NCT01024205

Sunitinib Malate Before and After Surgery in Treating Patients With Previously Untreated Metastatic Kidney Cancer

Upfront Sunitinib (SU011248) Therapy Followed by Surgery in Patients With Metastatic Renal Cancer: A Pilot Phase II Study [SuMR]

• Status: Completed
• Phase: Phase 2
• Study type: Interventional
• Enrollment: 43 (estimated)
• Sponsor: Barts and the London School of Medicine and Dentistry · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

RATIONALE: Sunitinib malate may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor. Giving sunitinib malate before surgery may make the tumor smaller and reduce the amount of normal tissue that needs to be removed. Giving sunitinib malate after surgery may kill any tumor cells that remain after surgery. PURPOSE: This phase II trial is studying how well giving sunitinib malate before and after surgery works in treating patients with metastatic kidney cancer.

Detailed description

OBJECTIVES: Primary * Determine if neoadjuvant sunitinib malate can achieve a clinical benefit of 70% or more to the primary renal tumor prior to surgery and adjuvant sunitinib malate in patients with metastatic renal cancer. Secondary * Determine the time to radiological progression in these patients. * Determine the overall survival of these patients. * Determine the proportion of patients suitable for nephrectomy after neoadjuvant sunitinib malate. * Determine the translational endpoints. OUTLINE: Patients receive oral sunitinib malate once daily on days 1-28. Treatment repeats every 6 weeks for 3 courses. Approximately 2 weeks later, patients undergo a standard radical nephrectomy with lymph node dissection. Beginning at least 2 weeks after surgery, patients receive oral sunitinib malate on days 1-28. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity. Blood and tissue samples may be collected periodically for laboratory studies. After completion of study treatment, patients are followed every 2 months.

Conditions

• Kidney Cancer

Interventions

Type	Name	Description
DRUG	sunitinib malate
OTHER	laboratory biomarker analysis
PROCEDURE	adjuvant therapy
PROCEDURE	neoadjuvant therapy
PROCEDURE	therapeutic conventional surgery

Timeline

• Start date: 2007-08-01
• Primary completion: 2010-08-01
• Completion: 2012-05-01
• First posted: 2009-12-02
• Last updated: 2013-08-12

Locations

1 site across 1 country: United Kingdom