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Completed

NCT Number: NCT00113529

Study Of SU011248 Plus Gefitinib (Iressa) In Patients With Advanced Renal Cell Carcinoma

To assess the maximum tolerated dose and overall safety and tolerability of sunitinib [SU011248] administered in combination with gefitinib (Iressa) for the treatment of patients with metastatic renal cell carcinoma (Phase 1). To assess antitumor activity of the combination of gefitinib and sunitinib (Phase 2).

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Pfizer Investigational Site, Ann Arbor, Michigan, United States

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Histologically confirmed renal cell carcinoma with metastases
  • Evidence of unidimensionally measurable disease
  • Failure of 1 prior immunotherapy or no prior systemic therapy for metastatic RCC

Exclusion criteria

  • RCC without any clear (conventional) cell component
  • History of or known brain metastases
  • Uncontrolled hypertension or other significant cardiac events within the 12 months prior to study entry

Treatment and study plan

Gefitinib + Sunitinib

Drug

Until disease progression or unacceptable toxicity.

Other names: Iressa, SU011248, SUTENT

Primary outcomes

  1. Number of Subjects With Overall Confirmed Objective Disease Response According to the Response Evaluation Criteria in Solid Tumors (RECIST)

    Time frame: From start of treatment until Day 28 of Cycles 1 to 4, Day 28 of even cycles thereafter

    Objective disease response = subjects with confirmed complete response (CR) or partial response (PR) according to RECIST. 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. Time to Tumor Response (TTR)

    Time frame: From start of treatment until Day 28 of Cycles 1 to 4, Day 28 of even cycles thereafter

    TTR was defined as the time from date of the first dose of study medication to first documentation of objective tumor response (CR or PR). For subjects proceeding from PR to CR, the onset of PR was taken as the onset of response. If lesion assessment data included more than 1 date, the first date was used. TTR was calculated as (first event date minus first dose date +1)/7. TTR was calculated based on the subgroup of subjects with a baseline disease assessment, who had the correct histological cancer type, and had a confirmed objective tumor response. Kaplan-Meier method was used.

  2. Duration of Response (DR)

    Time frame: From start of treatment until Day 28 of Cycles 1 to 4, Day 28 of even cycles thereafter or death due to cancer

    DR was defined as the time from start of the first documentation of objective tumor response to the first documentation of objective tumor progression or death due 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. DR was calculated for the subgroup of subjects with an objective tumor response (CR or PR).

  3. Time to Tumor Progression (TTP)

    Time frame: From start of treatment until Day 28 of Cycles 1 to 4, Day 28 of even cycles thereafter

    TTP was defined as the time from the date of first dose of study medication to first documentation of objective tumor progression. If tumor progression data included more than 1 date, the first date was used. TTP (in weeks) was calculated as (first event date minus first dose date +1)/7. Kaplan-Meier method was used.

  4. Overall Survival (OS)

    Time frame: From start of study treatment until death

    OS was defined as the time from date of the first dose of study medication to date of death due to any cause. OS (in weeks) is calculated as (date of death minus first dose date +1)/7. For subjects not expiring, their survival times were censored at the last date of known contact they were known to be alive. Subjects lacking data beyond the day of first dose had their survival times censored at 1 day. Kaplan-Meier method was used.

  5. Progression-Free Survival (PFS)

    Time frame: From start of treatment until Day 28 of Cycles 1 to 4, Day 28 of even cycles thereafter or death

    PFS was defined as the time from the date of first dose of study medication to the date of first documentation of tumor progression or death due to any cause, whichever occurred first. If tumor progression data included more than 1 date, the first date was used. PFS (in weeks) was calculated as (first event date minus first dose date +1)/7. Kaplan-Meier method was used.

  6. Probability of Survival at One Year

    Time frame: From start of treatment until Day 28 of Cycles 1 to 4, Day 28 of even cycles thereafter up until 1 year

    Survival rate was defined as the percentage of subjects alive at 1 year after the date of first administration of study medication. Survival rate was estimated using the Kaplan-Meier method.

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

    Time frame: Baseline (Cycle 1, Day 1)

    Concentration of VEGF at baseline.

  8. VEGF Ratio to Baseline at Each Time Point

    Time frame: Baseline to Cycle 3, Day 28 inclusive

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

  9. VEGF-C Concentration at Baseline

    Time frame: Baseline (Cycle 1, Day 1)

    Concentration of VEGF-C at baseline.

  10. VEGF-C Ratio to Baseline at Each Time Point

    Time frame: Baseline to Cycle 3, Day 28 inclusive

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

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

    Time frame: Baseline (Cycle 1, Day 1)

    Concentration of sVEGFR2 at baseline.

  12. sVEGFR2 Ratio to Baseline at Each Time Point

    Time frame: Baseline to Cycle 3, Day 28 inclusive

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

  13. Soluble VEGF Receptor 3 (sVEGFR3) Concentration at Baseline

    Time frame: Baseline (Cycle 1, Day 1)

    Concentration of sVEGFR3 at baseline.

  14. sVEGFR3 Ratio to Baseline at Each Time Point

    Time frame: Baseline to Cycle 3, Day 28 inclusive

    sVEGFR3 concentration at each time point divided by sVEGFR3 concentration at baseline (ratio to baseline).

  15. Change From Baseline in VEGF by Time Point Stratified by Tumor Response (CR or PR or [SD > = 6 Weeks] Versus PD)

    Time frame: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

    Change = median VEGF level at each specified time point for subjects with tumor response (CR or PR or [SD > = 6 weeks] versus PD) minus median VEGF level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

  16. Change From Baseline in VEGFC by Time Point Stratified by Tumor Response (CR or PR or [SD > = 6 Weeks] Versus PD)

    Time frame: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

    Change = median VEGFC level at each specified time point for subjects with tumor response (CR or PR or [SD > = 6 weeks] versus PD) minus median VEGFC level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

  17. Change From Baseline in VEGFR2 by Time Point Stratified by Tumor Response (CR or PR or [SD > = 6 Weeks] Versus PD)

    Time frame: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

    Change = median VEGFR2 level at each specified time point for subjects with tumor response (CR or PR or [SD > = 6 weeks] versus PD) minus median VEGFR2 level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

  18. Change From Baseline in VEGFR3 by Time Point Stratified by Tumor Response (CR or PR or [SD > = 6 Weeks] Versus PD)

    Time frame: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

    Change = median VEGFR3 level at each specified time point for subjects with tumor response (CR or PR or [SD > = 6 weeks] versus PD) minus median VEGFR3 level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

  19. Change From Baseline in VEGF by Time Point Stratified by PFS >= Median and PFS < Median

    Time frame: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

    Change = median VEGF level at each specified time point for subjects with tumor response PFS >= Median or PFS < Median minus median VEGF level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

  20. Change From Baseline in VEGFC by Time Point Stratified by PFS >= Median and PFS < Median

    Time frame: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

    Change = median VEGFC level at each specified time point for subjects with tumor response PFS >= Median or PFS < Median minus median VEGFC level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

  21. Change From Baseline in VEGFR2 by Time Point Stratified by PFS >= Median and PFS < Median

    Time frame: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

    Change = median VEGFR2 level at each specified time point for subjects with tumor response PFS >= Median or PFS < Median minus median VEGFR2 level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

  22. Change From Baseline in VEGFR3 by Time Point Stratified by PFS >= Median and PFS < Median

    Time frame: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

    Change = median VEGFR3 level at each specified time point for subjects with tumor response PFS >= Median or PFS < Median minus median VEGFR3 level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

  23. Change From Baseline in VEGF by Time Point Stratified by TTP >= Median and TTP < Median

    Time frame: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

    Change = median VEGF level at each specified time point for subjects with tumor response TTP >= Median and TTP < Median minus median VEGF level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

  24. Change From Baseline in VEGFC by Time Point Stratified by TTP >= Median and TTP < Median

    Time frame: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

    Change = median VEGFC level at each specified time point for subjects with tumor response TTP >= Median and TTP < Median minus median VEGFC level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

  25. Change From Baseline in VEGFR2 by Time Point Stratified by TTP >= Median and TTP < Median

    Time frame: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

    Change = median VEGFR2 level at each specified time point for subjects with tumor response TTP >= Median and TTP < Median minus median VEGFR2 level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

  26. Change From Baseline in VEGFR3 by Time Point Stratified by TTP >= Median and TTP < Median

    Time frame: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

    Change = median VEGFR3 level at each specified time point for subjects with tumor response TTP >= Median and TTP < Median minus median VEGFR3 level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

  27. Trough Plasma Concentrations (Ctrough) of Sunitinib

    Time frame: prior to dosing on Cycle 1 (Days 1, 28), Cycle 2 (Days 1, 28), Cycle 3 (Days 1, 28)

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

    Time frame: prior to dosing on Cycle 1 (Days 1, 28), Cycle 2 (Days 1, 28), Cycle 3 (Days 1, 28)

  29. Ctrough of Gefitinib

    Time frame: prior to dosing on Cycle 1 (Days 1, 28), Cycle 2 (Days 1, 28), Cycle 3 (Days 1, 28)

Sponsors and collaborators

Lead sponsor

Pfizer

Industry

Registry information

Official study title

A Phase 1/2 Safety And Pharmacokinetic Study Of SU011248 In Combination With Gefitinib (Iressa) In Patients With Metastatic Renal Cell Carcinoma

Important dates

Study start
2004
Primary completion
2007
Study completion
2008
First posted
Jun 9, 2005
Registry last updated
Aug 29, 2011

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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