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Clinical Trials/ACTRN12609000643279
ACTRN12609000643279
Completed
Phase 2

A phase 2 trial evaluating the effect of Everolimus alternating with Sunitinib on progression-free survival in patients with advanced renal cell carcinoma.

The University of Sydney0 sites55 target enrollmentJuly 30, 2009

Overview

Phase
Phase 2
Intervention
Not specified
Conditions
Not specified
Sponsor
The University of Sydney
Enrollment
55
Status
Completed
Last Updated
6 years ago

Overview

Brief Summary

No summary available.

Registry
who.int
Start Date
July 30, 2009
End Date
TBD
Last Updated
6 years ago
Study Type
Interventional
Sex
All

Investigators

Eligibility Criteria

Inclusion Criteria

  • Patients will be eligible for enrollment if they fulfill all of the following criteria:
  • 1\. Renal cell carcinoma with a clear cell component confirmed by histology or cytology
  • 2\. Advanced disease: metastatic OR locally advanced OR locally recurrent; AND, not suitable for resection
  • 3\. Male or female, aged 18 years or older
  • 4\. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
  • 5\. Low or intermediate Memorial Sloan Kettering Cancer Center (MSKCC) prognostic risk score (8, 9\), i.e. no more than 2 of the following: Karnofsky performance status 1\.5 times institutional upper limit of normal; Anaemia (haemoglobin less than institutional lower limit of normal); Hypercalcemia (corrected serum calcium \>2\.5 mmol/L); Interval since diagnosis less than 1 year.
  • 6\. Target and/or non\-target lesions according to Response Evaluation Criteria in Solid Tumors (RECIST) 1\.1 (15\). Patients participating in Positron Emission Tomography (PET) studies must have a lesion assessable by PET (at least 2cm in diameter in an organ not subject to undue PET artefact, as determined by the site Principal Investigator in conjunction with nuclear medicine physicians).
  • 7\. Expected survival of at least 3 months.
  • 8\. Within 3 weeks prior to registration, vital laboratory parameters should be within the normal range, except for the following parameters, which should be within the ranges specified: Neutrophils \>/\= 1\.5 x 109/L; Platelets \>/\= 90 x 109/L; International Normalised Ratio (INR) 9\. Left ventricular ejection fraction \>/\= 55% on gated cardiac blood pool scan, or normal left ventricular function and fractional shortening on echocardiogram (according to institutional limits).
  • 10\. Systolic blood pressure 11\. Able to commence treatment within 7 days of registration.

Exclusion Criteria

  • Patients will be excluded from the study for any of the following reasons:
  • 1\. Prior treatment with Vascular Endothelial Growth Factor (VEGF)\-targeting agents (e.g. bevacizumab) or multi\-kinase inhibitors (e.g. sorafenib or sunitinib), or mammalian Target of Rapamycin (mTOR)\-targeting agents (e.g. everolimus or temsirolimus).
  • 2\. Active central nervous system metastases. Patients may be eligible if they have central nervous system metastases that have been adequately treated (surgery or radiotherapy), do not require ongoing corticosteroids for control of symptoms, and have had no evidence of progression for at least three months.
  • 3\. Other malignancy diagnosed within the last 5 years, except the following if adequately treated: superficial Squamous Cell Carcinoma (SCC) or Basal Cell Carcinoma (BCC) of skin, superficial bladder cancer (T1 and G1 or T1 and G2\), stage 1 cervical cancer.
  • 4\. Treatment with an investigational agent in the last 4 weeks.
  • 5\. Known to be Human Immunodeficiency Virus (HIV) positive (testing not mandatory unless clinically indicated).
  • 6\. Evidence of chronic hepatitis due to Hepatitis B Virus (HBV) (HBV surface antigen positive) or Hepatitis C Virus (HCV) (HCV ribonucleic acid (RNA) positive). All potential participants will be tested for HBV surface antigen, HBV core antibody, HCV antibody, and HCV RNA if the HCV Ab is positive.
  • 7\. Clinically significant heart disease (New York Heart Association (NYHA) Class III or IV).
  • 8\. History of hypertension requiring hospitalisation.
  • 9\. Other serious illnesses, e.g. active infection requiring antibiotics, bleeding disorders.

Outcomes

Primary Outcomes

Not specified

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