Metastatic Renal Cell Carcinoma
Conditions
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
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
Study design
Eligibility
Inclusion criteria
* Patients with advanced or metastatic renal cell carcinoma.
Exclusion criteria
* No previous cytokines therapy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Hypertension | Baseline, Week 6, Months 3, 6, 9, 12 | 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. |
| 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 Hypothyroidism | Baseline, Months 3, 6, 9, 12 | TSH 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 Response | 12 months | 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. |
| 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 6 | 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. |
| Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 3 | 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. |
| Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 6 | 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. |
| Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 9 | 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. |
| Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 12 | 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. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Treatment-emergent Hypertension, by Common Terminology Criteria for Adverse Events (CTCAE) Grade | Baseline up to 12 months | 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. |
| Percentage of Participants Responding to Treatment | 12 months | 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. |
| Summary of Adverse Events for Participants Who Required Dose Modification | Baseline up to 12 months | 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. |
Countries
Czechia
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Sunitinib The use and dosage recommendations for Sunitinib (Sutent) were in accordance with the local Summary of Product Characteristics. | 186 |
| Total | 186 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Adverse Event | 27 |
| Overall Study | Death | 2 |
| Overall Study | Lost to Follow-up | 3 |
| Overall Study | Other | 15 |
| Overall Study | Progressive disease | 67 |
Baseline characteristics
| Characteristic | Sunitinib |
|---|---|
| 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 type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 52 / 186 |
| serious Total, serious adverse events | 31 / 186 |
Outcome results
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Sunitinib | Correlation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (OS) | Sunitinib-induced hypertension starting at Week 6 | 39 participants |
| Sunitinib | Correlation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (OS) | Sunitinib-induced hypertension starting at Month 3 | 16 participants |
| Sunitinib | Correlation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (OS) | Sunitinib-induced hypertension starting at Month 6 | 11 participants |
| Sunitinib | Correlation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (OS) | Sunitinib-induced hypertension starting at Month 9 | 12 participants |
| Sunitinib | Correlation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (OS) | Sunitinib-induced hypertension starting Month 12 | 4 participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Sunitinib | Correlation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (PFS) | Sunitinib-induced hypertension starting at Week 6 | 39 participants |
| Sunitinib | Correlation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (PFS) | Sunitinib-induced hypertension starting at Month 3 | 16 participants |
| Sunitinib | Correlation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (PFS) | Sunitinib-induced hypertension starting at Month 6 | 11 participants |
| Sunitinib | Correlation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (PFS) | Sunitinib-induced hypertension starting at Month 9 | 12 participants |
| Sunitinib | Correlation Between Sunitinib-induced Hypertension and Tumor Response to Treatment (PFS) | Sunitinib-induced hypertension starting Month 12 | 4 participants |
Overall Survival (OS)
OS is the duration from enrollment to death.
Time frame: Baseline to date of death (up to 12 months)
Population: FAS
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Sunitinib | Overall Survival (OS) | NA months |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 12 | ECOG Grade 0 | 15.1 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 12 | ECOG Grade 1 | 39.8 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 12 | ECOG Grade 2 | 8.1 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 12 | ECOG Grade 3 | 4.8 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 12 | ECOG Grade 4 | 0.5 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 12 | ECOG Grade 5 | 1.1 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 12 | Not Reported | 30.6 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 3 | ECOG Grade 4 | 0.0 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 3 | ECOG Grade 0 | 16.7 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 3 | ECOG Grade 1 | 60.2 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 3 | ECOG Grade 2 | 10.2 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 3 | ECOG Grade 3 | 2.7 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 3 | ECOG Grade 5 | 0.0 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 3 | Not Reported | 10.2 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 6 | ECOG Grade 2 | 4.3 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 6 | ECOG Grade 0 | 14.5 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 6 | ECOG Grade 1 | 47.8 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 6 | ECOG Grade 3 | 1.6 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 6 | ECOG Grade 4 | 1.1 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 6 | ECOG Grade 5 | 0.0 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 6 | Not Reported | 30.6 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 9 | ECOG Grade 0 | 11.8 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 9 | ECOG Grade 1 | 36.6 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 9 | ECOG Grade 2 | 4.8 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 9 | ECOG Grade 3 | 0.5 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 9 | ECOG Grade 4 | 0.0 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 9 | ECOG Grade 5 | 0.0 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Month 9 | Not Reported | 46.2 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Week 6 | ECOG Grade 0 | 18.8 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Week 6 | ECOG Grade 1 | 68.3 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Week 6 | ECOG Grade 2 | 8.6 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Week 6 | ECOG Grade 3 | 2.2 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Week 6 | ECOG Grade 4 | 0.0 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Week 6 | ECOG Grade 5 | 0.0 percentage of participants |
| Sunitinib | Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Week 6 | Not Reported | 2.2 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Sunitinib | Percentage of Participants With Hypertension | Baseline (n=186) | 64.0 percentage of participants |
| Sunitinib | Percentage of Participants With Hypertension | Week 6 (n=182) | 51.1 percentage of participants |
| Sunitinib | Percentage of Participants With Hypertension | Month 3 (n=168) | 48.8 percentage of participants |
| Sunitinib | Percentage of Participants With Hypertension | Month 6 (n=131) | 54.2 percentage of participants |
| Sunitinib | Percentage of Participants With Hypertension | Month 9 (n=100) | 54.0 percentage of participants |
| Sunitinib | Percentage of Participants With Hypertension | Month 12 (n=134) | 39.6 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Sunitinib | Percentage of Participants With Hypothyroidism | Baseline (n=186) | 8.1 percentage of participants |
| Sunitinib | Percentage of Participants With Hypothyroidism | Month 3 (n=168) | 17.9 percentage of participants |
| Sunitinib | Percentage of Participants With Hypothyroidism | Month 6 (n=131) | 18.3 percentage of participants |
| Sunitinib | Percentage of Participants With Hypothyroidism | Month 9 (n=100) | 20.0 percentage of participants |
| Sunitinib | Percentage of Participants With Hypothyroidism | Month 12 (n=134) | 20.9 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Sunitinib | Percentage of Participants With Objective Response | 25.3 percentage of participants |
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
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Sunitinib | Progression-free Survival (PFS) | 9.8 months |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Sunitinib | Percentage of Participants Responding to Treatment | Complete response | 2.2 percentage of participants |
| Sunitinib | Percentage of Participants Responding to Treatment | Partial response | 23.1 percentage of participants |
| Sunitinib | Percentage of Participants Responding to Treatment | Stable / No response | 46.2 percentage of participants |
| Sunitinib | Percentage of Participants Responding to Treatment | Progressive disease | 19.9 percentage of participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Sunitinib | Percentage of Participants With Treatment-emergent Hypertension, by Common Terminology Criteria for Adverse Events (CTCAE) Grade | Hypertension, Grade 3 | 0.5 percentage of participants |
| Sunitinib | Percentage of Participants With Treatment-emergent Hypertension, by Common Terminology Criteria for Adverse Events (CTCAE) Grade | Hypertension, Grade 1 | 3.2 percentage of participants |
| Sunitinib | Percentage of Participants With Treatment-emergent Hypertension, by Common Terminology Criteria for Adverse Events (CTCAE) Grade | Hypertension, Grade 2 | 1.1 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Rash | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Skin erosion | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Swelling face | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Deep vein thrombosis | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Hypertension | 4 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Infarction | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Anaemia | 2 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Leukopenia | 2 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Neutropenia | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Thrombocytopenia | 6 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Hypothyroidism | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Aphthous stomatitis | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Stomatitis | 2 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Disease progression | 9 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Oedema peripheral | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Pyrexia | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Jaundice | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Bronchopneumonia | 2 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Herpes dermatitis | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Urinary tract infection | 2 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | False positive investigation result | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Decreased appetite | 2 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Osteonecrosis of jaw | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Leukaemia | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Renal cell carcinoma | 2 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Cerebellar syndrome | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Cerebrovascular accident | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Loss of consciousness | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Haematuria | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Renal disorder | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Asthma | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Haemoptysis | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Pulmonary embolism | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Dermatitis exfoliative | 1 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Palmar-plantar erythrodysaesthesia syndrome | 3 participants |
| Sunitinib | Summary of Adverse Events for Participants Who Required Dose Modification | Venous thrombosis limb | 1 participants |