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NCT01896271

High Dose IL-2 and Stereotactic Ablative Body Radiation Therapy for Metastatic Renal Cancer

Completed Phase 2 Results posted Last updated 23 August 2021
What this trial tests

Phase 2 trial testing IL-2 in Metastatic Clear Cell Renal Cell Carcinoma in 30 participants. Completed in 20 April 2021.

Timeline
2 October 2013
Primary endpoint
25 August 2020
20 April 2021

Quick facts

Lead sponsorUniversity of Texas Southwestern Medical Center
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment30
Start date2 October 2013
Primary completion25 August 2020
Estimated completion20 April 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Texas Southwestern Medical Center

Who can join

Adults 18 to 99, any sex, with Metastatic Clear Cell Renal Cell Carcinoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Response Rate Primary · 6 months

Treatment response will be measured using the immune related Response Evaluation Criteria in Solid Tumors (RECIST) criteria (iRECIST) which are a minor modification of RECIST 1.1 for immunotherapy

GroupValue95% CI
Treatment4
Overall Survival Secondary · 4 years

Overall Survival (OS), which is defined as the time between date of registration and the date of death due to any cause.

GroupValue95% CI
Treatment3916 – 53
Progression Free Survival Secondary · 4 years

Progression Free Survival (PFS), which is defined according to the immune Response Evaluation Criteria in Solid Tumors (iRECIST) as the time between date of registration and the first date of documented disease progression or date of death due to any cause.

GroupValue95% CI
Treatment2.52 – 8
Local Control Rate Secondary · 4 years

Local recurrence is defined as tumor recurrence within the planning target volume. Local control rate will be evaluated by imaging techniques such as CT or MRI. Local recurrence will be defined as an increase of \> 20% in tumor size.

GroupValue95% CI
Treatment30
Median Response Duration Secondary · 4 years

Median response duration, which is defined as the time between the date a response (CR or PR) was first seen until date of progression

GroupValue95% CI
Treatment26.711.4 – 36.4
Number of Participants With Adverse Events Secondary · 4 years

Adverse events will be determined according to Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0.

GroupValue95% CI
Treatment30

Adverse events — posted to ClinicalTrials.gov

Time frame: 4 years. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment
Serious: 22/30 (73%)
Deaths: 19/30

Serious adverse events (10 terms)

ReactionSystemTreatment
Renal/electrolytesRenal and urinary disorders
Hematology CoagulationBlood and lymphatic system disorders
CardiacCardiac disorders
Hepatobiliary disordersHepatobiliary disorders
InfectionInfections and infestations
RespiratoryRespiratory, thoracic and mediastinal disorders
HypotensionCardiac disorders
GastrointestinalGastrointestinal disorders
NeurologicNervous system disorders
OtherGeneral disorders
Other adverse events (13 terms — click to expand)

ReactionSystemTreatment
Renal/electrolytesRenal and urinary disorders
Hematology CoagulationBlood and lymphatic system disorders
ConstitutionalGeneral disorders
CardiacCardiac disorders
GastrointestinalGastrointestinal disorders
SkinSkin and subcutaneous tissue disorders
Hepatobiliary disordersHepatobiliary disorders
HypotensionCardiac disorders
OtherGeneral disorders
RespiratoryRespiratory, thoracic and mediastinal disorders
NeurologicNervous system disorders
PsychiatricPsychiatric disorders
InfectionInfections and infestations

Most-reported serious reactions: Renal/electrolytes, Hematology Coagulation, Cardiac, Hepatobiliary disorders, Infection, Respiratory, Hypotension, Gastrointestinal.

Data from ClinicalTrials.gov NCT01896271 adverse events section.

Sponsor's own description

In this i-SABR (immunotherapy + Stereotactic Ablative Body Radiation) trial, the stereotactic radiation to multiple metastatic sites is delivered not only to eradicate sites of bulky progressive disease, but also to provide antigen presentation and immune stimulation which is expected to act synergistically when immediately followed by the non-specific immune stimulation provided by treatment with HD IL-2 and thereby increase the response rate and complete response for metastatic clear cell renal cell cancer patients. Both HD IL-2 and SABR are FDA approved therapeutic cancer treatment

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Current clinical trials testing the combination of immunotherapy with radiotherapy.
    Kang J, Demaria S, Formenti S. · · 2016 · cited 293× · PMID 27660705 · DOI 10.1186/s40425-016-0156-7
  2. Combinations of immunotherapy and radiation in cancer therapy.
    Vatner RE, Cooper BT, Vanpouille-Box C, Demaria S, et al · · 2014 · cited 189× · PMID 25506582 · DOI 10.3389/fonc.2014.00325
  3. Combinatorial Approach to Improve Cancer Immunotherapy: Rational Drug Design Strategy to Simultaneously Hit Multiple Targets to Kill Tumor Cells and to Activate the Immune System.
    Joshi S, Durden DL. · · 2019 · cited 76× · PMID 30853982 · DOI 10.1155/2019/5245034
  4. Radical irradiation of extracranial oligometastases.
    Salama JK, Milano MT. · · 2014 · cited 68× · PMID 25113765 · DOI 10.1200/jco.2014.55.9567
  5. Society for Immunotherapy of Cancer consensus statement on immunotherapy for the treatment of renal cell carcinoma.
    Rini BI, McDermott DF, Hammers H, Bro W, et al · · 2016 · cited 52× · PMID 27891227 · DOI 10.1186/s40425-016-0180-7
  6. Radiotherapy in Combination With Cytokine Treatment.
    Palata O, Hradilova Podzimkova N, Nedvedova E, Umprecht A, et al · · 2019 · cited 39× · PMID 31179236 · DOI 10.3389/fonc.2019.00367
  7. Rationale and evidence to combine radiation therapy and immunotherapy for cancer treatment.
    Ishihara D, Pop L, Takeshima T, Iyengar P, et al · · 2017 · cited 39× · PMID 27743027 · DOI 10.1007/s00262-016-1914-6
  8. Common gamma chain cytokines in combinatorial immune strategies against cancer.
    Pulliam SR, Uzhachenko RV, Adunyah SE, Shanker A. · · 2016 · cited 39× · PMID 26597610 · DOI 10.1016/j.imlet.2015.11.007

Verify or expand the search:

Other trials of IL-2

Trials testing the same drug.

Other recruiting trials for Metastatic Clear Cell Renal Cell Carcinoma

Currently open trials in the same condition.

Other University of Texas Southwestern Medical Center trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01896271.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing