Study Comparing Association Between Sorafenib and Interleukin-2 (IL-2) Versus Sorafenib in 1st Line Therapy in Advanced (Adv) Renal Cell Carcinoma (RCC) (ROSORC)
Primary Purpose
Metastatic Disease, Renal Cell Carcinoma
Status
Completed
Phase
Phase 2
Locations
Italy
Study Type
Interventional
Intervention
Nexavar (Sorafenib)
IL-2
Sponsored by
About this trial
This is an interventional treatment trial for Metastatic Disease focused on measuring Sorafenib, RCC, Metastatic disease
Eligibility Criteria
Inclusion Criteria:
- Cytohistological diagnosis of RCC
- Written informed consent
- Measurable disease according to RECIST criteria
- Age >= 18 years
- Karnofsky PS >= 60%
- Life expectancy of greater than 3 months
Exclusion Criteria:
- Prior medical treatment for metastatic RCC
- Brain metastasis or spinal cord compression
- Chronic treatment with corticosteroids
- Uncontrolled hypertension
Sites / Locations
- Istituto Tumori
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
1
2
Arm Description
Sorafenib 400 bid + IL-2 3 MU per 5 day/week for 2 weeks every 4
Sorafenib 400 mg bid
Outcomes
Primary Outcome Measures
PFS
Secondary Outcome Measures
Full Information
NCT ID
NCT00609401
First Posted
January 11, 2008
Last Updated
February 25, 2009
Sponsor
Italian Trial in Medical Oncology
1. Study Identification
Unique Protocol Identification Number
NCT00609401
Brief Title
Study Comparing Association Between Sorafenib and Interleukin-2 (IL-2) Versus Sorafenib in 1st Line Therapy in Advanced (Adv) Renal Cell Carcinoma (RCC)
Acronym
ROSORC
Official Title
A Randomized Open Label Multicenter Phase II Study of First Line Therapy With Sorafenib in Association With IL-2 vs Sorafenib Alone in Patients With Unresectable and/or Metastatic Renal Cell Carcinoma
Study Type
Interventional
2. Study Status
Record Verification Date
February 2009
Overall Recruitment Status
Completed
Study Start Date
November 2006 (undefined)
Primary Completion Date
May 2007 (Actual)
Study Completion Date
May 2008 (Actual)
3. Sponsor/Collaborators
Name of the Sponsor
Italian Trial in Medical Oncology
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The ROSORC trial is a randomized study comparing the efficacy of a new association (sorafenib and IL-2) versus the standard therapy (sorafenib) in patients affected by different histotypes of metastatic RCC. This study is a first line therapy for the advanced disease. The primary objective is the progression free survival (PFS) in the 2 arms of therapy and the secondary objective is the overall survival (OS) and the response rate (RR) and the safety profile of the combination compared to sorafenib alone.
Detailed Description
Patients will be allocated in 2 groups:
ARM A - Sorafenib 400 mg twice daily continuously and low dose of IL-2 administered s.c.
ARM B - Sorafenib alone at the same dosage used in the previous arm
The trial is stratified according to the MSKCC prognostic model (low intermediate high risk) and histology (Clear cell vs other histotypes). The main inclusion criteria are: cytohistological diagnosis of RCC, measurable disease as RECIST criteria, signed written informed consent, life expectancy of greater than 3 months.
The efficacy and safety analysis will be performed on an intent to treat population.
The anticipated median PFS time in the control arm is 6 months and we will expect an increase of 3 months in the experimental arm.
The sample size is 128 patients, 64 in each arm (1:1 randomization)
The study started in November 2006 and is a multicenter Italian trial.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Metastatic Disease, Renal Cell Carcinoma
Keywords
Sorafenib, RCC, Metastatic disease
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
90 (Actual)
8. Arms, Groups, and Interventions
Arm Title
1
Arm Type
Experimental
Arm Description
Sorafenib 400 bid + IL-2 3 MU per 5 day/week for 2 weeks every 4
Arm Title
2
Arm Type
Experimental
Arm Description
Sorafenib 400 mg bid
Intervention Type
Drug
Intervention Name(s)
Nexavar (Sorafenib)
Intervention Description
400 mg bid
Intervention Type
Drug
Intervention Name(s)
IL-2
Intervention Description
IL-2 3 MU per 5 day/week for 2 weeks every 4
Primary Outcome Measure Information:
Title
PFS
Time Frame
2 years
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Cytohistological diagnosis of RCC
Written informed consent
Measurable disease according to RECIST criteria
Age >= 18 years
Karnofsky PS >= 60%
Life expectancy of greater than 3 months
Exclusion Criteria:
Prior medical treatment for metastatic RCC
Brain metastasis or spinal cord compression
Chronic treatment with corticosteroids
Uncontrolled hypertension
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Giuseppe Procopio, MD
Organizational Affiliation
Istituto Tumori Milano
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
E. Aitini, MD
Organizational Affiliation
Ospedale di Mantova
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
M. Bregni, MD
Organizational Affiliation
Ospedale San Raffaele Milano
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
G. Conti, MD
Organizational Affiliation
Urologia - Ospedale di Como
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
M. Maio, MD
Organizational Affiliation
Immunologia Oncologica - Ospedale Le Scotte Siena
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
G. Fasola, MD
Organizational Affiliation
Ospedale di Udine
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
V. Zagonel, MD
Organizational Affiliation
Medicina Oncologica - Ospedale Fatebenefratelli - Roma
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
S. Cascinu, MD
Organizational Affiliation
Ospedale di Ancona
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
G. Marini, MD
Organizational Affiliation
Ospedale di Brescia
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
A. Ardizzoia, MD
Organizational Affiliation
Ospedale di Monza
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Sergio Ricci, Prof.
Organizational Affiliation
Oncologia Medica - Ospedale Santa Chiara Pisa
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
L. Cavanna, MD
Organizational Affiliation
Oncologia Piacenza
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
M. Aglietta, MD
Organizational Affiliation
Ospedale di Candiolo Torino
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
A. Bertolini, MD
Organizational Affiliation
SOC Oncologia Medica Azienda Ospedaliera Valtellina
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Sergio Bracarda, MD
Organizational Affiliation
Oncologia Medica Ospedale di Perugia
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
L. ISA, MD
Organizational Affiliation
A.O. Melegnano - Gorgonzola
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
S. Monfardini, MD
Organizational Affiliation
Oncologia Ospedale di Padova
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
D. Amadori, MD
Organizational Affiliation
IOR Ospedale di Forlì
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
C. Porta, MD
Organizational Affiliation
Ospedale San Matteo Pavia
Official's Role
Study Director
Facility Information:
Facility Name
Istituto Tumori
City
Milano
Country
Italy
12. IPD Sharing Statement
Citations:
PubMed Identifier
24063860
Citation
Procopio G, Verzoni E, Bracarda S, Ricci S, Sacco C, Ridolfi L, Porta C, Miceli R, Zilembo N, Bajetta E; Italian Trials in Medical Oncology (ITMO) group. Overall survival for sorafenib plus interleukin-2 compared with sorafenib alone in metastatic renal cell carcinoma (mRCC): final results of the ROSORC trial. Ann Oncol. 2013 Dec;24(12):2967-71. doi: 10.1093/annonc/mdt375. Epub 2013 Sep 24.
Results Reference
derived
Links:
URL
http://www.istitutotumori.mi.it
Description
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Study Comparing Association Between Sorafenib and Interleukin-2 (IL-2) Versus Sorafenib in 1st Line Therapy in Advanced (Adv) Renal Cell Carcinoma (RCC)
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