Kidney Cancer
Conditions
Keywords
stage I renal cell cancer, stage II renal cell cancer, stage III renal cell cancer, stage IV renal cell cancer
Brief summary
RATIONALE: Sunitinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor. Giving sunitinib before surgery may make the tumor smaller and reduce the amount of normal tissue that needs to be removed. PURPOSE: This clinical trial is studying the side effects of giving sunitinib before surgery and to see how well it works in treating patients with localized or metastatic kidney cancer.
Detailed description
OBJECTIVES: Primary * Determine the safety of sunitinib malate in patients with localized or metastatic renal cell carcinoma. * Determine the safety of surgery after 90 days of treatment with sunitinib malate in these patients. Secondary * Determine response of these patients after 90 days of treatment with sunitinib malate. OUTLINE: Patients receive oral sunitinib malate once daily on days 1-90 in the absence of disease progression or unacceptable toxicity. Patients then undergo radical nephrectomy. After completion of study treatment, patients are followed for 3 months.
Interventions
oral
IV
Surgery
Sponsors
Study design
Eligibility
Inclusion criteria
DISEASE CHARACTERISTICS: * Newly diagnosed renal cell carcinoma * Clinical stage T1b, T2, or T3 tumor with or without nodal or hematogenous metastasis * Localized or metastatic disease by renal biopsy * Primary tumor must be amenable to surgical removal * No history of or known spinal cord compression or carcinomatous meningitis OR evidence of symptomatic brain or leptomeningeal disease by CT scan or MRI * Treated, stable, and asymptomatic brain metastases are allowed PATIENT CHARACTERISTICS: * ECOG performance status 0-1 * ANC ≥ 1,500/mm\^3 * Platelets ≥ 100,000/mm\^3 * Hemoglobin ≥ 9.0 g/dL * AST and ALT ≤ 2.5 times upper limit of normal (ULN) (≤ 5 times ULN if liver function abnormalities are due to underlying malignancy) * Total bilirubin ≤ 1.5 times ULN * Creatinine \< 2 mg/dL OR creatinine clearance \> 40 mL/min * Calcium ≤ 10.2 mg/dL * QTc interval \< 500 msec * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective barrier contraception during and for 3 (male)-6 (female) months after completion of study treatment * No serious intercurrent illness including, but not limited to, any of the following: * Clinically significant cardiovascular disease (e.g., uncontrolled hypertension, myocardial infarction, unstable angina) * New York Heart Association ≥ class II congestive heart failure * Serious cardiac arrhythmia requiring medication * Peripheral vascular disease ≥ grade 2 * Psychiatric illness/social situations that would limit compliance with study requirements * None of the following conditions within the past 6 months: * Myocardial infarction * Severe/unstable angina * Coronary/peripheral artery bypass graft * Symptomatic congestive heart failure * Cerebrovascular accident or transient ischemic attack * Pulmonary embolism * No ongoing cardiac dysrhythmias NCI CTCAE version 3.0 ≥ grade 2 * No hypertension that cannot be controlled by medications (i.e., diastolic blood pressure \> 100 mm Hg despite optimal medical therapy) * No known HIV positivity PRIOR CONCURRENT THERAPY: * Not specified
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Safety of Sunitinib Malate (SM) | 90 days | Incident Rate: The proportion of the population who experience a grade 3 or higher endpoint-relevant toxic event within 3 months of the beginning of treatment. |
| Safety of Surgery After 90 Days of Treatment With SM | 90 days | Incident Rate: Intraoperative Complication Rate |
Secondary
| Measure | Time frame |
|---|---|
| Response Rate After 90 Days of Treatment With SM | 90 days |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Sunitinib Malate (Sunitinib) sunitinib malate: 37.5 mg of daily oral sunitinib is given for 90 days prior to surgery
neoadjuvant therapy: IV
therapeutic conventional surgery: Surgery | 20 |
| Total | 20 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Adverse Event | 2 |
| Overall Study | not treated | 6 |
| Overall Study | Other | 1 |
| Overall Study | Withdrawal by Subject | 1 |
Baseline characteristics
| Characteristic | Sunitinib Malate (Sunitinib) |
|---|---|
| Age, Continuous | 60.24 years STANDARD_DEVIATION 9.57 |
| Sex: Female, Male Female | 9 Participants |
| Sex: Female, Male Male | 11 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 20 / 20 |
| serious Total, serious adverse events | 0 / 20 |
Outcome results
Safety of Sunitinib Malate (SM)
Incident Rate: The proportion of the population who experience a grade 3 or higher endpoint-relevant toxic event within 3 months of the beginning of treatment.
Time frame: 90 days
Population: All treated and eligible patients
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Sunitinib Malate (Sunitinib) | Safety of Sunitinib Malate (SM) | .350 proportion of participants |
Safety of Surgery After 90 Days of Treatment With SM
Incident Rate: Intraoperative Complication Rate
Time frame: 90 days
Population: All treated and eligible patients
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Sunitinib Malate (Sunitinib) | Safety of Surgery After 90 Days of Treatment With SM | .150 proportion of participants |
Response Rate After 90 Days of Treatment With SM
Time frame: 90 days
Population: All treated and eligible patients
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Sunitinib Malate (Sunitinib) | Response Rate After 90 Days of Treatment With SM | .20 proportion of participants |