Metastatic Renal Cell Carcinoma
Conditions
Keywords
Renal cell carcinoma, Sunitinib, phase II study, Randomized study
Brief summary
This study is to evaluate the efficacy, safety, and feasibility of sunitinib in 4/2 and 2/1 regimen in previously untreated metastatic RCC to select the most promising regimen, which should be used in further studies of this patient population.
Interventions
Sunitinib 50 mg PO 2 weeks followed by 1 week rest
Sunitinib 50 mg PO 4 weeks followed by 2 week rest
Sponsors
Study design
Eligibility
Inclusion criteria
1. Histologically or cytologically confirmation of renal cell carcinoma with a clear cell histologic component 2. Patients must present with stage IV disease not amenable to surgery, radiotherapy, or combined modality therapy with curative intent. 3. Measurable disease according to RECIST criteria are required but patients with evaluable lesions without measurable lesions are allowed to be enrolled to this study 4. ECOG performance status 2 or better 5. Age 18 years or older 6. Adequate bone marrow, hepatic, and renal function 7. Life expectancy of \> 3 months 8. Singed and dated informed consent of document indicating that the patient (or legally acceptable representative) has been informed of all pertinent aspects of the trial prior to enrollment
Exclusion criteria
1. Known spinal cord compression or carcinomatous meningitis 2. Diagnosis of any serious secondary malignancy within the last 2 years, except for adequately treated basal cell or squamous cell carcinoma of skin, or in situ carcinoma of cervix uteri 3. Hypertension that cannot be controlled by medications (blood pressure \> 150/90 mmHg despite optimal medical therapy) 4. Treatment with anticonvulsant agents and treatment with therapeutic doses of coumadin currently or within 2 weeks prior to first day of sunitinib administration. Low dose coumadin for DVT prophylaxis is permitted (up to 2 mg/day). 5. Pregnancy or breast feeding. 6. Other severe acute or chronic medical or psychiatric condition 7. Prior treatment on sunitinib, sorafenib, or bevacizumab.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Treatment failure rate (progressive disease, treatment withdrawal due to unacceptable toxicities, or any death) | 12 months | From the date of randomization to the date of progressive disease, treatment withdrawal, or death from any cause, which came first. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall survival | 36 months | — |
| Adverse events | about 12 months | CTC AE v.3.0 |
| Overall response rate | 6 months | RECIST v.1.1 will be used to assess tumor responses |
| quality of life | 12 months | EORTC QLQ C30 and EQ5D will be used to assess the quality of life |
| Progression free survival | 12 months | — |
Countries
South Korea