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A Phase I/II Study of Temsirolimus and Sunitinib in Subjects With Advanced Renal Cell Carcinoma


Phase 1/Phase 2
18 Years
N/A
Not Enrolling
Male
Renal Cell Carcinoma

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Trial Information

A Phase I/II Study of Temsirolimus and Sunitinib in Subjects With Advanced Renal Cell Carcinoma


A study to determine the safety, tolerability, and maximum tolerated dose (MTD) of the
combination of temsirolimus and sunitinib in subjects with advanced Renal Cell Carcinoma
(RCC) (dose escalation phase). Once the MTD is determined, this study will also evaluate the
efficacy of this combination by determining progression free survivial (PFS) at 12 months in
subjects with advanced RCC (expanded cohort phase).

Inclusion Criteria


Inclusion Criteria for Dose Escalation Phase

1. Histologically confirmed advanced RCC.

2. Up to 2 prior systemic regimens for RCC.

3. Subject must have at least 1 measurable lesion that can be accurately measured in at
least 1 dimension with the longest diameter ³10 mm when measured by spiral computed
CT (5-mm slice thickness contiguous) or ³20 mm when measured by conventional CT
(10-mm slice thickness contiguous) (lesion must be ³ 2 times the size of the slice
thickness per RECIST).

- More criteria apply

Exclusion Criteria for Dose Escalation Phase

1. Subjects with known active central nervous system (CNS) malignancy (primary or
metastatic).

2. Prior therapy with sirolimus, temsirolimus or sunitinib.

3. Subjects receiving known strong Cytochrome P450 (CYP)3A4 isoenzyme inhibitors and/or
inducers. Subjects receiving other CYP3A4 isoenzyme inhibitors and/or inducers not
classified as strong inhibitors or inducers are eligible, provided they have been on
a stable regimen for at least 4 weeks before screening.

- More criteria apply

Inclusion Criteria for Expanded Cohort Phase

1. Subjects with histologically confirmed advanced RCC regardless of nephrectomy status
who have received no prior systemic therapies for their disease.

2. Subjects with histologically confirmed advanced RCC regardless of nephrectomy status
who have a least 4 weeks since prior treatment with palliative radiation therapy,
and/or surgery and resolution of all toxic effects of prior therapy to NCI CTCAE
(version 3.0) grade £1.

3. Subjects must have at least 1 measurable lesion that can be accurately measured in at
least 1 dimension with the longest diameter ³10 mm when measured by spiral CT (5-mm
slice thickness contiguous) or ³20 mm when measured by conventional CT (10-mm slice
thickness contiguous) (lesion must be ³2 times the size of the slice thickness per
RECIST).

- More Criteria apply

Exclusion Criteria for the Expanded Cohort Phase

1. Subjects with a history of a CNS malignancy or metastatic disease to the CNS and
subjects with a known, active CNS malignancy (primary or metastatic).

2. Prior anti-vascular endothelial growth factor (anti-VEGF) therapies (with either
monoclonal antibodies and/or tyrosine kinase inhibitors [TKIs]) and/or mTOR
inhibitors.

3. Subjects receiving known strong CYP3A4 isoenzyme inhibitors and/or inducers. Subjects
taking other CYP3A4 isoenzyme inhibitors and/or inducers not classified as strong
inhibitors or inducers are eligible, provided they have been on a stable regimen for
at least 4 weeks before screening.

- More Criteria apply

Type of Study:

Interventional

Study Design:

Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Initially, an ascending dose design will be used in order to evaluate the tolerability and safety of the combination and to determine the MTD of this combination (dose escalation phase)

Principal Investigator

Medical Monitor

Investigator Role:

Study Director

Investigator Affiliation:

Wyeth is now a wholly owned subsidiary of Pfizer

Authority:

United States: Food and Drug Administration

Study ID:

3066K1-402

NCT ID:

NCT00417677

Start Date:

March 2007

Completion Date:

May 2007

Related Keywords:

  • Renal Cell Carcinoma
  • Advanced Renal Carcinoma
  • Carcinoma
  • Carcinoma, Renal Cell

Name

Location

Albany, New York  12208
Philadelphia, Pennsylvania  19104
Baltimore, Maryland  21287
Boston, Massachusetts