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Interferon Alfa-2b With or Without Thalidomide in Treating Patients With Metastatic or Unresectable Kidney Cancer

Phase 3
Completed
Conditions
Kidney Cancer
Registration Number
NCT00005966
Lead Sponsor
Eastern Cooperative Oncology Group
Brief Summary

RATIONALE: Interferon alfa-2b may interfere with the growth of the cancer cells. Thalidomide may stop the growth of cancer by stopping blood flow to the tumor. It is not yet known if interferon alfa-2b is more effective with or without thalidomide in treating kidney cancer.

PURPOSE: Randomized phase III trial to compare the effectiveness of interferon alfa-2b with or without thalidomide in treating patients who have previously untreated metastatic or unresectable kidney cancer.

Detailed Description

OBJECTIVES:

* Compare the overall and progression-free survival at 24 weeks in patients with previously untreated metastatic or unresectable renal cell carcinoma treated with interferon alfa-2b with or without thalidomide.

* Compare the safety of these 2 regimens in these patients.

* Compare the quality of life of patients treated with these 2 regimens.

* Compare the pharmacodynamic effects of these regimens on pharmacodynamic measurements of angiogenesis such as serum and plasma angiogenic factor levels in these patients.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to prior nephrectomy (yes vs no), disease-free interval (no more than 1 year vs more than 1 year), and ECOG performance status (0 vs 1 or 2). Patients are randomized to one of two treatment arms.

* Arm I: Patients receive interferon alfa-2b subcutaneously (SC) twice daily beginning on day 1.

* Arm II: Patients receive interferon alfa-2b as in arm I and oral thalidomide once daily beginning on day 1.

Treatment in both arms continues in the absence of disease progression or unacceptable toxicity. Patients who achieve complete response (CR) continue treatment for 24 weeks past CR.

Quality of life is assessed prior to randomization and then every 4 weeks through week 24.

Patients are followed every 3 months for 2 years and then every 6 months for 3 years.

PROJECTED ACCRUAL: A total of 346 patients (173 per arm) will be accrued for this study within 2 years.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
Not specified
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 (14)

Instituto de Enfermedades Neoplasicas

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Lima, Peru

Cancer Institute of New Jersey

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New Brunswick, New Jersey, United States

CCOP - St. Vincent Hospital Cancer Center, Green Bay

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Green Bay, Wisconsin, United States

Comprehensive Cancer Center at Our Lady of Mercy Medical Center

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Bronx, New York, United States

MBCCOP - University of New Mexico HSC

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Albuquerque, New Mexico, United States

CCOP - Mayo Clinic Scottsdale Oncology Program

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Scottsdale, Arizona, United States

Mercy Cancer Center at Mercy Medical Center-Des Moines

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Des Moines, Iowa, United States

Iowa Lutheran Hospital

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Des Moines, Iowa, United States

Midlands Cancer Center at Midlands Community Hospital

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Papillion, Nebraska, United States

Penn State Cancer Institute at Milton S. Hershey Medical Center

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Hershey, Pennsylvania, United States

Westmead Hospital

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Westmead, New South Wales, Australia

San Juan City Hospital

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San Juan, Puerto Rico

John Stoddard Cancer Center at Iowa Methodist Medical Center

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Des Moines, Iowa, United States

CCOP - Northern Indiana CR Consortium

πŸ‡ΊπŸ‡Έ

South Bend, Indiana, United States

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