Fludarabine, Cyclophosphamide, and Alemtuzumab in Treating Patients With Recurrent or Metastatic Renal Cell Carcinoma (Kidney Cancer) Undergoing Allogeneic Stem Cell Transplantation
Study Details
Study Description
Brief Summary
RATIONALE: Drugs used in chemotherapy, such as fludarabine and cyclophosphamide, use different ways to stop cancer cells from dividing so they stop growing or die. Peripheral stem cell transplantation may be able to replace immune cells that were destroyed by chemotherapy. Sometimes the transplanted cells can reject the body's normal tissues. Alemtuzumab and tacrolimus may prevent this from happening.
PURPOSE: Phase II trial to study the effectiveness of combining fludarabine and cyclophosphamide with alemtuzumab in treating patients who are undergoing allogeneic stem cell transplantation for recurrent or metastatic renal cell carcinoma (kidney cancer).
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
OBJECTIVES:
- Determine the safety and feasibility of fludarabine, cyclophosphamide, and alemtuzumab in patients with recurrent or metastatic renal cell carcinoma undergoing HLA-matched allogeneic stem cell transplantation.
OUTLINE: This is a pilot, multicenter study.
-
Conditioning: Patients receive fludarabine IV over 30 minutes on days -6 to -2, cyclophosphamide IV over 2 hours on days -6 and -5, and alemtuzumab IV on days -4 to -2.
-
Allogeneic transplantation: Allogeneic stem cells are infused on day 0. Patients receive graft-vs-host disease prophylaxis with tacrolimus IV or orally for approximately 30 days.
Patients are followed weekly for 100 days and then at 6, 12, 18, 24, 36, 48, and 60 months after transplantation.
PROJECTED ACCRUAL: A total of 20 patients (10 with HLA-identical related donors and 10 with matched unrelated donors) will be accrued for this study.
Study Design
Outcome Measures
Primary Outcome Measures
- Number of patients with treatment related mortality [100]
Eligibility Criteria
Criteria
DISEASE CHARACTERISTICS:
-
Diagnosis of recurrent or metastatic renal cell carcinoma
-
Failed interleukin-2 (IL-2)-based therapy OR intolerant to IL-2
-
Clinically evident and followable disease
-
Availability of 1 of the following compatible donors:
-
Related HLA-identical or 1-Ag mismatched donor
-
Unrelated HLA-A, B, DRB1-matched donor
PATIENT CHARACTERISTICS:
Age
- Any age
Performance status
- Karnofsky 70-100%
Life expectancy
- No concurrent illness that severely limits life expectancy
Hematopoietic
- Not specified
Hepatic
-
No episode of hepatitis within the past month
-
No evidence of chronic active hepatitis or cirrhosis
Renal
- Creatinine no greater than 2 mg/dL
Cardiovascular
-
LVEF at least 40%
-
No uncontrolled arrhythmias
-
No symptomatic cardiac disease
Pulmonary
- FEV_1, FVC, and DLCO at least 50% of predicted (unless due to metastatic disease)
Other
-
Not pregnant
-
Negative pregnancy test
-
Fertile patients must use effective contraception during and for 3 months after study participation
-
No active infection
-
HIV negative
PRIOR CONCURRENT THERAPY:
Biologic therapy
- See Disease Characteristics
Chemotherapy
- Not specified
Endocrine therapy
- Not specified
Radiotherapy
- Not specified
Surgery
- Not specified
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Baylor College of Medicine | Houston | Texas | United States | 77030 |
Sponsors and Collaborators
- Baylor College of Medicine
Investigators
- Study Chair: Uday Popat, MD, Baylor College of Medicine
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CDR0000328247
- BCM-H-8447