Overview

Bortezomib in Treating Patients With Metastatic Kidney Cancer

Status:
Completed
Trial end date:
2009-07-01
Target enrollment:
0
Participant gender:
All
Summary
RATIONALE: Bortezomib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor. PURPOSE: This phase II trial is studying how well bortezomib works in treating patients with metastatic kidney cancer.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Jonsson Comprehensive Cancer Center
Collaborators:
Millennium Pharmaceuticals, Inc.
National Cancer Institute (NCI)
Treatments:
Bortezomib
Criteria
Inclusion Criteria:

- Histologically confirmed pure non-clear cell renal cell carcinoma (RCC)

- Distant metastatic disease (Tx, Nx, M1)

- Tumor expresses wild-type von Hippel-Lindau tumor suppressor gene/protein

- Measurable disease on imaging scan (≥ 1 cm)

- Brain metastases allowed provided they have been treated with surgery and/or radiation
therapy and show no evidence of progression on cerebral CT or MRI scan 2 months
following surgery and/or radiation therapy.

- Life expectancy ≥ 3 months

- Karnofsky performance status ≥ 60%

- Negative pregnancy test

- Fertile patients must use an acceptable method of contraception

- No other major illnesses likely to limit survival

- Platelet count ≥ 100,000/mm^3

- Absolute neutrophil count ≥ 1, 000/mm^3

- Hemoglobin ≥ 10 g/dL (transfusion allowed)

- Creatinine clearance ≥ 30 mL/min OR creatinine ≤ 2 mg/dL

- ALT or AST ≤ 2.5 times upper limit of normal

- At least 4 weeks since prior radiotherapy and recovered

- More than 30 days since any other prior investigational drugs

Exclusion Criteria:

- active CNS metastases

- pregnant or nursing

- myocardial infarction within the past 6 months

- New York Heart Association class III or IV heart failure

- uncontrolled angina

- severe uncontrolled ventricular arrhythmias

- electrocardiographic evidence of acute ischemia or active conduction system
abnormalities

- Peripheral neuropathy ≤ grade 1

- hypersensitivity to bortezomib, boron, or mannitol

- history of a non-RCC malignancy within the past 5 years except basal cell carcinoma of
the skin

- serious medical or psychiatric illness that would preclude study participation

- prior cytotoxic chemotherapy for this cancer

- other concurrent investigational therapy

- concurrent chemotherapy, immunotherapy, or hormonal therapy