- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT01034631
BNC105P in Combination With Everolimus/Following Everolimus For Progressive Metastatic Clear Cell Renal Cell Carcinoma
Phase I/II Study of BNC105P in Combination With Everolimus or Following Everolimus For Progressive Metastatic Clear Cell Renal Cell Carcinoma Following Prior Tyrosine Kinase Inhibitors
Tutkimuksen yleiskatsaus
Yksityiskohtainen kuvaus
OUTLINE: This is a multi-center study.
Phase I: Patients will be accrued in the classic 3 patients per dose per cohort design, 21-day cycle
- Dose Level 1 Everolimus 10 mg BNC105P 4.2 mg/m2
- Dose Level 2 Everolimus 10 mg BNC105P 8.4 mg/m2
- Dose Level 3 Everolimus 10 mg BNC105P 12.6 mg/m2
- Dose Level 4 Everolimus 10 mg BNC105P 16 mg/m2
Phase II: Patients will be randomized 1:1 to Arm A or Arm B
Combination Arm A: Everolimus 10 mg + BNC105P MTD (from Phase 1 study) 21 day cycle
Sequential Arm B: Everolimus 10 mg 21 day cycle
- Patients to receive BNC105P monotherapy at 16 mg/m2 following progression or intolerable toxicity on everolimus therapy.
Karnofsky Performance Score (KPS) ≥70 within 7 days prior to registration for protocol therapy.
Life Expectancy: Not specified
Hematopoietic:
- White blood cell count (WBC) > 3.5 K/mm3
- Hemoglobin (Hgb) > 8.5 g/dL
- Platelets > 100 K/mm3
- Absolute neutrophil count (ANC) > 1.5 K/mm3
Hepatic:
- Total Bilirubin < 1.25 x ULN
- Aminotransferase (AST and ALT) < 2.5 x ULN
Renal:
- Serum Creatinine < 2.5 x ULN (upper limit normal)
Cardiovascular:
- No significant cardiovascular events within 6 months (CVA, CAD, peripheral arterial obstruction, arrhythmias, cardiac dysfunction) of registration for protocol therapy
- No history of clinical CHF or LVEF <50% by Echo (or MUGA) within 30 days prior to registration for protocol therapy.
Opintotyyppi
Ilmoittautuminen (Todellinen)
Vaihe
- Vaihe 2
- Vaihe 1
Yhteystiedot ja paikat
Opiskelupaikat
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New South Wales
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Camperdown, New South Wales, Australia, 2050
- Royal Prince Alfred Hospital: Sydney Cancer Centre
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Randwick, New South Wales, Australia, 2031
- Prince of Wales Hospital
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Wahroonga, New South Wales, Australia, 2076
- Sydney Adventist Hospital Ltd.
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Queensland
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Greenslopes, Queensland, Australia, 4120
- Gallipoli Medical Research Foundation: Greenslopes Private Hospital
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Herston, Queensland, Australia, 4029
- Royal Brisbane & Women's Hospital
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Woolloongabba, Queensland, Australia, 4201
- Princess Alexandra Hospital
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South Australia
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Adelaide, South Australia, Australia, 5000
- Royal Adelaide Hospital
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Kurralta Park, South Australia, Australia, 5037
- Ashford Cancer Centre
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Tasmania
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Launceston, Tasmania, Australia, 7250
- Gallipoli Medical Research Foundation: Launceston General Hospital
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Victoria
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Frankston, Victoria, Australia, 3199
- Peninsula Oncology Centre
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Heidelberg, Victoria, Australia, 3084
- Austin Hospital
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Melbourne, Victoria, Australia, 3004
- Alfred Hospital
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Western Australia
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Perth, Western Australia, Australia, 6000
- Royal Perth Hospital
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Singapore, Singapore, 169610
- National Cancer Centre Singapore
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Alabama
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Muscle Shoals, Alabama, Yhdysvallat, 35661
- Northwest Alabama Cancer Center
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Arkansas
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Hot Springs, Arkansas, Yhdysvallat, 71913
- Genesis Cancer Center
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California
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Burbank, California, Yhdysvallat, 91505
- Providence Health System: Roy and Patricia Disney Family Cancer Center
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Corona, California, Yhdysvallat, 92879
- Compassionate Cancer Care Medical Group, Inc.
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Corona, California, Yhdysvallat, 92879
- Compassionate Cancer Care Medical Group
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Duarte, California, Yhdysvallat, 91010
- City of Hope
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Fountain Valley, California, Yhdysvallat, 92708
- Robert A. Moss, M.D., FACP, Inc.
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Fresno, California, Yhdysvallat, 93720
- California Cancer Associates for Research and Excellence
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Greenbrae, California, Yhdysvallat, 94904
- Marin Specialty Care
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Los Angeles, California, Yhdysvallat, 90017
- Good Samaritan Hospital
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Los Angeles, California, Yhdysvallat, 90095
- UCLA Med - Hematology & Oncology
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Riverside, California, Yhdysvallat, 92501
- Compassionate Cancer Care Medical Group
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Whittier, California, Yhdysvallat, 90603
- American Institute of Research
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Colorado
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Denver, Colorado, Yhdysvallat, 80210
- Centura Health Research Center
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Golden, Colorado, Yhdysvallat, 80401
- Western Oncology & Hematology
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Florida
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Brooksville, Florida, Yhdysvallat, 34613
- Cancer Care Centers of Florida: Brooksville
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Fort Lauderdale, Florida, Yhdysvallat, 33308
- Broward Oncology Associates
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Gainesville, Florida, Yhdysvallat, 32610
- University of Florida, Shands Cancer Center
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Jacksonville, Florida, Yhdysvallat, 32256
- Cancer Specialists of North Florida
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Miami, Florida, Yhdysvallat, 33136
- Advanced Pharma Cr, Llc
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New Port Richey, Florida, Yhdysvallat, 34652
- Cancer Care Centers of Florida
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Ocala, Florida, Yhdysvallat, 34471
- Ocala Cancer Institute
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Rockledge, Florida, Yhdysvallat, 32955
- Cancer Care Centers of Brevard
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Georgia
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Athens, Georgia, Yhdysvallat, 30607
- Northeast Georgia Cancer Care, LLC
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Dublin, Georgia, Yhdysvallat, 31021
- Dublin Hematology & Oncology Care
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Idaho
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Post Falls, Idaho, Yhdysvallat, 83854
- Kootenai Cancer Center
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Illinois
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Chicago, Illinois, Yhdysvallat, 60611
- Northwestern University, Robert H. Lurie Comprehensive Cancer Center
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Galesburg, Illinois, Yhdysvallat, 61401
- Medical & Surgical Specialists, LLC
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Skokie, Illinois, Yhdysvallat, 60076
- Edward H. Kaplan, M.D., & Associates
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Indiana
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Evansville, Indiana, Yhdysvallat, 47713
- Deaconess Clinic
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Fort Wayne, Indiana, Yhdysvallat, 46815
- Fort Wayne Oncology & Hematology, Inc
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Goshen, Indiana, Yhdysvallat, 46527
- IU Health Goshen
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Indianapolis, Indiana, Yhdysvallat, 46202
- Indiana University Melvin and Bren Simon Cancer Center
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Indianapolis, Indiana, Yhdysvallat, 46219
- IU Health Central Indiana Cancer Centers
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Indianapolis, Indiana, Yhdysvallat, 46256
- Community Regional Cancer Center
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Lafayette, Indiana, Yhdysvallat, 47905
- Horizon Oncology Research
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Muncie, Indiana, Yhdysvallat, 47303
- IU Health at Ball Memorial Hospital Cancer Center
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Munster, Indiana, Yhdysvallat, 46321
- Monroe Medical Associates
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Newburgh, Indiana, Yhdysvallat, 47630
- Oncology Hematology Associates of SW Indiana
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South Bend, Indiana, Yhdysvallat, 46601
- Northern Indiana Cancer Research Consortium
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Iowa
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Sioux City, Iowa, Yhdysvallat, 51101
- Siouxland Hematology Oncology Associates, LLP, Nylen Cancer Center
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Kansas
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Wichita, Kansas, Yhdysvallat, 67214
- Cancer Center of Kansas
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Kentucky
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Hazard, Kentucky, Yhdysvallat, 41701
- Kentucky Cancer Clinic
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Paducah, Kentucky, Yhdysvallat, 42001
- Purchase Cancer Group
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Louisiana
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Baton Rouge, Louisiana, Yhdysvallat, 70809
- Medical Oncology LLC
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Metairie, Louisiana, Yhdysvallat, 70006
- Metairie Oncologists
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Massachusetts
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Boston, Massachusetts, Yhdysvallat, 02111
- Tufts Medical Center
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Michigan
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Ann Arbor, Michigan, Yhdysvallat, 48106
- St. Joseph Mercy Hospital
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Grand Rapids, Michigan, Yhdysvallat, 49546
- Cancer and Hematology Centers of Western Michigan
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Wyoming, Michigan, Yhdysvallat, 49519
- Metro Health Cancer Care
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Minnesota
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Rochester, Minnesota, Yhdysvallat, 55905
- Mayo Clinic
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Montana
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Bozeman, Montana, Yhdysvallat, 59715
- Bozeman Deaconness Cancer Center
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Great Falls, Montana, Yhdysvallat, 59405
- Sletten Cancer Specialists
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Nebraska
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Omaha, Nebraska, Yhdysvallat, 68114
- Methodist Cancer Center
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New Hampshire
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Manchester, New Hampshire, Yhdysvallat, 03102
- Dartmouth-Hitchcock Medical Center
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New Jersey
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Elizabeth, New Jersey, Yhdysvallat, 07202
- Trinitas Regional Medical Center
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Somerville, New Jersey, Yhdysvallat, 08876
- Somerset Hematology Oncology Associates
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New Mexico
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Albuquerque, New Mexico, Yhdysvallat, 87110
- Presbyterian Medical Group
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Albuquerque, New Mexico, Yhdysvallat, 87131
- University of New Mexico Cancer Center: Albuquerque
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New York
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Albany, New York, Yhdysvallat, 12208
- New York Oncology Hematology, PC
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Buffalo, New York, Yhdysvallat, 14263
- Roswell Park Cancer Institute
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Lake Success, New York, Yhdysvallat, 11042
- NYU Langone Arena Oncology
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New York, New York, Yhdysvallat, 10029
- Tisch Cancer Institute at Mount Sinai Medical Center
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Nyack, New York, Yhdysvallat, 10960
- Hematology Oncology Associates of Rockland
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North Carolina
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Pinehurst, North Carolina, Yhdysvallat, 28374
- First Health of the Carolinas
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Ohio
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Middletown, Ohio, Yhdysvallat, 45042
- Signal Point Clinical Research Center
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Wooster, Ohio, Yhdysvallat, 44691
- Lawrence M. Stallings, M.D.
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Oklahoma
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Oklahoma City, Oklahoma, Yhdysvallat, 73120
- Mercy Physicians Of Oklahoma
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Oregon
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Springfield, Oregon, Yhdysvallat, 97477
- Willamette Valley Cancer Institute
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Pennsylvania
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Danville, Pennsylvania, Yhdysvallat, 17822
- Geisinger Medical Center
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Gettysburg, Pennsylvania, Yhdysvallat, 17235
- Gettysburg Cancer Center
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Pittsburgh, Pennsylvania, Yhdysvallat, 15212
- Allegheny Cancer Center
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State College, Pennsylvania, Yhdysvallat, 16803
- Mount Nittany Medical Center
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West Reading, Pennsylvania, Yhdysvallat, 19611
- Berks Hematology Oncology Associates
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Rhode Island
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Cranston, Rhode Island, Yhdysvallat, 02920
- Hematology and Oncology Associates of Rhode Island
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South Carolina
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Charleston, South Carolina, Yhdysvallat, 29425
- MUSC Hollings Cancer Center
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Hilton Head Island, South Carolina, Yhdysvallat, 29926
- South Carolina Cancer Specialists
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Tennessee
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Germantown, Tennessee, Yhdysvallat, 38138
- The Jones Clinic, PC
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Texas
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Austin, Texas, Yhdysvallat, 78758
- Texas Oncology: Austin North
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Bedford, Texas, Yhdysvallat, 76022
- Texas Oncology: Bedford
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Dallas, Texas, Yhdysvallat, 75246
- Texas Oncology, PA
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Fort Worth, Texas, Yhdysvallat, 76104
- Texas Oncology: Fort Worth
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Houston, Texas, Yhdysvallat, 77030
- Methodist Hospital Research Institute
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Houston, Texas, Yhdysvallat, 77024
- Texas Oncology: Houston Memorial City
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Houston, Texas, Yhdysvallat, 77055
- Houston Cancer Center
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Lubbock, Texas, Yhdysvallat, 79410
- Joe Arrington Cancer Research and Treatment Center
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San Antonio, Texas, Yhdysvallat, 78229
- CTRC at the UT Health Science Center at San Antonio
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Virginia
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Lynchburg, Virginia, Yhdysvallat, 24501
- Lynchburg Hematology Oncology Clinic, Inc.
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Washington
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Bremerton, Washington, Yhdysvallat, 98310
- Harrison HealthPartners Bremerton Hematology & Oncology
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Kirkland, Washington, Yhdysvallat, 98034
- Cascade Cancer Center
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Seattle, Washington, Yhdysvallat, 98109
- University of Washington, Seattle Cancer Care Alliance
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Seattle, Washington, Yhdysvallat, 98109
- Group Health Medical Centers
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Spokane, Washington, Yhdysvallat, 99204
- Rockwood Clinic
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Wisconsin
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Milwaukee, Wisconsin, Yhdysvallat, 53226
- University of Wisconsin, Clinical Cancer Center
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Sukupuolet, jotka voivat opiskella
Kuvaus
Inclusion Criteria:
- Histological or cytological proof of component (any percent) of clear cell RCC (renal cell carcinoma).
- Metastatic or locally advanced unresectable RCC. NOTE: Prior nephrectomy is not mandatory.
- Progressive disease after 1-2 prior VEGF-directed tyrosine kinase inhibitors (TKIs).
- Measurable disease according to RECIST and obtained by imaging within 30 days prior to registration for protocol therapy.
- Written informed consent and HIPAA authorization for release of personal health information.
- Age > 18 years at the time of consent.
- Females of childbearing potential and males must be willing to use an effective method of contraception (hormonal or barrier method of birth control; abstinence) from the time consent is signed until 4 weeks after treatment discontinuation.
- Females of childbearing potential must have a negative pregnancy test within 7 days prior to registration for protocol therapy.
Exclusion Criteria:
- No active brain metastases. Patients with neurological symptoms must undergo a head CT scan or brain MRI to exclude brain metastasis within 30 days prior to registration on protocol therapy. NOTE: A patient with prior brain metastasis are eligible if they have completed their radiation treatment for brain metastasis ≥30 days prior to registration for protocol therapy, are off steroids, and are asymptomatic.
- No other currently active malignancy.
- No treatment with any investigational agent within 14 days prior to registration for protocol therapy. NOTE: If treated with investigational agent within 14 days prior to registration, AE must be resolved back to baseline.
- Prior cancer treatment must be completed at least 14 days prior to registration for protocol therapy and the patient must have recovered from the acute toxic effects of the regimen. With the exception of Bevacizumab treatment, which must be completed 30 days prior to registration for protocol therapy.
- Prior radiation therapy to < 25% of the bone marrow [see bone marrow radiation chart in the study procedure manual (SPM)] allowed if completed within 30 days prior to registration for protocol therapy.
- Corrected QT interval (QTc) ≤ 450 msec at least 7 days prior to registration for protocol therapy.
- No clinically significant infections as judged by the treating investigator.
- No liver disease such as cirrhosis, chronic active hepatitis or chronic persistent hepatitis.
- No collecting duct, medullary or sarcomatoid histology.
- No prior treatment with temsirolimus or everolimus in the phase II component of the study. NOTE: Prior treatment with these agents is permitted in the phase I component of the study.
- No use of full dose, therapeutic anti-coagulation with warfarin or related anti-coagulants or unfractionated or low molecular weight heparins.
- No uncontrolled hypertension (BP >150/100mmHg despite full doses of 1 anti-hypertensive medication).
- No thrombotic event within 6 months (deep vein thrombosis, pulmonary embolism) of registration for protocol therapy.
- No grade 2 or greater peripheral neuropathy.
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Hoito
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
|---|---|
|
Active Comparator: Combination Arm A: Everolimus + BNC105P
Combination Arm A: Everolimus 10 mg, BNC105P MTD (from Phase 1 study) 21 day cycle
|
Everolimus 10 mg.
Taken orally, every evening, 1 hr before or 2 hrs after meals
BNC105P, up to 16 mg/m^2
|
|
Active Comparator: Sequential Arm B:Everolimus followed by BNC105P Monotherapy
Sequential Arm B: Everolimus 10 mg, 21 day cycle Patients to receive BNC105P monotherapy at 16 mg/m2 following progression or intolerable toxicity on everolimus therapy. |
Everolimus 10 mg.
Taken orally, every evening, 1 hr before or 2 hrs after meals
BNC105P, up to 16 mg/m^2
|
Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Phase I: Maximum Tolerated Dose of BNC105P in Combination With Everolimus.
Aikaikkuna: Until disease progression or unacceptable toxicity, up to 24 cycles or 24 months
|
Phase I
|
Until disease progression or unacceptable toxicity, up to 24 cycles or 24 months
|
|
Phase I: Toxicities of BNC105P in Combination With Everolimus.
Aikaikkuna: Until disease progression or unacceptable toxicity, up to 24 cycles or 24 months
|
Determine the toxicities of BNC105P in combination with everolimus.
Drug-related treatment emergent adverse events by CTCAE grade 2 or greater are reported
|
Until disease progression or unacceptable toxicity, up to 24 cycles or 24 months
|
|
Phase II: 6-month Progression Free Survival (PFS) With the Addition of BNC105P to Everolimus.
Aikaikkuna: 6 months
|
Improvement in 6-month PFS with the addition of BNC105P to everolimus.
Progression is defined using RECIST criteria as at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions
|
6 months
|
Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Phase I: Response Rate of BNC105P in Combination With Everolimus.
Aikaikkuna: Until disease progression or unacceptable toxicity, up to 24 cycles or 24 months
|
Number of objective responses per RECIST criteria.
Complete Response (CR): Disappearance of all target lesions.
Partial Response (PR): At least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD.
Progressive Disease (PD): At least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions.
Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started.
|
Until disease progression or unacceptable toxicity, up to 24 cycles or 24 months
|
|
Geometric Mean Half-life of BNC105 and BNC105P in Combination With Everolimus.
Aikaikkuna: 12 months
|
Determine the PK Profile for BN105P in combination with everolimus by calculating the geometric mean half-life of BNC105P
|
12 months
|
|
Phase II: Response Rate With Combination Therapy Compared to Everolimus Alone
Aikaikkuna: 12 months
|
Objective response is defined as a confirmed CR or PR per RECIST criteria.
Complete Response (CR): Disappearance of all target lesions.
Partial Response (PR): At least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD.
Progressive Disease (PD): At least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions.
Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started.
|
12 months
|
|
Phase II: Progression Free Survival (PFS) With BNC105P Alone in Patients After Progressing on Everolimus.
Aikaikkuna: 12 months
|
Median time to progression for arm P participants who crossed over to BNC105P monotherapy after progression.
Progression is defined per RECIST criteria as at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions
|
12 months
|
|
Phase II: Adverse Events of Everolimus and BNC105P When Administered as a Combination or Sequential Regimen.
Aikaikkuna: 12 months
|
Determine adverse events of everolimus and BNC105P when administered as a combination or sequential regimen.
Total number of serious and non-serious adverse events for Arm A and Arm B are summarized.
Complete adverse event information is supplied in the Adverse Events reporting section.
|
12 months
|
|
Phase II: Overall Survival
Aikaikkuna: 60 months
|
Determine overall survival probability, up to a maximum of 5 years from registration for protocol therapy.
|
60 months
|
|
Exploratory Objective: Correlation of PFS With Biomarkers
Aikaikkuna: 6 months
|
Exploratory analysis of serum biomarkers were undertaken to generate a potential signature for response.
The correlation with 6 month progression free survival P value for four plasma biomarkers is reported.
|
6 months
|
Yhteistyökumppanit ja tutkijat
Sponsori
Yhteistyökumppanit
Tutkijat
- Opintojen puheenjohtaja: Thomas Hutson, D.O., Hoosier Cancer Research Network
Julkaisuja ja hyödyllisiä linkkejä
Yleiset julkaisut
- Thomas E. Hutson, Long H. Dang, Richard C. Lauer, Alexander Starodub, Ralph J. Hauke, Matt D. Galsky, Kathryn A. Bylow, Theodore Logan, Charles Lance Cowey, David C. Bibby, Gabriel Kremmidiotis, Elizabeth E. Doolin, Tina C. Lavranos, Guru Sonpavde, Noah M. Hahn, Christopher Sweeney, John Sarantopoulos. Phase I results of a phase I/II trial of BNC105P with everolimus in metastatic renal cell carcinoma (mRCC) patients previously treated with VEGFR tyrosine kinase inhibitors. J Clin Oncol 30, 2012 (suppl; abstr 4603) http://www.asco.org/ASCOv2/Meetings/Abstracts&vmview=abst_detail_view&confID=114&abstractID=91911
- John Sarantopoulos, Long H. Dang, Richard C. Lauer, Alexander Starodub, Ralph J. Hauke, Matt D. Galsky, Kathryn A. Bylow, Charles Lance Cowey, David C. Bibby, Gabriel Kremmidiotis, Elizabeth E. Doolin, Tina C. Lavranos, Jose Luis Iglesias, Guru Sonpavde, Theodore Logan, Noah M. Hahn, Christopher Sweeney, Thomas E. Hutson. A phase I/II trial of BNC105P with everolimus in metastatic renal cell carcinoma (mRCC) patients: Updated phase I results of the Disruptor-1 trial. J Clin Oncol 31, 2013 (suppl; abstr 4563. http://abstracts2.asco.org/AbstView_132_107981.html
- Pal S, Azad A, Bhatia S, Drabkin H, Costello B, Sarantopoulos J, Kanesvaran R, Lauer R, Starodub A, Hauke R, Sweeney CJ, Hahn NM, Sonpavde G, Richey S, Breen T, Kremmidiotis G, Leske A, Doolin E, Bibby DC, Simpson J, Iglesias J, Hutson T. A Phase I/II Trial of BNC105P with Everolimus in Metastatic Renal Cell Carcinoma. Clin Cancer Res. 2015 Aug 1;21(15):3420-7. doi: 10.1158/1078-0432.CCR-14-3370. Epub 2015 Mar 18.
- Yang ES, Nassar AH, Adib E, Jegede OA, Alaiwi SA, Manna DLD, Braun DA, Zarei M, Du H, Pal SK, Naik G, Sonpavde GP. Gene Expression Signature Correlates with Outcomes in Metastatic Renal Cell Carcinoma Patients Treated with Everolimus Alone or with a Vascular Disrupting Agent. Mol Cancer Ther. 2021 Aug;20(8):1454-1461. doi: 10.1158/1535-7163.MCT-20-1091. Epub 2021 Jun 9.
Hyödyllisiä linkkejä
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus
Ensisijainen valmistuminen (Todellinen)
Opintojen valmistuminen (Todellinen)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Arvio)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Avainsanat
Muita asiaankuuluvia MeSH-ehtoja
- Neoplasmat histologisen tyypin mukaan
- Neoplasmat
- Urologiset kasvaimet
- Urogenitaaliset kasvaimet
- Neoplasmat sivustoittain
- Munuaissairaudet
- Urologiset sairaudet
- Adenokarsinooma
- Kasvaimet, rauhas- ja epiteelikasvaimet
- Munuaisten kasvaimet
- Karsinooma, munuaissolut
- Karsinooma
- Huumeiden fysiologiset vaikutukset
- Antineoplastiset aineet
- Immunosuppressiiviset aineet
- Immunologiset tekijät
- Everolimus
Muut tutkimustunnusnumerot
- HOG GU09-145
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