Overview

This trial is active, not recruiting.

Condition renal cell carcinoma
Treatments sunitinib, nephrectomy
Phase phase 2
Targets VEGF, FLT-3, KIT, PDGF
Sponsor M.D. Anderson Cancer Center
Collaborator Pfizer
Start date June 2008
End date June 2017
Trial size 50 participants
Trial identifier NCT00715442, 2007-0511, NCI-2012-01678

Summary

The goal of this clinical research study is to learn if Sutent® (sunitinib malate), given before surgery, can help control renal cell carcinoma. The safety of sunitinib malate will also be studied.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Endpoint classification safety/efficacy study
Intervention model single group assignment
Masking open label
Primary purpose treatment
Arm
(Experimental)
Sunitinib 50 mg by mouth daily for 28 consecutive days. Nephrectomy will occur approximately 24 hours after the last dose of sunitinib.
sunitinib SU011248
50 mg by mouth daily for 28 consecutive days
nephrectomy Surgical Removal of Kidney
Nephrectomy will occur approximately 24 hours after the last dose of sunitinib.

Primary Outcomes

Measure
Time to progression (TTP)
time frame: Baseline start of treatment to disease progression; up to 5 years

Eligibility Criteria

Male or female participants of any age.

Inclusion Criteria: 1. Patients with histologically or cytologically confirmed metastatic clear cell RCC who are eligible for cytoreductive nephrectomy. The determination of resectability will ultimately lie in the clinical judgment of the urologist and medical oncologist involved in the care of the patient. 2. Measurable disease is defined as a lesion that can be accurately measured in at least one dimension (longest diameter to be recorded) and measures >/= 20 mm with conventional techniques or >/= 10 mm with spiral CT scan. This does not include primary tumors, which will be removed. 3. ECOG performance status /= 1,500/microL b) platelets >/= 75,000/microL c) Hgb > 9.0 g/dL (may be transfused or receive epoetin alfa [e.g., Epogen®] to maintain this level) d) total bilirubin 2 weeks from study drug administration. 5. Patients must not be scheduled to receive another experimental drug while on this study. Patients are permitted to be on concomitant bisphosphonates and megestrol acetate. 6. Patients must not have a primary brain tumor (excluding meningiomas other benign lesions), any brain metastases, leptomeningeal disease, seizure disorders not controlled with standard medical therapy, history of stroke within the past year. 7. History of serious systemic disease, including myocardial infarction or unstable angina within the last 12 months, history of hypertensive crisis or hypertensive encephalopathy, uncontrolled hypertension (blood pressure of > 140/90 mmHg) at the time of enrollment, New York Heart Association (NYHA) Grade II or greater congestive heart failure, unstable symptomatic arrhythmia requiring medication (subjects with chronic atrial arrhythmia, i.e., atrial fibrillation or paroxysmal supraventricular tachycardia are eligible), significant vascular disease or symptomatic peripheral vascular disease. 8. Patients must not have history of other diseases, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug or that might affect the interpretation of the results of the study or render the subject at high risk from treatment complications. 9. Patients receiving any concomitant systemic therapy for renal cell cancer are excluded, but patients taking bisphosphonates and megestrol acetate are not excluded. 10. Patients must not require total parenteral nutrition with lipids. 11. Patients must not have clinical history of coagulopathy, bleeding diathesis or thrombosis within the past year. 12. Patients must not have serious, non-healing wound, ulcer, or bone fracture. 13. Pregnancy (positive pregnancy test) or lactation. 14. History of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 6 months prior to study enrollment. 15. Know hypersensitivity to any component of sunitinib.

Additional Information

Official title Phase II Non-Randomized Pre-Surgical Study Evaluating Sunitinib in Patients With Metastatic Renal Cell Carcinoma (RCC) Who Are Eligible for Cytoreductive Nephrectomy
Principal investigator Eric Jonasch, MD
Description The Study Drug: Sunitinib malate is designed to block pathways that control important events such as the growth of blood vessels that are essential for the growth of cancer. Study Treatment: If you are found to be eligible to take part in this study, you will take sunitinib malate once a day (either with or without food) for 4 weeks in a row, followed by 2 weeks of rest with no study drug. These 6 weeks are considered 1 cycle of study treatment. During Cycle 2, you will have surgery to remove the tumor. You will start taking sunitinib malate again after surgery (at least 14 days after surgery) on the same schedule as before. Study Visits: At the beginning of each new cycle (Cycles 1-6), you will have the following tests: - Your complete medical history will be recorded. - You will have a physical exam, including measurement of your vital signs, and weight. - You will have a performance status evaluation. - You will be asked about any medicines you are currently taking and if you have experienced any side effects since your last visit. - You will have blood drawn (about 4 teaspoons) for routine testing. This blood will also be tested to check the function of your thyroid gland. - You will have follow-up scans (the same ones you had during screening to check the disease status) at the beginning of Cycle 2, after you have surgery, and at the beginning of each of the next 4 cycles. - You will have an ECG to measure the health of your heart. Every 2 Cycles, you will have a follow-up echocardiogram or MUGA scan to check your heart function, if your doctor feels it is needed. Beginning in Cycle 7, you will be asked to return to the clinic every other cycle (about every 12 weeks), unless your doctor thinks you should return more often. This means you would return for clinic visits at the start of Cycles 8, 10, 12, and so on, and may be asked to come back at other times. At each visit, you will have the following tests: - Your complete medical history will be recorded. - You will have a physical exam, including measurement of your vital signs and weight. - You will have a performance status evaluation. - You will be asked about any medicines you are currently taking and if you have experienced any side effects since your last visit. - You will have blood drawn (about 4 teaspoons) for routine testing at the beginning of each cycle. If you are scheduled to return to M. D. Anderson every 2 cycles (12 weeks), you may have the blood drawn for routine tests at your local doctor's office during the "non-visit" cycles. - You will have an ECG to measure the health of your heart. - You will have an echocardiogram or MUGA scan to check your heart function, if your doctor feels it is needed. - You will have follow-up scans (the same ones you had during screening to check the disease status). Length of Study: You will continue taking sunitinib malate on this study, unless the disease gets worse, you experience intolerable side effects, and/or you need an alternative treatment during the course of the study. Early Withdrawal: Early withdrawal is defined as a patient not being able to complete a full cycle of sunitinib malate. If you withdraw early, you will return to clinic for the following tests: - Your complete medical history will be recorded. - You will have a physical exam, including measurement of your vital signs, and weight. - You will have a performance status evaluation. - You will have blood drawn (about 4 teaspoons) and urine collected for routine testing. This blood will also be tested to check the function of your thyroid gland. - You will have an ECG to measure the health of your heart. - You will be asked about any medicines you are currently taking and if you have experienced any side effects since your last visit. - You will have follow-up scans (the same ones you had during screening to check the disease status). Post Treatment Evaluation (within 1 month of the last dose): About 30 days after your last dose of sunitinib malate, you will return to the clinic for a follow-up visit. You will have the following tests: - Your complete medical history will be recorded. - You will have a physical exam, including measurement of your vital signs, and weight. - You will have a performance status evaluation. - You will have blood drawn (about 4 teaspoons) and urine collected for routine testing. This blood will also be tested to check the function of your thyroid gland. - You will be asked about any medicines you are currently taking and if you have experienced any side effects since your last visit. - You will have follow-up scans (the same as at screening) to check the status of the disease. - You will have an ECG to measure the health of your heart. Long-Term Follow-Up: Following the post-treatment visit, you will be contacted regularly to check the status of the disease. You will be contacted (by telephone or routine clinic visit) every 6-12 weeks for the first 2 years, and every 6 months after that for up to 5 years. This is an investigational study. Sunitinib malate is commercially available and FDA approved for treatment of clear-cell renal cell carcinoma. At this time, its use in combination with surgery is for research only. Up to 50 patients will take part in this study. All will be enrolled at MD Anderson.
Trial information was received from ClinicalTrials.gov and was last updated in September 2015.
Information provided to ClinicalTrials.gov by M.D. Anderson Cancer Center.