Matched Unrelated Donor Transplant for Metastatic Renal Cell Carcinoma

NCT ID: NCT00318110

Last Updated: 2016-07-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

4 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-04-30

Study Completion Date

2009-03-31

Brief Summary

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The purpose of this study is to find out what effects (good and bad) a stem cell transplant from an unrelated donor will have for patients with kidney cancer that has spread to other parts of the body (metastasized).

Detailed Description

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Standard treatment for kidney cancer that has spread to other parts of the body may include immunotherapy (a therapy that uses the body's natural immune system to fight cancer) and cytokines (proteins found in the body). If these treatments are not successful at controlling the cancer then chemotherapy or thalidomide are used. Chemotherapy and thalidomide will not cure kidney cancer but they may control the disease in some patients.

In some patients, transplants are now proposed for study. Stem cells (from bone marrow or the bloodstream) are normally used to treat cancers of the blood, not kidney cancer. Since researchers are still learning about using stem cell transplants for kidney cancer, the study is considered a research study. Patients participating in this study will receive smaller doses of chemotherapy drugs to prepare them for the transplant than patients who have a standard transplant. This type of transplant is called a "reduced intensity" transplant. A reduced intensity transplant uses the cell-killing activity of the transplanted donor stem cells to attack the recipient's cancer cells. This is called graft-versus-tumor-effect (GVT). Previous studies have shown that GVT may be greater if the donor is not related to the recipient.

Conditions

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Metastatic Renal Cell Carcinoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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MUD treatment

NST using MUD for metastatic renal cell carcinoma

Group Type EXPERIMENTAL

NST using MUD for metastatic renal cell carcinoma

Intervention Type PROCEDURE

Preparative regimen:

Fludarabine 25 mg/m2 IV once a day x 5 days (-6,-5,-4,-3,-2) Melphalan 70 mg/m2 IV once a day x 2 days (-3,-2) Donor Stem Cell Infusion: Stem cells will be infused on day 0 GVHD prophylaxis: Tacrolimus and methotrexate 5 mg/m2 IV day 1, 3, 6 and 11

Interventions

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NST using MUD for metastatic renal cell carcinoma

Preparative regimen:

Fludarabine 25 mg/m2 IV once a day x 5 days (-6,-5,-4,-3,-2) Melphalan 70 mg/m2 IV once a day x 2 days (-3,-2) Donor Stem Cell Infusion: Stem cells will be infused on day 0 GVHD prophylaxis: Tacrolimus and methotrexate 5 mg/m2 IV day 1, 3, 6 and 11

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of metastatic (stage IV) renal cell carcinoma (RCC) predominately clear cell type
* Prior nephrectomy
* Available HLA-matched (8/8, 7/8) unrelated donor
* At least one prior immunotherapy; or immunotherapy + chemotherapy; or targeted therapy, for metastatic RCC.
* Adequate organ function

Exclusion Criteria

* Prior allogeneic stem cell transplantation
* RCC with histology other than clear cell type
* History or presence of brain metastasis
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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M.D. Anderson Cancer Center

OTHER

Sponsor Role collaborator

Center for International Blood and Marrow Transplant Research

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Naoto Ueno, M.D., Ph.D.

Role: STUDY_CHAIR

MDACC

Locations

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University of California - Los Angeles

Los Angeles, California, United States

Site Status

Shands - University of Florida

Gainesville, Florida, United States

Site Status

University of Minnesota

Minneapolis, Minnesota, United States

Site Status

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

M.D. Anderson Cancer Center

Houston, Texas, United States

Site Status

Countries

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United States

Related Links

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http://www.CIBMTR.org

Click for more information about the Center for International Blood and Marrow Transplant Research

Other Identifiers

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T00008

Identifier Type: -

Identifier Source: org_study_id

NCT00429130

Identifier Type: -

Identifier Source: nct_alias

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