About this trial
This is a prospective, single-center clinical trial designed to evaluate the safety and efficacy of combining stereotactic ablative body radiotherapy (SABR) with the targeted therapy Axitinib and the immunotherapy Toripalimab in patients with recurrent metastatic renal cell carcinoma (RCC). Patients will receive a treatment regimen consisting of Axitinib, Toripalimab, and comprehensive multi-lesion SABR. The primary endpoint is Progression-Free Survival 1 (PFS1), and secondary endpoints include Progression-Free Survival 2 (PFS2), Overall Survival (OS), Local Control (LC), Objective Response Rate (ORR), and Disease Control Rate (DCR). Adverse events will be monitored according to the Common Terminology Criteria for Adverse Events (CTCAE 5.0). The aim of this study is to explore a potentially more effective treatment combination for recurrent metastatic RCC.
Eligibility criteria
Qualifiers
Histopathologically confirmed renal cell carcinoma with recurrent metastatic lesions confirmed by PET/CT or other systemic imaging.
Patients with ≤5 metastatic lesions amenable to complete lesion coverage radiotherapy; or >5 lesions with at least 3 suitable for radiotherapy as evaluated by the radiotherapy and imaging departments.
Age between 18-80 years.
Expected survival of ≥12 weeks.
Disqualifiers
History of anti-PD-1 or PD-L1 antibody therapy, or radiotherapy.
Use of corticosteroids or other immunosuppressants within 14 days before treatment.
Autoimmune diseases.
History of other malignancies.
Trial design
Treatments tested in this trial
- Stereotactic Ablative Body Radiotherapy (SABR)
- TORIPALIMAB INJECTION(JS001 )
- Axitinib (VEGF-TKI)
Treatment groups
Locations
1Sponsors and collaborators
Peking University First Hospital
Lead sponsor