Testing the Addition of Stereotactic Radiation Therapy With Immune Therapy for the Treatment of Patients With Unresectable or Metastatic Renal Cell Cancer, SAMURAI Trial
Secondary endpoints: details revised at 5 of 9 entries
Study description expanded, about 59 words
Study title revised
MinorStudy sites: 151 to 208v8
MinorStudy sites: 104 to 151
Eligibility criteria expanded, about 9 words
v7
MinorStudy sites: 101 to 104v6
MinorStudy sites: 86 to 101v5
MinorStudy sites: 5 to 86v4
NotableTrial status: Not Yet Recruiting to Recruiting
Study sites: 0 to 5
Start date changed from estimate of Jul 15, 2022 to Jun 30, 2022
v3
Re-verified, no change to tracked fieldsv2
Study First Submitted
Notable: the trial’s plan changed such as a big move in its timeline or size, a new primary endpoint, sponsor or phase, or recruiting opened or resumed.
Minor: routine progress and housekeeping, such as sites added or enrollment closed.
This phase II trial tests whether the addition of radiation to the primary tumor, typically given with stereotactic ablative radiation therapy (SABR), in combination with standard of care immunotherapy improves outcomes in patients with renal cell cancer that is not recommended for surgery and has spread from where it first started (primary site) to other places in the body (metastatic). Radiation therapy uses high energy photons to kill tumor cells and shrink tumors. Stereotactic body radiation therapy uses special equipment to position a patient and deliver radiation to tumors with high precision. This method may kill tumor cells with fewer doses of radiation over a shorter period and cause less damage to normal tissue. Immunotherapy with monoclonal antibodies, such as nivolumab, ipilimumab, avelumab, and pembrolizumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Axitinib, cabozantinib, and lenvatinib are in a class of medications called antiangiogenic agents. They work by stopping the formation of blood vessels that bring oxygen and nutrients to tumor. This may slow the growth and spread of tumor. Giving SABR in combination with standard of care immunotherapy may help shrink or stabilize the cancer in patients with renal cell cancer.
Trial Details
NCT Number
NCT05327686
Lead Sponsor
NRG Oncology Collaborators: National Cancer Institute (NCI)
Conditions (from sponsor)
Metastatic Renal Cell Carcinoma, Stage III Renal Cell Cancer AJCC v8, Stage IV Renal Cell Cancer AJCC v8, Unresectable Renal Cell Carcinoma