- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02919371
Combined Alternating Sunitinib and Bevacizumab (Avastin®) in Advanced Renal Cell Carcinoma (CASA)
August 9, 2018 updated by: King Faisal Specialist Hospital & Research Center
Phase I/II Combined Alternating Sunitinib and Bevacizumab (Avastin®) in Advanced Renal Cell Carcinoma (CASA)
Combined sunitinib and bevacizumab in advanced renal cell carcinoma.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Detailed Description
This is a phase I/II trial of combined sunitinib and bevacizumab in advanced renal cell carcinoma ( CASBA) where Bevacizumab will be used only on day 29 of each 6 weeks sunitinib cycle.
Study Type
Interventional
Enrollment (Anticipated)
77
Phase
- Phase 2
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
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Riyadh, Saudi Arabia, 11211
- Recruiting
- Oncology Centre, King Faisal Specialist Hospital and Research Centre
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 85 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Histologically confirmed renal cell carcinoma with clear cell histology ( mixed histology with clear cell component is accepted)
- Patient should have either locally advanced or metastatic disease
- No prior anti-cancer therapy
- Age ≥ 18 years
- Life expectancy of 3 months or more
- Measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) criteria version 1.1
- Performance status 0-2 by ECOG scale
- Patients with controlled brain metastasis are accepted
- Adequate renal function: serum creatinine ≤ 2 times the institutional upper limit of normal
- Adequate hepatic function: total bilirubin within normal institutional limits, serum AST and ALT levels ≤2 times the institutional upper limit of normal or ≤ 5 times the institutional upper limit of normal of elevated because of liver involvement
- Coagulation (PT ≤ 1.5 times the institutional upper limit of normal)
- Adequate hematological values: leukocyte count ≥3.0 x 109/L, an absolute neutrophil count ≥1.5 x 109/L, a platelet count ≥100 x 109/L and hemoglobin ≥ 9.0 g/dL
- Urine dipstick for proteinuria <1+, patients discovered to have ≥ 1+ on dipstick urinanalysis at baseline should have urine protein/urine creatinine ratio ≤1
- Singed written informed consent before enrolment
- Patient should have unresectable disease ( for both the primary tumor and the metastasis)
Exclusion Criteria:
- Inability to comply with the protocol therapy
- Uncontrolled hypertension defined as BP more than 160 systolic and or more than 100 diastolic despite adequate treatment at the time of treatment initiation.
- Severe cardiovascular disease (congestive heart failure NYHA III or IV, unstable angina pectoris, myocardial infarction, significant arrhythmias or Transient ischemic attack (TIA) or cerebrovascular accident (CVA) in the last 6 months
- Major bleeding disorder, significant traumatic injury or recent major surgery within 28 days of starting therapy. Or minor surgery (FNA/Core biopsy) within 7 days of starting therapy
- History of abdominal abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 6 months
- Pre-existing thyroid abnormality
- Concurrent proarrhythmic medications including terfenadine, quinidine, procainamide, disopyramide, sotalol, bepridil, haloperidol, risperidone, indapamide and flecainide
- Recent significant hemoptysis (1/2 tea spoon red blood within last month)
- Concurrent medication that either CYP 450 3A4 inducers or inhibitors
- Concurrent use of proarrhythmic medications including terfenadine, quinidine, procainamide, disopyramide, sotalol, probucol, bepridil, haloperidol, risperidone, indapamide and flecainide
- Pregnancy or breast feeding, or patient refusal to use appropriate contraception for female patients in childbirth age
- Previous malignancy within 5 years, except adequately treated non melanomatous skin cancer or in situ cervical cancer
- Psychiatric or mental disorder, precluding understanding of the information of the trial related topics and giving valid informed consent
- Any psychological, familial, geographic or social circumstances which could impair the patient ability to participate in the trial and comply with follow up.
- Any circumstance which might impair the patient's ability to comply with an out-patient regimen
- Active uncontrolled infection
- Serious underlying medical condition (in the judgment of the investigator) which could impair the ability of the patient to participate in the trial
- Treatment with other experimental drugs within 30 days of entry into the trial
- Treatment with other anti-cancer therapy
- Legal incapacity
- Significant proteinuria (urine protein: creatinine ratio > 1.0)
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Sunitinib and Bevacizumab Arm
Phase I/II Combined Alternating Sunitinib and Bevacizumab (Avastin®) in Advanced Renal Cell carcinoma (CASA)Combined Alternating Sunitinib and Bevacizumab
|
Oral therapy ( Anti-vascular endothelial growth factor Tyrosin Kinase Inhibitor): given as 50 mg daily from day 1 to day 28- cycle repeated every 42 days
Other Names:
Monoclonal antibody against vascular endothelial growth factor: given intravenously on day 29 of each sunitinib cycle
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Bevacizumab maximum tolerated dose, in combination with sunitinib
Time Frame: 12 weeks from enrolling patient # 6
|
This is the phase I part of the study.
patient will enroll on Bevacizumab dose of 5 mg/kg body weight.
If no dose limiting toxicity in 1st 6 patients, the dose will be escalated to 10 mg/kg in the remainder of the patients
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12 weeks from enrolling patient # 6
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Assess response rate to the combination of sunitinib and bevacizumab
Time Frame: Through study completion, an average of 6 months
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response rate is the combination of partial response and complete response
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Through study completion, an average of 6 months
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Assess the progression free survival on the combination of sunitinib and bevacizumab
Time Frame: up to 5 years
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Progression free survival will be calculated from time of starting therapy till progression or death whichever comes first
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up to 5 years
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Overall survival of patients in this regimen
Time Frame: Participants will be followed for the duration of hospital stay, up to 5 years
|
Overall survival will be calculated from date of start on therapy till death
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Participants will be followed for the duration of hospital stay, up to 5 years
|
Number of participants with treatment related-adverse effects as assessed by CTCAE v 4.03
Time Frame: up to 5 years
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toxicity will be graded according to the NCI-CTC version 4.03
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up to 5 years
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Shouki Bazarbashi, MD, King Faisal Specialist Hospital
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
December 1, 2014
Primary Completion (Anticipated)
December 1, 2020
Study Completion (Anticipated)
December 1, 2021
Study Registration Dates
First Submitted
March 24, 2015
First Submitted That Met QC Criteria
September 27, 2016
First Posted (Estimate)
September 29, 2016
Study Record Updates
Last Update Posted (Actual)
August 10, 2018
Last Update Submitted That Met QC Criteria
August 9, 2018
Last Verified
August 1, 2018
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
- Neoplasms, Glandular and Epithelial
- Kidney Neoplasms
- Carcinoma, Renal Cell
- Carcinoma
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antineoplastic Agents
- Antineoplastic Agents, Immunological
- Angiogenesis Inhibitors
- Angiogenesis Modulating Agents
- Growth Substances
- Growth Inhibitors
- Protein Kinase Inhibitors
- Sunitinib
- Bevacizumab
Other Study ID Numbers
- 2141-102
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
IPD Plan Description
No- unless the data are so encouraging then this can be done
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
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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