Around 1 in 5 people diagnosed with cancer in the UK take part in a clinical trial.
A trial looking at RAD001, interferon and bevacizumab for kidney cancer that has spread
Please note - this trial is no longer recruiting patients. We hope to add results when they are available.
This trial is looking at having either bevacizumab (Avastin) and RAD001 or bevacizumab and interferon as the first treatment for clear cell kidney cancer that has spread. (Bevacizumab is pronounced bev-a-siz-oo-mab.)
The most common type of kidney cancer in adults is renal cell cancer. And the most common type of renal cell caner is called clear cell cancer. If the cancer has spread outside the kidney, it is called metastatic clear cell kidney cancer.
If possible, doctors use surgery to treat kidney cancer. But if the cancer is advanced when you are diagnosed or comes back after surgery, you may have biological therapy.
Biological therapies are treatments that use natural substances from the body, or drugs made from these substances. Interferon and bevacizumab are 2 types of biological therapy that doctors may use to treat advanced kidney cancer.
RAD001 is also known as everolimus and Afinitor. It is a drug that was first developed for people who’ve had a heart or kidney transplant. It helps to damp down the immune system to stop the body rejecting the new organ. We know from research that RAD001 may also help to stop cancer cells growing.
In this trial, researchers will compare a combination of bevacizumab and RAD001 with a combination of bevacizumab and interferon. The aims of the trial are to
- See which of these 2 drug combinations is best for people with metastatic clear cell kidney cancer
- Learn more about the side effects of both drug combinations
Who can enter
You can enter this trial if you
- Have renal cell cancer that is at least partly clear cell type, and has spread
- Are well enough to take part in the trial
- Have satisfactory blood and urine test results
- Are willing to use reliable
contraceptionduring the trial if there is any chance you or your partner could become pregnant
- Are at least 18 years old
You cannot enter this trial if you
- Have cancer that has spread to your brain or spinal cord
- Have had part of your kidney removed (partial nephrectomy) and your surgeon was not able to remove all the cancer with a border of cancer free tissue round it (
- Have had major surgery in the last 4 weeks or minor surgery in the last week
- Have had radiotherapy in the last 4 weeks (you may have had radiotherapy to relieve symptoms caused by cancer spreading to the bones in the last 2 weeks)
- Have already had drug treatment for kidney cancer that has spread (you may have had vaccine treatment after surgery to remove the cancer as long as it finished at least 3 months ago)
- Have already had treatment with drugs that target VEGF such as sunitinib, sorafenib or bevacizumab
- Have had another experimental drug in the last 4 weeks
- Have already had RAD001 or similar drugs such as sirolimus or temsirolimus
- Are known to be sensitive to interferon, RAD001 or similar drugs
- Have had treatment for any other type of cancer apart from non melanoma skin cancer or carcinoma in situ of the cervix in the last 3 years
- Are likely to need to have surgery during the trial (your doctors can advise you about this)
- Have had a wound or infection in your tummy (
abdomen) that has caused an abnormal opening (an abdominal fistula), a hole in the stomach caused by a wound, or a collection of puss in the abdomen (an abscess) in the last 6 months
- Have a broken bone or a wound that isn’t healing
- Have ever had fits (seizures) that couldn’t be controlled with medication
- Have high blood pressure that cannot be controlled with medication
- Have had a heart attack or stroke in the last 6 months
- Have any medical condition that causes abnormal bleeding or blood clotting
- Have any other medical condition that cannot be controlled with medication, including (but not limited to) angina, heart failure, lung disease, liver disease, poorly controlled diabetes or an infection
- Are taking blood thinning drugs or steroid tablets (you must not stop this type of medication without talking to your doctor)
- Are known to be HIV positive
- Are pregnant or breastfeeding
This is a randomised trial. It will recruit about 360 people. The people taking part will be put into one of 2 treatment groups by a computer. Neither you nor your doctor can decide which group you are in.
If you are in group 1, you have bevacizumab through a drip into a vein every 2 weeks. And you have interferon injections under the skin 3 times a week. You can give yourself these injections at home.
If you are in group 2, you have bevacizumab every 2 weeks and you take RAD001 tablets every day at home.
You can carry on having the treatment for as long as it helps you.
You will be asked to fill out some questionnaires before you start treatment, every 2 weeks during treatment, at the end of treatment and then a month later. The questionnaires will ask about any side effects you have had and about how you have been feeling. This is called a quality of life study.
If possible, the trial doctors will get samples of the tumour tissue that you had removed during surgery or when having a
The researchers will also ask your permission to take extra blood and tumour samples to study your genes. This is to learn more about how genes can affect who gets clear cell cancer of the kidney and the way people respond to treatment. If you don’t want to give these samples for genetic research, you don’t have to. You can still take part in the trial.
If you are in group 2, you will have extra blood tests during treatment. These will help the trial team to learn more about the way RAD001 works in the body. This is called
You will see the doctors and have some tests before you start treatment. The tests include
If you have cancer that has spread to your skin, the trial doctors will take photographs and they may take a sample of the cells (a skin biopsy).
During treatment, you go to hospital every 2 weeks. You see the doctors and have blood tests at each visit. And you have a scan every 3 months.
When you finish treatment, you will see the trial doctors again within a week and then 4 weeks, 3 months and 6 months later. After 6 months, a member of the trial team will phone you every 2 months to see how you are. They will continue to do this until at least 2 years have passed since the last person entered the trial.
The most common side effects of RAD001 include
- Skin rash
- Sore mouth
- Tiredness (fatigue)
- Sickness or loss of appetite
- Diarrhoea or constipation
- A drop in the number of blood cells causing an increased risk of infection, bleeding problems, tiredness and breathlessness
- High levels of cholesterol or glucose in the blood
- Lung problems such as cough or shortness of breath
The most common side effects of bevacizumab include
- Slow wound healing
- High blood pressure
- Numbness or tingling in the hands or feet
- A drop in the number of blood cells
The most common side effects of interferon include
- Flu like symptoms such as fever, chills and aching muscles or joints
There is more information about other possible side effects of bevacizumab on CancerHelp UK.
How to join a clinical trial
Please note: In order to join a trial you will need to discuss it with your doctor, unless otherwise specified.
Dr James Larkin
Experimental Cancer Medicine Centre (ECMC)