Full Text View
Tabular View
No Study Results Posted
Related Studies
Treatment of Refractory Metastatic Renal Cell Carcinoma With Bevacizumab and RADOO1
This study is currently recruiting participants.
Verified by Stanford University, August 2009
First Received: March 28, 2008   Last Updated: August 28, 2009   History of Changes
Sponsors and Collaborators: Stanford University
Genentech
Novartis
Information provided by: Stanford University
ClinicalTrials.gov Identifier: NCT00651482
  Purpose

To test whether using bevacizumab and RAD001 together to treat metastatic renal cell cancer is safe and effective.


Condition Intervention Phase
Kidney Neoplasms
Drug: RAD001 (Certican)
Drug: bevacizumab
Phase II

Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title: Treatment of Refractory Metastatic Renal Cell Carcinoma With Bevacizumab and RADOO1

Resource links provided by NLM:


Further study details as provided by Stanford University:

Primary Outcome Measures:
  • To assess the effect of the combination therapy bevacizumab and RAD001 on progression-free survival in treatment-refractory mRCC using Response Evaluation Criteria in Solid Tumors (RECIST)

Secondary Outcome Measures:
  • To assess the efficacy of combining bevacizumab w/ RADOO1 as 2nd or 3rd-line treatment for patients with metastatic RCC, as measured by objective response, duration of objective response, time to treatment failure, & overall survival
  • To assess the safety of combining bevacizumab with RAD001.
  • To assess fasting total cholesterol, & triglyceride levels as potential biomarkers for RAD001 activity.
  • To assess serum VEGF and glucose as potential biomarkers for bevacizumab & RAD001 activity
  • To assess serum erythropoietin, reticulocyte counts, & hemoglobin/hematocrit as potential biomarkers for bevacizumab activity
  • To perform subgroup analysis based on Motzer risk types

Estimated Enrollment: 30
Study Start Date: August 2008
Estimated Study Completion Date: December 2011
Estimated Primary Completion Date: December 2010 (Final data collection date for primary outcome measure)
  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

  • Histologically confirmed metastatic RCC that is predominantly clear cell
  • Measurable disease, as defined by RECIST (see Appendix D)
  • Age >= 18 years
  • ECOG performance status of 0 or 1
  • No more than one prior targeted therapy (e.g. sorafenib, sunitinib)

    • Prior cytokine therapy allowed
  • No more than two prior systemic therapies
  • Ability and capacity to comply with the study and follow-up procedures Exclusion Criteria:a. Disease-Specific Exclusions
  • RCC with predominantly sarcomatoid features
  • Radiotherapy for RCC within 28 days prior to Day 1, with the exception of single-fraction radiotherapy given for the indication of pain control
  • Prior treatment with bevacizumab or any mTOR inhibitor (temsirolimus, sirolimus, or everolimus)
  • Current need for dialysis

Exclusion Criteria:DISEASE SPECIFIC EXCLUSIONS

  • RCC with predominantly sarcomatoid features
  • Radiotherapy for RCC within 28 days prior to Day 1, with the exception of single-fraction radiotherapy given for the indication of pain control
  • Prior treatment with bevacizumab or any mTOR inhibitor (temsirolimus, sirolimus, or everolimus)
  • Current need for dialysis

GENERAL MEDICAL EXCLUSIONS

Subjects meeting any of the following criteria are ineligible for study entry:

  • Inability to comply with study and/or follow-up procedures
  • Life expectancy of less than 12 weeks
  • Inadequate organ function, as evidenced by any of the following at screening:

    • Absolute neutrophil count (ANC) < 1500/µL
    • Platelet count <= 100 x 109/L
    • Total bilirubin >= 1.5 x ULN
    • Alkaline phosphatase, AST, and/or ALT > 2.5 x the upper limit of normal (ULN) for patients without evidence of liver metastases; > 5 X ULN for patients with documented liver metastases
    • Serum creatinine > 2.0 mg/dL
    • Hemoglobin < 9 g/dL a. may be transfused or receive epoetin alfa to maintain or exceed this level
  • Active infection or fever > 38.5°C within 3 days of starting treatment
  • Women who are pregnant or breast feeding, or women/men able to conceive and unwilling to practice an effective method of birth control.

    • Women of childbearing potential must have a negative urine or serum pregnancy test within 7 days prior to the initial administration of RAD001 and the first day of each cycle.
    • Oral, implantable, or injectable contraceptives may be affected by cytochrome P450 interactions, and are therefore not considered effective methods of birth control for this study.
  • History of other malignancies within 5 years prior to Day 1 except for tumors with a negligible risk for metastasis or death, such as adequately controlled basal cell carcinoma, squamous-cell carcinoma of the skin, carcinoma in situ of the cervix, early-stage bladder cancer, or low-grade endometrial cancer
  • Malignancies that have undergone a putative surgical cure (i.e., localized prostate cancer post-prostatectomy) within 5 years prior to Day 1 may be discussed with the Medical Monitor.
  • Any other medical conditions (including mental illness or substance abuse) deemed by the clinician to be likely to interfere with a patient's ability to provide informed consent, cooperate, or participate in the study, or to interfere with the interpretation of the results.
  • Current, recent (within 4 weeks of the first infusion of this study), or planned participation in an experimental drug study

BEVACIZUMAB-SPECIFIC EXCLUSIONS

  • Inadequately controlled hypertension (defined as systolic blood pressure > 150 and/or diastolic blood pressure > 100 mmHg on antihypertensive medications)
  • Any prior history of hypertensive crisis or hypertensive encephalopathy
  • New York Heart Association (NYHA) Grade II or greater congestive heart failure (see Appendix B)
  • History of myocardial infarction or unstable angina within 6 months prior to study enrollment
  • History of stroke or transient ischemic attack within 6 months prior to study enrollment
  • Known CNS disease, except for treated brain metastasis

    • Treated brain metastases are defined as having no evidence of progression or hemorrhage after treatment and no ongoing requirement for dexamethasone, as ascertained by clinical examination and brain imaging (MRI or CT) during the screening period. Anticonvulsants (stable dose) are allowed. Treatment for brain metastases may include whole brain radiotherapy (WBRT), radiosurgery (RS; Gamma Knife, LINAC, or equivalent) or a combination as deemed appropriate by the treating physician. Patients with CNS metastases treated by neurosurgical resection or brain biopsy performed within 3 months prior to Day 1 will be excluded
  • Significant vascular disease (e.g., aortic aneurysm, aortic dissection)
  • Symptomatic peripheral vascular disease
  • Evidence of bleeding diathesis or coagulopathy that is not intentionally pharmacologically-induced
  • Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to study enrollment or anticipation of need for major surgical procedure during the course of the study
  • Core biopsy or other minor surgical procedure, excluding placement of a vascular access device, within 7 days prior to study enrollment
  • History of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 6 months prior to study enrollment
  • Serious, non-healing wound, ulcer, or bone fracture
  • Proteinuria at screening as demonstrated by either:
  • Urine protein: creatinine (UPC) ratio >= 1.0 at screening OR
  • Urine dipstick for proteinuria >= 2+ (patients discovered to have >= 2+ proteinuria on dipstick urinalysis at baseline should undergo a 24 hour urine collection and must demonstrate <= 1g of protein in 24 hours to be eligible).
  • Known hypersensitivity to any component of bevacizumab

RAD001 SPECIFIC EXCLUSIONS

  • Known hypersensitivity to any component of RAD001
  • Chronic treatment with systemic steroids or another immunosuppressive agent
  • Impairment of gastrointestinal function or gastrointestinal disease that may significantly alter the absorption of RAD001 (e.g., ulcerative disease, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome or small bowel resection)
  • Severely impaired lung function (spirometry and DLCO 50% or less of normal and O2 saturation 88% or less at rest on room air)
  • If O2 saturation is <= 88% at rest on screening, pulmonary function tests (PFTs) will be ordered to confirm normal pulmonary function and eligibility.
  • Fasting total cholesterol > 350 mg/dl
  • Fasting triglyceride level > 400 or >2.5x ULN
  • Fasting serum glucose > 250
  • Serum phosphorus < 2.0
  • Serum corrected calcium < 8.0 mg/dL
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00651482

Contacts
Contact: Denise Haas (650) 736-1252 dhaas@stanford.edu

Locations
United States, California
Stanford University School of Medicine Recruiting
Stanford, California, United States, 94305
Contact: Denise Haas     650-736-1252     dhaas@stanford.edu    
Contact: Cancer Clinical Trials Office     (650) 498-7061        
Principal Investigator: Dr. Sandy Srinivas            
Sub-Investigator: Lauren Harshman            
Sponsors and Collaborators
Stanford University
Genentech
Novartis
Investigators
Principal Investigator: Dr. Sandy Srinivas Stanford University
  More Information

No publications provided

Responsible Party: Stanford University School of Medicine ( Dr. Sandy Srinivas, Principal Investigator )
Study ID Numbers: SU-01092008-969, 98593, AVF4304s, NCT00651482, RENAL0016
Study First Received: March 28, 2008
Last Updated: August 28, 2009
ClinicalTrials.gov Identifier: NCT00651482     History of Changes
Health Authority: United States: Food and Drug Administration;   United States: Institutional Review Board

Study placed in the following topic categories:
Everolimus
Urinary Tract Neoplasm
Kidney Cancer
Urogenital Neoplasms
Bevacizumab
Urologic Neoplasms
Angiogenesis Inhibitors
Carcinoma
Renal Cancer
Urologic Diseases
Kidney Neoplasms
Carcinoma, Renal Cell
Kidney Diseases
Adenocarcinoma
Neoplasms, Glandular and Epithelial

Additional relevant MeSH terms:
Neoplasms by Histologic Type
Antineoplastic Agents
Growth Substances
Physiological Effects of Drugs
Urogenital Neoplasms
Bevacizumab
Urologic Neoplasms
Angiogenesis Inhibitors
Pharmacologic Actions
Carcinoma
Neoplasms
Neoplasms by Site
Urologic Diseases
Kidney Neoplasms
Therapeutic Uses
Carcinoma, Renal Cell
Growth Inhibitors
Angiogenesis Modulating Agents
Kidney Diseases
Adenocarcinoma
Neoplasms, Glandular and Epithelial

ClinicalTrials.gov processed this record on September 11, 2009