This is a single-arm phase II trial of perifosine in renal cancer patients who have experienced disease progression after receiving either sorafenib or sunitinib.
This is a single-arm phase II trial assessing the antitumor activity as measured by progression free survival of perifosine in patients with metastatic RCC who have progressed on sorafenib or sunitinib. A total of 48 patients will be enrolled in the trial. All subjects will have histologically confirmed metastatic RCC with predominantly clear cell features (≤ 50% other histologic features). Patients who have been taken off sorafenib or sunitinib may only have been off therapy for less than three months prior to study enrollment. Patients who remain on sorafenib or sunitinib may continue on drug at their current dose until two weeks prior to the initiation of perifosine therapy. The study consists of three periods: pre-treatment/screening, treatment, and follow-up. Day 1 will be defined as the first day of perifosine therapy. Patients will remain in the treatment phase until progression or toxicity. Patients will be seen by an MD every 3 weeks with 6 weeks defining one cycle of therapy. Tumor evaluations will occur every 6 weeks.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
24
Perifosine will be administered orally at 100mg PO daily with food.
Investigative Site
Duarte, California, United States
Dana Farber Cancer Institute
Boston, Massachusetts, United States
Investigative Site
Philadelphia, Pennsylvania, United States
Investigative Site
Nashville, Tennessee, United States
To estimate the progression free survival
To estimate the progression free survival of Multi-Targeted Kinase Inhibitor (TKI) resistant patients with metastatic Renal Cell Carcinoma (RCC) who are treated with perifosine
Time frame: Every 6 weeks
To determine the objective response rate of perifosine
To determine the objective response rate of TKI resistant patients with metastatic RCC treated with perifosine.
Time frame: Every 6 weeks
To investigate the tolerability and toxicity
To investigate the tolerability and toxicity of perifosine in TKI resistant patients
Time frame: Every 6 weeks
To investigate surrogates of biologic target inhibition
To investigate surrogates of biologic target inhibition on PBMC's before and after therapy.
Time frame: Every 6 weeks
To collect pre-treatment tissue specimens
To collect pre-treatment tissue specimens and assess the pre-treatment activation status of the MAP-Kinase and PI3K-Akt pathways and correlate with clinical outcome.
Time frame: Every 6 weeks
To follow levels of pro-angiogenic cytokines
To follow levels of pro-angiogenic cytokines and surrogates of HIF activation before and during therapy.
Time frame: Every 6 weeks
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