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Comparison of Sequential Therapies With Sunitinib and Sorafenib in Advanced Renal Cell Carcinoma (CROSS-J-RCC)

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified February 2013 by Yamagata University.
Recruitment status was:  Active, not recruiting
Information provided by (Responsible Party):
Yoshihiko TOMITA, Yamagata University Identifier:
First received: November 17, 2011
Last updated: February 21, 2013
Last verified: February 2013
The clinical benefits of sunitinib and sorafenib have been demonstrated in patients with cytokine-refractory metastatic renal cell carcinoma. Sunitinib has also been shown to improve progression free survival and overall survival in a comparative study with interferon-alpha. When sunitinib is used as first-line molecular-targeted therapy, switching to sorafenib is one of the treatment options after disease progression. Reversely, when sorafenib is used as first-line molecular-targeted therapy, sunitinib is used as second-line therapy. The goal of cancer treatment is cure, and if cure is not possible, it is to prolong survival. In this study, sunitinib or sorafenib will be administered as first-line molecular-targeted therapy and treatment switched to the other test drug, sorafenib or sunitinib, when disease progression is detected to assess which treatment sequence produces longer progression free survival and offers a better safety profile (causing fewer adverse events). The purpose of this trial is to compare progression free survival of first line sunitinib versus sorafenib, and that of two treatment sequences, i.e. sunitinib followed by sorafenib versus sorafenib followed by sunitinib.

Condition Intervention Phase
Metastatic Renal Cell Carcinoma
Drug: Sorafenib-sunitinib
Drug: Sunitinib-sorafenib
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Randomized Comparison of Sequential Therapies With Sunitinib and Sorafenib in Advanced Renal Cell Carcinoma

Resource links provided by NLM:

Further study details as provided by Yamagata University:

Primary Outcome Measures:
  • Progression free survival in first-line treatment [ Time Frame: Time of progression in first line treatment ]
    From date of randomization until the date of first documented progression of the first line treatment or date of death from any cause, whichever came first, assessed up to 36 months.

Secondary Outcome Measures:
  • Total progression free survival (PFS) in first-line and second-line treatments [ Time Frame: Time of progression in second line treatment ]
    From date of randomization until the date of first documented progression of the second line treatment or date of death from any cause, whichever came first, assessed up to 36 months.

Estimated Enrollment: 120
Study Start Date: January 2010
Estimated Study Completion Date: December 2015
Estimated Primary Completion Date: July 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Sorafenib-sunitinib
Sorafenib is first line treatment followed by sunitinib.
Drug: Sorafenib-sunitinib
sorafenib 400mg b.i.d. followed by sunitinib treatment when progression is observed
Active Comparator: Sunitinib-sorafenib
Sunitinib is first line treatment followed by sorafenib.
Drug: Sunitinib-sorafenib
sunitinib 50mg q.d. 4 weeks on two weeks off followed by sorafenib treatment when progression is observed


Ages Eligible for Study:   20 Years to 80 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Age: 20-80 years old, both inclusive
  • ECOG performance status of 0, 1, or 2
  • MSKCC risk of favorable or intermediate
  • Histologically confirmed renal cell carcinoma
  • No ischemic heart disease
  • Laboratory findings meet the following criteria:

    1. Respiratory function: %VC, 80% and FEV1.0,70%
    2. Hematology: white blood cell count4,000/mm3, platelet count100,000/mm3
    3. Clinical chemistry: GOT and GPT within the normal range of each medical institution; total bilirubin <1.5 x ULN
    4. Serum creatinin <2.0mg/dl, blood urea nitrogen (BUN) <25mg/dl
    5. Echocardiographic estimation of left ventricular ejection fraction is higher than the lower limit of reference range of each medical institution.

Exclusion Criteria:

  • History of any other malignancy
  • Central nervous system metastases. However, patients who remain asymptomatic, have no new or enlarging lesion in the CNS within 6 months of enrollment in this study, and require no corticosteroids may be enrolled.
  • History of cardiac infarction, unstable angina, congestive heart failure, or symptomatic peripheral vascular disease within 12 months of enrollment
  • History of cerebrovascular disorder including transient ischemic attack (TIA)
  • Pregnancy or possible pregnancy at any time during the study
  • Ongoing grade 2 adverse event prior treatment
  • Prior treatment with any anticancer therapy including cytokine therapy such as interferon-alpha and interleukin-2
  • Prior treatment with mTOR inhibitor
  • Prior treatment with sunitinib or sorafenib
  • Treatment with an test drug in a clinical research within 4 weeks of enrollment in this study
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Please refer to this study by its identifier: NCT01481870

Yamagata University Faculty of Medicine
Yamagata, Japan, 990-9585
Sponsors and Collaborators
Yamagata University
Principal Investigator: Yoshihiko Tomita, MD Yamagata University Faculty of Medicine
  More Information

Additional Information:
Responsible Party: Yoshihiko TOMITA, Clinical Professor, Head of Department of Urology, Yamagata University Identifier: NCT01481870     History of Changes
Other Study ID Numbers: CROSS-J-RCC
UMIN000003040 ( Other Identifier: Japanese University Hospital Medical Informaton Network (UMIN) )
Study First Received: November 17, 2011
Last Updated: February 21, 2013

Keywords provided by Yamagata University:
renal cell carcinoma

Additional relevant MeSH terms:
Carcinoma, Renal Cell
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Kidney Neoplasms
Urologic Neoplasms
Urogenital Neoplasms
Neoplasms by Site
Kidney Diseases
Urologic Diseases
Antineoplastic Agents
Protein Kinase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Vitamin B Complex
Growth Substances
Physiological Effects of Drugs
Angiogenesis Inhibitors
Angiogenesis Modulating Agents
Growth Inhibitors processed this record on May 25, 2017