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Non-Interventional Study (NIS) In Patients With Advanced And/Or Metastatic Renal Cell Carcinoma (mRCC) Treated With SUTENT®

Non-Interventional Study In Patients With Advanced And/Or Metastatic Renal Cell Carcinoma (mRCC) Treated With SUTENT®

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT00684645
Enrollment
186
Registered
2008-05-26
Start date
2008-06-30
Completion date
2011-04-30
Last updated
2012-08-21

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

Conditions

Metastatic Renal Cell Carcinoma

Keywords

Safety and tolerability of SUTENT® in patients with metastatic or advanced renal cell carcinoma after failure of cytokines in real-life setting.

Brief summary

Primary objective: to increase knowledge about safety, tolerability, quality of life and efficacy under conditions of routine use of SUTENT®. Secondary objectives: treatment response, hypothyroidism prevalence.The efficacy will be assessed using the Objective Response Rate, Time to Progression based on the RECIST criteria and the ECOG performance data.

Detailed description

180 patients will be enrolled at 20 key oncological centres, the sample size is sufficient for exploratory analysis.

Interventions

DRUGSUTENT

SUTENT® hard gelatin capsules containing 12.5 mg, 25 mg or 50 mg equivalent of sunitinib malate; daily dosage of 50 mg for 4 consecutive weeks followed by a 2-week rest period. Sutent is administered until disease progression or occurrence of unacceptable toxicity.

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Observational model
CASE_ONLY
Time perspective
PROSPECTIVE

Eligibility

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

Inclusion criteria

* Patients with advanced or metastatic renal cell carcinoma.

Exclusion criteria

* No previous cytokines therapy.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With HypertensionBaseline, Week 6, Months 3, 6, 9, 12Hypertension was defined as follows. Grade 1: Asymptomatic, transient (less than \[\<\]24 hours) increase by \>20mm Hg (diastolic) or to \>150/100 mm Hg if previously within normal limits (WNL). Grade 2: Recurrent or persistent (24 hours or more) or symptomatic increase by \>20 mm Hg (diastolic) or to \>150/100 mm Hg if previously WNL. Grade 3: Requiring \>1 drug or more intensive therapy than previously. Grade 4: Life-threatening. Grade 5: Death.
Correlation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (PFS)Baseline to date of first documentation of response to treatment (up to 12 months)Sunitinib-induced hypertension was determined using blood pressure recorded at each postbaseline visit. Once participants were identified as having sunitinib-induced hypertension, they retained that status at subsequent visits. PFS is the time from start of study treatment to first documentation of tumor response to treatment. Hazard ratio represents the relationship between sunitinib-induced hypertension and PFS (presence/absence of hypertension).
Correlation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (OS)Baseline to date of death (up to 12 months)Sunitinib-induced hypertension was determined using blood pressure recorded at each postbaseline visit. Once participants were identified as having sunitinib-induced hypertension, they retained that status at subsequent visits. OS is the time from start of study treatment to death. Hazard ratio represents the relationship between sunitinib-induced hypertension and OS.
Percentage of Participants With HypothyroidismBaseline, Months 3, 6, 9, 12TSH and FT4 levels were measured and hypothyroidism was defined as a TSH level \>5.0 mIU/L at that time point.
Percentage of Participants With Objective Response12 monthsPercentage of participants with objective response based assessment of confirmed complete response (CR) or confirmed partial response (PR). CR is defined as the disappearance of all target lesions. PR is defined as at least 30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions.
Progression-free Survival (PFS)Baseline to measured progressive disease (up to 12 months)The period from study entry until disease progression, death, or date of last contact.
Overall Survival (OS)Baseline to date of death (up to 12 months)OS is the duration from enrollment to death.
Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Week 6Week 6Following are ECOG grades. 0: Fully active, perform all pre-disease activities without restriction. 1: Restricted in physically strenuous activity but ambulatory, carry out work of a light or sedentary nature. 2: Ambulatory, capable of selfcare, unable to carry out any work activities, up and about more than (\>) 50% of waking hours. 3: Capable of limited selfcare, confined to bed or chair \>50% of waking hours. 4: Completely disabled, not capable of any selfcare, totally confined to bed or chair. 5: Dead. Participants in Not reported category were on study, had no data for this time point.
Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 3Month 3Following are ECOG grades. 0: Fully active, perform all pre-disease activities without restriction. 1: Restricted in physically strenuous activity but ambulatory, carry out work of a light or sedentary nature. 2: Ambulatory, capable of selfcare, unable to carry out any work activities, up and about more than (\>) 50% of waking hours. 3: Capable of limited selfcare, confined to bed or chair \>50% of waking hours. 4: Completely disabled, not capable of any selfcare, totally confined to bed or chair. 5: Dead. Participants in Not reported category were on study, had no data for this time point.
Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 6Month 6Following are ECOG grades. 0: Fully active, perform all pre-disease activities without restriction. 1: Restricted in physically strenuous activity but ambulatory, carry out work of a light or sedentary nature. 2: Ambulatory, capable of selfcare, unable to carry out any work activities, up and about more than (\>) 50% of waking hours. 3: Capable of limited selfcare, confined to bed or chair \>50% of waking hours. 4: Completely disabled, not capable of any selfcare, totally confined to bed or chair. 5: Dead. Participants in Not reported category were on study, had no data for this time point.
Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 9Month 9Following are ECOG grades. 0: Fully active, perform all pre-disease activities without restriction. 1: Restricted in physically strenuous activity but ambulatory, carry out work of a light or sedentary nature. 2: Ambulatory, capable of selfcare, unable to carry out any work activities, up and about more than (\>) 50% of waking hours. 3: Capable of limited selfcare, confined to bed or chair \>50% of waking hours. 4: Completely disabled, not capable of any selfcare, totally confined to bed or chair. 5: Dead. Participants in Not reported category were on study, had no data for this time point.
Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 12Month 12Following are ECOG grades. 0: Fully active, perform all pre-disease activities without restriction. 1: Restricted in physically strenuous activity but ambulatory, carry out work of a light or sedentary nature. 2: Ambulatory, capable of selfcare, unable to carry out any work activities, up and about more than (\>) 50% of waking hours. 3: Capable of limited selfcare, confined to bed or chair \>50% of waking hours. 4: Completely disabled, not capable of any selfcare, totally confined to bed or chair. 5: Dead. Participants in Not reported category were on study, had no data for this time point.

Other

MeasureTime frameDescription
Percentage of Participants With Treatment-emergent Hypertension, by Common Terminology Criteria for Adverse Events (CTCAE) GradeBaseline up to 12 monthsSunitinib-induced hypertension: not present at baseline but developed through the study, or if present at baseline increased by more than (\>) 20% during the study. Grade 1: Asymptomatic, transient (less than \[\<\]24 hours) increase by \>20 millimeters of Mercury (mm Hg) (diastolic) or to \>150/100 mm Hg if previously within normal limits (WNL); Grade 2: Recurrent or persistent (\>=24 hours) or symptomatic increase by \>20 mm Hg (diastolic) or to \>150/100 mm Hg if previously WNL; Grade 3: Requiring \>1 drug or more intensive therapy than previously; Grade 4: Life-threatening; Grade 5: Death.
Percentage of Participants Responding to Treatment12 monthsResponse categories for target lesions: Complete response (CR): Disappearance of all target lesions; Partial response (PR): At least a 30% decrease in the sum of the longest dimensions, reference=baseline sum of longest dimensions; Progressive disease (PD): At least a 20% increase in the sum of the longest dimensions, or the appearance of 1 or more new lesions; Stable disease (SD): Not sufficient shrinkage to qualify for PR, not sufficient increase to qualify for PD; Reference for PD and SD: smallest sum of longest dimensions since treatment started.
Summary of Adverse Events for Participants Who Required Dose ModificationBaseline up to 12 monthsAdverse events (AEs) or treatment-emergent adverse events (TEAEs) were defined as newly occurring or worsening after first dose. Study drug modifications included reduced dose or temporary discontinuation of treatment.

Countries

Czechia

Participant flow

Participants by arm

ArmCount
Sunitinib
The use and dosage recommendations for Sunitinib (Sutent) were in accordance with the local Summary of Product Characteristics.
186
Total186

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event27
Overall StudyDeath2
Overall StudyLost to Follow-up3
Overall StudyOther15
Overall StudyProgressive disease67

Baseline characteristics

CharacteristicSunitinib
Age, Customized
18 to 44 years
10 participants
Age, Customized
45 to 64 years
99 participants
Age, Customized
65 years or more
77 participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
ECOG Performance Status 0
23 percentage of participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
ECOG Performance Status 1
72 percentage of participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
ECOG Performance Status 2
5 percentage of participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
ECOG Performance Status 3
0 percentage of participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
ECOG Performance Status 4
0 percentage of participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
ECOG Performance Status 5
0 percentage of participants
Frequency of Involved Disease Sites
Adrenal
5 participants
Frequency of Involved Disease Sites
Bone
32 participants
Frequency of Involved Disease Sites
Chest wall
1 participants
Frequency of Involved Disease Sites
Kidney
26 participants
Frequency of Involved Disease Sites
Liver
20 participants
Frequency of Involved Disease Sites
Lung
88 participants
Frequency of Involved Disease Sites
Lymph node
7 participants
Frequency of Involved Disease Sites
Lymph node - Mediastinum
13 participants
Frequency of Involved Disease Sites
Lymph node - Other
4 participants
Frequency of Involved Disease Sites
Lymph node - Regional
2 participants
Frequency of Involved Disease Sites
Lymph node - Retroperitoneal
12 participants
Frequency of Involved Disease Sites
Lymph node - Supraclavicular
2 participants
Frequency of Involved Disease Sites
Mediastinum
3 participants
Frequency of Involved Disease Sites
Other
13 participants
Frequency of Involved Disease Sites
Pancreas
4 participants
Frequency of Involved Disease Sites
Pelvis
1 participants
Frequency of Involved Disease Sites
Peritoneum
7 participants
Frequency of Involved Disease Sites
Pleura
1 participants
Frequency of Involved Disease Sites
Skin
1 participants
Frequency of Involved Disease Sites
Spleen
1 participants
Involvement of Regional Lymph Nodes
Iliac
31 participants
Involvement of Regional Lymph Nodes
Paraaortal
25 participants
Involvement of Regional Lymph Nodes
Paracaval
6 participants
Prevalence of Hypertension
Hypertension absent
67 participants
Prevalence of Hypertension
Hypertension present
119 participants
Prevalence of hypothyroidism
Hypothyroidism absent
171 participants
Prevalence of hypothyroidism
Hypothyroidism present
15 participants
Previous Anti-Tumor Therapy
Prior Cancer Surgeries
8 participants
Previous Anti-Tumor Therapy
Prior Chemotherapy
173 participants
Previous Anti-Tumor Therapy
Prior Hormonal Therapy
180 participants
Previous Anti-Tumor Therapy
Prior Immunotherapy
35 participants
Previous Anti-Tumor Therapy
Prior Radiotherapy
152 participants
Sex: Female, Male
Female
58 Participants
Sex: Female, Male
Male
128 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
52 / 186
serious
Total, serious adverse events
31 / 186

Outcome results

Primary

Correlation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (OS)

Sunitinib-induced hypertension was determined using blood pressure recorded at each postbaseline visit. Once participants were identified as having sunitinib-induced hypertension, they retained that status at subsequent visits. OS is the time from start of study treatment to death. Hazard ratio represents the relationship between sunitinib-induced hypertension and OS.

Time frame: Baseline to date of death (up to 12 months)

Population: FAS

ArmMeasureGroupValue (NUMBER)
SunitinibCorrelation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (OS)Sunitinib-induced hypertension starting at Week 639 participants
SunitinibCorrelation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (OS)Sunitinib-induced hypertension starting at Month 316 participants
SunitinibCorrelation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (OS)Sunitinib-induced hypertension starting at Month 611 participants
SunitinibCorrelation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (OS)Sunitinib-induced hypertension starting at Month 912 participants
SunitinibCorrelation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (OS)Sunitinib-induced hypertension starting Month 124 participants
Comparison: Time to OS was analyzed using survival analysis methodology. Model was fitted with sunitinib-induced hypertension included as a time-dependent covariate (presence versus absence of hypertension).p-value: 0.022195% CI: [0.151, 0.864]Cox proportional hazard
Primary

Correlation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (PFS)

Sunitinib-induced hypertension was determined using blood pressure recorded at each postbaseline visit. Once participants were identified as having sunitinib-induced hypertension, they retained that status at subsequent visits. PFS is the time from start of study treatment to first documentation of tumor response to treatment. Hazard ratio represents the relationship between sunitinib-induced hypertension and PFS (presence/absence of hypertension).

Time frame: Baseline to date of first documentation of response to treatment (up to 12 months)

Population: FAS

ArmMeasureGroupValue (NUMBER)
SunitinibCorrelation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (PFS)Sunitinib-induced hypertension starting at Week 639 participants
SunitinibCorrelation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (PFS)Sunitinib-induced hypertension starting at Month 316 participants
SunitinibCorrelation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (PFS)Sunitinib-induced hypertension starting at Month 611 participants
SunitinibCorrelation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (PFS)Sunitinib-induced hypertension starting at Month 912 participants
SunitinibCorrelation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (PFS)Sunitinib-induced hypertension starting Month 124 participants
Comparison: Time to PFS was analyzed using survival analysis methodology. Model was fitted with sunitinib-induced hypertension included as a time-dependent covariate (presence versus absence of hypertension).p-value: <0.000195% CI: [0.257, 0.609]Cox proportional hazard
Primary

Overall Survival (OS)

OS is the duration from enrollment to death.

Time frame: Baseline to date of death (up to 12 months)

Population: FAS

ArmMeasureValue (MEDIAN)
SunitinibOverall Survival (OS)NA months
Primary

Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 12

Following are ECOG grades. 0: Fully active, perform all pre-disease activities without restriction. 1: Restricted in physically strenuous activity but ambulatory, carry out work of a light or sedentary nature. 2: Ambulatory, capable of selfcare, unable to carry out any work activities, up and about more than (\>) 50% of waking hours. 3: Capable of limited selfcare, confined to bed or chair \>50% of waking hours. 4: Completely disabled, not capable of any selfcare, totally confined to bed or chair. 5: Dead. Participants in Not reported category were on study, had no data for this time point.

Time frame: Month 12

Population: FAS. Percentages based on entire FAS population.

ArmMeasureGroupValue (NUMBER)
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 12ECOG Grade 015.1 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 12ECOG Grade 139.8 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 12ECOG Grade 28.1 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 12ECOG Grade 34.8 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 12ECOG Grade 40.5 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 12ECOG Grade 51.1 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 12Not Reported30.6 percentage of participants
Primary

Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 3

Following are ECOG grades. 0: Fully active, perform all pre-disease activities without restriction. 1: Restricted in physically strenuous activity but ambulatory, carry out work of a light or sedentary nature. 2: Ambulatory, capable of selfcare, unable to carry out any work activities, up and about more than (\>) 50% of waking hours. 3: Capable of limited selfcare, confined to bed or chair \>50% of waking hours. 4: Completely disabled, not capable of any selfcare, totally confined to bed or chair. 5: Dead. Participants in Not reported category were on study, had no data for this time point.

Time frame: Month 3

Population: FAS. Percentages based on entire FAS population.

ArmMeasureGroupValue (NUMBER)
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 3ECOG Grade 40.0 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 3ECOG Grade 016.7 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 3ECOG Grade 160.2 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 3ECOG Grade 210.2 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 3ECOG Grade 32.7 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 3ECOG Grade 50.0 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 3Not Reported10.2 percentage of participants
Primary

Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 6

Following are ECOG grades. 0: Fully active, perform all pre-disease activities without restriction. 1: Restricted in physically strenuous activity but ambulatory, carry out work of a light or sedentary nature. 2: Ambulatory, capable of selfcare, unable to carry out any work activities, up and about more than (\>) 50% of waking hours. 3: Capable of limited selfcare, confined to bed or chair \>50% of waking hours. 4: Completely disabled, not capable of any selfcare, totally confined to bed or chair. 5: Dead. Participants in Not reported category were on study, had no data for this time point.

Time frame: Month 6

Population: FAS. Percentages based on entire FAS population.

ArmMeasureGroupValue (NUMBER)
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 6ECOG Grade 24.3 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 6ECOG Grade 014.5 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 6ECOG Grade 147.8 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 6ECOG Grade 31.6 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 6ECOG Grade 41.1 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 6ECOG Grade 50.0 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 6Not Reported30.6 percentage of participants
Primary

Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 9

Following are ECOG grades. 0: Fully active, perform all pre-disease activities without restriction. 1: Restricted in physically strenuous activity but ambulatory, carry out work of a light or sedentary nature. 2: Ambulatory, capable of selfcare, unable to carry out any work activities, up and about more than (\>) 50% of waking hours. 3: Capable of limited selfcare, confined to bed or chair \>50% of waking hours. 4: Completely disabled, not capable of any selfcare, totally confined to bed or chair. 5: Dead. Participants in Not reported category were on study, had no data for this time point.

Time frame: Month 9

Population: FAS. Percentages based on entire FAS population.

ArmMeasureGroupValue (NUMBER)
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 9ECOG Grade 011.8 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 9ECOG Grade 136.6 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 9ECOG Grade 24.8 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 9ECOG Grade 30.5 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 9ECOG Grade 40.0 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 9ECOG Grade 50.0 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 9Not Reported46.2 percentage of participants
Primary

Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Week 6

Following are ECOG grades. 0: Fully active, perform all pre-disease activities without restriction. 1: Restricted in physically strenuous activity but ambulatory, carry out work of a light or sedentary nature. 2: Ambulatory, capable of selfcare, unable to carry out any work activities, up and about more than (\>) 50% of waking hours. 3: Capable of limited selfcare, confined to bed or chair \>50% of waking hours. 4: Completely disabled, not capable of any selfcare, totally confined to bed or chair. 5: Dead. Participants in Not reported category were on study, had no data for this time point.

Time frame: Week 6

Population: FAS. Percentages based on entire FAS population.

ArmMeasureGroupValue (NUMBER)
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Week 6ECOG Grade 018.8 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Week 6ECOG Grade 168.3 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Week 6ECOG Grade 28.6 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Week 6ECOG Grade 32.2 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Week 6ECOG Grade 40.0 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Week 6ECOG Grade 50.0 percentage of participants
SunitinibPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Week 6Not Reported2.2 percentage of participants
Primary

Percentage of Participants With Hypertension

Hypertension was defined as follows. Grade 1: Asymptomatic, transient (less than \[\<\]24 hours) increase by \>20mm Hg (diastolic) or to \>150/100 mm Hg if previously within normal limits (WNL). Grade 2: Recurrent or persistent (24 hours or more) or symptomatic increase by \>20 mm Hg (diastolic) or to \>150/100 mm Hg if previously WNL. Grade 3: Requiring \>1 drug or more intensive therapy than previously. Grade 4: Life-threatening. Grade 5: Death.

Time frame: Baseline, Week 6, Months 3, 6, 9, 12

Population: FAS. n = number of participants with evaluable data at that time point.

ArmMeasureGroupValue (NUMBER)
SunitinibPercentage of Participants With HypertensionBaseline (n=186)64.0 percentage of participants
SunitinibPercentage of Participants With HypertensionWeek 6 (n=182)51.1 percentage of participants
SunitinibPercentage of Participants With HypertensionMonth 3 (n=168)48.8 percentage of participants
SunitinibPercentage of Participants With HypertensionMonth 6 (n=131)54.2 percentage of participants
SunitinibPercentage of Participants With HypertensionMonth 9 (n=100)54.0 percentage of participants
SunitinibPercentage of Participants With HypertensionMonth 12 (n=134)39.6 percentage of participants
Primary

Percentage of Participants With Hypothyroidism

TSH and FT4 levels were measured and hypothyroidism was defined as a TSH level \>5.0 mIU/L at that time point.

Time frame: Baseline, Months 3, 6, 9, 12

Population: FAS. n = number of participants with evaluable data at that time point.

ArmMeasureGroupValue (NUMBER)
SunitinibPercentage of Participants With HypothyroidismBaseline (n=186)8.1 percentage of participants
SunitinibPercentage of Participants With HypothyroidismMonth 3 (n=168)17.9 percentage of participants
SunitinibPercentage of Participants With HypothyroidismMonth 6 (n=131)18.3 percentage of participants
SunitinibPercentage of Participants With HypothyroidismMonth 9 (n=100)20.0 percentage of participants
SunitinibPercentage of Participants With HypothyroidismMonth 12 (n=134)20.9 percentage of participants
Primary

Percentage of Participants With Objective Response

Percentage of participants with objective response based assessment of confirmed complete response (CR) or confirmed partial response (PR). CR is defined as the disappearance of all target lesions. PR is defined as at least 30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions.

Time frame: 12 months

Population: Full analysis set (FAS): all participants who received at least one dose of the study medication.

ArmMeasureValue (NUMBER)
SunitinibPercentage of Participants With Objective Response25.3 percentage of participants
Primary

Progression-free Survival (PFS)

The period from study entry until disease progression, death, or date of last contact.

Time frame: Baseline to measured progressive disease (up to 12 months)

Population: FAS

ArmMeasureValue (MEDIAN)
SunitinibProgression-free Survival (PFS)9.8 months
Other Pre-specified

Percentage of Participants Responding to Treatment

Response categories for target lesions: Complete response (CR): Disappearance of all target lesions; Partial response (PR): At least a 30% decrease in the sum of the longest dimensions, reference=baseline sum of longest dimensions; Progressive disease (PD): At least a 20% increase in the sum of the longest dimensions, or the appearance of 1 or more new lesions; Stable disease (SD): Not sufficient shrinkage to qualify for PR, not sufficient increase to qualify for PD; Reference for PD and SD: smallest sum of longest dimensions since treatment started.

Time frame: 12 months

Population: All participants

ArmMeasureGroupValue (NUMBER)
SunitinibPercentage of Participants Responding to TreatmentComplete response2.2 percentage of participants
SunitinibPercentage of Participants Responding to TreatmentPartial response23.1 percentage of participants
SunitinibPercentage of Participants Responding to TreatmentStable / No response46.2 percentage of participants
SunitinibPercentage of Participants Responding to TreatmentProgressive disease19.9 percentage of participants
Other Pre-specified

Percentage of Participants With Treatment-emergent Hypertension, by Common Terminology Criteria for Adverse Events (CTCAE) Grade

Sunitinib-induced hypertension: not present at baseline but developed through the study, or if present at baseline increased by more than (\>) 20% during the study. Grade 1: Asymptomatic, transient (less than \[\<\]24 hours) increase by \>20 millimeters of Mercury (mm Hg) (diastolic) or to \>150/100 mm Hg if previously within normal limits (WNL); Grade 2: Recurrent or persistent (\>=24 hours) or symptomatic increase by \>20 mm Hg (diastolic) or to \>150/100 mm Hg if previously WNL; Grade 3: Requiring \>1 drug or more intensive therapy than previously; Grade 4: Life-threatening; Grade 5: Death.

Time frame: Baseline up to 12 months

Population: All participants

ArmMeasureGroupValue (NUMBER)
SunitinibPercentage of Participants With Treatment-emergent Hypertension, by Common Terminology Criteria for Adverse Events (CTCAE) GradeHypertension, Grade 30.5 percentage of participants
SunitinibPercentage of Participants With Treatment-emergent Hypertension, by Common Terminology Criteria for Adverse Events (CTCAE) GradeHypertension, Grade 13.2 percentage of participants
SunitinibPercentage of Participants With Treatment-emergent Hypertension, by Common Terminology Criteria for Adverse Events (CTCAE) GradeHypertension, Grade 21.1 percentage of participants
Other Pre-specified

Summary of Adverse Events for Participants Who Required Dose Modification

Adverse events (AEs) or treatment-emergent adverse events (TEAEs) were defined as newly occurring or worsening after first dose. Study drug modifications included reduced dose or temporary discontinuation of treatment.

Time frame: Baseline up to 12 months

Population: Number of participants analyzed = All participants who required dose modification because of an adverse event. The total number of participants may exceed the number of participants analyzed because one participant may have reported more than one adverse event.

ArmMeasureGroupValue (NUMBER)
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationRash1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationSkin erosion1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationSwelling face1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationDeep vein thrombosis1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationHypertension4 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationInfarction1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationAnaemia2 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationLeukopenia2 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationNeutropenia1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationThrombocytopenia6 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationHypothyroidism1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationAphthous stomatitis1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationStomatitis2 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationDisease progression9 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationOedema peripheral1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationPyrexia1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationJaundice1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationBronchopneumonia2 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationHerpes dermatitis1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationUrinary tract infection2 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationFalse positive investigation result1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationDecreased appetite2 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationOsteonecrosis of jaw1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationLeukaemia1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationRenal cell carcinoma2 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationCerebellar syndrome1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationCerebrovascular accident1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationLoss of consciousness1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationHaematuria1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationRenal disorder1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationAsthma1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationHaemoptysis1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationPulmonary embolism1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationDermatitis exfoliative1 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationPalmar-plantar erythrodysaesthesia syndrome3 participants
SunitinibSummary of Adverse Events for Participants Who Required Dose ModificationVenous thrombosis limb1 participants

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