Vascular Endothelial Growth Factor (VEGF) Imaging Before and During Everolimus Treatment for Renal Cell Carcinoma (Everolimage)
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Purpose
Everolimus indirectly inhibits angiogenesis by reducing VEGF production. VEGF can be non-invasively visualized and quantified with serial 89Zr-bevacizumab PET imaging in patients.
The investigators hypothesize that a decline in VEGF early during everolimus treatment in patients with metastatic renal cell carcinoma predicts treatment efficacy.
89Zr-bevacizumab PET scans will be performed at baseline, after 2 and 6 weeks of everolimus treatment in 14 adult patients with metastatic renal cell carcinoma.
| Condition | Intervention |
|---|---|
|
Metastatic Renal Cell Carcinoma |
Other: 89Zr-bevacizumab PET scan |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | 89Zr-bevacizumab PET Imaging in Patients With Renal Cell Carcinoma Treated With Everolimus; a Pilot Study |
- Change in 89Zr-bevacizumab uptake in tumor lesions between the baseline scan and the scan during treatment [ Time Frame: Baseline, 2 weeks and 6 weeks ] [ Designated as safety issue: No ]
- Progressive disease according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria, after 3 months of treatment [ Time Frame: 3 months ] [ Designated as safety issue: No ]
Biospecimen Retention: Samples With DNA
whole blood, white blood cells, plasma, serum, urine
| Estimated Enrollment: | 14 |
| Study Start Date: | December 2009 |
| Estimated Study Completion Date: | September 2013 |
| Estimated Primary Completion Date: | September 2013 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Renal Cancer
Renal Cancer patients treated with everolimus
|
Other: 89Zr-bevacizumab PET scan
A tracer dose of 89Zr-bevacizumab (37 MBq, 5 mg protein dose) is given intravenously at day -3, day 11 and day 39. PET scans are made on day 1, day 15 and day 43. Other Name: VEGF imaging
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Adult patients with metastatic renal cell carcinoma who will start treatment with everolimus.
Inclusion Criteria:
- metastatic renal cell cancer
- Intention to start treatment with everolimus
- WHO performance score ≤ 2
- measurable disease with x-ray or CT scan, at least one site of disease must be unidimensionally measurable as follows: X-ray > 20 mm Spiral CT scan > 10 mm Non-spiral CT scan > 20 mm
- ≥ 18 years
- not pregnant or nursing
- women of childbearing potential must use effective contraception
- absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial
- before patient randomization, written informed consent must be given according to GCP, and local regulations
Exclusion Criteria:
- formulated as "not" or "absence of" under inclusion criteria
Contacts and Locations| Contact: Sjoukje Oosting, MD | + 31 50 3612821 | s.oosting@int.umcg.nl |
| Contact: Jourik Gietema, MD PhD | +31 50 3612821 | j.a.gietema@int.umcg.nl |
| Netherlands | |
| University Medical Centre Groningen | Recruiting |
| Groningen, Netherlands, 9700 RB | |
| Principal Investigator: Sjoukje Oosting, MD | |
| Principal Investigator: | Sjoukje Oosting, MD | University Medical Centre Groningen |
More Information
No publications provided
| Responsible Party: | S.F. Oosting, Principal investigator, University Medical Centre Groningen |
| ClinicalTrials.gov Identifier: | NCT01028638 History of Changes |
| Other Study ID Numbers: | NL28799.042.09, METc2009.236 |
| Study First Received: | December 8, 2009 |
| Last Updated: | January 25, 2013 |
| Health Authority: | Netherlands: The Central Committee on Research Involving Human Subjects (CCMO) Netherlands: Medical Ethics Review Committee (METC) |
Keywords provided by University Medical Centre Groningen:
|
VEGF imaging everolimus renal cell carcinoma PET bevacizumab |
Additional relevant MeSH terms:
|
Carcinoma Carcinoma, Renal Cell Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type Neoplasms Adenocarcinoma Kidney Neoplasms Urologic Neoplasms Urogenital Neoplasms Neoplasms by Site Kidney Diseases Urologic Diseases Everolimus Sirolimus Bevacizumab |
Endothelial Growth Factors Immunosuppressive Agents Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions Antibiotics, Antineoplastic Antineoplastic Agents Therapeutic Uses Antifungal Agents Anti-Infective Agents Anti-Bacterial Agents Growth Substances Angiogenesis Inhibitors Angiogenesis Modulating Agents Growth Inhibitors |
ClinicalTrials.gov processed this record on May 19, 2013