A Multi-Center, Non-Controlled Clinical Study of Sorafenib Adjuvant Therapy in Advanced Renal-Cell Carcinoma
AGuo
1 other identifier
interventional
140
1 country
1
Brief Summary
A one-arm,open,multi-center study, to evaluate sorafenib (400mg twice daily ) as a adjuvant to prevent recurrence of RCC(renal cell carcinoma) patients after radical nephrectomy with a high-risk of recurring. To observe disease-free survival and the survival rate in 3 years,5 years. The purpose of this study is:
- To study the efficacy of Sorafenib as an adjuvant therapy for reducing recurrence rate in locally advanced renal-cell carcinoma (RCC) after radical nephrectomy.
- To observe the incidence of hand-foot skin reaction (HFSR) after the Urea (10% or 5%) based cream intervention treatment. The primary end point is the disease-free survival(DFS).The secondary end point is overall survival(OS),the drug safety and tolerance, the occurrence of hand foot skin reaction(HFSR) at the week of 3,6,12,the skin toxicity(not include HFSR) higher than CTCAE(Common Terminology Criteria for Adverse Events) Grade 2 at the 12th week, the incidence of HFSR after the Urea (10% or 5%) based cream intervention treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Nov 2008
Longer than P75 for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2008
CompletedFirst Submitted
Initial submission to the registry
December 30, 2009
CompletedFirst Posted
Study publicly available on registry
December 31, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2013
CompletedJanuary 6, 2010
August 1, 2008
3 years
December 30, 2009
January 5, 2010
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
disease free survival
November 2008-November 2013
Secondary Outcomes (1)
overall survival
November 2008-November 2013
Study Arms (1)
sorafenib
EXPERIMENTALTo study the efficacy of Sorafenib as an adjuvant therapy for reducing recurrence rate in locally advanced renal-cell carcinoma (RCC) after radical nephrectomy.
Interventions
Eligibility Criteria
You may qualify if:
- Preoperative Criteria
- Renal local advanced renal cell carcinoma and be suitable to radical nephrectomy.
- Tumor \>=7cm, the lymph nodes in metastasis can be resectable, the renal vein or inferior caval vein with metastatic thrombus can be resectable also, clinical staging\>=T2anyNMo.
- Resectable tumor with multiple-lesion in ipsolateral kidney Enrolment Criteria
- No distant metastasis.
- Not undergoing any adjuvant or systematic anti-tumor therapy, such as chemotherapy, biotherapy or radiotherapy.
- After the nephrectomy 4-12 weeks and should be recovery in the postoperative complications.
- ECOG scores 0-1.
- Referring to the Scoring Algorithm to Predict Metastasis after Radical Nephrectomy in Patients with clear cell renal cell carcinoma, all the patients score higher than 6. Metastatic lymph node with clinical diagnosis have been resected, all the resected specimen edge be negative in pathological detection.
- The pathological diagnosis of renal cell carcinoma:
- No remnant tumor with postoperative imaging screening with CT or MRI.
- The liver and renal function, hemocytogenesis function meet the below criteria within the 4 weeks before the enrollment.
- Granulocytes count \>1500/mm3
- Blood platelet \>100000/mm3
- Creatinine\<2 times of the upper of the reference value
- +3 more criteria
You may not qualify if:
- Other coincident carcinoma, but not including carcinoma in situ of cervix and basal cell epithelioma after radical therapy and bladder carcinoma superficially(Ta,Tis,T1) or carcinoma having been cured 3 years ago.
- Cardiac dysrhythmia need agent intervention(not including β-receptor inhibitive or digoxin treatment), coronary heart disease, myocardial infarction occurred in the later 6 months, heart failure assessment higher than NYHA II
- Seriously active infection with bacteria or fungus
- HIV infection or HBV/HCV infection with IFN-a intervention.
- Dysfunction in blood coagulation.
- Epilepsia with drug treatment.
- Those cannot take tablets orally.
- Allogeneic organ transplantation.
- Drug abuse or concomitant conditions such as psychologically or socially factors which may intervene the assessment.
- Hypersensitiveness to the studying adjuvant or the trial-relevant drugs.
- Pregnancy or lactation, pregnancy test must be negative within the 14 days before the trial beginning, either females or males must be contraceptive during the trial.
- The following concomitant therapeutics must be excluded:
- Anti-tumor agents, immunological or hormonal therapy
- Radiotherapy
- Biological therapeutics such as G-CSF or GM-CSF
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Jiangsu Province Centers for Disease Control and Preventioncollaborator
- Chinese Academy of Medical Scienceslead
- Beijing University of Chinese Medicinecollaborator
- China Medical University, Chinacollaborator
- Peking Union Medical College Hospitalcollaborator
- Tianjin Medical Universitycollaborator
- Shanghai Jiao Tong University School of Medicinecollaborator
- Changhai Hospitalcollaborator
- Zhejiang Universitycollaborator
- Fudan Universitycollaborator
- Central South Universitycollaborator
- Sichuan Universitycollaborator
- Huazhong University of Science and Technologycollaborator
Study Sites (1)
Jianhui Ma
Beijing, Beijing Municipality, 100730, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
China Academy of Medical Sciences Jianhui Ma China Academy of Medical Sciences, Doctor
CONTACT
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
December 30, 2009
First Posted
December 31, 2009
Study Start
November 1, 2008
Primary Completion
November 1, 2011
Study Completion
November 1, 2013
Last Updated
January 6, 2010
Record last verified: 2008-08