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TerminatedNCT02170389Updated Jul 7, 2020Results posted

Vaccine Therapy Before Surgery in Treating Patients With Localized Kidney Cancer

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

Why this study was terminated
sponsor having financial difficulties
Phase
Not applicable
Study type
Interventional
Enrollment
5
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

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.

Read the detailed description

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.

02

Conditions studied

  • Recurrent Renal Cell Carcinoma
  • Stage I Renal Cell Cancer
  • Stage II Renal Cell Cancer
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 5 is below the median of 42 across 1,480 interventional studies indexed under Carcinoma, Renal Cell.

Browse Carcinoma, Renal Cell studies →

Lead sponsor

Roswell Park Cancer Institute is the lead sponsor of 412 studies on the registry; 62 are open to participants now.

Of its 38 completed or terminated interventional studies of FDA-regulated products, 21 (55%) 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
No

Inclusion criteria

  • Have localized non-metastatic renal cell carcinoma (RCC) (\< pT2, NO, MO), as per the American Joint Committee on Cancer (AJCC) seventh (7th) edition criteria
  • Must be surgical candidates as deemed fit by surgeon
  • Patients of child-bearing potential must agree to use adequate contraceptive methods (e.g., hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation; should a woman become pregnant or suspect she is pregnant while she or her partner is participating in this study, she should inform the treating physician immediately
  • Willingness to undergo leukapheresis and biopsy procedures for the autologous components (peripheral blood mononuclear cells, plasma and fresh tumor specimen) required for manufacture of AGS-003
  • Patient or legal representative must understand the investigational nature of this study and sign an Independent Ethics Committee/Institutional Review Board approved written informed consent form prior to receiving any study related procedure

Exclusion criteria

Exclusion Criteria:

  • Patients who have had chemotherapy or radiotherapy within 4 weeks (6 weeks for nitrosoureas or mitomycin C) prior to entering the study or those who have not recovered from adverse events due to agents administered more than 4 weeks earlier
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure (e.g., shortness of breath, fatigue, orthopnea, paroxysmal nocturnal dyspnea), unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
  • Radiation to primary tumor prior to enrollment in this study
  • Pregnant or nursing female patients
  • Unwilling or unable to follow protocol requirements
  • Active autoimmune disease or condition requiring chronic immunosuppressive therapy (e.g., rheumatoid arthritis, systemic lupus erythematous, multiple sclerosis, organ transplant recipient, etc.)

    • NOTE: abnormal laboratory values for autoimmunity markers in the absence of other signs/symptoms of autoimmune disease are not exclusionary
  • Known clinically significant infections, including human immunodeficiency virus (HIV) and active hepatitis B or C
  • Any condition which in the Investigator's opinion deems the patient an unsuitable candidate to receive treatment (i.e., any significant medical illness or abnormal laboratory finding that would, in the investigator's judgment, increase the subject's risk by participating in this study)
  • Chronic use of systemic corticosteroids (i.e., >= 10 mg/day prednisone or equivalent)
  • Received an investigational agent within 30 days prior to enrollment
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
5 participants (actual)

Study arms

  • Experimental
    Treatment (AGS-003 immunotherapy, nephrectomy)

    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

Interventions

  • OtherLaboratory Biomarker Analysis

    Correlative studies

  • ProcedureNephrectomy

    Undergo partial or radical nephrectomy

  • BiologicalRenal Cell Carcinoma/CD40L RNA-Transfected Autologous Dendritic Cell Vaccine AGS-003

    Given ID

    Also known as: AGS-003

06

What researchers measure

Primary outcomes

  1. 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

Secondary outcomes

  1. 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

07

Results

Posted Jan 6, 2020

Participant flow

Participant flow — Overall Study
MilestoneTreatment (AGS-003 Immunotherapy, Nephrectomy)
Started5
Completed4
Not completed1
Withdrew: Study terminated prior to start of treat1

Outcome measures

PrimaryChange 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

No measurements were reported for this outcome.

SecondaryAdverse 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
Reported as:
Number · percentage of subjects
Adverse Event Rates as Graded by the Common Terminology Criteria for Adverse Events Version 4.0
percentage of subjectsTreatment (AGS-003 Immunotherapy, Nephrectomy)
Any Grade AE100 (40 to 100)
Any Grade 1100 (40 to 100)
Any Grade 250 (7 to 93)
Any Grade 325 (5 to 70)
Any Grade 40 (0 to 49)
Any Grade 50 (0 to 49)

Adverse events

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.

Adverse event summary by group
GroupDeathsSeriousOther
Treatment (AGS-003 Immunotherapy, Nephrectomy)0/4 (0%)0/4 (0%)4/4 (100%)
Most frequent other events
Showing 10 of 15
Most frequent other events
EventTreatment (AGS-003 Immunotherapy, Nephrectomy)
Injection site reactionGeneral disorders2/4
Bundle branch blockCardiac disorders1/4
FatigueGeneral disorders1/4
InflammationGeneral disorders1/4
Influenza like illnessGeneral disorders1/4
Injection site inflammationGeneral disorders1/4
Injection site painGeneral disorders1/4
Injection site pruritusGeneral disorders1/4
Injection site swellingGeneral disorders1/4
NasopharyngitisInfections and infestations1/4

Baseline characteristics

All treated and eligible patients

Age, Continuous
Age, Continuous(years)Treatment (AGS-003 Immunotherapy, Nephrectomy)
Mean63.4 ± 19.4
Sex: Female, Male
Sex: Female, Male(Participants)Treatment (AGS-003 Immunotherapy, Nephrectomy)
Female1
Male4
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Treatment (AGS-003 Immunotherapy, Nephrectomy)
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White5
More than one race0
Unknown or Not Reported0
Immune Marker Expression
Immune Marker Expression(units on a scale)Treatment (AGS-003 Immunotherapy, Nephrectomy)
08

Study locations

1 site
  • Roswell Park Cancer Institute
    Buffalo, New York 14263, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Mar 13, 2017

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 7, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02170389
Lead sponsor
Roswell Park Cancer Institute
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Jun 23, 2014
Start date
Oct 14, 2014
Primary completion
Mar 17, 2017
Completion
Mar 17, 2017
Results posted
Jan 6, 2020
Last update
Jul 7, 2020

Study contacts

Dr. med.Thomas Schwaab, MD
principal investigator · Roswell Park Cancer Institute

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Jul 2020. You cannot join it, but the record below documents what was studied.

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