Patients with unresectable and/or metastatic pheochromocytomas/paragangliomas MedDRA version: 14.1 Level: LLT Classification code 10001375 Term: Adrenal neoplasm NOS System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age >=18 years Patients with histological diagnosis of malignant pheochromocytoma or paraganglioma and either evidence of metastases or unresectability Measurable lesions according to RECIST criteria ECOG Performance Status 0-2 Life expectancy of at least 12 weeks Adequate cardiac, hepatic, renal, and bone marrow function Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 44 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 2
Exclusion criteria
Exclusion criteria: Major surgical procedure within 28 days prior to study treatment start Evidence of current central nervous system (CNS) metastases or spinal cord compression. Other malignancies within the last 5 years (other than curatively treated basal cell carcinoma of the skin and/or in situ carcinoma of the cervix, meningiomas) Clinically significant cardiovascular disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the efficacy of Sunitinib in patients with metastatic pheochromocytomas/paragangliomas in terms of PFS;Secondary Objective: The overall survival (OS) and objective response (ORR) according to RECIST Criteria. To characterize the safety profile of Sunitinib To evaluate HIF-1 expression (optional study) To evaluate the effects of treatment with Sunitinib on circulating plasma levels of VEGF and their correlation with the response to treatment (optional study);Primary end point(s): The primary efficacy end point is one year progression free survival (PFS). To test a gain in PFS from 30%, representing insufficient treatment activity, to 50%, which is the therapeutic target, the Simon’s optimal two stage design requires the assessment of 22 patients at stage I and 46 patients at stage II. This according to a 10% Type I and Type II error probability levels.;Timepoint(s) of evaluation of this end point: The primary efficacy end point is one year progression free survival (PFS). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): The overall survival (OS) and objective response rate (ORR) will be considered as secondary end points.;Timepoint(s) of evaluation of this end point: At the end of the study (48 months) | — |
Countries
Italy
Contacts
Fondazione IRCCS Istituto Nazionale Tumori