Study to the Humoral and Cellular Immunoresponse After Influenza Vaccination in Patients With Metastasized RCC or GIST Treated With a Tyrosine Kinase Inhibitor(Sunitinib or Sorafenib)
When cure is not longer possible, cancer patients enter the palliative phase. For many types
of cancer several treatment options are available. The goal of this treatment is to prolong
survival, but maintenance or even improvement of quality of life is of equal importance. The
currently available systemic treatment options consist of conventional cytotoxic therapy,
hormonal therapy, immunotherapy and the so-called targeted therapies. Combinations of these
therapies are also being used. Targeted therapy concerns the application of a new class of
drugs that are specifically directed against one or more well-defined molecular targets that
are relevant for carcinogenesis, cell cycle regulation, tumour progression, metastasis,
tumour angiogenesis and/or apoptosis. Today, the most successful drugs in this class are
directed against the vascular endothelial growth factor (VEGF) and the epidermal growth
factor receptor (EGFR). There is an explosive development ongoing in this field and many new
drugs become available that have new targets or inhibit a combinations of targets.
Meanwhile, targeted therapy has shown efficacy in many types of cancer and is registered for
several indications. The toxicity profile of targeted therapies is still largely unknown,
and the aetiology of many known side effects has not been clarified. At the moment, three
targeted therapies that are directed against VEGF are registered and used in the
Netherlands: Sunitinib (Sutent®) and Sorafenib (Nexavar ®) both oral drugs and Bevacizumab
(Avastin®), an intravenously drug. Clinical experience and some mouse studies show that
targeted therapies could have a negative effect on the immune response. This can be of great
influence on patients who are treated with this type of drug.
Especially because these drug will be used chronically and sometimes for years and
infections can have a large influence on the health and quality of life of these patients.
Observational
Observational Model: Cohort, Time Perspective: Prospective
cellular and humoral immune response
1 year
No
C.M.L. van Herpen, MD, Phd
Principal Investigator
UMCN st Radboud
Netherlands: The Central Committee on Research Involving Human Subjects (CCMO)
UMCNONCO20084
NCT00979381
October 2008
November 2009
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