A Study to Evaluate Pazopanib as an Adjuvant Treatment for Localized Renal Cell Carcinoma (RCC) (PROTECT)
A Randomized, Double-blind, Placebo-controlled Phase III Study to Evaluate the Efficacy and Safety of Pazopanib as Adjuvant Therapy for Subjects With Localized or Locally Advanced RCC Following Nephrectomy
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
The primary objective of this ongoing study was to evaluate DFS with pazopanib 600 mg daily initial dose as compared with placebo as adjuvant therapy for subjects with localized/locally advanced RCC following nephrectomy.
Subjects with locally recurrent renal cell carcinoma (RCC), bilateral RCC, or history of another malignancy were excluded from enrolling in the study.
The study was comprised of three successive study periods: 1) the Screening/Baseline period, 2) the study treatment period, and 3) the DFS /OS follow-up period. The Screening/Baseline period had a maximum duration of 12 weeks from the date of nephrectomy to the date of randomization.
After a subject met all the eligibility criteria and completed all the required baseline assessments, the subject was randomized in a 1:1 ratio to receive once daily blinded treatment with either pazopanib 600 mg as initial dose or matching placebo based on pre-defined stratification factors.
Subjects received continuous daily treatment until completion of the 12-month treatment period, disease recurrence, or unacceptable toxicity/intolerance. Subsequent adjuvant therapies for RCC were not allowed. During the study treatment and DFS follow-up periods, subjects received routine safety and efficacy assessments.
The study treatment period was 12 months. Subjects received continuous daily treatment until completion of the 12 month treatment period, disease recurrence, or unacceptable toxicity/intolerance. Subsequent adjuvant therapies for RCC were not allowed.
All subjects, regardless of study treatment status (i.e. premature discontinuation or completion of the 12-month treatment), were to be followed with routine imaging assessments and remain blinded until objective evidence of disease recurrence was obtained or until the study achieved the required number of events for the primary endpoint of DFS (319 events). After objective evidence of disease recurrence was obtained, subjects could be unblinded and received the first-line treatment for metastatic RCC per local standard of care.
All subjects were off treatment for at least 4 years at the end of study.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 3
Kontakter og lokationer
Studiesteder
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San Miguel de Tucuman, Argentina, T4000IAK
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Santa Fe, Argentina, 3000
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Buenos Aires
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Berazategui, Buenos Aires, Argentina, B1880BBF
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Capital Federal, Buenos Aires, Argentina, C1426ANZ
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Ciudad Aut6noma de Buenos Aires, Buenos Aires, Argentina, C1050AAK
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Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina, C1280AEB
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Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina, C1405BCH
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Quilmes, Buenos Aires, Argentina, 1878
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Córdova
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Cordoba, Córdova, Argentina, X5006HBF
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Cordoba, Córdova, Argentina, X5003DCE
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Río Negro
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Cipolletti, Río Negro, Argentina, R8324EMB
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Santa Fe
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Rosario, Santa Fe, Argentina, S2000KZE
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Hasselt, Belgien, 3500
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Jette, Belgien, 1090
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Liege, Belgien, 4000
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Namur, Belgien, 5000
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Roeselare, Belgien, 8800
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Wilrijk, Belgien, 2610
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Rio de Janeiro, Brasilien, 20 551-030
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Rio de Janeiro, Brasilien, 20231-050
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Minas Gerais
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Belo Horizonte, Minas Gerais, Brasilien, 30130-100
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Paraná
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Curitiba, Paraná, Brasilien, 81520-060
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Rio Grande Do Sul
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Ijui, Rio Grande Do Sul, Brasilien, 98700-000
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Porto Alegre, Rio Grande Do Sul, Brasilien, 90610000
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São Paulo
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Barretos, São Paulo, Brasilien, 14784-400
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Campinas, São Paulo, Brasilien, 13083-970
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Sao Paulo, São Paulo, Brasilien, 01246-000
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Sao Paulo, São Paulo, Brasilien, 05651-901
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Sao Paulo, São Paulo, Brasilien, 01308-050
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Sao Paulo, São Paulo, Brasilien, 08270-070
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Quebec, Canada, G1R 2J6
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Alberta
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Calgary, Alberta, Canada, T2N 4N2
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Edmonton, Alberta, Canada, T6G 1Z2
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British Columbia
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Vancouver, British Columbia, Canada, V5Z 1M9
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New Brunswick
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Moncton, New Brunswick, Canada, E1C 6Z8
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Nova Scotia
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Halifax, Nova Scotia, Canada, B3H 1V7
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Ontario
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Hamilton, Ontario, Canada, L8V 5C2
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London, Ontario, Canada, N6A 4L6
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Oshawa, Ontario, Canada, L1G 2B9
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Ottawa, Ontario, Canada, K1H 8L6
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Toronto, Ontario, Canada, M5G 2M9
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Toronto, Ontario, Canada, M4N 3M5
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Quebec
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Montreal, Quebec, Canada, H2L 4M1
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Región Metro De Santiago
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Santiago, Región Metro De Santiago, Chile, 7500921
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Valparaíso
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Vina del Mar, Valparaíso, Chile, 254-0364
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Aarhus, Danmark, 8000 Aarhus C
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Dk-2730 Herlev, Danmark, 2730
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Odense C, Danmark, 5000
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Arkhangelsk, Den Russiske Føderation, 163045
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Barnaul, Den Russiske Føderation, 656049
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Chelyabinsk, Den Russiske Føderation, 454087
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Ekaterinburg, Den Russiske Føderation, 620102
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Kazan, Den Russiske Føderation, 420029
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Moscow, Den Russiske Føderation, 115478
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Moscow, Den Russiske Føderation, 117997
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Obninsk, Den Russiske Føderation, 249036
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Omsk, Den Russiske Føderation, 644013
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Rostov-na-Donu, Den Russiske Føderation
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Ryazan, Den Russiske Føderation, 390011
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Saint Petersburg, Den Russiske Føderation
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St. Petersburg, Den Russiske Føderation, 197758
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Stavropol, Den Russiske Føderation, 355047
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Ufa,, Den Russiske Føderation, 450054
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Brighton, Det Forenede Kongerige, BN2 5BE
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Cornwall, Det Forenede Kongerige, TR1 3LJ
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Guildford, Det Forenede Kongerige, GU2 7XX
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London, Det Forenede Kongerige, SE1 9RT
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London, Det Forenede Kongerige, NW3 2QG
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Manchester, Det Forenede Kongerige, M20 4BX
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Preston, Det Forenede Kongerige, PR2 9HT
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Swansea, Det Forenede Kongerige, SA2 8QA
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Wolverhampton, Det Forenede Kongerige, WV10 0QP
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Arkansas
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Jonesboro, Arkansas, Forenede Stater, 72401
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California
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Antioch, California, Forenede Stater, 94531
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Beverly Hills, California, Forenede Stater, 90211
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Fresno, California, Forenede Stater, 93720
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La Jolla, California, Forenede Stater, 92093
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Los Angeles, California, Forenede Stater, 90033
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Los Angeles, California, Forenede Stater, 90095
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Los Angeles, California, Forenede Stater, 90048-0750
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Oakland, California, Forenede Stater, 94611
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Sacramento, California, Forenede Stater, 95825
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San Francisco, California, Forenede Stater, 94115
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South San Francisco, California, Forenede Stater, 94080
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Stanford, California, Forenede Stater, 94305
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Vallejo, California, Forenede Stater, 94589
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Colorado
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Fort Collins, Colorado, Forenede Stater, 80528
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District of Columbia
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Washington, District of Columbia, Forenede Stater, 20007
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Florida
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Fort Myers, Florida, Forenede Stater, 33916
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Tampa, Florida, Forenede Stater, 33612
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Georgia
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Athens, Georgia, Forenede Stater, 30607
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Macon, Georgia, Forenede Stater, 31201
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Illinois
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Chicago, Illinois, Forenede Stater, 60637
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Indiana
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Indianapolis, Indiana, Forenede Stater, 46202
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Iowa
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Iowa City, Iowa, Forenede Stater, 52242
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Maryland
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Baltimore, Maryland, Forenede Stater, 21231
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Massachusetts
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Boston, Massachusetts, Forenede Stater, 02114
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Boston, Massachusetts, Forenede Stater, 02115
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Boston, Massachusetts, Forenede Stater, 02215
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Burlington, Massachusetts, Forenede Stater, 01805
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Michigan
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Detroit, Michigan, Forenede Stater, 48201
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Minnesota
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Rochester, Minnesota, Forenede Stater, 55905
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Saint Louis Park, Minnesota, Forenede Stater, 55416
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Missouri
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Saint Louis, Missouri, Forenede Stater, 63110
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Nebraska
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Lincoln, Nebraska, Forenede Stater, 68510
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Omaha, Nebraska, Forenede Stater, 68114
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Omaha, Nebraska, Forenede Stater, 68118
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Nevada
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Las Vegas, Nevada, Forenede Stater, 89169
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New Jersey
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Hackensack, New Jersey, Forenede Stater, 07601
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New York
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Albany, New York, Forenede Stater, 12206
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Buffalo, New York, Forenede Stater, 14263
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New York, New York, Forenede Stater, 10003
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New York, New York, Forenede Stater, 10021
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New York, New York, Forenede Stater, 10065
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North Carolina
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Durham, North Carolina, Forenede Stater, 27710
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Ohio
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Cincinnati, Ohio, Forenede Stater, 45242
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Cleveland, Ohio, Forenede Stater, 44195
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Columbus, Ohio, Forenede Stater, 43210
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Oregon
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Portland, Oregon, Forenede Stater, 97213
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Springfield, Oregon, Forenede Stater, 97477
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Pennsylvania
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Philadelphia, Pennsylvania, Forenede Stater, 19107
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Philadelphia, Pennsylvania, Forenede Stater, 19111
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Philadelphia, Pennsylvania, Forenede Stater, 19104
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Philadelphia, Pennsylvania, Forenede Stater, 19106
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Rhode Island
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Providence, Rhode Island, Forenede Stater, 02903
- Novartis Investigative Site
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Providence, Rhode Island, Forenede Stater, 02906
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South Carolina
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Charleston, South Carolina, Forenede Stater, 29425
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Tennessee
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Chattanooga, Tennessee, Forenede Stater, 37404
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Memphis, Tennessee, Forenede Stater, 38120
- Novartis Investigative Site
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Nashville, Tennessee, Forenede Stater, 37203
- Novartis Investigative Site
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Nashville, Tennessee, Forenede Stater, 37232
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Texas
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Bedford, Texas, Forenede Stater, 76022
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Dallas, Texas, Forenede Stater, 75246
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Houston, Texas, Forenede Stater, 77030
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Houston, Texas, Forenede Stater, 77024
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San Antonio, Texas, Forenede Stater, 78217
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Tyler, Texas, Forenede Stater, 75702
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Virginia
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Hampton, Virginia, Forenede Stater, 23666
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Richmond, Virginia, Forenede Stater, 23230
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Virginia Beach, Virginia, Forenede Stater, 23462
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Washington
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Seattle, Washington, Forenede Stater, 98109
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ANGERS Cedex 2, Frankrig, 49055
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Besancon cedex, Frankrig, 25030
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Bordeaux, Frankrig, 33075
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Caen Cedex, Frankrig, 14076
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Hyeres, Frankrig, 83400
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Le Mans, Frankrig, 72000
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Marseille cedex 5, Frankrig, 13385
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Montpellier Cedex 5, Frankrig, 34295
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Paris, Frankrig, 75014
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Paris Cedex 15, Frankrig, 75908
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Poitiers Cedex, Frankrig, 86021
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Reims, Frankrig, 51100
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Rennes, Frankrig, 35042
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Saint Herblain, Frankrig, 44805
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Strasbourg Cedex, Frankrig, 67091
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Strasbourg cedex, Frankrig, 67085
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Toulouse, Frankrig, 31076
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Tours Cedex 9, Frankrig, 37044
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Athens, Grækenland, 115 22
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Heraklion, Crete, Grækenland, 71100
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Patra, Grækenland, 26504
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Thessaloniki, Grækenland
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Cork, Irland
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Dublin, Irland, 7
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Dublin, Irland, 9
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Galway, Irland
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Tallaght, Dublin, Irland, 24
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Haifa, Israel, 31096
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Jerusalem, Israel, 91120
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Petach-Tikva, Israel, 49100
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Rehovot, Israel, 76100
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Tel Aviv, Israel, 64239
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Zrifin, Israel, 70300
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Campania
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Napoli, Campania, Italien, 80131
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Emilia-Romagna
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Bologna, Emilia-Romagna, Italien, 40138
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Meldola (FC), Emilia-Romagna, Italien, 47014
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Modena, Emilia-Romagna, Italien, 41100
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Lazio
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Roma, Lazio, Italien, 00144
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Roma, Lazio, Italien, 00152
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Lombardia
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Milano, Lombardia, Italien, 20133
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Rozzano (MI), Lombardia, Italien, 20089
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Piemonte
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Candiolo (TO), Piemonte, Italien, 10060
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Toscana
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Arezzo, Toscana, Italien, 52100
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Umbria
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Terni, Umbria, Italien, 05100
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Veneto
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Negrar, Veneto, Italien, 37024
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Fukuoka, Japan, 812-8582
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Hokkaido, Japan, 060-8543
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Hokkaido, Japan, 060-8648
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Kanagawa, Japan, 236-0004
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Okayama, Japan, 700-8558
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Osaka, Japan, 589-8511
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Shizuoka, Japan, 431-3192
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Tokyo, Japan, 162-8666
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Tokyo, Japan, 113-8603
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Tokyo, Japan, 160-8582
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Yamagata, Japan, 990-9585
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Ankara, Kalkun, 06100
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Ankara, Kalkun, 06590
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Istanbul, Kalkun, 34390
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Izmir, Kalkun, 35100
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Beijing, Kina, 100021
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Beijing, Kina, 100034
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Beijing, Kina, 100191
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Beijing, Kina, 100853
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Shanghai, Kina, 200032
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Shanghai, Kina, 200127
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Shanghai, Kina, 200025
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Shanghai, Kina, 200040
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Tianjin, Kina, 300060
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Hubei
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Wuhan, Hubei, Kina, 430030
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Zhejiang
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Hangzhou, Zhejiang, Kina, 310009
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Hangzhou, Zhejiang, Kina, 310003
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Daejeon, Korea, Republikken, 35015
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Goyang-si, Gyeonggi-do, Korea, Republikken, 410-769
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Jeonju-si, Korea, Republikken, 54907
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Seongnam-si Gyeonggi-do, Korea, Republikken, 13620
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Seoul, Korea, Republikken, 03080
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Seoul, Korea, Republikken, 06351
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Seoul, Korea, Republikken, 120-752
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Seoul, Korea, Republikken, 136-705
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Songpa-gu, Seoul, Korea, Republikken, 138-736
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Luxembourg, Luxembourg, 1210
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Gdansk, Polen, 80-219
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Konin, Polen, 62-500
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Krakow, Polen, 31-108
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Krakow, Polen, 31-115
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Lublin, Polen, 20-090
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Warszawa, Polen, 02-781
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Warszawa, Polen, 04-125
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Warszawa, Polen, 02-776
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Wroclaw, Polen, 50-556
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Banska Bystrica, Slovakiet, 975 17
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Bratislava, Slovakiet, 833 05
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Kosice, Slovakiet, 041 66
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Martin, Slovakiet, 036 59
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Zilina, Slovakiet, 012 07
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Badalona, Spanien, 08916
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Barcelona, Spanien, 08035
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Cordoba, Spanien, 14004
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Dos Hermanas (Sevilla), Spanien, 41700
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Madrid, Spanien, 28041
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Madrid, Spanien, 28007
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Madrid, Spanien, 28033
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Madrid, Spanien, 28050
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Malaga, Spanien, 29010
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Oviedo, Spanien, 33006
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Sevilla, Spanien, 41013
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Valencia, Spanien, 46009
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Brno, Tjekkiet, 656 53
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Brno, Tjekkiet, 656 91
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Hradec Kralove, Tjekkiet, 500 05
- Novartis Investigative Site
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Novy Jicin, Tjekkiet, 741 01
- Novartis Investigative Site
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Olomouc, Tjekkiet, 775 20
- Novartis Investigative Site
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Ostrava - Poruba, Tjekkiet, 708 52
- Novartis Investigative Site
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Plzen, Tjekkiet, 304 60
- Novartis Investigative Site
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Praha 2, Tjekkiet, 12808
- Novartis Investigative Site
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Praha 8, Tjekkiet, 180 00
- Novartis Investigative Site
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Usti nad Labem, Tjekkiet, 40113
- Novartis Investigative Site
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Berlin, Tyskland, 10967
- Novartis Investigative Site
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Berlin, Tyskland, 12200
- Novartis Investigative Site
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Berlin, Tyskland, 10719
- Novartis Investigative Site
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Bremen, Tyskland, 28177
- Novartis Investigative Site
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Hamburg, Tyskland, 20246
- Novartis Investigative Site
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Baden-Wuerttemberg
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Kirchheim, Baden-Wuerttemberg, Tyskland, 73230
- Novartis Investigative Site
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Ravensburg, Baden-Wuerttemberg, Tyskland, 88212
- Novartis Investigative Site
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Sigmaringen, Baden-Wuerttemberg, Tyskland, 72488
- Novartis Investigative Site
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Stuttgart, Baden-Wuerttemberg, Tyskland, 70174
- Novartis Investigative Site
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Tuebingen, Baden-Wuerttemberg, Tyskland, 72076
- Novartis Investigative Site
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Ulm, Baden-Wuerttemberg, Tyskland, 89075
- Novartis Investigative Site
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Bayern
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Erlangen, Bayern, Tyskland, 91054
- Novartis Investigative Site
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Fuerth, Bayern, Tyskland, 90766
- Novartis Investigative Site
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Muenchen, Bayern, Tyskland, 81675
- Novartis Investigative Site
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Regensburg, Bayern, Tyskland, 93053
- Novartis Investigative Site
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Weiden, Bayern, Tyskland, 92637
- Novartis Investigative Site
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Hessen
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Frankfurt, Hessen, Tyskland, 60590
- Novartis Investigative Site
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Marburg, Hessen, Tyskland, 35043
- Novartis Investigative Site
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Offenbach, Hessen, Tyskland, 63069
- Novartis Investigative Site
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Niedersachsen
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Braunschweig, Niedersachsen, Tyskland, 38126
- Novartis Investigative Site
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Goslar, Niedersachsen, Tyskland, 38642
- Novartis Investigative Site
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Hannover, Niedersachsen, Tyskland, 30625
- Novartis Investigative Site
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Nordrhein-Westfalen
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Aachen, Nordrhein-Westfalen, Tyskland, 52074
- Novartis Investigative Site
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Bergisch Gladbach, Nordrhein-Westfalen, Tyskland, 51465
- Novartis Investigative Site
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Bonn, Nordrhein-Westfalen, Tyskland, 53127
- Novartis Investigative Site
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Duisburg, Nordrhein-Westfalen, Tyskland, 47179
- Novartis Investigative Site
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Essen, Nordrhein-Westfalen, Tyskland, 45122
- Novartis Investigative Site
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Moenchengladbach, Nordrhein-Westfalen, Tyskland, 41063
- Novartis Investigative Site
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Muenster, Nordrhein-Westfalen, Tyskland, 48149
- Novartis Investigative Site
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Neuss, Nordrhein-Westfalen, Tyskland, 41464
- Novartis Investigative Site
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Velbert, Nordrhein-Westfalen, Tyskland, 42551
- Novartis Investigative Site
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Rheinland-Pfalz
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Mainz, Rheinland-Pfalz, Tyskland, 55131
- Novartis Investigative Site
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Saarland
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Homburg, Saarland, Tyskland, 66421
- Novartis Investigative Site
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Sachsen
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Chemnitz, Sachsen, Tyskland, 09130
- Novartis Investigative Site
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Leipzig, Sachsen, Tyskland, 04277
- Novartis Investigative Site
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Plauen, Sachsen, Tyskland, 08523
- Novartis Investigative Site
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Sachsen-Anhalt
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Dessau, Sachsen-Anhalt, Tyskland, 06846
- Novartis Investigative Site
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Eisleben, Sachsen-Anhalt, Tyskland, 06295
- Novartis Investigative Site
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Halle, Sachsen-Anhalt, Tyskland, 06120
- Novartis Investigative Site
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Schleswig-Holstein
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Luebeck, Schleswig-Holstein, Tyskland, 23566
- Novartis Investigative Site
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Thueringen
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Jena, Thueringen, Tyskland, 07768
- Novartis Investigative Site
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Budapest, Ungarn, 1082
- Novartis Investigative Site
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Budapest, Ungarn, 1097
- Novartis Investigative Site
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Budapest, Ungarn, 1122
- Novartis Investigative Site
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Miskolc, Ungarn, 3526
- Novartis Investigative Site
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Nyiregyhaza, Ungarn, 4400
- Novartis Investigative Site
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Szombathely, Ungarn, 9700
- Novartis Investigative Site
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Graz, Østrig, 8036
- Novartis Investigative Site
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Innsbruck, Østrig, 6020
- Novartis Investigative Site
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Salzburg, Østrig, 5020
- Novartis Investigative Site
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Salzburg, Østrig, A-5020
- Novartis Investigative Site
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Vienna, Østrig, A-1090
- Novartis Investigative Site
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Vienna, Østrig, 1130
- Novartis Investigative Site
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Signed written informed consent
- Diagnosis of RCC with clear-cell or predominant clear-cell histology
Subjects with non-metastatic disease (M0) fulfilling any of the following combinations of pathologic staging based on American Joint Committee on Cancer (AJCC) TNM staging version 2010 and Fuhrman nuclear grading.
- pT2, G3 or G4, N0; or,
- pT3, G any, N0; or,
- pT4, G any, N0; or,
- pT any, G any, N1
Fulfill all of the following criteria of disease-free status at baseline:
- Had complete gross surgical resection of all RCC via radical or partial nephrectomy using either open or laparoscopic technique.
- Baseline imaging of chest, abdomen and pelvis shows no metastasis or residual tumor lesions as confirmed centrally by an independent radiologist.
- Received no prior adjuvant or neo-adjuvant treatment for RCC
- Recovered from nephrectomy: any surgery related toxicities should be reduced to ≤ grade 1 per NCI Common Terminology Criteria for Adverse Events (CTCAE) (Version 4)
- Karnofsky performance scale (KPS) of ≥ 80
- Adequate organ system function
Exclusion Criteria:
- History of another malignancy. Exception: Subjects who have had another malignancy and have been disease-free for 5 years, or subjects with a history of completely resected non-melanomatous skin carcinoma or successfully treated in situ carcinoma are eligible
Clinically significant gastrointestinal abnormalities that may increase the risk for gastrointestinal bleeding including, but not limited to:
- Active peptic ulcer disease
- Inflammatory bowel disease (e.g. ulcerative colitis, Crohn's disease), or other gastrointestinal conditions with increased risk of perforation
- History of abdominal fistula, gastrointestinal perforation, or intra abdominal abscess within 28 days prior to beginning study treatment
- Active diarrhea of any grade
Clinically significant gastrointestinal abnormalities that may affect absorption of investigational product including, but not limited to:
- Malabsorption syndrome
- Major resection of the stomach or small bowel
- History of human immunodeficiency virus (HIV) infection
- History of active hepatitis
- Presence of uncontrolled infection.
History of any one or more of the following cardiovascular conditions within the past 6 months:
- Cardiac angioplasty or stenting
- Myocardial infarction
- Unstable angina
- Coronary artery bypass graft surgery
- Symptomatic peripheral vascular disease
- History of Class III or IV congestive heart failure, as defined by the New York Heart Association Classification of Congestive Heart Failure
- History of cerebrovascular accident including transient ischemic attack (TIA), pulmonary embolism or untreated deep venous thrombosis (DVT) within the past 6 months.
- Corrected QT interval (QTc) > 480 milliseconds (msec)
- Poorly controlled hypertension, defined as systolic blood pressure (SBP) of ≥140 mmHg or diastolic blood pressure (DBP) of ≥ 90mmHg.
Note: Initiation or adjustment of antihypertensive medication(s) is permitted prior to study entry. Blood pressure (BP) must be re-assessed on two occasions that are separated by a minimum of 1 hour; on each of these occasions, the mean (of 3 readings) SBP / DBP values from each BP assessment must be <140/90 mmHg in order for a subject to be eligible for the study (see Section 7.6.2 for instruction on blood pressure measurement and obtaining mean blood pressure values).
- Evidence of active bleeding or bleeding diathesis
- Any serious and/or unstable pre-existing medical, psychiatric, or other condition that could interfere with subject's safety, provision of informed consent, or compliance to study procedures
- Unable or unwilling to discontinue use of prohibited medications for at least 14 days or five half-lives of a drug (whichever is longer) prior to the first dose of study treatment and for the duration of the study.
- Concurrent therapy given to treat cancer including treatment with an investigational agent or concurrent participation in another clinical trial involving anti-cancer investigational drug.
- Administration of an investigational drug within 30 days or 5 half-lives, whichever is longer, preceding the first dose of study treatment.
- Have a known immediate or delayed hypersensitivity reaction or idiosyncrasy to drugs chemically related to pazopanib or excipients that in the opinion of the investigator contraindicates their participation.
- Prior or current use of systemic anti-VEGF inhibitors, cytokines (e.g. interferon, interleukin 2).
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Firedobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Eksperimentel: pazopanib
Pazopanib oral agent, administered at 600 mg daily initial dose for 8-12 weeks.
Dose can be escalated to 800 mg daily based on safety evaluation.
Complete treatment is 12 months.
Dose can be reduced, interrupted or discontinued due to adverse events or intolerance.
|
Pazopanib monohydrochloride salt was supplied as aqueous, film-coated tablets containing 200 mg of the free base.
The 200 mg tablets were oval-shaped and white in color.
Andre navne:
Pazopanib 600 mg daily initial dose for 8-12 weeks, dose can be escalated to 800 mg daily based on safety evaluation.
Andre navne:
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|
Placebo komparator: placebo
placebo matching pazopanib 200 mg tablets, administered at 600 mg daily initial dose for 8-12 weeks.
Dose can be escalated to 800 mg daily based on safety evaluation.
Complete treatment is 12 months.
Dose can be reduced, interrupted or discontinued due to adverse events or intolerance.
|
Placebo matching pazopanib was supplied as aqueous, film-coated tablets containing 200 mg of the free base.
The 200 mg tablets were oval-shaped and white in color.
placebo matching pazopanib daily initial dose for 8-12 weeks, dose can be escalated to 800 mg daily based on safety evaluation.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Disease-free Survival (DFS) With Pazopanib 600 mg Daily Initial Dose vs. Placebo
Tidsramme: approximately 5 years
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DFS is defined as the interval between the date of randomization and the earliest date of disease recurrence/metastasis or death due to any cause.
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approximately 5 years
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Overall Survival (OS) With Pazopanib 600 mg Daily Initial Dose vs. Placebo
Tidsramme: approximately 8.5 years
|
Overall survival is defined as the time from randomization until death due to any cause. For subjects who did not die, time to death was censored at the last date of known contact. |
approximately 8.5 years
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DFS Rates at Yearly Time Points With Pazopanib 600 mg Daily Initial Dose vs. Placebo
Tidsramme: yearly for 4 years
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yearly for 4 years
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DFS With Pazopanib vs. Placebo
Tidsramme: approximately 5 years
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DFS is defined as the interval between the date of randomization and the earliest date of disease recurrence/metastasis or death due to any cause.
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approximately 5 years
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OS With Pazopanib vs. Placebo
Tidsramme: approximately 8.5 years
|
Overall survival is defined as the time from randomization until death due to any cause. For subjects who do not die, time to death will be censored at the last date of known contact. |
approximately 8.5 years
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DFS Rates at Yearly Time Points With Pazopanib vs. Placebo
Tidsramme: yearly for 4 years
|
yearly for 4 years
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DFS Pazopanib 800 mg Daily Initial Dose vs. Placebo
Tidsramme: approximately 5 years
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DFS is defined as the interval between the date of randomization and the earliest date of disease recurrence/metastasis or death due to any cause.
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approximately 5 years
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OS With Pazopanib 800 mg Daily Initial Dose vs. Placebo
Tidsramme: approximately 8.5 years
|
Overall survival is defined as the time from randomization until death due to any cause. For subjects who did not die, time to death was censored at the last date of known contact. |
approximately 8.5 years
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Health-related Quality of Life (HRQoL) With Pazopanib 600 mg Daily Initial Dose vs. Placebo Assessed Using NCCN/Functional Assessment of Cancer Therapy-Kidney Symptom Index -19 (FACT FKSI-19) Total Score
Tidsramme: Week 52, 24M DFS FU, 36M DFS FU, 48M DFS FU, 54M DFS FU
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Health outcome and quality of life as measured by NCCN/FACT FKSI-19 questionnaire.
The FKSI-19 is a disease-specific instrument that measures disease and treatment-related symptoms specifically in renal cancer patients in 4 domains (FKSI-DRS-P, FKSI-DRS-E, FKSI-TSE, FKSI-FWB) experienced in the past 7 days.
Participants are asked to respond to a total of 19 questions regarding symptoms, side effects, and well being by using a 5-point scale (0=not at all, 1=a little bit, 2=somewhat, 3=quite a bit, 4=very much; possible total score of 0 to 76).
A negative mean indicates a worsening of condition.
DFS: disease-free survival; FU: follow up
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Week 52, 24M DFS FU, 36M DFS FU, 48M DFS FU, 54M DFS FU
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Health-related Quality of Life (HRQoL) With Pazopanib 600 mg Daily Initial Dose vs. Placebo Assessed Using NCCN/FACT FKSI-19 Scale Disease-related Symptoms-physical (DRS-P) Domain Score
Tidsramme: Week 52, 24M DFS FU, 36M DFS FU, 48M DFS FU, 54M DFS FU
|
Health outcome and quality of life as measured by NCCN/FACT FKSI-19 questionnaire.
The FKSI-19 is a disease-specific instrument that measures disease and treatment-related symptoms specifically in renal cancer patients in 4 domains.
The DRS-P domain assesses symptoms experienced in the past 7 days.
Participants are asked to respond to 12 questions ("I have a lack of energy," "I feel pain," for example) by using a 5-point scale (0=not at all, 1=a little bit, 2=somewhat, 3=quite a bit, 4=very much; possible total domain score of 0 to 48).
A negative mean indicates a worsening of condition.
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Week 52, 24M DFS FU, 36M DFS FU, 48M DFS FU, 54M DFS FU
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Health-related Quality of Life (HRQoL) With Pazopanib 600 mg Daily Initial Dose vs. Placebo Assessed Using NCCN/FACT FKSI-19 Scale Disease Related Symptoms-emotional (DRS-E) Domain Score
Tidsramme: Week 52, 24M DFS FU, 36M DFS FU,48M DFS FU, 54M DFS FU
|
Health outcome and quality of life as measured by NCCN/FACT FKSI-19 questionnaire.
The FKSI-19 is a disease-specific instrument that measures disease and treatment-related symptoms specifically in renal cancer patients in 4 domains.
The DRS-E domain assesses symptoms experienced in the past 7 days.
Participants are asked to respond to the question of "I worry that my condition will get worse" by using a 5-point scale (0=not at all, 1=a little bit, 2=somewhat, 3=quite a bit, 4=very much; possible total domain score of 0 to 4).
A negative mean indicates a worsening of condition.
|
Week 52, 24M DFS FU, 36M DFS FU,48M DFS FU, 54M DFS FU
|
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Health-related Quality of Life (HRQoL) With Pazopanib 600 mg Daily Initial Dose vs. Placebo Assessed Using NCCN/FACT FKSI-19 Scale Treatment Side Effects (TSE) Domain Score
Tidsramme: Week 52, 24M DFS FU, 36M DFS FU,48M DFS FU, 54M DFS FU
|
Health outcome and quality of life as measured by NCCN/FACT FKSI-19 questionnaire.
The FKSI-19 is a disease-specific instrument that measures disease and treatment-related symptoms specifically in renal cancer patients in 4 domains.
The TSE domain assesses side effects experienced in the past 7 days.
Participants are asked to respond to 3 questions ("I have nausea," "I have diarrhea," and "I am bothered by side effects of treatment") by using a 5-point scale (0=not at all, 1=a little bit, 2=somewhat, 3=quite a bit, 4=very much; possible total domain score of 0 to 12).
A negative mean indicates a worsening of condition.
|
Week 52, 24M DFS FU, 36M DFS FU,48M DFS FU, 54M DFS FU
|
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Health-related Quality of Life (HRQoL) With Pazopanib 600 mg Daily Initial Dose vs. Placebo Assessed Using NCCN/FACT FKSI-19 Scale Functional Well Being (FWB) Domain Score
Tidsramme: Week 52, 24M DFS FU, 36M DFS FU,48M DFS FU, 54M DFS FU
|
Health outcome and quality of life as measured by NCCN/FACT FKSI-19 questionnaire.
The FKSI-19 is a disease-specific instrument that measures disease and treatment-related symptoms specifically in renal cancer patients in 4 domains.
The FWB domain assesses well being in the past 7 days.
Participants are asked to respond to 3 questions ("I am able to work," "I am able to enjoy life," and "I am content with the quality of my life now") by using a 5-point scale (0=not at all, 1=a little bit, 2=somewhat, 3=quite a bit, 4=very much; possible total domain score of 0 to 12).
A negative mean indicates a worsening of condition.
|
Week 52, 24M DFS FU, 36M DFS FU,48M DFS FU, 54M DFS FU
|
|
Health-related Quality of Life (HRQoL) With Pazopanib 600 mg Daily Initial Dose vs. Placebo Assessed Using EuroQoL-5D (EQ-5D) Score
Tidsramme: Week 52, 24M DFS FU, 36M DFS FU, 48M DFS FU, 54M DFS FU
|
Health outcome and quality of life measured by EQ-5D thermometer (thermo) score and EQ-5D utility index (UI) score.
The EQ-5D is a participant-answered questionnaire measuring 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression.
The EQ-5D has two separate components: utility score and thermometer score.
The EQ-5D total utility score ranges from 0 (worst health state) to 1 (perfect health state); 1 reflects the best outcome.
The thermometer score ranges from 0 (worst imaginable health state) to 100 (best imaginable health state).
|
Week 52, 24M DFS FU, 36M DFS FU, 48M DFS FU, 54M DFS FU
|
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Health-related Quality of Life (HRQoL) With Pazopanib vs. Placebo for ITT ALL Assessed Using National Comprehensive Cancer Network (NCCN)/FACT FKSI-19 Total Score
Tidsramme: Week 52, 24M DFS FU, 36M DFS FU, 48M DFS FU, 54M DFS FU
|
Health outcome and quality of life as measured by NCCN/FACT FKSI-19 questionnaire.
The FKSI-19 is a disease-specific instrument that measures disease and treatment-related symptoms specifically in renal cancer patients in 4 domains (FKSI-DRS-P, FKSI-DRS-E, FKSI-TSE, FKSI-FWB) experienced in the past 7 days.
Participants are asked to respond to a total of 19 questions regarding symptoms, side effects, and well being by using a 5-point scale (0=not at all, 1=a little bit, 2=somewhat, 3=quite a bit, 4=very much; possible total score of 0 to 76).
A negative mean indicates a worsening of condition.
DFS: disease-free survival; FU: follow up
|
Week 52, 24M DFS FU, 36M DFS FU, 48M DFS FU, 54M DFS FU
|
|
Health-related Quality of Life (HRQoL) With Pazopanib vs. Placebo for ITT ALL Assessed Using National Comprehensive Cancer Network (NCCN)/FACT FKSI-19 Scale Disease-related Symptoms-physical (DRS-P) Domain Score
Tidsramme: Week 52, 24M DFS FU, 36M DFS FU, 48M DFS FU, 54M DFS FU
|
Health outcome and quality of life measured by NCCN/FACT FKSI-19 questionnaire for ITT ALL.
The FKSI-19 is a disease-specific instrument that measures disease and treatment-related symptoms specifically in renal cancer patients in 4 domains.
The DRS-P domain assesses symptoms experienced in the past 7 days.
Participants are asked to respond to 12 questions ("I have a lack of energy," "I feel pain," for example) by using a 5-point scale (0=not at all, 1=a little bit, 2=somewhat, 3=quite a bit, 4=very much; possible total domain score of 0 to 48).
A negative mean indicates a worsening of condition.
|
Week 52, 24M DFS FU, 36M DFS FU, 48M DFS FU, 54M DFS FU
|
|
Health-related Quality of Life (HRQoL) With Pazopanib vs. Placebo for ITT ALL Assessed Using National Comprehensive Cancer Network (NCCN)/FACT FKSI-19 Scale Disease-related Symptoms-emotional (DRS-E) Domain Score
Tidsramme: Week 52, 24M DFS FU, 36M DFS FU, 48M DFS FU, 54M DFS FU
|
Health outcome and quality of life measured by NCCN/FACT FKSI-19 questionnaire for ITT ALL.
The FKSI-19 is a disease-specific instrument that measures disease and treatment-related symptoms specifically in renal cancer patients in 4 domains.
The DRS-E domain assesses symptoms experienced in the past 7 days.
Participants are asked to respond to the question of "I worry that my condition will get worse" by using a 5-point scale (0=not at all, 1=a little bit, 2=somewhat, 3=quite a bit, 4=very much; possible total domain score of 0 to 4).A negative mean indicates a worsening of condition.
|
Week 52, 24M DFS FU, 36M DFS FU, 48M DFS FU, 54M DFS FU
|
|
Health-related Quality of Life (HRQoL) With Pazopanib vs. Placebo for ITT ALL Assessed Using National Comprehensive Cancer Network (NCCN)/FACT FKSI-19 Scale Treatment Side Effects (TSE) Domain Score
Tidsramme: Week 52, 24M DFS FU, 36M DFS FU, 48M DFS FU, 54M DFS FU
|
Health outcome and quality of life measured by NCCN/FACT FKSI-19 questionnaire for ITT ALL.
The FKSI-19 is a disease-specific instrument that measures disease and treatment-related symptoms specifically in renal cancer patients in 4 domains.
The TSE domain assesses side effects experienced in the past 7 days.
Participants are asked to respond to 3 questions ("I have nausea," "I have diarrhea," and "I am bothered by side effects of treatment") by using a 5-point scale (0=not at all, 1=a little bit, 2=somewhat, 3=quite a bit, 4=very much; possible total domain score of 0 to 12).
A negative mean indicates a worsening of condition.
|
Week 52, 24M DFS FU, 36M DFS FU, 48M DFS FU, 54M DFS FU
|
|
Health-related Quality of Life (HRQoL) With Pazopanib vs. Placebo for ITT ALL Assessed Using National Comprehensive Cancer Network (NCCN)/FACT FKSI-19 Scale Functional Well Being (FWB) Domain Score
Tidsramme: Week 52, 24M DFS FU, 36M DFS FU, 48M DFS FU, 54M DFS FU
|
Health outcome and quality of life measured by NCCN/FACT FKSI-19 questionnaire for ITT ALL.
The FKSI-19 is a disease-specific instrument that measures disease and treatment-related symptoms specifically in renal cancer patients in 4 domains.
The FWB domain assesses well being in the past 7 days.
Participants are asked to respond to 3 questions ("I am able to work," "I am able to enjoy life," and "I am content with the quality of my life now") by using a 5-point scale (0=not at all, 1=a little bit, 2=somewhat, 3=quite a bit, 4=very much; possible total domain score of 0 to 12).
A negative mean indicates a worsening of condition.
|
Week 52, 24M DFS FU, 36M DFS FU, 48M DFS FU, 54M DFS FU
|
|
Health-related Quality of Life (HRQoL) With Pazopanib vs. Placebo for ITT ALL Assessed Using EuroQoL-5D (EQ-5D) Score
Tidsramme: Week 52, 24M DFS FU, 36M DFS FU, 48M DFS FU, 54M DFS FU
|
Health outcome and quality of life measured by using EQ-5D thermometer score and EQ-5D utility index (UI) score.
The EQ-5D is a participant-answered questionnaire measuring 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression.
The EQ-5D has two separate components: utility score and thermometer score.
The EQ-5D total utility score ranges from 0 (worst health state) to 1 (perfect health state); 1 reflects the best outcome.
The thermometer score ranges from 0 (worst imaginable health state) to 100 (best imaginable health state).
|
Week 52, 24M DFS FU, 36M DFS FU, 48M DFS FU, 54M DFS FU
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Publikationer og nyttige links
Generelle publikationer
- Sternberg CN, Davis ID, Mardiak J, Szczylik C, Lee E, Wagstaff J, Barrios CH, Salman P, Gladkov OA, Kavina A, Zarba JJ, Chen M, McCann L, Pandite L, Roychowdhury DF, Hawkins RE. Pazopanib in locally advanced or metastatic renal cell carcinoma: results of a randomized phase III trial. J Clin Oncol. 2010 Feb 20;28(6):1061-8. doi: 10.1200/JCO.2009.23.9764. Epub 2010 Jan 25.
- Motzer RJ, Russo P, Haas N, Doehn C, Donskov F, Gross-Goupil M, Varlamov S, Kopyltsov E, Lee JL, Lim HY, Melichar B, Zemanova M, Rini B, Choueiri TK, Wood L, Reaume MN, Stenzl A, Chowdhury S, McDermott R, Michael A, Izquierdo M, Aimone P, Zhang H, Sternberg CN; PROTECT study investigators. Adjuvant Pazopanib Versus Placebo After Nephrectomy in Patients With Localized or Locally Advanced Renal Cell Carcinoma: Final Overall Survival Analysis of the Phase 3 PROTECT Trial. Eur Urol. 2021 Mar;79(3):334-338. doi: 10.1016/j.eururo.2020.12.029. Epub 2021 Jan 15.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 113387
- 2010-020965-26 (EudraCT nummer)
- CPZP034D2301 (Anden identifikator: Novartis)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.
This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .