Title
Interleukin-2 in Treating Patients With Stage III or Stage IV Kidney Cancer
A Randomized Controlled Phase III Adjuvant Trial of High-Dose Bolus IL-2 in Patients With High-Risk Renal Cell Carcinoma
Phase
Phase 3Lead Sponsor
Loyola UniversityStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Kidney CancerIntervention/Treatment
aldesleukin ...Study Participants
69The purpose of this study is to assess the efficacy of post-operative high-dose bolus interleukin-2 (IL-2) in patients with high-risk renal cell carcinoma (RCC).
The primary objective of this prospective, randomized, controlled trial is to compare the disease-free and overall survival of patients with stage III or IV high-risk renal cell carcinoma (RCC) who were treated with adjuvant high-dose interleukin-2 vs observation alone.
Patients are stratified according to their disease classification and randomized to one course of IL-2 [600,000 U/kg every 8 hours on days 1 to 5 and days 15 to 19 (maximum 28 doses)] or observation.
High-dose bolus interleukin-2 is a systemic therapy used to treat metastatic RCC
Patients randomized to this arm will receive one course of IL-2 [600,000 U/kg every 8 hours on post-operative days 1 to 5 and days 15 to 19 (maximum 28 doses)].
Patients randomized to this arm will receive their normal medical care
Inclusion Criteria An Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. Adequate organ function as defined by a white blood cell (WBC) count of 4,000/L; a platelet count of 100,000/L; a Hemoglobin level of 10 g/dL; a serum creatinine of 1.5 mg/dL or creatinine clearance of 60 mL/min; and a direct bilirubin level of 1.5 mg/dL. Forced expiratory volume at 1 second more than 2.0 L or 75% of predicted for height and age from pre-enrollment pulmonary function testing. No history or evidence of cardiac disease on ECG No prior systemic treatment for RCC, but patients may have received prior locoregional radiation therapy to solitary resectable metastases, which must have undergone surgical resection before enrollment. No prior history of invasive malignancy in the past 5 years Human immunodeficiency virus (HIV) negative Female patients must not be pregnant or planning to become pregnant Exclusion criteria • Age younger than 16