Study of Everolimus and Low-dose Cyclophosphamide in Patients With Metastatic Renal Cell Cancer
NCT01462214 · Status: COMPLETED · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 96
Last updated 2017-05-10
Summary
In the present phase 1-2 study the investigators aim to determine whether depletion of Tregs using metronomic cyclophosphamide can enhance the antitumor efficacy of everolimus in patients with mRCC not amenable to or progressive after a VEGF-receptor tyrosine kinase inhibitor containing treatment regimen. In the phase 1 part of the study the investigators will determine the optimal CD4+CD25+ regulatory T cell-depleting dose and schedule of metronomic oral cyclophosphamide when given in combination with a fixed dose (10 mg daily) of everolimus. In the phase 2 part of the study the investigators will subsequently evaluate whether the number of patients who are cancer progression free at 4 months can be increased from 50% to 70% by adding metronomic cyclophosphamide (in the dose and schedule determined in the phase 1 part) to everolimus. In addition to efficacy, the investigators will evaluate treatment toxicity to determine whether this combination strategy is feasible and safe.
Conditions
- Metastatic Renal Cell Cancer
Interventions
- DRUG
-
Patients will be treated with low-dose oral cyclophosphamide (8 different dose levels and schedules) in combination with fixed dose (10 mg) everolimus in patients with mRCC.
Sponsors & Collaborators
-
Dutch Cancer Society
collaborator OTHER - collaborator INDUSTRY
-
Hans J. van der Vliet, MD, PhD
lead OTHER
Principal Investigators
-
Hans J. van der Vliet, MD, PhD · Amsterdam UMC, location VUmc
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-10-31
- Primary Completion
- 2017-01-31
- Completion
- 2017-01-31
Countries
- Netherlands
Study Locations
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