- ICH GCP
- Registro de ensaios clínicos dos EUA
- Ensaio Clínico NCT00246571
Study Of SU011248 Versus Chemotherapy For Patients With Previously Treated Triple Receptor Negative Breast Cancer
2 de julho de 2012 atualizado por: Pfizer
A Randomized Phase 2 Study Of SU011248 Versus Standard-Of-Care For Patients With Previously Treated, Advanced, Triple Receptor Negative (ER, PR, HER2) Breast Cancer
The purpose of this study is to compare progression free survival for SU011248 [sutent (sunitinib malate)] versus standard of care therapy in patients with previously treated, advanced, triple receptor negative (ER, PR, HER2) locally recurrent or metastatic breast cancer.
Visão geral do estudo
Status
Concluído
Condições
Intervenção / Tratamento
Tipo de estudo
Intervencional
Inscrição (Real)
217
Estágio
- Fase 2
Contactos e Locais
Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.
Locais de estudo
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Berlin, Alemanha, 10177
- Pfizer Investigational Site
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Sofia, Bulgária, 1233
- Pfizer Investigational Site
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Sofia, Bulgária, 1527
- Pfizer Investigational Site
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Sofia, Bulgária, 1756
- Pfizer Investigational Site
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Stara Zagora, Bulgária, 6000
- Pfizer Investigational Site
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Varna, Bulgária, 9000
- Pfizer Investigational Site
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Alberta
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Edmonton, Alberta, Canadá, T6G 1Z2
- Pfizer Investigational Site
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Ontario
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Toronto, Ontario, Canadá, M4N 3M5
- Pfizer Investigational Site
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Barcelona, Espanha, 08035
- Pfizer Investigational Site
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Gerona, Espanha, 17007
- Pfizer Investigational Site
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Lleida, Espanha, 25198
- Pfizer Investigational Site
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Malaga, Espanha, 29010
- Pfizer Investigational Site
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Sevilla, Espanha, 41013
- Pfizer Investigational Site
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California
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Corona, California, Estados Unidos, 92879
- Pfizer Investigational Site
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Fullerton, California, Estados Unidos, 92835
- Pfizer Investigational Site
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Glendora, California, Estados Unidos, 91741
- Pfizer Investigational Site
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Los Angeles, California, Estados Unidos, 90095-1772
- Pfizer Investigational Site
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Los Angeles, California, Estados Unidos, 90095-7423
- Pfizer Investigational Site
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Los Angeles, California, Estados Unidos, 90095
- Pfizer Investigational Site
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Mission Hills, California, Estados Unidos, 91345
- Pfizer Investigational Site
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Northridge, California, Estados Unidos, 91325
- Pfizer Investigational Site
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Palm Springs, California, Estados Unidos, 92262-4885
- Pfizer Investigational Site
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Pasadena, California, Estados Unidos, 91105
- Pfizer Investigational Site
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Pomona, California, Estados Unidos, 91767
- Pfizer Investigational Site
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Rancho Cucamonga, California, Estados Unidos, 91730
- Pfizer Investigational Site
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Santa Monica, California, Estados Unidos, 90404
- Pfizer Investigational Site
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Valencia, California, Estados Unidos, 91355
- Pfizer Investigational Site
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West Covina, California, Estados Unidos, 91790
- Pfizer Investigational Site
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Colorado
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Aurora, Colorado, Estados Unidos, 80010
- Pfizer Investigational Site
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District of Columbia
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Washington, District of Columbia, Estados Unidos, 20010
- Pfizer Investigational Site
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Florida
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Boca Raton, Florida, Estados Unidos, 33428
- Pfizer Investigational Site
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Gainesville, Florida, Estados Unidos, 32605-4391
- Pfizer Investigational Site
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Georgia
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Atlanta, Georgia, Estados Unidos, 30341
- Pfizer Investigational Site
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Atlanta, Georgia, Estados Unidos, 30342
- Pfizer Investigational Site
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Decatur, Georgia, Estados Unidos, 30033
- Pfizer Investigational Site
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Macon, Georgia, Estados Unidos, 31217
- Pfizer Investigational Site
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Marietta, Georgia, Estados Unidos, 30060
- Pfizer Investigational Site
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Tucker, Georgia, Estados Unidos, 30084
- Pfizer Investigational Site
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Illinois
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Zion, Illinois, Estados Unidos, 60099
- Pfizer Investigational Site
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Indiana
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Indianapolis, Indiana, Estados Unidos, 46202
- Pfizer Investigational Site
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Michigan
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Bloomfield Hills, Michigan, Estados Unidos, 48302
- Pfizer Investigational Site
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Brownstown, Michigan, Estados Unidos, 48183
- Pfizer Investigational Site
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Dearborn, Michigan, Estados Unidos, 48126
- Pfizer Investigational Site
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Detroit, Michigan, Estados Unidos, 48202
- Pfizer Investigational Site
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West Bloomfield, Michigan, Estados Unidos, 48322
- Pfizer Investigational Site
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Mississippi
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Biloxi, Mississippi, Estados Unidos, 39532
- Pfizer Investigational Site
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Missouri
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Clarkson Valley, Missouri, Estados Unidos, 63011
- Pfizer Investigational Site
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St. Louis, Missouri, Estados Unidos, 63141
- Pfizer Investigational Site
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St. Louis, Missouri, Estados Unidos, 63109
- Pfizer Investigational Site
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New Jersey
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Midland Park, New Jersey, Estados Unidos, 07432
- Pfizer Investigational Site
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Morristown, New Jersey, Estados Unidos, 07962
- Pfizer Investigational Site
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Paramus, New Jersey, Estados Unidos, 07652
- Pfizer Investigational Site
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Pompton Plains, New Jersey, Estados Unidos, 07444
- Pfizer Investigational Site
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Ridgewood, New Jersey, Estados Unidos, 07450
- Pfizer Investigational Site
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Summit, New Jersey, Estados Unidos, 07902
- Pfizer Investigational Site
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Westwood, New Jersey, Estados Unidos, 07675
- Pfizer Investigational Site
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New York
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Bronx, New York, Estados Unidos, 10451
- Pfizer Investigational Site
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Bronx, New York, Estados Unidos, 10461
- Pfizer Investigational Site
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North Carolina
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Clinton, North Carolina, Estados Unidos, 28388
- Pfizer Investigational Site
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Goldsboro, North Carolina, Estados Unidos, 27534
- Pfizer Investigational Site
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Wilson, North Carolina, Estados Unidos, 27893
- Pfizer Investigational Site
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Oklahoma
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Del City, Oklahoma, Estados Unidos, 73115
- Pfizer Investigational Site
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Pennsylvania
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Greensburg, Pennsylvania, Estados Unidos, 15601
- Pfizer Investigational Site
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Hershey, Pennsylvania, Estados Unidos, 17033-0850
- Pfizer Investigational Site
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Pittsburgh, Pennsylvania, Estados Unidos, 15213
- Pfizer Investigational Site
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Pittsburgh, Pennsylvania, Estados Unidos, 15232-1305
- Pfizer Investigational Site
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Wexford, Pennsylvania, Estados Unidos, 15090
- Pfizer Investigational Site
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Tennessee
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Memphis, Tennessee, Estados Unidos, 38104
- Pfizer Investigational Site
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Memphis, Tennessee, Estados Unidos, 38120
- Pfizer Investigational Site
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Memphis, Tennessee, Estados Unidos, 38133
- Pfizer Investigational Site
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Texas
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Dallas, Texas, Estados Unidos, 75230-2510
- Pfizer Investigational Site
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Dallas, Texas, Estados Unidos, 75230
- Pfizer Investigational Site
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Fort Worth, Texas, Estados Unidos, 76177
- Pfizer Investigational Site
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Houston, Texas, Estados Unidos, 77024
- Pfizer Investigational Site
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Houston, Texas, Estados Unidos, 77055
- Pfizer Investigational Site
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Plano, Texas, Estados Unidos, 75093
- Pfizer Investigational Site
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Plano, Texas, Estados Unidos, 75075
- Pfizer Investigational Site
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Richardson, Texas, Estados Unidos, 75080
- Pfizer Investigational Site
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San Antonio, Texas, Estados Unidos, 78229
- Pfizer Investigational Site
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San Antonio, Texas, Estados Unidos, 78207
- Pfizer Investigational Site
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San Antonio, Texas, Estados Unidos, 78217
- Pfizer Investigational Site
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San Antonio, Texas, Estados Unidos, 78258
- Pfizer Investigational Site
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San Atonio, Texas, Estados Unidos, 78229
- Pfizer Investigational Site
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Tyler, Texas, Estados Unidos, 75702
- Pfizer Investigational Site
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Washington
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Federal Way, Washington, Estados Unidos, 98003
- Pfizer Investigational Site
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Lakewood, Washington, Estados Unidos, 98499
- Pfizer Investigational Site
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Puyallup, Washington, Estados Unidos, 98372
- Pfizer Investigational Site
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Seattle, Washington, Estados Unidos, 98104
- Pfizer Investigational Site
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Seattle, Washington, Estados Unidos, 98122
- Pfizer Investigational Site
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Tacoma, Washington, Estados Unidos, 98405
- Pfizer Investigational Site
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BESANCON Cedex 5, França, 25052
- Pfizer Investigational Site
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BESANCON cedex, França, 25030
- Pfizer Investigational Site
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NANTES cedex, França, 44805
- Pfizer Investigational Site
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Paris Cedex 20, França, 75970
- Pfizer Investigational Site
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Budapest, Hungria, 1082
- Pfizer Investigational Site
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Budapest, Hungria, 1122
- Pfizer Investigational Site
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Aviano (PN), Itália, 33081
- Pfizer Investigational Site
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Milano, Itália, 20100
- Pfizer Investigational Site
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Prato, FI, Itália, 59100
- Pfizer Investigational Site
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Balcali
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Adana, Balcali, Peru, 01330
- Pfizer Investigational Site
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Besevler
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Ankara, Besevler, Peru, 06510
- Pfizer Investigational Site
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Pendik
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Istanbul, Pendik, Peru, 34890
- Pfizer Investigational Site
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Sihhiye
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Ankara, Sihhiye, Peru, 06100
- Pfizer Investigational Site
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Edinburgh, Reino Unido, EH4 2XU
- Pfizer Investigational Site
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Oxfordshire, Reino Unido, OX3 7LJ
- Pfizer Investigational Site
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Southampton, Reino Unido, SO16 6YD
- Pfizer Investigational Site
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Brno, República Checa, 656 91
- Pfizer Investigational Site
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Praha 8, República Checa, 180 00
- Pfizer Investigational Site
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Ceska Republika
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Brno, Ceska Republika, República Checa, 656 91
- Pfizer Investigational Site
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Praha 8, Ceska Republika, República Checa, 180 81
- Pfizer Investigational Site
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Dnipropetrovsk, Ucrânia, 49102
- Pfizer Investigational Site
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Kyiv, Ucrânia, 03115
- Pfizer Investigational Site
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Odessa, Ucrânia, 65055
- Pfizer Investigational Site
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Critérios de participação
Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.
Critérios de elegibilidade
Idades elegíveis para estudo
18 anos e mais velhos (Adulto, Adulto mais velho)
Aceita Voluntários Saudáveis
Não
Gêneros Elegíveis para o Estudo
Tudo
Descrição
Inclusion Criteria:
- Recurrent or metastatic breast cancer
- Estrogen receptor (ER), progestin receptor (PR) and HER2/neu receptor (HER2) negative status
- Prior treatment with an anthracycline and a taxane in the adjuvant or advanced disease setting
- Relapse following adjuvant chemotherapy within 6 months of last treatment and/or received one or two chemotherapy regimens for advanced disease
Exclusion Criteria:
- More than two chemotherapy regimens for advanced disease
- Uncontrolled/symptomatic spread of cancer to the brain
Plano de estudo
Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
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Comparador Ativo: B
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The choice of chemotherapy will be at the discretion of the investigator within the limits outlined below.
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Experimental: UMA
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SU011248 capsules administered orally, daily in a continuous regimen, 3-week cycles, starting dose of 37.5 mg daily.
1-week treatment rests and dose reductions allowed for dose-limiting toxicity.
Dose escalate SU011248 to 50-mg daily if minimal toxicities .
Study will continue until disease progression.
Patients randomized to or crossed over to SU011248 may continue beyond the time of Response Evaluation Criterion in Solid Tumors (RECIST) -defined progression at the discretion of the investigator in the case of clinical benefit.
Outros nomes:
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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
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Progression-Free Survival (PFS)
Prazo: Baseline, every 6 weeks until disease progression or death (up to 3 years from first dose)
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Time in months from start of study treatment to first documentation of objective tumor progression (per RECIST) or death due to any cause.
PFS was calculated as (first event date minus first randomization date plus 1) divided by 30.4.
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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Baseline, every 6 weeks until disease progression or death (up to 3 years from first dose)
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Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
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Proportion of Participants With Objective Response
Prazo: Baseline until response or disease progression (up to 3 years from first dose)
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Objective response based assessment of confirmed response (CR) or confirmed partial response (PR) according to RECIST.
CR are those that persist on repeat imaging study at least 4 weeks after initial documentation of response.
PR are those with a greater than or equal to (≥) 30% decrease in the sum of the longest dimensions (SLD) of the target lesions taking as a reference the baseline SLD.
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Baseline until response or disease progression (up to 3 years from first dose)
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Duration of Response (DR)
Prazo: Time from first response to disease progression up to 3 years from first dose
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Time in months from the first documentation of objective tumor response (CR or PR) to objective tumor progression or death.
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 30.4.
DR was calculated for the subgroup of participants with a confirmed objective tumor response.
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Time from first response to disease progression up to 3 years from first dose
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Survival Probability at 1 Year
Prazo: Baseline until death (up to 3 years after first dose of study medication)
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Probability that the participants will survive at end of 1 year from the first dose of study treatment.
Calculated using data collected from baseline until death (up to 3 years after first dose of study medication).
Probability calculated from Kaplan-Meier estimate.
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Baseline until death (up to 3 years after first dose of study medication)
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Overall Survival (OS)
Prazo: Baseline until death (up to 3 years after first dose of study medication)
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Time in months from the date of randomization to date of death due to any cause.
OS was calculated as (date of death minus randomization date plus 1) divided by 30.4.
Death was determined from adverse event data (where outcome was death) or from follow-up contact data (where the participant current status was death).
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Baseline until death (up to 3 years after first dose of study medication)
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Health Related Quality of Life (HRQoL) and Disease Related Symptoms as Measured by European Organization for Research and Treatment of Cancer (EORTC) Quality of Life (QoL) Questionnaire (EORTC-QLQ-C30)
Prazo: Day 1, Cycle 1; Day 1, odd number cycles; and end of treatment (EOT)/withdrawal
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EORTC QLQ-C30: global health/QoL, functional domains (physical, role, cognitive, emotional, social), and symptom scales/items (fatigue, nausea and vomiting, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea).
Recall period: past week; response range: not at all to very much; global/QoL range: very poor to excellent.
Scale score range: 0 to 100.
Higher functional/global QoL score = better functioning and higher symptom score = greater degree of symptoms.
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Day 1, Cycle 1; Day 1, odd number cycles; and end of treatment (EOT)/withdrawal
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HRQoL and Disease Related Symptoms as Measured by EORTC-QLQ-C30 Breast Cancer Module (BR23) Score
Prazo: Day 1, Cycle 1; Day 1, odd number cycles; and EOT/withdrawal
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BR23: measured disease related symptoms of dry mouth, eye pain, hair loss, hot flushes, attractiveness, future health, sexual activity, arm/shoulder pain, breast pain, swollen breast, and skin problems on the breast.
Recall period: past week; response range: not at all to very much.
Scale score range: 0 to 100.
Higher symptom score = greater degree of symptoms.
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Day 1, Cycle 1; Day 1, odd number cycles; and EOT/withdrawal
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Observed Plasma Trough Concentrations (Ctrough) of Sunitinib
Prazo: Predose Day 1, Cycles 1, 2, 3, 4, 5 and 7 and Day 15 of Cycles 1, 2, and 3
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Predose Day 1, Cycles 1, 2, 3, 4, 5 and 7 and Day 15 of Cycles 1, 2, and 3
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Ctrough of SU012662 (Metabolite of Sunitinib)
Prazo: Predose Day 1, Cycles 1, 2, 3, 4, 5 and 7 and Day 15 of Cycles 1, 2, and 3
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Predose Day 1, Cycles 1, 2, 3, 4, 5 and 7 and Day 15 of Cycles 1, 2, and 3
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Ctrough of Total Drug (Sunitinib + SU012662)
Prazo: Predose Day 1, Cycles 1, 2, 3, 4, 5 and 7 and Day 15 of Cycles 1, 2, and 3
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Predose Day 1, Cycles 1, 2, 3, 4, 5 and 7 and Day 15 of Cycles 1, 2, and 3
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Dose-corrected Ctrough of Sunitinib
Prazo: Predose Day 1, Cycles 1, 2, 3, 4, 5 and 7 and Day 15 of Cycles 1, 2, and 3
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Ctrough = plasma concentration of sunitinib prior to study drug administration, dose corrected using the following formula Intended Dose/Actual Dose, where Actual Dose: the dose the participant received over the last 10 consecutive days and Intended Dose: the starting dose per study protocol.
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Predose Day 1, Cycles 1, 2, 3, 4, 5 and 7 and Day 15 of Cycles 1, 2, and 3
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Dose-corrected Ctrough of SU012662 (Metabolite of Sunitinib)
Prazo: Predose Day 1, Cycles 1, 2, 3, 4, 5 and 7 and Day 15 of Cycles 1, 2, and 3
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Ctrough = plasma concentration of SU012662 prior to study drug administration, dose corrected using the following formula Intended Dose/Actual Dose, where Actual Dose: the dose the participant received over the last 10 consecutive days and Intended Dose: the starting dose per study protocol.
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Predose Day 1, Cycles 1, 2, 3, 4, 5 and 7 and Day 15 of Cycles 1, 2, and 3
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Dose-corrected Ctrough of Total Drug (Sunitinib + SU012662)
Prazo: Predose Day 1, Cycles 1, 2, 3, 4, 5 and 7 and Day 15 of Cycles 1, 2, and 3
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Ctrough = plasma concentration of total drug (Sunitinib + SU012662) prior to study drug administration dose corrected using the following formula Intended Dose/Actual Dose, where Actual Dose: the dose the participant received over the last 10 consecutive days and Intended Dose: the starting dose per study protocol.
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Predose Day 1, Cycles 1, 2, 3, 4, 5 and 7 and Day 15 of Cycles 1, 2, and 3
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Plasma Concentration of Soluble Vascular Endothelial Growth Factor Receptor 2 (sVEGFR2)
Prazo: Baseline (Cycle 1, Day 1), Day 1 (Cycles 2, 3, 4, 5, and 7), and EOT/withdrawal
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Plasma concentrations of sVEGFR2 were examined as a potential pharmacodynamic marker
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Baseline (Cycle 1, Day 1), Day 1 (Cycles 2, 3, 4, 5, and 7), and EOT/withdrawal
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Plasma Concentration of Soluble Vascular Endothelial Growth Factor Receptor 3 (sVEGFR3)
Prazo: Baseline (Cycle 1, Day 1), Day 1 (Cycles 2, 3, 4, 5, and 7), and EOT/withdrawal
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Plasma concentrations of sVEGFR3 were examined as a potential pharmacodynamic marker
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Baseline (Cycle 1, Day 1), Day 1 (Cycles 2, 3, 4, 5, and 7), and EOT/withdrawal
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Plasma Concentration of Soluble Vascular Endothelial Growth Factor A (sVEGF-A)
Prazo: Baseline (Cycle 1, Day 1), Day 1 (Cycles 2, 3, 4, 5, and 7), and EOT/withdrawal
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Plasma concentrations of sVEGF-A were examined as a potential pharmacodynamic marker
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Baseline (Cycle 1, Day 1), Day 1 (Cycles 2, 3, 4, 5, and 7), and EOT/withdrawal
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Plasma Concentration of Soluble Placental Growth Factor (sPlGF)
Prazo: Baseline (Cycle 1, Day 1), Day 1 (Cycles 2, 3, 4, 5 and 7), and EOT/withdrawal
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Plasma concentrations of sPlGF were examined as a potential pharmacodynamic marker
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Baseline (Cycle 1, Day 1), Day 1 (Cycles 2, 3, 4, 5 and 7), and EOT/withdrawal
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Plasma Concentration of Soluble Kinase Insert Domain for Tyrosine (sKIT), a Stem Cell Factor Receptor
Prazo: Baseline (Cycle 1, Day 1), Day 1 (Cycles 2, 3, 4, 5 and 7), and EOT/withdrawal
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Plasma concentrations of sKIT were examined as a potential pharmacodynamic marker
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Baseline (Cycle 1, Day 1), Day 1 (Cycles 2, 3, 4, 5 and 7), and EOT/withdrawal
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Circulating Endothelial Cells (CEC)
Prazo: Days 1 and 15 of Cycles 1, 2 and 3, Day 1 of Cycles 4 and 5, and every odd cycle thereafter, and EOT/withdrawal
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Blood samples were collected to enumerate the number of total CECs and sVEGFR1, sVEGFR2 and sVEGFR3 protein expression and/or cellular viability.
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Days 1 and 15 of Cycles 1, 2 and 3, Day 1 of Cycles 4 and 5, and every odd cycle thereafter, and EOT/withdrawal
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Circulating Tumor Cells (CTC)
Prazo: Days 1 and 15 of Cycles 1, 2 and 3, Day 1 of Cycles 4 and 5, and every odd cycle thereafter, and EOT/withdrawal
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Blood samples were collected to enumerate the number of total CTCs and insulin growth factor 1R positive (IGF-1R+) CTCs
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Days 1 and 15 of Cycles 1, 2 and 3, Day 1 of Cycles 4 and 5, and every odd cycle thereafter, and EOT/withdrawal
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Colaboradores e Investigadores
É aqui que você encontrará pessoas e organizações envolvidas com este estudo.
Patrocinador
Publicações e links úteis
A pessoa responsável por inserir informações sobre o estudo fornece voluntariamente essas publicações. Estes podem ser sobre qualquer coisa relacionada ao estudo.
Datas de registro do estudo
Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.
Datas Principais do Estudo
Início do estudo
1 de janeiro de 2006
Conclusão Primária (Real)
1 de maio de 2010
Conclusão do estudo (Real)
1 de junho de 2011
Datas de inscrição no estudo
Enviado pela primeira vez
27 de outubro de 2005
Enviado pela primeira vez que atendeu aos critérios de CQ
27 de outubro de 2005
Primeira postagem (Estimativa)
30 de outubro de 2005
Atualizações de registro de estudo
Última Atualização Postada (Estimativa)
12 de julho de 2012
Última atualização enviada que atendeu aos critérios de controle de qualidade
2 de julho de 2012
Última verificação
1 de julho de 2012
Mais Informações
Termos relacionados a este estudo
Termos MeSH relevantes adicionais
- Doenças de pele
- Neoplasias
- Neoplasias por local
- Doenças da mama
- Neoplasias da Mama
- Efeitos Fisiológicos das Drogas
- Mecanismos Moleculares de Ação Farmacológica
- Inibidores Enzimáticos
- Agentes Antineoplásicos
- Inibidores de angiogênese
- Agentes Moduladores da Angiogênese
- Substâncias de crescimento
- Inibidores de crescimento
- Inibidores de proteína quinase
- Sunitinibe
Outros números de identificação do estudo
- A6181077
Informações sobre medicamentos e dispositivos, documentos de estudo
Estuda um medicamento regulamentado pela FDA dos EUA
Não
Estuda um produto de dispositivo regulamentado pela FDA dos EUA
Não
produto fabricado e exportado dos EUA
Não
Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .