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Carcinoma, Renal CellPhase 2NCT00338884

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

A Phase 2 study testing Sunitinib malate in people with Carcinoma, Renal Cell, run by Pfizer at 15 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

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. Read more about this study

Who is it for?
Any age
Conditions the study is for
Carcinoma, Renal Cell
What is being tested?
Sunitinib malate
Could I receive a placebo?
No, everyone receives an active treatment
How many people
120 participants
Where
15 sitesin 6 countries
Study dates
Sep 2006to Apr 2009
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Advanced kidney cancer

Who cannot join

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

Trial locations and contacts

15 sites in 6 countries.

15 sites in 6 countries

Argentina3 sites
  • Pfizer Investigational Site

    Buenos Aires, 1431

  • Pfizer Investigational Site

    Córdoba, Córdoba Province, X5000AAI

  • Pfizer Investigational Site

    Rosario, Santa Fe Province, (2000)

Other trials in Argentina

Australia3 sites
  • Pfizer Investigational Site

    Adelaide, South Australia, 5000

  • Pfizer Investigational Site

    Clayton, Victoria, 3168

  • Pfizer Investigational Site

    East Bentleigh, Victoria, 3165

Other trials in Australia

Taiwan3 sites
  • Pfizer Investigational Site

    Taichung, 407

  • Pfizer Investigational Site

    Tainan, 710

  • Pfizer Investigational Site

    Taipei, 112

Other trials in Taiwan

Brazil2 sites
  • Pfizer Investigational Site

    Porto Alegre, Rio Grande do Sul, 90610-000

  • Pfizer Investigational Site

    São Paulo, São Paulo, 01308-050

Other trials in Brazil

Mexico2 sites
  • Pfizer Investigational Site

    Guadalajara, Jalisco, 44280

  • Pfizer Investigational Site

    Monterrey, Nuevo León, 64460

Other trials in Mexico

South Korea2 sites
  • Pfizer Investigational Site

    Seoul, 110-744

  • Pfizer Investigational Site

    Seoul, 120-752

Other trials in South Korea

About this study

Official 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

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.

Being tested
Sunitinib malate
Medical subject headings
Carcinoma, Renal Cell

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Sunitinib malateDrug

    Sunitinib malate starting dose 37.5 mg daily continuous daily schedule

Study groups in NCT00338884
Study groupRoleWhat they receive
SUNITINIB MALATE.ExperimentalSunitinib malate starting dose 37.5 mg daily continuous daily schedule
Receives: Drug: Sunitinib malate

What is being measured

The primary outcome is the main question the study is designed to answer.

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

    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.

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

Secondary outcomes (28)
  1. Duration of Response (DR)

    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.

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

  2. Time to Tumor Progression (TTP)

    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.

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

  3. Progression-Free Survival (PFS)

    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.

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

  4. 1-Year Survival

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

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

  5. Trough Plasma Concentrations (Ctrough) of Sunitinib

    Ctrough = the concentration prior to study drug administration.

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

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

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

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

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

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

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

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

    Ctrough = the concentration prior to study drug administration.

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

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

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

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

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

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

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

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

    Ctrough = the concentration prior to study drug administration.

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

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

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

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

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

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

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

  14. Ctrough Correlated With Serious Adverse Events (SAEs)

    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.

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

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

    Measured: Baseline

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

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

    Measured: Baseline (Cycle 1, Day 1)

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

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

    Measured: Baseline (Cycle 1, Day 1)

  18. VEGF Ratio to Baseline at Each Time Point

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

    Measured: Baseline to Day 1 of Weeks 3 through 53

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

    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).

    Measured: Baseline to Day 1 of Weeks 3 through 53

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

    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).

    Measured: Baseline to Day 1 of Weeks 3 through 53

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

    Measured: Baseline

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

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

    Measured: Baseline (Cycle 1, Day 1)

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

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

    Measured: Baseline (Cycle 1, Day 1)

  24. sVEGFR2 Ratio to Baseline at Each Time Point

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

    Measured: Baseline to Day 1 of Weeks 3 through 53

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

    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).

    Measured: Baseline to Day 1 of Weeks 3 through 53

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

    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).

    Measured: Baseline to Day 1 of Weeks 3 through 53

  27. Patient-Assessed Fatigue

    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.

    Measured: 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)

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

    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.

    Measured: 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)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Jun 2006 (estimated)
  2. Study startSep 2006
  3. Primary completionApr 2009
  4. Study completionApr 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
120 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00338884
Sponsor's protocol ID
A6181110
Status last verified
Aug 2012
First submitted
16 Jun 2006
Last updated
31 Aug 2012

Publications

  • de Velasco G, McKay RR, Lin X, Moreira RB, Simantov R, Choueiri TK. Comprehensive Analysis of Survival Outcomes in Non-Clear Cell Renal Cell Carcinoma Patients Treated in Clinical Trials. Clin Genitourin Cancer. 2017 Dec;15(6):652-660.e1. doi: 10.1016/j.clgc.2017.03.004. Epub 2017 Mar 21.

    PubMed 28410911
  • Grunwald V, Lin X, Kalanovic D, Simantov R. Early Tumour Shrinkage: A Tool for the Detection of Early Clinical Activity in Metastatic Renal Cell Carcinoma. Eur Urol. 2016 Dec;70(6):1006-1015. doi: 10.1016/j.eururo.2016.05.010. Epub 2016 May 26.

    PubMed 27238653
  • Grunwald V, McKay RR, Krajewski KM, Kalanovic D, Lin X, Perkins JJ, Simantov R, Choueiri TK. Depth of remission is a prognostic factor for survival in patients with metastatic renal cell carcinoma. Eur Urol. 2015 May;67(5):952-8. doi: 10.1016/j.eururo.2014.12.036. Epub 2015 Jan 7.

    PubMed 25577718
  • Barrios CH, Hernandez-Barajas D, Brown MP, Lee SH, Fein L, Liu JH, Hariharan S, Martell BA, Yuan J, Bello A, Wang Z, Mundayat R, Rha SY. Phase II trial of continuous once-daily dosing of sunitinib as first-line treatment in patients with metastatic renal cell carcinoma. Cancer. 2012 Mar 1;118(5):1252-9. doi: 10.1002/cncr.26440. Epub 2011 Sep 6.

    PubMed 21898376

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Sunitinib malate in people with Carcinoma, Renal Cell, run by Pfizer at 15 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 31 Aug 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in Argentina, Australia, Taiwan, Brazil, Mexico and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 14 Jun 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

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). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00338884, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Aug 2012; AzTrials last refreshed its copy on 7 Nov 2026.

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