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临床试验/NCT00975806
NCT00975806终止1 期

A Phase 1/2, Multicenter, Open-Label, Dose-Escalation Study to Evaluate the Safety and Efficacy of Lenalidomide in Combination With Sunitinib in Subjects With Advanced or Metastatic Renal Cell Carcinoma

Celgene3 个研究点 分布在 1 个国家目标入组 16 人开始时间: 2009年9月1日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
终止
发起方
Celgene
入组人数
16
试验地点
3
主要终点
Phase 1: Maximum Tolerated Dose (MTD)

研究概览

简要总结

The purpose of this study was to determine the maximum tolerated dose, safety, and effectiveness of lenalidomide (CC-5013) administered in combination with sunitinib as treatment for patients with renal cell carcinoma.

研究设计

研究类型
Interventional
分配方式
Non Randomized
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 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Metastatic Renal Cell Carcinoma.
  • Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 1.

排除标准

  • Prior chemotherapy.
  • Prior treatment with lenalidomide, thalidomide, pomalidomide, or sunitinib.
  • Laboratory values outside normal ranges.
  • Myocardial infarction (MI) within past 12 months.
  • Current congestive heart failure.

研究组 & 干预措施

Cohort A

Experimental

Participants received an oral dose of lenalidomide MTD (mg) capsule administered in combination with a single dose of sunitinib 37.5 mg on days 1-21 of each 21-day cycle

干预措施: Lenalidomide (Drug)

Cohort A

Experimental

Participants received an oral dose of lenalidomide MTD (mg) capsule administered in combination with a single dose of sunitinib 37.5 mg on days 1-21 of each 21-day cycle

干预措施: Sunitinib (Drug)

Cohorts F and G

Experimental

Participants received an oral daily dose of lenalidomide on Days 1 to 21 in combination with a single oral daily dose of sunitinib 37.5 mg on days 1 to 14 or days 1 to 21 of each 21-day cycle

干预措施: Lenalidomide (Drug)

Cohorts F and G

Experimental

Participants received an oral daily dose of lenalidomide on Days 1 to 21 in combination with a single oral daily dose of sunitinib 37.5 mg on days 1 to 14 or days 1 to 21 of each 21-day cycle

干预措施: Sunitinib (Drug)

结局指标

主要结局

Phase 1: Maximum Tolerated Dose (MTD)

时间窗: Within 21 days of first dose of treatment

The MTD of lenalidomide in combination with sunitinib was defined as the highest dose level at which no more than 1 out of 6 participants experienced a dose limiting toxicity (DLT). Dose limiting toxicities were: • Inability to deliver Lenalidomide in Cycle 1 due to a drug-related toxicity resulting in: * Grade (GR) 3 or 4 non-hematological toxicity lasting for ≥ 14 days * Febrile neutropenia * Gr 4 neutropenia lasting for ≥ 7 days * Gr 4 thrombocytopenia The occurrence of one of the above drug-related toxicities resulting in a clinical and/or laboratory assessment being done within 7 days following the initial finding to examine the participants for resolution of the toxicity. Lack of resolution of the toxicities was considered a DLT. If ≤ 7 doses of lenalidomide or Sunitinib were missed in Cycle 1 due to non-drug related event, the participant data was to be included in the evaluation of dose escalation.

Phase 2: Tumor Response Rate According to Response Evaluation Criteria In Solid Tumors (RECIST 1.1)

时间窗: After at least 3 cycles of treatment

Tumor response was to be evaluated every 3 cycles beginning with Cycle 3 Day 1 and at treatment discontinuation. Response was to be defined by RECIST 1.1 criteria: * Complete response-disappearance of all lesions * Partial response-30% decrease in the sum of diameters of target lesions from baseline * Stable disease-neither shrinkage nor increase of lesions. * Progressive Disease-20% increase in the sum of diameters of target lesions from nadir.

次要结局

  • Phase 1: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) While on Both Lenalidomide and Sunitinib(First day of study drug to within 28 days after the last dose of the last study drug; The duration of exposure to lenalidomide and sunitinib was 7.0 to 327 and 7.0 to 328 days respectively)
  • Phase 1 : Tumor Response Rate According to RECIST 1.1(Every 3 cycles; up to month 25)
  • Progression Free Survival (PFS)(Day 1 of study drug to disease progression or death)
  • Duration of Response(Day 1 of initial response date to progressive disease)
  • Overall Survival (OS)(Day 1 of study drug to death)

研究者

发起方
Celgene
申办方类型
Industry
责任方
Sponsor

研究点 (3)

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