Full Text View
Tabular View
No Study Results Posted
Related Studies
Low-Dose IL-2 Plus IFN-Alpha Immunotherapy as Adjuvant Treatment of Renal Carcinoma.
This study is ongoing, but not recruiting participants.
First Received: July 16, 2007   No Changes Posted
Sponsored by: Gruppo Oncologico Italiano di Ricerca Clinica
Information provided by: Gruppo Oncologico Italiano di Ricerca Clinica
ClinicalTrials.gov Identifier: NCT00502034
  Purpose

The aim of this study is to compare the efficacy (in terms of event-free survival and overall survival) of an adjuvant therapy with IFN-alpha plus low-dose of IL2 vs a wait-and-see program in patient with radically operated renal cell carcinoma.


Condition Intervention Phase
Carcinoma, Renal Cell
Drug: Interleukin 2
Drug: Interferon-alpha2
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Placebo Control, Parallel Assignment, Efficacy Study
Official Title: Adjuvant Low-Dose Interleukin-2 (IL2) Plus Interferone-Alpha (IFN) in Operable Renal Cell Cancer (RCC). Phase III, Randomized, Multicenter Trial of the Italian Oncology Group for Clinical Research (GOIRC).

Resource links provided by NLM:


Further study details as provided by Gruppo Oncologico Italiano di Ricerca Clinica:

Primary Outcome Measures:
  • Recurrence-free survival: loco-regional, adrenal, kidney and distant-metastases were the events considered for event-free survival.

Secondary Outcome Measures:
  • Tolerability, toxicity and safety.

Enrollment: 310
Study Start Date: July 1994
Detailed Description:

For pts with non-metastatic RCC, no standard adjuvant treatment exists. Immunotherapy (IT) using IFN and/or IL2 is effective in metastatic disease setting. Low and chronically repeated doses of IL2 plus IFN induce a persistent stimulation of the immune system with no relevant toxicity. Surgically treated RCC pts were randomized to the following arms: A) low-dose IT; B) control arm. IT consisted of a 4-week cycle of s.c. IL2 (5 days/wk, 1 million UI/sqm bid d 1,2 and 1 million UI/sqm x 1 d 3,4,5) + IFN (1,8 million UI/sqm d 3,5 of each week). Cycles were repeated every 4 months for the first 2 years and every 6 months for the remaining 3 years. Each patient received 12 cycles in 5 years. Inclusion criteria were as follows: histological diagnosis of RCC, age <75 yrs, radical or partial nephrectomy within the past 3 months, pT1 (diameter of T > 2,5 cm), T2, T3 a-b-c; pN0-pN3, M0; good cardiac and renal function and no autoimmune disease.

  Eligibility

Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Diagnosis histologically confirmed of renal cells carcinoma (every histotype);
  • Age < 75 years
  • Radical surgical removal of the tumor: total or partial nephrectomy within previous 3 months
  • Patient classified as T1 (with diameter > 2,5 cm), T2, T3 a-b-c; In presence of involvement of loco-regional lymph-nodes (staging N1, N2, N3, TNM class.), metastases should have been completely removed during nephrectomy
  • Absence of distant metastases;
  • Written informed consent

Exclusion Criteria:

  • Tumor diameter equal or less than 2,5 cm;
  • Previous chemotherapy or ormonotherapy o immunotherapy;
  • Renal insufficiency >3 mg/dl);
  • No symptomatic arrhythmias or autoimmune disease
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00502034

Locations
Italy
Parma University Hospital
Parma, Italy, 43100
Arcispedale Santa Maria Nuova
Reggio Emilia, Italy, 42100
Modena University Hospital
Modena, Italy, 41100
Pavia University Hospital
Pavia, Italy, 27100
Ospedali Riuniti di Bergamo
Bergamo, Italy, 24128
Ospedale "Guglielmo da Saliceto"
Piacenza, Italy, 29100
Istituti Ospitalieri di Cremona
Cremona, Italy, 26100
Parma University Hospital
Parma, Italy, 43100
Italy, Modena
Carpi Hospital
Carpi, Modena, Italy, 41012
Sponsors and Collaborators
Gruppo Oncologico Italiano di Ricerca Clinica
Investigators
Study Chair: Rodolfo Passalacqua, Medicine Gruppo Oncologico Italiano di Ricerca Clinica
Study Chair: Carlo Buzio, Medicine Parma University
  More Information

Additional Information:
Publications:
Study ID Numbers: POLAR 01
Study First Received: July 16, 2007
Last Updated: July 16, 2007
ClinicalTrials.gov Identifier: NCT00502034     History of Changes
Health Authority: Italy: Ministry of Health

Keywords provided by Gruppo Oncologico Italiano di Ricerca Clinica:
Carcinoma, Renal Cell
Low-dose Interleukin
Adjuvant Immunotherapy

Study placed in the following topic categories:
Interferon-alpha
Anti-Infective Agents
Urinary Tract Neoplasm
Kidney Cancer
Immunologic Factors
Interferons
Adjuvants, Immunologic
Urogenital Neoplasms
Urologic Neoplasms
Angiogenesis Inhibitors
Antiviral Agents
Carcinoma
Renal Cancer
Urologic Diseases
Analgesics, Non-Narcotic
Interleukin-2
Kidney Neoplasms
Carcinoma, Renal Cell
Peripheral Nervous System Agents
Analgesics
Kidney Diseases
Adenocarcinoma
Interferon Alfa-2a
Neoplasms, Glandular and Epithelial

Additional relevant MeSH terms:
Anti-Infective Agents
Immunologic Factors
Antineoplastic Agents
Physiological Effects of Drugs
Urogenital Neoplasms
Urologic Neoplasms
Neoplasms by Site
Urologic Diseases
Sensory System Agents
Kidney Neoplasms
Therapeutic Uses
Analgesics
Kidney Diseases
Angiogenesis Modulating Agents
Growth Inhibitors
Interferon-alpha
Neoplasms by Histologic Type
Growth Substances
Antiviral Agents
Angiogenesis Inhibitors
Pharmacologic Actions
Carcinoma
Neoplasms
Analgesics, Non-Narcotic
Interleukin-2
Carcinoma, Renal Cell
Peripheral Nervous System Agents
Adenocarcinoma
Interferon Alfa-2a
Central Nervous System Agents

ClinicalTrials.gov processed this record on September 11, 2009