Titre Cytoreductive Stereotactic Hypofractionated Radiotherapy With Combination Ipilimumab/Nivolumab for Metastatic Kidney Cancer
Protocole ID CYTOSHRINK
ClinicalTrials.gov ID NCT04090710
Type(s) de cancer Rein
Phase Phase II
Stade Métastatique
Type étude Clinique
Médicament SBRT + Ipilimumab/Nivolumab
Institution CENTRE UNIVERSITAIRE DE SANTE MCGILL
   SITE GLEN
      1001 boul. Décarie , Montréal, QC, H4A 3J1
Ville Montréal
Investigateur(trice) principal(e) Dr Fabio Cury
Coordonnateur(trice) Rodrigo Skowronski
 514-934-1934 poste 36275
Statut Actif en recrutement
Date d'activation 12-02-2024
Critètes d'éligibilité
  • Biopsy proven renal cell carcinoma of any histology.
  • Imaging proven metastatic disease based on CT or MRI within 10 weeks of screening.
  • Intermediate/poor risk disease based on IMDC criteria (see Appendix II).
  • Primary kidney lesion amenable to SBRT.
  • Eligible for standard of care delivery of ipilimumab and nivolumab (I/N) according to approved product monograph.
Critètes d'exclusion
  • A maximum primary renal lesion size of 20 cm or greater.
  • Candidate for cytoreductive nephrectomy, unless a patient has refused cytoreductive nephrectomy (in this case, a discussion of cytoreductive nephrectomy and patient refusal must be documented).
  • Treatment with prior systemic therapy in the adjuvant or metastatic setting for renal cell carcinoma.
  • Previous abdominal radiation precluding SBRT.
  • Kanofsky Performance (KPS) score below 60 (see Appendix III).
  • History of auto-immune disorder precluding treatment with ipilimumab or nivolumab.
  • History of ataxia telangiectasia or other radiation sensitivity disorders.
  • Chronic corticosteroid use or other chronic immune suppressive therapy. (Participants are permitted the use of topical, ocular, intra-articular, intranasal, and inhalational corticosteroids (with minimal systemic absorption). Adrenal replacement steroid doses of prednisone ≤ 10 mg daily are permitted).
  • Use of medicinal herbal preparations (not including medical cannabis) unless prescribed by a treating physician.
  • Inability to lie flat for at least 30 minutes without moving.
  • Pregnant or lactating women.
  • Geographic inaccessibility for follow-up.
  • Inability to provide informed consent.