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CPG 7909 in Patients With Stage IV Renal Cell Cancer
This study has been completed.
Sponsored by: Pfizer
Information provided by: Pfizer
ClinicalTrials.gov Identifier: NCT00043407
  Purpose

In the Phase I portion of the trial, escalating doses CPG 7909 injection will be administered subcutaneously up to a maximum dose of 0.81 mg/kg in patients with metastatic renal cell cancer. The maximum tolerated dose for CPG 7909 injection as monotherapy will be determined.

In the phase II portion of the trial, the overall tumor response rate of CPG 7909 will be estimated according to the RECIST criteria in patients with metastatic renal cell cancer. Tolerability will be assessed according to dose exposure, immunologic activity, the pharmacokinetic and pharmacodynamic profile of CPG 7909 injection, time to progression, duration of response, and time to survival.


Condition Intervention Phase
Renal Cell Cancer
Post Nephrectomy
Drug: CPG 7909
Phase I
Phase II

MedlinePlus related topics: Cancer
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title: Phase I/II Open Label Multi-Center Study of CPG 7909 in Patients With Stage IV Renal Cell Cancer

Further study details as provided by Pfizer:

Primary Outcome Measures:
  • Safety: Adverse events, vital signs, clinical and laboratory parameters, physical exam, EKG's
  • Efficacy: Tumor response, time-to-progression, duration of responses, immunologic activity, performance status, survival

Estimated Enrollment: 40
Study Start Date: March 2002
Estimated Study Completion Date: December 2005
Detailed Description:

Phase I: Three patients included in each cohort of CPG 7909 administered subcutaneously. Patients will be treated weekly for up to 24 weeks. If 2 patients experience dose-limiting toxicity (DLT) at any dose, the dose stratum just below it will be considered the maximum tolerated dose (MTD) and will be the dose administered in the Phase II portion of the study.

Phase II Stage 1: Additional patients who meet the entrance criteria will be treated weekly for up to 24 weeks (or until disease progression or unacceptable toxicity occurs) with CPG 7909, the dose of which will be determined in the dose escalation portion of the study, administered subcutaneously (SC).

Phase II Stage 2: If at least one response is achieved in Stage 1, 25 additional eligible patients will be treated with this regimen.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion criteria:

  • Signed Informed Consent Form
  • Able to comply with the treatment schedule
  • Histologically confirmed Stage IV renal-cell carcinoma (AJCC) with lung and/or soft tissue metastases after nephrectomy
  • ECOG performance status 0 or 1
  • Measurable disease by Recist criteria (as defined in Section 8.1) with at least one lesion that can be accurately measured in at least one dimension (longest diameter to be recorded) as ³ 20 mm with conventional techniques, or as ³ 10 mm with spiral CT scan
  • > 18 years of age
  • Must have adequate bone marrow reserve: hemoglobin ³10 g/dL; platelet count > 100,000 mm3 ; neutrophils ³ 1000/ mL
  • Must have adequate renal function: serum creatinine ≤ 2.0 mg/dL.
  • Must have adequate hepatic function: bilirubin ≤ 1.5 mg/dL; SGOT/SGPT <3x upper limit of normal
  • Activated partial thromboplastin time ≤ 40 seconds
  • Serum calcium within normal limits based on laboratory criteria
  • Predominant clear cell histology
  • Patients of reproductive potential must agree to use an effective (>90% reliability) form of birth control during the study and for 4 weeks following the last study drug administration. (All patients and their partners)
  • Life expectancy of greater than 4 months

Exclusion Criteria:

  • Pre-existing autoimmune or antibody-mediated diseases including: systemic lupus erythematosus, rheumatoid arthritis, multiple sclerosis, Sjogren's syndrome, autoimmune thrombocytopenia. Controlled thyroid disease or the presence of auto-antibodies without clinical autoimmune disease are permissible
  • Known history of HIV
  • CNS, bone or liver metastases
  • Tumors that are mainly papillary, chromophobe, medullary, collecting duct, or unclassified, are to be excluded
  • Prior malignancy except basal cell or non-invasive squamous cell carcinoma of the skin or in situ squamous cell carcinoma of the cervix
  • History of allergic reactions attributed to compounds of similar composition to CpG 7909
  • Significant cardiovascular disease (e.g., NYHA class 3 congestive heart failure; myocardial infarction within the past 6 months; unstable angina; coronary angioplasty within the past 6 months; uncontrolled atrial or ventricular cardiac arrhythmias) or left ventricular ejection fraction less than 40%
  • Recipients of solid organ allografts
  • Prior splenectomy
  • Prior immunotherapy, including IL-2 or IFN-alpha
  • Any prior therapy for renal cell cancer except for surgery
  • Prior chemotherapy
  • Prior radiation therapy to 25 percent or more of the bone marrow
  • Systemic corticosteroids or immunosuppressants and anticoagulants (except for aspirin ≤ 325 mg per day)
  • Acute infection requiring antibiotics and/or fever over 38.2° C within 3 days prior to study entry
  • Pregnant or lactating
  • Participation in an investigational drug trial within 30 days prior to screening
  • Any other medical history, including laboratory results, deemed by the investigator to be likely to interfere with their participation in the study, or to interfere with the interpretation of the results
  • Suspected or confirmed poor compliance, mental instability, or prior or current alcohol or drug abuse deemed by the investigator to be likely to effect their ability to sign the informed consent, and undergo study procedures
  • Hepatitis B or C (active, prior treated, or both)
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00043407

Locations
United States, Illinois
Northwestern
Chicago, Illinois, United States, 60611
United States, New York
Memorial Sloan Kettering Cancer Center
New York, New York, United States, 10021
United States, Ohio
Cleveland Clinic Cancer Center
Cleveland, Ohio, United States, 44195
United States, Oregon
Providence Portland Medical Center
Portland, Oregon, United States, 97213
United States, Washington
Seattle Cancer Care Alliance
Seattle, Washington, United States, 98109-1023
Sponsors and Collaborators
Pfizer
  More Information

Coley Pharmaceutical  This link exits the ClinicalTrials.gov site

Responsible Party: Pfizer, Inc. ( Director, Clinical Trial Disclosure Group )
Study ID Numbers: C010
Study First Received: August 8, 2002
Last Updated: October 24, 2008
ClinicalTrials.gov Identifier: NCT00043407  
Health Authority: United States: Food and Drug Administration

Study placed in the following topic categories:
Urologic Diseases
Kidney Neoplasms
Carcinoma, Renal Cell
Urogenital Neoplasms
Renal cancer
Kidney Diseases
Kidney cancer
Urologic Neoplasms
Adenocarcinoma
Urinary tract neoplasm
Neoplasms, Glandular and Epithelial
Carcinoma

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Site
Neoplasms by Histologic Type

ClinicalTrials.gov processed this record on January 13, 2009