Breast Neoplasms
Conditions
Keywords
Metastatic Breast Cancer
Brief summary
Patients with advanced breast cancer to receive sunitinib (Sutent) once daily until disease progression.
Interventions
sunitinib (Sutent), 37.5 mg, daily dosing
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically or cytologically proven diagnosis of breast cancer * Metastatic or locally recurrent disease that is, in the opinion of the investigator, not amenable to resection or radiation therapy * Patients with at least one measurable lesion as per RECIST
Exclusion criteria
* Inflammatory breast cancer * Prior treatment with VEGF inhibitors (unless in adjuvant setting at least 12 months ago)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Objective Response | Baseline, Week 9, and every 8 weeks up to Month 34 | Number of participants with objective response based assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). CR defined as disappearance of all target lesions. PR defined as a greater than or equal to 30 percent (≥30%) decrease in sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Objective Response of Superficial Lesions | Baseline, every 4 weeks up to Month 34 | Number of participants with objective response based assessment of confirmed CR or PR of superficial lesions according to RECIST. Superficial lesions included skin lesions, chest wall lesions, and breast lesions and lymph nodes if followed up by physical examination. |
| Progression-Free Survival (PFS) | Baseline up to Month 34 | Time from date of randomization to date of first documentation of objective tumor progression or death due to any cause, whichever occurred first. PFS calculated as (Months)=(first event date minus randomization date plus 1) divided by 30.4. |
| Duration of Response (DR) | Baseline up to Month 34 or early termination | Time from first objective documentation of complete or partial response that was subsequently confirmed to first documentation of disease progression or death due to any cause, whichever occurred first. DR calculated as (Weeks)=(end date for DR minus first subsequent confirmed CR or PR plus 1) divided by 7. |
| Overall Survival (OS) | Baseline until death (up to Month 34) | Time from randomization to date of death due to any cause. OS (Months)=(death date minus date of first dose of study medication plus 1) divided by 30.4. For participants who were alive, overall survival was censored at last contact. |
| Number of Participants With Objective Response for Subgroup of Participants Whom Sunitinib Was at Least a Third Line Therapy | Baseline, Week 9, and every 8 weeks up to Month 34 | Number of participants with objective response based assessment of confirmed CR or PR according to RECIST. CR defined as disappearance of all target lesions. PR defined as ≥30% decrease in sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions. |
| Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionaire-C30 (EORTC- QLQ-C30) Score | Baseline, every 4 weeks up to Month 31 or early termination | EORTC QLQ-C30: included functional scales (physical, role, cognitive, emotional, and social), global health status, symptom scales (fatigue, pain, nausea/vomiting), and single items (dyspnoea, appetite loss, insomnia, constipation/diarrhea, and financial difficulties). Most questions used 4-point scale (1 'Not at All' to 4 'Very Much'); 2 questions used 7-point scale (1 'Very Poor' to 7 'Excellent'). Scores averaged, transformed to 0-100 scale; higher score=better level of functioning or greater degree of symptoms. Change from baseline=Cycle/Day score minus baseline score. |
| Change From Baseline in EORTC-QLQ Companion Breast Cancer Module (EORTC-QLQ-BR23) Score: Body Image | Baseline, every 4 weeks up to Month 31 or early termination | EORTC-QLQ-BR23: included functional scales (body image, sexual functioning, sexual enjoyment, and future perspective) and single item symptoms scales (systemic therapy side effects, breast symptoms, arm symptoms, and upset by hair loss). Questions used 4-point Likert scale (1 'Not at All' to 4 'Very Much'). Scores averaged and transformed to 0-100 scale. High score for functional scale=high/healthy level of functioning. High score for single item=high level of symptomatology/problems. Change from baseline=Cycle/Day score minus baseline score. |
| Change From Baseline in EORTC-QLQ-BR23 Score: Future Perspective | Baseline, every 4 weeks up to Month 31 or early termination | EORTC-QLQ-BR23: included functional scales (body image, sexual functioning, sexual enjoyment, and future perspective) and single item symptoms scales (systemic therapy side effects, breast symptoms, arm symptoms, and upset by hair loss). Questions used 4-point Likert scale (1 'Not at All' to 4 'Very Much'). Scores averaged and transformed to 0-100 scale. High score for functional scale=high/healthy level of functioning. High score for single item=high level of symptomatology/problems. Change from baseline=Cycle/Day score minus baseline score. |
| Change From Baseline in EORTC-QLQ-BR23 Score: Sexual Enjoyment | Baseline, every 4 weeks up to Month 31 or early termination | EORTC-QLQ-BR23: included functional scales (body image, sexual functioning, sexual enjoyment, and future perspective) and single item symptoms scales (systemic therapy side effects, breast symptoms, arm symptoms, and upset by hair loss). Questions used 4-point Likert scale (1 'Not at All' to 4 'Very Much'). Scores averaged and transformed to 0-100 scale. High score for functional scale=high/healthy level of functioning. High score for single item=high level of symptomatology/problems. Change from baseline=Cycle/Day score minus baseline score. |
| Number of Participants With Clinical Benefit | Baseline, Week 9, and every 8 weeks up to Month 34 | The sum of participants with confirmed CR, PR, and stable disease (SD) greater than (\>) 6 months according to RECIST. SD defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease, taking as reference smallest sum of longest dimensions since treatment started. |
| Change From Baseline in EORTC-QLQ-BR23 Score: Arm Symptoms | Baseline, every 4 weeks up to Month 31 or early termination | EORTC-QLQ-BR23: included functional scales (body image, sexual functioning, sexual enjoyment, and future perspective) and single item symptoms scales (systemic therapy side effects, breast symptoms, arm symptoms, and upset by hair loss). Questions used 4-point Likert scale (1 'Not at All' to 4 'Very Much'). Scores averaged and transformed to 0-100 scale. High score for functional scale=high/healthy level of functioning. High score for single item=high level of symptomatology/problems. Change from baseline=Cycle/Day score minus baseline score. |
| Change From Baseline in EORTC-QLQ-BR23 Score: Breast Symptoms | Baseline, every 4 weeks up to Month 31 or early termination | EORTC-QLQ-BR23: included functional scales (body image, sexual functioning, sexual enjoyment, and future perspective) and single item symptoms scales (systemic therapy side effects, breast symptoms, arm symptoms, and upset by hair loss). Questions used 4-point Likert scale (1 'Not at All' to 4 'Very Much'). Scores averaged and transformed to 0-100 scale. High score for functional scale=high/healthy level of functioning. High score for single item=high level of symptomatology/problems. Change from baseline=Cycle/Day score minus baseline score. |
| Change From Baseline in EORTC-QLQ-BR23 Score: Systemic Therapy Side Effects | Baseline, every 4 weeks up to Month 31 or early termination | EORTC-QLQ-BR23: included functional scales (body image, sexual functioning, sexual enjoyment, and future perspective) and single item symptoms scales (systemic therapy side effects, breast symptoms, arm symptoms, and upset by hair loss). Questions used 4-point Likert scale (1 'Not at All' to 4 'Very Much'). Scores averaged and transformed to 0-100 scale. High score for functional scale=high/healthy level of functioning. High score for single item=high level of symptomatology/problems. Change from baseline=Cycle/Day score minus baseline score. |
| Change From Baseline in EORTC-QLQ-BR23 Score: Upset by Hair Loss | Baseline, every 4 weeks up to Month 31 or early termination | EORTC-QLQ-BR23: included functional scales (body image, sexual functioning, sexual enjoyment, and future perspective) and single item symptoms scales (systemic therapy side effects, breast symptoms, arm symptoms, and upset by hair loss). Questions used 4-point Likert scale (1 'Not at All' to 4 'Very Much'). Scores averaged and transformed to 0-100 scale. High score for functional scale=high/healthy level of functioning. High score for single item=high level of symptomatology/problems. Change from baseline=Cycle/Day score minus baseline score. |
| Change From Baseline in Cancer Therapy Satisfaction Questionnaire (CTSQ) Score: Expectation of Therapy | Baseline, Day 15, Week 4 and 8, and every 8 weeks up to Month 36 or early termination | CTSQ: included 3 multi-item subscales (Expectation of Therapy \[ET\], Satisfaction with Therapy \[SWT\], and Feelings about Side Effects \[FSE\]). Questions used 5-point scale from 1 'Never' to 5 'Always'. Scores averaged and transformed to 0-100 scale, with higher scores associated with better outcomes. Change from baseline=score for Cycle/Day minus baseline score. |
| Change From Baseline in CTSQ Score: Feelings About Side Effects | Baseline, Day 15, Week 4 and 8, and every 8 weeks up to Month 36 or early termination | CTSQ: included 3 multi-item subscales (Expectation of Therapy \[ET\], Satisfaction with Therapy \[SWT\], and Feelings about Side Effects \[FSE\]). Questions used 5-point scale from 1 'Never' to 5 'Always'. Scores averaged and transformed to 0-100 scale, with higher scores associated with better outcomes. Change from baseline=score for Cycle/Day minus baseline score. |
| Change From Baseline in CTSQ Score: Satisfaction With Therapy | Baseline, Day 15, Week 4 and 8, and every 8 weeks up to Month 36 or early termination | CTSQ: included 3 multi-item subscales (Expectation of Therapy \[ET\], Satisfaction with Therapy \[SWT\], and Feelings about Side Effects \[FSE\]). Questions used 5-point scale from 1 'Never' to 5 'Always'. Scores averaged and transformed to 0-100 scale, with higher scores associated with better outcomes. Change from baseline=score for Cycle/Day minus baseline score. |
| Change From Baseline in EORTC-QLQ-BR23 Score: Sexual Functioning | Baseline, every 4 weeks up to Month 31 or early termination | EORTC-QLQ-BR23: included functional scales (body image, sexual functioning, sexual enjoyment, and future perspective) and single item symptoms scales (systemic therapy side effects, breast symptoms, arm symptoms, and upset by hair loss). Questions used 4-point Likert scale (1 'Not at All' to 4 'Very Much'). Scores averaged and transformed to 0-100 scale. High score for functional scale=high/healthy level of functioning. High score for single item=high level of symptomatology/problems. Change from baseline=Cycle/Day score minus baseline score. |
Other
| Measure | Time frame | Description |
|---|---|---|
| 1-Year Survival Probability | Baseline up to 1 year | Probability of survival 1 year after the first dose of study treatment. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Sunitinib Sunitinib 37.5 milligrams (mg) daily by oral capsule in continuous daily dose (CDD) schedule. Dose adjustments, if needed, included a reduction to 25mg daily or escalation to 50mg daily anytime after Week 12. | 83 |
| Total | 83 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Adverse Event | 16 |
| Overall Study | Death | 2 |
| Overall Study | Global deterioration of health status | 1 |
| Overall Study | Objective progression or relapse | 54 |
| Overall Study | Other | 3 |
| Overall Study | Protocol Violation | 1 |
| Overall Study | Refused treatment | 6 |
Baseline characteristics
| Characteristic | Sunitinib |
|---|---|
| Age Continuous | 57.5 Years STANDARD_DEVIATION 10.9 |
| Sex: Female, Male Female | 83 Participants |
| Sex: Female, Male Male | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 83 / 83 |
| serious Total, serious adverse events | 13 / 83 |
Outcome results
Number of Participants With Objective Response
Number of participants with objective response based assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). CR defined as disappearance of all target lesions. PR defined as a greater than or equal to 30 percent (≥30%) decrease in sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions.
Time frame: Baseline, Week 9, and every 8 weeks up to Month 34
Population: Intent to Treat (ITT) population: all enrolled participants
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Sunitinib | Number of Participants With Objective Response | 7 Participants |
Change From Baseline in Cancer Therapy Satisfaction Questionnaire (CTSQ) Score: Expectation of Therapy
CTSQ: included 3 multi-item subscales (Expectation of Therapy \[ET\], Satisfaction with Therapy \[SWT\], and Feelings about Side Effects \[FSE\]). Questions used 5-point scale from 1 'Never' to 5 'Always'. Scores averaged and transformed to 0-100 scale, with higher scores associated with better outcomes. Change from baseline=score for Cycle/Day minus baseline score.
Time frame: Baseline, Day 15, Week 4 and 8, and every 8 weeks up to Month 36 or early termination
Population: ITT; N=participants with baseline CTSQ data and data on any cycle/day; n=participants with baseline CTSQ data and data at corresponding cycle/day. Cycle 1 Day 15 measurements only for subset of participants with loco-regional superficial disease. Results reported for Cycles 1, 2, 3, 5 and 7 only, because (n) decreased substantially after Cycle 7.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Sunitinib | Change From Baseline in Cancer Therapy Satisfaction Questionnaire (CTSQ) Score: Expectation of Therapy | Baseline (Cycle 1/Day 1) (n=59) | 70.00 Units on a scale |
| Sunitinib | Change From Baseline in Cancer Therapy Satisfaction Questionnaire (CTSQ) Score: Expectation of Therapy | Cycle 1/Day 15 (n=2) | 20.00 Units on a scale |
| Sunitinib | Change From Baseline in Cancer Therapy Satisfaction Questionnaire (CTSQ) Score: Expectation of Therapy | Week 4 (Cycle 2/Day 1) (n=48) | 0.00 Units on a scale |
| Sunitinib | Change From Baseline in Cancer Therapy Satisfaction Questionnaire (CTSQ) Score: Expectation of Therapy | Week 8 (Cycle 3/Day 1) (n=31) | 5.00 Units on a scale |
| Sunitinib | Change From Baseline in Cancer Therapy Satisfaction Questionnaire (CTSQ) Score: Expectation of Therapy | Month 4 (Cycle 5/Day 1) (n=11) | 5.00 Units on a scale |
| Sunitinib | Change From Baseline in Cancer Therapy Satisfaction Questionnaire (CTSQ) Score: Expectation of Therapy | Month 6 (Cycle 7/Day 1) (n=2) | 17.50 Units on a scale |
Change From Baseline in CTSQ Score: Feelings About Side Effects
CTSQ: included 3 multi-item subscales (Expectation of Therapy \[ET\], Satisfaction with Therapy \[SWT\], and Feelings about Side Effects \[FSE\]). Questions used 5-point scale from 1 'Never' to 5 'Always'. Scores averaged and transformed to 0-100 scale, with higher scores associated with better outcomes. Change from baseline=score for Cycle/Day minus baseline score.
Time frame: Baseline, Day 15, Week 4 and 8, and every 8 weeks up to Month 36 or early termination
Population: ITT; N=participants with baseline CTSQ data and data on any cycle/day; n=participants with baseline CTSQ data and data at corresponding cycle/day. Cycle 1 Day 15 measurements only for subset of participants with loco-regional superficial disease. Results reported for Cycles 1, 2, 3, 5 and 7 only, because (n) decreased substantially after Cycle 7.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Sunitinib | Change From Baseline in CTSQ Score: Feelings About Side Effects | Cycle 1/Day 15 (n=2) | 3.13 Units on a scale |
| Sunitinib | Change From Baseline in CTSQ Score: Feelings About Side Effects | Week 4 (Cycle 2/Day 1) (n=47) | 0.00 Units on a scale |
| Sunitinib | Change From Baseline in CTSQ Score: Feelings About Side Effects | Week 8 (Cycle 3/Day 1) (n=31) | 0.00 Units on a scale |
| Sunitinib | Change From Baseline in CTSQ Score: Feelings About Side Effects | Month 4 (Cycle 5/Day 1) (n=12) | 0.00 Units on a scale |
| Sunitinib | Change From Baseline in CTSQ Score: Feelings About Side Effects | Month 6 (Cycle 7/Day 1) (n=2) | -6.25 Units on a scale |
| Sunitinib | Change From Baseline in CTSQ Score: Feelings About Side Effects | Baseline (Cycle 1/Day 1) (n=58) | 62.50 Units on a scale |
Change From Baseline in CTSQ Score: Satisfaction With Therapy
CTSQ: included 3 multi-item subscales (Expectation of Therapy \[ET\], Satisfaction with Therapy \[SWT\], and Feelings about Side Effects \[FSE\]). Questions used 5-point scale from 1 'Never' to 5 'Always'. Scores averaged and transformed to 0-100 scale, with higher scores associated with better outcomes. Change from baseline=score for Cycle/Day minus baseline score.
Time frame: Baseline, Day 15, Week 4 and 8, and every 8 weeks up to Month 36 or early termination
Population: ITT; N=participants with baseline CTSQ data and data on any cycle/day; n=participants with baseline CTSQ data and data at corresponding cycle/day. Cycle 1 Day 15 measurements only for subset of participants with loco-regional superficial disease. Results reported for Cycles 1, 2, 3, 5 and 7 only, because (n) decreased substantially after Cycle 7.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Sunitinib | Change From Baseline in CTSQ Score: Satisfaction With Therapy | Cycle 1/Day 15 (n=2) | 8.93 Units on a scale |
| Sunitinib | Change From Baseline in CTSQ Score: Satisfaction With Therapy | Week 4 (Cycle 2/Day 1) (n=48) | 10.71 Units on a scale |
| Sunitinib | Change From Baseline in CTSQ Score: Satisfaction With Therapy | Week 8 (Cycle 3/Day 1) (n=31) | 7.14 Units on a scale |
| Sunitinib | Change From Baseline in CTSQ Score: Satisfaction With Therapy | Month 4 (Cycle 5/Day 1) (n=12) | 11.79 Units on a scale |
| Sunitinib | Change From Baseline in CTSQ Score: Satisfaction With Therapy | Month 6 (Cycle 7/Day 1) (n=2) | -1.79 Units on a scale |
| Sunitinib | Change From Baseline in CTSQ Score: Satisfaction With Therapy | Baseline (Cycle 1/Day 1) (n=59) | 71.43 Units on a scale |
Change From Baseline in EORTC-QLQ-BR23 Score: Arm Symptoms
EORTC-QLQ-BR23: included functional scales (body image, sexual functioning, sexual enjoyment, and future perspective) and single item symptoms scales (systemic therapy side effects, breast symptoms, arm symptoms, and upset by hair loss). Questions used 4-point Likert scale (1 'Not at All' to 4 'Very Much'). Scores averaged and transformed to 0-100 scale. High score for functional scale=high/healthy level of functioning. High score for single item=high level of symptomatology/problems. Change from baseline=Cycle/Day score minus baseline score.
Time frame: Baseline, every 4 weeks up to Month 31 or early termination
Population: ITT; N=participants who completed the scales at both baseline and any cycle; n=number of participants who completed the scales at both baseline and the respective cycle. Results reported for Cycles 1 through 6 only, because (n) decreased substantially after Cycle 6.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Arm Symptoms | Week 4 (Cycle 2/Day 1) (n=62) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Arm Symptoms | Month 2 (Cycle 3/Day 1) (n=40) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Arm Symptoms | Month 3 (Cycle 4/Day 1) (n=30) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Arm Symptoms | Month 4 (Cycle 5/Day 1) (n=17) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Arm Symptoms | Month 5 (Cycle 6/Day 1) (n=14) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Arm Symptoms | Baseline (Cycle 1/Day 1) (n=77) | 11.1 Units on a scale |
Change From Baseline in EORTC-QLQ-BR23 Score: Breast Symptoms
EORTC-QLQ-BR23: included functional scales (body image, sexual functioning, sexual enjoyment, and future perspective) and single item symptoms scales (systemic therapy side effects, breast symptoms, arm symptoms, and upset by hair loss). Questions used 4-point Likert scale (1 'Not at All' to 4 'Very Much'). Scores averaged and transformed to 0-100 scale. High score for functional scale=high/healthy level of functioning. High score for single item=high level of symptomatology/problems. Change from baseline=Cycle/Day score minus baseline score.
Time frame: Baseline, every 4 weeks up to Month 31 or early termination
Population: ITT; N=participants who completed the scales at both baseline and any cycle; n=number of participants who completed the scales at both baseline and the respective cycle. Results reported for Cycles 1 through 6 only, because (n) decreased substantially after Cycle 6.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Breast Symptoms | Week 4 (Cycle 2/Day 1) (n=61) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Breast Symptoms | Month 2 (Cycle 3/Day 1) (n=39) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Breast Symptoms | Month 3 (Cycle 4/Day 1) (n=30) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Breast Symptoms | Month 4 (Cycle 5/Day 1) (n=17) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Breast Symptoms | Month 5 (Cycle 6/Day 1) (n=14) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Breast Symptoms | Baseline (Cycle 1/Day 1) (n=76) | 8.3 Units on a scale |
Change From Baseline in EORTC-QLQ-BR23 Score: Future Perspective
EORTC-QLQ-BR23: included functional scales (body image, sexual functioning, sexual enjoyment, and future perspective) and single item symptoms scales (systemic therapy side effects, breast symptoms, arm symptoms, and upset by hair loss). Questions used 4-point Likert scale (1 'Not at All' to 4 'Very Much'). Scores averaged and transformed to 0-100 scale. High score for functional scale=high/healthy level of functioning. High score for single item=high level of symptomatology/problems. Change from baseline=Cycle/Day score minus baseline score.
Time frame: Baseline, every 4 weeks up to Month 31 or early termination
Population: ITT; N=participants who completed the scales at both baseline and any cycle; n=number of participants who completed the scales at both baseline and the respective cycle. Results reported for Cycles 1 through 6 only, because (n) decreased substantially after Cycle 6.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Future Perspective | Week 4 (Cycle 2/Day 1) (n=59) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Future Perspective | Month 2 (Cycle 3/Day 1) (n=38) | -33.3 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Future Perspective | Month 3 (Cycle 4/Day 1) (n=29) | -33.3 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Future Perspective | Month 4 (Cycle 5/Day 1) (n=17) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Future Perspective | Month 5 (Cycle 6/Day 1) (n=14) | -16.7 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Future Perspective | Baseline (Cycle 1/Day 1) (n=76) | 66.7 Units on a scale |
Change From Baseline in EORTC-QLQ-BR23 Score: Sexual Enjoyment
EORTC-QLQ-BR23: included functional scales (body image, sexual functioning, sexual enjoyment, and future perspective) and single item symptoms scales (systemic therapy side effects, breast symptoms, arm symptoms, and upset by hair loss). Questions used 4-point Likert scale (1 'Not at All' to 4 'Very Much'). Scores averaged and transformed to 0-100 scale. High score for functional scale=high/healthy level of functioning. High score for single item=high level of symptomatology/problems. Change from baseline=Cycle/Day score minus baseline score.
Time frame: Baseline, every 4 weeks up to Month 31 or early termination
Population: ITT; N=participants who completed the scales at both baseline and any cycle; n=number of participants who completed the scales at both baseline and the respective cycle. Results reported for Cycles 1 through 6 only, because (n) decreased substantially after Cycle 6.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Sexual Enjoyment | Week 4 (Cycle 2/Day 1) (n=17) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Sexual Enjoyment | Month 2 (Cycle 3/Day 1) (n=10) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Sexual Enjoyment | Month 3 (Cycle 4/Day 1) (n=6) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Sexual Enjoyment | Month 4 (Cycle 5/Day 1) (n=5) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Sexual Enjoyment | Month 5 (Cycle 6/Day 1) (n=4) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Sexual Enjoyment | Baseline (Cycle 1/Day 1) (n=32) | 33.3 Units on a scale |
Change From Baseline in EORTC-QLQ-BR23 Score: Sexual Functioning
EORTC-QLQ-BR23: included functional scales (body image, sexual functioning, sexual enjoyment, and future perspective) and single item symptoms scales (systemic therapy side effects, breast symptoms, arm symptoms, and upset by hair loss). Questions used 4-point Likert scale (1 'Not at All' to 4 'Very Much'). Scores averaged and transformed to 0-100 scale. High score for functional scale=high/healthy level of functioning. High score for single item=high level of symptomatology/problems. Change from baseline=Cycle/Day score minus baseline score.
Time frame: Baseline, every 4 weeks up to Month 31 or early termination
Population: ITT; N=participants who completed the scales at both baseline and any cycle; n=number of participants who completed the scales at both baseline and the respective cycle. Results reported for Cycles 1 through 6 only, because (n) decreased substantially after Cycle 6.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Sexual Functioning | Week 4 (Cycle 2/Day 1) (n=56) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Sexual Functioning | Month 2 (Cycle 3/Day 1) (n=36) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Sexual Functioning | Month 3 (Cycle 4/Day 1) (n=25) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Sexual Functioning | Month 4 (Cycle 5/Day 1) (n=15) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Sexual Functioning | Month 5 (Cycle 6/Day 1) (n=12) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Sexual Functioning | Baseline (Cycle 1/Day 1) (n=72) | 100.0 Units on a scale |
Change From Baseline in EORTC-QLQ-BR23 Score: Systemic Therapy Side Effects
EORTC-QLQ-BR23: included functional scales (body image, sexual functioning, sexual enjoyment, and future perspective) and single item symptoms scales (systemic therapy side effects, breast symptoms, arm symptoms, and upset by hair loss). Questions used 4-point Likert scale (1 'Not at All' to 4 'Very Much'). Scores averaged and transformed to 0-100 scale. High score for functional scale=high/healthy level of functioning. High score for single item=high level of symptomatology/problems. Change from baseline=Cycle/Day score minus baseline score.
Time frame: Baseline, every 4 weeks up to Month 31 or early termination
Population: ITT; N=participants who completed the scales at both baseline and any cycle; n=number of participants who completed the scales at both baseline and the respective cycle. Results reported for Cycles 1 through 6 only, because (n) decreased substantially after Cycle 6.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Systemic Therapy Side Effects | Week 4 (Cycle 2/Day 1) (n=62) | 14.3 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Systemic Therapy Side Effects | Month 2 (Cycle 3/Day 1) (n=40) | 19.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Systemic Therapy Side Effects | Month 3 (Cycle 4/Day 1) (n=29) | 14.3 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Systemic Therapy Side Effects | Month 4 (Cycle 5/Day 1) (n=17) | 23.8 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Systemic Therapy Side Effects | Month 5 (Cycle 6/Day 1) (n=14) | 19.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Systemic Therapy Side Effects | Baseline (Cycle 1/Day 1) (n=77) | 14.3 Units on a scale |
Change From Baseline in EORTC-QLQ-BR23 Score: Upset by Hair Loss
EORTC-QLQ-BR23: included functional scales (body image, sexual functioning, sexual enjoyment, and future perspective) and single item symptoms scales (systemic therapy side effects, breast symptoms, arm symptoms, and upset by hair loss). Questions used 4-point Likert scale (1 'Not at All' to 4 'Very Much'). Scores averaged and transformed to 0-100 scale. High score for functional scale=high/healthy level of functioning. High score for single item=high level of symptomatology/problems. Change from baseline=Cycle/Day score minus baseline score.
Time frame: Baseline, every 4 weeks up to Month 31 or early termination
Population: ITT; N=participants who completed the scales at both baseline and any cycle; n=number of participants who completed the scales at both baseline and the respective cycle. Results reported for Cycles 1 through 6 only, because (n) decreased substantially after Cycle 6.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Upset by Hair Loss | Week 4 (Cycle 2/Day 1) (n=5) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Upset by Hair Loss | Month 2 (Cycle 3/Day 1) (n=8) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Upset by Hair Loss | Month 3 (Cycle 4/Day 1) (n=6) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Upset by Hair Loss | Month 4 (Cycle 5/Day 1) (n=5) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Upset by Hair Loss | Month 5 (Cycle 6/Day 1) (n=4) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ-BR23 Score: Upset by Hair Loss | Baseline (Cycle 1/Day 1) (n=25) | 0.0 Units on a scale |
Change From Baseline in EORTC-QLQ Companion Breast Cancer Module (EORTC-QLQ-BR23) Score: Body Image
EORTC-QLQ-BR23: included functional scales (body image, sexual functioning, sexual enjoyment, and future perspective) and single item symptoms scales (systemic therapy side effects, breast symptoms, arm symptoms, and upset by hair loss). Questions used 4-point Likert scale (1 'Not at All' to 4 'Very Much'). Scores averaged and transformed to 0-100 scale. High score for functional scale=high/healthy level of functioning. High score for single item=high level of symptomatology/problems. Change from baseline=Cycle/Day score minus baseline score.
Time frame: Baseline, every 4 weeks up to Month 31 or early termination
Population: ITT; N=participants who completed the scales at both baseline and any cycle; n=number of participants who completed the scales at both baseline and the respective cycle. Results reported for Cycles 1 through 6 only, because (n) decreased substantially after Cycle 6.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Sunitinib | Change From Baseline in EORTC-QLQ Companion Breast Cancer Module (EORTC-QLQ-BR23) Score: Body Image | Week 4 (Cycle 2/Day 1) (n=60) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ Companion Breast Cancer Module (EORTC-QLQ-BR23) Score: Body Image | Month 2 (Cycle 3/Day 1) (n=38) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ Companion Breast Cancer Module (EORTC-QLQ-BR23) Score: Body Image | Month 3 (Cycle 4/Day 1) (n=29) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ Companion Breast Cancer Module (EORTC-QLQ-BR23) Score: Body Image | Month 4 (Cycle 5/Day 1) (n=17) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ Companion Breast Cancer Module (EORTC-QLQ-BR23) Score: Body Image | Month 5 (Cycle 6/Day 1) (n=14) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in EORTC-QLQ Companion Breast Cancer Module (EORTC-QLQ-BR23) Score: Body Image | Baseline (Cycle 1/Day 1) (n=77) | 83.3 Units on a scale |
Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionaire-C30 (EORTC- QLQ-C30) Score
EORTC QLQ-C30: included functional scales (physical, role, cognitive, emotional, and social), global health status, symptom scales (fatigue, pain, nausea/vomiting), and single items (dyspnoea, appetite loss, insomnia, constipation/diarrhea, and financial difficulties). Most questions used 4-point scale (1 'Not at All' to 4 'Very Much'); 2 questions used 7-point scale (1 'Very Poor' to 7 'Excellent'). Scores averaged, transformed to 0-100 scale; higher score=better level of functioning or greater degree of symptoms. Change from baseline=Cycle/Day score minus baseline score.
Time frame: Baseline, every 4 weeks up to Month 31 or early termination
Population: ITT; N=participants who completed the scales at both baseline and any cycle; n=number of participants who completed the scales at both baseline and the respective cycle. Results reported for Cycles 1 through 6 only, because (n) decreased substantially after Cycle 6.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Sunitinib | Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionaire-C30 (EORTC- QLQ-C30) Score | Week 4 (Cycle 2/Day 1) (n=64) | 0.0 Units on a scale |
| Sunitinib | Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionaire-C30 (EORTC- QLQ-C30) Score | Month 2 (Cycle 3/Day 1) (n=44) | -8.3 Units on a scale |
| Sunitinib | Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionaire-C30 (EORTC- QLQ-C30) Score | Month 3 (Cycle 4/Day 1) (n=34) | -16.7 Units on a scale |
| Sunitinib | Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionaire-C30 (EORTC- QLQ-C30) Score | Month 4 (Cycle 5/Day 1) (n=19) | -8.3 Units on a scale |
| Sunitinib | Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionaire-C30 (EORTC- QLQ-C30) Score | Month 5 (Cycle 6/Day 1) (n=16) | -8.3 Units on a scale |
| Sunitinib | Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionaire-C30 (EORTC- QLQ-C30) Score | Baseline (Cycle 1/Day 1) (n=76) | 66.7 Units on a scale |
Duration of Response (DR)
Time from first objective documentation of complete or partial response that was subsequently confirmed to first documentation of disease progression or death due to any cause, whichever occurred first. DR calculated as (Weeks)=(end date for DR minus first subsequent confirmed CR or PR plus 1) divided by 7.
Time frame: Baseline up to Month 34 or early termination
Population: ITT; N=participants with objective response
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Sunitinib | Duration of Response (DR) | 3.4 Weeks |
Number of Participants With Clinical Benefit
The sum of participants with confirmed CR, PR, and stable disease (SD) greater than (\>) 6 months according to RECIST. SD defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease, taking as reference smallest sum of longest dimensions since treatment started.
Time frame: Baseline, Week 9, and every 8 weeks up to Month 34
Population: ITT
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Sunitinib | Number of Participants With Clinical Benefit | 9 Participants |
Number of Participants With Objective Response for Subgroup of Participants Whom Sunitinib Was at Least a Third Line Therapy
Number of participants with objective response based assessment of confirmed CR or PR according to RECIST. CR defined as disappearance of all target lesions. PR defined as ≥30% decrease in sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions.
Time frame: Baseline, Week 9, and every 8 weeks up to Month 34
Population: ITT; N=participants who received at least 2 lines of prior chemotherapy for advanced/metastatic disease and had post baseline tumor assessment
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Sunitinib | Number of Participants With Objective Response for Subgroup of Participants Whom Sunitinib Was at Least a Third Line Therapy | 1 Participants |
Number of Participants With Objective Response of Superficial Lesions
Number of participants with objective response based assessment of confirmed CR or PR of superficial lesions according to RECIST. Superficial lesions included skin lesions, chest wall lesions, and breast lesions and lymph nodes if followed up by physical examination.
Time frame: Baseline, every 4 weeks up to Month 34
Population: ITT; Number of participants analyzed equaled (N =) participants who had superficial lesions with post baseline follow-up assessments of those lesions.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Sunitinib | Number of Participants With Objective Response of Superficial Lesions | 3 Participants |
Overall Survival (OS)
Time from randomization to date of death due to any cause. OS (Months)=(death date minus date of first dose of study medication plus 1) divided by 30.4. For participants who were alive, overall survival was censored at last contact.
Time frame: Baseline until death (up to Month 34)
Population: ITT
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Sunitinib | Overall Survival (OS) | 15.6 Months |
Progression-Free Survival (PFS)
Time from date of randomization to date of first documentation of objective tumor progression or death due to any cause, whichever occurred first. PFS calculated as (Months)=(first event date minus randomization date plus 1) divided by 30.4.
Time frame: Baseline up to Month 34
Population: ITT
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Sunitinib | Progression-Free Survival (PFS) | 3.6 Months |
1-Year Survival Probability
Probability of survival 1 year after the first dose of study treatment.
Time frame: Baseline up to 1 year
Population: ITT
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Sunitinib | 1-Year Survival Probability | 65.0 Percentage of participants |