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A Phase II Trial of Celecoxib Plus Interferon Alpha in Metastatic Renal Cell Carcinoma Patients With 3+ COX-2 Tumor Immunostaining


Phase 2
18 Years
N/A
Not Enrolling
Both
Renal Cell Cancer, Stage IV Renal Cell Cancer

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Trial Information

A Phase II Trial of Celecoxib Plus Interferon Alpha in Metastatic Renal Cell Carcinoma Patients With 3+ COX-2 Tumor Immunostaining


PRIMARY OBJECTIVES:

I. To estimate the objective response rate of interferon alpha plus celecoxib in metastatic
RCC patients with 3+ COX-2 tumor immunostaining.

SECONDARY OBJECTIVES:

I. To compare cellular immune parameters in metastatic RCC patients with 3+ COX-2 tumor
immunostaining to patients with < 1+ tumor immunostaining.

II. To evaluate the effect of celecoxib and interferon alpha therapy on cellular immune
parameters in metastatic RCC patients with 3+ COX-2 tumor immunostaining.

OUTLINE:

Patients receive oral celecoxib twice daily and recombinant interferon alpha-2b
subcutaneously, once daily, 5 times a week. Courses repeat every 28 days in the absence of
disease progression or unacceptable toxicity.

Inclusion Criteria


Criteria

- Patients must have histologically-confirmed metastatic renal cell carcinoma

- Patients must have 3+ (on a scale of 0 to 3+) COX-2 staining in >= 10% of the RCC
tumor cells from baseline tumor tissue

- Patients must not have received any prior cytokine therapy for renal cell carcinoma

- Patients may have received any number of prior non-cytokine systemic therapies for
metastatic RCC

- Patients must have undergone nephrectomy (radical or partial)

- All patients must be at least 2 weeks from prior systemic therapy, radiation or major
surgery

- Patients must have measurable disease per RECIST criteria

- ECOG performance status 0 or 1

- Leukocytes >= 3,000/mL

- Absolute neutrophil count >= 1,500/mL

- Platelets >= 75,000/mL

- Total bilirubin =< 1.5x institutional upper limit

- AST(SGOT)/ALT(SGPT) =< 2.5x institutional upper limit

- Creatinine =< 2.0x institutional upper limit

- No significant cardiovascular disease including congestive heart failure (New York
Heart Association Class III or IV), active angina pectoris requiring nitrate therapy,
uncontrolled dysrhythmias or recent cardiovascular event (defined as any of the
following within the previous 6 months: TIA/CVA, MI, vascular surgery)

- Ability to understand and the willingness to sign a written informed consent document

- Patients with any untreated CNS metastases are excluded from this clinical trial;
patients who have undergone surgery and/or radiation for CNS metastases are eligible
for enrollment if they do not have CNS metastases that have not been treated, are at
least 2 weeks from treatment of CNS metastases without evidence of CNS disease
progression (stable CT scan or MRI) and are off steroids; all patients must undergo
an MRI or infused CT scan of the brain prior to enrollment

- Patients may not be concurrently receiving any other investigational agents

- Pregnant women; women of childbearing potential must have a negative pregnancy test
prior to enrollment and use adequate contraception while on study and for one month
thereafter

- Concurrent systemic steroid therapy is prohibited (inhaled or topical steroids as
well as physiologic replacement doses of steroids are permitted)

- Patients with a history of a severe allergic reaction (defined as a grade 4 rash, a
reaction requiring steroids or epinephrine or any degree of airway compromise) to
sulfonamide or sulfonamide derivatives drugs are excluded; this includes, but is not
limited to, sulfonamide antibiotics such as sulfadiazine, sulfamethoxazole,
sulfisoxazole and sulfacetamide and sulfonamide derivatives such as celecoxib,
valdecoxib, diuretics (HCTZ, furosemide), sulfonylureas, dorzolamide and sumatriptan

- Karnofsky >= 70%

Type of Study:

Interventional

Study Design:

Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Objective Response Rate Assessed by RECIST Criteria.

Outcome Description:

The best overall response is the best response recorded from the start of the treatment until disease progression/recurrence (taking as reference for progressive disease the smallest measurements recorded since the treatment started, including baseline). The patient's best response assignment will depend on the achievement of both measurement and confirmation criteria. Objective response will be assessed by RECIST criteria.

Outcome Time Frame:

at week 4 of cycle 2 and every other cycle thereafter

Safety Issue:

No

Principal Investigator

Brian Rini

Investigator Role:

Principal Investigator

Investigator Affiliation:

Cleveland Clinic Taussig Cancer Institute, Case Comprehensive Cancer Center

Authority:

United States: Institutional Review Board

Study ID:

CASE8805

NCT ID:

NCT01158534

Start Date:

March 2006

Completion Date:

October 2010

Related Keywords:

  • Renal Cell Cancer
  • Stage IV Renal Cell Cancer
  • recurrent renal cell cancer
  • Carcinoma, Renal Cell

Name

Location

Cleveland Clinic Taussig Cancer Institute, Case Comprehensive Cancer Center Cleveland, Ohio  44195