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OpenTrials
Completed

NCT Number: NCT00338884

Safety And Effectiveness Of Daily Dosing With 37.5 mg Sunitinib Malate In Patients With Advanced Kidney Cancer

A phase II study to allow patients with advanced kidney cancer access to sunitinib malate treatment and to find out the good and bad effects of taking 37.5 mg sunitinib malate in a continuous daily regimen (once per day) for one year.

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Key information

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Pfizer Investigational Site, Córdoba, Córdoba Province, Argentina

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Advanced kidney cancer

Exclusion criteria

  • Previous treatment for kidney cancer, except surgical removal of kidney tumor

Treatment and study plan

Sunitinib Malate

Drug

Sunitinib malate starting dose 37.5 mg daily continuous daily schedule

Primary outcomes

  1. Number of Subjects With Overall Confirmed Objective Response (OR)

    Time frame: From start of treatment through Day 1 of Weeks 5, 9, and every 8 weeks thereafter

    OR = subjects with confirmed complete response (CR) or partial response (PR) according to the Response Evaluation Criteria in Solid Tumors (RECIST) persisting > = 4 weeks after initial documentation of response. A CR was defined as the disappearance of all target lesions. A PR was defined as a ≥ 30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions.

Secondary outcomes

  1. Duration of Response (DR)

    Time frame: From start of treatment through Day 1 of Weeks 5, 9, and every 8 weeks thereafter or death due to any cause

    Time from start of the first documentation of objective tumor response (CR or PR) to the first documentation of objective tumor progression or to death due to to any cause, whichever occurred first. If tumor progression data included more than 1 date, the first date was used. DR was calculated as [the end date for DR minus first CR or PR that was subsequently confirmed +1]/7.

  2. Time to Tumor Progression (TTP)

    Time frame: From start of treatment through Day 1 of Weeks 5, 9, and every 8 weeks thereafter

    Time from date of first dose of study medication to first documentation of objective tumor progression. The 50% quartile point estimate is provided. The criteria for tumor progression was according to RECIST.

  3. Progression-Free Survival (PFS)

    Time frame: From start of treatment through Day 1 of Weeks 5, 9, and every 8 weeks thereafter or death

    Time from start of study medication to first documentation of objective tumor progression or to death due to any cause, whichever occurred first. If tumor progression data included more than 1 date, the first date was used. PFS (in months) was calculated as (first event date minus first dose date +1)/7.

  4. 1-Year Survival

    Time frame: From start of treatment through Day 1 of Weeks 5, 9, and every 8 weeks thereafter up until 1 year

    One year survival rate defined as the probability that a subject was alive 1 year after the date of first study treatment.

  5. Trough Plasma Concentrations (Ctrough) of Sunitinib

    Time frame: Predose on Day 1 of Weeks 1, 3, 5, 7, 9, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, and 53

    Ctrough = the concentration prior to study drug administration.

  6. Ctrough Stratified by CR or PR Versus Progressive Disease (PD) for Sunitinib

    Time frame: Predose on Day 1 of Weeks 1, 3, 5, 7, 9, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, and 53

    Summary statistics of ctrough at each time point by group (CR or PR versus PD) are presented.

  7. Ctrough Stratified by Tumor Response (CR or PR or [Stable Disease (SD) > = 12 Weeks] Versus PD) for Sunitinib

    Time frame: Predose on Day 1 of Weeks 1, 3, 5, 7, 9, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, and 53

    Summary statistics of ctrough at each time point by group (CR or PR or SD versus PD) are presented.

  8. Ctrough of SU-012662 (Sunitinib's Metabolite)

    Time frame: Predose on Day 1 of Weeks 1, 3, 5, 7, 9, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, and 53

    Ctrough = the concentration prior to study drug administration.

  9. Ctrough Stratified by CR or PR Versus PD for SU-012662 (Sunitinib's Metabolite)

    Time frame: Predose on Day 1 of Weeks 1, 3, 5, 7, 9, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, and 53

    Summary statistics of ctrough at each time point by group (CR or PR versus PD) are presented.

  10. Ctrough Stratified by Tumor Response (CR or PR or [SD > = 12 Weeks] Versus PD) for SU-012662 (Sunitinib's Metabolite)

    Time frame: Predose on Day 1 of Weeks 1, 3, 5, 7, 9, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, and 53

    Summary statistics of ctrough at each time point by group (CR or PR or SD versus PD) are presented.

  11. Ctrough of Total Drug (Sunitinib + SU-012662)

    Time frame: Predose on Day 1 of Weeks 1, 3, 5, 7, 9, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, and 53

    Ctrough = the concentration prior to study drug administration.

  12. Ctrough Stratified by CR or PR Versus PD for Total Drug (Sunitinib + SU012662)

    Time frame: Predose on Day 1 of Weeks 1, 3, 5, 7, 9, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, and 53

    Summary statistics of ctrough at each time point by group (CR or PR versus PD) are presented.

  13. Ctrough Stratified by Tumor Response (CR or PR or [SD > = 12 Weeks] Versus PD) for Total Drug (Sunitinib + SU012662)

    Time frame: Predose on Day 1 of Weeks 1, 3, 5, 7, 9, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, and 53

    Summary statistics of ctrough at each time point by group (CR or PR or SD versus PD) are presented.

  14. Ctrough Correlated With Serious Adverse Events (SAEs)

    Time frame: Predose on Day 1 of Weeks 1, 3, 5, 7, 9, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, and 53

    Serious adverse event defined as any untoward medical occurrence at any dose that: Results in death; Is life-threatening (immediate risk of death); Requires inpatient hospitalization or prolongation of existing hospitalization; Results in persistent or significant disability/incapacity; Results in congenital anomaly/birth defect.

  15. Vascular Endothelial Growth Factor (VEGF) Concentration at Baseline

    Time frame: Baseline

  16. VEGF at Baseline Stratified by Tumor Response (CR or PR Versus PD)

    Time frame: Baseline (Cycle 1, Day 1)

    Summary statistics of VEGF at baseline by group (CR or PR versus PD) are presented.

  17. VEGF at Baseline Stratified by Tumor Response (CR or PR or [SD > = 12 Weeks] Versus PD)

    Time frame: Baseline (Cycle 1, Day 1)

    Summary statistics of VEGF at baseline by group (CR or PR or SD versus PD) are presented.

  18. VEGF Ratio to Baseline at Each Time Point

    Time frame: Baseline to Day 1 of Weeks 3 through 53

    VEGF concentration at each time point divided by VEGF concentration at baseline (ratio to baseline).

  19. VEGF Ratio to Baseline Stratified by Tumor Response (CR or PR Versus PD)

    Time frame: Baseline to Day 1 of Weeks 3 through 53

    Median VEGF concentration at each time point divided by VEGF concentration at baseline (ratio to baseline) for subjects with tumor response (CR or PR versus PD).

  20. VEGF Ratio to Baseline Stratified by Tumor Response (CR or PR or [SD > = 12 Weeks] Versus PD)

    Time frame: Baseline to Day 1 of Weeks 3 through 53

    Median VEGF concentration at each time point divided by VEGF concentration at baseline (ratio to baseline) for subjects with tumor response (CR or PR or [SD > = 12 weeks] versus PD).

  21. Soluble VEGF Receptor 2 (sVEGFR2) Concentration at Baseline

    Time frame: Baseline

  22. sVEGFR2 at Baseline Stratified by Tumor Response (CR or PR Versus PD)

    Time frame: Baseline (Cycle 1, Day 1)

    Summary statistics of sVEGFR2 at baseline by group (CR or PR versus PD) are presented.

  23. sVEGFR2 at Baseline Stratified by Tumor Response (CR or PR or [SD > = 12 Weeks] Versus PD)

    Time frame: Baseline (Cycle 1, Day 1)

    Summary statistics of sVEGFR2 at baseline by group (CR or PR or SD versus PD) are presented.

  24. sVEGFR2 Ratio to Baseline at Each Time Point

    Time frame: Baseline to Day 1 of Weeks 3 through 53

    sVEGFR2 concentration at each time point divided by sVEGFR2 concentration at baseline (ratio to baseline).

  25. sVEGFR2 Ratio to Baseline Stratified by Tumor Response (CR or PR Versus PD)

    Time frame: Baseline to Day 1 of Weeks 3 through 53

    Median sVEGFR2 concentration at each time point divided by sVEGFR2 concentration at baseline (ratio to baseline) for subjects with tumor response (CR or PR versus PD).

  26. sVEGFR2 Ratio to Baseline Stratified by Tumor Response (CR or PR or [SD > = 12 Weeks] Versus PD)

    Time frame: Baseline to Day 1 of Weeks 3 through 53

    Median sVEGFR2 concentration at each time point divided by sVEGFR2 concentration at baseline (ratio to baseline) for subjects with tumor response (CR or PR or [SD > = 12 weeks] versus PD).

  27. Patient-Assessed Fatigue

    Time frame: Baseline (Day 1, Week 1), Day 1 of Weeks 3, 5, 7, 9, 11, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, Week 53 (End of Treatment)

    Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-Fatigue) Scale: Overall score from 13-question questionnaire (measures fatigue/asthenia for patients with chronic, life-threatening illnesses). For each question, patient rates condition for the past week on a 5-point Likert scale ranging from 0 (not at all) to 4 (very much). Total FACIT-Fatigue score = sum score of the 13 question scores; total range: 0 - 52; higher total score represents less fatigue. End of treatment assessment was for subjects who completed the study only.

  28. Cancer Related Symptoms, Well-Being, and Concerns

    Time frame: Baseline (Day 1, Week 1), Day 1 of Weeks 3, 5, 7, 9, 11, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, Week 53 (End of Treatment)

    FACT-Advanced Kidney Cancer Symptom Index (FKSI) Questionnaire: subscale designed to be a stand-alone instrument to measure symptoms and quality of life in patients with advanced kidney cancer. Contains 15 questions. Each question was answered on a 5-point Likert-type scale ranging from 0 to 4 (0=not at all, 1=a little bit, 2=somewhat, 3=quite a bit, 4=very much). Total FKSI score = sum score of the 15 item scores; total range: 0 - 60; 0 (most severe symptoms and concerns) to 60 (no symptoms or concerns). End of treatment assessment was for subjects who completed the study only.

Sponsors and collaborators

Lead sponsor

Pfizer

Industry

Registry information

Official study title

A Phase II Efficacy And Safety Study Of Sunitinib Malate (SU011248) Administered In A Continuous Daily Regimen In Patients With Advanced (First-Line) Renal Cell Cancer

Important dates

Study start
2006
Primary completion
2009
Study completion
2009
First posted
Jun 20, 2006
Registry last updated
Aug 31, 2012

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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