NON RESECTABLE AND / OR METASTATIC RENAL CELL CARCINOMA MedDRA version: 14.1 Level: LLT Classification code 10038484 Term: Renal neoplasia System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients who are able to give written informed consent.Patient informed constent must be obtained before any study specific procedure. 2.- Patients with non resectable and/or metastatic clear renal cell carcinoma histologically or citologically confirmed. papilares, cromófobos o histologias mixtas 3.- Patients who are not candidate to immunotherapy, according to predictive response factors or are intolerant to immunotherapy treatment. 4.- Patients with favorable or intermediate Motzer risk classification 5.- Age 18 years or older 6.- ECOG 0 to 1 7.- Measurable or evaluable disease 8.- Adequate hematopoietic (absolute neutrophil count > or = 1.5 x 10(9)/L; platelet count > or = 100 x 10(9) and hemoglobin > or = 10 g/dl) 9.- Adequate hepatic and renal functions defined as: bilirubin =65 years) yes F.1.3.1 Number of subjects for this age range 10
Exclusion criteria
Exclusion criteria: 1.- Papilar carcinoma, Bellini carcinoma, medular carcinoma and other less frequent renal cell carcinoma histologies. Pacientes con subtipos poco comunes de CCR como tumor de células papilares puro, carcinoma de Bellini, carcinoma medular o tumores oncocíticos cromófobos y variantes sarcomatoides quedarán excluidos del estudio. 3.- Patients that due to their clinical characteristic it is expected to have a potential benefit with immunotherapy treatment. 4.- Patients with high risk Motzer classification2.- Concomitant treatment with other chemotherapy or immunotherapy 5.- No previous malignancy except cervical carcinoma in situ, adequately treated basal cell carcinoma,superficial bladder tumors, or other malignancies curatively treated > 5 years before study entry. 6.- Previous history of congestive heart failure, active coronary disease or cardiac ischemia (Acute myocardial infartion within 6 previous months) or serious cardiac arrhythmias which require treatment. 7.- No history of HIV infection, cronic hepatitis B or C or any active clinically serious infections requiring systemic therapy. 8.- No pregnacy or lactanting females7.- Patients with seizures who require anticonvulsivant treatment. 9.- Clinically suspected or history of leptomeningeal involvement. 10.- Uncontrolled hypertension defined as systolic blood pressure > 150 mmHg ordiastolic pressure > 90 mmHg, despite optimal medical management.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Progression free survival defined as the time relapsed between first treatment administration and progressive disease (clinical o radiological) or death (any cause).;Secondary Objective: To evaluate toxicity profile To evaluate response rate (CR and PR) and tumor growth control (CR + PR + SD) Duration of response Overall survival Time to progression defined as the time elapse between first treatment administration and progressive disease.;Primary end point(s): Progression free survival defined as the time elapsed between first treatment administration and progressive disease (clinical or radiological) or death (any cause).;Timepoint(s) of evaluation of this end point: End of the study | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Safety profile, Objective response index (CR/PR) and control of tumor growth (CR/PR/SD), Duration of the response, Overall survival, Time to progression;Timepoint(s) of evaluation of this end point: End of the study | — |
Countries
Spain
Contacts
SOGUG, Grupo español para el estudio del cancer genitourinario