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Study Evaluating Interferon And CCI-779 In Advanced Renal Cell Carcinoma

A Phase 3, Three-Arm, Randomized, Open-Label Study Of Interferon Alfa Alone, CCI-779 Alone, And The Combination Of Interferon Alfa And CCI-779 In First-Line Poor-Prognosis Subjects With Advanced Renal Cell Carcinoma.

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00065468
Acronym
ARCC
Enrollment
626
Registered
2003-07-25
Start date
2003-07-31
Completion date
2011-03-31
Last updated
2012-10-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Carcinoma, Renal Cell, Kidney Neoplasms

Keywords

Advanced Renal Cell Carcinoma, Kidney Cancer

Brief summary

The primary objective of this study is efficacy. The primary efficacy endpoint of this study is a comparison of the overall survival of subjects treated with CCI-779 \[Temsirolimus\], administered intravenously \[IV\] once weekly and the combination of CCI-779, administered IV once weekly with Interferon Alfa \[IFN alfa\] subcutaneously \[SC\] three times per week \[TIW\], compared with the overall survival of subjects treated with IFN alfa (SC TIW) alone, in poor-prognosis subjects with advanced RCC.

Interventions

DRUGInterferon Alfa and CCI-779

15 mg of CCI-779 given Intra Venously once per week; 6 MU of IFN alfa (Roferon) given Sub Cutaneously three time /week

25 mg of CCI-779 given Intra Venously once per week

Interferon alfa (Roferon) 3 MU given Sub Cutaneously three time /week for the first week, 9 MU given Sub Cutaneously three time /week for the second week, 18 MU given Sub Cutaneously three time /week thereafter.

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* This study will be conducted in subjects with histologically confirmed, advanced (stage IV or recurrent disease) RCC who have not received prior systemic therapy for their disease,

Exclusion criteria

* Subjects with central nervous system (CNS) metastases * Prior anticancer therapy for RCC * Prior investigational therapy/agents within 4 weeks of randomization

Design outcomes

Primary

MeasureTime frameDescription
Overall Survival (OS)Baseline up to Month 80Overall survival is the duration from randomization to death. For participants who are alive, overall survival is censored at the last contact.

Secondary

MeasureTime frameDescription
Percentage of Participants With Objective ResponseBaseline, every 2 months until tumor progression or death (up to Month 80)Percentage of participants with objective response based assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). CR was the disappearance of all target lesions and non target lesions. PR was at least a 30 percent (%) decrease in sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD.
Percentage of Participants With Clinical BenefitBaseline, every 2 months until tumor progression or death (up to Month 80)Clinical benefit: confirmed CR or PR or had stable disease (SD) lasting at least 24 weeks. CR was the disappearance of all target lesions and non target lesions. PR was at least a 30% decrease in sum of the LD of target lesions, taking as reference the baseline sum LD. SD was having neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD.
Duration of Response (DR)Baseline, every month until tumor progression or death (up to Month 80)DR: Time from first documentation of objective tumor response to first date that recurrence or progressive disease (PD) was objectively documented, taking as a reference for PD, the smallest sum LD recorded since randomization.
Progression-Free Survival (PFS)Baseline, monthly until tumor progression or death (up to Month 80)PFS based on Independent Central Review Assessment. The period from randomization until disease progression, death or date of last contact.
Quality-adjusted Time Without Symptoms or Toxicity (Q-TWiST)Baseline to Month 80The Q-Twist is not a score calculated for each participant but is defined only on a by treatment group basis. For each treatment group, it is the weighted sum of the mean durations of the health states Tox, Twist, and Relapse. Tox is defined as time with severe toxicity related to treatment; Twist: time without symptoms or toxic side effects; and Relapse: time after relapse/progression. The mean duration of each health state is calculated based on the area under the Kaplan Meier curve pertaining to that health state. There is no direct method for calculating the dispersion of Q-Twist, and it is typically done using bootstrap method for purposes of inference (see, e.g., Glasziou PP, Simes RJ, Gelber RD. Quality adjusted survival analysis. Stat Med 1990; 9: 1259-76). In practice, as apparently in the case with this study, the intermediate values resulting from the bootstrap exercise were not displayed.
European Quality of Life Health Questionnaire (EQ-5D) - Index ScoreBaselineEQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single index value. EQ-5D index measured 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Range of EQ-5D index score = -0.594 to 1 where higher scores indicated a better health state.
Time to Treatment Failure (TTF)Baseline, every month until tumor progression or death (up to Month 80)TTF is defined as the time from the date of randomization to the date of PD or death, withdrawal from treatment due to an adverse event (AE), withdrawal of voluntary consent, or lost to follow-up, whichever occurred first, censored at the date of the conclusion of treatment phase.

Countries

Argentina, Australia, Canada, Czechia, Germany, Greece, Hungary, Italy, Latvia, Lithuania, Mexico, Netherlands, Poland, Russia, Serbia, Serbia and Montenegro, Slovakia, South Africa, Spain, Sweden, Taiwan, Turkey (Türkiye), Ukraine, United Kingdom, United States

Participant flow

Participants by arm

ArmCount
Interferon Alfa
Interferon Alfa (Roferon) 3 million units (MU) subcutaneously 3 times per week for 1 week, then 9 MU subcutaneously 3 times per week for 1 week, then 18 MU subcutaneously 3 times per week until disease progression or treatment withdrawal
207
Temsirolimus
Temsirolimus (CCI-779) 25 milligrams (mg) intravenously (IV) once per week until disease progression or treatment withdrawal
209
Interferon Alfa and Temsirolimus
Interferon Alfa (Roferon) 6 MU subcutaneously 3 times per week and Temsirolimus (CCI-779) 15 mg IV once per week until disease progression or treatment withdrawal
210
Total626

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyDeath172169171
Overall StudyDiscontinuation of study by Sponsor13913
Overall StudyDisease progression001
Overall StudyLost to Follow-up532
Overall StudyOther142418
Overall StudyWithdrawal by Subject345

Baseline characteristics

CharacteristicInterferon AlfaTemsirolimusInterferon Alfa and TemsirolimusTotal
Age Continuous59.2 years
STANDARD_DEVIATION 10.4
58.7 years
STANDARD_DEVIATION 10
59.3 years
STANDARD_DEVIATION 9.8
59.1 years
STANDARD_DEVIATION 10.1
Sex: Female, Male
Female
59 Participants70 Participants65 Participants194 Participants
Sex: Female, Male
Male
148 Participants139 Participants145 Participants432 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
197 / 200208 / 208205 / 208
serious
Total, serious adverse events
99 / 20082 / 208122 / 208

Outcome results

Primary

Overall Survival (OS)

Overall survival is the duration from randomization to death. For participants who are alive, overall survival is censored at the last contact.

Time frame: Baseline up to Month 80

Population: Intent-to-treat (ITT) Population: all randomized participants

ArmMeasureValue (MEDIAN)
Interferon AlfaOverall Survival (OS)7.3 months
TemsirolimusOverall Survival (OS)10.9 months
Interferon Alfa and TemsirolimusOverall Survival (OS)8.4 months
p-value: 0.025295% CI: [0.63, 0.97]Log Rank
p-value: 0.490295% CI: [0.75, 1.15]Log Rank
Secondary

Duration of Response (DR)

DR: Time from first documentation of objective tumor response to first date that recurrence or progressive disease (PD) was objectively documented, taking as a reference for PD, the smallest sum LD recorded since randomization.

Time frame: Baseline, every month until tumor progression or death (up to Month 80)

Population: ITT subset of participants who had a response

ArmMeasureValue (MEDIAN)
Interferon AlfaDuration of Response (DR)7.4 months
TemsirolimusDuration of Response (DR)11.1 months
Interferon Alfa and TemsirolimusDuration of Response (DR)9.3 months
Secondary

European Quality of Life Health Questionnaire (EQ-5D) - Index Score

EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single index value. EQ-5D index measured 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Range of EQ-5D index score = -0.594 to 1 where higher scores indicated a better health state.

Time frame: Baseline

Population: ITT;(N)=participants with evaluable data. Week 12 and 32 data collected for individual participants but not summarized.

ArmMeasureValue (MEDIAN)
Interferon AlfaEuropean Quality of Life Health Questionnaire (EQ-5D) - Index Score0.656 units on a scale
TemsirolimusEuropean Quality of Life Health Questionnaire (EQ-5D) - Index Score0.689 units on a scale
Interferon Alfa and TemsirolimusEuropean Quality of Life Health Questionnaire (EQ-5D) - Index Score0.689 units on a scale
Secondary

Percentage of Participants With Clinical Benefit

Clinical benefit: confirmed CR or PR or had stable disease (SD) lasting at least 24 weeks. CR was the disappearance of all target lesions and non target lesions. PR was at least a 30% decrease in sum of the LD of target lesions, taking as reference the baseline sum LD. SD was having neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD.

Time frame: Baseline, every 2 months until tumor progression or death (up to Month 80)

Population: ITT

ArmMeasureValue (NUMBER)
Interferon AlfaPercentage of Participants With Clinical Benefit16.4 percentage of participants
TemsirolimusPercentage of Participants With Clinical Benefit34.0 percentage of participants
Interferon Alfa and TemsirolimusPercentage of Participants With Clinical Benefit30.0 percentage of participants
p-value: <0.0001Cochran-Mantel-Haenszel
p-value: 0.0011Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With Objective Response

Percentage of participants with objective response based assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). CR was the disappearance of all target lesions and non target lesions. PR was at least a 30 percent (%) decrease in sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD.

Time frame: Baseline, every 2 months until tumor progression or death (up to Month 80)

Population: ITT

ArmMeasureValue (NUMBER)
Interferon AlfaPercentage of Participants With Objective Response5.3 percentage of participants
TemsirolimusPercentage of Participants With Objective Response9.1 percentage of participants
Interferon Alfa and TemsirolimusPercentage of Participants With Objective Response9.5 percentage of participants
p-value: 0.1361Cochran-Mantel-Haenszel
p-value: 0.1062Cochran-Mantel-Haenszel
Secondary

Progression-Free Survival (PFS)

PFS based on Independent Central Review Assessment. The period from randomization until disease progression, death or date of last contact.

Time frame: Baseline, monthly until tumor progression or death (up to Month 80)

Population: ITT

ArmMeasureValue (MEDIAN)
Interferon AlfaProgression-Free Survival (PFS)3.2 months
TemsirolimusProgression-Free Survival (PFS)5.6 months
Interferon Alfa and TemsirolimusProgression-Free Survival (PFS)4.9 months
p-value: 0.004295% CI: [0.6, 0.91]Log Rank
p-value: 0.010795% CI: [0.62, 0.94]Log Rank
Secondary

Quality-adjusted Time Without Symptoms or Toxicity (Q-TWiST)

The Q-Twist is not a score calculated for each participant but is defined only on a by treatment group basis. For each treatment group, it is the weighted sum of the mean durations of the health states Tox, Twist, and Relapse. Tox is defined as time with severe toxicity related to treatment; Twist: time without symptoms or toxic side effects; and Relapse: time after relapse/progression. The mean duration of each health state is calculated based on the area under the Kaplan Meier curve pertaining to that health state. There is no direct method for calculating the dispersion of Q-Twist, and it is typically done using bootstrap method for purposes of inference (see, e.g., Glasziou PP, Simes RJ, Gelber RD. Quality adjusted survival analysis. Stat Med 1990; 9: 1259-76). In practice, as apparently in the case with this study, the intermediate values resulting from the bootstrap exercise were not displayed.

Time frame: Baseline to Month 80

Population: ITT

ArmMeasureValue (NUMBER)
Interferon AlfaQuality-adjusted Time Without Symptoms or Toxicity (Q-TWiST)6.9083 months
TemsirolimusQuality-adjusted Time Without Symptoms or Toxicity (Q-TWiST)8.3707 months
Interferon Alfa and TemsirolimusQuality-adjusted Time Without Symptoms or Toxicity (Q-TWiST)7.4821 months
Secondary

Time to Treatment Failure (TTF)

TTF is defined as the time from the date of randomization to the date of PD or death, withdrawal from treatment due to an adverse event (AE), withdrawal of voluntary consent, or lost to follow-up, whichever occurred first, censored at the date of the conclusion of treatment phase.

Time frame: Baseline, every month until tumor progression or death (up to Month 80)

Population: ITT

ArmMeasureValue (MEDIAN)
Interferon AlfaTime to Treatment Failure (TTF)1.9 months
TemsirolimusTime to Treatment Failure (TTF)3.7 months
Interferon Alfa and TemsirolimusTime to Treatment Failure (TTF)2.5 months
p-value: <0.000195% CI: [0.51, 0.76]Log Rank
p-value: 0.00295% CI: [0.6, 0.89]Log Rank

Source: ClinicalTrials.gov · Data processed: Apr 7, 2026