Carcinoma, Renal CellPhase 2NCT00445523
Safety Study of TroVax Alone vs. TroVax Plus Interferon Alpha in Patients With Renal Cancer
A Phase 2 study testing TroVax® (Immunological Vaccine Therapy) and Interferon-alpha in people with Carcinoma, Renal Cell, run by The Methodist Hospital Research Institute at 1 site in United States.
Trial summary
Patients with metastatic renal cell cancer will be enrolled to receive either Trovax® alone or Trovax® plus Interferon Alfa. The study will try to determine whether the use of Trovax® will delay tumor progression. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma, Renal Cell
- What is being tested?
- TroVax® (Immunological Vaccine Therapy) and Interferon-alpha
- Type of treatment
- Vaccines, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 28 participants
- Where
- 1 siteUnited States
- Study dates
- May 2006to Feb 2008
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Locally advanced or metastatic histologically confirmed clear cell or papillary cell renal carcinoma.
- Primary tumor surgically removed.
- Stable or progressive disease as defined by RECIST criteria.
- Age ≥ 18 years.
- At least one prior standard of care therapy (IL-2, IFN-α, or approved kinase inhibitor)
- At least four weeks from prior use of standard of care therapy.
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- Karnofsky performance status ≥ 80%.
- Corrected Serum Calcium ≥ 10 g/dL.
- Patients on stable doses of bisphosphonates (Fosamax, Actonel, Didrocal) that show subsequent tumor progression may continue on this medication; however patients are not allowed to start bisphosphonates within one month prior to starting trial, or throughout the duration of the trial.
- Major surgery or radiation therapy completed ≥ 4 weeks prior to treatment.
- Clinically immunocompetent.
- Free of clinically apparent autoimmune disease.
- Absolute lymphocyte count ≥ 500/μL, Absolute neutrophil count ≥ 1200/μL, Platelet count ≥ 100,000/μl, Hemoglobin ≥ 9mg/dL.
- No evidence of active ischemia on Electrocardiogram (ECG)
- Women must be either post-menopausal, rendered surgically sterile, or using reliable form of contraceptive.
- Able to give informed consent and comply with the protocol.
Who cannot join
- Prior treatment with TroVax®
- No supplements of complementary medicines/botanicals are permitted during study, except for any combination of the following: multivitamins, selenium, lycopene, soy supplements, Vitamin E.
- Prior radiopharmaceuticals (strontium, samarium) within 8 weeks prior to enrollment.
- Participation in any other clinical trial within 30 days.
- Cerebral metastasis on MRI Scan.
- Currently active second malignancy, other than non-melanoma skin cancer. Patients are not considered to have a "currently active" malignancy if they have completed therapy and are considered by their physician to be at least less than 30% risk of relapse.
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- Serious intercurrent infections or nonmalignant medical illnesses which are uncontrolled.
- Psychiatric illnesses that would limit compliance with protocol.
- A history of psychosis or clinical depression.
- Liver function tests (ALT, AST) more than 1.5 X upper limit of normal (ULN). Bilirubin must be within normal limits.
- Creatinine ≥ 1.5 X ULN.
- Known allergy to egg proteins.
- Known allergy to neomycin.
- History of allergic response to previous vaccinia vaccinations.
- Chronic oral corticosteroid use unless prescribed as replacement therapy in the case of adrenal insufficiency.
- Positive for HIV or Hepatitis B or C.
- Clinical indication of reduced cardiac function or an ejection fraction of ≤ 40%.
- Pregnancy or lactation
- Current chemotherapy, immunotherapy, radiation therapy, or the requirement for radiotherapy.
- No investigational or commercial agents or therapies other that those included in the protocol treatment may be administered with the intent to treat malignancy.
Trial locations and contacts
1 site in 1 country.
United States1 site
Baylor College of Medicine - Methodist Hospital
Houston, Texas, 77030
About this study
Official title: A Phase II Trial to Assess the Activity of TroVax® Alone vs. TroVax® Plus Interferon Alfa (IFN-α) on Patients With Advanced or Metastatic Renal Cell Cancer
Patients with metastatic renal cell cancer will be enrolled to receive either Trovax® alone or Trovax® plus Interferon Alfa. The study will try to determine whether the use of Trovax® will delay tumor progression.
Read the detailed description
Patients with metastatic renal cell cancer will be enrolled in the study if all inclusion/exclusion criteria are met. Once the patient is enrolled, and baseline tests have been completed, the patient will start treatment.
Trovax® alone arm:
Trovax will be given as an intramuscular injection every two weeks for the first two months, then once a month for the next 2 months, and then once every 2 months for up to a year.
Trovax® plus IFN-α:
Trovax® schedule will be the same as the Trovax® alone arm. IFN will be given on the first, third and fifth day of the week for a total of twelve weeks.
At every office visit vital signs will be taken. Every eight weeks a medical history, physical exam, performance status evaluation, chest x-ray or CT scan, abdomen/pelvis CT scan or MRI will be done. A blood sample (about 8-10 tablespoons) will be taken to test the immunological response to TroVax® on the same days that the patient receives TroVax® injections.
- Conditions
- Carcinoma, Renal Cell
- Being tested
- TroVax® (Immunological Vaccine Therapy), Interferon-alpha
- Keywords
- Advanced renal cancer, metastatic renal cancer, RCC, kidney cancer, M3thodist
- Medical subject headings
- Carcinoma, Renal Cell, Kidney Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TroVax® (Immunological Vaccine Therapy)Biological
16 Intramuscular injections of TroVax® over 47 weeks
Interferon-alphaDrug
Also called Intron
36 subcutaneous IFN-α injections for 12 weeks. sc injection three times per week (5MU each)
| Study group | Role | What they receive |
|---|---|---|
| 1 | Experimental | TroVax® alone Receives: Biological: TroVax® (Immunological Vaccine Therapy) |
| 2 | Experimental | TroVax® plus IFN-α Receives: Biological: TroVax® (Immunological Vaccine Therapy); Drug: Interferon-alpha |
What is being measured
The primary outcome is the main question the study is designed to answer.
Tumor objective response rate by RECIST criteria to TroVax® and TroVax® in combination with IFN-α.
Measured: restaging every 9 weeks
Secondary outcomes (3)
Overall survival
Measured: restaging every 9 weeks
Progression-free survival
Measured: restaging every 9 weeks
Time to Progression
Measured: restaging every 9 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Mar 2007 (estimated)
- Study startMay 2006
- Primary completionJan 2008
- Study completionFeb 2008
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Carcinoma, Renal CellStudies of the same condition, open and under way.
- More trials run by The Methodist Hospital Research InstituteThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 28 participants (actual)
Sponsor and investigators
- Lead sponsor
- The Methodist Hospital Research Institute
- Sponsor type
- University, hospital or other
- Collaborators
- Oxford BioMedica
- Responsible party
- Sponsor
- Investigators
- Robert J Amato, DO, Principal investigator, Baylor College of Medicine - Methodist Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00445523
- Sponsor's protocol ID
- HMRI IRB#0206-0028
- Other IDs
- TV2/002/06
- Status last verified
- Mar 2016
- First submitted
- 8 Mar 2007
- Last updated
- 17 Mar 2016
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 17 Mar 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II Trial to Assess the Activity of TroVax® Alone vs. TroVax® Plus Interferon Alfa (IFN-α) on Patients With Advanced or Metastatic Renal Cell Cancer
- ClinicalTrials.gov ID
- NCT00445523
- Acronym / sponsor ID
- HMRI IRB#0206-0028
- Conditions
- Carcinoma, Renal Cell
- Keywords
- Advanced renal cancer, metastatic renal cancer, RCC, kidney cancer, M3thodist
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 28 participants (actual)
- Lead sponsor
- The Methodist Hospital Research InstituteUniversity, hospital or other
- Collaborators
- Oxford BioMedica
- Study start
- May 2006
- Primary completion
- Jan 2008 (actual)
- Study completion
- Feb 2008 (actual)
- First posted
- 9 Mar 2007 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Patients with metastatic renal cell cancer will be enrolled to receive either Trovax® alone or Trovax® plus Interferon Alfa. The study will try to determine whether the use of Trovax® will delay tumor progression.
Detailed description
Patients with metastatic renal cell cancer will be enrolled in the study if all inclusion/exclusion criteria are met. Once the patient is enrolled, and baseline tests have been completed, the patient will start treatment.
Trovax® alone arm:
Trovax will be given as an intramuscular injection every two weeks for the first two months, then once a month for the next 2 months, and then once every 2 months for up to a year.
Trovax® plus IFN-α:
Trovax® schedule will be the same as the Trovax® alone arm. IFN will be given on the first, third and fifth day of the week for a total of twelve weeks.
At every office visit vital signs will be taken. Every eight weeks a medical history, physical exam, performance status evaluation, chest x-ray or CT scan, abdomen/pelvis CT scan or MRI will be done. A blood sample (about 8-10 tablespoons) will be taken to test the immunological response to TroVax® on the same days that the patient receives TroVax® injections.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 1 | Experimental | Biological: TroVax® (Immunological Vaccine Therapy)TroVax® alone |
| 2 | Experimental | Biological: TroVax® (Immunological Vaccine Therapy), Drug: Interferon-alphaTroVax® plus IFN-α |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (16 listed)
- Locally advanced or metastatic histologically confirmed clear cell or papillary cell renal carcinoma.
- Primary tumor surgically removed.
- Stable or progressive disease as defined by RECIST criteria.
- Age ≥ 18 years.
- At least one prior standard of care therapy (IL-2, IFN-α, or approved kinase inhibitor)
Key exclusion criteria (20 listed)
- Prior treatment with TroVax®
- No supplements of complementary medicines/botanicals are permitted during study, except for any combination of the following: multivitamins, selenium, lycopene, soy supplements, Vitamin E.
- Prior radiopharmaceuticals (strontium, samarium) within 8 weeks prior to enrollment.
- Participation in any other clinical trial within 30 days.
- Cerebral metastasis on MRI Scan.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TroVax® (Immunological Vaccine Therapy)16 Intramuscular injections of TroVax® over 47 weeks | Biological | 1, 2 |
| Interferon-alphaAlso: Intron36 subcutaneous IFN-α injections for 12 weeks. sc injection three times per week (5MU each) | Drug | 2 |
Primary outcome
Tumor objective response rate by RECIST criteria to TroVax® and TroVax® in combination with IFN-α.
Time frame: restaging every 9 weeks
3 secondary outcomes
Overall survival
Time frame: restaging every 9 weeks
Progression-free survival
Time frame: restaging every 9 weeks
Time to Progression
Time frame: restaging every 9 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Mar 2016.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Robert J Amato, DO principal investigator
Baylor College of Medicine - Methodist Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing TroVax® (Immunological Vaccine Therapy) and Interferon-alpha in people with Carcinoma, Renal Cell, run by The Methodist Hospital Research Institute at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 16 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 17 Mar 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Tumor objective response rate by RECIST criteria to TroVax® and TroVax® in combination with IFN-α. (time frame: restaging every 9 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Mar 2016.