- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01740154
Sunitinib Malate Related Fatigue in Patients With Metastatic Kidney Cancer
Exploration of the Neuromuscular Mechanisms Associated With Sunitinib Related Fatigue
Study Overview
Status
Detailed Description
PRIMARY OBJECTIVES:
I. To determine the mechanisms associated with sunitinib related fatigue by recording EMG signals during a submaximal elbow contraction, twitch force and TMS prior to and at the end of 4 weeks of sunitinib in metastatic RCC patients.
OUTLINE:
Patients receive sunitinib malate orally (PO) daily for 4 weeks. Patients undergo neuromuscular testing at baseline and on day 28 and complete fatigue assessment at baseline and on days 14 and 28.
.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Ohio
-
Cleveland, Ohio, United States, 44195
- Cleveland Clinic Taussig Cancer institute, Case Comprehensive Cancer Center
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Histologically proven renal cell cancer with metastases; pathology from either primary or metastatic tumor; no histologic subtype restriction
- Evidence of measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria version 1.1 or evaluable disease
- Eastern Cooperative Oncology Group (ECOG) performance score 0 to 1
- Hemoglobin >= 9 gram/dL
- Common Terminology Criteria for Adverse Events (CTCAE) fatigue levels pre-treatment < 2
- Signed and dated informed consent
Exclusion Criteria:
- Greater than 2 previous systemic treatments for RCC
- Heart failure, New York Heart Association (NYHA) class 3 and 4
- Unstable angina (defined as ongoing use of nitrates or cardiac ischemia in the prior 6 months)
- Arrhythmia uncontrolled by medication
- Hypertension (> 160/90 mmHg) not controlled with medical management
- Brain metastases or previous cranial radiation, leptomeningeal cancer
- Surgery within 2 weeks of study entrance
- History of stroke, myasthenia gravis, multiple sclerosis, polyneuropathy
- Pregnancy or breast feeding
- Central-nervous system active medications, intake or withdrawal of which lowers seizure threshold (determination made in consultation with study's responsible treating physician)
- Any history of epilepsy, convulsion or seizure
- Medication-resistant epilepsy in a first-degree relative
- Cochlear implants or internal pulse generators or cardiac pacemakers or intracardiac lines
- Metallic implants in the vicinity of discharging coil in the head or cervical spine
- Unexplained fainting spells/syncope or multiple concussions
- History of severe head trauma (followed by loss of consciousness)
- Implanted brain or spinal cord electrodes/stimulation
- Medication infusion device
- Frequent/severe headaches or severe migraines
- Past or current medical history of diagnosed or undiagnosed tinnitus
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Supportive care (sunitinib malate, neuromuscular testing)
Patients receive sunitinib malate PO daily for 4 weeks.
Patients undergo neuromuscular testing at baseline and on day 28 and complete fatigue assessment at baseline and on days 14 and 28.
|
Ancillary studies
Given PO
Other Names:
Undergo TMS
Other Names:
Undergo EMG
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes of Muscular (Peripheral) Fatigue Maximal Twitch Force (MTF)
Time Frame: Baseline and 28 days
|
The MTF will be elicited by supramaximal-intensity electrical stimulation of the muscle before and after the sustained contraction (SC).
If the muscle is fatigued at the end of the SC, the MTF will be reduced because the ability of muscle to generate force declines with fatigue.
If the sunitinib treatment results in minimal muscular fatigue, the MTF will not have as much reduction in the 2nd as that in the 1st session.
|
Baseline and 28 days
|
Change in EMG Amplitude and Power Frequency
Time Frame: Baseline and 28 days
|
EMG amplitude will increase (for low-intensity SC) and mean power frequency (MPF) decrease with muscle fatigue.
The EMG signals recorded during the SC, its amplitude and MPF will be analyzed to determine their changes at the end vs. beginning of the SC.
If the sunitinib results in minimal muscular fatigue, the amount of EMG increase and MPF decrease will be reduced in the 2nd compared with those the 1st session.
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Baseline and 28 days
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Changes in Motor Evoked Potential (MEP) by TMS
Time Frame: Baseline and 28 days
|
TMS illustrates the changes in corticospinal excitability occurring in association with fatigue.
Central muscle evoked response (MEP) will be elicited using transcranial magnetic stimulation (TMS) using single stimulus pulses applied to the scalp overlying the primary motor cortex.
|
Baseline and 28 days
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Brian Rini, MD, Cleveland Clinic Taussig Cancer institute, Case Comprehensive Cancer Center
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms by Histologic Type
- Neoplasms
- Urologic Neoplasms
- Urogenital Neoplasms
- Neoplasms by Site
- Kidney Diseases
- Urologic Diseases
- Adenocarcinoma
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Kidney Neoplasms
- Carcinoma, Renal Cell
- Fatigue
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antineoplastic Agents
- Angiogenesis Inhibitors
- Angiogenesis Modulating Agents
- Growth Substances
- Growth Inhibitors
- Protein Kinase Inhibitors
- Sunitinib
Other Study ID Numbers
- CASE8811
- NCI-2012-00988 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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