A Study Of Obesity And Inflammation Impact Immunotherapy For Renal Cancer

Overview

About this study

The purpose of this study is to determine the extent to which immunotherapy failure in kidney cancer patients with obesity is associated with prolonged, body-wide inflammation. Hypothesis: In patients with obesity, high sustained inflammation will be associated with poor immunotherapy outcomes, high inflammation that resolves during therapy will be associated with better outcomes, and sustained low inflammation will be associated with the best therapy outcomes. These general trends will also hold true for non-obese RCC patients, although the magnitude of the response rates may be shifted.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

  • Written informed consent and HIPAA authorization for release of personal health information prior to study enrollment.

  • Women and men of any racial and smoking status, age 18-85 years at the time of consent.

  • Histological or cytological confirmation of RCC.

  • Evaluable metastatic disease according to RECIST 1.1 criteria within 28 days prior to registration.

  • Karnofsky Performance Status (KPS) ≥ 60 within 28 days prior to registration.

  • Archived or fresh FFPE tumor specimen of at least 25 mm2.

  • Demonstrate adequate organ function: leukocytes >1,000/mm3; an absolute neutrophil count ≥1,000/mL; platelets ≥70,000/mL; hemoglobin ≥8 g/dL; total bilirubin within normal laboratory limits (≤1.5 times the upper limit of normality [≤2.0 in patients with known Gilbert’s syndrome] OR direct bilirubin ≤1 times the upper limit of normality; AST(SGOT)/ALT(SGPT) ≤2.5 times the upper limit of normality; serum creatinine ≤1.5 times the upper limit of normal or calculated creatinine clearance > 30mL/minutes.

Exclusion Criteria:

  • Active infection requiring systemic therapy.

  • Known HIV-positive with detectable viral load.

  • Pregnant or breastfeeding.

  • Known additional invasive malignancy that is active and/or progressive requiring treatment; exceptions include locally curable cancers, or other cancer for which the subject has been disease-free for at least three years or prostate cancer on surveillance.

  • Subjects who have not recovered from toxicities from prior systemic anti-cancer treatment or local therapies (a residual toxicity likely to be chronic but controlled and manageable is allowed, e.g. endocrine syndromes from prior interleukin-2).

  • Subjects who have undergone major surgery < 4 weeks or minor surgery < 2 weeks prior to registration. Wounds must be healed prior to study entry and subjects must have recovered from all toxicities from surgery. NOTE: Placement of a vascular access device not considered major or minor surgery in this regard.

  • Prior radiation therapy is allowed as long as irradiated area was not the sole source of measurable disease and radiotherapy was completed ≥2 weeks prior to registration, and subject has recovered from toxicity.

  • Renal failure requiring hemo- or peritoneal dialysis.

Note: Other protocol defined Inclusion/Exclusion Criteria may apply.

Eligibility last updated 4/23/2025. Questions regarding updates should be directed to the study team contact.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Scottsdale/Phoenix, Ariz.

Mayo Clinic principal investigator

Yousef Zakharia

Open for enrollment

Contact information:

Cancer Center Clinical Trials Referral Office

(855) 776-0015

More information

Publications

Publications are currently not available
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CLS-20597180

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