.
• Major surgery or radiation therapy completed ≥ 4 weeks prior to treatment.
• Clinically immunocompetent.
• Free of clinically apparent autoimmune disease.
• Absolute lymphocyte count ≥ 500/μL, Absolute neutrophil count ≥ 1200/μL, Platelet count ≥ 100,000/μl, Hemoglobin ≥ 9mg/dL.
• No evidence of active ischemia on Electrocardiogram (ECG)
• Women must be either post-menopausal, rendered surgically sterile, or using reliable form of contraceptive.
• Able to give informed consent and comply with the protocol.

Exclusion Criteria:

• Prior treatment with TroVax®
• No supplements of complementary medicines/botanicals are permitted during study, except for any combination of the following: multivitamins, selenium, lycopene, soy supplements, Vitamin E.
• Prior radiopharmaceuticals (strontium, samarium) within 8 weeks prior to enrollment.
• Participation in any other clinical trial within 30 days.
• Cerebral metastasis on MRI Scan.
• Currently active second malignancy, other than non-melanoma skin cancer. Patients are not considered to have a "currently active" malignancy if they have completed therapy and are considered by their physician to be at least less than 30% risk of relapse.
• Serious intercurrent infections or nonmalignant medical illnesses which are uncontrolled.
• Psychiatric illnesses that would limit compliance with protocol.
• A history of psychosis or clinical depression.
• Liver function tests (ALT, AST) more than 1.5 X upper limit of normal (ULN). Bilirubin must be within normal limits.
• Creatinine ≥ 1.5 X ULN.
• Known allergy to egg proteins.
• Known allergy to neomycin.
• History of allergic response to previous vaccinia vaccinations.
• Chronic oral corticosteroid use unless prescribed as replacement therapy in the case of adrenal insufficiency.
• Positive for HIV or Hepatitis B or C.
• Clinical indication of reduced cardiac function or an ejection fraction of ≤ 40%.
• Pregnancy or lactation
• Current chemotherapy, immunotherapy, radiation therapy, or the requirement for radiotherapy.
• No investigational or commercial agents or therapies other that those included in the protocol treatment may be administered with the intent to treat malignancy.