Palliative Radiofrequency Ablation in Metastatic Renal Cell Carcinoma Patients


Tracking Information

Start Date  ICMJEMay 2008
Estimated Primary Completion DateJune 2009   (final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE 
 (submitted: November 15, 2009)
Progression-free survival [ Time Frame: 5 months ] [ Designated as safety issue: No ]
Original Primary Outcome Measures  ICMJE 
 (submitted: April 30, 2009)
5-month progression-free survival [ Time Frame: 5 months ] [ Designated as safety issue: No ]
Change HistoryComplete list of historical versions of study NCT00891475 on ClinicalTrials.gov Archive Site
Current Secondary Outcome Measures  ICMJE 
 (submitted: November 15, 2009)
  • Overall survival [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • rate of complications [ Time Frame: 1 year ] [ Designated as safety issue: Yes ]
  • time from the end of ablation to start of medical treatment [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  • time to progression [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  • Quality of life (QOL) [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
Original Secondary Outcome Measures  ICMJE 
 (submitted: April 30, 2009)
  • Progression-free survival [ Time Frame: 12 ] [ Designated as safety issue: No ]
  • overall survival [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • rate of complications [ Time Frame: 1 year ] [ Designated as safety issue: Yes ]
  • time from the end of ablation to start of medical treatment [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  • time to progression [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  • Quality of life (QOL) [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]

Descriptive Information

Brief Title  ICMJEPalliative Radiofrequency Ablation in Metastatic Renal Cell Carcinoma Patients
Official Title  ICMJEPhase II Trial of Palliative Radiofrequency Ablation in Metastatic Renal Cell Carcinoma Patients With Small Primary Tumor
Brief Summary

The purpose of this study is to evaluate efficacy and safety of Radiofrequency ablation in metastatic renal cell carcinoma patients with primary tumor less than 5 cm before therapy of Interferon-alpha. Ablation may allow for reduced morbidity and may increase the likelihood of patients receiving systemic therapy.

Detailed Description

Nephrectomy has become an integral part of the management of patients with metastatic kidney cancer. Performing nephrectomy in these patients is not without risk, however. The very real chance of significant metastatic disease progression during the postoperative period or complication before or during surgery that may prolong postoperative recovery could potentially delay or prevent the administration of systemic therapy in the postoperative period. Patient selection for surgery remains critical for success.

Radiofrequency ablation (RFA) is a medical procedure where tumor is ablated using microwave energy to treat a medical disorder. The benefits of RFA in selected metastatic renal cell carcinoma patients with small primary tumor (<5 cm) will be evaluated in this Phase I/II study.

Study PhasePhase I, Phase II
Study Type  ICMJEInterventional
Study Design  ICMJETreatment, Non-Randomized, Open Label, Historical Control, Single Group Assignment, Safety/Efficacy Study
Condition  ICMJECarcinoma, Renal Cell
Intervention  ICMJEProcedure: Radiofrequency ablation; Interferon-alpha
Patients undergo ablation by radiofrequency energy under CT-guidance. RFA continues until the entire tumor is treated. Treatment ceases when the entire lesion has undergone necrosis or the zone of necrosis or significant heat deposition approaches vital neurovascular structures. All patients will receive following immunotherapy with Interferon-alpha 9 MIU subcutaneously three times per week, 3 weeks on, 3 weeks off. Evaluation for response will be after second cycle.
Study Arms / Comparison GroupsArm 1: Experimental
38 patients
Intervention: Procedure: Radiofrequency ablation; Interferon-alpha

Recruitment Information

Estimated Enrollment  ICMJE38
Estimated Completion DateMay 2010
Estimated Primary Completion DateJune 2009   (final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Histologically proven renal cell carcinoma before RFA;
  • Primary tumor no grater than 5 cm;
  • CT-confirmed metastatic measurable sites;
  • Good prognosis by adapted MSKCC criteria;
  • No treatment for RCC;
GenderBoth
Ages18 Years to 85 Years
Accepts Healthy VolunteersNo
Contacts  ICMJE
Contact: Ilya Tsimafeyeu, MD+79265646581office@kidneytumor.org
Location Countries  ICMJERussian Federation

Administrative Information

NCT ID  ICMJENCT00891475
Responsible PartyIlya Tsimafeyeu, Kidney Cancer Research Bureau
Study ID Numbers  ICMJEKCRB-003
Study Sponsor  ICMJEKidney Cancer Research Bureau
Collaborators  ICMJE 
Investigators  ICMJE
Study Director:Ilya V. Tsimafeyeu, MDKCRB
Principal Investigator:Bin Chung, MDBeijing Hospital
Information Provided ByKidney Cancer Research Bureau