Resection of Pulmonary Metastasis in Clear Cell Renal Cell Carcinoma +/-Adjuvant Sunitinib Therapy (SMAT)
SMAT
Prospektiv Randomisierte Multizentrische Phase II-Studie Zur Metastasenresektion Von Lungenfiliae (Poor-prognosis) Beim Klarzelligen Nierenzellkarzinom +/- Adjuvante Sunitinibtherapie über 1 Jahr SMAT - AN 20/04 Der AUO
2 other identifiers
interventional
60
1 country
11
Brief Summary
The aim ist to identify biomarkers in the blood, to indicate early response or early treatment resistance.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Oct 2010
Longer than P75 for phase_2
11 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2010
CompletedFirst Submitted
Initial submission to the registry
October 6, 2010
CompletedFirst Posted
Study publicly available on registry
October 7, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2015
CompletedFebruary 13, 2012
February 1, 2012
5 years
October 6, 2010
February 10, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
2 year relapse-free survival
5 years
Secondary Outcomes (4)
perioperative mortality and morbidity
5 years
Side effect of adjuvant therapy
5 years
Quality of Life of the Patient
5 years
Overall Survival
5 years
Study Arms (2)
Sunitinib
ACTIVE COMPARATORone year adjuvant treatment with sunitinib
Placebo
PLACEBO COMPARATORone year treatment with placebo
Interventions
one-year adjuvant Treatment with Sunitinib, schematic (4:2): 4 weeks (28) 50 mg(milligram) daily, 2 weeks (14) break
one-year Treatment, schematic (4:2): 4 weeks (28) 50 mg(milligram) daily, 2 weeks (14) break,
Eligibility Criteria
You may qualify if:
- \>/= 2 synchronous or within 24 Months after Nephrectomy occured pulmonary metastases. Patients in whom more back than 2 years of a solitary lung metastasis, bone metastasis or brain metastasis was resected, may also be included in the study.
- Aged 18 to 75 years
- functionally acceptable surgical risk
- Women in conceptional age: negative pregnancy test and adequate contraception
- Adequate hematologic, renal, hepatic and coagulation-physiological functions
- Amylase/ Lipase \< 1,5 x upper limit of normal
- Informing the patient about the study and the present written consent to participate after clarification in accordance with the stipulations of AMG(german drug law), and the principles of GCP ("informed consent")
- Patient compliance and geographic proximity to allow adequate follow-up
You may not qualify if:
- Presence of other metastases outside the lung
- progress in the 12-week sunitinib therapy before resection of metastases
- R1 or R2-finding in resection of metastases
- Dialysis after nephrectomy
- Previous or existing serious cardiovascular (grade III - IV according to NYHA(New York Heart Association)) disease, active angina pectoris or ischemia, myocardial infarction within previous 6 months , uncontrolled hypertension(RR diastolic 120 mmHg(Millimeters of mercury))
- serious hematopoetic (e.g. serious Bone marrow aplasia), pulmonary, hepatic or renal Disease
- Stroke within the previous six months
- Patients with poorly controlled diabetes mellitus
- Serious bacterial or fungal infections
- chronic hepatitis B or C, HIV(human immunodeficiency virus) infection
- autoimmune disease
- prior organ transplantation
- prior autologous bone marrow transplant or stem cell transferred within the last 4 months before study
- Neuropsychiatric diseases that affect patient compliance
- Manifesto, second malignancy or other malignancy within the past 5 years (except basal cell carcinoma, carcinoma in situ of the cervix, incidental prostate carcinoma, superficial urothelial Ca pTaG1-2 and pT1G1)
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Association of Urologic Oncology (AUO)lead
- University Hospital, Essencollaborator
Study Sites (11)
Universitätsmedizin Charité Berlin
Berlin, 10117, Germany
Franziskus Krankenhaus
Berlin, 10787, Germany
Helios Klinikum Emil von Behring
Berlin, 14165, Germany
university hospital of Düsseldorf
Düsseldorf, 40255, Germany
university hospital of Essen
Essen, 45122, Germany
Ruhrlandklinik Department of Thoracic Surgery
Essen, 45239, Germany
university hospital of Freiburg
Freiburg im Breisgau, 79106, Germany
university Hospital of Heidelberg
Heidelberg, 69119, Germany
urological hospital of Maria Hilf Krankenhaus Krefeld
Krefeld, 47805, Germany
Hospital of Großhadern
München, 81377, Germany
Dr.-Horst-Schmidt-Kliniken GmbH
Wiesbaden, 65199, Germany
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Susanne Krege, Priv. Doz. Dr. med.
urological hospital of Maria Hilf Krankenhaus Krefeld
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Priv. Doz. Dr. med. Susanne Krege, urological hospital of Maria Hilf Krankenhaus Krefeld
Study Record Dates
First Submitted
October 6, 2010
First Posted
October 7, 2010
Study Start
October 1, 2010
Primary Completion
October 1, 2015
Study Completion
October 1, 2015
Last Updated
February 13, 2012
Record last verified: 2012-02