Effect of Sorafenib on ccRCC Uptake of Radiolabeled Bevacizumab or cG250
NCT00602862 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 26
Last updated 2013-12-02
Summary
Sorafenib is a tyrosine kinase inhibitor that is registered for the treatment of metastasized clear cell Renal Cell Carcinoma (ccRCC). It inhibits signal transduction of the Vascular Endothelial Growth Factor Receptor (VEGFR) and the Platelet Derived Growth Factor Receptor (PDGFR). In the tumorigenesis of ccRCC, VEGF and PDGF are upregulated due to the defective Von-Hippel-Lindau (VHL) gene. CcRCC has a high Interstitial Fluid Pressure (IFP) and Tumor Microvascular Density (TMD), hampering the delivery of chemotherapeutics and monoclonal antibodies (mAbs). It was hypothesized that antiangiogenic compounds decrease tumor IFP and TMD, thus normalizing tumor vasculature, before diminishing tumor vasculature. Bevacizumab is an anti-VEGF mAb which depletes soluble VEGF from plasma, depriving VEGFR of its ligand. Chimeric monoclonal antibody cG250 recognizes carbonic anhydrase IX (CAIX), an antigen that is abundantly expressed in Renal Cell Carcinoma (RCC) and has limited expression in normal tissue. The aim of this study was to investigate the effect of Sorafenib on ccRCC physiology, by determining tumor uptake of 111In labeled cG250 or 111In labeled Bevacizumab.
Conditions
Interventions
- DRUG
-
Sorafenib 200 mg 2dd2 po for 4 weeks before surgery
- DRUG
-
111Indium-bevacizumab
100 MBq / 1 mg 111Indium/bevacizumab iv
- DRUG
-
111Indium-cG250
100 MBq / 10 mg 111Indium-cG250 iv
Sponsors & Collaborators
-
Dutch Cancer Society
collaborator OTHER -
Radboud University Medical Center
lead OTHER
Principal Investigators
-
WJG Oyen, MD, PhD · Department of Nuclear Medicine, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
-
PFA Mulders, MD, PhD · Department of Urology, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- BASIC_SCIENCE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2007-07-31
- Primary Completion
- 2012-04-30
- Completion
- 2012-06-30
Countries
- Netherlands
Study Locations
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