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Registry For Temsirolimus, Sunitinib, And Axitinib Treated Patients With Metastatic Renal Cell Carcinoma (mRCC), Mantle Cell Lymphoma (MCL), And Gastro-Intestinal Stroma Tumor (GIST) [STAR-TOR]

STAR-TOR- REGISTRY FOR THE EVALUATION OF THE SAFETY, TOLERABILITY AND EFFICACY OF TEMSIROLIMUS (TORISEL), SUNITINIB (SUTENT) AND AXITINIB (INLYTA) FOR THE TREATMENT OF SUBJECTS WITH ADVANCED RENAL CELL CARCINOMA (MRCC), MANTLE CELL LYMPHOMA (MCL) AND GASTRO-INTESTINAL STROMA TUMOR (GIST).

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT00700258
Acronym
STAR-TOR
Enrollment
1520
Registered
2008-06-18
Start date
2008-02-13
Completion date
2021-12-28
Last updated
2024-09-23

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

Conditions

Carcinoma, Renal Cell, Advanced, Gastrointestinal Stroma Tumors, Lymphoma, Mantle-Cell

Brief summary

The purpose of this registry is to obtain a general view as regards efficacy, tolerability and safety issues of the Torisel®, Sutent®, and/or Inlyta® therapies in patients with advanced renal cell carcinoma, recurrent / refractory mantle cell lymphoma (MCL) and gastro-intestinal stroma tumors (GIST) under the conditions of routine use

Detailed description

Treatment of the metastatic renal cell carcinoma (mRCC) has experienced fundamental changes within a very short period of time. In the past few years, introduction of various new substances for the treatment of mRCC has therefore resulted in new scientific research questions. Temsirolimus and sunitinib are current standard therapies in the first-line treatment of mRCC. Inlyta® is a new substance that was developed for the treatment of mRCC after failure of sunitinib or cytokines. Since August 2009, Torisel® is available as another treatment option for patients with mantle cell lymphoma (MCL). In addition, Sutent® is used for patients with non-resectable / metastatic gastro-intestinal stroma tumors (GIST) after failure or intolerability of imatinib. The routine use of drugs in the usual clinical setting faces additional challenges that generally cannot be completely reflected by clinical trials. Therefore, the purpose of this registry is to obtain a general view as regards efficacy, tolerability and safety issues of the Torisel®, Sutent®, and/or Inlyta® therapies in patients with advanced renal cell carcinoma, recurrent / refractory mantle cell lymphoma (MCL) and gastro-intestinal stroma tumors (GIST) under the conditions of routine use. Therefore, the following information is of particular interest in the course of the investigation: * Efficacy (best response, overall survival, progression-free survival) * Tolerability of the therapy (assessed by the physician) * Safety profile (overall incidence of adverse events as well as side-effect rate) of subjects with mRCC, rMCL, and GIST under treatment with Torisel®, Sutent®, and/or Inlyta® * Profile, comorbidities, and characteristics of subjects treated with Torisel® Sutent®, and/or Inlyta® * The sequence of using the systemic therapies for RCC, MCL, and GIST * Patient survey on the quality of life of mRCC patients

Interventions

DRUGTemsirolimus

Non-interventional study. Treatment decision already made before inclusion into the registry.

DRUGSunitinib

Non-interventional study. Treatment decision already made before inclusion into the registry.

DRUGAxitinib

Non-interventional study. Treatment decision already made before inclusion into the registry.

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No

Inclusion criteria

* Patients with proven tumor of RCC, MCL or GIST by histology. * Informed consent signed by patient.

Exclusion criteria

* Pregnancy

Design outcomes

Primary

MeasureTime frameDescription
Overall Survival (OS)From initiation of treatment until the date of first documented progression or date of death from any cause, whichever came first, approximately 13 years and 10 monthsOS was defined as the time from initiation of treatment to death from any cause. In case a death was documented, but date of death was unknown, the date of death was substituted with the latest available date for the participant (last visit, last contact date, date of assessment). If no death was documented, participant was censored with the latest available contact date or assessment date within study. If these rules led to a missing duration or a negative duration, duration was set to maximum of (PFS,1 day). Progression free survival (PFS) was defined as time from initiation of treatment to documented disease progression or death from any cause. progression was defined as the enlargement of the measured sum by 20% or one or more new lesions. This outcome measure was analyzed using Kaplan-Meier method.
Progression Free Survival (PFS)From initiation of treatment until the date of first documented progression or date of death from any cause, whichever came first, approximately 13 years and 10 monthsPFS was defined as time from initiation of treatment to documented disease progression or death from any cause. The presence of a progression i.e. enlargement of the measured sum by 20% or one or more new lesions was confirmed, but (a) No date was documented: the date of last intake of study medication was used as date of progression, otherwise the date of the last visit with a documented non-progression was used as date of progression. (b) Dates within a visit and on final documentation were contradictory, the prior date was used. In case a death was documented within survival follow-up, but no progression was documented within regular study, the date of last visit plus 1 day was used as date of progression. In case no progression was documented, participant was censored with the latest available contact date or assessment date within study. In case these rules led to a missing duration or a negative duration, duration was set to 1 day. Kaplan-Meier method was used for analysis.
Number of Participants With Best Overall Response (BOR)From initiation of treatment until the date of first documented progression or date of death from any cause, whichever came first, approximately 13 years and 10 monthsBOR included Complete Remission (CR): complete disappearance of all lesions. Partial Remission (PR): Reduction of the measured total by at least 30%. Minor remission (MR): ≥10% decrease in the sum of longest diameters of target lesions but not a PR (\<30%). Stable Disease (SD): neither shrinkage for CR/PR nor increase for progressive disease (PD) taking as reference smallest sum of longest diameters (SLDs) since treatment start. PD: Enlargement of the measured sum by 20% or one or more new lesions. In this outcome measure, number of participants with best overall response were reported.
Number of Participants Categorized According to Physician's Global Assessment of EffectivenessFrom initiation of treatment until the date of first documented progression or date of death from any cause, whichever came first, approximately 13 years and 10 monthsIn this outcome measure, number of participants were categorized according to physician's global assessment of effectiveness as very good, good, moderate, insufficient and missing. Categories were determined by investigator's discretion.
Karnofsky Performance Status (KPS) ScaleFrom initiation of treatment until the date of first documented progression or date of death from any cause, whichever came first, approximately 13 years and 10 monthsKarnofsky performance score was used to quantify participant's general well-being and activities of daily life and participants were classified based on their functional impairment. Karnofsky performance score ranges between 0 (death) to 100 (no evidence of disease). Higher score means higher ability to perform daily tasks.
Absolute Laboratory Values of Clinical Chemistry Parameters: Triiodothyronine (fT3) and Free Thyroxine (fT4)Week 46 up to Week 55 post study inclusion
Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status for Mantle Cell LymphomaFrom initiation of treatment until the date of first documented progression or date of death from any cause, whichever came first, approximately 13 years and 10 monthsECOG: participant's performance status was measured on a 6-point scale: 0= fully active/able to carry on all pre-disease activities without restriction; 1= restricted in physically strenuous activity but ambulatory and able to carry out work of a light and sedentary nature; 2= ambulatory and capable of all self-care, but unable to carry out any work activities, up and about more than 50 percent (%) of waking hours; 3= capable of only limited self-care, confined to bed/chair \>50% of waking hours; 4= completely disabled, cannot carry on any self-care, totally confined to bed/chair: 5= dead. In this outcome measure, data for ECOG status (0, 1, 2) and missing was evaluated for MCL as planned.
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)From initiation of treatment until the date of first documented progression or date of death from any cause, whichever came first, approximately 13 years and 10 monthsAn adverse event (AE) was any undesirable medical event in a participant took a medicinal product. It was not necessarily required that the event is causally related to the treatment or use of the medicinal product. An SAE was any undesirable medical event that occurred in a participant received a medicinal product or dietary supplement (including infant formula) at any dose, and that resulted in death; was life-threatening; required an unforeseen hospitalization or prolongation of hospitalization; resulted in persistent or significant disability/incapacity (substantial impairment of the ability to perform daily activities); resulted in a congenital malformation/birth defect. TEAEs were events between first dose of study drug and up to last documented follow-up visit that were absent before treatment or that worsened relative to pretreatment state. AEs included serious and all non-serious adverse events.
Number of Participants Who Discontinued Treatment Due to Adverse EventsFrom initiation of treatment until the date of first documented progression or date of death from any cause, whichever came first, approximately 13 years and 10 monthsAn AE was any undesirable medical event in a participant took a medicinal product. It was not necessarily required that the event is causally related to the treatment or use of the medicinal product. In this outcome measure number of participants who discontinued treatment due to adverse events were reported.
Number of Participants Categorized According to Physician's Global Tolerability AssessmentFrom initiation of treatment until the date of first documented progression or date of death from any cause, whichever came first, approximately 13 years and 10 monthsIn this outcome measure, number of participants were categorized according to physician's global tolerability assessment as very good, good, moderate, insufficient and missing. Categories were determined by investigator's discretion.
Absolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritWeek 46 up to Week 55 post study inclusion
Absolute Laboratory Values of Hematology Parameters: Hemoglobin A1c (HbA1c)Week 46 up to Week 55 post study inclusion
Absolute Laboratory Values of Hematology Parameters: HemoglobinWeek 46 up to Week 55 post study inclusion
Absolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseWeek 46 up to Week 55 post study inclusion
Absolute Laboratory Values of Clinical Chemistry Parameters: Creatinine, Total BilirubinWeek 46 up to Week 55 post study inclusion
Absolute Laboratory Values of Clinical Chemistry Parameters: Alanine Transaminase (ALT), Aspartate Transaminase (AST), Alkaline Phosphatase (ALP) and Lactate Dehydrogenase (LDH)Week 46 up to Week 55 post study inclusion
Absolute Laboratory Values of Clinical Chemistry Parameters: AlbuminWeek 46 up to Week 55 post study inclusion
Absolute Laboratory Values of Clinical Chemistry Parameters: Thyroid Stimulating Hormone (TSH)Week 46 up to Week 55 post study inclusion

Countries

Germany

Participant flow

Recruitment details

Data from eligible participants diagnosed with metastatic renal cell carcinoma (mRCC), relapsed or refractory mantle cell lymphoma (MCL) or gastrointestinal stromal tumors (GIST) and who were treated with temsirolimus, sunitinib and/or axitinib, as per routine clinical practice from January 2008 to December 2021 were observed in this prospective, non-interventional, STAR-TOR registry study.

Participants by arm

ArmCount
Participants With mRCC, MCL or GIST
Participants diagnosed with mRCC who received only temsirolimus from January 2008 to December 2021, as per routine clinical practice were observed during this prospective registry study. Participants in this observational study, were followed up for every 8 to 12 weeks until treatment with temsirolimus was discontinued or documentation was stopped for any reason.
1,520
Total1,520

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyLost to Follow-up81
Overall StudyPremature discontinuation of documentation136
Overall StudyPremature discontinuation of therapy1,013
Overall StudyType of study end not documented1

Baseline characteristics

CharacteristicParticipants With mRCC, MCL or GIST
Age, Customized
GIST - Sunitinib
40 - <50 years
1 Participants
Age, Customized
GIST - Sunitinib
50 - <60 years
3 Participants
Age, Customized
GIST - Sunitinib
60 - <70 years
7 Participants
Age, Customized
GIST - Sunitinib
70 - <80 years
12 Participants
Age, Customized
GIST - Sunitinib
80 - <90 years
2 Participants
Age, Customized
GIST - Sunitinib
90 - <100 years
0 Participants
Age, Customized
GIST - Sunitinib
Less than (<) 40 years
1 Participants
Age, Customized
GIST - Sunitinib
Missing
0 Participants
Age, Customized
MCL - Temsirolimus
40 - <50 years
0 Participants
Age, Customized
MCL - Temsirolimus
50 - <60 years
3 Participants
Age, Customized
MCL - Temsirolimus
60 - <70 years
11 Participants
Age, Customized
MCL - Temsirolimus
70 - <80 years
33 Participants
Age, Customized
MCL - Temsirolimus
80 - <90 years
11 Participants
Age, Customized
MCL - Temsirolimus
90 - <100 years
1 Participants
Age, Customized
MCL - Temsirolimus
Less than (<) 40 years
0 Participants
Age, Customized
MCL - Temsirolimus
Missing
0 Participants
Age, Customized
mRCC - Axitinib
40 - <50 years
5 Participants
Age, Customized
mRCC - Axitinib
50 - <60 years
47 Participants
Age, Customized
mRCC - Axitinib
60 - <70 years
67 Participants
Age, Customized
mRCC - Axitinib
70 - <80 years
92 Participants
Age, Customized
mRCC - Axitinib
80 - <90 years
23 Participants
Age, Customized
mRCC - Axitinib
90 - <100 years
0 Participants
Age, Customized
mRCC - Axitinib
Less than (<) 40 years
3 Participants
Age, Customized
mRCC - Axitinib
Missing
0 Participants
Age, Customized
mRCC - Sunitinib
40 - <50 years
29 Participants
Age, Customized
mRCC - Sunitinib
50 - <60 years
128 Participants
Age, Customized
mRCC - Sunitinib
60 - <70 years
222 Participants
Age, Customized
mRCC - Sunitinib
70 - <80 years
252 Participants
Age, Customized
mRCC - Sunitinib
80 - <90 years
66 Participants
Age, Customized
mRCC - Sunitinib
90 - <100 years
0 Participants
Age, Customized
mRCC - Sunitinib
Less than (<) 40 years
5 Participants
Age, Customized
mRCC - Sunitinib
Missing
0 Participants
Age, Customized
mRCC - Temsirolimus
40 - <50 years
34 Participants
Age, Customized
mRCC - Temsirolimus
50 - <60 years
106 Participants
Age, Customized
mRCC - Temsirolimus
60 - <70 years
188 Participants
Age, Customized
mRCC - Temsirolimus
70 - <80 years
238 Participants
Age, Customized
mRCC - Temsirolimus
80 - <90 years
36 Participants
Age, Customized
mRCC - Temsirolimus
90 - <100 years
0 Participants
Age, Customized
mRCC - Temsirolimus
Less than (<) 40 years
2 Participants
Age, Customized
mRCC - Temsirolimus
Missing
1 Participants
Race and Ethnicity Not Collected— Participants
Sex/Gender, Customized
GIST - Sunitinib
Female
8 Participants
Sex/Gender, Customized
GIST - Sunitinib
Male
17 Participants
Sex/Gender, Customized
GIST - Sunitinib
Missing
1 Participants
Sex/Gender, Customized
MCL - Temsirolimus
Female
18 Participants
Sex/Gender, Customized
MCL - Temsirolimus
Male
41 Participants
Sex/Gender, Customized
MCL - Temsirolimus
Missing
0 Participants
Sex/Gender, Customized
mRCC - Axitinib
Female
71 Participants
Sex/Gender, Customized
mRCC - Axitinib
Male
163 Participants
Sex/Gender, Customized
mRCC - Axitinib
Missing
3 Participants
Sex/Gender, Customized
mRCC - Sunitinib
Female
187 Participants
Sex/Gender, Customized
mRCC - Sunitinib
Male
510 Participants
Sex/Gender, Customized
mRCC - Sunitinib
Missing
5 Participants
Sex/Gender, Customized
mRCC - Temsirolimus
Female
191 Participants
Sex/Gender, Customized
mRCC - Temsirolimus
Male
410 Participants
Sex/Gender, Customized
mRCC - Temsirolimus
Missing
4 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
440 / 605420 / 702163 / 23740 / 5916 / 26
other
Total, other adverse events
342 / 605485 / 702148 / 23745 / 5918 / 26
serious
Total, serious adverse events
269 / 605284 / 702111 / 23726 / 5911 / 26

Outcome results

Primary

Absolute Laboratory Values of Clinical Chemistry Parameters: Alanine Transaminase (ALT), Aspartate Transaminase (AST), Alkaline Phosphatase (ALP) and Lactate Dehydrogenase (LDH)

Time frame: Week 46 up to Week 55 post study inclusion

Population: SAS analyzed. Participants received another treatment if not benefited from treatment they were receiving at enrollment; participants were not exclusive in few arms. So, sum of participants across arms is not equal to number of participants who started study. Here, Overall Number of Participants Analyzed signifies number of participants who were evaluable for this outcome measure and 'Number Analyzed' signifies those participants who were evaluable for the specified rows.

ArmMeasureGroupValue (MEAN)Dispersion
mRCC - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Alanine Transaminase (ALT), Aspartate Transaminase (AST), Alkaline Phosphatase (ALP) and Lactate Dehydrogenase (LDH)LDH224.8 Units per literStandard Deviation 88.2
mRCC - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Alanine Transaminase (ALT), Aspartate Transaminase (AST), Alkaline Phosphatase (ALP) and Lactate Dehydrogenase (LDH)ALP95.8 Units per literStandard Deviation 53.5
mRCC - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Alanine Transaminase (ALT), Aspartate Transaminase (AST), Alkaline Phosphatase (ALP) and Lactate Dehydrogenase (LDH)AST23.1 Units per literStandard Deviation 8.2
mRCC - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Alanine Transaminase (ALT), Aspartate Transaminase (AST), Alkaline Phosphatase (ALP) and Lactate Dehydrogenase (LDH)ALT20.2 Units per literStandard Deviation 8.3
mRCC - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Alanine Transaminase (ALT), Aspartate Transaminase (AST), Alkaline Phosphatase (ALP) and Lactate Dehydrogenase (LDH)LDH245.1 Units per literStandard Deviation 67.2
mRCC - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Alanine Transaminase (ALT), Aspartate Transaminase (AST), Alkaline Phosphatase (ALP) and Lactate Dehydrogenase (LDH)ALP77.9 Units per literStandard Deviation 30.6
mRCC - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Alanine Transaminase (ALT), Aspartate Transaminase (AST), Alkaline Phosphatase (ALP) and Lactate Dehydrogenase (LDH)ALT25.9 Units per literStandard Deviation 17.5
mRCC - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Alanine Transaminase (ALT), Aspartate Transaminase (AST), Alkaline Phosphatase (ALP) and Lactate Dehydrogenase (LDH)AST29.6 Units per literStandard Deviation 12.8
mRCC - AxitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Alanine Transaminase (ALT), Aspartate Transaminase (AST), Alkaline Phosphatase (ALP) and Lactate Dehydrogenase (LDH)ALP91.8 Units per literStandard Deviation 43.2
mRCC - AxitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Alanine Transaminase (ALT), Aspartate Transaminase (AST), Alkaline Phosphatase (ALP) and Lactate Dehydrogenase (LDH)AST44.3 Units per literStandard Deviation 84.3
mRCC - AxitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Alanine Transaminase (ALT), Aspartate Transaminase (AST), Alkaline Phosphatase (ALP) and Lactate Dehydrogenase (LDH)ALT34.7 Units per literStandard Deviation 71.8
mRCC - AxitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Alanine Transaminase (ALT), Aspartate Transaminase (AST), Alkaline Phosphatase (ALP) and Lactate Dehydrogenase (LDH)LDH235.8 Units per literStandard Deviation 126.9
MCL - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Alanine Transaminase (ALT), Aspartate Transaminase (AST), Alkaline Phosphatase (ALP) and Lactate Dehydrogenase (LDH)AST28.0 Units per liter
MCL - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Alanine Transaminase (ALT), Aspartate Transaminase (AST), Alkaline Phosphatase (ALP) and Lactate Dehydrogenase (LDH)ALP130.0 Units per liter
MCL - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Alanine Transaminase (ALT), Aspartate Transaminase (AST), Alkaline Phosphatase (ALP) and Lactate Dehydrogenase (LDH)ALT24.0 Units per liter
MCL - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Alanine Transaminase (ALT), Aspartate Transaminase (AST), Alkaline Phosphatase (ALP) and Lactate Dehydrogenase (LDH)LDH256.0 Units per liter
GIST - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Alanine Transaminase (ALT), Aspartate Transaminase (AST), Alkaline Phosphatase (ALP) and Lactate Dehydrogenase (LDH)AST24.6 Units per literStandard Deviation 6.4
GIST - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Alanine Transaminase (ALT), Aspartate Transaminase (AST), Alkaline Phosphatase (ALP) and Lactate Dehydrogenase (LDH)ALT22.9 Units per literStandard Deviation 7.5
GIST - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Alanine Transaminase (ALT), Aspartate Transaminase (AST), Alkaline Phosphatase (ALP) and Lactate Dehydrogenase (LDH)LDH227.8 Units per literStandard Deviation 45.6
GIST - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Alanine Transaminase (ALT), Aspartate Transaminase (AST), Alkaline Phosphatase (ALP) and Lactate Dehydrogenase (LDH)ALP79.3 Units per literStandard Deviation 50.7
Primary

Absolute Laboratory Values of Clinical Chemistry Parameters: Albumin

Time frame: Week 46 up to Week 55 post study inclusion

Population: SAS analyzed. Participants received another treatment if not benefited from treatment they were receiving at enrollment; participants were not exclusive in few arms. So, sum of participants across arms is not equal to number of participants who started study. Here, Overall Number of Participants Analyzed signifies number of participants evaluable for this outcome measure. Here N=0 signifies that participants were not evaluable at the specified time point for albumin in MCL arm.

ArmMeasureValue (MEAN)Dispersion
mRCC - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Albumin31.1 Grams per literStandard Deviation 17.1
mRCC - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Albumin33.6 Grams per literStandard Deviation 14.4
mRCC - AxitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Albumin31.6 Grams per literStandard Deviation 14.8
GIST - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Albumin42.0 Grams per liter
Primary

Absolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and Glucose

Time frame: Week 46 up to Week 55 post study inclusion

Population: SAS analyzed. Participants received another treatment if not benefited from treatment they were receiving at enrollment; participants were not exclusive in few arms. So, sum of participants across arms is not equal to number of participants who started study. Here, Overall Number of Participants Analyzed signifies number of participants who were evaluable for this outcome measure and 'Number Analyzed' signifies those participants who were evaluable for the specified rows.

ArmMeasureGroupValue (MEAN)Dispersion
mRCC - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseGlucose54.7 Millimoles per literStandard Deviation 62.6
mRCC - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseTriglycerides3.2 Millimoles per literStandard Deviation 3.4
mRCC - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucosePotassium4.3 Millimoles per literStandard Deviation 0.6
mRCC - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseSodium136.0 Millimoles per literStandard Deviation 19.1
mRCC - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseCalcium2.3 Millimoles per literStandard Deviation 0.4
mRCC - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseMagnesium1.2 Millimoles per literStandard Deviation 0.7
mRCC - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseCholesterol6.0 Millimoles per literStandard Deviation 1.9
mRCC - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucosePhosphate1.4 Millimoles per literStandard Deviation 0.9
mRCC - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseTriglycerides2.4 Millimoles per literStandard Deviation 1.1
mRCC - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseMagnesium0.8 Millimoles per literStandard Deviation 0.3
mRCC - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseSodium139.1 Millimoles per literStandard Deviation 3.6
mRCC - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseCalcium2.3 Millimoles per literStandard Deviation 0.3
mRCC - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucosePhosphate1.1 Millimoles per literStandard Deviation 0.5
mRCC - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucosePotassium4.5 Millimoles per literStandard Deviation 0.6
mRCC - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseGlucose39.4 Millimoles per literStandard Deviation 52.4
mRCC - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseCholesterol5.1 Millimoles per literStandard Deviation 1.3
mRCC - AxitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucosePhosphate1.4 Millimoles per literStandard Deviation 0.9
mRCC - AxitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseCalcium2.6 Millimoles per literStandard Deviation 1.1
mRCC - AxitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseSodium138.1 Millimoles per literStandard Deviation 4
mRCC - AxitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucosePotassium4.4 Millimoles per literStandard Deviation 0.6
mRCC - AxitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseMagnesium0.7 Millimoles per literStandard Deviation 0.1
mRCC - AxitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseCholesterol6.6 Millimoles per literStandard Deviation 1.3
mRCC - AxitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseTriglycerides3.5 Millimoles per literStandard Deviation 2.5
mRCC - AxitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseGlucose71.4 Millimoles per literStandard Deviation 78.4
MCL - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseSodium138.0 Millimoles per liter
MCL - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseCalcium2.4 Millimoles per literStandard Deviation 0.1
MCL - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucosePotassium3.6 Millimoles per literStandard Deviation 0
GIST - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseGlucose77.2 Millimoles per literStandard Deviation 143.2
GIST - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseTriglycerides5.2 Millimoles per literStandard Deviation 3.4
GIST - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucosePhosphate0.9 Millimoles per literStandard Deviation 0.2
GIST - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseCalcium2.3 Millimoles per literStandard Deviation 0.1
GIST - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseMagnesium0.9 Millimoles per liter
GIST - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucosePotassium4.1 Millimoles per literStandard Deviation 0.9
GIST - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseCholesterol5.9 Millimoles per literStandard Deviation 2.1
GIST - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Calcium, Sodium, Potassium, Phosphate, Magnesium, Cholesterol, Triglycerides and GlucoseSodium139.0 Millimoles per literStandard Deviation 2.7
Primary

Absolute Laboratory Values of Clinical Chemistry Parameters: Creatinine, Total Bilirubin

Time frame: Week 46 up to Week 55 post study inclusion

Population: SAS analyzed. Participants received another treatment if not benefited from treatment they were receiving at enrollment; participants were not exclusive in few arms. So, sum of participants across arms is not equal to number of participants who started study. Here, Overall Number of Participants Analyzed signifies number of participants who were evaluable for this outcome measure and 'Number Analyzed' signifies those participants who were evaluable for the specified rows.

ArmMeasureGroupValue (MEAN)Dispersion
mRCC - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Creatinine, Total BilirubinCreatinine1.4 Milligrams per deciliterStandard Deviation 0.5
mRCC - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Creatinine, Total BilirubinTotal bilirubin0.9 Milligrams per deciliterStandard Deviation 1.7
mRCC - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Creatinine, Total BilirubinCreatinine1.4 Milligrams per deciliterStandard Deviation 0.8
mRCC - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Creatinine, Total BilirubinTotal bilirubin0.7 Milligrams per deciliterStandard Deviation 1.1
mRCC - AxitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Creatinine, Total BilirubinCreatinine1.3 Milligrams per deciliterStandard Deviation 0.5
mRCC - AxitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Creatinine, Total BilirubinTotal bilirubin0.5 Milligrams per deciliterStandard Deviation 0.3
MCL - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Creatinine, Total BilirubinTotal bilirubin0.3 Milligrams per deciliter
MCL - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Creatinine, Total BilirubinCreatinine0.7 Milligrams per deciliterStandard Deviation 0
GIST - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Creatinine, Total BilirubinCreatinine1.1 Milligrams per deciliterStandard Deviation 0.3
GIST - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Creatinine, Total BilirubinTotal bilirubin0.4 Milligrams per deciliterStandard Deviation 0.1
Primary

Absolute Laboratory Values of Clinical Chemistry Parameters: Thyroid Stimulating Hormone (TSH)

Time frame: Week 46 up to Week 55 post study inclusion

Population: SAS analyzed. Participants received another treatment if not benefited from treatment they were receiving at enrollment; participants were not exclusive in few arms. So, sum of participants across arms is not equal to number of participants who started study. Here, Overall Number of Participants Analyzed signifies number of participants evaluable for this outcome measure. Here N=0 signifies that participants were not evaluable at the specified time point for TSH in MCL arm.

ArmMeasureValue (MEAN)Dispersion
mRCC - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Thyroid Stimulating Hormone (TSH)1.5 Milliunits per literStandard Deviation 1.4
mRCC - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Thyroid Stimulating Hormone (TSH)3.5 Milliunits per literStandard Deviation 3.4
mRCC - AxitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Thyroid Stimulating Hormone (TSH)3.4 Milliunits per literStandard Deviation 2.4
GIST - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Thyroid Stimulating Hormone (TSH)1.6 Milliunits per literStandard Deviation 1.1
Primary

Absolute Laboratory Values of Clinical Chemistry Parameters: Triiodothyronine (fT3) and Free Thyroxine (fT4)

Time frame: Week 46 up to Week 55 post study inclusion

Population: SAS analyzed. Participants received another treatment if not benefited from treatment they were receiving at enrollment; participants were not exclusive in few arms. So, sum of participants across arms is not equal to number of participants who started study. Here, Overall Number of Participants Analyzed signifies number of participants evaluable for this outcome measure. Here N=0 signifies that participants were not evaluable at the specified time point for fT3 and fT4 in MCL and GIST arms.

ArmMeasureGroupValue (MEAN)Dispersion
mRCC - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Triiodothyronine (fT3) and Free Thyroxine (fT4)fT33.5 Picomoles per liter
mRCC - TemsirolimusAbsolute Laboratory Values of Clinical Chemistry Parameters: Triiodothyronine (fT3) and Free Thyroxine (fT4)fT415.4 Picomoles per liter
mRCC - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Triiodothyronine (fT3) and Free Thyroxine (fT4)fT33.7 Picomoles per literStandard Deviation 1
mRCC - SunitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Triiodothyronine (fT3) and Free Thyroxine (fT4)fT414.8 Picomoles per literStandard Deviation 4.8
mRCC - AxitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Triiodothyronine (fT3) and Free Thyroxine (fT4)fT33.8 Picomoles per literStandard Deviation 1.3
mRCC - AxitinibAbsolute Laboratory Values of Clinical Chemistry Parameters: Triiodothyronine (fT3) and Free Thyroxine (fT4)fT413.7 Picomoles per literStandard Deviation 6.1
Primary

Absolute Laboratory Values of Hematology Parameters: Hemoglobin

Time frame: Week 46 up to Week 55 post study inclusion

Population: SAS analyzed. Participants received another treatment if not benefited from treatment they were receiving at enrollment; participants were not exclusive in few arms. So, sum of participants across arms is not equal to number of participants who started study. Here, Overall Number of Participants Analyzed signifies number of participants who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
mRCC - TemsirolimusAbsolute Laboratory Values of Hematology Parameters: Hemoglobin11.2 Grams per deciliterStandard Deviation 1.6
mRCC - SunitinibAbsolute Laboratory Values of Hematology Parameters: Hemoglobin12.2 Grams per deciliterStandard Deviation 2
mRCC - AxitinibAbsolute Laboratory Values of Hematology Parameters: Hemoglobin14.4 Grams per deciliterStandard Deviation 1.7
MCL - TemsirolimusAbsolute Laboratory Values of Hematology Parameters: Hemoglobin12.6 Grams per deciliterStandard Deviation 0.8
GIST - SunitinibAbsolute Laboratory Values of Hematology Parameters: Hemoglobin11.9 Grams per deciliterStandard Deviation 1.2
Primary

Absolute Laboratory Values of Hematology Parameters: Hemoglobin A1c (HbA1c)

Time frame: Week 46 up to Week 55 post study inclusion

Population: SAS analyzed. Participants received another treatment if not benefited from treatment they were receiving at enrollment; participants were not exclusive in few arms. So, sum of participants across arms is not equal to number of participants who started study. Here, Overall Number of Participants Analyzed signifies number of participants evaluable for this outcome measure. Here N=0 signifies that participants were not evaluable at the specified time point for HbA1c in MCL arm.

ArmMeasureValue (MEAN)Dispersion
mRCC - TemsirolimusAbsolute Laboratory Values of Hematology Parameters: Hemoglobin A1c (HbA1c)7.9 Percentage of HbA1cStandard Deviation 1.2
mRCC - SunitinibAbsolute Laboratory Values of Hematology Parameters: Hemoglobin A1c (HbA1c)5.8 Percentage of HbA1cStandard Deviation 0.8
mRCC - AxitinibAbsolute Laboratory Values of Hematology Parameters: Hemoglobin A1c (HbA1c)5.9 Percentage of HbA1cStandard Deviation 0.9
GIST - SunitinibAbsolute Laboratory Values of Hematology Parameters: Hemoglobin A1c (HbA1c)7.5 Percentage of HbA1cStandard Deviation 3.2
Primary

Absolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and Hematocrit

Time frame: Week 46 up to Week 55 post study inclusion

Population: SAS analyzed. Participants received another treatment if not benefited from treatment they were receiving at enrollment; participants were not exclusive in few arms. So, sum of participants across arms is not equal to number of participants who started study. Here, Overall Number of Participants Analyzed signifies number of participants who were evaluable for this outcome measure and 'Number Analyzed' signifies those participants who were evaluable for the specified rows.

ArmMeasureGroupValue (MEAN)Dispersion
mRCC - TemsirolimusAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritEosinophils2.6 Percentage of blood cells in bloodStandard Deviation 1.9
mRCC - TemsirolimusAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritBasophils0.4 Percentage of blood cells in bloodStandard Deviation 0.4
mRCC - TemsirolimusAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritHematocrit33.8 Percentage of blood cells in bloodStandard Deviation 3.5
mRCC - TemsirolimusAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritLymphocytes18.8 Percentage of blood cells in bloodStandard Deviation 8.5
mRCC - TemsirolimusAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritMonocytes8.9 Percentage of blood cells in bloodStandard Deviation 3.7
mRCC - TemsirolimusAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritNeutrophils67.1 Percentage of blood cells in bloodStandard Deviation 13.2
mRCC - SunitinibAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritMonocytes8.7 Percentage of blood cells in bloodStandard Deviation 3.3
mRCC - SunitinibAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritEosinophils2.9 Percentage of blood cells in bloodStandard Deviation 2.3
mRCC - SunitinibAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritHematocrit37.0 Percentage of blood cells in bloodStandard Deviation 5.2
mRCC - SunitinibAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritLymphocytes31.1 Percentage of blood cells in bloodStandard Deviation 12
mRCC - SunitinibAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritNeutrophils56.0 Percentage of blood cells in bloodStandard Deviation 14
mRCC - SunitinibAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritBasophils0.4 Percentage of blood cells in bloodStandard Deviation 0.3
mRCC - AxitinibAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritHematocrit42.7 Percentage of blood cells in bloodStandard Deviation 5.2
mRCC - AxitinibAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritNeutrophils64.4 Percentage of blood cells in bloodStandard Deviation 10.8
mRCC - AxitinibAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritLymphocytes23.7 Percentage of blood cells in bloodStandard Deviation 9.1
mRCC - AxitinibAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritMonocytes8.4 Percentage of blood cells in bloodStandard Deviation 2.3
mRCC - AxitinibAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritEosinophils3.0 Percentage of blood cells in bloodStandard Deviation 1.4
mRCC - AxitinibAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritBasophils0.5 Percentage of blood cells in bloodStandard Deviation 0.4
MCL - TemsirolimusAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritEosinophils4.3 Percentage of blood cells in bloodStandard Deviation 2.8
MCL - TemsirolimusAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritMonocytes14.2 Percentage of blood cells in bloodStandard Deviation 6.9
MCL - TemsirolimusAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritNeutrophils58.7 Percentage of blood cells in bloodStandard Deviation 1
MCL - TemsirolimusAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritBasophils0.4 Percentage of blood cells in bloodStandard Deviation 0.1
MCL - TemsirolimusAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritLymphocytes22.5 Percentage of blood cells in bloodStandard Deviation 8.6
GIST - SunitinibAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritMonocytes8.8 Percentage of blood cells in bloodStandard Deviation 2.9
GIST - SunitinibAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritEosinophils2.1 Percentage of blood cells in bloodStandard Deviation 2.5
GIST - SunitinibAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritBasophils0.2 Percentage of blood cells in bloodStandard Deviation 0.1
GIST - SunitinibAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritLymphocytes28.9 Percentage of blood cells in bloodStandard Deviation 12.6
GIST - SunitinibAbsolute Laboratory Values of Hematology Parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and HematocritNeutrophils58.7 Percentage of blood cells in bloodStandard Deviation 13.7
Primary

Karnofsky Performance Status (KPS) Scale

Karnofsky performance score was used to quantify participant's general well-being and activities of daily life and participants were classified based on their functional impairment. Karnofsky performance score ranges between 0 (death) to 100 (no evidence of disease). Higher score means higher ability to perform daily tasks.

Time frame: From initiation of treatment until the date of first documented progression or date of death from any cause, whichever came first, approximately 13 years and 10 months

Population: EAS analyzed. Participants received another treatment if not benefited from treatment they were receiving at enrollment; participants were not exclusive in few arms. So, sum of participants across arms is not equal to number of participants who started study. Here, Overall Number of Participants Analyzed signifies number of participants who were evaluable for this outcome measure. This outcome measure was not planned to be analyzed for MCL.

ArmMeasureValue (MEAN)Dispersion
mRCC - TemsirolimusKarnofsky Performance Status (KPS) Scale71.9 Units on a scaleStandard Deviation 15.4
mRCC - SunitinibKarnofsky Performance Status (KPS) Scale78.8 Units on a scaleStandard Deviation 14.1
mRCC - AxitinibKarnofsky Performance Status (KPS) Scale77.9 Units on a scaleStandard Deviation 13.2
MCL - TemsirolimusKarnofsky Performance Status (KPS) Scale77.8 Units on a scaleStandard Deviation 8.8
Primary

Number of Participants Categorized According to Physician's Global Assessment of Effectiveness

In this outcome measure, number of participants were categorized according to physician's global assessment of effectiveness as very good, good, moderate, insufficient and missing. Categories were determined by investigator's discretion.

Time frame: From initiation of treatment until the date of first documented progression or date of death from any cause, whichever came first, approximately 13 years and 10 months

Population: EAS analyzed. Participants received another treatment if not benefited from treatment they were receiving at enrollment; participants were not exclusive in few arms. So, sum of participants across arms is not equal to number of participants who started study. Here, Overall Number of Participants Analyzed signifies number of participants who were evaluable for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
mRCC - TemsirolimusNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessInsufficient159 Participants
mRCC - TemsirolimusNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessVery good35 Participants
mRCC - TemsirolimusNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessMissing25 Participants
mRCC - TemsirolimusNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessGood176 Participants
mRCC - TemsirolimusNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessModerate110 Participants
mRCC - SunitinibNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessInsufficient150 Participants
mRCC - SunitinibNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessModerate112 Participants
mRCC - SunitinibNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessGood227 Participants
mRCC - SunitinibNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessMissing29 Participants
mRCC - SunitinibNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessVery good57 Participants
mRCC - AxitinibNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessModerate43 Participants
mRCC - AxitinibNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessVery good6 Participants
mRCC - AxitinibNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessGood78 Participants
mRCC - AxitinibNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessInsufficient60 Participants
mRCC - AxitinibNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessMissing8 Participants
MCL - TemsirolimusNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessMissing2 Participants
MCL - TemsirolimusNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessVery good2 Participants
MCL - TemsirolimusNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessInsufficient12 Participants
MCL - TemsirolimusNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessModerate12 Participants
MCL - TemsirolimusNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessGood20 Participants
GIST - SunitinibNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessModerate3 Participants
GIST - SunitinibNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessInsufficient8 Participants
GIST - SunitinibNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessVery good0 Participants
GIST - SunitinibNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessMissing2 Participants
GIST - SunitinibNumber of Participants Categorized According to Physician's Global Assessment of EffectivenessGood10 Participants
Primary

Number of Participants Categorized According to Physician's Global Tolerability Assessment

In this outcome measure, number of participants were categorized according to physician's global tolerability assessment as very good, good, moderate, insufficient and missing. Categories were determined by investigator's discretion.

Time frame: From initiation of treatment until the date of first documented progression or date of death from any cause, whichever came first, approximately 13 years and 10 months

Population: SAS analyzed. Participants received another treatment if not benefited from treatment they were receiving at enrollment; participants were not exclusive in few arms. So, sum of participants across arms is not equal to number of participants who started study. Here, Overall Number of Participants Analyzed signifies number of participants who were evaluable for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
mRCC - TemsirolimusNumber of Participants Categorized According to Physician's Global Tolerability AssessmentInsufficient34 Participants
mRCC - TemsirolimusNumber of Participants Categorized According to Physician's Global Tolerability AssessmentVery good93 Participants
mRCC - TemsirolimusNumber of Participants Categorized According to Physician's Global Tolerability AssessmentMissing4 Participants
mRCC - TemsirolimusNumber of Participants Categorized According to Physician's Global Tolerability AssessmentGood306 Participants
mRCC - TemsirolimusNumber of Participants Categorized According to Physician's Global Tolerability AssessmentModerate68 Participants
mRCC - SunitinibNumber of Participants Categorized According to Physician's Global Tolerability AssessmentInsufficient40 Participants
mRCC - SunitinibNumber of Participants Categorized According to Physician's Global Tolerability AssessmentModerate107 Participants
mRCC - SunitinibNumber of Participants Categorized According to Physician's Global Tolerability AssessmentGood370 Participants
mRCC - SunitinibNumber of Participants Categorized According to Physician's Global Tolerability AssessmentMissing10 Participants
mRCC - SunitinibNumber of Participants Categorized According to Physician's Global Tolerability AssessmentVery good49 Participants
mRCC - AxitinibNumber of Participants Categorized According to Physician's Global Tolerability AssessmentModerate31 Participants
mRCC - AxitinibNumber of Participants Categorized According to Physician's Global Tolerability AssessmentVery good21 Participants
mRCC - AxitinibNumber of Participants Categorized According to Physician's Global Tolerability AssessmentGood123 Participants
mRCC - AxitinibNumber of Participants Categorized According to Physician's Global Tolerability AssessmentInsufficient18 Participants
mRCC - AxitinibNumber of Participants Categorized According to Physician's Global Tolerability AssessmentMissing2 Participants
MCL - TemsirolimusNumber of Participants Categorized According to Physician's Global Tolerability AssessmentMissing2 Participants
MCL - TemsirolimusNumber of Participants Categorized According to Physician's Global Tolerability AssessmentVery good5 Participants
MCL - TemsirolimusNumber of Participants Categorized According to Physician's Global Tolerability AssessmentInsufficient4 Participants
MCL - TemsirolimusNumber of Participants Categorized According to Physician's Global Tolerability AssessmentModerate13 Participants
MCL - TemsirolimusNumber of Participants Categorized According to Physician's Global Tolerability AssessmentGood25 Participants
GIST - SunitinibNumber of Participants Categorized According to Physician's Global Tolerability AssessmentModerate3 Participants
GIST - SunitinibNumber of Participants Categorized According to Physician's Global Tolerability AssessmentInsufficient0 Participants
GIST - SunitinibNumber of Participants Categorized According to Physician's Global Tolerability AssessmentVery good3 Participants
GIST - SunitinibNumber of Participants Categorized According to Physician's Global Tolerability AssessmentMissing2 Participants
GIST - SunitinibNumber of Participants Categorized According to Physician's Global Tolerability AssessmentGood16 Participants
Primary

Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status for Mantle Cell Lymphoma

ECOG: participant's performance status was measured on a 6-point scale: 0= fully active/able to carry on all pre-disease activities without restriction; 1= restricted in physically strenuous activity but ambulatory and able to carry out work of a light and sedentary nature; 2= ambulatory and capable of all self-care, but unable to carry out any work activities, up and about more than 50 percent (%) of waking hours; 3= capable of only limited self-care, confined to bed/chair \>50% of waking hours; 4= completely disabled, cannot carry on any self-care, totally confined to bed/chair: 5= dead. In this outcome measure, data for ECOG status (0, 1, 2) and missing was evaluated for MCL as planned.

Time frame: From initiation of treatment until the date of first documented progression or date of death from any cause, whichever came first, approximately 13 years and 10 months

Population: EAS analyzed. Participants received another treatment if not benefited from treatment they were receiving at enrollment; participants were not exclusive in few arms. So, sum of participants across arms is not equal to number of participants who started study. Here, Overall Number of Participants Analyzed signifies number of participants who were evaluable for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
mRCC - TemsirolimusNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status for Mantle Cell LymphomaECOG: 05 Participants
mRCC - TemsirolimusNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status for Mantle Cell LymphomaECOG: 124 Participants
mRCC - TemsirolimusNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status for Mantle Cell LymphomaECOG: 213 Participants
mRCC - TemsirolimusNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status for Mantle Cell LymphomaMissing6 Participants
Primary

Number of Participants Who Discontinued Treatment Due to Adverse Events

An AE was any undesirable medical event in a participant took a medicinal product. It was not necessarily required that the event is causally related to the treatment or use of the medicinal product. In this outcome measure number of participants who discontinued treatment due to adverse events were reported.

Time frame: From initiation of treatment until the date of first documented progression or date of death from any cause, whichever came first, approximately 13 years and 10 months

Population: SAS analyzed. Participants received another treatment if not benefited from treatment they were receiving at enrollment; participants were not exclusive in few arms. So, sum of participants across arms is not equal to number of participants who started study.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
mRCC - TemsirolimusNumber of Participants Who Discontinued Treatment Due to Adverse Events108 Participants
mRCC - SunitinibNumber of Participants Who Discontinued Treatment Due to Adverse Events142 Participants
mRCC - AxitinibNumber of Participants Who Discontinued Treatment Due to Adverse Events60 Participants
MCL - TemsirolimusNumber of Participants Who Discontinued Treatment Due to Adverse Events17 Participants
GIST - SunitinibNumber of Participants Who Discontinued Treatment Due to Adverse Events5 Participants
Primary

Number of Participants With Best Overall Response (BOR)

BOR included Complete Remission (CR): complete disappearance of all lesions. Partial Remission (PR): Reduction of the measured total by at least 30%. Minor remission (MR): ≥10% decrease in the sum of longest diameters of target lesions but not a PR (\<30%). Stable Disease (SD): neither shrinkage for CR/PR nor increase for progressive disease (PD) taking as reference smallest sum of longest diameters (SLDs) since treatment start. PD: Enlargement of the measured sum by 20% or one or more new lesions. In this outcome measure, number of participants with best overall response were reported.

Time frame: From initiation of treatment until the date of first documented progression or date of death from any cause, whichever came first, approximately 13 years and 10 months

Population: EAS analyzed. Participants received another treatment if not benefited from treatment they were receiving at enrollment; participants were not exclusive in few arms. So, sum of participants across arms is not equal to number of participants who started study. Here, 'Number Analyzed' signifies those participants who were evaluable for the specified rows.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
mRCC - TemsirolimusNumber of Participants With Best Overall Response (BOR)CR5 Participants
mRCC - TemsirolimusNumber of Participants With Best Overall Response (BOR)Missing8 Participants
mRCC - TemsirolimusNumber of Participants With Best Overall Response (BOR)Response could not be assessed88 Participants
mRCC - TemsirolimusNumber of Participants With Best Overall Response (BOR)MR0 Participants
mRCC - TemsirolimusNumber of Participants With Best Overall Response (BOR)PR70 Participants
mRCC - TemsirolimusNumber of Participants With Best Overall Response (BOR)SD237 Participants
mRCC - TemsirolimusNumber of Participants With Best Overall Response (BOR)PD169 Participants
mRCC - SunitinibNumber of Participants With Best Overall Response (BOR)PD146 Participants
mRCC - SunitinibNumber of Participants With Best Overall Response (BOR)SD221 Participants
mRCC - SunitinibNumber of Participants With Best Overall Response (BOR)PR166 Participants
mRCC - SunitinibNumber of Participants With Best Overall Response (BOR)CR40 Participants
mRCC - SunitinibNumber of Participants With Best Overall Response (BOR)Response could not be assessed59 Participants
mRCC - SunitinibNumber of Participants With Best Overall Response (BOR)MR0 Participants
mRCC - SunitinibNumber of Participants With Best Overall Response (BOR)Missing19 Participants
mRCC - AxitinibNumber of Participants With Best Overall Response (BOR)SD75 Participants
mRCC - AxitinibNumber of Participants With Best Overall Response (BOR)CR3 Participants
mRCC - AxitinibNumber of Participants With Best Overall Response (BOR)PR39 Participants
mRCC - AxitinibNumber of Participants With Best Overall Response (BOR)MR0 Participants
mRCC - AxitinibNumber of Participants With Best Overall Response (BOR)PD58 Participants
mRCC - AxitinibNumber of Participants With Best Overall Response (BOR)Response could not be assessed39 Participants
mRCC - AxitinibNumber of Participants With Best Overall Response (BOR)Missing7 Participants
MCL - TemsirolimusNumber of Participants With Best Overall Response (BOR)MR3 Participants
MCL - TemsirolimusNumber of Participants With Best Overall Response (BOR)PD17 Participants
MCL - TemsirolimusNumber of Participants With Best Overall Response (BOR)PR14 Participants
MCL - TemsirolimusNumber of Participants With Best Overall Response (BOR)Missing0 Participants
MCL - TemsirolimusNumber of Participants With Best Overall Response (BOR)Response could not be assessed10 Participants
MCL - TemsirolimusNumber of Participants With Best Overall Response (BOR)CR1 Participants
MCL - TemsirolimusNumber of Participants With Best Overall Response (BOR)SD10 Participants
GIST - SunitinibNumber of Participants With Best Overall Response (BOR)MR0 Participants
GIST - SunitinibNumber of Participants With Best Overall Response (BOR)Missing0 Participants
GIST - SunitinibNumber of Participants With Best Overall Response (BOR)Response could not be assessed1 Participants
GIST - SunitinibNumber of Participants With Best Overall Response (BOR)PD6 Participants
GIST - SunitinibNumber of Participants With Best Overall Response (BOR)PR6 Participants
GIST - SunitinibNumber of Participants With Best Overall Response (BOR)CR0 Participants
GIST - SunitinibNumber of Participants With Best Overall Response (BOR)SD11 Participants
Primary

Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

An adverse event (AE) was any undesirable medical event in a participant took a medicinal product. It was not necessarily required that the event is causally related to the treatment or use of the medicinal product. An SAE was any undesirable medical event that occurred in a participant received a medicinal product or dietary supplement (including infant formula) at any dose, and that resulted in death; was life-threatening; required an unforeseen hospitalization or prolongation of hospitalization; resulted in persistent or significant disability/incapacity (substantial impairment of the ability to perform daily activities); resulted in a congenital malformation/birth defect. TEAEs were events between first dose of study drug and up to last documented follow-up visit that were absent before treatment or that worsened relative to pretreatment state. AEs included serious and all non-serious adverse events.

Time frame: From initiation of treatment until the date of first documented progression or date of death from any cause, whichever came first, approximately 13 years and 10 months

Population: Safety analysis set (SAS) comprised of all prospectively documented participants with histologically proven diagnosis of either mRCC, MCL or GIST and at least 1 documented administration of temsirolimus, sunitinib or axitinib or any non-Pfizer treatment. Participants received another treatment if not benefited from treatment they were receiving at enrollment; participants were not exclusive in few arms. So, sum of participants across arms is not equal to number of participants who started study.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
mRCC - TemsirolimusNumber of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)SAEs269 Participants
mRCC - TemsirolimusNumber of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)TEAEs460 Participants
mRCC - SunitinibNumber of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)TEAEs585 Participants
mRCC - SunitinibNumber of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)SAEs284 Participants
mRCC - AxitinibNumber of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)SAEs111 Participants
mRCC - AxitinibNumber of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)TEAEs187 Participants
MCL - TemsirolimusNumber of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)TEAEs53 Participants
MCL - TemsirolimusNumber of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)SAEs26 Participants
GIST - SunitinibNumber of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)SAEs11 Participants
GIST - SunitinibNumber of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)TEAEs20 Participants
Primary

Overall Survival (OS)

OS was defined as the time from initiation of treatment to death from any cause. In case a death was documented, but date of death was unknown, the date of death was substituted with the latest available date for the participant (last visit, last contact date, date of assessment). If no death was documented, participant was censored with the latest available contact date or assessment date within study. If these rules led to a missing duration or a negative duration, duration was set to maximum of (PFS,1 day). Progression free survival (PFS) was defined as time from initiation of treatment to documented disease progression or death from any cause. progression was defined as the enlargement of the measured sum by 20% or one or more new lesions. This outcome measure was analyzed using Kaplan-Meier method.

Time frame: From initiation of treatment until the date of first documented progression or date of death from any cause, whichever came first, approximately 13 years and 10 months

Population: Effectiveness analysis set (EAS): all participants included in study with at least 1 information on: date of death, progression, assessment of response to therapy by physician or assessment to either effectiveness or tolerability of therapy by physician. Participants received another treatment if not benefited from treatment they were receiving at enrollment; participants were not exclusive in few arms. So, sum of participants across arms is not equal to number of participants who started study.

ArmMeasureValue (MEDIAN)
mRCC - TemsirolimusOverall Survival (OS)11.04 Months
mRCC - SunitinibOverall Survival (OS)25.36 Months
mRCC - AxitinibOverall Survival (OS)18.37 Months
MCL - TemsirolimusOverall Survival (OS)15.11 Months
GIST - SunitinibOverall Survival (OS)16.30 Months
Primary

Progression Free Survival (PFS)

PFS was defined as time from initiation of treatment to documented disease progression or death from any cause. The presence of a progression i.e. enlargement of the measured sum by 20% or one or more new lesions was confirmed, but (a) No date was documented: the date of last intake of study medication was used as date of progression, otherwise the date of the last visit with a documented non-progression was used as date of progression. (b) Dates within a visit and on final documentation were contradictory, the prior date was used. In case a death was documented within survival follow-up, but no progression was documented within regular study, the date of last visit plus 1 day was used as date of progression. In case no progression was documented, participant was censored with the latest available contact date or assessment date within study. In case these rules led to a missing duration or a negative duration, duration was set to 1 day. Kaplan-Meier method was used for analysis.

Time frame: From initiation of treatment until the date of first documented progression or date of death from any cause, whichever came first, approximately 13 years and 10 months

Population: EAS analyzed. Participants received another treatment if not benefited from treatment they were receiving at enrollment; participants were not exclusive in few arms. So, sum of participants across arms is not equal to number of participants who started study.

ArmMeasureValue (MEDIAN)
mRCC - TemsirolimusProgression Free Survival (PFS)3.91 Months
mRCC - SunitinibProgression Free Survival (PFS)6.93 Months
mRCC - AxitinibProgression Free Survival (PFS)5.75 Months
MCL - TemsirolimusProgression Free Survival (PFS)3.68 Months
GIST - SunitinibProgression Free Survival (PFS)10.32 Months

Source: ClinicalTrials.gov · Data processed: Mar 1, 2026