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CompletedNCT00053820Updated Dec 19, 2013

Interferon Alfa With or Without Interleukin-2 and Fluorouracil in Treating Patients With Advanced Metastatic Kidney Cancer

A Phase 3 interventional study of aldesleukin and recombinant interferon alfa in Kidney Cancer, sponsored by Medical Research Council. Completed at 12 sites in 4 countries. Open to participants aged 18 Years to 81 Years. Per ClinicalTrials.gov, last updated 2013-12-19.

Sponsored by Medical Research Council · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
670
Allocation
Randomized
Ages
18 Years to 81 Years
Sex
All
01

Study summary

RATIONALE: Interferon alfa may interfere with the growth of tumor cells. Interleukin-2 may stimulate a person's white blood cells to kill tumor cells. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining interferon alfa with interleukin-2 and fluorouracil may kill more tumor cells. It is not yet known whether interferon alfa is more effective with or without interleukin-2 and fluorouracil in treating metastatic kidney cancer.

PURPOSE: Randomized phase III trial to compare the effectiveness of interferon alfa combined with interleukin-2 and fluorouracil to that of interferon alfa alone in treating patients who have advanced metastatic kidney cancer.

Read the detailed description

OBJECTIVES:

  • Compare progression-free and overall survival of patients with advanced metastatic renal carcinoma treated with interferon alfa with or without interleukin-2 and fluorouracil.
  • Compare the toxicity of these regimens in these patients.
  • Assess the quality of life of patients treated with these regimens.

OUTLINE: This is a randomized, open-label, multicenter study. Patients are randomized to 1 of 2 treatment arms.

  • Arm I (Interferon alfa monotherapy): Patients receive interferon alfa subcutaneously (SC) on days 1, 3, and 5. Treatment continues weekly for at least 9 weeks in the absence of disease progression or unacceptable toxicity.
  • Arm II (Interferon alfa, interleukin-2, and fluorouracil combination therapy): Patients receive interferon alfa SC on day 1 of weeks 1 and 4 and days 1, 3, and 5 of weeks 2, 3, 5, 6, 7, and 8. Patients also receive interleukin-2 SC twice daily on days 3-5 of weeks 1 and 4 and once daily on days 1, 3, and 5 of weeks 2 and 3. Patients then receive fluorouracil IV on day 1 of weeks 5-8. Treatment repeats every 10 weeks for up to 2 courses in the absence of disease progression or unacceptable toxicity.

Quality of life is assessed at baseline, at 9, 19, and 26 weeks, and then at 8 months.

Patients are followed at 8, 10, and 12 months, every 4 months for 1 year, and then every 6 months thereafter.

PROJECTED ACCRUAL: A total of 670 patients (335 per treatment arm) will be accrued for this study.

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Conditions studied

  • Kidney Cancer

Keywords

  • stage IV renal cell cancer
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In context

Kidney Neoplasms

956 studies on the registry are indexed under Kidney Neoplasms; 210 are open to participants now.

This study's planned enrollment of 670 is above the median of 43 across 650 interventional studies indexed under Kidney Neoplasms.

Browse Kidney Neoplasms studies →

Lead sponsor

Medical Research Council is the lead sponsor of 67 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 81 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed renal cell carcinoma

    • Advanced metastatic disease that requires treatment
  • Measurable disease (single bone lesions not included)
  • No brain metastasis

PATIENT CHARACTERISTICS:

Age

  • 18 to 81

Performance status

  • WHO 0-1

Life expectancy

  • More than 12 weeks

Hematopoietic

  • WBC greater than 3,000/mm\^3
  • Platelet count greater than 100,000/mm\^3
  • Hemoglobin greater than 10 g/dL

Hepatic

  • Not specified

Renal

  • Not specified

Cardiovascular

  • No myocardial infarction within the past 6 months
  • No unstable angina pectoris

Other

  • Not pregnant or nursing
  • Fertile patients must use effective contraception during and for at least 6 months after study participation
  • No other concurrent disease or prior malignancy that would preclude study treatments or comparisons
  • No concurrent active infection requiring antibiotics

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • No prior biologic therapy

Chemotherapy

  • No prior chemotherapy

Endocrine therapy

  • No prior endocrine therapy
  • No concurrent corticosteroids

Radiotherapy

  • At least 4 weeks since prior radiotherapy

Surgery

  • Prior resection of the primary tumor recommended but not required
  • No prior major organ allografts
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Masking
None (open label)
Enrollment
670 participants (estimated)

Interventions

  • Biologicalaldesleukin
  • Biologicalrecombinant interferon alfa
  • Drugfluorouracil
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What researchers measure

Primary outcomes

  1. Survival

Secondary outcomes

  1. Time to progression as measured by RECIST criteria

  2. Comparison of toxicity levels (Grade III and IV)

  3. Comparison of quality of life before, during, after completion of study treatment

  4. Impact of the treatment regimens on health economics

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Study locations

12 sites
  • Onze Lieve Vrouw Ziekenhuis Aalst
    Aalst, B-9300, Belgium
  • Institut Jules Bordet
    Brussels, 1000, Belgium
  • Academisch Ziekenhuis der Vrije Universiteit Brussel
    Brussels, 1090, Belgium
  • Universitair Ziekenhuis Antwerpen
    Edegem, B-2650, Belgium
  • U.Z. Gasthuisberg
    Leuven, B-3000, Belgium
  • Klinikum Kassel
    Kassel, D-34125, Germany
  • Leiden University Medical Center
    Leiden, 2300 CA, Netherlands
  • Academisch Ziekenhuis Maastricht
    Maastricht, 6202 AZ, Netherlands
  • Universitair Medisch Centrum St. Radboud - Nijmegen
    Nijmegen, 6500 HB, Netherlands
  • University Medical Center Rotterdam at Erasmus Medical Center
    Rotterdam, 3000 CA, Netherlands
  • Erasmus MC - Sophia Children's Hospital
    Rotterdam, 3015 GJ, Netherlands
  • National Cancer Institute - Bratislava
    Bratislava, 833 10, Slovakia
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References and documents

Publications

  • Gore ME, Griffin CL, Hancock B, Patel PM, Pyle L, Aitchison M, James N, Oliver RT, Mardiak J, Hussain T, Sylvester R, Parmar MK, Royston P, Mulders PF. Interferon alfa-2a versus combination therapy with interferon alfa-2a, interleukin-2, and fluorouracil in patients with untreated metastatic renal cell carcinoma (MRC RE04/EORTC GU 30012): an open-label randomised trial. Lancet. 2010 Feb 20;375(9715):641-8. doi: 10.1016/S0140-6736(09)61921-8. Epub 2010 Feb 10. PubMed 20153039 ↗
  • Gore ME: Interferon-α (IFN), interleukin-2 (IL2) and 5-fluorouracil (5FU) vs IFN alone in patients with metastatic renal cell carcinoma (mRCC): results of the randomised MRC/EORTC RE04 trial. [Abstract] J Clin Oncol 26 (Suppl 15): A-5039, 2008.
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 19, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00053820
Lead sponsor
Medical Research Council
Collaborators
European Organisation for Research and Treatment of Cancer - EORTC
First posted
Feb 6, 2003
Start date
Jul 2002
Completion
Dec 2006
Last update
Dec 19, 2013

Study contacts

Martin E. Gore, MD
Royal Marsden NHS Foundation Trust
Peter F.A. Mulders, MD, PhD
Universitair Medisch Centrum St. Radboud - Nijmegen
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2006. You cannot join it, but the record below documents what was studied.

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