- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT00077974
A Pivotal Study Of SU011248 In The Treatment Of Patients With Cytokine-Refractory Metastatic Renal Cell Carcinoma.
A Pivotal Study Of SU011248 In The Treatment Of Patients With Cytokine-Refractory Metastatic Renal Cell Carcinoma
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Type d'étude
Inscription (Réel)
Phase
- Phase 2
Contacts et emplacements
Lieux d'étude
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California
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Duarte, California, États-Unis, 91010-3000
- Pfizer Investigational Site
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Pasadena, California, États-Unis, 91105
- Pfizer Investigational Site
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San Francisco, California, États-Unis, 94115
- Pfizer Investigational Site
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Massachusetts
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Boston, Massachusetts, États-Unis, 02114
- Pfizer Investigational Site
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Boston, Massachusetts, États-Unis, 02115
- Pfizer Investigational Site
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Boston, Massachusetts, États-Unis, 02215
- Pfizer Investigational Site
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Michigan
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Ann Arbor, Michigan, États-Unis, 48109
- Pfizer Investigational Site
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Minnesota
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Rochester, Minnesota, États-Unis, 55905
- Pfizer Investigational Site
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New York
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New York, New York, États-Unis, 10021
- Pfizer Investigational Site
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New York, New York, États-Unis, 10022
- Pfizer Investigational Site
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North Carolina
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Durham, North Carolina, États-Unis, 27705
- Pfizer Investigational Site
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Ohio
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Cleveland, Ohio, États-Unis, 44195
- Pfizer Investigational Site
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Oregon
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Portland, Oregon, États-Unis, 97213
- Pfizer Investigational Site
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Pennsylvania
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Philadelphia, Pennsylvania, États-Unis, 19111
- Pfizer Investigational Site
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Wisconsin
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Madison, Wisconsin, États-Unis, 53792
- Pfizer Investigational Site
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
- Cytokine refractory metastatic renal cell carcinoma with clear cell component
- Radiographic evidence of disease progression during or within 9 months of completion of 1 cytokine therapy
- Prior nephrectomy
Exclusion Criteria:
- Prior treatment with any systemic therapy other than 1 cytokine therapy
- History of or known brain metastases
- Uncontrolled hypertension or other significant cardiac events within the 12 months prior to study start
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Non randomisé
- Modèle interventionnel: Affectation à un seul groupe
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
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Expérimental: 1
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50-mg orally taken daily for 4 weeks and off treatment for 2 weeks until progression or unacceptable toxicity
Autres noms:
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Number of Subjects With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors(RECIST)
Délai: From start of study treatment until Day 28 of Cycles 1-5, Day 28 of even Cycles thereafter
|
Overall confirmed objective response = confirmed Complete Response (CR) or confirmed Partial Response (PR) according to RECIST.
CR defined as disappearance of all target lesions.
PR defined as >= 30 percent decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions.
|
From start of study treatment until Day 28 of Cycles 1-5, Day 28 of even Cycles thereafter
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Time to Tumor Progression (TTP)
Délai: From start of study treatment until Day 28 of Cycles 1-5, Day 28 of even Cycles thereafter
|
Time in weeks from start of study treatment to first documentation of objective tumor progression or death due to cancer, whichever comes first.
TTP was calculated as (first event date minus the date of first dose of study medication plus 1) divided by 7. Tumor progression was determined from oncologic assessment data (where data meet the criteria for progressive disease [PD]).
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From start of study treatment until Day 28 of Cycles 1-5, Day 28 of even Cycles thereafter
|
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Duration of Response (DR)
Délai: Day 28 of Cycles 1-5, Day 28 of even Cycles thereafter or death due to cancer
|
Time in weeks from the first documentation of objective tumor response to objective tumor progression or death due to any cancer. Duration of tumor response was calculated as (the date of the first documentation of objective tumor progression or death due to cancer minus the date of the first CR or PR that was subsequently confirmed plus 1) divided by 7. DR was calculated for the subgroup of patients with a confirmed objective tumor response. |
Day 28 of Cycles 1-5, Day 28 of even Cycles thereafter or death due to cancer
|
|
Overall Survival (OS)
Délai: From start of study treatment until death
|
Time in weeks from the start of study treatment to date of death due to any cause.
OS was calculated as (the death date minus the date of first dose of study medication plus 1) divided by 7. Death was determined from adverse event data (where outcome was death) or from follow-up contact data (where the subject current status was death).
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From start of study treatment until death
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Progression-free Survival (PFS)
Délai: From start of study treatment until Day 28 of Cycles 1-5, Day 28 of even Cycles thereafter or death
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Time in weeks from start of study treatment to first documentation of objective tumor progression or death due to any cause.
PFS was calculated as (first event date minus the date of first dose of study medication plus 1) divided by 7. Tumor progression was determined from oncologic assessment data (where data meet the criteria for progressive disease [PD]), or from adverse event (AE) data (where the outcome was "Death").
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From start of study treatment until Day 28 of Cycles 1-5, Day 28 of even Cycles thereafter or death
|
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Percent Chance of Patient Survival
Délai: From start of study treatment until death
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Probability of survival 1 year and 2 years after the first dose of study treatment
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From start of study treatment until death
|
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Observed Plasma Trough Concentrations of Sunitinib
Délai: Day 28 of Cycle 1 through 4, Day 1 of Cycles 5 and greater
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Observed plasma trough (predose) (Cmin) concentrations of sunitinib
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Day 28 of Cycle 1 through 4, Day 1 of Cycles 5 and greater
|
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Observed Plasma Trough Concentrations of Sunitinib Metabolite
Délai: Day 28 of Cycle 1 through 4, Day 1 of Cycles 5 and greater
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Observed plasma trough (predose) (Cmin) concentrations of sunitinib metabolite (SU012662)
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Day 28 of Cycle 1 through 4, Day 1 of Cycles 5 and greater
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Observed Plasma Trough Concentrations of Sunitinib Plus Metabolite
Délai: Day 28 of Cycle 1 through 4, Day 1 of Cycles 5 and greater
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Observed plasma trough (predose) concentrations of sunitinib plus its metabolite (SU012662)
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Day 28 of Cycle 1 through 4, Day 1 of Cycles 5 and greater
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Dose Corrected Plasma Trough Concentrations of Sunitinib
Délai: Day 28 of Cycle 1 through 4, Day 1 of Cycles 5 and greater
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Dose corrected plasma trough (predose) (Cmin) concentrations of sunitinib.
Dose-corrected trough concentrations were set to missing for trough samples collected outside acceptable times from dose administration, samples not collected within scheduled day range, samples with missing collection or administration dates or times, samples collected with dose interruption, and samples collected with inconsistent dose level within 10 days of last dose date.
|
Day 28 of Cycle 1 through 4, Day 1 of Cycles 5 and greater
|
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Dose Corrected Plasma Trough Concentrations of Sunitinib Metabolite
Délai: Day 28 of Cycle 1 through 4, Day 1 of Cycles 5 and greater
|
Dose corrected plasma trough (predose) (Cmin) concentrations of sunitinib metabolite (SU012662).
Dose-corrected trough concentrations were set to missing for trough samples collected outside acceptable times from dose administration, samples not collected within scheduled day range, samples with missing collection or administration dates or times, samples collected with dose interruption, and samples collected with inconsistent dose level within 10 days of last dose date.
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Day 28 of Cycle 1 through 4, Day 1 of Cycles 5 and greater
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Dose Corrected Plasma Trough Concentrations of Sunitinib Plus Metabolite
Délai: Day 28 of Cycle 1 through 4, Day 1 of Cycles 5 and greater
|
Dose corrected plasma trough (predose) (Cmin) concentrations of sunitinib plus its metabolite (SU012662).
Dose-corrected trough concentrations were set to missing for trough samples collected outside acceptable times from dose administration, samples not collected within scheduled day range, samples with missing collection or administration dates or times, samples collected with dose interruption, and samples collected with inconsistent dose level within 10 days of last dose date.
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Day 28 of Cycle 1 through 4, Day 1 of Cycles 5 and greater
|
Collaborateurs et enquêteurs
Parrainer
Publications et liens utiles
Publications générales
- de Velasco G, McKay RR, Lin X, Moreira RB, Simantov R, Choueiri TK. Comprehensive Analysis of Survival Outcomes in Non-Clear Cell Renal Cell Carcinoma Patients Treated in Clinical Trials. Clin Genitourin Cancer. 2017 Dec;15(6):652-660.e1. doi: 10.1016/j.clgc.2017.03.004. Epub 2017 Mar 21.
- Grunwald V, Lin X, Kalanovic D, Simantov R. Early Tumour Shrinkage: A Tool for the Detection of Early Clinical Activity in Metastatic Renal Cell Carcinoma. Eur Urol. 2016 Dec;70(6):1006-1015. doi: 10.1016/j.eururo.2016.05.010. Epub 2016 May 26.
- Grunwald V, McKay RR, Krajewski KM, Kalanovic D, Lin X, Perkins JJ, Simantov R, Choueiri TK. Depth of remission is a prognostic factor for survival in patients with metastatic renal cell carcinoma. Eur Urol. 2015 May;67(5):952-8. doi: 10.1016/j.eururo.2014.12.036. Epub 2015 Jan 7.
- Motzer RJ, Rini BI, Bukowski RM, Curti BD, George DJ, Hudes GR, Redman BG, Margolin KA, Merchan JR, Wilding G, Ginsberg MS, Bacik J, Kim ST, Baum CM, Michaelson MD. Sunitinib in patients with metastatic renal cell carcinoma. JAMA. 2006 Jun 7;295(21):2516-24. doi: 10.1001/jama.295.21.2516.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
- Tumeurs par type histologique
- Tumeurs
- Tumeurs urologiques
- Tumeurs urogénitales
- Tumeurs par site
- Maladies rénales
- Maladies urologiques
- Adénocarcinome
- Tumeurs, glandulaires et épithéliales
- Tumeurs rénales
- Carcinome à cellules rénales
- Carcinome
- Effets physiologiques des médicaments
- Mécanismes moléculaires de l'action pharmacologique
- Inhibiteurs d'enzymes
- Agents antinéoplasiques
- Inhibiteurs de l'angiogenèse
- Agents modulateurs de l'angiogenèse
- Substances de croissance
- Inhibiteurs de croissance
- Inhibiteurs de protéine kinase
- Sunitinib
Autres numéros d'identification d'étude
- A6181006
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