S0351, CNTO 328 in Treating Patients With Unresectable or Metastatic Kidney Cancer

This study has been withdrawn prior to enrollment.
(withdrawal of support for drug supply)
Sponsor:
Collaborator:
Information provided by (Responsible Party):
Southwest Oncology Group
ClinicalTrials.gov Identifier:
NCT00311545
First received: April 5, 2006
Last updated: February 19, 2013
Last verified: February 2013
  Purpose

RATIONALE: Monoclonal antibodies, such as CNTO 328, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them.

PURPOSE: This phase II trial is studying how well CNTO 328 works in treating patients with unresectable or metastatic kidney cancer.


Condition Intervention Phase
Kidney Cancer
Biological: CNTO 328
Phase 2

Study Type: Interventional
Study Design: Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase II Study of CNTO 328, A Monoclonal Antibody Against Interleukin-6 (IL-6), In Patients With Advanced or Metastatic Renal Cell Cancer

Resource links provided by NLM:


Further study details as provided by Southwest Oncology Group:

Enrollment: 0
Arms Assigned Interventions
Experimental: CNTO 328
CNTO 328, anti-IL-6 monoclonal antibody; 6 mg/kg, IV, q 2wks x 12 cycles (1 cycle = 2 wks)
Biological: CNTO 328
Anti-IL-6 chimeric monoclonal antibody
Other Name: Siltuximab

Detailed Description:

OBJECTIVES:

Primary

  • Assess the probability of response (confirmed complete and partial responses) in patients with unresectable or metastatic renal cell cancer treated with CNTO 328.

Secondary

  • Assess the 6-month progression-free survival probability and median overall survival in these patients.
  • Evaluate the qualitative and quantitative toxicities of this treatment.
  • Investigate, in a preliminary manner, the association of tumor response with potential markers of anti-interleukin-6 activity.

OUTLINE: This is a multicenter study.

Patients receive CNTO 328 IV over 2 hours on day 1. Treatment repeats every 2 weeks for 6 courses in the absence of disease progression or unacceptable toxicity. Patients achieving complete or partial response after 6 courses of therapy may receive an additional 6 courses.

After completion of study treatment, patients are followed periodically for 3 years.

PROJECTED ACCRUAL: A total of 40 patients will be accrued for this study.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed metastatic or unresectable primary renal cell carcinoma
  • Measurable disease

    • Soft tissue disease within a prior radiation field may be considered measurable disease provided all of the following are true:

      • Patient also has measurable disease outside of the irradiated field
      • Disease within the irradiated field has progressed since prior radiotherapy
      • Radiotherapy was completed more than 2 months ago
  • Ineligible for high-dose interleukin-2
  • No treated or untreated brain metastases

    • No history of brain metastases
    • Patients with clinical evidence of brain metastases must have brain CT scan or MRI negative for metastatic disease within 56 days prior to study entry

PATIENT CHARACTERISTICS:

  • Zubrod performance status 0-2
  • Absolute granulocyte count ≥ 1,500/mm^3
  • Platelet count ≥ 100,000/mm^3
  • Creatinine clearance ≥ 40 mL/min
  • Bilirubin ≤ 3 times upper limit of normal (ULN)
  • SGOT ≤ 3 times ULN
  • Not pregnant or nursing
  • Fertile patients must use effective contraception
  • No more than 2 of the following:

    • Zubrod PS 2
    • Lactate dehydrogenase > 1.5 times ULN
    • Hemoglobin < lower limit of normal
    • Calcium > 10 mg/dL
    • Absence of prior nephrectomy
  • No uncontrolled intercurrent illness, including any of the following:

    • Uncontrolled diabetes mellitus
    • Ongoing or active infection
    • Symptomatic congestive heart failure
    • Unstable angina pectoris
    • Cardiac arrhythmia
    • Psychiatric illness or social situation that would limit compliance with study requirements
  • No HIV positivity
  • No other prior malignancy, excluding the following:

    • Adequately treated basal cell or squamous cell skin cancer
    • In situ cervical cancer
    • Adequately treated stage I or II cancer for which the patient is currently in complete remission
    • Any other cancer for which the patient has been disease free for 5 years

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • At least 28 days since prior tumor resection and recovered
  • No prior immunotherapy or chemotherapy regimens with interferon (IFN) and/or interleukin-2 (IL-2) or the combination of IFN/IL-2
  • No prior cytotoxic chemotherapy for renal cell cancer
  • No prior murine or chimeric proteins or human/murine recombination products (i.e., other chimeric monoclonal antibodies)
  • No concurrent radiotherapy or systemic therapy for renal cell cancer
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00311545

Sponsors and Collaborators
Southwest Oncology Group
Investigators
Study Chair: Jacek K. Pinski, MD University of Southern California
Study Chair: Philip C. Mack, Ph.D. UC Davis Cancer Center
  More Information

No publications provided

Responsible Party: Southwest Oncology Group
ClinicalTrials.gov Identifier: NCT00311545     History of Changes
Other Study ID Numbers: CDR0000462096, S0351, U10CA032102
Study First Received: April 5, 2006
Last Updated: February 19, 2013
Health Authority: United States: Food and Drug Administration

Keywords provided by Southwest Oncology Group:
recurrent renal cell cancer
stage IV renal cell cancer
stage III renal cell cancer

Additional relevant MeSH terms:
Carcinoma, Renal Cell
Kidney Neoplasms
Adenocarcinoma
Carcinoma
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Neoplasms
Urologic Neoplasms
Urogenital Neoplasms
Neoplasms by Site
Kidney Diseases
Urologic Diseases
Antibodies, Monoclonal
Immunologic Factors
Physiological Effects of Drugs
Pharmacologic Actions

ClinicalTrials.gov processed this record on September 16, 2014