Advanced Renal Cell Carcinoma, Metastatic Renal Cell Carcinoma
Conditions
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
Participants received 800mg of pazopanib once daily orally. Pazopanib was supplied as aqueous film-coated tablets containing 200 mg or 400 mg.
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Progression Free Survival (PFS) | Date of first treatment to date of progression or death up to approximately 38 months | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical Benefit Rate (CBR) Based on Local Investigator Assessment According to RECIST v1.1. | Up to approximately 38 months | 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. |
| Overall Survival (OS) | From date of first treatment to date of death, up to approximately 44 months | 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. |
| Overall Response Rate (ORR) Based on Local Investigator Assessment According to RECIST v1.1 | Up to approximately 38 months | 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. |
| Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | 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 | 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. |
| Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | 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 | 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. |
| Duration of Response (DOR) Based on Local Investigators Assessment According to RECIST v1.1 | From the date of first documented response (confirmed CR or PR) to the date of tumor progression, up to approximately 36 months | 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. |
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
| Arm | Count |
|---|---|
| Pazopanib- 2nd Line Participants received pazopanib as 2nd line treatment | 47 |
| Pazopanib- 3rd Line Participants received pazopanib as 3rd line treatment | 15 |
| Total | 62 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 11 | 8 |
| Overall Study | Death | 2 | 0 |
| Overall Study | Physician Decision | 3 | 2 |
| Overall Study | Progressive disease | 24 | 5 |
| Overall Study | Subject/Guardian Decision | 1 | 0 |
Baseline characteristics
| Characteristic | Pazopanib- 2nd Line | Pazopanib- 3rd Line | Total |
|---|---|---|---|
| Age, Continuous | 62.4 Years STANDARD_DEVIATION 11.55 | 65.4 Years STANDARD_DEVIATION 9.77 | 63.2 Years STANDARD_DEVIATION 11.15 |
| Race/Ethnicity, Customized Asian | 1 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized Other | 0 Participants | 1 Participants | 1 Participants |
| Race/Ethnicity, Customized Unknown | 2 Participants | 1 Participants | 3 Participants |
| Race/Ethnicity, Customized White | 44 Participants | 13 Participants | 57 Participants |
| Sex: Female, Male Female | 11 Participants | 4 Participants | 15 Participants |
| Sex: Female, Male Male | 36 Participants | 11 Participants | 47 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | 5 / 47 | 1 / 15 | 22 / 35 | 10 / 13 |
| other Total, other adverse events | 46 / 47 | 14 / 15 | 0 / 0 | 0 / 0 |
| serious Total, serious adverse events | 21 / 47 | 9 / 15 | 0 / 0 | 0 / 0 |
Outcome results
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Pazopanib- 2nd Line | Progression Free Survival (PFS) | 7.5 Months |
| Pazopanib- 3rd Line | Progression Free Survival (PFS) | 4.6 Months |
| All Participants | Progression Free Survival (PFS) | 6.8 Months |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Pazopanib- 2nd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 37 Day 1 | 90.0 Score on a scale | — |
| Pazopanib- 2nd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 19 Day 1 | 5.5 Score on a scale | Standard Deviation 10.09 |
| Pazopanib- 2nd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 9 Day 1 | 3.8 Score on a scale | Standard Deviation 11.64 |
| Pazopanib- 2nd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 16 Day 1 | -1.3 Score on a scale | Standard Deviation 11.7 |
| Pazopanib- 2nd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 11 Day 1 | 3.9 Score on a scale | Standard Deviation 12.62 |
| Pazopanib- 2nd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 34 Day 1 | 10.0 Score on a scale | — |
| Pazopanib- 2nd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 13 Day 1 | 5.7 Score on a scale | Standard Deviation 12.26 |
| Pazopanib- 2nd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 4 Day 1 | -0.7 Score on a scale | Standard Deviation 10.88 |
| Pazopanib- 2nd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 2 Day 1 | 0.1 Score on a scale | Standard Deviation 16.44 |
| Pazopanib- 2nd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 31 Day 1 | 99.5 Score on a scale | Standard Deviation 0.71 |
| Pazopanib- 2nd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 5 Day 1 | -1.5 Score on a scale | Standard Deviation 13.61 |
| Pazopanib- 2nd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | End of Treatment | -1.9 Score on a scale | Standard Deviation 20.84 |
| Pazopanib- 2nd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 25 Day 1 | 0.0 Score on a scale | Standard Deviation 9.7 |
| Pazopanib- 2nd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 6 Day 1 | -1.3 Score on a scale | Standard Deviation 18.35 |
| Pazopanib- 2nd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 3 Day 1 | -2.8 Score on a scale | Standard Deviation 14.35 |
| Pazopanib- 2nd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 22 Day 1 | 0.5 Score on a scale | Standard Deviation 9.93 |
| Pazopanib- 2nd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 7 Day 1 | 0.2 Score on a scale | Standard Deviation 11.89 |
| Pazopanib- 3rd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 3 Day 1 | 3.6 Score on a scale | Standard Deviation 19.28 |
| Pazopanib- 3rd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 2 Day 1 | -1.9 Score on a scale | Standard Deviation 19.46 |
| Pazopanib- 3rd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 4 Day 1 | -1.5 Score on a scale | Standard Deviation 22.86 |
| Pazopanib- 3rd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 5 Day 1 | 3.2 Score on a scale | Standard Deviation 19.51 |
| Pazopanib- 3rd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 6 Day 1 | -3.5 Score on a scale | Standard Deviation 24.09 |
| Pazopanib- 3rd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 7 Day 1 | 0.7 Score on a scale | Standard Deviation 20.37 |
| Pazopanib- 3rd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 11 Day 1 | -2.0 Score on a scale | — |
| Pazopanib- 3rd Line | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | End of Treatment | -8.9 Score on a scale | Standard Deviation 19.99 |
| All Participants | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 13 Day 1 | 5.7 Score on a scale | Standard Deviation 12.26 |
| All Participants | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 9 Day 1 | 3.8 Score on a scale | Standard Deviation 11.64 |
| All Participants | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 16 Day 1 | -1.3 Score on a scale | Standard Deviation 11.7 |
| All Participants | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 7 Day 1 | 0.3 Score on a scale | Standard Deviation 13.73 |
| All Participants | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 6 Day 1 | -1.7 Score on a scale | Standard Deviation 19.21 |
| All Participants | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 22 Day 1 | 0.5 Score on a scale | Standard Deviation 9.93 |
| All Participants | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 5 Day 1 | -0.7 Score on a scale | Standard Deviation 14.45 |
| All Participants | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 25 Day 1 | 0.0 Score on a scale | Standard Deviation 9.7 |
| All Participants | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 4 Day 1 | -0.8 Score on a scale | Standard Deviation 13.27 |
| All Participants | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 31 Day 1 | 99.5 Score on a scale | Standard Deviation 0.71 |
| All Participants | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 3 Day 1 | -1.3 Score on a scale | Standard Deviation 15.58 |
| All Participants | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 34 Day 1 | 10.0 Score on a scale | — |
| All Participants | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 19 Day 1 | 5.5 Score on a scale | Standard Deviation 10.09 |
| All Participants | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 37 Day 1 | 90.0 Score on a scale | — |
| All Participants | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 2 Day 1 | -0.4 Score on a scale | Standard Deviation 17.02 |
| All Participants | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | End of Treatment | -3.6 Score on a scale | Standard Deviation 20.59 |
| All Participants | Change From Baseline in EuroQoL 5-level Instrument Visual Analogue Scale (EQ-5L-5D VAS) Score | Cycle 11 Day 1 | 3.5 Score on a scale | Standard Deviation 12.3 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Pazopanib- 2nd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 7 Day 1 | -0.1 Score on a scale | Standard Deviation 3.47 |
| Pazopanib- 2nd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 25 Day 1 | 2.0 Score on a scale | Standard Deviation 2.31 |
| Pazopanib- 2nd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 9 Day 1 | -0.1 Score on a scale | Standard Deviation 4.22 |
| Pazopanib- 2nd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 16 Day 1 | 0.6 Score on a scale | Standard Deviation 1.59 |
| Pazopanib- 2nd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 11 Day 1 | 0.7 Score on a scale | Standard Deviation 3.3 |
| Pazopanib- 2nd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 37 Day 1 | 1.0 Score on a scale | — |
| Pazopanib- 2nd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 13 Day 1 | 1.4 Score on a scale | Standard Deviation 2.12 |
| Pazopanib- 2nd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 4 Day 1 | -0.1 Score on a scale | Standard Deviation 2.97 |
| Pazopanib- 2nd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 2 Day 1 | -1.3 Score on a scale | Standard Deviation 4.95 |
| Pazopanib- 2nd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 34 Day 1 | 1.0 Score on a scale | — |
| Pazopanib- 2nd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 31 Day 1 | 0.5 Score on a scale | Standard Deviation 0.71 |
| Pazopanib- 2nd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 5 Day 1 | 0.1 Score on a scale | Standard Deviation 3.13 |
| Pazopanib- 2nd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | End of Treatment | -0.6 Score on a scale | Standard Deviation 3.86 |
| Pazopanib- 2nd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 22 Day 1 | -0.5 Score on a scale | Standard Deviation 3.27 |
| Pazopanib- 2nd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 6 Day 1 | -0.3 Score on a scale | Standard Deviation 5.68 |
| Pazopanib- 2nd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 3 Day 1 | -0.5 Score on a scale | Standard Deviation 4.55 |
| Pazopanib- 2nd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 19 Day 1 | 0.0 Score on a scale | Standard Deviation 2.76 |
| Pazopanib- 3rd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 3 Day 1 | 1.7 Score on a scale | Standard Deviation 4.18 |
| Pazopanib- 3rd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 2 Day 1 | -0.3 Score on a scale | Standard Deviation 4.31 |
| Pazopanib- 3rd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 4 Day 1 | 1.8 Score on a scale | Standard Deviation 4.22 |
| Pazopanib- 3rd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 5 Day 1 | 2.0 Score on a scale | Standard Deviation 2.35 |
| Pazopanib- 3rd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 6 Day 1 | 2.7 Score on a scale | Standard Deviation 3.27 |
| Pazopanib- 3rd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 7 Day 1 | 2.5 Score on a scale | Standard Deviation 3.73 |
| Pazopanib- 3rd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 11 Day 1 | 0.0 Score on a scale | — |
| Pazopanib- 3rd Line | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | End of Treatment | -0.8 Score on a scale | Standard Deviation 6 |
| All Participants | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 13 Day 1 | 1.4 Score on a scale | Standard Deviation 2.12 |
| All Participants | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 9 Day 1 | -0.1 Score on a scale | Standard Deviation 4.22 |
| All Participants | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 16 Day 1 | 0.6 Score on a scale | Standard Deviation 1.59 |
| All Participants | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 6 Day 1 | 0.3 Score on a scale | Standard Deviation 5.36 |
| All Participants | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 19 Day 1 | 0.0 Score on a scale | Standard Deviation 2.76 |
| All Participants | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 5 Day 1 | 0.4 Score on a scale | Standard Deviation 3.06 |
| All Participants | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 22 Day 1 | -0.5 Score on a scale | Standard Deviation 3.27 |
| All Participants | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 25 Day 1 | 2.0 Score on a scale | Standard Deviation 2.31 |
| All Participants | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 7 Day 1 | 0.4 Score on a scale | Standard Deviation 3.63 |
| All Participants | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 31 Day 1 | 0.5 Score on a scale | Standard Deviation 0.71 |
| All Participants | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 4 Day 1 | 0.2 Score on a scale | Standard Deviation 3.24 |
| All Participants | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 34 Day 1 | 1.0 Score on a scale | — |
| All Participants | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 3 Day 1 | -0.0 Score on a scale | Standard Deviation 4.51 |
| All Participants | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 37 Day 1 | 1 Score on a scale | — |
| All Participants | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 2 Day 1 | -1.0 Score on a scale | Standard Deviation 4.78 |
| All Participants | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | End of Treatment | -0.6 Score on a scale | Standard Deviation 4.37 |
| All Participants | Change From Baseline in Functional Assessment of Cancer Therapy- Kidney Symptom (FKSI-DRS) Score | Cycle 11 Day 1 | 0.6 Score on a scale | Standard Deviation 3.2 |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Pazopanib- 2nd Line | Clinical Benefit Rate (CBR) Based on Local Investigator Assessment According to RECIST v1.1. | 53.2 Percentage of participants |
| Pazopanib- 3rd Line | Clinical Benefit Rate (CBR) Based on Local Investigator Assessment According to RECIST v1.1. | 40.0 Percentage of participants |
| All Participants | Clinical Benefit Rate (CBR) Based on Local Investigator Assessment According to RECIST v1.1. | 50.0 Percentage of participants |
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)
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Pazopanib- 2nd Line | Duration of Response (DOR) Based on Local Investigators Assessment According to RECIST v1.1 | NA Months |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Pazopanib- 2nd Line | Overall Response Rate (ORR) Based on Local Investigator Assessment According to RECIST v1.1 | 23.4 Percentage of participants |
| Pazopanib- 3rd Line | Overall Response Rate (ORR) Based on Local Investigator Assessment According to RECIST v1.1 | 0 Percentage of participants |
| All Participants | Overall Response Rate (ORR) Based on Local Investigator Assessment According to RECIST v1.1 | 17.7 Percentage of participants |
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
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Pazopanib- 2nd Line | Overall Survival (OS) | 27.8 Months |
| Pazopanib- 3rd Line | Overall Survival (OS) | 20.0 Months |
| All Participants | Overall Survival (OS) | 23.4 Months |
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
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Pazopanib- 2nd Line | All Collected Deaths | Post-treatment survival follow-up deaths | 22 Participants |
| Pazopanib- 2nd Line | All Collected Deaths | On-treatment deaths | 5 Participants |
| Pazopanib- 2nd Line | All Collected Deaths | All deaths | 27 Participants |
| Pazopanib- 3rd Line | All Collected Deaths | Post-treatment survival follow-up deaths | 10 Participants |
| Pazopanib- 3rd Line | All Collected Deaths | On-treatment deaths | 1 Participants |
| Pazopanib- 3rd Line | All Collected Deaths | All deaths | 11 Participants |
| All Participants | All Collected Deaths | On-treatment deaths | 6 Participants |
| All Participants | All Collected Deaths | All deaths | 38 Participants |
| All Participants | All Collected Deaths | Post-treatment survival follow-up deaths | 32 Participants |