A Randomized Phase 2 Trial of Pazopanib Versus Temsirolimus in Poor-Risk Clear-Cell Renal Cell Carcinoma
Study Groups and Study Drug Administration:
If you are found to be eligible to take part in this study, you will be randomly assigned
(as in the flip of a coin) to 1 of 2 study groups. You will have an equal chance of being
assigned to either group.
- If you are assigned to Group 1, you will take pazopanib by mouth 1 time every day at
about the same time each day on an empty stomach (at least 1 hour before or 2 hours
after a meal).
- If you are assigned to Group 2, you will receive temsirolimus by vein 1 time every week
over 30-60 minutes. About 30 minutes before you receive each dose of temsirolimus, you
will receive Benadryl (diphenhydramine) by vein over 1-2 minutes to help lower the risk
of side effects.
If you are assigned to Group 1, do not crush tablets and do not repeat missed doses if it is
less than 12 hours until your next scheduled dose. You will be given a pill diary to record
when you take each dose. You will return the diary to the study doctor at each study visit.
If you have any side effects, you should tell the study doctor right away. If the study
doctor thinks it is in your best interest, your dose may be lowered.
If the disease gets worse while you are on study, you will have the option to change to the
study group you were not originally assigned to and take the other study drug. The study
drug dosing and study visit schedule will be the same, and the study doctor will discuss any
important details with you at the time you change study groups.
Study Visits:
Every 4 weeks on this study is called a study cycle.
Every week during Cycle 1 (Group 1 only), your blood pressure will be checked (either at
home, at the clinic, or by your local doctor). If you are checking your own blood pressure
at home, you will need to write down your blood pressure in a blood pressure diary each time
you check it and bring the diary with you to each clinic visit.
Every 2 weeks for the first 2 cycles (Group 1 only) , blood (about 3 tablespoons) will be
drawn for routine tests.
Every week (Group 2 only), blood (about 1 tablespoon) will be drawn for routine tests.
Every cycle:
- You will have a physical exam, including measurement of your weight and vital signs.
- You will be asked about any drugs or treatments you may be receiving.
- You will be asked about any side effects you may have had.
- Blood (about 3 tablespoons) will be collected for routine tests.
On Day 1 of Cycle 2 and every 3 cycles after that (Group 1 only), you will have an ECG to
check your heart function.
If you are in Group 2 only, on Day 1 of Cycles 2, 3, and every other cycle after that
(Cycles 5, 7, 9, and so on), blood (about 3 tablespoons) will be drawn for routine tests.
You will be asked to fast (eat nothing and drink only water) for at least 8 hours before
those blood draws.
Every 2 cycles:
- You will have the same imaging scans that you had at screening. After 1 year on
treatment, these imaging scans may only be done every 3 cycles (Cycles 5, 8, 11, and so
on).
- You will fill out the quality-of-life questionnaires.
- Blood (about 2 teaspoons) will be drawn for tests to check your thyroid function (Group
1 only).
- Urine will be collected for routine tests.
Every 4 cycles, you will have an ECG (Group 2 only).
Every 6 cycles, you will have an ECHO or MUGA scan to check your heart function.
End-of-Treatment Visit:
About 30 days after you stop treatment:
- You will have a physical exam, including measurement of your weight and vital signs.
- You will be asked about any drugs or treatments you may be receiving.
- You will be asked about any side effects you may have had.
Length of Study:
You may continue taking the study drug for as long as the doctor thinks it is in your best
interest. You will no longer be able to take a study drug if the disease gets worse, if
intolerable side effects occur, or if you are unable to follow study directions.
Long-Term Follow-up:
After you stop taking the study drug, the study staff will check up on you to ask how you
are doing about every 3 months from then on. The study staff will collect the information
they need either from your medical records or by calling you. If you are contacted by
phone, the call should only last about 5 minutes.
This is an investigational study. Pazopanib and temsirolimus are both FDA approved and
commercially available for the treatment of kidney cancer. It is investigational to compare
the 2 drugs.
Up to 90 patients will be enrolled in this study. All will be enrolled at MD Anderson.
Interventional
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Progression Free Survival (PFS)
PFS is the time from initiation of treatment to time of first disease progression/death due to any cause. Repeat radiological studies (Computed Tomography, Magnetic Resonance Imaging as indicated) to evaluate response every 8 weeks. Time to event endpoints summarized using Kaplan-Meier.
Assessments every 8 weeks from baseline to disease progression.
Yes
Nizar M. Tannir, MD
Principal Investigator
UT MD Anderson Cancer Center
United States: Food and Drug Administration
2011-0358
NCT01392183
October 2012
Name | Location |
---|---|
UT MD Anderson Cancer Center | Houston, Texas 77030 |