Sunitinib as First-Line Therapy in Treating Patients With Locally Advanced Metastatic Papillary Renal Cell Cancer
Kidney Cancer
Conditions: official terms
Carcinoma, Renal Cell
Conditions: Keywords
type 1 papillary renal cell carcinoma, type 2 papillary renal cell carcinoma, stage IV renal cell cancer, stage III renal cell cancer
Study Type
Study Phase
Phase 2
Study Design
Masking: Open Label, Primary Purpose: Treatment
Name: sunitinib malate
Type: Drug
Overall Status
RATIONALE: Sunitinib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor.

PURPOSE: This phase II trial is studying how well sunitinib works as first-line therapy in treating patients with locally advanced or metastatic papillary renal cell (kidney) cancer.
Detailed Description


- To determine the objective tumor response rate in patients with locally advanced or metastatic papillary renal cell carcinoma treated with sunitinib malate.


- To evaluate the safety of this drug in these patients.

- To determine time-to-event variables of overall survival, time to disease progression, time to response, and duration of response in patients treated with this drug.

OUTLINE: This is a multicenter study.

Patients receive oral sunitinib malate once a day on days 1-28. Treatment repeats every 6 weeks in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed at 28 days and then periodically thereafter.
Criteria for eligibility
Healthy Volunteers: No
Maximum Age: N/A
Minimum Age: 18 Years
Gender: Both

Inclusion criteria:

- Diagnosis of papillary renal cell carcinoma

- Locally advanced or metastatic disease

- Type I or type II disease

- Progressive disease

- Measurable disease defined by RECIST criteria as at least 1 lesion at least 2 cm in length by conventional CT scan techniques or at least 1 cm by spiral CT scan

- No brain metastases including treated and nonprogressive metastases


Inclusion criteria:

- ECOG performance status 0-1

- Life expectancy ≥ 3 months

- Absolute neutrophil count ≥ 1,500/mm³

- Platelet count ≥ 100,000/mm³

- Hemoglobin ≥ 8 g/dL

- Total bilirubin ≤ 3 mg/dL

- AST and ALT ≤ 2.5 times upper limit of normal (ULN) (5 times ULN if liver metastases are present)

- Serum creatinine < 1.5 times ULN

- INR ≤ 1.7 or PT ≤ 6 seconds over ULN

- Not pregnant or nursing

- Fertile patients must use effective contraception

- Patients must be affiliated to a Social Security System

- Willingness and ability to comply with scheduled visits, treatment plans, laboratory tests, and other study procedures

Exclusion criteria:

- NCI CTC grade 3 hemorrhage within 4 weeks prior to start of study treatment

- Diagnosis of any second malignancy within the past 3 years except for basal cell carcinoma, squamous cell skin cancer, or in situ carcinoma of the cervix that has been adequately treated with no evidence of recurrent disease within the past 12 months

- Spinal cord compression, carcinomatous meningitis, or leptomeningeal disease

- Any of the following within the past 12 months prior to study drug administration:

- Severe/unstable angina

- Myocardial infarction

- Coronary artery bypass graft

- Symptomatic congestive heart failure

- Cerebrovascular accident including transient ischemic attack

- Pulmonary embolism

- Any of the following conditions:

- Ongoing cardiac dysrhythmias of NCI CTCAE grade ≥ 2

- Atrial fibrillation of any grade

- Prolongation of the QTc interval to > 450 msec for males or > 470 msec for females

- Hypertension that cannot be controlled by medications

- Inability to swallow oral medications or presence of active inflammatory bowel disease, partial or complete bowel obstruction, or chronic diarrhea

- Known HIV or AIDS infection

- Other severe acute or chronic medical or psychiatric condition, or laboratory abnormality that may increase the risk associated with study participation or study drug administration

- Psychological, familial, sociological, or geographical condition potentially hampering compliance with the study protocol and the follow-up schedule

- Patients deprived of liberty or placed under the authority of a tutor


- Recovered from all toxic effects of any prior local treatment to CTCAE version 3.0 grade ≤ 1

- At least 4 weeks since prior radiotherapy

- At least 1 week since prior radiotherapy to < 10% of the whole body allowed provided side effects are < grade 2 and there is at least one site for evaluation

- More than 2 weeks since prior and no concurrent anticoagulant agents or therapeutic doses of warfarin

- Low-dose warfarin (up to 2 mg/day) for deep vein thrombosis prophylaxis allowed

- Low molecular weight heparin allowed

- No prior specific medical systemic therapy (i.e., first-line therapy)

- No prior sunitinib malate

- No prior investigational agents

- No concurrent treatment on another therapeutic clinical trial
Centre Paul Papin
Angers, France
Status: Recruiting
Contact: Sophie Abadie-Lacourtoisie, MD - 33-2-4135-2734
Centre Hospitalier Regional de Besancon - Hopital Jean Minjoz
Besancon, France
Status: Recruiting
Contact: Ulrich Stein, MD - 33-3-8166-8240
Hopital Saint Andre
Bordeaux, France
Status: Recruiting
Contact: Alain Ravaud, MD, PhD - 33-5-5679-5808 -
C.H.U. de Brest
Brest, France
Status: Recruiting
Contact: Jean-Pierre Malhaire, MD - 33-2-9822-3395
Centre Regional Francois Baclesse
Caen, France
Status: Recruiting
Contact: Emmanuel Sevin, MD - 33-2-3145-5017 -
CHU de Grenoble - Hopital de la Tronche
Grenoble, France
Status: Recruiting
Contact: Matthieu Laramas, MD - 33-4-7676-5333
Centre Hospitalier Departemental
La Roche Sur Yon, France
Status: Recruiting
Contact: Franck Priou, MD - 33-2-5144-6173 -
Centre Oscar Lambret
Lille, France
Status: Recruiting
Contact: Armelle Caty, MD - 33-3-2029-5942 -
Centre Leon Berard
Lyon, France
Status: Recruiting
Contact: Sylvie Negrier, MD - 33-4-7878-2751 -
CHU de la Timone
Marseille, France
Status: Recruiting
Contact: Marjorie Baciuchka-Palmaro - 33-91-385-708
Marseille Institute of Cancer - Institut J. Paoli and I. Calmettes
Marseille, France
Status: Recruiting
Contact: Gwenaelle Gravis, MD - 33-4-9122-3740 -
Hopital Notre-Dame de Bon Secours
Metz, France
Status: Recruiting
Contact: Sabine Walter, MD - 33-387-553-554 -
Centre Regional de Lutte Contre le Cancer - Centre Val d'Aurelle
Montpellier, France
Status: Recruiting
Contact: Stephane Culine, MD - 33-4-6761-8555 -
CRLCC Nantes - Atlantique
Nantes-Saint Herblain, France
Status: Recruiting
Contact: Frederic Rolland, MD - 33-2-40-67-99-76 -
Centre Antoine Lacassagne
Nice, France
Status: Recruiting
Contact: Jean Marc Ferrero, MD - 33-4-9203-1511 -
Hopital Europeen Georges Pompidou
Paris, France
Status: Recruiting
Contact: Stephane Oudard, MD, PhD - 33-1-5609-3434 -
Hopital Saint Michel
Paris, France
Status: Recruiting
Contact: Gael Deplanque, MD, MSC, PhD - 33-1-4412-3078
Institut Jean Godinot
Reims, France
Status: Recruiting
Contact: Herve Cure, MD, PhD - 33-3-2650-4382
Hopital Foch
Suresnes, France
Status: Recruiting
Contact: Christine Theodore, MD - 33-1-4625-2149
Institut Claudius Regaud
Toulouse, France
Status: Recruiting
Contact: Christine Chevreau-Dalbianco, MD - 33-5-6142-4118 -
Centre Hospitalier Universitaire Bretonneau de Tours
Tours, France
Status: Recruiting
Contact: Claude Linassier, MD, PhD - 33-2-4747-3827 -
Institut Gustave Roussy
Villejuif, France
Status: Recruiting
Contact: Bernard Escudier, MD - 33-1-4211-5410 -
Start Date
September 2007
National Cancer Institute (NCI)
Record processing date processed this data on July 28, 2015 page