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CompletedNCT00979381Updated Mar 18, 2010

Study of the Immunoresponse in Patients Treated With a Tyrosine Kinase Inhibitor

An observational study in Renal Cell Carcinoma and GIST, sponsored by Radboud University Medical Center. Completed at 1 site in Netherlands. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2010-03-18.

Sponsored by Radboud University Medical Center · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
75
Ages
18 Years and older
Sex
All
01

Study summary

In this study the researchers investigate the influence of the tyrosine kinase inhibitors sunitinib and sorafenib, on the normal humoral and cellular immuno response to influenza vaccination in patients with metastases of renal cell carcinoma or a GIST.

Read the detailed description

When cure is not longer possible, cancer patients enter the palliative phase. For many types of cancer several treatment options are available. The goal of this treatment is to prolong survival, but maintenance or even improvement of quality of life is of equal importance. The currently available systemic treatment options consist of conventional cytotoxic therapy, hormonal therapy, immunotherapy and the so-called targeted therapies. Combinations of these therapies are also being used. Targeted therapy concerns the application of a new class of drugs that are specifically directed against one or more well-defined molecular targets that are relevant for carcinogenesis, cell cycle regulation, tumour progression, metastasis, tumour angiogenesis and/or apoptosis. Today, the most successful drugs in this class are directed against the vascular endothelial growth factor (VEGF) and the epidermal growth factor receptor (EGFR). There is an explosive development ongoing in this field and many new drugs become available that have new targets or inhibit a combinations of targets. Meanwhile, targeted therapy has shown efficacy in many types of cancer and is registered for several indications. The toxicity profile of targeted therapies is still largely unknown, and the aetiology of many known side effects has not been clarified. At the moment, three targeted therapies that are directed against VEGF are registered and used in the Netherlands: Sunitinib (Sutent®) and Sorafenib (Nexavar ®) both oral drugs and Bevacizumab (Avastin®), an intravenously drug. Clinical experience and some mouse studies show that targeted therapies could have a negative effect on the immune response. This can be of great influence on patients who are treated with this type of drug.

Especially because these drug will be used chronically and sometimes for years and infections can have a large influence on the health and quality of life of these patients.

02

Conditions studied

  • Renal Cell Carcinoma
  • GIST

Keywords

  • sunitinib
  • sorafenib
  • immune response
03

In context

Carcinoma, Renal Cell

1,965 studies on the registry are indexed under Carcinoma, Renal Cell; 378 are open to participants now.

This study's enrollment of 75 is below the median of 146 across 360 observational studies indexed under Carcinoma, Renal Cell.

Browse Carcinoma, Renal Cell studies →

Lead sponsor

Radboud University Medical Center is the lead sponsor of 959 studies on the registry; 134 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Patients with metastasized renal cell carcinoma or GIST who have been treated with sunitinib or sorafenib for at least 4 weeks, or patients with metastasized RCC who did not receive a systemic treatment for their RCC (nephrectomy is allowed)

  • Patients who are indicated for influenza vaccination and and have been summoned for this vaccination by their GP
  • healthy volunteers who have been summoned by theire GP to receive a influenza vaccin

Inclusion criteria

  • Patients with metastasized renal cell carcinoma or GIST who have been treated with sunitinib or sorafenib for at least 4 weeks, or patients with metastasized RCC who did not receive a systemic treatment for their RCC (nephrectomy is allowed)
  • Patients who are indicated for influenza vaccination and and have been summoned for this vaccination by their GP
  • age ≥18 years (for the healthy volunteers: age≥ 60 years)
  • signed Informed Consent Form

Exclusion criteria

Exclusion Criteria:

  • patients with an identified immunodeficiency disorder
  • patients that have been treated with corticosteroids in the past 2 weeks or who are still using these (except for a short period \<10 days)
  • patients that are treated with immunotherapy in the last year (ex. interferon-alpha of IL-2) or who have received another form of targeted therapy (ex. bevacizumab).
  • patients with symptoms of influenza at the time of vaccination
  • patient with an allergy for chicken-eggwhite
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
75 participants (actual)

Groups and cohorts

  • 1

    Patients with metastasized renal cell carcinoma or GIST who have been treated with sunitinib or sorafenib for at least 4 weeks

    Biological: influenza vaccine

  • 2

    patients with metastasized RCC who did not receive a systemic treatment for their RCC (nephrectomy is allowed)

    Biological: influenza vaccine

  • 3

    healthy volunteers

    Biological: influenza vaccine

Interventions

  • Biologicalinfluenza vaccine

    influenza vaccination

06

What researchers measure

Primary outcomes

  1. cellular and humoral immune response

    Time frame: 1 year

Secondary outcomes

  1. times the influenza virus occurs

    Time frame: 1 year

07

Study locations

1 site
  • University Medical Center Nijmegen st Radboud
    Nijmegen, 6525 GH, Netherlands
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 18, 2010, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00979381
Lead sponsor
Radboud University Medical Center
First posted
Sep 18, 2009
Start date
Oct 2008
Primary completion
Nov 2008
Completion
Nov 2009
Last update
Mar 18, 2010

Study contacts

C.M.L. van Herpen, MD, Phd
principal investigator · UMCN st Radboud

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2009. You cannot join it, but the record below documents what was studied.

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