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Study Of Sunitinib In Combination With Folfox In Patients With Colorectal Cancer

Phase I Study Of Sunitinib In Combination With Oxaliplatin, L-Leucovorin, And 5-Fluorouracil In Patients With Metastatic Colorectal Cancer

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00631410
Enrollment
12
Registered
2008-03-07
Start date
2008-01-31
Completion date
2010-03-31
Last updated
2011-03-16

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

Conditions

Colorectal Neoplasms

Keywords

Phase 1, CRC, SU011248, Sunitinib, FOLFOX, Colorectal cancer, metastatic carcinoma of the colon or rectum

Brief summary

To assess the safety and tolerability of sunitinib when administered in combination with modified FOLFOX6 in Japanese patients with metastatic colorectal cancer in the first-line treatment setting.

Interventions

DRUGsunitinib + mFOLFOX6

37.5 mg/day, oral, administered on an outpatient basis for 4 weeks on, 2 weeks off (Schedule 4/2)

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Histologically or cytologically confirmed adenocarcinoma of the colon or rectum with documented locally advanced or metastatic disease. * Evidence of unidimensionally measurable disease as defined by the Response Evaluation Criteria in Solid Tumors (RECIST). * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.

Exclusion criteria

* Prior treatment with systemic therapy for locally advanced or metastatic colorectal cancer. * Prior surgery or investigational agent within 4 weeks prior to study entry. * Pregnancy or breastfeeding. All female patients of reproductive potential must have a negative pregnancy test (serum or urine) prior to the start of the study.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Adverse EventsUp to 733 days (the last subject study discontinuation)Number of participants with any adverse events, adverse events graded as Common Terminology Criteria for Adverse Events Version 3.0 (CTCAE) Grade 3 or higher , serious adverse events, adverse events resulted in discontinuation, treatment interruption, or dose reduction.

Secondary

MeasureTime frameDescription
Plasma Concentration of Sunitinib Active Metabolite (SU012662)Cycle 1 Day 14 and Cycle 2 Day 1Concentrations after administration of sunitinib alone (Day 14 of Cycle 1) and those after administration of sunitinib in combination with mFOLFOX6 (Day 1 of Cycle 2) were evaluated.
Plasma Concentration of the Total Drug (Sunitinib Plus SU012662)Cycle 1 Day 14 and Cycle 2 Day 1Concentrations after administration of sunitinib alone (Day 14 of Cycle 1) and those after administration of sunitinib in combination with mFOLFOX6 (Day 1 of Cycle 2) were evaluated.
Best Overall Response Based on Response Evaluation Criteria in Solid Tumors (RECIST)Up to the last subject completed Cycle 24 or individual study discontinuationComplete response (CR): 2 or more sequential occasions of documented objective disappearance of all target lesions at a minimum of 4 weeks apart; partial response (PR): 2 or more occasions of \>=30% decrease in the sum of the longest diameter (LD) of the target lesions from baseline at a minimum of 4 weeks apart; stable disease (SD): at least 1 objective status of stable/no response at least 6 weeks after enrollment; progressive disease (PD): Objective status of progression within 12 weeks of enrollment, not qualifying as CR, PR or Stable; Indeterminate: no other response category applies.
Plasma Concentration of SunitinibCycle 1 Day 14 and Cycle 2 Day 1Concentrations after administration of sunitinib alone (Day 14 of Cycle 1) and those after administration of sunitinib in combination with mFOLFOX6 (Day 1 of Cycle 2) were evaluated.
Progression-Free Survival (PFS)Up to 733 days (the last subject study discontinuation)Progression-free survival is defined as the time from date of enrolment to date of first documentation of progression based on investigator's assessment or death due to any cause.
Sunitinib Relative Dose Intensity in the Treatment Arm AUp to 733 days (the last subject study discontinuation in the Treatment Arm A)Relative dose intensity is defined as percentage of total dose administered over total dose assigned through assessment period. Period 1: Cycle 1 to 3; Period 2: Cycle 4 to 6; Periodn: Cycle (n-1)\*3+1 to n\*3.
Sunitinib Relative Dose Intensity in the Treatment Arm BUp to 384 days (the last subject study discontinuation in the Treatment Arm B)Relative dose intensity is defined as percentage of total dose administered over total dose assigned through assessment period. Period 1: Cycle 1 to 2; Period 2: Cycle 3 to 4, Periodn: Cycle (n-1)\*2+1 to n\*2.
Duration of Response (DR)Up to 733 days (the last subject study discontinuation)Duration of response is defined as the duration from the date of first documentation of complete response (CR) or partial response (PR) to date of first documentation of objective progression based on the investigator's assessment.

Countries

Japan

Participant flow

Participants by arm

ArmCount
Treatment Arm A 37.5 mg/Day (4/2)
Sunitinib was administered orally in a 4 weeks on, 2 weeks off intermittent dosing regimen, at a starting dose of 37.5 mg/day (37.5 mg/day in Schedule 4/2). FOLFOX was administered on an every-2-week cycle using the mFOLFOX6 regimen consisting of oxaliplatin 85 mg/meter\^2 and l-leucovorin 200 mg/meter\^2 as a 2-hour intravenous infusion followed by an intravenous bolus of fluorouracil 400 mg/meter\^2 and a 46-hour intravenous infusion of fluorouracil 2,400 mg/meter\^2 on Days 1 and 2 of each cycle.
6
Treatment Arm B 50 mg/Day (2/2)
Sunitinib was administered orally in a 2 weeks on, 2 weeks off intermittent dosing regimen, at a starting dose of 50 mg/day (50 mg/day in Schedule 2/2). FOLFOX was administered on an every-2-week cycle using the mFOLFOX6 regimen consisting of oxaliplatin 85 mg/meter\^2 and l-leucovorin 200 mg/meter\^2 as a 2-hour intravenous infusion followed by an intravenous bolus of fluorouracil 400 mg/meter\^2 and a 46-hour intravenous infusion of fluorouracil 2,400 mg/meter\^2 on Days 1 and 2 of each cycle.
6
Total12

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event13
Overall StudyObjective Progression or Relapse43
Overall StudySurgery10

Baseline characteristics

CharacteristicTreatment Arm A 37.5 mg/Day (4/2)Treatment Arm B 50 mg/Day (2/2)Total
Age, Customized
20-44 years
0 participants0 participants0 participants
Age, Customized
45-64 years
4 participants3 participants7 participants
Age, Customized
>=65 years
2 participants3 participants5 participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
Score 0
5 participants6 participants11 participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
Score 1
1 participants0 participants1 participants
Sex: Female, Male
Female
1 Participants1 Participants2 Participants
Sex: Female, Male
Male
5 Participants5 Participants10 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
6 / 66 / 6
serious
Total, serious adverse events
2 / 64 / 6

Outcome results

Primary

Number of Participants With Adverse Events

Number of participants with any adverse events, adverse events graded as Common Terminology Criteria for Adverse Events Version 3.0 (CTCAE) Grade 3 or higher , serious adverse events, adverse events resulted in discontinuation, treatment interruption, or dose reduction.

Time frame: Up to 733 days (the last subject study discontinuation)

Population: All subjects who received at least 1 dose of the study drug.

ArmMeasureGroupValue (NUMBER)
Treatment Arm A 37.5 mg/Day (4/2)Number of Participants With Adverse EventsAny serious adverse evets2 participants
Treatment Arm A 37.5 mg/Day (4/2)Number of Participants With Adverse EventsSunitinib interruption due to adverse events6 participants
Treatment Arm A 37.5 mg/Day (4/2)Number of Participants With Adverse EventsAny Grade-5 adverse events (= death)0 participants
Treatment Arm A 37.5 mg/Day (4/2)Number of Participants With Adverse EventsmFOLFOX6 interruption due to adverse events6 participants
Treatment Arm A 37.5 mg/Day (4/2)Number of Participants With Adverse EventsAny Grade-3 or -4 adverse evets6 participants
Treatment Arm A 37.5 mg/Day (4/2)Number of Participants With Adverse EventsSunitinib dose reduction due to adverse events1 participants
Treatment Arm A 37.5 mg/Day (4/2)Number of Participants With Adverse EventsDiscontinuation due to adverse events1 participants
Treatment Arm A 37.5 mg/Day (4/2)Number of Participants With Adverse EventsmFOLFOX6 dose reduction due to adverse events2 participants
Treatment Arm A 37.5 mg/Day (4/2)Number of Participants With Adverse EventsAny adverse events6 participants
Treatment Arm B 50 mg/Day (2/2)Number of Participants With Adverse EventsmFOLFOX6 dose reduction due to adverse events4 participants
Treatment Arm B 50 mg/Day (2/2)Number of Participants With Adverse EventsAny adverse events6 participants
Treatment Arm B 50 mg/Day (2/2)Number of Participants With Adverse EventsAny serious adverse evets4 participants
Treatment Arm B 50 mg/Day (2/2)Number of Participants With Adverse EventsAny Grade-3 or -4 adverse evets6 participants
Treatment Arm B 50 mg/Day (2/2)Number of Participants With Adverse EventsAny Grade-5 adverse events (= death)0 participants
Treatment Arm B 50 mg/Day (2/2)Number of Participants With Adverse EventsDiscontinuation due to adverse events3 participants
Treatment Arm B 50 mg/Day (2/2)Number of Participants With Adverse EventsSunitinib interruption due to adverse events6 participants
Treatment Arm B 50 mg/Day (2/2)Number of Participants With Adverse EventsmFOLFOX6 interruption due to adverse events6 participants
Treatment Arm B 50 mg/Day (2/2)Number of Participants With Adverse EventsSunitinib dose reduction due to adverse events1 participants
Secondary

Best Overall Response Based on Response Evaluation Criteria in Solid Tumors (RECIST)

Complete response (CR): 2 or more sequential occasions of documented objective disappearance of all target lesions at a minimum of 4 weeks apart; partial response (PR): 2 or more occasions of \>=30% decrease in the sum of the longest diameter (LD) of the target lesions from baseline at a minimum of 4 weeks apart; stable disease (SD): at least 1 objective status of stable/no response at least 6 weeks after enrollment; progressive disease (PD): Objective status of progression within 12 weeks of enrollment, not qualifying as CR, PR or Stable; Indeterminate: no other response category applies.

Time frame: Up to the last subject completed Cycle 24 or individual study discontinuation

Population: All enrolled subjects who 1) had a diagnosis of locally-advanced or metastatic adenocarcinoma of the colon or rectum with measurable disease at baseline; 2) had received at least one dose of the investigational product; and 3) with efficacy data available after administration of the investigational product.

ArmMeasureGroupValue (NUMBER)
Treatment Arm A 37.5 mg/Day (4/2)Best Overall Response Based on Response Evaluation Criteria in Solid Tumors (RECIST)Complete Response (CR)0 participants
Treatment Arm A 37.5 mg/Day (4/2)Best Overall Response Based on Response Evaluation Criteria in Solid Tumors (RECIST)Partial Response (PR)4 participants
Treatment Arm A 37.5 mg/Day (4/2)Best Overall Response Based on Response Evaluation Criteria in Solid Tumors (RECIST)Stable Disease (SD)1 participants
Treatment Arm A 37.5 mg/Day (4/2)Best Overall Response Based on Response Evaluation Criteria in Solid Tumors (RECIST)Progressive Disease (PD)1 participants
Treatment Arm A 37.5 mg/Day (4/2)Best Overall Response Based on Response Evaluation Criteria in Solid Tumors (RECIST)Indeterminate0 participants
Treatment Arm A 37.5 mg/Day (4/2)Best Overall Response Based on Response Evaluation Criteria in Solid Tumors (RECIST)Objective Response (CR+PR)4 participants
Treatment Arm B 50 mg/Day (2/2)Best Overall Response Based on Response Evaluation Criteria in Solid Tumors (RECIST)Indeterminate1 participants
Treatment Arm B 50 mg/Day (2/2)Best Overall Response Based on Response Evaluation Criteria in Solid Tumors (RECIST)Complete Response (CR)0 participants
Treatment Arm B 50 mg/Day (2/2)Best Overall Response Based on Response Evaluation Criteria in Solid Tumors (RECIST)Progressive Disease (PD)0 participants
Treatment Arm B 50 mg/Day (2/2)Best Overall Response Based on Response Evaluation Criteria in Solid Tumors (RECIST)Partial Response (PR)4 participants
Treatment Arm B 50 mg/Day (2/2)Best Overall Response Based on Response Evaluation Criteria in Solid Tumors (RECIST)Objective Response (CR+PR)4 participants
Treatment Arm B 50 mg/Day (2/2)Best Overall Response Based on Response Evaluation Criteria in Solid Tumors (RECIST)Stable Disease (SD)1 participants
Secondary

Duration of Response (DR)

Duration of response is defined as the duration from the date of first documentation of complete response (CR) or partial response (PR) to date of first documentation of objective progression based on the investigator's assessment.

Time frame: Up to 733 days (the last subject study discontinuation)

Population: Summary statistics were not calculated due to a small number of subjects.

Secondary

Plasma Concentration of Sunitinib

Concentrations after administration of sunitinib alone (Day 14 of Cycle 1) and those after administration of sunitinib in combination with mFOLFOX6 (Day 1 of Cycle 2) were evaluated.

Time frame: Cycle 1 Day 14 and Cycle 2 Day 1

Population: Pharmacokinetic analysis population consisted of subjects with at least 1 plasma drug concentration measurement in the Treatment Arm B.

ArmMeasureGroupValue (MEDIAN)
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of SunitinibCycle 1 Day 14, 0 hour post dose85.40 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of SunitinibCycle 1 Day 14, 2 hour post dose86.15 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of SunitinibCycle 1 Day 14, 6 hour post dose93.35 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of SunitinibCycle 1 Day 14, 8 hour post dose98.50 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of SunitinibCycle 2 Day 1, 0 hour post dose81.70 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of SunitinibCycle 2 Day 1, 2 hour post dose87.05 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of SunitinibCycle 2 Day 1, 6 hour post dose109.50 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of SunitinibCycle 2 Day 1, 8 hour post dose102.00 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of SunitinibCycle 2 Day 1, 24 hour post dose81.50 nanogram per milliliter
Secondary

Plasma Concentration of Sunitinib Active Metabolite (SU012662)

Concentrations after administration of sunitinib alone (Day 14 of Cycle 1) and those after administration of sunitinib in combination with mFOLFOX6 (Day 1 of Cycle 2) were evaluated.

Time frame: Cycle 1 Day 14 and Cycle 2 Day 1

Population: Pharmacokinetic analysis population consisted of subjects with at least 1 plasma drug concentration measurement in the Treatment Arm B.

ArmMeasureGroupValue (MEDIAN)
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of Sunitinib Active Metabolite (SU012662)Cycle 1 Day 14, 0 hour post dose41.75 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of Sunitinib Active Metabolite (SU012662)Cycle 1 Day 14, 2 hour post dose36.90 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of Sunitinib Active Metabolite (SU012662)Cycle 1 Day 14, 6 hour post dose43.55 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of Sunitinib Active Metabolite (SU012662)Cycle 1 Day 14, 8 hour post dose42.35 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of Sunitinib Active Metabolite (SU012662)Cycle 2 Day 1, 0 hour post dose42.65 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of Sunitinib Active Metabolite (SU012662)Cycle 2 Day 1, 2 hour post dose36.10 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of Sunitinib Active Metabolite (SU012662)Cycle 2 Day 1, 6 hour post dose46.95 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of Sunitinib Active Metabolite (SU012662)Cycle 2 Day 1, 8 hour post dose47.10 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of Sunitinib Active Metabolite (SU012662)Cycle 2 Day 1, 24 hour post dose44.85 nanogram per milliliter
Secondary

Plasma Concentration of the Total Drug (Sunitinib Plus SU012662)

Concentrations after administration of sunitinib alone (Day 14 of Cycle 1) and those after administration of sunitinib in combination with mFOLFOX6 (Day 1 of Cycle 2) were evaluated.

Time frame: Cycle 1 Day 14 and Cycle 2 Day 1

Population: Pharmacokinetic analysis population consisted of subjects with at least 1 plasma drug concentration measurement in the Treatment Arm B.

ArmMeasureGroupValue (MEDIAN)
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of the Total Drug (Sunitinib Plus SU012662)Cycle 1 Day 14, 0 hour post dose136.25 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of the Total Drug (Sunitinib Plus SU012662)Cycle 1 Day 14, 2 hour post dose123.05 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of the Total Drug (Sunitinib Plus SU012662)Cycle 1 Day 14, 6 hour post dose136.75 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of the Total Drug (Sunitinib Plus SU012662)Cycle 1 Day 14, 8 hour post dose142.35 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of the Total Drug (Sunitinib Plus SU012662)Cycle 2 Day 1, 0 hour post dose132.85 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of the Total Drug (Sunitinib Plus SU012662)Cycle 2 Day 1, 2 hour post dose122.15 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of the Total Drug (Sunitinib Plus SU012662)Cycle 2 Day 1, 6 hour post dose155.45 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of the Total Drug (Sunitinib Plus SU012662)Cycle 2 Day 1, 8 hour post dose156.60 nanogram per milliliter
Treatment Arm A 37.5 mg/Day (4/2)Plasma Concentration of the Total Drug (Sunitinib Plus SU012662)Cycle 2 Day 1, 24 hour post dose132.15 nanogram per milliliter
Secondary

Progression-Free Survival (PFS)

Progression-free survival is defined as the time from date of enrolment to date of first documentation of progression based on investigator's assessment or death due to any cause.

Time frame: Up to 733 days (the last subject study discontinuation)

Population: Summary statistics were not calculated due to a small number of subjects.

Secondary

Sunitinib Relative Dose Intensity in the Treatment Arm A

Relative dose intensity is defined as percentage of total dose administered over total dose assigned through assessment period. Period 1: Cycle 1 to 3; Period 2: Cycle 4 to 6; Periodn: Cycle (n-1)\*3+1 to n\*3.

Time frame: Up to 733 days (the last subject study discontinuation in the Treatment Arm A)

Population: All subjects who received at least 1 dose of the study drug. n = number of subjects assessed for relative dose intensity in the given period.

ArmMeasureGroupValue (MEAN)Dispersion
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm APeriod 1 (n=6)57.1 percent of total planned doseStandard Deviation 9.3
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm APeriod 2 (n=5)72.4 percent of total planned doseStandard Deviation 18.5
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm APeriod 3 (n=5)64.3 percent of total planned doseStandard Deviation 21.1
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm APeriod 4 (n=4)53.6 percent of total planned doseStandard Deviation 15.4
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm APeriod 5 (n=3)42.9 percent of total planned doseStandard Deviation 16.5
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm APeriod 6 (n=2)50.0 percent of total planned doseStandard Deviation 0
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm APeriod 7 (n=2)40.5 percent of total planned doseStandard Deviation 37
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm APeriod 8 (n=1)50.0 percent of total planned doseStandard Deviation 0
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm APeriod 9 (n=1)50.0 percent of total planned doseStandard Deviation 0
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm APeriod 10 (n=1)23.8 percent of total planned doseStandard Deviation 0
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm APeriod 11 (n=1)33.3 percent of total planned doseStandard Deviation 0
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm APeriod 12 (n=1)23.8 percent of total planned doseStandard Deviation 0
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm APeriod 13 (n=1)25.0 percent of total planned doseStandard Deviation 0
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm APeriod 14 (n=1)33.3 percent of total planned doseStandard Deviation 0
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm APeriod 15 (n=1)23.8 percent of total planned doseStandard Deviation 0
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm APeriod 16 (n=1)25.0 percent of total planned doseStandard Deviation 0
Secondary

Sunitinib Relative Dose Intensity in the Treatment Arm B

Relative dose intensity is defined as percentage of total dose administered over total dose assigned through assessment period. Period 1: Cycle 1 to 2; Period 2: Cycle 3 to 4, Periodn: Cycle (n-1)\*2+1 to n\*2.

Time frame: Up to 384 days (the last subject study discontinuation in the Treatment Arm B)

Population: All subjects who received at least 1 dose of the study drug. n = number of subjects assessed for relative dose intensity in the given period.

ArmMeasureGroupValue (MEAN)Dispersion
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm BPeriod 1 (n=6)100.0 percent of total planned doseStandard Deviation 0
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm BPeriod 2 (n=5)97.1 percent of total planned doseStandard Deviation 3.9
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm BPeriod 3 (n=5)78.6 percent of total planned doseStandard Deviation 23.6
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm BPeriod 4 (n=5)90.0 percent of total planned doseStandard Deviation 13.7
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm BPeriod 5 (n=5)82.1 percent of total planned doseStandard Deviation 11
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm BPeriod 6 (n=3)73.8 percent of total planned doseStandard Deviation 26.8
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm BPeriod 7 (n=3)75.0 percent of total planned doseStandard Deviation 25
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm BPeriod 8 (n=3)75.0 percent of total planned doseStandard Deviation 25
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm BPeriod 9 (n=3)73.8 percent of total planned doseStandard Deviation 26.8
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm BPeriod 10 (n=3)73.8 percent of total planned doseStandard Deviation 26.8
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm BPeriod 11 (n=1)100.0 percent of total planned doseStandard Deviation 0
Treatment Arm A 37.5 mg/Day (4/2)Sunitinib Relative Dose Intensity in the Treatment Arm BPeriod 12 (n=1)35.7 percent of total planned doseStandard Deviation 0

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