S0351, CNTO 328 in Treating Patients With Unresectable or Metastatic Kidney Cancer

Study Overview
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Brief Summary
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RATIONALE: Monoclonal antibodies, such as CNTO 328, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. PURPOSE: This phase II trial is studying how well CNTO 328 works in treating patients with unresectable or metastatic kidney cancer.

Detailed Description
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OBJECTIVES: Primary Assess the probability of response (confirmed complete and partial responses) in patients with unresectable or metastatic renal cell cancer treated with CNTO 328. Secondary Assess the 6-month progression-free survival probability and median overall survival in these patients. Evaluate the qualitative and quantitative toxicities of this treatment. Investigate, in a preliminary manner, the association of tumor response with potential markers of anti-interleukin-6 activity. OUTLINE: This is a multicenter study. Patients receive CNTO 328 IV over 2 hours on day 1. Treatment repeats every 2 weeks for 6 courses in the absence of disease progression or unacceptable toxicity. Patients achieving complete or partial response after 6 courses of therapy may receive an additional 6 courses. After completion of study treatment, patients are followed periodically for 3 years. PROJECTED ACCRUAL: A total of 40 patients will be accrued for this study.

Official Title
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A Phase II Study of CNTO 328, A Monoclonal Antibody Against Interleukin-6 (IL-6), In Patients With Advanced or Metastatic Renal Cell Cancer

Conditions
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Kidney Cancer

Intervention / Treatment
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* Biological: CNTO 328


Participation Criteria
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Eligibility Criteria
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DISEASE CHARACTERISTICS: Histologically or cytologically confirmed metastatic or unresectable primary renal cell carcinoma Measurable disease Soft tissue disease within a prior radiation field may be considered measurable disease provided all of the following are true: Patient also has measurable disease outside of the irradiated field Disease within the irradiated field has progressed since prior radiotherapy Radiotherapy was completed more than 2 months ago Ineligible for high-dose interleukin-2 No treated or untreated brain metastases No history of brain metastases Patients with clinical evidence of brain metastases must have brain CT scan or MRI negative for metastatic disease within 56 days prior to study entry PATIENT CHARACTERISTICS: Zubrod performance status 0-2 Absolute granulocyte count ≥ 1,500/mm^3 Platelet count ≥ 100,000/mm^3 Creatinine clearance ≥ 40 mL/min Bilirubin ≤ 3 times upper limit of normal (ULN) SGOT ≤ 3 times ULN Not pregnant or nursing Fertile patients must use effective contraception No more than 2 of the following: Zubrod PS 2 Lactate dehydrogenase > 1.5 times ULN Hemoglobin < lower limit of normal Calcium > 10 mg/dL Absence of prior nephrectomy No uncontrolled intercurrent illness, including any of the following: Uncontrolled diabetes mellitus Ongoing or active infection Symptomatic congestive heart failure Unstable angina pectoris Cardiac arrhythmia Psychiatric illness or social situation that would limit compliance with study requirements No HIV positivity No other prior malignancy, excluding the following: Adequately treated basal cell or squamous cell skin cancer In situ cervical cancer Adequately treated stage I or II cancer for which the patient is currently in complete remission Any other cancer for which the patient has been disease free for 5 years PRIOR CONCURRENT THERAPY: See Disease Characteristics At least 28 days since prior tumor resection and recovered No prior immunotherapy or chemotherapy regimens with interferon (IFN) and/or interleukin-2 (IL-2) or the combination of IFN/IL-2 No prior cytotoxic chemotherapy for renal cell cancer No prior murine or chimeric proteins or human/murine recombination products (i.e., other chimeric monoclonal antibodies) No concurrent radiotherapy or systemic therapy for renal cell cancer

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: CNTO 328<br>CNTO 328, anti-IL-6 monoclonal antibody; 6 mg/kg, IV, q 2wks x 12 cycles (1 cycle = 2 wks) | Biological: CNTO 328<br>* Anti-IL-6 chimeric monoclonal antibody<br>* Other names: Siltuximab;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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recurrent renal cell cancer, stage IV renal cell cancer, stage III renal cell cancer