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Efficacy And Safety Of Sunitinib In Women With Advanced Breast Cancer

A Phase II Study Of Sunitinib Malate Single Agent For The Treatment Of Women With Advanced Breast Cancer

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00471276
Enrollment
83
Registered
2007-05-09
Start date
2007-08-31
Completion date
2010-06-30
Last updated
2011-07-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Breast Neoplasms

Keywords

Metastatic Breast Cancer

Brief summary

Patients with advanced breast cancer to receive sunitinib (Sutent) once daily until disease progression.

Interventions

DRUGsunitinib

sunitinib (Sutent), 37.5 mg, daily dosing

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No

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

MeasureTime frameDescription
Number of Participants With Objective ResponseBaseline, Week 9, and every 8 weeks up to Month 34Number 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

MeasureTime frameDescription
Number of Participants With Objective Response of Superficial LesionsBaseline, every 4 weeks up to Month 34Number 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 34Time 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 terminationTime 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 TherapyBaseline, Week 9, and every 8 weeks up to Month 34Number 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) ScoreBaseline, every 4 weeks up to Month 31 or early terminationEORTC 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 ImageBaseline, every 4 weeks up to Month 31 or early terminationEORTC-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 PerspectiveBaseline, every 4 weeks up to Month 31 or early terminationEORTC-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 EnjoymentBaseline, every 4 weeks up to Month 31 or early terminationEORTC-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 BenefitBaseline, Week 9, and every 8 weeks up to Month 34The 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 SymptomsBaseline, every 4 weeks up to Month 31 or early terminationEORTC-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 SymptomsBaseline, every 4 weeks up to Month 31 or early terminationEORTC-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 EffectsBaseline, every 4 weeks up to Month 31 or early terminationEORTC-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 LossBaseline, every 4 weeks up to Month 31 or early terminationEORTC-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 TherapyBaseline, Day 15, Week 4 and 8, and every 8 weeks up to Month 36 or early terminationCTSQ: 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 EffectsBaseline, Day 15, Week 4 and 8, and every 8 weeks up to Month 36 or early terminationCTSQ: 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 TherapyBaseline, Day 15, Week 4 and 8, and every 8 weeks up to Month 36 or early terminationCTSQ: 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 FunctioningBaseline, every 4 weeks up to Month 31 or early terminationEORTC-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

MeasureTime frameDescription
1-Year Survival ProbabilityBaseline up to 1 yearProbability of survival 1 year after the first dose of study treatment.

Countries

United States

Participant flow

Participants by arm

ArmCount
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
Total83

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event16
Overall StudyDeath2
Overall StudyGlobal deterioration of health status1
Overall StudyObjective progression or relapse54
Overall StudyOther3
Overall StudyProtocol Violation1
Overall StudyRefused treatment6

Baseline characteristics

CharacteristicSunitinib
Age Continuous57.5 Years
STANDARD_DEVIATION 10.9
Sex: Female, Male
Female
83 Participants
Sex: Female, Male
Male
0 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
83 / 83
serious
Total, serious adverse events
13 / 83

Outcome results

Primary

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

ArmMeasureValue (NUMBER)
SunitinibNumber of Participants With Objective Response7 Participants
95% CI: [3.5, 16.6]Exact 2-sided confidence interval
Secondary

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.

ArmMeasureGroupValue (MEDIAN)
SunitinibChange From Baseline in Cancer Therapy Satisfaction Questionnaire (CTSQ) Score: Expectation of TherapyBaseline (Cycle 1/Day 1) (n=59)70.00 Units on a scale
SunitinibChange From Baseline in Cancer Therapy Satisfaction Questionnaire (CTSQ) Score: Expectation of TherapyCycle 1/Day 15 (n=2)20.00 Units on a scale
SunitinibChange From Baseline in Cancer Therapy Satisfaction Questionnaire (CTSQ) Score: Expectation of TherapyWeek 4 (Cycle 2/Day 1) (n=48)0.00 Units on a scale
SunitinibChange From Baseline in Cancer Therapy Satisfaction Questionnaire (CTSQ) Score: Expectation of TherapyWeek 8 (Cycle 3/Day 1) (n=31)5.00 Units on a scale
SunitinibChange From Baseline in Cancer Therapy Satisfaction Questionnaire (CTSQ) Score: Expectation of TherapyMonth 4 (Cycle 5/Day 1) (n=11)5.00 Units on a scale
SunitinibChange From Baseline in Cancer Therapy Satisfaction Questionnaire (CTSQ) Score: Expectation of TherapyMonth 6 (Cycle 7/Day 1) (n=2)17.50 Units on a scale
Secondary

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.

ArmMeasureGroupValue (MEDIAN)
SunitinibChange From Baseline in CTSQ Score: Feelings About Side EffectsCycle 1/Day 15 (n=2)3.13 Units on a scale
SunitinibChange From Baseline in CTSQ Score: Feelings About Side EffectsWeek 4 (Cycle 2/Day 1) (n=47)0.00 Units on a scale
SunitinibChange From Baseline in CTSQ Score: Feelings About Side EffectsWeek 8 (Cycle 3/Day 1) (n=31)0.00 Units on a scale
SunitinibChange From Baseline in CTSQ Score: Feelings About Side EffectsMonth 4 (Cycle 5/Day 1) (n=12)0.00 Units on a scale
SunitinibChange From Baseline in CTSQ Score: Feelings About Side EffectsMonth 6 (Cycle 7/Day 1) (n=2)-6.25 Units on a scale
SunitinibChange From Baseline in CTSQ Score: Feelings About Side EffectsBaseline (Cycle 1/Day 1) (n=58)62.50 Units on a scale
Secondary

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.

ArmMeasureGroupValue (MEDIAN)
SunitinibChange From Baseline in CTSQ Score: Satisfaction With TherapyCycle 1/Day 15 (n=2)8.93 Units on a scale
SunitinibChange From Baseline in CTSQ Score: Satisfaction With TherapyWeek 4 (Cycle 2/Day 1) (n=48)10.71 Units on a scale
SunitinibChange From Baseline in CTSQ Score: Satisfaction With TherapyWeek 8 (Cycle 3/Day 1) (n=31)7.14 Units on a scale
SunitinibChange From Baseline in CTSQ Score: Satisfaction With TherapyMonth 4 (Cycle 5/Day 1) (n=12)11.79 Units on a scale
SunitinibChange From Baseline in CTSQ Score: Satisfaction With TherapyMonth 6 (Cycle 7/Day 1) (n=2)-1.79 Units on a scale
SunitinibChange From Baseline in CTSQ Score: Satisfaction With TherapyBaseline (Cycle 1/Day 1) (n=59)71.43 Units on a scale
Secondary

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.

ArmMeasureGroupValue (MEDIAN)
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Arm SymptomsWeek 4 (Cycle 2/Day 1) (n=62)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Arm SymptomsMonth 2 (Cycle 3/Day 1) (n=40)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Arm SymptomsMonth 3 (Cycle 4/Day 1) (n=30)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Arm SymptomsMonth 4 (Cycle 5/Day 1) (n=17)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Arm SymptomsMonth 5 (Cycle 6/Day 1) (n=14)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Arm SymptomsBaseline (Cycle 1/Day 1) (n=77)11.1 Units on a scale
Secondary

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.

ArmMeasureGroupValue (MEDIAN)
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Breast SymptomsWeek 4 (Cycle 2/Day 1) (n=61)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Breast SymptomsMonth 2 (Cycle 3/Day 1) (n=39)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Breast SymptomsMonth 3 (Cycle 4/Day 1) (n=30)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Breast SymptomsMonth 4 (Cycle 5/Day 1) (n=17)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Breast SymptomsMonth 5 (Cycle 6/Day 1) (n=14)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Breast SymptomsBaseline (Cycle 1/Day 1) (n=76)8.3 Units on a scale
Secondary

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.

ArmMeasureGroupValue (MEDIAN)
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Future PerspectiveWeek 4 (Cycle 2/Day 1) (n=59)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Future PerspectiveMonth 2 (Cycle 3/Day 1) (n=38)-33.3 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Future PerspectiveMonth 3 (Cycle 4/Day 1) (n=29)-33.3 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Future PerspectiveMonth 4 (Cycle 5/Day 1) (n=17)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Future PerspectiveMonth 5 (Cycle 6/Day 1) (n=14)-16.7 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Future PerspectiveBaseline (Cycle 1/Day 1) (n=76)66.7 Units on a scale
Secondary

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.

ArmMeasureGroupValue (MEDIAN)
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Sexual EnjoymentWeek 4 (Cycle 2/Day 1) (n=17)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Sexual EnjoymentMonth 2 (Cycle 3/Day 1) (n=10)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Sexual EnjoymentMonth 3 (Cycle 4/Day 1) (n=6)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Sexual EnjoymentMonth 4 (Cycle 5/Day 1) (n=5)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Sexual EnjoymentMonth 5 (Cycle 6/Day 1) (n=4)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Sexual EnjoymentBaseline (Cycle 1/Day 1) (n=32)33.3 Units on a scale
Secondary

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.

ArmMeasureGroupValue (MEDIAN)
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Sexual FunctioningWeek 4 (Cycle 2/Day 1) (n=56)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Sexual FunctioningMonth 2 (Cycle 3/Day 1) (n=36)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Sexual FunctioningMonth 3 (Cycle 4/Day 1) (n=25)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Sexual FunctioningMonth 4 (Cycle 5/Day 1) (n=15)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Sexual FunctioningMonth 5 (Cycle 6/Day 1) (n=12)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Sexual FunctioningBaseline (Cycle 1/Day 1) (n=72)100.0 Units on a scale
Secondary

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.

ArmMeasureGroupValue (MEDIAN)
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Systemic Therapy Side EffectsWeek 4 (Cycle 2/Day 1) (n=62)14.3 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Systemic Therapy Side EffectsMonth 2 (Cycle 3/Day 1) (n=40)19.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Systemic Therapy Side EffectsMonth 3 (Cycle 4/Day 1) (n=29)14.3 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Systemic Therapy Side EffectsMonth 4 (Cycle 5/Day 1) (n=17)23.8 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Systemic Therapy Side EffectsMonth 5 (Cycle 6/Day 1) (n=14)19.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Systemic Therapy Side EffectsBaseline (Cycle 1/Day 1) (n=77)14.3 Units on a scale
Secondary

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.

ArmMeasureGroupValue (MEDIAN)
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Upset by Hair LossWeek 4 (Cycle 2/Day 1) (n=5)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Upset by Hair LossMonth 2 (Cycle 3/Day 1) (n=8)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Upset by Hair LossMonth 3 (Cycle 4/Day 1) (n=6)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Upset by Hair LossMonth 4 (Cycle 5/Day 1) (n=5)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Upset by Hair LossMonth 5 (Cycle 6/Day 1) (n=4)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ-BR23 Score: Upset by Hair LossBaseline (Cycle 1/Day 1) (n=25)0.0 Units on a scale
Secondary

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.

ArmMeasureGroupValue (MEDIAN)
SunitinibChange From Baseline in EORTC-QLQ Companion Breast Cancer Module (EORTC-QLQ-BR23) Score: Body ImageWeek 4 (Cycle 2/Day 1) (n=60)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ Companion Breast Cancer Module (EORTC-QLQ-BR23) Score: Body ImageMonth 2 (Cycle 3/Day 1) (n=38)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ Companion Breast Cancer Module (EORTC-QLQ-BR23) Score: Body ImageMonth 3 (Cycle 4/Day 1) (n=29)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ Companion Breast Cancer Module (EORTC-QLQ-BR23) Score: Body ImageMonth 4 (Cycle 5/Day 1) (n=17)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ Companion Breast Cancer Module (EORTC-QLQ-BR23) Score: Body ImageMonth 5 (Cycle 6/Day 1) (n=14)0.0 Units on a scale
SunitinibChange From Baseline in EORTC-QLQ Companion Breast Cancer Module (EORTC-QLQ-BR23) Score: Body ImageBaseline (Cycle 1/Day 1) (n=77)83.3 Units on a scale
Secondary

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.

ArmMeasureGroupValue (MEDIAN)
SunitinibChange From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionaire-C30 (EORTC- QLQ-C30) ScoreWeek 4 (Cycle 2/Day 1) (n=64)0.0 Units on a scale
SunitinibChange From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionaire-C30 (EORTC- QLQ-C30) ScoreMonth 2 (Cycle 3/Day 1) (n=44)-8.3 Units on a scale
SunitinibChange From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionaire-C30 (EORTC- QLQ-C30) ScoreMonth 3 (Cycle 4/Day 1) (n=34)-16.7 Units on a scale
SunitinibChange From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionaire-C30 (EORTC- QLQ-C30) ScoreMonth 4 (Cycle 5/Day 1) (n=19)-8.3 Units on a scale
SunitinibChange From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionaire-C30 (EORTC- QLQ-C30) ScoreMonth 5 (Cycle 6/Day 1) (n=16)-8.3 Units on a scale
SunitinibChange From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionaire-C30 (EORTC- QLQ-C30) ScoreBaseline (Cycle 1/Day 1) (n=76)66.7 Units on a scale
Secondary

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

ArmMeasureValue (MEDIAN)
SunitinibDuration of Response (DR)3.4 Weeks
Secondary

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

ArmMeasureValue (NUMBER)
SunitinibNumber of Participants With Clinical Benefit9 Participants
95% CI: [5.1, 19.6]Exact 2-sided confidence interval
Secondary

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

ArmMeasureValue (NUMBER)
SunitinibNumber of Participants With Objective Response for Subgroup of Participants Whom Sunitinib Was at Least a Third Line Therapy1 Participants
Secondary

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.

ArmMeasureValue (NUMBER)
SunitinibNumber of Participants With Objective Response of Superficial Lesions3 Participants
Secondary

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

ArmMeasureValue (MEDIAN)
SunitinibOverall Survival (OS)15.6 Months
Secondary

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

ArmMeasureValue (MEDIAN)
SunitinibProgression-Free Survival (PFS)3.6 Months
Other Pre-specified

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

ArmMeasureValue (NUMBER)
Sunitinib1-Year Survival Probability65.0 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026