Complete Remission in Renal Cell CarcinomaAPERCUNCT01934452
Prospective Observational Analysis Of CR With Sunitinib Treatment In mRCC Patients
An observational study of Complete Remission in Renal Cell Carcinoma, run by Pfizer at 14 sites in France.
Trial summary
This prospective study will investigate the characteristics of mRCC patients at time of CR in comparison with mRCC patients non on CR treated with Sunitinib, in order to provide some answers/ refection leads to the following questions : Can we identify blood specificity at time of CR vs non on CR? Shall we distinguish… Read more about this study
- Who is it for?
- Ages 18 to 99 years
- Conditions the study is for
- Complete Remission in Renal Cell Carcinoma
- What is being tested?
- sunitinib
- Type of treatment
- Pill or oral medicine
- How many people
- 77 participants
- Where
- 14 sitesFrance
- Study dates
- 21 May 2015to 19 Jan 2022
- Phase
- Observational
- 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 18 to 99 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: complete remission in mRCC patients treated with sunitinib versus non complete remission in mRCC patients treated with sunitinib
Who may be able to join
- Patients with metastatic renal cell carcinoma, histopathologically confirmed
- Treated with sunitinib according to Smpc
- For cases: Achieving a CR (local assessment according to RECIST V1.0 criteria) with Sunitinib in prior 6 months alone OR in combination with local treatment (surgery, radiation therapy, ablative techniques: cryotherapy, RFA)
- For controls: Life expectancy > 3 months No prior Sunitinib treatment
- Patient >18 years
Who cannot join
- Sunitinib administered in a non-approved label
- For cases: CR occurring without sunitinib treatment
- For controls: Prior systemic treatment
Trial locations and contacts
14 sites in 1 country.
14 sites in 1 country
France14 sites
CHRU HOTEL DIEU - Service Urologie
Angers, 49933
C.H.U Morvan
Brest, 29000
Clinique Victor Hugo
Le Mans, 72015
CHU de la Timone
Marseille, Cedex 5, 13335
Institut Paoli-Calmettes / Hôpital de jour
Marseille, 13273 Cedex 9
Institut Paoli-Calmettes
Marseille, 13273
Hopital Timone Adultes
Marseille, 13385
CRLC Val d'Aurelle
Montpellier, 34295
Hopital Europeen Georges Pompidou
Paris, 75908
Centre Hospitalier Lyon Sud
Pierre-Bénite, 69495
CHU Strasbourg
Strasbourg, Cedex, 67091
Clinique Chirurgicale de l'Orangerie, Chiliotherapie
Strasbourg, 67010
Centre Alexis Vautrin
Vandœuvre-lès-Nancy, 54511
Institut Gustave Roussy
Villejuif, 94805
About this study
Official title: Prospective Study of Complete Remissions Observed With Sunitinib in Patients With Metastatic Renal Cell Carcinoma mRCC)
This prospective study will investigate the characteristics of mRCC patients at time of CR in comparison with mRCC patients non on CR treated with Sunitinib, in order to provide some answers/ refection leads to the following questions :
Can we identify blood specificity at time of CR vs non on CR? Shall we distinguish CR with sunitinib alone from combined CR (sunitinib with local treatment), while in clinical report these 2 cohorts present similar time to recurrence (ALBIGES, ASCO 2010)? Can we identify potential predictive serum biomarkers of recurrence? (With the aim of isolating blood biomarker that can help on treatment discontinuation decision?)
Read the detailed description
The main objective of the study is to describe the characteristics of mRCC patients on CR with Sunitinib (Cases) and compare them to the characteristics of mRCC patients non on CR (controls) in order to identify factors associated with the occurrence of complete remission.
The results obtained on the sample must be representative of the population targeted by the study. The most appropriate method to obtain a representative sample is probability sampling.
A sample size of N = 40 (cases) and N = 80 (Controls) will provide a power of 80% in the detection of a frequency difference between cases and controls corresponding to an OR of 0.24 for a parameter frequency 10% in control arm and an OR of 0.30 for a parameter frequency of around 30% in control arm. The significance level was set at bilateral 5%.
The data will be analyzed using SAS software (version 9.1 - SAS Institute, North Carolina, United States).
- Being tested
- sunitinib
- Keywords
- complete remission
- Medical subject headings
- Pathologic Complete Response
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
sunitinibDrug
Also called Cases
50 mg 4/2 ,oral, once a day 4 weeks on and 2 weeks off for 6 months
sunitinibDrug
Also called Controls
50 mg 4/2 ,oral, once a day 4 weeks on and 2 weeks off for 6 months
| Study group | Role | What they receive |
|---|---|---|
| Complete Remission | Complete remission arm in mRCC patients treated with sunitinib. Receives: Drug: sunitinib | |
| Non Complete Remission | Non complete remission arm in mRCC patients treated with sunitinib. Receives: Drug: sunitinib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to Diagnose Metastatic Renal Cell Carcinoma
Time to diagnose metastatic renal cell carcinoma was defined as the duration between date of diagnosis of mRCC to date of inclusion visit.
Measured: Baseline (at inclusion Visit)
Number of Participants Categorized According to Presence of Nephrectomy
In this outcome measure, participants were categorized according to presence of nephrectomy as yes or no.
Measured: Baseline (at inclusion Visit)
Number of Participants Categorized According to Type of Nephrectomy
In this outcome measure, participants were categorized according to type of nephrectomy. Various types of nephrectomies included: extended or partial, nephrectomy with or without adrenalectomy, nephrectomy with or without curettage and open or laparoscopic nephrectomy.
Measured: Baseline (at inclusion Visit)
Time to Nephrectomy From Diagnosis of Metastatic Renal Cell Carcinoma (mRCC)
In this outcome measure, time from diagnosis of mRCC to nephrectomy was reported.
Measured: Baseline (at inclusion Visit)
Number of Participants Categorized According to Pathological Classification
In this outcome measure, participants were categorized according to pathological classification. Pathological classification included: clear cell carcinoma (yes or no), multilocular cystic renal clear cell carcinoma (yes or no), papillary cell carcinoma (yes or no), chromophobe cell carcinoma(yes or no), Bellini's collecting duct carcinoma(yes or no), medullary cell carcinoma (yes or no), sarcomatoid contingent (yes or no), and other (yes or no).
Measured: Baseline (at inclusion Visit)
Number of Participants Categorized According to Tumor, Node, Metastasis (TNM) Classification
In this outcome measure, participants were categorized according to TNM classification. TNM classification included: T class (1, 2, 3, 4), N (0,1,2, x) and M class (0, 1). TNM system is based on size of primary tumor (T), amount of spread to lymph nodes (N) and presence of metastases (M). T1: tumor (less than or equal to) <=20 millimeters (mm), T2: tumor >20 mm to <=50 mm, T3: >50 mm, T4: tumor invading other structures. N0: no lymph node metastases, N1: metastases to ipsilateral level I, II axillary lymph nodes, NX: Regional lymph nodes cannot be assessed. M0: no clinical/radiographic evidence of distant metastases, M1: distant detectable metastases as determined by clinical and radiographic means and/or histologically proven >0.2 mm.
Measured: Baseline (at inclusion Visit)
Tumour Size
Tumour size of participants was reported in this outcome measure.
Measured: Baseline (at Inclusion Visit)
Number of Participants Categorized According to Fuhrman Nuclear Grade
In this outcome measure, participants were categorized according to Fuhrman nuclear grade. The grades were classified as: grade 1, 2, 3, and 4. The four-tiered Fuhrman grading evaluates nuclear size, nuclear shape and presence of nucleolar prominence. Grade 1: small (=10 micrometer [mcm]) nuclear diameter, round/uniform nuclear shape and absent/inconspicuous nucleoli; Grade 2: large (=15 mcm) nuclear diameter, irregular outline nuclear shape and visible at *400 magnification nucleoli; Grade 3: larger (=20 mcm) nuclear diameter, obvious irregular outline nuclear shape and visible and prominent at *100 magnification nucleoli; Grade 4: grade 3 plus bizarre multilobed nuclei +/- spindle cells.
Measured: Baseline (at Inclusion Visit)
Number of Participants Categorized According to Presence of Necrosis, Pulmonary Embolism and Sarcomatoid Component
In this outcome measure, participants were categorized according to presence of necrosis, pulmonary embolism and sarcomatoid component.
Measured: Baseline (at Inclusion Visit)
Time to Initiation of Sunitinib From Diagnosis of Metastatic Renal Cell Carcinoma (mRCC)
Measured: Diagnosis of mRCC to Sunitinib Initiation (at Inclusion Visit)
Number of Participants Categorized According to Location of Metastases
In this outcome measure, participants were categorized according to location of metastases at different body parts (lung, bones, liver, adrenal gland, pancreas, brain and lymph nodes). Participant can have more than 1 location of metastases.
Measured: At initiation of sunitinib (at Inclusion Visit)
Number of Participants Categorized According to Type of Lymph Nodes as Metastatic Site
In this outcome measure, participants were categorized according to type of lymph nodes as metastatic site.
Measured: At initiation of sunitinib (at Initiation Visit)
Number of Participants Categorized According to Recurrence at Nephrectomy Site
In this outcome measure, participants were categorized according to recurrence at nephrectomy site were reported.
Measured: At initiation of sunitinib (at Inclusion Visit)
Number of Participants Categorized According to Recurrence at Other Site
In this outcome measure, participants were categorized according to recurrence at any other site than nephrectomy site were reported.
Measured: At initiation of sunitinib (at Inclusion Visit)
Number of Metastatic Sites
In this outcome measure, median of metastatic sites were reported.
Measured: At initiation of sunitinib (at Initiation Visit)
Number of Participants Categorized According to Memorial Sloan-Kettering Cancer Center (MSKCC) Prognostic Classification
In this outcome measure, participants were categorized according MSKCC prognostic classification. MSKCC criteria had 5 risk factors: Karnofsky performance status (KPS) <80% (ability to perform ordinary tasks, 0 [dead] -100 [normal]); time from diagnosis to start of systemic therapy <12 months; hemoglobin <lower limit of normal (LLN); lactate dehydrogenase >1.5*upper limit of normal (ULN); corrected serum calcium >10 milligram per deciliter (mg/dL). Present risk factors were added, and participants were stratified as: good prognosis (0 factor), intermediate prognosis (1-2 factors), poor prognosis (>=2 factors).
Measured: At initiation of sunitinib (at Inclusion Visit)
Time to Achieve Complete Remission (CR) After Sunitinib Initiation: mRCC Participants With CR
In this outcome measure, time taken by participants to achieve the complete remission after sunitinib initiation were reported. As per Response Evaluation Criteria in Solid Tumors (RECIST) version (v) 1.1 criteria: CR = disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to size of <10 millimeter (mm).
Measured: From initiation of sunitinib till CR (data collected at Inclusion Visit)
Number of Participants Categorized According to Method of Achieving CR: mRCC Participants With CR
In this outcome measure, participants were categorized according to the method of achieving the CR. Different methods included: treatment combined with local treatment and medical treatment alone. As per RECIST version 1.1 criteria: CR = disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Disappearance of all non-target lesions and normalization of tumour marker level. All lymph nodes must be non-pathological in size (<10 mm short axis).
Measured: From initiation of sunitinib till CR (data collected at Inclusion Visit)
Number of Participants Categorized According to Type of Medical Treatment Alone: mRCC Participants With CR
In this outcome measure, participants were categorized according to the type of medical treatment alone as method of achieving the CR. Medical treatment alone included: surgery, radiotherapy, radiofrequency, cryoablation and metastasectomy. Only those categories in which at least 1 participant had data were reported. Participant could have received more than 1 type of medical treatment. As per RECIST version 1.1 criteria: CR = disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Disappearance of all non-target lesions and normalization of tumour marker level. All lymph nodes must be non-pathological in size (<10 mm short axis).
Measured: From initiation of sunitinib till CR (data collected at Inclusion Visit)
Number of Participants Categorized According to Treatment Combined With Local Treatment: mRCC Participants With CR
In this outcome measure, participants were categorized according to the type of treatment Combined With local treatment alone as method of achieving the CR. Type of treatment combined with local treatment included: surgery, surgery + radiotherapy + radiofrequency + metastasectomy, metastasectomy, metastasectomy + other, radiofrequency + metastasectomy + other and radiotherapy. As per RECIST version 1.1 criteria: CR = disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Disappearance of all non-target lesions and normalization of tumour marker level. All lymph nodes must be non-pathological in size (<10 mm short axis).
Measured: From initiation of sunitinib till CR (data collected at Inclusion Visit)
Number of Participants Categorized According to Radiological Assessment of the CR: mRCC Participants With CR
In this outcome measure, participants were categorized according to radiological assessment of the CR. It included: disappearance of all known target lesions, disappearance of all non-target lesions, no new lesions and all target and non-target lymph nodes. Only those categories with at least 1 participant as result are reported. As per RECIST version 1.1 criteria: CR = disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Disappearance of all non-target lesions and normalization of tumour marker level. All lymph nodes must be non-pathological in size (<10 mm short axis).
Measured: From initiation of sunitinib till CR (data collected at Inclusion Visit)
Number of Participants Categorized According to Therapeutic Strategy After CR: mRCC Participants With CR
In this outcome measure, participants were categorized according to therapeutic strategy after CR. As per RECIST version 1.1 criteria: CR = disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Disappearance of all non-target lesions and normalization of tumour marker level. All lymph nodes must be non-pathological in size (<10 mm short axis). It included discontinuation and continuation of sunitinib treatment.
Measured: After achieving CR with sunitinib treatment (data collected at Inclusion Visit)
Number of Participants With Disease Evolution (DE) at Month 12 Follow-up Visit: mRCC Participants With CR
DE included:complete response, progression, stabilization and not assessed. Disease progression (PD):per RECIST v1.1: at least 20% increase in sum of diameters of target lesions,taking as reference smallest sum on study.In addition to relative increase of 20%, sum must also demonstrate an absolute increase of at least 5mm.Appearance of 1 or more new lesions was also considered progression. CR:disappearance of all target lesions.Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm.Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (<10 mm short axis) and stable disease (SD): absence of sufficient reduction for a partial response (PR): at least 30% decrease in sum of diameters of target lesions, taking as reference baseline sum diameters or absence of a sufficient increase for PD, taking as reference the sum of lowest diameters during study.
Measured: Month 12 follow-up visit
Number of Participants With Ongoing Sunitinib Treatment at Month 12 Follow-up Visit: mRCC Participants With CR
In this outcome measure, participants with ongoing sunitinib treatment were reported.
Measured: Month 12 follow-up study visit
Number of Participants With Ongoing Sunitinib Treatment According to Dose and Regimen at Month 12 Follow-up Visit: mRCC Participants With CR
In this outcome measure, participants with ongoing sunitinib treatment according to dose (25, 37.5 and 50 mg) and regimen (4/2 [4 weeks dosing then 2 weeks off] and 2/1 [4 weeks dosing then 2 weeks off]) were reported.
Measured: Month 12 follow-up study visit
Number of Participants Who Discontinued Sunitinib Temporarily at Month 12 Follow-up Visit: mRCC Participants With CR
In this outcome measure, participants who temporarily discontinued sunitinib were reported.
Measured: Month 12 follow-up study visit
Number of Participants Categorized According to Number of Temporary Discontinuations of Sunitinib Treatment at Month 12 Follow-up Visit: mRCC Participants With CR
In this outcome measure, participants were categorized according to number (1 and 2) of temporary discontinuations of sunitinib.
Measured: Month 12 follow-up study visit
Number of Instances When Different Types of Reason Led to Temporary Discontinuation of Sunitinib Treatment at Month 12 Follow up Visit: mRCC Participants With CR
In this outcome measure, number of instances when different types of reasons led to temporary discontinuations like intolerance, local treatment and other reasons were reported. Participant could have temporarily discontinued sunitinib treatment more than once.
Measured: Month 12 follow-up study visit
Number of Instances When Participants Resumed Sunitinib Treatment After Temporary Discontinuation at Month 12: mRCC Participants With CR
In this outcome measure, number of instances when participants resumed sunitinib treatment were reported. Participant could have temporarily discontinued sunitinib treatment more than once and likewise resumed treatment more than once.
Measured: Month 12 follow-up study visit
Duration of Temporary Discontinuation of Sunitinib Treatment at Month 12 Follow-up Visit: mRCC Participants With CR
In this outcome measure, duration of temporary discontinuation of sunitinib treatment were reported.
Measured: Month 12 follow-up study visit
Number of Participants Who Discontinued Sunitinib Permanently at Month 12 Follow-up Visit: mRCC Participants With CR
In this outcome measure, number of participants who permanently discontinued sunitinib were reported.
Measured: Month 12 follow-up study visit
Number of Participants Categorized According to Reasons for Permanent Discontinuations of Sunitinib Treatment at Month 12 Follow-up Visit: mRCC Participants With CR
In this outcome measure, participants were categorized according to reasons for permanent discontinuation of sunitinib.
Measured: Month 12 follow-up visit
Duration of Treatment With Sunitinib Since Complete Remission at Month 12 Follow-up Visit: mRCC Participants With CR
In this outcome measure, duration of treatment with sunitinib since complete remission was reported.
Measured: Month 12 follow-up study visit
Number of Participants With Disease Evolution at Month 24 Follow-up Visit: mRCC Participants With CR
DE included: CR, PD, SD and not assessed. PD: per RECIST v1.1: at least a 20% increase in sum of diameters of target lesions, taking as reference smallest sum on study. In addition to relative increase of 20%, sum must also demonstrate an absolute increase of at least 5mm. Appearance of one or more new lesions was also considered progression. CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (<10 mm short axis).SD: absence of sufficient reduction for PR: at least 30% decrease in sum of diameters of target lesions, taking as reference baseline sum diameters or absence of a sufficient increase for PD, taking as reference the sum of lowest diameters during study.
Measured: Month 24 follow-up study visit
Number of Participants With Ongoing Sunitinib Treatment at Month 24 Follow-up Visit: mRCC Participants With CR
In this outcome measure, participants with ongoing sunitinib treatment were reported.
Measured: Month 24 follow-up study visit
Number of Participants Who Discontinued Sunitinib Temporarily at Month 24 Follow-up Visit: mRCC Participants With CR
In this outcome measure, number of participants who temporarily discontinued sunitinib were reported.
Measured: Month 24 follow-up study visit
Number of Participants Who Resumed Treatment at Month 24 Follow-up Visit: mRCC Participants With CR
In this outcome measure, participants who resumed sunitinib were reported.
Measured: Month 24 follow-up study visit
Number of Days of Temporary Discontinuation of Sunitinib Treatment at Month 24 Follow-up Visit: mRCC Participants With CR
Measured: Month 24 follow-up study visit
Number of Participants Who Discontinued Sunitinib Permanently at Month 24 Follow-up Visit: mRCC Participants With CR
Measured: Month 24 follow-up study visit
Number of Participants Categorized According to Reasons for Permanent Discontinuations of Sunitinib Treatment at Month 24 Follow-up Visit: mRCC Participants With CR
Measured: Month 24 follow-up study visit
Duration of Treatment With Sunitinib Since Complete Remission at Month 24 Follow-up Visit: mRCC Participants With CR
CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (<10 mm short axis).
Measured: Month 24 follow-up study visit
Time to Progression With Sunitinib Treatment From Complete Remission: mRCC Participants With CR
CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (<10 mm short axis). PD: =>20% increase in sum of longest dimensions of lesions taking as a reference smallest sum of longest dimensions since treatment start or appearance of =>1 new lesions.
Measured: From achieving CR with Sunitinib treatment (before inclusion in the study, participants recruited for 3 years) to Visit at progression (during study); [post inclusion follow-up in the study was maximum of 39.8 months for Cases]
Duration of Additional Treatment With Sunitinib Since Complete Remission: mRCC Participants With CR
CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (<10 mm short axis).
Measured: From complete remission (before inclusion in the study, participants recruited for 3 years) till discontinuation of additional treatment during this study; [post inclusion follow-up in the study was maximum of 39.8 months for Cases]
Number of Participants Categorized According to Types of Progression: mRCC Participants With CR
As per RECIST version 1.1, PD was defined as at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered progression.
Measured: Study visit at progression; post inclusion follow-up in the study was maximum of 39.8 months for Cases
Number of Participants Categorized According to Site of Progression: mRCC Participants With CR
As per RECIST version 1.1, PD was defined as at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered progression.
Measured: Study visit at progression; post inclusion follow-up in the study was maximum of 39.8 months for Cases
Number of Participants Categorized According to Location of Metastases: mRCC Participants With CR
In this outcome measure, participants were categorized according to location of metastases at different body parts (lung, bones, liver, adrenal glands, pancreas, brain, lymph nodes, recurrence at nephrectomy site and other). Participant could have more than 1 location of metastases.
Measured: Study visit at progression; post inclusion follow-up in the study was maximum of 39.8 months for Cases
Number of Participants Categorized According to Type of Lymph Nodes as Metastatic Site: mRCC Participants With CR
In this outcome measure, participants were categorized according to type of lymph nodes as metastatic site were reported.
Measured: Study visit at progression; post inclusion follow-up in the study was maximum of 39.8 months for Cases
Number of Participants Categorized According to Number of Metastatic Sites: mRCC Participants With CR
In this outcome measure, participants were categorized according to number of metastatic sites (1, 2 and 3).
Measured: Study visit at progression; post inclusion follow-up in the study was maximum of 39.8 months for Cases
Number of Participants Who Received Systemic Treatment After Progression: mRCC Participants With CR
In this outcome measure, participants who received systemic treatment after progression were reported.
Measured: After progression, during follow up period maximum of 39.8 months for Cases
Number of Participants Categorized According to Type of Systemic Treatment Received After Progression: mRCC Participants With CR
In this outcome measure, participants who received systemic treatment after progression were categorized according to type of treatment. Different types of treatment were tyrosine kinase inhibitor- sunitinib restart, radiotherapy and other systemic treatment. Participant could have more than 1 type of treatment.
Measured: After progression, during follow up period maximum of 39.8 months for Cases
Number of Participants With Best Objective Response After Progression: mRCC Participants With CR
Participants with best objective response after progression were evaluated here. It included complete, partial, stabilized and not applicable. PD per RECIST v1.1: at least a 20% increase in sum of diameters of target lesions,taking as reference smallest sum on study. In addition to relative increase of 20%, sum must also demonstrate an absolute increase of at least 5mm. Appearance of one or more new lesions was also considered progression. CR:disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (<10 mm short axis) \& SD: absence of sufficient reduction for a PR: at least 30% decrease in sum of diameters of target lesions, taking as reference baseline sum diameters or absence of a sufficient increase for PD, taking as reference the sum of lowest diameters during study.
Measured: At the end of study visit follow-up (during follow up period maximum of 39.8 months for Cases)
Duration of Treatment With First Line Sunitinib Till Progression: mRCC Participants With CR
CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (<10 mm short axis).
Measured: Sunitinib initiation (before inclusion, participants recruited for 3 years) till progression (follow up period maximum of 39.8 months for Cases)
Number of Participants Who Were Early Terminated: mRCC Participants With CR
Participants who terminated study early were reported in this outcome measure.
Measured: From inclusion in the study till termination (during follow up period maximum of 39.8 months for Cases)
Number of Participants Who Achieved Response: mRCC Participants With CR
Measured: At initiation of sunitinib (during follow up period maximum of 39.8 months for Cases)
Number of Participants Categorized According to Number of Subsequent Treatment Lines From Progression/Post Complete Remission: mRCC Participants With CR
Measured: At initiation of sunitinib (during follow up period maximum of 39.8 months for Cases)
Number of Participants Who Died: mRCC Participants With CR
In this outcome measure, participants who died during the study were reported.
Measured: At initiation of sunitinib (during follow up period maximum of 39.8 months for Cases)
Progression Free Survival: mRCC Participants With CR
PFS was based on Kaplan-Meier estimates. PFS was defined as time in months from start of treatment-to-treatment discontinuation due to disease progression as assessed by the investigator. PD: =>20% increase in sum of longest dimensions of lesions taking as a reference smallest sum of longest dimensions since treatment start or appearance of =>1 new lesions. Disease progression was determined from oncologic assessment data (where data meet the criteria for PD), or from death case report forms (CRFs). This outcome measure was analyzed by using Kaplan-Meier method.
Measured: At the end of the study (inclusion period was of 3 years and follow up period maximum of 39.8 months for Cases)
Number of Participants With Adverse Events and Serious Adverse Events
An adverse event (AE) was any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. A serious AE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent or significant disability/ incapacity; congenital anomaly/birth defect and other important medical events.
Measured: During follow up period maximum of 39.8 months for Cases and 37 months for Controls
Number of Participants With Adverse Events and Serious Adverse Events Possibly Related to Drug Exposure
An AE was any untoward medical occurrence in a participant, temporally associated with the use of study treatment, possibly considered related to the study treatment. A serious AE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent or significant disability/ incapacity; congenital anomaly/birth defect and other important medical events.
Measured: During follow up period maximum of 39.8 months for Cases and 37 months for Controls
Number of AEs According to Action Taken for the Study Treatment in Response to Those AEs
An AE was any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment.
Measured: During follow up period maximum of 39.8 months for Cases and 37 months for Controls
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Sep 2013 (estimated)
- Study start21 May 2015
- Primary completion19 Jan 2022
- Study completion19 Jan 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Complete Remission in Renal Cell CarcinomaStudies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Case-control
- Time perspective
- Prospective
- Enrolment
- 77 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01934452
- Sponsor's protocol ID
- NRA6180080
- Other IDs
- A6181209
- Acronym
- APERCU
- Status last verified
- Jan 2023
- First submitted
- 2 Aug 2013
- Last updated
- 13 Nov 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- Individual data sharing
- No: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
Study at a glance
From the registry record, last updated by the sponsor on 13 Nov 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Prospective Study of Complete Remissions Observed With Sunitinib in Patients With Metastatic Renal Cell Carcinoma mRCC)
- ClinicalTrials.gov ID
- NCT01934452
- Acronym / sponsor ID
- APERCU / NRA6180080
- Keywords
- complete remission
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 77 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- 21 May 2015 (actual)
- Primary completion
- 19 Jan 2022 (actual)
- Study completion
- 19 Jan 2022 (actual)
- First posted
- 4 Sep 2013 (estimated)
- Results
- Posted 13 Nov 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This prospective study will investigate the characteristics of mRCC patients at time of CR in comparison with mRCC patients non on CR treated with Sunitinib, in order to provide some answers/ refection leads to the following questions :
Can we identify blood specificity at time of CR vs non on CR? Shall we distinguish CR with sunitinib alone from combined CR (sunitinib with local treatment), while in clinical report these 2 cohorts present similar time to recurrence (ALBIGES, ASCO 2010)? Can we identify potential predictive serum biomarkers of recurrence? (With the aim of isolating blood biomarker that can help on treatment discontinuation decision?)
Detailed description
The main objective of the study is to describe the characteristics of mRCC patients on CR with Sunitinib (Cases) and compare them to the characteristics of mRCC patients non on CR (controls) in order to identify factors associated with the occurrence of complete remission.
The results obtained on the sample must be representative of the population targeted by the study. The most appropriate method to obtain a representative sample is probability sampling.
A sample size of N = 40 (cases) and N = 80 (Controls) will provide a power of 80% in the detection of a frequency difference between cases and controls corresponding to an OR of 0.24 for a parameter frequency 10% in control arm and an OR of 0.30 for a parameter frequency of around 30% in control arm. The significance level was set at bilateral 5%.
The data will be analyzed using SAS software (version 9.1 - SAS Institute, North Carolina, United States).
Study design
- Observational model
- Case-control
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Complete Remission | – | Drug: sunitinibComplete remission arm in mRCC patients treated with sunitinib. |
| Non Complete Remission | – | Drug: sunitinibNon complete remission arm in mRCC patients treated with sunitinib. |
Who may qualify
- Ages
- 18 to 99 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- complete remission in mRCC patients treated with sunitinib versus non complete remission in mRCC patients treated with sunitinib
Key inclusion criteria (5 listed)
- Patients with metastatic renal cell carcinoma, histopathologically confirmed
- Treated with sunitinib according to Smpc
- For cases: Achieving a CR (local assessment according to RECIST V1.0 criteria) with Sunitinib in prior 6 months alone OR in combination with local treatment (surgery, radiation therapy, ablative techniques: cryotherapy, RFA)
- For controls: Life expectancy > 3 months No prior Sunitinib treatment
- Patient >18 years
Key exclusion criteria (3 listed)
- Sunitinib administered in a non-approved label
- For cases: CR occurring without sunitinib treatment
- For controls: Prior systemic treatment
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| sunitinibAlso: Cases50 mg 4/2 ,oral, once a day 4 weeks on and 2 weeks off for 6 months | Drug | Complete Remission |
| sunitinibAlso: Controls50 mg 4/2 ,oral, once a day 4 weeks on and 2 weeks off for 6 months | Drug | Non Complete Remission |
Primary outcome
Time to Diagnose Metastatic Renal Cell Carcinoma
Time frame: Baseline (at inclusion Visit)
Time to diagnose metastatic renal cell carcinoma was defined as the duration between date of diagnosis of mRCC to date of inclusion visit.
Number of Participants Categorized According to Presence of Nephrectomy
Time frame: Baseline (at inclusion Visit)
In this outcome measure, participants were categorized according to presence of nephrectomy as yes or no.
Number of Participants Categorized According to Type of Nephrectomy
Time frame: Baseline (at inclusion Visit)
In this outcome measure, participants were categorized according to type of nephrectomy. Various types of nephrectomies included: extended or partial, nephrectomy with or without adrenalectomy, nephrectomy with or without curettage and open or laparoscopic nephrectomy.
Time to Nephrectomy From Diagnosis of Metastatic Renal Cell Carcinoma (mRCC)
Time frame: Baseline (at inclusion Visit)
In this outcome measure, time from diagnosis of mRCC to nephrectomy was reported.
Number of Participants Categorized According to Pathological Classification
Time frame: Baseline (at inclusion Visit)
In this outcome measure, participants were categorized according to pathological classification. Pathological classification included: clear cell carcinoma (yes or no), multilocular cystic renal clear cell carcinoma (yes or no), papillary cell carcinoma (yes or no), chromophobe cell carcinoma(yes or no), Bellini's collecting duct carcinoma(yes or no), medullary cell carcinoma (yes or no), sarcomatoid contingent (yes or no), and other (yes or no).
Number of Participants Categorized According to Tumor, Node, Metastasis (TNM) Classification
Time frame: Baseline (at inclusion Visit)
In this outcome measure, participants were categorized according to TNM classification. TNM classification included: T class (1, 2, 3, 4), N (0,1,2, x) and M class (0, 1). TNM system is based on size of primary tumor (T), amount of spread to lymph nodes (N) and presence of metastases (M). T1: tumor (less than or equal to) <=20 millimeters (mm), T2: tumor >20 mm to <=50 mm, T3: >50 mm, T4: tumor invading other structures. N0: no lymph node metastases, N1: metastases to ipsilateral level I, II axillary lymph nodes, NX: Regional lymph nodes cannot be assessed. M0: no clinical/radiographic evidence of distant metastases, M1: distant detectable metastases as determined by clinical and radiographic means and/or histologically proven >0.2 mm.
Tumour Size
Time frame: Baseline (at Inclusion Visit)
Tumour size of participants was reported in this outcome measure.
Number of Participants Categorized According to Fuhrman Nuclear Grade
Time frame: Baseline (at Inclusion Visit)
In this outcome measure, participants were categorized according to Fuhrman nuclear grade. The grades were classified as: grade 1, 2, 3, and 4. The four-tiered Fuhrman grading evaluates nuclear size, nuclear shape and presence of nucleolar prominence. Grade 1: small (=10 micrometer [mcm]) nuclear diameter, round/uniform nuclear shape and absent/inconspicuous nucleoli; Grade 2: large (=15 mcm) nuclear diameter, irregular outline nuclear shape and visible at *400 magnification nucleoli; Grade 3: larger (=20 mcm) nuclear diameter, obvious irregular outline nuclear shape and visible and prominent at *100 magnification nucleoli; Grade 4: grade 3 plus bizarre multilobed nuclei +/- spindle cells.
Number of Participants Categorized According to Presence of Necrosis, Pulmonary Embolism and Sarcomatoid Component
Time frame: Baseline (at Inclusion Visit)
In this outcome measure, participants were categorized according to presence of necrosis, pulmonary embolism and sarcomatoid component.
Time to Initiation of Sunitinib From Diagnosis of Metastatic Renal Cell Carcinoma (mRCC)
Time frame: Diagnosis of mRCC to Sunitinib Initiation (at Inclusion Visit)
Number of Participants Categorized According to Location of Metastases
Time frame: At initiation of sunitinib (at Inclusion Visit)
In this outcome measure, participants were categorized according to location of metastases at different body parts (lung, bones, liver, adrenal gland, pancreas, brain and lymph nodes). Participant can have more than 1 location of metastases.
Number of Participants Categorized According to Type of Lymph Nodes as Metastatic Site
Time frame: At initiation of sunitinib (at Initiation Visit)
In this outcome measure, participants were categorized according to type of lymph nodes as metastatic site.
Number of Participants Categorized According to Recurrence at Nephrectomy Site
Time frame: At initiation of sunitinib (at Inclusion Visit)
In this outcome measure, participants were categorized according to recurrence at nephrectomy site were reported.
Number of Participants Categorized According to Recurrence at Other Site
Time frame: At initiation of sunitinib (at Inclusion Visit)
In this outcome measure, participants were categorized according to recurrence at any other site than nephrectomy site were reported.
Number of Metastatic Sites
Time frame: At initiation of sunitinib (at Initiation Visit)
In this outcome measure, median of metastatic sites were reported.
Number of Participants Categorized According to Memorial Sloan-Kettering Cancer Center (MSKCC) Prognostic Classification
Time frame: At initiation of sunitinib (at Inclusion Visit)
In this outcome measure, participants were categorized according MSKCC prognostic classification. MSKCC criteria had 5 risk factors: Karnofsky performance status (KPS) <80% (ability to perform ordinary tasks, 0 [dead] -100 [normal]); time from diagnosis to start of systemic therapy <12 months; hemoglobin <lower limit of normal (LLN); lactate dehydrogenase >1.5*upper limit of normal (ULN); corrected serum calcium >10 milligram per deciliter (mg/dL). Present risk factors were added, and participants were stratified as: good prognosis (0 factor), intermediate prognosis (1-2 factors), poor prognosis (>=2 factors).
Time to Achieve Complete Remission (CR) After Sunitinib Initiation: mRCC Participants With CR
Time frame: From initiation of sunitinib till CR (data collected at Inclusion Visit)
In this outcome measure, time taken by participants to achieve the complete remission after sunitinib initiation were reported. As per Response Evaluation Criteria in Solid Tumors (RECIST) version (v) 1.1 criteria: CR = disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to size of <10 millimeter (mm).
Number of Participants Categorized According to Method of Achieving CR: mRCC Participants With CR
Time frame: From initiation of sunitinib till CR (data collected at Inclusion Visit)
In this outcome measure, participants were categorized according to the method of achieving the CR. Different methods included: treatment combined with local treatment and medical treatment alone. As per RECIST version 1.1 criteria: CR = disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Disappearance of all non-target lesions and normalization of tumour marker level. All lymph nodes must be non-pathological in size (<10 mm short axis).
Number of Participants Categorized According to Type of Medical Treatment Alone: mRCC Participants With CR
Time frame: From initiation of sunitinib till CR (data collected at Inclusion Visit)
In this outcome measure, participants were categorized according to the type of medical treatment alone as method of achieving the CR. Medical treatment alone included: surgery, radiotherapy, radiofrequency, cryoablation and metastasectomy. Only those categories in which at least 1 participant had data were reported. Participant could have received more than 1 type of medical treatment. As per RECIST version 1.1 criteria: CR = disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Disappearance of all non-target lesions and normalization of tumour marker level. All lymph nodes must be non-pathological in size (<10 mm short axis).
Number of Participants Categorized According to Treatment Combined With Local Treatment: mRCC Participants With CR
Time frame: From initiation of sunitinib till CR (data collected at Inclusion Visit)
In this outcome measure, participants were categorized according to the type of treatment Combined With local treatment alone as method of achieving the CR. Type of treatment combined with local treatment included: surgery, surgery + radiotherapy + radiofrequency + metastasectomy, metastasectomy, metastasectomy + other, radiofrequency + metastasectomy + other and radiotherapy. As per RECIST version 1.1 criteria: CR = disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Disappearance of all non-target lesions and normalization of tumour marker level. All lymph nodes must be non-pathological in size (<10 mm short axis).
Number of Participants Categorized According to Radiological Assessment of the CR: mRCC Participants With CR
Time frame: From initiation of sunitinib till CR (data collected at Inclusion Visit)
In this outcome measure, participants were categorized according to radiological assessment of the CR. It included: disappearance of all known target lesions, disappearance of all non-target lesions, no new lesions and all target and non-target lymph nodes. Only those categories with at least 1 participant as result are reported. As per RECIST version 1.1 criteria: CR = disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Disappearance of all non-target lesions and normalization of tumour marker level. All lymph nodes must be non-pathological in size (<10 mm short axis).
Number of Participants Categorized According to Therapeutic Strategy After CR: mRCC Participants With CR
Time frame: After achieving CR with sunitinib treatment (data collected at Inclusion Visit)
In this outcome measure, participants were categorized according to therapeutic strategy after CR. As per RECIST version 1.1 criteria: CR = disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Disappearance of all non-target lesions and normalization of tumour marker level. All lymph nodes must be non-pathological in size (<10 mm short axis). It included discontinuation and continuation of sunitinib treatment.
Number of Participants With Disease Evolution (DE) at Month 12 Follow-up Visit: mRCC Participants With CR
Time frame: Month 12 follow-up visit
DE included:complete response, progression, stabilization and not assessed. Disease progression (PD):per RECIST v1.1: at least 20% increase in sum of diameters of target lesions,taking as reference smallest sum on study.In addition to relative increase of 20%, sum must also demonstrate an absolute increase of at least 5mm.Appearance of 1 or more new lesions was also considered progression. CR:disappearance of all target lesions.Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm.Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (<10 mm short axis) and stable disease (SD): absence of sufficient reduction for a partial response (PR): at least 30% decrease in sum of diameters of target lesions, taking as reference baseline sum diameters or absence of a sufficient increase for PD, taking as reference the sum of lowest diameters during study.
Number of Participants With Ongoing Sunitinib Treatment at Month 12 Follow-up Visit: mRCC Participants With CR
Time frame: Month 12 follow-up study visit
In this outcome measure, participants with ongoing sunitinib treatment were reported.
Number of Participants With Ongoing Sunitinib Treatment According to Dose and Regimen at Month 12 Follow-up Visit: mRCC Participants With CR
Time frame: Month 12 follow-up study visit
In this outcome measure, participants with ongoing sunitinib treatment according to dose (25, 37.5 and 50 mg) and regimen (4/2 [4 weeks dosing then 2 weeks off] and 2/1 [4 weeks dosing then 2 weeks off]) were reported.
Number of Participants Who Discontinued Sunitinib Temporarily at Month 12 Follow-up Visit: mRCC Participants With CR
Time frame: Month 12 follow-up study visit
In this outcome measure, participants who temporarily discontinued sunitinib were reported.
Number of Participants Categorized According to Number of Temporary Discontinuations of Sunitinib Treatment at Month 12 Follow-up Visit: mRCC Participants With CR
Time frame: Month 12 follow-up study visit
In this outcome measure, participants were categorized according to number (1 and 2) of temporary discontinuations of sunitinib.
Number of Instances When Different Types of Reason Led to Temporary Discontinuation of Sunitinib Treatment at Month 12 Follow up Visit: mRCC Participants With CR
Time frame: Month 12 follow-up study visit
In this outcome measure, number of instances when different types of reasons led to temporary discontinuations like intolerance, local treatment and other reasons were reported. Participant could have temporarily discontinued sunitinib treatment more than once.
Number of Instances When Participants Resumed Sunitinib Treatment After Temporary Discontinuation at Month 12: mRCC Participants With CR
Time frame: Month 12 follow-up study visit
In this outcome measure, number of instances when participants resumed sunitinib treatment were reported. Participant could have temporarily discontinued sunitinib treatment more than once and likewise resumed treatment more than once.
Duration of Temporary Discontinuation of Sunitinib Treatment at Month 12 Follow-up Visit: mRCC Participants With CR
Time frame: Month 12 follow-up study visit
In this outcome measure, duration of temporary discontinuation of sunitinib treatment were reported.
Number of Participants Who Discontinued Sunitinib Permanently at Month 12 Follow-up Visit: mRCC Participants With CR
Time frame: Month 12 follow-up study visit
In this outcome measure, number of participants who permanently discontinued sunitinib were reported.
Number of Participants Categorized According to Reasons for Permanent Discontinuations of Sunitinib Treatment at Month 12 Follow-up Visit: mRCC Participants With CR
Time frame: Month 12 follow-up visit
In this outcome measure, participants were categorized according to reasons for permanent discontinuation of sunitinib.
Duration of Treatment With Sunitinib Since Complete Remission at Month 12 Follow-up Visit: mRCC Participants With CR
Time frame: Month 12 follow-up study visit
In this outcome measure, duration of treatment with sunitinib since complete remission was reported.
Number of Participants With Disease Evolution at Month 24 Follow-up Visit: mRCC Participants With CR
Time frame: Month 24 follow-up study visit
DE included: CR, PD, SD and not assessed. PD: per RECIST v1.1: at least a 20% increase in sum of diameters of target lesions, taking as reference smallest sum on study. In addition to relative increase of 20%, sum must also demonstrate an absolute increase of at least 5mm. Appearance of one or more new lesions was also considered progression. CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (<10 mm short axis).SD: absence of sufficient reduction for PR: at least 30% decrease in sum of diameters of target lesions, taking as reference baseline sum diameters or absence of a sufficient increase for PD, taking as reference the sum of lowest diameters during study.
Number of Participants With Ongoing Sunitinib Treatment at Month 24 Follow-up Visit: mRCC Participants With CR
Time frame: Month 24 follow-up study visit
In this outcome measure, participants with ongoing sunitinib treatment were reported.
Number of Participants Who Discontinued Sunitinib Temporarily at Month 24 Follow-up Visit: mRCC Participants With CR
Time frame: Month 24 follow-up study visit
In this outcome measure, number of participants who temporarily discontinued sunitinib were reported.
Number of Participants Who Resumed Treatment at Month 24 Follow-up Visit: mRCC Participants With CR
Time frame: Month 24 follow-up study visit
In this outcome measure, participants who resumed sunitinib were reported.
Number of Days of Temporary Discontinuation of Sunitinib Treatment at Month 24 Follow-up Visit: mRCC Participants With CR
Time frame: Month 24 follow-up study visit
Number of Participants Who Discontinued Sunitinib Permanently at Month 24 Follow-up Visit: mRCC Participants With CR
Time frame: Month 24 follow-up study visit
Number of Participants Categorized According to Reasons for Permanent Discontinuations of Sunitinib Treatment at Month 24 Follow-up Visit: mRCC Participants With CR
Time frame: Month 24 follow-up study visit
Duration of Treatment With Sunitinib Since Complete Remission at Month 24 Follow-up Visit: mRCC Participants With CR
Time frame: Month 24 follow-up study visit
CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (<10 mm short axis).
Time to Progression With Sunitinib Treatment From Complete Remission: mRCC Participants With CR
Time frame: From achieving CR with Sunitinib treatment (before inclusion in the study, participants recruited for 3 years) to Visit at progression (during study); [post inclusion follow-up in the study was maximum of 39.8 months for Cases]
CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (<10 mm short axis). PD: =>20% increase in sum of longest dimensions of lesions taking as a reference smallest sum of longest dimensions since treatment start or appearance of =>1 new lesions.
Duration of Additional Treatment With Sunitinib Since Complete Remission: mRCC Participants With CR
Time frame: From complete remission (before inclusion in the study, participants recruited for 3 years) till discontinuation of additional treatment during this study; [post inclusion follow-up in the study was maximum of 39.8 months for Cases]
CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (<10 mm short axis).
Number of Participants Categorized According to Types of Progression: mRCC Participants With CR
Time frame: Study visit at progression; post inclusion follow-up in the study was maximum of 39.8 months for Cases
As per RECIST version 1.1, PD was defined as at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered progression.
Number of Participants Categorized According to Site of Progression: mRCC Participants With CR
Time frame: Study visit at progression; post inclusion follow-up in the study was maximum of 39.8 months for Cases
As per RECIST version 1.1, PD was defined as at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered progression.
Number of Participants Categorized According to Location of Metastases: mRCC Participants With CR
Time frame: Study visit at progression; post inclusion follow-up in the study was maximum of 39.8 months for Cases
In this outcome measure, participants were categorized according to location of metastases at different body parts (lung, bones, liver, adrenal glands, pancreas, brain, lymph nodes, recurrence at nephrectomy site and other). Participant could have more than 1 location of metastases.
Number of Participants Categorized According to Type of Lymph Nodes as Metastatic Site: mRCC Participants With CR
Time frame: Study visit at progression; post inclusion follow-up in the study was maximum of 39.8 months for Cases
In this outcome measure, participants were categorized according to type of lymph nodes as metastatic site were reported.
Number of Participants Categorized According to Number of Metastatic Sites: mRCC Participants With CR
Time frame: Study visit at progression; post inclusion follow-up in the study was maximum of 39.8 months for Cases
In this outcome measure, participants were categorized according to number of metastatic sites (1, 2 and 3).
Number of Participants Who Received Systemic Treatment After Progression: mRCC Participants With CR
Time frame: After progression, during follow up period maximum of 39.8 months for Cases
In this outcome measure, participants who received systemic treatment after progression were reported.
Number of Participants Categorized According to Type of Systemic Treatment Received After Progression: mRCC Participants With CR
Time frame: After progression, during follow up period maximum of 39.8 months for Cases
In this outcome measure, participants who received systemic treatment after progression were categorized according to type of treatment. Different types of treatment were tyrosine kinase inhibitor- sunitinib restart, radiotherapy and other systemic treatment. Participant could have more than 1 type of treatment.
Number of Participants With Best Objective Response After Progression: mRCC Participants With CR
Time frame: At the end of study visit follow-up (during follow up period maximum of 39.8 months for Cases)
Participants with best objective response after progression were evaluated here. It included complete, partial, stabilized and not applicable. PD per RECIST v1.1: at least a 20% increase in sum of diameters of target lesions,taking as reference smallest sum on study. In addition to relative increase of 20%, sum must also demonstrate an absolute increase of at least 5mm. Appearance of one or more new lesions was also considered progression. CR:disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (<10 mm short axis) \& SD: absence of sufficient reduction for a PR: at least 30% decrease in sum of diameters of target lesions, taking as reference baseline sum diameters or absence of a sufficient increase for PD, taking as reference the sum of lowest diameters during study.
Duration of Treatment With First Line Sunitinib Till Progression: mRCC Participants With CR
Time frame: Sunitinib initiation (before inclusion, participants recruited for 3 years) till progression (follow up period maximum of 39.8 months for Cases)
CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (<10 mm short axis).
Number of Participants Who Were Early Terminated: mRCC Participants With CR
Time frame: From inclusion in the study till termination (during follow up period maximum of 39.8 months for Cases)
Participants who terminated study early were reported in this outcome measure.
Number of Participants Who Achieved Response: mRCC Participants With CR
Time frame: At initiation of sunitinib (during follow up period maximum of 39.8 months for Cases)
Number of Participants Categorized According to Number of Subsequent Treatment Lines From Progression/Post Complete Remission: mRCC Participants With CR
Time frame: At initiation of sunitinib (during follow up period maximum of 39.8 months for Cases)
Number of Participants Who Died: mRCC Participants With CR
Time frame: At initiation of sunitinib (during follow up period maximum of 39.8 months for Cases)
In this outcome measure, participants who died during the study were reported.
Progression Free Survival: mRCC Participants With CR
Time frame: At the end of the study (inclusion period was of 3 years and follow up period maximum of 39.8 months for Cases)
PFS was based on Kaplan-Meier estimates. PFS was defined as time in months from start of treatment-to-treatment discontinuation due to disease progression as assessed by the investigator. PD: =>20% increase in sum of longest dimensions of lesions taking as a reference smallest sum of longest dimensions since treatment start or appearance of =>1 new lesions. Disease progression was determined from oncologic assessment data (where data meet the criteria for PD), or from death case report forms (CRFs). This outcome measure was analyzed by using Kaplan-Meier method.
Number of Participants With Adverse Events and Serious Adverse Events
Time frame: During follow up period maximum of 39.8 months for Cases and 37 months for Controls
An adverse event (AE) was any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. A serious AE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent or significant disability/ incapacity; congenital anomaly/birth defect and other important medical events.
Number of Participants With Adverse Events and Serious Adverse Events Possibly Related to Drug Exposure
Time frame: During follow up period maximum of 39.8 months for Cases and 37 months for Controls
An AE was any untoward medical occurrence in a participant, temporally associated with the use of study treatment, possibly considered related to the study treatment. A serious AE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent or significant disability/ incapacity; congenital anomaly/birth defect and other important medical events.
Number of AEs According to Action Taken for the Study Treatment in Response to Those AEs
Time frame: During follow up period maximum of 39.8 months for Cases and 37 months for Controls
An AE was any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Nov 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
- Individual participant dataSharing planned: No. Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
14 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Complete Remission in Renal Cell Carcinoma, run by Pfizer at 14 sites in France.
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 5 inclusion and 3 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 13 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 14 sites in France. 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.
Are results available for this study?
Yes. Results are posted in the registry (first posted 13 Nov 2023). 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?
Time to Diagnose Metastatic Renal Cell Carcinoma (time frame: Baseline (at inclusion Visit)). The study lists 60 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 13 Nov 2023.