Phase II Study of CC-5013 in Patients With Advanced Renal Cell Carcinoma (RCC)
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 28
- 试验地点
- 1
- 主要终点
- Overall response
研究概览
简要总结
RATIONALE: Lenalidomide may stop the growth of kidney cancer by blocking blood flow to the tumor.
PURPOSE: This phase II trial is studying how well lenalidomide works in treating patients with advanced or unresectable kidney cancer.
详细描述
OBJECTIVES:
- Evaluate the best response in patients with advanced or unresectable renal cell carcinoma (RCC) treated with lenalidomide.
- Evaluate the response duration, time to tumor progression, and survival of patients with advanced RCC treated with lenalidomide.
- Evaluate the safety of this drug in these patients.
OUTLINE: This is an open-label study.
Patients receive oral lenalidomide daily on days 1-21. Courses repeat every 28 days in the absence of unacceptable toxicity or disease progression.
After completion of study treatment, patients are followed every 3 months.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 120 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •DISEASE CHARACTERISTICS:
- •Histologically or cytologically confirmed renal cell carcinoma (RCC)
- •Advanced or unresectable RCC
- •Measurable disease, defined as at least one lesion that can be accurately measured in at least one dimension (longest diameter to be recorded) as ≥ 20 mm with conventional techniques OR ≥ 10 mm with spiral CT scan
- •No brain metastases
- •Brain metastases that have been treated with either radiotherapy or surgery and remain asymptomatic, with no active brain metastases, as shown by CT scan or MRI, for ≥ 6 months are allowed
- •PATIENT CHARACTERISTICS:
- •ECOG performance status (PS) 0-1 OR Karnofsky PS 70-100%
- •Absolute neutrophil count ≥ 1,500/mm³
- •Platelet count ≥ 100,000/mm³
- •Creatinine ≤ 2.0 mg/dL
- •Bilirubin ≤ 1.5 mg/dL
- •AST and ALT ≤ 2.5 times upper limit of normal (ULN) (5 times ULN if hepatic metastases are present)
- •Not pregnant or nursing
- •Negative pregnancy test
- •Fertile patients must use effective contraception
- •No other malignancies within the past 5 years, except for treated basal cell or squamous cell carcinoma of the skin, carcinoma in situ of the cervix or breast, localized prostate cancer, or superficial bladder cancer
- •No history of allergic reactions attributed to compounds of similar chemical or biological composition to lenalidomide or thalidomide
- •No uncontrolled intercurrent illness including, but not limited to, any of the following:
- •Ongoing or active infection
- •Symptomatic congestive heart failure
- •Unstable angina pectoris
- •Cardiac arrhythmia
- •Psychiatric illness or social situation that would limit study compliance
- •No hepatitis A, B, or C positivity
- •No HIV positivity
- •PRIOR CONCURRENT THERAPY:
- •See Disease Characteristics
- •No more than 1 prior systemic therapy for RCC (e.g., chemotherapy, hormonal therapy, immunotherapy)
- •At least 4 weeks since prior surgery, radiotherapy, hormonal therapy, chemotherapy, or immunotherapy and recovered
- •No prior lenalidomide
- •No other concurrent anticancer agents or treatments
- •No other concurrent investigational agents
- •No concurrent sargramostim (GM-CSF), radiotherapy, or thalidomide
排除标准
- 未提供
研究组 & 干预措施
Lenalidomide for Advanced RCC
25 mg/day Lenalidomide for 21 days per cycle.
干预措施: lenalidomide (Drug)
结局指标
主要结局
Overall response
Objective Response Rate
时间窗: Baseline and every 2 weeks until study completion, up to 1.5 years
The objective response rate was defined by RECIST.
次要结局
- Toxicity
- Toxicity--Most Common AEs(Baseline and every 2 weeks until study completion. Number of cycles is open ended.)
- Overall Survival(1 to 16 cycles, until patient expires, is lost to follow up or withdraws consent)
