Trial Outcomes & Findings for Celecoxib and Recombinant Interferon Alfa-2b in Metastatic Kidney Cancer Who Have Undergone Surgery (NCT NCT01158534)

NCT ID: NCT01158534

Last Updated: 2012-08-07

Results Overview

The best overall response is the best response recorded from the start of the treatment until disease progression/recurrence (taking as reference for progressive disease the smallest measurements recorded since the treatment started, including baseline). The patient's best response assignment will depend on the achievement of both measurement and confirmation criteria. Objective response will be assessed by RECIST criteria.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

17 participants

Primary outcome timeframe

at week 4 of cycle 2 and every other cycle thereafter

Results posted on

2012-08-07

Participant Flow

Patients accrued from medical clinic from June 2006 through July 2009

Participant milestones

Participant milestones
Measure
Celecoxib and Recombinant Interferon Alpha-2b
Patients receive oral celecoxib twice daily and recombinant interferon alpha-2b subcutaneously, once daily, 5 times a week. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Overall Study
STARTED
17
Overall Study
COMPLETED
14
Overall Study
NOT COMPLETED
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Celecoxib and Recombinant Interferon Alpha-2b
Patients receive oral celecoxib twice daily and recombinant interferon alpha-2b subcutaneously, once daily, 5 times a week. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Overall Study
Withdrawal by Subject
1
Overall Study
Death
1
Overall Study
Other
1

Baseline Characteristics

Celecoxib and Recombinant Interferon Alfa-2b in Metastatic Kidney Cancer Who Have Undergone Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Celecoxib and Recombinant Interferon Alpha-2b
n=17 Participants
Patients receive oral celecoxib twice daily and recombinant interferon alpha-2b subcutaneously, once daily, 5 times a week. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Age Continuous
62.9 years
STANDARD_DEVIATION 9.6 • n=93 Participants
Sex: Female, Male
Female
4 Participants
n=93 Participants
Sex: Female, Male
Male
13 Participants
n=93 Participants
Region of Enrollment
United States
17 participants
n=93 Participants

PRIMARY outcome

Timeframe: at week 4 of cycle 2 and every other cycle thereafter

The best overall response is the best response recorded from the start of the treatment until disease progression/recurrence (taking as reference for progressive disease the smallest measurements recorded since the treatment started, including baseline). The patient's best response assignment will depend on the achievement of both measurement and confirmation criteria. Objective response will be assessed by RECIST criteria.

Outcome measures

Outcome measures
Measure
Celecoxib and Recombinant Interferon Alpha-2b
n=17 Participants
Patients receive oral celecoxib twice daily and recombinant interferon alpha-2b subcutaneously, once daily, 5 times a week. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Objective Response Rate Assessed by RECIST Criteria.
Complete Response
0 participants
Objective Response Rate Assessed by RECIST Criteria.
Partial Response
3 participants
Objective Response Rate Assessed by RECIST Criteria.
Stable Disease
5 participants
Objective Response Rate Assessed by RECIST Criteria.
No Response
9 participants

SECONDARY outcome

Timeframe: death

Overall survival measured in months and summarized using the Kaplan-Meier method.

Outcome measures

Outcome measures
Measure
Celecoxib and Recombinant Interferon Alpha-2b
n=17 Participants
Patients receive oral celecoxib twice daily and recombinant interferon alpha-2b subcutaneously, once daily, 5 times a week. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Overall Survival
14.4 months
Interval 8.8 to 16.5

SECONDARY outcome

Timeframe: end of study

Population: Patients who achieved at least a partial response

The duration of overall response is measured from the time measurement criteria are met for CR or PR (whichever is first recorded) until the first date that recurrent or progressive disease is objectively documented (taking as reference for progressive disease the smallest measurements recorded since the treatment started, including baseline). The duration of overall CR is measured from the time measurement criteria are first met for CR until the first date that recurrent disease is objectively documented.

Outcome measures

Outcome measures
Measure
Celecoxib and Recombinant Interferon Alpha-2b
n=3 Participants
Patients receive oral celecoxib twice daily and recombinant interferon alpha-2b subcutaneously, once daily, 5 times a week. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Duration of Response
8.7 months
Interval 3.7 to 14.7

SECONDARY outcome

Timeframe: to progression

Progression-free survival measured in months and summarized using the Kaplan-Meier method. Time to objective progression will be measured from the start of treatment until the criteria for progression are met, taking as reference the smallest measurements recorded since the treatment started, including baseline.

Outcome measures

Outcome measures
Measure
Celecoxib and Recombinant Interferon Alpha-2b
n=17 Participants
Patients receive oral celecoxib twice daily and recombinant interferon alpha-2b subcutaneously, once daily, 5 times a week. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Progression-free Survival
5.6 months
Interval 3.0 to 12.9

SECONDARY outcome

Timeframe: at two months from start of treatment

Population: Patients that received treatment

To evaluate the effect of celecoxib and interferon alpha therapy on cellular immune parameters. Absolute change following two cycles of therapy.

Outcome measures

Outcome measures
Measure
Celecoxib and Recombinant Interferon Alpha-2b
n=17 Participants
Patients receive oral celecoxib twice daily and recombinant interferon alpha-2b subcutaneously, once daily, 5 times a week. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Number of Patients With Statistically Significant Change in Cellular Immune Parameters From Baseline to 2 Months
0 participants

Adverse Events

Celecoxib and Recombinant Interferon Alpha-2b

Serious events: 2 serious events
Other events: 17 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Celecoxib and Recombinant Interferon Alpha-2b
n=17 participants at risk
Patients receive oral celecoxib twice daily and recombinant interferon alpha-2b subcutaneously, once daily, 5 times a week. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Nervous system disorders
Seizures
5.9%
1/17 • From time patients went on study to off study, a period of 4 years
Cardiac disorders
Thrombosis/embolism
5.9%
1/17 • From time patients went on study to off study, a period of 4 years

Other adverse events

Other adverse events
Measure
Celecoxib and Recombinant Interferon Alpha-2b
n=17 participants at risk
Patients receive oral celecoxib twice daily and recombinant interferon alpha-2b subcutaneously, once daily, 5 times a week. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Investigations
Alkaline Phosphatase
17.6%
3/17 • From time patients went on study to off study, a period of 4 years
Skin and subcutaneous tissue disorders
Alopecia
5.9%
1/17 • From time patients went on study to off study, a period of 4 years
Metabolism and nutrition disorders
Anorexia
52.9%
9/17 • From time patients went on study to off study, a period of 4 years
Gastrointestinal disorders
Constipation
5.9%
1/17 • From time patients went on study to off study, a period of 4 years
General disorders
Constitutional Symptoms-other
5.9%
1/17 • From time patients went on study to off study, a period of 4 years
Renal and urinary disorders
Creatinine
11.8%
2/17 • From time patients went on study to off study, a period of 4 years
Skin and subcutaneous tissue disorders
Dermatology/Skin-other
5.9%
1/17 • From time patients went on study to off study, a period of 4 years
Gastrointestinal disorders
Diarrhea
41.2%
7/17 • From time patients went on study to off study, a period of 4 years
Nervous system disorders
Dizziness/lightheadedness
23.5%
4/17 • From time patients went on study to off study, a period of 4 years
Skin and subcutaneous tissue disorders
Dry skin
17.6%
3/17 • From time patients went on study to off study, a period of 4 years
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
11.8%
2/17 • From time patients went on study to off study, a period of 4 years
Nervous system disorders
Extrapyramidal/involuntary movement/restlessness
5.9%
1/17 • From time patients went on study to off study, a period of 4 years
General disorders
Fatigue
82.4%
14/17 • From time patients went on study to off study, a period of 4 years
Blood and lymphatic system disorders
Hemoglobin
35.3%
6/17 • From time patients went on study to off study, a period of 4 years
Metabolism and nutrition disorders
Hyperkalemia
23.5%
4/17 • From time patients went on study to off study, a period of 4 years
Metabolism and nutrition disorders
Hypernatremia
5.9%
1/17 • From time patients went on study to off study, a period of 4 years
Vascular disorders
Hypertension
5.9%
1/17 • From time patients went on study to off study, a period of 4 years
Metabolism and nutrition disorders
Hyperuricemia
17.6%
3/17 • From time patients went on study to off study, a period of 4 years
Metabolism and nutrition disorders
Hypocalcemia
29.4%
5/17 • From time patients went on study to off study, a period of 4 years
Metabolism and nutrition disorders
Hyponatremia
5.9%
1/17 • From time patients went on study to off study, a period of 4 years
Metabolism and nutrition disorders
Hypophosphatemia
11.8%
2/17 • From time patients went on study to off study, a period of 4 years
Vascular disorders
Hypotension
11.8%
2/17 • From time patients went on study to off study, a period of 4 years
Psychiatric disorders
Insomnia
29.4%
5/17 • From time patients went on study to off study, a period of 4 years
Blood and lymphatic system disorders
Leukocytes
35.3%
6/17 • From time patients went on study to off study, a period of 4 years
Blood and lymphatic system disorders
Lymphopenia
47.1%
8/17 • From time patients went on study to off study, a period of 4 years
Metabolism and nutrition disorders
Metabolic/Laboratory-Other
17.6%
3/17 • From time patients went on study to off study, a period of 4 years
Psychiatric disorders
Mood alteration
23.5%
4/17 • From time patients went on study to off study, a period of 4 years
Gastrointestinal disorders
Mouth dryness
5.9%
1/17 • From time patients went on study to off study, a period of 4 years
Musculoskeletal and connective tissue disorders
Muscle weakness
5.9%
1/17 • From time patients went on study to off study, a period of 4 years
Gastrointestinal disorders
Nausea
52.9%
9/17 • From time patients went on study to off study, a period of 4 years
Nervous system disorders
Neurology-Other
11.8%
2/17 • From time patients went on study to off study, a period of 4 years
Nervous system disorders
Neuropathy-sensory
5.9%
1/17 • From time patients went on study to off study, a period of 4 years
Blood and lymphatic system disorders
Neutophils/Granulocytes
29.4%
5/17 • From time patients went on study to off study, a period of 4 years
Blood and lymphatic system disorders
Platelets
41.2%
7/17 • From time patients went on study to off study, a period of 4 years
Skin and subcutaneous tissue disorders
Prutitus
35.3%
6/17 • From time patients went on study to off study, a period of 4 years
Skin and subcutaneous tissue disorders
Rash/desquamation
5.9%
1/17 • From time patients went on study to off study, a period of 4 years
General disorders
Rigors,Chills
23.5%
4/17 • From time patients went on study to off study, a period of 4 years
Investigations
SGOT (AST)
23.5%
4/17 • From time patients went on study to off study, a period of 4 years
Investigations
SGPT (ALT)
17.6%
3/17 • From time patients went on study to off study, a period of 4 years
Gastrointestinal disorders
Stomatitis/pharyngitis
11.8%
2/17 • From time patients went on study to off study, a period of 4 years
Gastrointestinal disorders
Taste Disturbance (dysgeusia)
5.9%
1/17 • From time patients went on study to off study, a period of 4 years
Renal and urinary disorders
Urinary frequency/urgency
11.8%
2/17 • From time patients went on study to off study, a period of 4 years
Gastrointestinal disorders
Vomiting
23.5%
4/17 • From time patients went on study to off study, a period of 4 years
Investigations
Weight Loss
23.5%
4/17 • From time patients went on study to off study, a period of 4 years

Additional Information

Dr. Brian Rini

Cleveland Clinic Taussig Cancer Institute, Case Comprehensive Cancer Center

Phone: 216-444-9567

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place