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Interleukin-2, Interferon Alfa, and Fluorouracil Compared With Observation in Treating Patients Who Have Undergone Surgery for Kidney Cancer

Phase 3
Completed
Conditions
Kidney Cancer
Registration Number
NCT00053807
Lead Sponsor
European Organisation for Research and Treatment of Cancer - EORTC
Brief Summary

RATIONALE: Interferon alfa may interfere with the growth of tumor cells. Interleukin-2 may stimulate a person's white blood cells to kill tumor cells. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining interferon alfa and interleukin-2 with fluorouracil may kill any remaining tumor cells following surgery. It is not yet known whether combining interferon alfa and interleukin-2 with fluorouracil is more effective than observation after surgery for kidney cancer.

PURPOSE: Randomized phase III trial to compare the effectiveness of combining interleukin-2, interferon alfa, and fluorouracil to that of observation alone in treating patients who have undergone surgery for kidney cancer and are at high risk of relapse.

Detailed Description

OBJECTIVES:

* Compare the effect of adjuvant combination therapy comprising interleukin-2, interferon alfa, and fluorouracil vs observation only on disease-free survival or overall survival of patients with renal cell carcinoma at high risk of relapse after radical surgery.

* Compare the quality of life of patients treated with these regimens.

OUTLINE: This is a randomized, multicenter study. Patients are randomized to 1 of 2 treatment arms.

* Arm I: Patients receive interleukin-2 subcutaneously (SC) on days 3, 4, and 5 of weeks 1 and 4 and on days 1, 3, and 5 of weeks 2 and 3. Patients also receive interferon alfa SC once weekly during weeks 1 and 4 and 3 times weekly during weeks 2, 3, 5, 6, 7, and 8. Patients then receive fluorouracil IV on day 1 of weeks 5, 6, 7, and 8.

* Arm II (control arm): Patients receive no adjuvant treatment before disease progression.

Quality of life is assessed at baseline and at 2 and 6 months after randomization.

Patients are followed monthly for 3 months (arm I only), every 3 months for 1 year, every 6 months for 4 years, and then annually thereafter.

PROJECTED ACCRUAL: A total of 550 patients (275 per treatment arm) will be accrued for this study within 3 years.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
96
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (17)

Onze Lieve Vrouwe Gasthuis

🇳🇱

Amsterdam, Netherlands

Dokuz Eylul University School of Medicine

🇹🇷

Izmir, Turkey

Daniel Den Hoed Cancer Center at Erasmus University Medical Center

🇳🇱

Rotterdam, Netherlands

Jeroen Bosch Ziekenhuis

🇳🇱

Hertogenbosch, Netherlands

Marmara University Hospital

🇹🇷

Istanbul, Turkey

Rambam Medical Center

🇮🇱

Haifa, Israel

Akademisch Medisch Centrum

🇳🇱

Amsterdam, Netherlands

National Institute of Oncology

🇭🇺

Budapest, Hungary

Kaiser Franz Josef Hospital

🇦🇹

Vienna, Austria

Universitair Ziekenhuis Gent

🇧🇪

Ghent, Belgium

AZ Groeninge - Campus St. Maarten

🇧🇪

Kortrijk, Belgium

U.Z. Gasthuisberg

🇧🇪

Leuven, Belgium

Ospedale di Circolo e Fondazione Macchi

🇮🇹

Varese, Italy

University Medical Center Nijmegen

🇳🇱

Nijmegen, Netherlands

Academisch Ziekenhuis Utrecht

🇳🇱

Utrecht, Netherlands

Onze Lieve Vrouw Ziekenhuis Aalst

🇧🇪

Aalst, Belgium

Beatson Institute for Cancer Research - Glasgow

🇬🇧

Glasgow, Scotland, United Kingdom

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