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Study of Efficacy, Safety, and Quality of Life of Pazopanib in Patients With Advanced and/or Metastatic Renal Cell Carcinoma After Prior Checkpoint Inhibitor Treatment

A Prospective International Multicenter Phase II Study to Evaluate the Efficacy, Safety and Quality of Life of Pazopanib in Patients With Advanced and/or Metastatic Renal Cell Carcinoma After Previous Therapy With Checkpoint Inhibitor Treatment

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03200717
Acronym
IO-PAZ
Enrollment
62
Registered
2017-06-27
Start date
2017-11-14
Completion date
2021-08-10
Last updated
2023-08-21

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

Conditions

Advanced Renal Cell Carcinoma, Metastatic Renal Cell Carcinoma

Keywords

renal cell carcinoma, metastatic renal cell, pazopanib, checkpoint inhibitor therapy, RCC, hypernephroma, renal adenocarcinoma, kidney cancer, renal cancer, adult

Brief summary

The main purpose of this study was to assess the progression-free survival (PFS) based on local investigator assessment of pazopanib in participants with advanced and/or metastatic renal cell carcinoma (mRCC) following prior treatment with immune checkpoint inhibitors (ICI).

Detailed description

This was a multi-center, open-label, single-arm Phase II study to determine the efficacy, tolerability, safety and quality of life of treatment with pazopanib in subjects with advanced and/or metastatic renal cell carcinoma (RCC) following prior treatment with immune checkpoint inhibitors (ICI). Subjects could have received prior systemic therapy with an ICI (monotherapy or combination) as 1st or 2nd line RCC treatment. However, they must not have received pazopanib previously. In this study, pazopanib could be administered in the 2nd or 3rd line setting. The therapeutic line for individual subjects was assigned at the time of screening. Subjects received 800 mg of pazopanib daily until disease progression, unacceptable toxicity, death, pregnancy, start of a new anti-neoplastic therapy, discontinuation at the discretion of the investigator or patient, lost to follow-up or end of study, whichever came first.

Interventions

DRUGPazopanib

Participants received 800mg of pazopanib once daily orally. Pazopanib was supplied as aqueous film-coated tablets containing 200 mg or 400 mg.

Sponsors

Novartis Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

Key Inclusion Criteria: * Histologically confirmed locally recurrent or metastatic predominantly clear cell renal cell carcinoma. * Measurable disease based on RECIST 1.1 criteria * Prior systemic therapy with an immune checkpoint inhibitor (monotherapy or combination) as 1st or 2nd line RCC treatment. Note: patients with prior mTOR inhibitor or TKI treatment as monotherapy or in combination with immune checkpoint inhibitor were allowed; however, treatment with immune checkpoint inhibitor (monotherapy or in combination) must have been the last treatment prior to study entry. * Last dose of immune checkpoint inhibitor therapy received 4 or more weeks before start of study treatment * Karnofsky performance status ≥70%. * Potassium, sodium, calcium and magnesium within normal limits of the central laboratory Key

Exclusion criteria

* Renal cell carcinoma without any clear (conventional) cell component * History or evidence of central nervous system (CNS) metastases (patients with pretreated metastases were eligible under certain conditions) * Prior treatment with pazopanib * Prior treatment with bevacizumab that was not given in combination with immune checkpoint inhibitor therapy. * Prior treatment with more than 2 lines of therapy (combination treatments were considered 1 line of therapy) * Not recovered from toxicity from prior immune checkpoint inhibitor therapy. Recovery was defined as ≤ NCI-CTCAE Grade 1, except for liver function test levels which must be \<Grade 1. * Disease recurrence less than 6 months from the last dose of prior neoadjuvant or adjuvant therapy (including VEGF-R TKI) * Patients receiving prohibited concomitant medications that could not be discontinued or replaced by safe alternative medication at least 5 half-lives of the concomitant medication or 7 days, whichever was longer, prior to the start of pazopanib treatment. * Administration of any investigational drug within 4 weeks prior to the first dose of study treatment

Design outcomes

Primary

MeasureTime frameDescription
Progression Free Survival (PFS)Date of first treatment to date of progression or death up to approximately 38 monthsPFS is defined as the time from the start date of pazopanib treatment to the date of the first documented progression or death due to any cause. PFS was assessed via local review according to RECIST 1.1. PFS was censored at the date of the last adequate tumor assessment if no PFS event (disease progression or death due to any cause) was observed prior to the analysis cut-off date. The PFS distribution was estimated using the Kaplan-Meier method.

Secondary

MeasureTime frameDescription
Clinical Benefit Rate (CBR) Based on Local Investigator Assessment According to RECIST v1.1.Up to approximately 38 monthsCBR is defined as the percentage of participants with a best overall response of CR or PR or an overall lesion response of stable disease (SD) or Non-CR/Non-PD lasting ≥ 24 weeks based on local investigator's assessment according to RECIST v1.1. The 95% confidence intervals (CIs) were computed using Clopper and Pearson method. CR: Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm. PR: At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. SD: Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for progressive disease.
Overall Survival (OS)From date of first treatment to date of death, up to approximately 44 monthsOS is defined as the time from the first administration of study treatment until death due to any cause. If a participant was not known to have died, survival was censored at the date of last known date patient alive. The OS distribution was estimated using the Kaplan-Meier method.
Overall Response Rate (ORR) Based on Local Investigator Assessment According to RECIST v1.1Up to approximately 38 monthsORR is defined as the percentage of participants with best overall response of confirmed complete response (CR) or partial response (PR) based on local investigator's assessment according to RECIST v1.1. The 95% confidence intervals (CIs) were computed using Clopper and Pearson method. CR: Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm. PR: At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.
Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreBaseline, Day 1 of Cycle 2, 3, 4, 5, 6, 7, 9, 11, 13, 16 and every 3rd cycle thereafter until end of treatment, and end of treatment, assessed up to approximately 38 months. Cycle=28 daysFKSI-DRS is a 9-item questionnaire specifically designed to evaluate symptoms that are directly attributable to kidney cancer and includes patient's symptoms in the past seven days such as lack of energy, pain, bone-pain, shortness of breath, fatigue, blood in urine, etc. Each item is scored on a 5-point scale (0=not at all to 4=very much). FKSI-DRS total score ranged from 0 (no symptoms) to 36 (most severe symptoms) with a higher score indicating greater presence of kidney cancer symptoms. The baseline is defined as the last FKSI-DRS assessment on or prior to first day of treatment. A negative change from baseline indicates improvement in kidney cancer symptom status.
Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreBaseline, Day 1 of Cycle 2, 3, 4, 5, 6, 7, 9, 11, 13, 16 and every 3rd cycle thereafter until end of treatment, and end of treatment, assessed up to approximately 38 months. Cycle=28 daysEQ-5D-5L is a standardized participant completed questionnaire that measures health-related quality of life and translates that score into an index value or utility score. EQ-5D-5L consists of two components: a health state profile and an optional visual analogue scale (VAS). The EQ-5L-5D VAS records the respondent's self-rated health on a vertical VAS, ranging from 0 (worst imaginable health state) to 100 (best imaginable health state), with higher scores indicating higher health-related quality of life. The baseline is defined as the last EQ-5L-5D assessment on or prior to first day of treatment. A positive change from baseline indicates improvement in the heath state.
Duration of Response (DOR) Based on Local Investigators Assessment According to RECIST v1.1From the date of first documented response (confirmed CR or PR) to the date of tumor progression, up to approximately 36 monthsDOR is defined as the time from the date of first documented response (confirmed CR or PR according to RECIST v1.1 based on local Investigators review of tumor assessment data) to the date of tumor progression, or death due to underlying cancer, whichever comes first. If a patient not had an event, duration was censored at the date of last adequate tumor assessment. The DOR distribution was calculated using the Kaplan-Meier method.

Countries

Argentina, Austria, Canada, Chile, Czechia, France, Germany, Hungary, Spain, United Kingdom, United States

Participant flow

Recruitment details

The study was conducted across 22 centers in 11 countries

Pre-assignment details

A total of 87 participants were screened of which 62 participants were enrolled in the this study to receive study treatment.

Participants by arm

ArmCount
Pazopanib- 2nd Line
Participants received pazopanib as 2nd line treatment
47
Pazopanib- 3rd Line
Participants received pazopanib as 3rd line treatment
15
Total62

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event118
Overall StudyDeath20
Overall StudyPhysician Decision32
Overall StudyProgressive disease245
Overall StudySubject/Guardian Decision10

Baseline characteristics

CharacteristicPazopanib- 2nd LinePazopanib- 3rd LineTotal
Age, Continuous62.4 Years
STANDARD_DEVIATION 11.55
65.4 Years
STANDARD_DEVIATION 9.77
63.2 Years
STANDARD_DEVIATION 11.15
Race/Ethnicity, Customized
Asian
1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Other
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Unknown
2 Participants1 Participants3 Participants
Race/Ethnicity, Customized
White
44 Participants13 Participants57 Participants
Sex: Female, Male
Female
11 Participants4 Participants15 Participants
Sex: Female, Male
Male
36 Participants11 Participants47 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
5 / 471 / 1522 / 3510 / 13
other
Total, other adverse events
46 / 4714 / 150 / 00 / 0
serious
Total, serious adverse events
21 / 479 / 150 / 00 / 0

Outcome results

Primary

Progression Free Survival (PFS)

PFS is defined as the time from the start date of pazopanib treatment to the date of the first documented progression or death due to any cause. PFS was assessed via local review according to RECIST 1.1. PFS was censored at the date of the last adequate tumor assessment if no PFS event (disease progression or death due to any cause) was observed prior to the analysis cut-off date. The PFS distribution was estimated using the Kaplan-Meier method.

Time frame: Date of first treatment to date of progression or death up to approximately 38 months

Population: Full Analysis Set (FAS): all subjects to whom study treatment has been assigned and who received at least one dose of pazopanib.

ArmMeasureValue (MEDIAN)
Pazopanib- 2nd LineProgression Free Survival (PFS)7.5 Months
Pazopanib- 3rd LineProgression Free Survival (PFS)4.6 Months
All ParticipantsProgression Free Survival (PFS)6.8 Months
Secondary

Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score

EQ-5D-5L is a standardized participant completed questionnaire that measures health-related quality of life and translates that score into an index value or utility score. EQ-5D-5L consists of two components: a health state profile and an optional visual analogue scale (VAS). The EQ-5L-5D VAS records the respondent's self-rated health on a vertical VAS, ranging from 0 (worst imaginable health state) to 100 (best imaginable health state), with higher scores indicating higher health-related quality of life. The baseline is defined as the last EQ-5L-5D assessment on or prior to first day of treatment. A positive change from baseline indicates improvement in the heath state.

Time frame: Baseline, Day 1 of Cycle 2, 3, 4, 5, 6, 7, 9, 11, 13, 16 and every 3rd cycle thereafter until end of treatment, and end of treatment, assessed up to approximately 38 months. Cycle=28 days

Population: Full Analysis Set (FAS): All participants to whom study treatment was assigned and who received at least one dose of pazopanib. Number analyzed indicates participants with data available for analyses at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
Pazopanib- 2nd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 37 Day 190.0 Score on a scale
Pazopanib- 2nd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 19 Day 15.5 Score on a scaleStandard Deviation 10.09
Pazopanib- 2nd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 9 Day 13.8 Score on a scaleStandard Deviation 11.64
Pazopanib- 2nd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 16 Day 1-1.3 Score on a scaleStandard Deviation 11.7
Pazopanib- 2nd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 11 Day 13.9 Score on a scaleStandard Deviation 12.62
Pazopanib- 2nd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 34 Day 110.0 Score on a scale
Pazopanib- 2nd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 13 Day 15.7 Score on a scaleStandard Deviation 12.26
Pazopanib- 2nd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 4 Day 1-0.7 Score on a scaleStandard Deviation 10.88
Pazopanib- 2nd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 2 Day 10.1 Score on a scaleStandard Deviation 16.44
Pazopanib- 2nd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 31 Day 199.5 Score on a scaleStandard Deviation 0.71
Pazopanib- 2nd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 5 Day 1-1.5 Score on a scaleStandard Deviation 13.61
Pazopanib- 2nd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreEnd of Treatment-1.9 Score on a scaleStandard Deviation 20.84
Pazopanib- 2nd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 25 Day 10.0 Score on a scaleStandard Deviation 9.7
Pazopanib- 2nd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 6 Day 1-1.3 Score on a scaleStandard Deviation 18.35
Pazopanib- 2nd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 3 Day 1-2.8 Score on a scaleStandard Deviation 14.35
Pazopanib- 2nd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 22 Day 10.5 Score on a scaleStandard Deviation 9.93
Pazopanib- 2nd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 7 Day 10.2 Score on a scaleStandard Deviation 11.89
Pazopanib- 3rd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 3 Day 13.6 Score on a scaleStandard Deviation 19.28
Pazopanib- 3rd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 2 Day 1-1.9 Score on a scaleStandard Deviation 19.46
Pazopanib- 3rd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 4 Day 1-1.5 Score on a scaleStandard Deviation 22.86
Pazopanib- 3rd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 5 Day 13.2 Score on a scaleStandard Deviation 19.51
Pazopanib- 3rd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 6 Day 1-3.5 Score on a scaleStandard Deviation 24.09
Pazopanib- 3rd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 7 Day 10.7 Score on a scaleStandard Deviation 20.37
Pazopanib- 3rd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 11 Day 1-2.0 Score on a scale
Pazopanib- 3rd LineChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreEnd of Treatment-8.9 Score on a scaleStandard Deviation 19.99
All ParticipantsChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 13 Day 15.7 Score on a scaleStandard Deviation 12.26
All ParticipantsChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 9 Day 13.8 Score on a scaleStandard Deviation 11.64
All ParticipantsChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 16 Day 1-1.3 Score on a scaleStandard Deviation 11.7
All ParticipantsChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 7 Day 10.3 Score on a scaleStandard Deviation 13.73
All ParticipantsChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 6 Day 1-1.7 Score on a scaleStandard Deviation 19.21
All ParticipantsChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 22 Day 10.5 Score on a scaleStandard Deviation 9.93
All ParticipantsChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 5 Day 1-0.7 Score on a scaleStandard Deviation 14.45
All ParticipantsChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 25 Day 10.0 Score on a scaleStandard Deviation 9.7
All ParticipantsChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 4 Day 1-0.8 Score on a scaleStandard Deviation 13.27
All ParticipantsChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 31 Day 199.5 Score on a scaleStandard Deviation 0.71
All ParticipantsChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 3 Day 1-1.3 Score on a scaleStandard Deviation 15.58
All ParticipantsChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 34 Day 110.0 Score on a scale
All ParticipantsChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 19 Day 15.5 Score on a scaleStandard Deviation 10.09
All ParticipantsChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 37 Day 190.0 Score on a scale
All ParticipantsChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 2 Day 1-0.4 Score on a scaleStandard Deviation 17.02
All ParticipantsChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreEnd of Treatment-3.6 Score on a scaleStandard Deviation 20.59
All ParticipantsChange From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) ScoreCycle 11 Day 13.5 Score on a scaleStandard Deviation 12.3
Secondary

Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score

FKSI-DRS is a 9-item questionnaire specifically designed to evaluate symptoms that are directly attributable to kidney cancer and includes patient's symptoms in the past seven days such as lack of energy, pain, bone-pain, shortness of breath, fatigue, blood in urine, etc. Each item is scored on a 5-point scale (0=not at all to 4=very much). FKSI-DRS total score ranged from 0 (no symptoms) to 36 (most severe symptoms) with a higher score indicating greater presence of kidney cancer symptoms. The baseline is defined as the last FKSI-DRS assessment on or prior to first day of treatment. A negative change from baseline indicates improvement in kidney cancer symptom status.

Time frame: Baseline, Day 1 of Cycle 2, 3, 4, 5, 6, 7, 9, 11, 13, 16 and every 3rd cycle thereafter until end of treatment, and end of treatment, assessed up to approximately 38 months. Cycle=28 days

Population: Full Analysis Set (FAS): All participants to whom study treatment was assigned and who received at least one dose of pazopanib. Number analyzed indicates participants with data available for analyses at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
Pazopanib- 2nd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 7 Day 1-0.1 Score on a scaleStandard Deviation 3.47
Pazopanib- 2nd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 25 Day 12.0 Score on a scaleStandard Deviation 2.31
Pazopanib- 2nd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 9 Day 1-0.1 Score on a scaleStandard Deviation 4.22
Pazopanib- 2nd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 16 Day 10.6 Score on a scaleStandard Deviation 1.59
Pazopanib- 2nd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 11 Day 10.7 Score on a scaleStandard Deviation 3.3
Pazopanib- 2nd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 37 Day 11.0 Score on a scale
Pazopanib- 2nd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 13 Day 11.4 Score on a scaleStandard Deviation 2.12
Pazopanib- 2nd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 4 Day 1-0.1 Score on a scaleStandard Deviation 2.97
Pazopanib- 2nd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 2 Day 1-1.3 Score on a scaleStandard Deviation 4.95
Pazopanib- 2nd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 34 Day 11.0 Score on a scale
Pazopanib- 2nd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 31 Day 10.5 Score on a scaleStandard Deviation 0.71
Pazopanib- 2nd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 5 Day 10.1 Score on a scaleStandard Deviation 3.13
Pazopanib- 2nd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreEnd of Treatment-0.6 Score on a scaleStandard Deviation 3.86
Pazopanib- 2nd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 22 Day 1-0.5 Score on a scaleStandard Deviation 3.27
Pazopanib- 2nd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 6 Day 1-0.3 Score on a scaleStandard Deviation 5.68
Pazopanib- 2nd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 3 Day 1-0.5 Score on a scaleStandard Deviation 4.55
Pazopanib- 2nd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 19 Day 10.0 Score on a scaleStandard Deviation 2.76
Pazopanib- 3rd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 3 Day 11.7 Score on a scaleStandard Deviation 4.18
Pazopanib- 3rd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 2 Day 1-0.3 Score on a scaleStandard Deviation 4.31
Pazopanib- 3rd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 4 Day 11.8 Score on a scaleStandard Deviation 4.22
Pazopanib- 3rd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 5 Day 12.0 Score on a scaleStandard Deviation 2.35
Pazopanib- 3rd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 6 Day 12.7 Score on a scaleStandard Deviation 3.27
Pazopanib- 3rd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 7 Day 12.5 Score on a scaleStandard Deviation 3.73
Pazopanib- 3rd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 11 Day 10.0 Score on a scale
Pazopanib- 3rd LineChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreEnd of Treatment-0.8 Score on a scaleStandard Deviation 6
All ParticipantsChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 13 Day 11.4 Score on a scaleStandard Deviation 2.12
All ParticipantsChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 9 Day 1-0.1 Score on a scaleStandard Deviation 4.22
All ParticipantsChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 16 Day 10.6 Score on a scaleStandard Deviation 1.59
All ParticipantsChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 6 Day 10.3 Score on a scaleStandard Deviation 5.36
All ParticipantsChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 19 Day 10.0 Score on a scaleStandard Deviation 2.76
All ParticipantsChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 5 Day 10.4 Score on a scaleStandard Deviation 3.06
All ParticipantsChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 22 Day 1-0.5 Score on a scaleStandard Deviation 3.27
All ParticipantsChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 25 Day 12.0 Score on a scaleStandard Deviation 2.31
All ParticipantsChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 7 Day 10.4 Score on a scaleStandard Deviation 3.63
All ParticipantsChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 31 Day 10.5 Score on a scaleStandard Deviation 0.71
All ParticipantsChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 4 Day 10.2 Score on a scaleStandard Deviation 3.24
All ParticipantsChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 34 Day 11.0 Score on a scale
All ParticipantsChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 3 Day 1-0.0 Score on a scaleStandard Deviation 4.51
All ParticipantsChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 37 Day 11 Score on a scale
All ParticipantsChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 2 Day 1-1.0 Score on a scaleStandard Deviation 4.78
All ParticipantsChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreEnd of Treatment-0.6 Score on a scaleStandard Deviation 4.37
All ParticipantsChange From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) ScoreCycle 11 Day 10.6 Score on a scaleStandard Deviation 3.2
Secondary

Clinical Benefit Rate (CBR) Based on Local Investigator Assessment According to RECIST v1.1.

CBR is defined as the percentage of participants with a best overall response of CR or PR or an overall lesion response of stable disease (SD) or Non-CR/Non-PD lasting ≥ 24 weeks based on local investigator's assessment according to RECIST v1.1. The 95% confidence intervals (CIs) were computed using Clopper and Pearson method. CR: Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm. PR: At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. SD: Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for progressive disease.

Time frame: Up to approximately 38 months

Population: Full Analysis Set (FAS): All participants to whom study treatment was assigned and who received at least one dose of pazopanib.

ArmMeasureValue (NUMBER)
Pazopanib- 2nd LineClinical Benefit Rate (CBR) Based on Local Investigator Assessment According to RECIST v1.1.53.2 Percentage of participants
Pazopanib- 3rd LineClinical Benefit Rate (CBR) Based on Local Investigator Assessment According to RECIST v1.1.40.0 Percentage of participants
All ParticipantsClinical Benefit Rate (CBR) Based on Local Investigator Assessment According to RECIST v1.1.50.0 Percentage of participants
Secondary

Duration of Response (DOR) Based on Local Investigators Assessment According to RECIST v1.1

DOR is defined as the time from the date of first documented response (confirmed CR or PR according to RECIST v1.1 based on local Investigators review of tumor assessment data) to the date of tumor progression, or death due to underlying cancer, whichever comes first. If a patient not had an event, duration was censored at the date of last adequate tumor assessment. The DOR distribution was calculated using the Kaplan-Meier method.

Time frame: From the date of first documented response (confirmed CR or PR) to the date of tumor progression, up to approximately 36 months

Population: Participants in the Full Analysis Set (FAS) for whom best overall response is complete response (CR) or partial response (PR)

ArmMeasureValue (MEDIAN)
Pazopanib- 2nd LineDuration of Response (DOR) Based on Local Investigators Assessment According to RECIST v1.1NA Months
Secondary

Overall Response Rate (ORR) Based on Local Investigator Assessment According to RECIST v1.1

ORR is defined as the percentage of participants with best overall response of confirmed complete response (CR) or partial response (PR) based on local investigator's assessment according to RECIST v1.1. The 95% confidence intervals (CIs) were computed using Clopper and Pearson method. CR: Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm. PR: At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.

Time frame: Up to approximately 38 months

Population: Full Analysis Set (FAS): All participants to whom study treatment was assigned and who received at least one dose of pazopanib.

ArmMeasureValue (NUMBER)
Pazopanib- 2nd LineOverall Response Rate (ORR) Based on Local Investigator Assessment According to RECIST v1.123.4 Percentage of participants
Pazopanib- 3rd LineOverall Response Rate (ORR) Based on Local Investigator Assessment According to RECIST v1.10 Percentage of participants
All ParticipantsOverall Response Rate (ORR) Based on Local Investigator Assessment According to RECIST v1.117.7 Percentage of participants
Secondary

Overall Survival (OS)

OS is defined as the time from the first administration of study treatment until death due to any cause. If a participant was not known to have died, survival was censored at the date of last known date patient alive. The OS distribution was estimated using the Kaplan-Meier method.

Time frame: From date of first treatment to date of death, up to approximately 44 months

Population: Full Analysis Set (FAS): All participants to whom study treatment was assigned and who received at least one dose of pazopanib

ArmMeasureValue (MEDIAN)
Pazopanib- 2nd LineOverall Survival (OS)27.8 Months
Pazopanib- 3rd LineOverall Survival (OS)20.0 Months
All ParticipantsOverall Survival (OS)23.4 Months
Post Hoc

All Collected Deaths

On-treatment deaths were collected from first dose of study medication to 30 days after the last dose of study medication, for a maximum duration of approximately 38 months. Post-treatment survival follow-up deaths were collected from day 31 after last dose of study medication to end of study, up to approximately 44 months. All deaths refer to the sum of on-treatment deaths and post-treatment survival follow-up deaths.

Time frame: On-treatment deaths: Up to approximately 38 months. Post-treatment survival follow-up deaths: Up to approximately 44 months

Population: Participants who received at least one dose of pazopanib

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Pazopanib- 2nd LineAll Collected DeathsPost-treatment survival follow-up deaths22 Participants
Pazopanib- 2nd LineAll Collected DeathsOn-treatment deaths5 Participants
Pazopanib- 2nd LineAll Collected DeathsAll deaths27 Participants
Pazopanib- 3rd LineAll Collected DeathsPost-treatment survival follow-up deaths10 Participants
Pazopanib- 3rd LineAll Collected DeathsOn-treatment deaths1 Participants
Pazopanib- 3rd LineAll Collected DeathsAll deaths11 Participants
All ParticipantsAll Collected DeathsOn-treatment deaths6 Participants
All ParticipantsAll Collected DeathsAll deaths38 Participants
All ParticipantsAll Collected DeathsPost-treatment survival follow-up deaths32 Participants

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