An interventional study of Laboratory Biomarker Analysis and Nephrectomy in Recurrent Renal Cell Carcinoma, Stage I Renal Cell Cancer and Stage II Renal Cell Cancer, sponsored by Roswell Park Cancer Institute. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-07-07.
Sponsored by Roswell Park Cancer Institute · Not applicable, Interventional, and Treatment
This pilot clinical trial studies vaccine therapy before surgery in treating patients with kidney cancer that has not spread to nearby lymph nodes or to other parts of the body. Vaccines made from a person's tumor cells and white blood cells may help the body build an effective immune response to kill tumor cells when they are infused back into the body.
PRIMARY OBJECTIVES:
I. To assess the immune-modulatory systemic and intratumoral effects of AGS-003 (renal cell carcinoma/cluster of differentiation [CD]40L ribonucleic acid [RNA]-transfected autologous dendritic cell vaccine AGS-003) as neoadjuvant treatment in patients with localized renal cell carcinoma.
SECONDARY OBJECTIVES:
I. To assess the feasibility that total tumor RNA processing-related activities meet specifications for AGS-003 manufacturing utilizing a core needle biopsy procedure for tumor harvesting prior to nephrectomy.
OUTLINE:
Patients receive 3 injections of renal cell carcinoma/cluster of CD40L RNA-transfected autologous dendritic cell vaccine AGS-003 intradermally (ID) once every 7 days during weeks 6-8 in the absence of disease progression or unacceptable toxicity. Patients then undergo partial or radical nephrectomy on week 10.
After completion of study treatment, patients are followed up at 1 month.
1,965 studies on the registry are indexed under Carcinoma, Renal Cell; 378 are open to participants now.
This study's enrollment of 5 is below the median of 42 across 1,480 interventional studies indexed under Carcinoma, Renal Cell.
Browse Carcinoma, Renal Cell studies →Roswell Park Cancer Institute is the lead sponsor of 412 studies on the registry; 62 are open to participants now.
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Exclusion Criteria:
Active autoimmune disease or condition requiring chronic immunosuppressive therapy (e.g., rheumatoid arthritis, systemic lupus erythematous, multiple sclerosis, organ transplant recipient, etc.)
Patients receive 3 injections of renal cell carcinoma/cluster of CD40L RNA-transfected autologous dendritic cell vaccine AGS-003 ID once every 7 days during weeks 6-8 in the absence of disease progression or unacceptable toxicity. Patients then undergo partial or radical nephrectomy on week 10.
Other: Laboratory Biomarker Analysis · Procedure: Nephrectomy · Biological: Renal Cell Carcinoma/CD40L RNA-Transfected Autologous Dendritic Cell Vaccine AGS-003
Correlative studies
Undergo partial or radical nephrectomy
Given ID
Also known as: AGS-003
Change in Immune Marker Expression Levels
The time component will be modeled as a three-level classification factor. The full model for the effects of time will be fit using linear mixed model methods. The model will include a random patient effect and 5 fixed effects for time and the interactions. The presence of any time effect will be assessed with full-reduced model type 3 test. If the omnibus test is statistically significant at the p \< 0.05 level, then three pairwise time-point comparisons will be conducted. Expression measurements may be transformed to satisfy modeling assumptions.
Time frame: Baseline to up to 30 days post-nephrectomy
Adverse Event Rates as Graded by the Common Terminology Criteria for Adverse Events Version 4.0
Summarized in all patients who received AGS-003. These rates will be described as the proportion of patients with the event, by grade, and supported with exact 95% confidence intervals.
Time frame: Up to 30 days
| Milestone | Treatment (AGS-003 Immunotherapy, Nephrectomy) |
|---|---|
| Started | 5 |
| Completed | 4 |
| Not completed | 1 |
| Withdrew: Study terminated prior to start of treat | 1 |
The time component will be modeled as a three-level classification factor. The full model for the effects of time will be fit using linear mixed model methods. The model will include a random patient effect and 5 fixed effects for time and the interactions. The presence of any time effect will be assessed with full-reduced model type 3 test. If the omnibus test is statistically significant at the p \< 0.05 level, then three pairwise time-point comparisons will be conducted. Expression measurements may be transformed to satisfy modeling assumptions.
No measurements were reported for this outcome.
Summarized in all patients who received AGS-003. These rates will be described as the proportion of patients with the event, by grade, and supported with exact 95% confidence intervals.
| percentage of subjects | Treatment (AGS-003 Immunotherapy, Nephrectomy) |
|---|---|
| Any Grade AE | 100 (40 to 100) |
| Any Grade 1 | 100 (40 to 100) |
| Any Grade 2 | 50 (7 to 93) |
| Any Grade 3 | 25 (5 to 70) |
| Any Grade 4 | 0 (0 to 49) |
| Any Grade 5 | 0 (0 to 49) |
Collected over All deaths and new AEs occurring from the date of signed consent until 30-days after the administration of the last study treatment or a new treatment is started, are reported.. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Treatment (AGS-003 Immunotherapy, Nephrectomy) | 0/4 (0%) | 0/4 (0%) | 4/4 (100%) |
| Event | Treatment (AGS-003 Immunotherapy, Nephrectomy) |
|---|---|
| Injection site reactionGeneral disorders | 2/4 |
| Bundle branch blockCardiac disorders | 1/4 |
| FatigueGeneral disorders | 1/4 |
| InflammationGeneral disorders | 1/4 |
| Influenza like illnessGeneral disorders | 1/4 |
| Injection site inflammationGeneral disorders | 1/4 |
| Injection site painGeneral disorders | 1/4 |
| Injection site pruritusGeneral disorders | 1/4 |
| Injection site swellingGeneral disorders | 1/4 |
| NasopharyngitisInfections and infestations | 1/4 |
All treated and eligible patients
| Age, Continuous(years) | Treatment (AGS-003 Immunotherapy, Nephrectomy) |
|---|---|
| Mean | 63.4 ± 19.4 |
| Sex: Female, Male(Participants) | Treatment (AGS-003 Immunotherapy, Nephrectomy) |
|---|---|
| Female | 1 |
| Male | 4 |
| Race (NIH/OMB)(Participants) | Treatment (AGS-003 Immunotherapy, Nephrectomy) |
|---|---|
| American Indian or Alaska Native | 0 |
| Asian | 0 |
| Native Hawaiian or Other Pacific Islander | 0 |
| Black or African American | 0 |
| White | 5 |
| More than one race | 0 |
| Unknown or Not Reported | 0 |
| Immune Marker Expression(units on a scale) | Treatment (AGS-003 Immunotherapy, Nephrectomy) |
|---|
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Roswell Park Cancer Institute