Thyroid Neoplasms
Conditions
Keywords
VEGFR inhibitor, tyrosine kinase inhibitor, anti-angiogenic, carcinoma, papillary, follicular, medullary, anaplastic
Brief summary
The primary purpose is to determine how effective AG-013736 is in shrinking thyroid cancer that is resistant to radioactive iodine
Detailed description
Additional study details: assess safety and efficacy
Interventions
AG-013736, tablets 5 mg BID , treatment will continue until tumor progression or toxicity
Sponsors
Study design
Eligibility
Inclusion criteria
* Radioiodine-refractory metastatic or unresectable locally-advanced thyroid cancer * At least 1 measurable target lesion, as defined by RECIST
Exclusion criteria
* Thyroid lymphoma * Previous treatment with anti-angiogenesis agents * No myocardial infarction, severe/unstable angina, coronary/peripheral artery bypass graft, symptomatic congestive heart failure, cerebrovascular accident or transient ischemic attack, deep vein thrombosis or pulmonary embolism within 12 months prior.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Objective Response (OR) | Baseline until disease progression or initiation of antitumor therapy or death due to any cause, assessed every 8 weeks up to 28 days after last dose (follow-up) | Percentage of participants with OR based on assessment of confirmed complete response (CR) or confirmed partial response (PR) as per Response Evaluation Criteria in Solid Tumors (RECIST). CR: disappearance of all target/non-target lesions and no appearance of new lesions. PR: at least (\>=)30 percent(%) decrease in sum of the longest dimensions (LDs) of the target lesions (taking as a reference the baseline sum), without progression of non-target lesions and no appearance of new lesions. Confirmed responses: those persist on repeat imaging study \>=4 weeks after initial documentation of response. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Progression Free Survival (PFS) | Baseline until disease progression or initiation of antitumor therapy or death due to any cause, assessed every 8 weeks up to 28 days after last dose (follow-up) | PFS: Time in weeks from the start of study treatment to first documentation of objective disease progression or to death due to any cause, whichever occurred first. PFS was calculated as (first event date minus the date of first dose of study treatment plus 1) divided by 7. Progression is defined using RECIST, as \>=20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD since start of study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions. |
| Duration of Response (DR) | Baseline until disease progression or initiation of antitumor therapy or death due to any cause, assessed every 8 weeks up to 28 days after last dose (follow-up) | Time in weeks from the first documentation of objective tumor response to objective tumor progression or death due to any cause. Duration of tumor response was calculated as (the date of the first documentation of objective tumor progression or death due to any cause 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 participants with a confirmed objective tumor response. |
| Overall Survival (OS) | Baseline to death due to any cause or at least 2 year after the first dose for the last participant | 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 participant current status was death). |
| Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Baseline, Cycle 1 Day 15 (C1D15), C2D1, C2D15, thereafter D1 of each cycle up to 28 days after last dose (follow-up) | Symptom severity score is comprised of average of 13 MDASI core items (pain, fatigue, nausea, disturbed sleep, distressed, shortness of breath, remembering things, lack of appetite, drowsy, dry mouth, sadness, vomiting, numbness or tingling). Participants were asked to rate severity of each symptom at their worst in last 24 hours; each item rated from 0 to 10, with 0 = symptom not present and 10 = as bad as you can imagine. Total average score range: 0 to 10. Lower scores indicated better outcome. |
| Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Baseline, Cycle 1 Day 15 (C1D15), C2D1, C2D15, thereafter D1 of each cycle up to 28 days after last dose (follow-up) | Symptom interference score is comprised of average of 6 function items from MDASI core (general activity, mood, work, relations with others, walking, and enjoyment of life). Participants were asked to rate how much symptoms have interfered in last 24 hours; each item rated from 0 to 10, with 0 = did not interfere and 10 = interfered completely. Total average score range: 0 to 10. Lower scores indicated better outcome. |
Countries
Canada, China, Czechia, India, Italy, Poland, Spain, United Kingdom, United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Axitinib Axitinib (AG-013736) tablet 5 milligram (mg) orally twice daily continuously in 28-day cycles until tumor progression, unmanageable toxicity, or withdrawal of consent occurred. Dose was increased (to 7 mg or 10 mg twice daily) or decreased (to 3 mg or 2 mg twice daily) based on the tolerability. | 52 |
| Total | 52 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Adverse Event | 7 |
| Overall Study | Clinical progression | 1 |
| Overall Study | Death | 4 |
| Overall Study | Global deterioration of health status | 4 |
| Overall Study | Lost to Follow-up | 2 |
| Overall Study | Objective progression or relapse | 26 |
| Overall Study | Ongoing in study A4061008 (NCT00828919) | 2 |
| Overall Study | Physician Decision | 1 |
| Overall Study | Protocol Violation | 1 |
| Overall Study | Withdrawal by Subject | 4 |
Baseline characteristics
| Characteristic | Axitinib |
|---|---|
| Age Continuous | 57.6 years STANDARD_DEVIATION 12.1 |
| Sex: Female, Male Female | 24 Participants |
| Sex: Female, Male Male | 28 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 52 / 52 |
| serious Total, serious adverse events | 22 / 52 |
Outcome results
Percentage of Participants With Objective Response (OR)
Percentage of participants with OR based on assessment of confirmed complete response (CR) or confirmed partial response (PR) as per Response Evaluation Criteria in Solid Tumors (RECIST). CR: disappearance of all target/non-target lesions and no appearance of new lesions. PR: at least (\>=)30 percent(%) decrease in sum of the longest dimensions (LDs) of the target lesions (taking as a reference the baseline sum), without progression of non-target lesions and no appearance of new lesions. Confirmed responses: those persist on repeat imaging study \>=4 weeks after initial documentation of response.
Time frame: Baseline until disease progression or initiation of antitumor therapy or death due to any cause, assessed every 8 weeks up to 28 days after last dose (follow-up)
Population: Intent-to-Treat (ITT) population included all participants who were enrolled in the study and received at least 1 dose of study treatment.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Axitinib | Percentage of Participants With Objective Response (OR) | 34.6 percentage of participants |
Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score
Symptom interference score is comprised of average of 6 function items from MDASI core (general activity, mood, work, relations with others, walking, and enjoyment of life). Participants were asked to rate how much symptoms have interfered in last 24 hours; each item rated from 0 to 10, with 0 = did not interfere and 10 = interfered completely. Total average score range: 0 to 10. Lower scores indicated better outcome.
Time frame: Baseline, Cycle 1 Day 15 (C1D15), C2D1, C2D15, thereafter D1 of each cycle up to 28 days after last dose (follow-up)
Population: ITT population included all participants who were enrolled in the study and received at least 1 dose of study treatment. Here 'N' (number of participants analyzed) signifies participants who were evaluable for this measure and 'n' signifies participants evaluable at each time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Baseline (n= 48) | 2.24 units on a scale | Standard Deviation 2.193 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C1D15 (n= 40) | -0.05 units on a scale | Standard Deviation 2.161 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C2D1 (n= 41) | 0.28 units on a scale | Standard Deviation 2.763 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C2D15 (n= 36) | 0.67 units on a scale | Standard Deviation 2.403 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C3D1 (n= 42) | 0.46 units on a scale | Standard Deviation 2.669 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C4D1 (n= 37) | 0.47 units on a scale | Standard Deviation 2.311 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C5D1 (n= 36) | 0.50 units on a scale | Standard Deviation 2.377 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C6D1 (n= 36) | 0.65 units on a scale | Standard Deviation 2.605 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C7D1 (n= 29) | 0.19 units on a scale | Standard Deviation 2.386 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C8D1 (n= 28) | 0.22 units on a scale | Standard Deviation 2.242 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C9D1 (n= 27) | 0.46 units on a scale | Standard Deviation 2.45 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C10D1 (n= 25) | 0.35 units on a scale | Standard Deviation 2.386 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C11D1 (n= 25) | 0.51 units on a scale | Standard Deviation 2.784 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C12D1 (n= 23) | 0.32 units on a scale | Standard Deviation 2.593 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C13D1 (n= 24) | 0.42 units on a scale | Standard Deviation 2.346 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C14D1 (n= 24) | 0.42 units on a scale | Standard Deviation 2.624 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C15D1 (n= 24) | 0.69 units on a scale | Standard Deviation 2.902 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C16D1 (n= 23) | 0.73 units on a scale | Standard Deviation 3.179 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C17D1 (n= 20) | 0.26 units on a scale | Standard Deviation 2.92 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C18D1 (n= 20) | 0.35 units on a scale | Standard Deviation 2.638 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C19D1 (n= 18) | -0.18 units on a scale | Standard Deviation 2.497 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C20D1 (n= 15) | 0.30 units on a scale | Standard Deviation 2.124 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C21D1 (n= 15) | 0.50 units on a scale | Standard Deviation 1.954 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C22D1 (n= 14) | 0.32 units on a scale | Standard Deviation 1.979 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C23D1 (n= 14) | 0.95 units on a scale | Standard Deviation 1.615 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C24D1 (n= 11) | 0.77 units on a scale | Standard Deviation 1.844 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C25D1 (n= 11) | 0.65 units on a scale | Standard Deviation 1.699 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C26D1 (n= 9) | 1.04 units on a scale | Standard Deviation 1.681 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C27D1 (n= 9) | 0.81 units on a scale | Standard Deviation 2.463 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C28D1 (n= 28) | 0.67 units on a scale | Standard Deviation 1.956 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C29D1 (n= 29) | 0.88 units on a scale | Standard Deviation 1.926 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C30D1 (n= 30) | 1.03 units on a scale | Standard Deviation 1.846 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C31D1 (n= 9) | 1.19 units on a scale | Standard Deviation 1.91 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C32D1 (n= 9) | 1.52 units on a scale | Standard Deviation 1.87 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C33D1 (n= 9) | 1.07 units on a scale | Standard Deviation 1.972 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C34D1 (n= 8) | 1.81 units on a scale | Standard Deviation 1.846 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C35D1 (n= 6) | 1.17 units on a scale | Standard Deviation 1.517 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C36D1 (n= 6) | 0.97 units on a scale | Standard Deviation 1.572 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C37D1 (n= 5) | 1.40 units on a scale | Standard Deviation 1.782 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C38D1 (n= 5) | 1.23 units on a scale | Standard Deviation 1.521 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C39D1 (n= 5) | 1.50 units on a scale | Standard Deviation 1.453 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C40D1 (n= 5) | 1.83 units on a scale | Standard Deviation 1.889 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C41D1 (n= 5) | 1.53 units on a scale | Standard Deviation 1.746 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C42D1 (n= 5) | 1.67 units on a scale | Standard Deviation 1.637 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C43D1 (n= 5) | 1.31 units on a scale | Standard Deviation 1.267 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C44D1 (n= 5) | 1.34 units on a scale | Standard Deviation 1.345 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C45D1 (n= 4) | 1.50 units on a scale | Standard Deviation 1.694 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C46D1 (n= 4) | 2.17 units on a scale | Standard Deviation 2.113 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C47D1 (n= 4) | 1.63 units on a scale | Standard Deviation 1.95 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C48D1 (n= 3) | 2.00 units on a scale | Standard Deviation 1.041 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C49D1 (n= 3) | 2.56 units on a scale | Standard Deviation 1.798 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C50D1 (n= 3) | 0.22 units on a scale | Standard Deviation 1.206 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C51D1 (n= 3) | 2.44 units on a scale | Standard Deviation 1.251 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C52D1 (n= 1) | 3.33 units on a scale | — |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C53D1 (n= 1) | 3.33 units on a scale | — |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C54D1 (n= 1) | 3.33 units on a scale | — |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C55D1 (n= 1) | 3.50 units on a scale | — |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C56D1 (n= 1) | 3.50 units on a scale | — |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C57D1 (n= 1) | 4.50 units on a scale | — |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C58D1 (n= 1) | 3.67 units on a scale | — |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C59D1 (n= 1) | 3.33 units on a scale | — |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C60D1 (n= 1) | 4.83 units on a scale | — |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C61D1 (n= 1) | 3.33 units on a scale | — |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at C62D1 (n= 1) | 4.00 units on a scale | — |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Interference Score | Change at follow-up (n= 12) | 0.32 units on a scale | Standard Deviation 2.396 |
Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score
Symptom severity score is comprised of average of 13 MDASI core items (pain, fatigue, nausea, disturbed sleep, distressed, shortness of breath, remembering things, lack of appetite, drowsy, dry mouth, sadness, vomiting, numbness or tingling). Participants were asked to rate severity of each symptom at their worst in last 24 hours; each item rated from 0 to 10, with 0 = symptom not present and 10 = as bad as you can imagine. Total average score range: 0 to 10. Lower scores indicated better outcome.
Time frame: Baseline, Cycle 1 Day 15 (C1D15), C2D1, C2D15, thereafter D1 of each cycle up to 28 days after last dose (follow-up)
Population: ITT population included all participants who were enrolled in the study and received at least 1 dose of study treatment. Here 'N' (number of participants analyzed) signifies participants who were evaluable for this measure and 'n' signifies participants evaluable at each time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Baseline (n= 49) | 1.66 units on a scale | Standard Deviation 1.301 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C1D15 (n= 40) | 0.18 units on a scale | Standard Deviation 1.158 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C2D1 (n= 42) | 0.43 units on a scale | Standard Deviation 1.274 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C2D15 (n= 37) | 0.52 units on a scale | Standard Deviation 1.407 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C3D1 (n= 43) | 0.53 units on a scale | Standard Deviation 1.602 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C4D1 (n= 39) | 0.58 units on a scale | Standard Deviation 1.199 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C5D1 (n= 36) | 0.69 units on a scale | Standard Deviation 1.55 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C6D1 (n= 36) | 0.53 units on a scale | Standard Deviation 1.484 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C7D1 (n= 29) | 0.40 units on a scale | Standard Deviation 1.344 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C8D1 (n= 28) | 0.44 units on a scale | Standard Deviation 1.395 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C9D1 (n= 27) | 0.56 units on a scale | Standard Deviation 1.516 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C10D1 (n= 25) | 0.59 units on a scale | Standard Deviation 1.494 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C11D1 (n= 25) | 0.63 units on a scale | Standard Deviation 1.669 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C12D1 (n= 24) | 0.59 units on a scale | Standard Deviation 1.584 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C13D1 (n= 24) | 0.60 units on a scale | Standard Deviation 1.281 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C14D1 (n= 24) | 0.59 units on a scale | Standard Deviation 1.476 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C15D1 (n= 24) | 0.76 units on a scale | Standard Deviation 1.654 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C16D1 (n= 23) | 0.81 units on a scale | Standard Deviation 1.911 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C17D1 (n= 20) | 0.73 units on a scale | Standard Deviation 1.816 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C18D1 (n= 20) | 0.60 units on a scale | Standard Deviation 1.729 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C19D1 (n= 18) | 0.40 units on a scale | Standard Deviation 1.201 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C20D1 (n= 16) | 0.50 units on a scale | Standard Deviation 0.864 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C21D1 (n= 16) | 0.84 units on a scale | Standard Deviation 1.094 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C22D1 (n= 15) | 0.61 units on a scale | Standard Deviation 0.97 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C23D1 (n= 14) | 0.87 units on a scale | Standard Deviation 1.086 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C24D1 (n= 11) | 1.05 units on a scale | Standard Deviation 0.99 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C25D1 (n= 11) | 0.87 units on a scale | Standard Deviation 1.016 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C26D1 (n= 9) | 1.15 units on a scale | Standard Deviation 0.96 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C27D1 (n= 9) | 1.19 units on a scale | Standard Deviation 1.244 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C28D1 (n= 10) | 0.95 units on a scale | Standard Deviation 1.291 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C29D1 (n= 10) | 0.98 units on a scale | Standard Deviation 1.08 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C30D1 (n= 10) | 1.03 units on a scale | Standard Deviation 0.97 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C31D1 (n= 9) | 1.14 units on a scale | Standard Deviation 1.1 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C32D1 (n= 9) | 1.44 units on a scale | Standard Deviation 1.058 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C33D1 (n= 9) | 1.32 units on a scale | Standard Deviation 1.233 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C34D1 (n= 8) | 1.54 units on a scale | Standard Deviation 1.366 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C35D1 (n= 6) | 1.29 units on a scale | Standard Deviation 1.233 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C36D1 (n= 6) | 1.27 units on a scale | Standard Deviation 1.61 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C37D1 (n= 5) | 1.48 units on a scale | Standard Deviation 1.347 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C38D1 (n= 5) | 1.27 units on a scale | Standard Deviation 1.117 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C39D1 (n= 5) | 1.49 units on a scale | Standard Deviation 1.288 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C40D1 (n= 5) | 1.47 units on a scale | Standard Deviation 1.176 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C41D1 (n= 5) | 1.48 units on a scale | Standard Deviation 1.267 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C42D1 (n= 5) | 1.59 units on a scale | Standard Deviation 1.312 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C43D1 (n= 5) | 1.59 units on a scale | Standard Deviation 1.259 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C44D1 (n= 5) | 1.42 units on a scale | Standard Deviation 1.258 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C45D1 (n= 4) | 1.49 units on a scale | Standard Deviation 1.349 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C46D1 (n= 4) | 1.73 units on a scale | Standard Deviation 1.425 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C47D1 (n= 4) | 1.70 units on a scale | Standard Deviation 1.543 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C48D1 (n= 3) | 1.90 units on a scale | Standard Deviation 1.377 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C49D1 (n= 3) | 2.26 units on a scale | Standard Deviation 1.554 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C50D1 (n= 3) | 2.38 units on a scale | Standard Deviation 1.425 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C51D1 (n= 3) | 2.46 units on a scale | Standard Deviation 1.533 |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C52D1 (n= 1) | 3.38 units on a scale | — |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C53D1 (n= 1) | 3.54 units on a scale | — |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C54D1 (n= 1) | 3.00 units on a scale | — |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C55D1 (n= 1) | 3.38 units on a scale | — |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C56D1 (n= 1) | 3.15 units on a scale | — |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C57D1 (n= 1) | 3.62 units on a scale | — |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C58D1 (n= 1) | 3.23 units on a scale | — |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C59D1 (n= 1) | 3.08 units on a scale | — |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C60D1 (n= 1) | 3.85 units on a scale | — |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C61D1 (n= 1) | 3.31 units on a scale | — |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at C62D1 (n= 1) | 3.46 units on a scale | — |
| Axitinib | Change From Baseline in MD Anderson Symptom Assessment Inventory (MDASI) Symptom Severity Score | Change at follow-up (n= 12) | 0.37 units on a scale | Standard Deviation 0.939 |
Duration of Response (DR)
Time in weeks from the first documentation of objective tumor response to objective tumor progression or death due to any cause. Duration of tumor response was calculated as (the date of the first documentation of objective tumor progression or death due to any cause 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 participants with a confirmed objective tumor response.
Time frame: Baseline until disease progression or initiation of antitumor therapy or death due to any cause, assessed every 8 weeks up to 28 days after last dose (follow-up)
Population: Subgroup of participants from the ITT population, with a confirmed objective tumor response (CR or PR).
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Axitinib | Duration of Response (DR) | 74.71 weeks |
Overall Survival (OS)
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 participant current status was death).
Time frame: Baseline to death due to any cause or at least 2 year after the first dose for the last participant
Population: ITT population included all participants who were enrolled in the study and received at least 1 dose of study treatment.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Axitinib | Overall Survival (OS) | 118.43 weeks |
Progression Free Survival (PFS)
PFS: Time in weeks from the start of study treatment to first documentation of objective disease progression or to death due to any cause, whichever occurred first. PFS was calculated as (first event date minus the date of first dose of study treatment plus 1) divided by 7. Progression is defined using RECIST, as \>=20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD since start of study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions.
Time frame: Baseline until disease progression or initiation of antitumor therapy or death due to any cause, assessed every 8 weeks up to 28 days after last dose (follow-up)
Population: ITT population included all participants who were enrolled in the study and received at least 1 dose of study treatment.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Axitinib | Progression Free Survival (PFS) | 70.14 weeks |