Skip to content

Retrospective Study to Identify Clinical Factors Related to a High Benefit of Axitinib in mRCC

Retrospective Analysis of Clinical Factors Associated With Greater Benefit of Axitinib in Metastatic Renal Cancer (AXILONG Study)

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT03538717
Enrollment
157
Registered
2018-05-29
Start date
2018-04-19
Completion date
2019-03-01
Last updated
2022-02-17

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

Conditions

Carcinoma, Renal Cell

Keywords

Axitinib,, Renal Carcinoma,, Long responders

Brief summary

Retrospective study to collect data from Patients with advanced/metastatic renal cell carcinoma previously treated with Axitinib under standard clinical practice, to describe the clinical profile of the patients with a long response to Axitinib and to try to identify clinical factors which could be related with the long response to Axitinib, through the comparison between long responder patients and a group of refractory patients

Detailed description

To describe the clinical profile of patients with a long response to Axitinib and to identify clinical factors which could be related with the long response to Axitinib, through the comparison between long responder patients and a group of refractory patients. For this study are defined as long responder, those patients who has a Progression Free Survival (PFS) of at least 9 months since the initiation of Axitinib treatment, and refractory patients those who have Progression Disease (PD) in the first response assessment since the initiation of Axitinib treatment (estimated PFS ≤3 months\] Secondary Objectives * To describe the efficacy of Axitinib treatment in the long responders group, and in relation with the treatment received before Axitinib, in terms of PFS, ORR, CB, OS, TTP ... * To describe the tolerability and drug management of Axitinib in this population. * To describe treatment received after Axitinib in this population. Study procedures: For the recruitment, the Investigator should review the inclusion / exclusion criteria. In case of patients alive at the moment of the inclusion, the investigator will require them to sign the IC. With the data available in the medical records, the information requested will be recorded in the electronic data collection tool.

Interventions

None listed

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

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

Inclusion criteria

* Age ≥ 18 years * Patients with advanced or metastatic renal cell carcinoma, histologically confirmed, with at least one radiological response assessment * Patients who had received Axitinib treatment in second or further line with a PFS ≥9 months or DP (disease progression) at the first tumor assessment. * For the patients alive at the moment of the inclusion, patients must have a signed informed consent document

Exclusion criteria

* Axitinib received out of the approved indication Patients who do not meet any of the inclusion criteria

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Age Less Than or Equal to (<=) 65 Years and Greater Than (>) 65 Years at Initiation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsAt initiation of axitinib treatment, within axitinib therapy of maximum 5.4 years approximately (from the data collected and observed retrospectively during 1 year)
Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status Before First Line Treatment Initiation: Long Responders Versus Refractory ParticipantsPrior to first dose of first line treatment, within first line therapy of maximum 6.6 years approximately (from the data collected and observed retrospectively during 1 year)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: before first line treatment initiation), was compared between long responders and refractory participants.
Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Initiation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsAt initiation of axitinib treatment, within axitinib therapy of maximum 5.4 years approximately (from the data collected and observed retrospectively during 1 year)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: at initiation of axitinib), was compared between long responders and refractory participants.
Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status on Axitinib Discontinuation: Long Responders Versus Refractory ParticipantsOn discontinuation of axitinib treatment, within axitinib therapy of maximum 5.4 years approximately (from the data collected and observed retrospectively during 1 year)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: on axitinib discontinuation), was compared between long responders and refractory participants.
Number of Participants With 1 or More Different Treatment Lines Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsPrior to first dose of axitinib treatment, within axitinib therapy of maximum 5.4 years approximately (from the data collected and observed retrospectively during 1 year)
Number of Participants With Nephrectomy Procedure Status Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsPrior to first dose of axitinib treatment, within axitinib therapy of maximum 5.4 years approximately (from the data collected and observed retrospectively during 1 year)Nephrectomy is a surgical removal of kidney. Data for participants was categorized as yes and no to depict their nephrectomy status before axitinib treatment initiation and comparison was done between long responders and refractory participants.
Number of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group Before First Line Treatment Initiation: Long Responders Versus Refractory ParticipantsPrior to first dose of first line treatment, within first line therapy of maximum 6.6 years approximately (from the data collected and observed retrospectively during 1 year)MSKCC risk system stratifies participants with mRCC into poor, intermediate and favorable risk groups based on number of adverse clinical and laboratory parameters present. Favorable-risk group: participants had no poor prognostic factors. Intermediate-risk group: participants had 1 or 2 adverse prognostic factors. Poor-risk group: participants had more than 2 poor prognostic factors. Poor prognostic factors included a Karnofsky performance status (KPS) of less than (\<) 80 (KPS score quantify participant's general well-being and activities of daily life, based on their functional impairment. KPS score ranges between 0= death to 100= no evidence of disease; higher score means higher ability to perform daily tasks), time from diagnosis to treatment for more than 12 months, serum lactate dehydrogenase (LDH) \>1.5\*upper limit of normal (ULN), corrected serum calcium level \>10.0 milligram per deciliter (mg/dL) and hemoglobin \< lower limit of normal (LLN).
Number of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group at Initiation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsAt initiation of axitinib treatment, within axitinib therapy of maximum 5.4 years approximately (from the data collected and observed retrospectively during 1 year)MSKCC risk system stratifies participants with mRCC into poor, intermediate and favorable risk groups based on number of adverse clinical and laboratory parameters present. Favorable-risk group: participants had no poor prognostic factors. Intermediate-risk group: participants had 1 or 2 adverse prognostic factors. Poor-risk group: participants had more than 2 poor prognostic factors. Poor prognostic factors included a KPS of \<80 (KPS score quantify participant's general well-being and activities of daily life, based on their functional impairment. KPS score ranges between 0= death to 100= no evidence of disease; higher score means higher ability to perform daily tasks), time from diagnosis to treatment for more than 12 months, serum LDH \>1.5\*ULN, corrected serum calcium level \>10.0 mg/dL and hemoglobin \< LLN.
Number of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group on Discontinuation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsOn discontinuation of axitinib treatment, within axitinib therapy during treatment of maximum 5.4 years, approximately (from the data collected and observed retrospectively during 1 year)MSKCC risk system stratifies participants with mRCC into poor, intermediate and favorable risk groups based on number of adverse clinical and laboratory parameters present. Favorable-risk group: participants had no poor prognostic factors. Intermediate-risk group: participants had 1 or 2 adverse prognostic factors. Poor-risk group: participants had more than 2 poor prognostic factors. Poor prognostic factors included a KPS of \<80 (KPS score quantify participant's general well-being and activities of daily life, based on their functional impairment. KPS score ranges between 0= death to 100= no evidence of disease; higher score means higher ability to perform daily tasks), time from diagnosis to treatment for more than 12 months, serum LDH \>1.5\*ULN, corrected serum calcium level \>10.0 mg/dL and hemoglobin \< LLN.
Number of Participants With International Metastatic Database Consortium (IMDC) Risk Group at Initiation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsAt initiation of axitinib treatment, within axitinib therapy of maximum 5.4 years approximately (from the data collected and observed retrospectively during 1 year)IMDC risk group stratifies participants with mRCC into poor, intermediate and favorable risk groups based on number of adverse clinical and laboratory parameters present. Favorable-risk group: participants had no poor prognostic factors. Intermediate-risk group: participants had 1 or 2 poor prognostic factors. Poor-risk group: participants had 3 to 6 poor prognostic factors. Poor prognostic factors included KPS score of \<80 at the initiation of treatment, time from diagnosis to metastasis treatment of \<12 months, anemia, hypercalcemia (corrected calcium \>10 mg/dL), neutrophilia and thrombocythemia. In this outcome measure, IMDC risk group (favorable, intermediate, poor: at initiation of axitinib) was compared between long responders and refractory participants.
Number of Participants With International Metastatic Database Consortium (IMDC) Risk Group on Discontinuation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsOn discontinuation of axitinib treatment, within axitinib therapy of maximum 5.4 years approximately (from the data collected and observed retrospectively during 1 year)IMDC risk group stratifies participants with mRCC into poor, intermediate and favorable risk groups based on number of adverse clinical and laboratory parameters present. Favorable-risk group: participants had no poor prognostic factors. Intermediate-risk group: participants had 1 or 2 poor prognostic factors. Poor-risk group: participants had 3 to 6 poor prognostic factors. Poor prognostic factors included KPS score of \<80 at the initiation of treatment, time from diagnosis to metastasis treatment of \<12 months, anemia, hypercalcemia (corrected calcium \>10 mg/dL), neutrophilia and thrombocythemia. In this outcome measure, IMDC risk group (favorable, intermediate, poor: on discontinuation of axitinib) was compared between long responders and refractory participants.
Number of Participants With Different Type of Renal Cells Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsPrior to first dose of axitinib treatment, within axitinib therapy of maximum 5.4 years approximately (from the data collected and observed retrospectively during 1 year)In this outcome measure, data for participants who had renal cells with different type of histology as 100% clear cells, 100% non-clear cells, majority component of clear cells and majority component of non-clear cells was compared between long responders and refractory participants.
Number of Participants With Duration of First Line Treatment With Tyrosine Kinase Inhibitor (TKI) Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsFirst dose of first line treatment, within first line therapy of maximum 6.6 years approximately (from the data collected and observed retrospectively during 1 year)Duration of first line treatment with TKI was stratified into 0-3 months, 3-6 months, 6-9 months, 9-12 months and \>12 months and compared between long responders and refractory participants.
Number of Participants With Best Response to First Line Treatment With Tyrosine Kinase Inhibitor (TKI) Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsFirst dose of first line treatment, within first line therapy of maximum 6.6 years approximately (from the data collected and observed retrospectively during 1 year)In this outcome measure, data for participants with their best response as complete response (CR) and partial response (PR), stable disease (SD) or progressive-disease (PD) to the first line treatment with TKI, was compared between long responders and refractory participants. As per response evaluation criteria in solid tumors (RECIST) 1.1 criteria: CR = disappearance of all target lesions. PR = greater than equal to (\>=) 30% decrease in sum of target lesions taking as reference baseline sum diameters. PD: \>= 20% increase in sum of diameters of target lesions, taking as a reference smallest sum on treatment, the sum must also demonstrate an absolute increase of at least 5 millimeter (mm), or the appearance of \>=1 new lesions. SD =neither shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum of diameters during treatment.
Number of Participants With 1 or More Metastatic Locations at Diagnosis of Advance or Metastatic Renal Cell Carcinoma Before First Line Treatment Initiation: Long Responders Versus Refractory ParticipantsAt diagnosis of advance or mRCC prior to first dose of first line treatment, within first line therapy of maximum 6.6 years approximately (from the data collected and observed retrospectively during 1 year)
Number of Participants With Different Metastatic Sites Locations at Diagnosis of Advance or Metastatic Renal Cell Carcinoma Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsAt diagnosis of advance or mRCC prior to first dose of first line treatment, within first line therapy of maximum 6.6 years approximately (from the data collected and observed retrospectively during 1 year)In this outcome measure, data for participants with different metastatic sites as lymph nodes, central nervous system (CNS), hepatic, pulmonary, bone and another site of metastasis at diagnosis of advance or mRCC before axitinib treatment initiation, was compared between long responders and refractory participants.
Number of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsAt initiation of first line treatment, within first line therapy of maximum 6.6 years approximately (from the data collected and observed retrospectively during 1 year)In this outcome measure, data for different laboratory parameters at initiation of first line treatment: LDH level \>1.5\*ULN, haemoglobin (Hgb) levels \<=LLN, corrected Ca levels \>10 mg/dL, neutrophil levels \>ULN, platelet levels \>ULN and neutrophil-to-lymphocyte ratio of \<=3 was compared between long responders and refractory participants.
Number of Participants With Smoking Habits at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsAt initiation of first line treatment, within first line therapy of maximum 6.6 years approximately (from the data collected and observed retrospectively during 1 year)In this outcome measure, data for smoking habit of participants was compared between long responders and refractory participants.

Secondary

MeasureTime frameDescription
Progression-free Survival (PFS) to Axitinib Treatment in Group of Long RespondersDay 1 of axitinib dose to disease progression or death due to any cause or date of latest follow-up in case of censored up to a maximum axitinib therapy of 5.4 years, approximately (from the data collected and observed retrospectively during 1 year)PFS was defined as the time from the start of axitinib treatment to disease progression or death by any cause. If there was no progression or death, the case was censored as PFS at date of latest follow-up. PD: \>= 20% increase in sum of diameters of target lesions, taking as a reference smallest sum on treatment, the sum must also demonstrate an absolute increase of at least 5 mm, or the appearance of \>=1 new lesions.
Overall Survival (OS) From Subsequent Treatments Post Axitinib TreatmentFrom initiation of subsequent treatment (post axitinib treatment) to a maximum subsequent treatment duration of 2.9 years approximately (from data collected and observed retrospectively for 1 year)OS was defined as the time from the date of randomization to treatment up to the date of death due to any cause.
Time to Progression (TTP) to Axitinib Treatment in Group of Long RespondersDay 1 of axitinib dose to disease progression or date of latest follow-up in case of censored up to a maximum (max.)axitinib therapy duration of 5.4 years(yrs.)approximately(approx.)(from the data collected, observed retrospectively during 1 year [yr.])TTP was defined as the time from the start of axitinib treatment to date of disease progression. If there was no progression, the case was censored as TTP at latest follow-up. As per RECIST 1.1, PD: \>= 20% increase in sum of diameters of target lesions, taking as a reference smallest sum on treatment, the sum must also demonstrate an absolute increase of at least 5 mm, or the appearance of \>=1 new lesions.
Overall Survival (OS) From Axitinib Treatment in Group of Long RespondersDay 1 of axitinib dose to death due to any cause or date of latest follow-up in case of censored up to a maximum axitinib therapy of 5.4 years, approximately (from the data collected and observed retrospectively during 1 year)OS was defined as the time from the date of start of axitinib treatment to the date of death due to any cause. If there was no death, the case was censored as OS at latest follow-up.
Number of Participants With Best Response to Axitinib as Second Line of Treatment and Subsequent Treatment in Group of Long RespondersFrom first dose of axitinib as second line of treatment and from first dose of axitinib as subsequent treatment up to a maximum axitinib therapy duration of 5.4 years approximately (data collected and observed retrospectively for 1 year)In this outcome measure, data for number of participants with best response to axitinib as second line of treatment and subsequent treatment was collected. Best response is CR and PR, SD or PD. As per RECIST1.1 criteria: CR = disappearance of all target lesions; PR = \>= 30% decrease in sum of target lesions taking as reference baseline sum diameters; PD: \>= 20% increase in sum of diameters of target lesions, taking as a reference smallest sum on treatment, the sum must also demonstrate an absolute increase of at least 5 mm, or the appearance of \>=1 new lesions; SD =neither shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference smallest sum of diameters while on treatment. Subsequent treatment referred to further treatment after second line of treatment.
Progression-free Survival (PFS) to Axitinib as Second Line of Treatment and Subsequent Treatment in Group of Long RespondersFrom first dose of axitinib as second line and from first dose of axitinib as subsequent lines to PD/death by any cause/date of latest follow-up if censored up to a max. axitinib therapy of 5.4 yrs. approx. (data collected, observed retrospectively 1 yr.)PFS was defined as the time from the start of axitinib as second line of treatment and subsequent treatment to disease progression or death by any cause. If there was no progression or death, the case was censored as PFS at date of latest follow-up. As per RECIST 1.1, PD: \>= 20% increase in sum of diameters of target lesions, taking as a reference smallest sum on treatment, the sum must also demonstrate an absolute increase of at least 5 mm, or the appearance of \>=1 new lesions.
Objective Response Rate (ORR) to Axitinib as Second Line of Treatment and Subsequent Treatment in Group of Long RespondersFrom first dose of axitinib as second line of treatment and from first dose of axitinib as subsequent treatment up to a maximum axitinib therapy duration of 5.4 years approximately (data collected and observed retrospectively for 1 year)ORR was defined as the number of participants with CR or PR. As per RECIST1.1 criteria: CR = disappearance of all target lesions; PR = \>= 30% decrease in sum of target lesions taking as reference baseline sum diameters.
Clinical Benefit Rate (CBR) to Axitinib as the Second Line of Treatment and Subsequent Treatment in Group of Long RespondersFrom first dose of axitinib as second line of treatment and from first dose of axitinib as subsequent treatment up to a maximum axitinib therapy duration of 5.4 years approximately (data collected and observed retrospectively for 1 year)CBR was defined as the frequency of participants with CR, PR or SD. As per RECIST1.1 criteria: CR = disappearance of all target lesions; PR = \>= 30% decrease in sum of target lesions taking as reference baseline sum diameters; PD: \>= 20% increase in sum of diameters of target lesions, taking as a reference smallest sum on treatment, the sum must also demonstrate an absolute increase of at least 5 mm, or the appearance of \>=1 new lesions; SD =neither shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference smallest sum of diameters while on treatment.
Time to Progression (TTP) to Axitinib as the Second Line of Treatment and Subsequent Treatment in Group of Long RespondersFrom first dose of axitinib as second line of treatment and from first dose of axitinib as subsequent treatment to PD/date of latest follow-up if censored up to max. treatment duration of 5.4 yrs., approx. (data collected, observed retrospectively 1 year)TTP was defined as the time from the start of second line of treatment and subsequent treatment to date of disease progression. If there was no progression, the case was censored as TTP at latest follow-up. PD: \>=20% increase in sum of diameters of target lesions, taking as a reference smallest sum on treatment, the sum must also demonstrate an absolute increase of at least 5 mm, or the appearance of \>=1 new lesions.
Overall Survival (OS) to Axitinib as the Second Line of Treatment and Subsequent Treatment in Group of Long RespondersFrom first dose of axitinib as second line of treatment and from first dose of axitinib as subsequent treatment to death due to any cause/date of latest follow-up if censored upto max. of 5.4 yrs., approx. (data collected, observed retrospectively 1 year)OS was defined as the time from the date of start of second line of treatment and subsequent treatment till the date of death due to any cause. If there was no death, the case was censored as OS at latest follow-up.
Duration of Axitinib Treatment: All ParticipantsDay 1 of axitinib treatment to end of treatment or date of latest follow-up if not suspended for maximum axitinib therapy duration of 5.4 years, approximately (from data collected and observed retrospectively for 1 year)Duration of treatment with axitinib was the time from date of start of axitinib treatment to date of end of axitinib treatment or of latest follow-up if not suspended.
Percentage of Participants With Titrated (Increased) Doses of Axitinib of More Than 5 Milligram (mg) Twice Daily: All ParticipantsFor maximum axitinib treatment duration of 5.4 years, approximately (from data collected and observed retrospectively for 1 year)Percentage of participants whose axitinib dose was titrated and increased to more than 5mg dose at least 1 time in 12 hours (twice daily), are reported in this outcome measure.
Percentage of Participants With Reduced Doses of Axitinib of More Than 5 Milligram (mg) Twice Daily: All ParticipantsFor maximum axitinib treatment duration of 5.4 years, approximately (data collected and observed retrospectively for 1 year)Percentage of participants whose axitinib dose was reduced 5 mg dose at least 1 time in 12 hours (twice daily) are reported in this outcome measure.
Number of Participants With Adverse Events (AE): All ParticipantsFor first line treatment: maximum of 6.6 years approximately; for axitinib treatment: maximum of 5.4 years approximately; for post-axitinib subsequent treatments: maximum of 2.9 years approximately (data collected and observed retrospectively for 1 year)An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. Serious adverse events (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically important events. AEs included both SAEs and non-SAEs.
Number of Participants Receiving Subsequent Treatment Post Axitinib Treatment: All ParticipantsUpon initiation of subsequent treatment (post axitinib treatment) to a maximum subsequent treatment duration of 2.9 years approximately (from data collected and observed retrospectively for 1 year)
Number of Participants as Per Number of Subsequent Lines of Treatment Received Post Axitinib Treatment: All ParticipantsUpon initiation of subsequent treatment (post axitinib treatment) to a maximum subsequent treatment duration of 2.9 years approximately (from data collected and observed retrospectively for 1 year)
Duration of Subsequent Treatments Post Axitinib Treatment: All ParticipantsUpon initiation of subsequent treatment (post axitinib treatment) to a maximum subsequent treatment duration of 2.9 years approximately (from data collected and observed retrospectively for 1 year)
Number of Participants With First Best Response to Subsequent Treatments Post Axitinib TreatmentFrom initiation of subsequent treatment (post axitinib treatment) to a maximum subsequent treatment duration of 2.9 years approximately (from data collected and observed retrospectively for 1 year)Best response is CR and PR, SD or PD. As per RECIST1.1 criteria: CR = disappearance of all target lesions; PR = \>= 30% decrease in sum of target lesions taking as reference baseline sum diameters; PD: \>= 20% increase in sum of diameters of target lesions, taking as a reference smallest sum on treatment, the sum must also demonstrate an absolute increase of at least 5 mm, or the appearance of \>=1 new lesions; SD =neither shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference smallest sum of diameters while on treatment.
Number of Participants With Reasons to Discontinue Subsequent Treatments Post Axitinib Treatment: All ParticipantsFrom initiation of subsequent treatment (post axitinib treatment) to a maximum subsequent treatment duration of 2.9 years approximately (from data collected and observed retrospectively for 1 year)In this outcome measure, participants who stopped subsequent treatments after axitinib discontinuation due to any reasons like PD, toxicity and others are reported.

Countries

Spain

Participant flow

Recruitment details

Data was collected and observed retrospectively for approximately 1 year, of metastatic renal cell carcinoma (mRCC) participants who received axitinib in the daily clinical practice as second and later lines prior to inclusion in study and met inclusion/exclusion criteria.

Participants by arm

ArmCount
Axitinib (INLYTA)
Participants with advanced or mRCC who had been treated with axitinib before inclusion in this study, under standard clinical practice as a second-line treatment or further line as per its summary of product characteristics and had a progression free survival of at least 9 months (long responders) or had disease progression as best response to this treatment (refractory). During this study, data for these participants was collected and observed retrospectively, for approximately 1 year.
157
Total157

Baseline characteristics

CharacteristicAxitinib (INLYTA)
Age, Continuous59.7 Years
STANDARD_DEVIATION 10.4
Race and Ethnicity Not Collected— Participants
Sex: Female, Male
Female
37 Participants
Sex: Female, Male
Male
120 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
2 / 157
other
Total, other adverse events
116 / 157
serious
Total, serious adverse events
15 / 157

Outcome results

Primary

Number of Participants With 1 or More Different Treatment Lines Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants

Time frame: Prior to first dose of axitinib treatment, within axitinib therapy of maximum 5.4 years approximately (from the data collected and observed retrospectively during 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants With 1 or More Different Treatment Lines Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants1 Treatment Line58 Participants
Long Responders to AxitinibNumber of Participants With 1 or More Different Treatment Lines Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants2 Treatment Lines18 Participants
Long Responders to AxitinibNumber of Participants With 1 or More Different Treatment Lines Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants>=3 Treatment Lines15 Participants
Axitinib Refractory ParticipantsNumber of Participants With 1 or More Different Treatment Lines Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants1 Treatment Line48 Participants
Axitinib Refractory ParticipantsNumber of Participants With 1 or More Different Treatment Lines Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants2 Treatment Lines10 Participants
Axitinib Refractory ParticipantsNumber of Participants With 1 or More Different Treatment Lines Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants>=3 Treatment Lines8 Participants
Comparison: Statistics analysis (P value) was performed compositely for all the categories reported.p-value: 0.524Chi-squared
Primary

Number of Participants With 1 or More Metastatic Locations at Diagnosis of Advance or Metastatic Renal Cell Carcinoma Before First Line Treatment Initiation: Long Responders Versus Refractory Participants

Time frame: At diagnosis of advance or mRCC prior to first dose of first line treatment, within first line therapy of maximum 6.6 years approximately (from the data collected and observed retrospectively during 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants With 1 or More Metastatic Locations at Diagnosis of Advance or Metastatic Renal Cell Carcinoma Before First Line Treatment Initiation: Long Responders Versus Refractory Participants156 Participants
Long Responders to AxitinibNumber of Participants With 1 or More Metastatic Locations at Diagnosis of Advance or Metastatic Renal Cell Carcinoma Before First Line Treatment Initiation: Long Responders Versus Refractory Participants223 Participants
Long Responders to AxitinibNumber of Participants With 1 or More Metastatic Locations at Diagnosis of Advance or Metastatic Renal Cell Carcinoma Before First Line Treatment Initiation: Long Responders Versus Refractory Participants>=312 Participants
Axitinib Refractory ParticipantsNumber of Participants With 1 or More Metastatic Locations at Diagnosis of Advance or Metastatic Renal Cell Carcinoma Before First Line Treatment Initiation: Long Responders Versus Refractory Participants129 Participants
Axitinib Refractory ParticipantsNumber of Participants With 1 or More Metastatic Locations at Diagnosis of Advance or Metastatic Renal Cell Carcinoma Before First Line Treatment Initiation: Long Responders Versus Refractory Participants223 Participants
Axitinib Refractory ParticipantsNumber of Participants With 1 or More Metastatic Locations at Diagnosis of Advance or Metastatic Renal Cell Carcinoma Before First Line Treatment Initiation: Long Responders Versus Refractory Participants>=314 Participants
Comparison: Statistics analysis (P value) was performed compositely for all the categories reported.p-value: 0.091Chi-squared
Primary

Number of Participants With Age Less Than or Equal to (<=) 65 Years and Greater Than (>) 65 Years at Initiation of Axitinib Treatment: Long Responders Versus Refractory Participants

Time frame: At initiation of axitinib treatment, within axitinib therapy of maximum 5.4 years approximately (from the data collected and observed retrospectively during 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study. Here, Overall Number of Participants signifies participants evaluable for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants With Age Less Than or Equal to (<=) 65 Years and Greater Than (>) 65 Years at Initiation of Axitinib Treatment: Long Responders Versus Refractory Participants<= 65 years58 Participants
Long Responders to AxitinibNumber of Participants With Age Less Than or Equal to (<=) 65 Years and Greater Than (>) 65 Years at Initiation of Axitinib Treatment: Long Responders Versus Refractory Participants> 65 years33 Participants
Axitinib Refractory ParticipantsNumber of Participants With Age Less Than or Equal to (<=) 65 Years and Greater Than (>) 65 Years at Initiation of Axitinib Treatment: Long Responders Versus Refractory Participants<= 65 years50 Participants
Axitinib Refractory ParticipantsNumber of Participants With Age Less Than or Equal to (<=) 65 Years and Greater Than (>) 65 Years at Initiation of Axitinib Treatment: Long Responders Versus Refractory Participants> 65 years15 Participants
Comparison: Statistics analysis (P value) was performed compositely for all the categories reported.p-value: 0.113Chi-squared
Primary

Number of Participants With Best Response to First Line Treatment With Tyrosine Kinase Inhibitor (TKI) Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants

In this outcome measure, data for participants with their best response as complete response (CR) and partial response (PR), stable disease (SD) or progressive-disease (PD) to the first line treatment with TKI, was compared between long responders and refractory participants. As per response evaluation criteria in solid tumors (RECIST) 1.1 criteria: CR = disappearance of all target lesions. PR = greater than equal to (\>=) 30% decrease in sum of target lesions taking as reference baseline sum diameters. PD: \>= 20% increase in sum of diameters of target lesions, taking as a reference smallest sum on treatment, the sum must also demonstrate an absolute increase of at least 5 millimeter (mm), or the appearance of \>=1 new lesions. SD =neither shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum of diameters during treatment.

Time frame: First dose of first line treatment, within first line therapy of maximum 6.6 years approximately (from the data collected and observed retrospectively during 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study. Here, Overall Number of Participants signifies participants evaluable for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants With Best Response to First Line Treatment With Tyrosine Kinase Inhibitor (TKI) Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsCR+PR53 Participants
Long Responders to AxitinibNumber of Participants With Best Response to First Line Treatment With Tyrosine Kinase Inhibitor (TKI) Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsSD26 Participants
Long Responders to AxitinibNumber of Participants With Best Response to First Line Treatment With Tyrosine Kinase Inhibitor (TKI) Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsPD10 Participants
Axitinib Refractory ParticipantsNumber of Participants With Best Response to First Line Treatment With Tyrosine Kinase Inhibitor (TKI) Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsCR+PR24 Participants
Axitinib Refractory ParticipantsNumber of Participants With Best Response to First Line Treatment With Tyrosine Kinase Inhibitor (TKI) Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsSD24 Participants
Axitinib Refractory ParticipantsNumber of Participants With Best Response to First Line Treatment With Tyrosine Kinase Inhibitor (TKI) Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsPD11 Participants
Comparison: Statistics analysis (P value) was performed compositely for all the categories reported.p-value: 0.07Chi-squared
Primary

Number of Participants With Different Metastatic Sites Locations at Diagnosis of Advance or Metastatic Renal Cell Carcinoma Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants

In this outcome measure, data for participants with different metastatic sites as lymph nodes, central nervous system (CNS), hepatic, pulmonary, bone and another site of metastasis at diagnosis of advance or mRCC before axitinib treatment initiation, was compared between long responders and refractory participants.

Time frame: At diagnosis of advance or mRCC prior to first dose of first line treatment, within first line therapy of maximum 6.6 years approximately (from the data collected and observed retrospectively during 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants With Different Metastatic Sites Locations at Diagnosis of Advance or Metastatic Renal Cell Carcinoma Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsLymph nodes28 Participants
Long Responders to AxitinibNumber of Participants With Different Metastatic Sites Locations at Diagnosis of Advance or Metastatic Renal Cell Carcinoma Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsCNS3 Participants
Long Responders to AxitinibNumber of Participants With Different Metastatic Sites Locations at Diagnosis of Advance or Metastatic Renal Cell Carcinoma Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsHepatic9 Participants
Long Responders to AxitinibNumber of Participants With Different Metastatic Sites Locations at Diagnosis of Advance or Metastatic Renal Cell Carcinoma Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsPulmonary56 Participants
Long Responders to AxitinibNumber of Participants With Different Metastatic Sites Locations at Diagnosis of Advance or Metastatic Renal Cell Carcinoma Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsBone12 Participants
Long Responders to AxitinibNumber of Participants With Different Metastatic Sites Locations at Diagnosis of Advance or Metastatic Renal Cell Carcinoma Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsAnother site of metastasis35 Participants
Axitinib Refractory ParticipantsNumber of Participants With Different Metastatic Sites Locations at Diagnosis of Advance or Metastatic Renal Cell Carcinoma Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsBone19 Participants
Axitinib Refractory ParticipantsNumber of Participants With Different Metastatic Sites Locations at Diagnosis of Advance or Metastatic Renal Cell Carcinoma Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsLymph nodes31 Participants
Axitinib Refractory ParticipantsNumber of Participants With Different Metastatic Sites Locations at Diagnosis of Advance or Metastatic Renal Cell Carcinoma Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsPulmonary35 Participants
Axitinib Refractory ParticipantsNumber of Participants With Different Metastatic Sites Locations at Diagnosis of Advance or Metastatic Renal Cell Carcinoma Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsCNS2 Participants
Axitinib Refractory ParticipantsNumber of Participants With Different Metastatic Sites Locations at Diagnosis of Advance or Metastatic Renal Cell Carcinoma Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsAnother site of metastasis16 Participants
Axitinib Refractory ParticipantsNumber of Participants With Different Metastatic Sites Locations at Diagnosis of Advance or Metastatic Renal Cell Carcinoma Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsHepatic16 Participants
Comparison: Lymph nodesp-value: 0.046Chi-squared
Comparison: CNSp-value: >0.999Fisher Exact
Comparison: Hepaticp-value: 0.026Chi-squared
Comparison: Pulmonaryp-value: 0.327Chi-squared
Comparison: Bonep-value: 0.024Chi-squared
Comparison: Another site of metastasisp-value: 0.045Chi-squared
Primary

Number of Participants With Different Type of Renal Cells Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants

In this outcome measure, data for participants who had renal cells with different type of histology as 100% clear cells, 100% non-clear cells, majority component of clear cells and majority component of non-clear cells was compared between long responders and refractory participants.

Time frame: Prior to first dose of axitinib treatment, within axitinib therapy of maximum 5.4 years approximately (from the data collected and observed retrospectively during 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study. Here, Overall Number of Participants signifies participants evaluable for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants With Different Type of Renal Cells Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants100% clear cells72 Participants
Long Responders to AxitinibNumber of Participants With Different Type of Renal Cells Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants100% non-clear cells8 Participants
Long Responders to AxitinibNumber of Participants With Different Type of Renal Cells Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsMajority component of clear cells7 Participants
Long Responders to AxitinibNumber of Participants With Different Type of Renal Cells Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsMajority component of non-clear cells4 Participants
Axitinib Refractory ParticipantsNumber of Participants With Different Type of Renal Cells Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsMajority component of non-clear cells2 Participants
Axitinib Refractory ParticipantsNumber of Participants With Different Type of Renal Cells Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants100% clear cells48 Participants
Axitinib Refractory ParticipantsNumber of Participants With Different Type of Renal Cells Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsMajority component of clear cells7 Participants
Axitinib Refractory ParticipantsNumber of Participants With Different Type of Renal Cells Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants100% non-clear cells8 Participants
Comparison: 100% clear cellsp-value: 0.446Chi-squared
Comparison: 100% non-clear cellsp-value: 0.596Chi-squared
Comparison: Majority component of clear cellsp-value: 0.578Chi-squared
Comparison: Majority component of non-clear cellsp-value: 0.706Fisher Exact
Primary

Number of Participants With Duration of First Line Treatment With Tyrosine Kinase Inhibitor (TKI) Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants

Duration of first line treatment with TKI was stratified into 0-3 months, 3-6 months, 6-9 months, 9-12 months and \>12 months and compared between long responders and refractory participants.

Time frame: First dose of first line treatment, within first line therapy of maximum 6.6 years approximately (from the data collected and observed retrospectively during 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study. Here, Overall Number of Participants signifies participants evaluable for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants With Duration of First Line Treatment With Tyrosine Kinase Inhibitor (TKI) Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants0-3 months6 Participants
Long Responders to AxitinibNumber of Participants With Duration of First Line Treatment With Tyrosine Kinase Inhibitor (TKI) Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants9-12 months13 Participants
Long Responders to AxitinibNumber of Participants With Duration of First Line Treatment With Tyrosine Kinase Inhibitor (TKI) Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants6-9 months6 Participants
Long Responders to AxitinibNumber of Participants With Duration of First Line Treatment With Tyrosine Kinase Inhibitor (TKI) Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants>12 months56 Participants
Long Responders to AxitinibNumber of Participants With Duration of First Line Treatment With Tyrosine Kinase Inhibitor (TKI) Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants3-6 months7 Participants
Axitinib Refractory ParticipantsNumber of Participants With Duration of First Line Treatment With Tyrosine Kinase Inhibitor (TKI) Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants>12 months27 Participants
Axitinib Refractory ParticipantsNumber of Participants With Duration of First Line Treatment With Tyrosine Kinase Inhibitor (TKI) Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants0-3 months6 Participants
Axitinib Refractory ParticipantsNumber of Participants With Duration of First Line Treatment With Tyrosine Kinase Inhibitor (TKI) Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants3-6 months13 Participants
Axitinib Refractory ParticipantsNumber of Participants With Duration of First Line Treatment With Tyrosine Kinase Inhibitor (TKI) Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants6-9 months7 Participants
Axitinib Refractory ParticipantsNumber of Participants With Duration of First Line Treatment With Tyrosine Kinase Inhibitor (TKI) Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants9-12 months9 Participants
Comparison: Statistics analysis (P value) was performed compositely for all the categories reported.p-value: 0.074Chi-squared
Primary

Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Initiation of Axitinib Treatment: Long Responders Versus Refractory Participants

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: at initiation of axitinib), was compared between long responders and refractory participants.

Time frame: At initiation of axitinib treatment, within axitinib therapy of maximum 5.4 years approximately (from the data collected and observed retrospectively during 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study. Here, Overall Number of Participants signifies participants evaluable for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Initiation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsECOG: 034 Participants
Long Responders to AxitinibNumber of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Initiation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsECOG: 139 Participants
Long Responders to AxitinibNumber of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Initiation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsECOG: >=27 Participants
Axitinib Refractory ParticipantsNumber of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Initiation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsECOG: 010 Participants
Axitinib Refractory ParticipantsNumber of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Initiation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsECOG: 134 Participants
Axitinib Refractory ParticipantsNumber of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status at Initiation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsECOG: >=28 Participants
Comparison: Statistics analysis (P value) was performed compositely for all the categories reported.p-value: 0.02Chi-squared
Primary

Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status Before First Line Treatment Initiation: Long Responders Versus Refractory Participants

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: before first line treatment initiation), was compared between long responders and refractory participants.

Time frame: Prior to first dose of first line treatment, within first line therapy of maximum 6.6 years approximately (from the data collected and observed retrospectively during 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study. Here, Overall Number of Participants signifies participants evaluable for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status Before First Line Treatment Initiation: Long Responders Versus Refractory ParticipantsECOG: 049 Participants
Long Responders to AxitinibNumber of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status Before First Line Treatment Initiation: Long Responders Versus Refractory ParticipantsECOG: 123 Participants
Long Responders to AxitinibNumber of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status Before First Line Treatment Initiation: Long Responders Versus Refractory ParticipantsECOG: >=23 Participants
Axitinib Refractory ParticipantsNumber of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status Before First Line Treatment Initiation: Long Responders Versus Refractory ParticipantsECOG: 028 Participants
Axitinib Refractory ParticipantsNumber of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status Before First Line Treatment Initiation: Long Responders Versus Refractory ParticipantsECOG: 124 Participants
Axitinib Refractory ParticipantsNumber of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status Before First Line Treatment Initiation: Long Responders Versus Refractory ParticipantsECOG: >=21 Participants
Comparison: Statistics analysis (P value) was performed compositely for all the categories reported.p-value: 0.228Fisher Exact
Primary

Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status on Axitinib Discontinuation: Long Responders Versus Refractory Participants

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: on axitinib discontinuation), was compared between long responders and refractory participants.

Time frame: On discontinuation of axitinib treatment, within axitinib therapy of maximum 5.4 years approximately (from the data collected and observed retrospectively during 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study. Here, Overall Number of Participants signifies participants evaluable for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status on Axitinib Discontinuation: Long Responders Versus Refractory ParticipantsECOG: 016 Participants
Long Responders to AxitinibNumber of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status on Axitinib Discontinuation: Long Responders Versus Refractory ParticipantsECOG: 132 Participants
Long Responders to AxitinibNumber of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status on Axitinib Discontinuation: Long Responders Versus Refractory ParticipantsECOG: >=213 Participants
Axitinib Refractory ParticipantsNumber of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status on Axitinib Discontinuation: Long Responders Versus Refractory ParticipantsECOG: 09 Participants
Axitinib Refractory ParticipantsNumber of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status on Axitinib Discontinuation: Long Responders Versus Refractory ParticipantsECOG: 124 Participants
Axitinib Refractory ParticipantsNumber of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status on Axitinib Discontinuation: Long Responders Versus Refractory ParticipantsECOG: >=220 Participants
Comparison: Statistics analysis (P value) was performed compositely for all the categories reported.p-value: 0.138Chi-squared
Primary

Number of Participants With International Metastatic Database Consortium (IMDC) Risk Group at Initiation of Axitinib Treatment: Long Responders Versus Refractory Participants

IMDC risk group stratifies participants with mRCC into poor, intermediate and favorable risk groups based on number of adverse clinical and laboratory parameters present. Favorable-risk group: participants had no poor prognostic factors. Intermediate-risk group: participants had 1 or 2 poor prognostic factors. Poor-risk group: participants had 3 to 6 poor prognostic factors. Poor prognostic factors included KPS score of \<80 at the initiation of treatment, time from diagnosis to metastasis treatment of \<12 months, anemia, hypercalcemia (corrected calcium \>10 mg/dL), neutrophilia and thrombocythemia. In this outcome measure, IMDC risk group (favorable, intermediate, poor: at initiation of axitinib) was compared between long responders and refractory participants.

Time frame: At initiation of axitinib treatment, within axitinib therapy of maximum 5.4 years approximately (from the data collected and observed retrospectively during 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study. Here, Overall Number of Participants signifies participants evaluable for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants With International Metastatic Database Consortium (IMDC) Risk Group at Initiation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsFavorable risk group6 Participants
Long Responders to AxitinibNumber of Participants With International Metastatic Database Consortium (IMDC) Risk Group at Initiation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsIntermediate risk group37 Participants
Long Responders to AxitinibNumber of Participants With International Metastatic Database Consortium (IMDC) Risk Group at Initiation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsPoor risk group22 Participants
Axitinib Refractory ParticipantsNumber of Participants With International Metastatic Database Consortium (IMDC) Risk Group at Initiation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsFavorable risk group4 Participants
Axitinib Refractory ParticipantsNumber of Participants With International Metastatic Database Consortium (IMDC) Risk Group at Initiation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsIntermediate risk group19 Participants
Axitinib Refractory ParticipantsNumber of Participants With International Metastatic Database Consortium (IMDC) Risk Group at Initiation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsPoor risk group20 Participants
Comparison: Statistics analysis (P value) was performed compositely for all the categories reported.p-value: 0.419Chi-squared
Primary

Number of Participants With International Metastatic Database Consortium (IMDC) Risk Group on Discontinuation of Axitinib Treatment: Long Responders Versus Refractory Participants

IMDC risk group stratifies participants with mRCC into poor, intermediate and favorable risk groups based on number of adverse clinical and laboratory parameters present. Favorable-risk group: participants had no poor prognostic factors. Intermediate-risk group: participants had 1 or 2 poor prognostic factors. Poor-risk group: participants had 3 to 6 poor prognostic factors. Poor prognostic factors included KPS score of \<80 at the initiation of treatment, time from diagnosis to metastasis treatment of \<12 months, anemia, hypercalcemia (corrected calcium \>10 mg/dL), neutrophilia and thrombocythemia. In this outcome measure, IMDC risk group (favorable, intermediate, poor: on discontinuation of axitinib) was compared between long responders and refractory participants.

Time frame: On discontinuation of axitinib treatment, within axitinib therapy of maximum 5.4 years approximately (from the data collected and observed retrospectively during 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study. Here, Overall Number of Participants signifies participants evaluable for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants With International Metastatic Database Consortium (IMDC) Risk Group on Discontinuation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsFavorable risk group4 Participants
Long Responders to AxitinibNumber of Participants With International Metastatic Database Consortium (IMDC) Risk Group on Discontinuation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsIntermediate risk group33 Participants
Long Responders to AxitinibNumber of Participants With International Metastatic Database Consortium (IMDC) Risk Group on Discontinuation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsPoor risk group14 Participants
Axitinib Refractory ParticipantsNumber of Participants With International Metastatic Database Consortium (IMDC) Risk Group on Discontinuation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsFavorable risk group5 Participants
Axitinib Refractory ParticipantsNumber of Participants With International Metastatic Database Consortium (IMDC) Risk Group on Discontinuation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsIntermediate risk group15 Participants
Axitinib Refractory ParticipantsNumber of Participants With International Metastatic Database Consortium (IMDC) Risk Group on Discontinuation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsPoor risk group24 Participants
Comparison: Statistics analysis (P value) was performed compositely for all the categories reported.p-value: 0.01Fisher Exact
Primary

Number of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory Participants

In this outcome measure, data for different laboratory parameters at initiation of first line treatment: LDH level \>1.5\*ULN, haemoglobin (Hgb) levels \<=LLN, corrected Ca levels \>10 mg/dL, neutrophil levels \>ULN, platelet levels \>ULN and neutrophil-to-lymphocyte ratio of \<=3 was compared between long responders and refractory participants.

Time frame: At initiation of first line treatment, within first line therapy of maximum 6.6 years approximately (from the data collected and observed retrospectively during 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsLDH level >1.5*ULNYes6 Participants
Long Responders to AxitinibNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsLDH level >1.5*ULNNo60 Participants
Long Responders to AxitinibNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsHgb levels <=LLNYes10 Participants
Long Responders to AxitinibNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsHgb levels <=LLNNo70 Participants
Long Responders to AxitinibNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsCorrected Ca levels >10 mg/dLYes4 Participants
Long Responders to AxitinibNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsCorrected Ca levels >10 mg/dLNo51 Participants
Long Responders to AxitinibNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsNeutrophil levels >ULNYes12 Participants
Long Responders to AxitinibNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsNeutrophil levels >ULNNo67 Participants
Long Responders to AxitinibNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsPlatelet levels >ULNYes9 Participants
Long Responders to AxitinibNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsPlatelet levels >ULNNo71 Participants
Long Responders to AxitinibNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsNeutrophil-to-lymphocyte ratio <=3Yes22 Participants
Long Responders to AxitinibNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsNeutrophil-to-lymphocyte ratio <=3No49 Participants
Axitinib Refractory ParticipantsNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsNeutrophil-to-lymphocyte ratio <=3Yes23 Participants
Axitinib Refractory ParticipantsNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsLDH level >1.5*ULNYes7 Participants
Axitinib Refractory ParticipantsNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsNeutrophil levels >ULNYes8 Participants
Axitinib Refractory ParticipantsNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsLDH level >1.5*ULNNo44 Participants
Axitinib Refractory ParticipantsNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsPlatelet levels >ULNNo51 Participants
Axitinib Refractory ParticipantsNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsHgb levels <=LLNYes27 Participants
Axitinib Refractory ParticipantsNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsNeutrophil levels >ULNNo50 Participants
Axitinib Refractory ParticipantsNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsHgb levels <=LLNNo34 Participants
Axitinib Refractory ParticipantsNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsNeutrophil-to-lymphocyte ratio <=3No29 Participants
Axitinib Refractory ParticipantsNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsCorrected Ca levels >10 mg/dLYes7 Participants
Axitinib Refractory ParticipantsNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsPlatelet levels >ULNYes8 Participants
Axitinib Refractory ParticipantsNumber of Participants With Laboratory Parameters at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsCorrected Ca levels >10 mg/dLNo43 Participants
Comparison: LDH level \>1.5\*ULNp-value: 0.555Chi-squared
Comparison: Hgb levels \<=LLNp-value: <0.001Chi-squared
Comparison: Corrected Ca levels \>10 mg/dLp-value: 0.344Chi-squared
Comparison: Neutrophil levels \>ULNp-value: >0.999Chi-squared
Comparison: Platelet levels \>ULNp-value: 0.795Chi-squared
Comparison: Neutrophil-to-lymphocyte ratio \<=3p-value: 0.184Chi-squared
Primary

Number of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group at Initiation of Axitinib Treatment: Long Responders Versus Refractory Participants

MSKCC risk system stratifies participants with mRCC into poor, intermediate and favorable risk groups based on number of adverse clinical and laboratory parameters present. Favorable-risk group: participants had no poor prognostic factors. Intermediate-risk group: participants had 1 or 2 adverse prognostic factors. Poor-risk group: participants had more than 2 poor prognostic factors. Poor prognostic factors included a KPS of \<80 (KPS score quantify participant's general well-being and activities of daily life, based on their functional impairment. KPS score ranges between 0= death to 100= no evidence of disease; higher score means higher ability to perform daily tasks), time from diagnosis to treatment for more than 12 months, serum LDH \>1.5\*ULN, corrected serum calcium level \>10.0 mg/dL and hemoglobin \< LLN.

Time frame: At initiation of axitinib treatment, within axitinib therapy of maximum 5.4 years approximately (from the data collected and observed retrospectively during 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study. Here, Overall Number of Participants signifies participants evaluable for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group at Initiation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsFavorable risk group13 Participants
Long Responders to AxitinibNumber of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group at Initiation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsIntermediate risk group28 Participants
Long Responders to AxitinibNumber of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group at Initiation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsPoor risk group24 Participants
Axitinib Refractory ParticipantsNumber of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group at Initiation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsFavorable risk group7 Participants
Axitinib Refractory ParticipantsNumber of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group at Initiation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsIntermediate risk group13 Participants
Axitinib Refractory ParticipantsNumber of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group at Initiation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsPoor risk group26 Participants
Comparison: Statistics analysis (P value) was performed compositely for all the categories reported.p-value: 0.123Chi-squared
Primary

Number of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group Before First Line Treatment Initiation: Long Responders Versus Refractory Participants

MSKCC risk system stratifies participants with mRCC into poor, intermediate and favorable risk groups based on number of adverse clinical and laboratory parameters present. Favorable-risk group: participants had no poor prognostic factors. Intermediate-risk group: participants had 1 or 2 adverse prognostic factors. Poor-risk group: participants had more than 2 poor prognostic factors. Poor prognostic factors included a Karnofsky performance status (KPS) of less than (\<) 80 (KPS score quantify participant's general well-being and activities of daily life, based on their functional impairment. KPS score ranges between 0= death to 100= no evidence of disease; higher score means higher ability to perform daily tasks), time from diagnosis to treatment for more than 12 months, serum lactate dehydrogenase (LDH) \>1.5\*upper limit of normal (ULN), corrected serum calcium level \>10.0 milligram per deciliter (mg/dL) and hemoglobin \< lower limit of normal (LLN).

Time frame: Prior to first dose of first line treatment, within first line therapy of maximum 6.6 years approximately (from the data collected and observed retrospectively during 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study. Here, Overall Number of Participants signifies participants evaluable for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group Before First Line Treatment Initiation: Long Responders Versus Refractory ParticipantsFavorable risk group15 Participants
Long Responders to AxitinibNumber of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group Before First Line Treatment Initiation: Long Responders Versus Refractory ParticipantsIntermediate risk group25 Participants
Long Responders to AxitinibNumber of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group Before First Line Treatment Initiation: Long Responders Versus Refractory ParticipantsPoor risk group7 Participants
Axitinib Refractory ParticipantsNumber of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group Before First Line Treatment Initiation: Long Responders Versus Refractory ParticipantsFavorable risk group7 Participants
Axitinib Refractory ParticipantsNumber of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group Before First Line Treatment Initiation: Long Responders Versus Refractory ParticipantsIntermediate risk group21 Participants
Axitinib Refractory ParticipantsNumber of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group Before First Line Treatment Initiation: Long Responders Versus Refractory ParticipantsPoor risk group16 Participants
Comparison: Statistics analysis (P value) was performed compositely for all the categories reported.p-value: 0.035Chi-squared
Primary

Number of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group on Discontinuation of Axitinib Treatment: Long Responders Versus Refractory Participants

MSKCC risk system stratifies participants with mRCC into poor, intermediate and favorable risk groups based on number of adverse clinical and laboratory parameters present. Favorable-risk group: participants had no poor prognostic factors. Intermediate-risk group: participants had 1 or 2 adverse prognostic factors. Poor-risk group: participants had more than 2 poor prognostic factors. Poor prognostic factors included a KPS of \<80 (KPS score quantify participant's general well-being and activities of daily life, based on their functional impairment. KPS score ranges between 0= death to 100= no evidence of disease; higher score means higher ability to perform daily tasks), time from diagnosis to treatment for more than 12 months, serum LDH \>1.5\*ULN, corrected serum calcium level \>10.0 mg/dL and hemoglobin \< LLN.

Time frame: On discontinuation of axitinib treatment, within axitinib therapy during treatment of maximum 5.4 years, approximately (from the data collected and observed retrospectively during 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study. Here, Overall Number of Participants signifies participants evaluable for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group on Discontinuation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsFavorable risk group10 Participants
Long Responders to AxitinibNumber of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group on Discontinuation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsIntermediate risk group26 Participants
Long Responders to AxitinibNumber of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group on Discontinuation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsPoor risk group13 Participants
Axitinib Refractory ParticipantsNumber of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group on Discontinuation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsFavorable risk group6 Participants
Axitinib Refractory ParticipantsNumber of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group on Discontinuation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsIntermediate risk group20 Participants
Axitinib Refractory ParticipantsNumber of Participants With Memorial Sloan Kettering Cancer Center (MSKCC) Risk Group on Discontinuation of Axitinib Treatment: Long Responders Versus Refractory ParticipantsPoor risk group18 Participants
Comparison: Statistics analysis (P value) was performed compositely for all the categories reported.p-value: 0.327Chi-squared
Primary

Number of Participants With Nephrectomy Procedure Status Before Axitinib Treatment Initiation: Long Responders Versus Refractory Participants

Nephrectomy is a surgical removal of kidney. Data for participants was categorized as yes and no to depict their nephrectomy status before axitinib treatment initiation and comparison was done between long responders and refractory participants.

Time frame: Prior to first dose of axitinib treatment, within axitinib therapy of maximum 5.4 years approximately (from the data collected and observed retrospectively during 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants With Nephrectomy Procedure Status Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsYes85 Participants
Long Responders to AxitinibNumber of Participants With Nephrectomy Procedure Status Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsNo6 Participants
Axitinib Refractory ParticipantsNumber of Participants With Nephrectomy Procedure Status Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsYes58 Participants
Axitinib Refractory ParticipantsNumber of Participants With Nephrectomy Procedure Status Before Axitinib Treatment Initiation: Long Responders Versus Refractory ParticipantsNo8 Participants
Comparison: Statistics analysis (P value) was performed compositely for all the categories reported.p-value: 0.265Chi-squared
Primary

Number of Participants With Smoking Habits at Initiation of First Line Treatment: Long Responders Versus Refractory Participants

In this outcome measure, data for smoking habit of participants was compared between long responders and refractory participants.

Time frame: At initiation of first line treatment, within first line therapy of maximum 6.6 years approximately (from the data collected and observed retrospectively during 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study. Here, Overall Number of Participants signifies participants evaluable for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants With Smoking Habits at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsSmoker34 Participants
Long Responders to AxitinibNumber of Participants With Smoking Habits at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsNon-smoker13 Participants
Long Responders to AxitinibNumber of Participants With Smoking Habits at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsEx-smoker38 Participants
Axitinib Refractory ParticipantsNumber of Participants With Smoking Habits at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsSmoker26 Participants
Axitinib Refractory ParticipantsNumber of Participants With Smoking Habits at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsNon-smoker17 Participants
Axitinib Refractory ParticipantsNumber of Participants With Smoking Habits at Initiation of First Line Treatment: Long Responders Versus Refractory ParticipantsEx-smoker23 Participants
Comparison: Statistics analysis (P value) was performed compositely for all the categories reported.p-value: 0.235Chi-squared
Secondary

Clinical Benefit Rate (CBR) to Axitinib as the Second Line of Treatment and Subsequent Treatment in Group of Long Responders

CBR was defined as the frequency of participants with CR, PR or SD. As per RECIST1.1 criteria: CR = disappearance of all target lesions; PR = \>= 30% decrease in sum of target lesions taking as reference baseline sum diameters; PD: \>= 20% increase in sum of diameters of target lesions, taking as a reference smallest sum on treatment, the sum must also demonstrate an absolute increase of at least 5 mm, or the appearance of \>=1 new lesions; SD =neither shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference smallest sum of diameters while on treatment.

Time frame: From first dose of axitinib as second line of treatment and from first dose of axitinib as subsequent treatment up to a maximum axitinib therapy duration of 5.4 years approximately (data collected and observed retrospectively for 1 year)

Population: FAS population was analyzed. This outcome measure as per protocol was intended to be analyzed only in long responders group.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibClinical Benefit Rate (CBR) to Axitinib as the Second Line of Treatment and Subsequent Treatment in Group of Long RespondersAxitinib as second line of treatment57 Participants
Long Responders to AxitinibClinical Benefit Rate (CBR) to Axitinib as the Second Line of Treatment and Subsequent Treatment in Group of Long RespondersAxitinib as subsequent treatment31 Participants
Secondary

Duration of Axitinib Treatment: All Participants

Duration of treatment with axitinib was the time from date of start of axitinib treatment to date of end of axitinib treatment or of latest follow-up if not suspended.

Time frame: Day 1 of axitinib treatment to end of treatment or date of latest follow-up if not suspended for maximum axitinib therapy duration of 5.4 years, approximately (from data collected and observed retrospectively for 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study. As per protocol, no comparison was planned between long responders and refractory participants.

ArmMeasureValue (MEDIAN)
Long Responders to AxitinibDuration of Axitinib Treatment: All Participants10.7 months
Secondary

Duration of Subsequent Treatments Post Axitinib Treatment: All Participants

Time frame: Upon initiation of subsequent treatment (post axitinib treatment) to a maximum subsequent treatment duration of 2.9 years approximately (from data collected and observed retrospectively for 1 year)

Population: FAS population was analyzed. Here, Overall Number of Participants signifies participants evaluable for this outcome measure. As per protocol, no comparison was planned between long responders and refractory participants.

ArmMeasureValue (MEDIAN)
Long Responders to AxitinibDuration of Subsequent Treatments Post Axitinib Treatment: All Participants4.5 months
Secondary

Number of Participants as Per Number of Subsequent Lines of Treatment Received Post Axitinib Treatment: All Participants

Time frame: Upon initiation of subsequent treatment (post axitinib treatment) to a maximum subsequent treatment duration of 2.9 years approximately (from data collected and observed retrospectively for 1 year)

Population: FAS population was analyzed. Here, Overall Number of Participants signifies participants evaluable for this outcome measure. As per protocol, no comparison was planned between long responders and refractory participants.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants as Per Number of Subsequent Lines of Treatment Received Post Axitinib Treatment: All Participants1 treatment line94 Participants
Long Responders to AxitinibNumber of Participants as Per Number of Subsequent Lines of Treatment Received Post Axitinib Treatment: All Participants2 treatment line12 Participants
Long Responders to AxitinibNumber of Participants as Per Number of Subsequent Lines of Treatment Received Post Axitinib Treatment: All Participants3 treatment line7 Participants
Long Responders to AxitinibNumber of Participants as Per Number of Subsequent Lines of Treatment Received Post Axitinib Treatment: All Participants4 treatment line4 Participants
Secondary

Number of Participants Receiving Subsequent Treatment Post Axitinib Treatment: All Participants

Time frame: Upon initiation of subsequent treatment (post axitinib treatment) to a maximum subsequent treatment duration of 2.9 years approximately (from data collected and observed retrospectively for 1 year)

Population: FAS population was analyzed. Here, Overall Number of Participants signifies participants evaluable for this outcome measure. As per protocol, no comparison was planned between long responders and refractory participants.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants Receiving Subsequent Treatment Post Axitinib Treatment: All Participants94 Participants
Secondary

Number of Participants With Adverse Events (AE): All Participants

An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. Serious adverse events (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically important events. AEs included both SAEs and non-SAEs.

Time frame: For first line treatment: maximum of 6.6 years approximately; for axitinib treatment: maximum of 5.4 years approximately; for post-axitinib subsequent treatments: maximum of 2.9 years approximately (data collected and observed retrospectively for 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study. As per protocol, no comparison was planned between long responders and refractory participants.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants With Adverse Events (AE): All Participants116 Participants
Secondary

Number of Participants With Best Response to Axitinib as Second Line of Treatment and Subsequent Treatment in Group of Long Responders

In this outcome measure, data for number of participants with best response to axitinib as second line of treatment and subsequent treatment was collected. Best response is CR and PR, SD or PD. As per RECIST1.1 criteria: CR = disappearance of all target lesions; PR = \>= 30% decrease in sum of target lesions taking as reference baseline sum diameters; PD: \>= 20% increase in sum of diameters of target lesions, taking as a reference smallest sum on treatment, the sum must also demonstrate an absolute increase of at least 5 mm, or the appearance of \>=1 new lesions; SD =neither shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference smallest sum of diameters while on treatment. Subsequent treatment referred to further treatment after second line of treatment.

Time frame: From first dose of axitinib as second line of treatment and from first dose of axitinib as subsequent treatment up to a maximum axitinib therapy duration of 5.4 years approximately (data collected and observed retrospectively for 1 year)

Population: FAS population was analyzed. This outcome measure as per protocol was intended to be analyzed only in long responders group.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants With Best Response to Axitinib as Second Line of Treatment and Subsequent Treatment in Group of Long RespondersAxitinib as second line of treatmentCR+PR25 Participants
Long Responders to AxitinibNumber of Participants With Best Response to Axitinib as Second Line of Treatment and Subsequent Treatment in Group of Long RespondersAxitinib as second line of treatmentSD32 Participants
Long Responders to AxitinibNumber of Participants With Best Response to Axitinib as Second Line of Treatment and Subsequent Treatment in Group of Long RespondersAxitinib as second line of treatmentPD0 Participants
Long Responders to AxitinibNumber of Participants With Best Response to Axitinib as Second Line of Treatment and Subsequent Treatment in Group of Long RespondersAxitinib as second line of treatmentNo data2 Participants
Long Responders to AxitinibNumber of Participants With Best Response to Axitinib as Second Line of Treatment and Subsequent Treatment in Group of Long RespondersAxitinib as subsequent treatmentCR+PR15 Participants
Long Responders to AxitinibNumber of Participants With Best Response to Axitinib as Second Line of Treatment and Subsequent Treatment in Group of Long RespondersAxitinib as subsequent treatmentSD16 Participants
Long Responders to AxitinibNumber of Participants With Best Response to Axitinib as Second Line of Treatment and Subsequent Treatment in Group of Long RespondersAxitinib as subsequent treatmentPD0 Participants
Long Responders to AxitinibNumber of Participants With Best Response to Axitinib as Second Line of Treatment and Subsequent Treatment in Group of Long RespondersAxitinib as subsequent treatmentNo data1 Participants
Secondary

Number of Participants With First Best Response to Subsequent Treatments Post Axitinib Treatment

Best response is CR and PR, SD or PD. As per RECIST1.1 criteria: CR = disappearance of all target lesions; PR = \>= 30% decrease in sum of target lesions taking as reference baseline sum diameters; PD: \>= 20% increase in sum of diameters of target lesions, taking as a reference smallest sum on treatment, the sum must also demonstrate an absolute increase of at least 5 mm, or the appearance of \>=1 new lesions; SD =neither shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference smallest sum of diameters while on treatment.

Time frame: From initiation of subsequent treatment (post axitinib treatment) to a maximum subsequent treatment duration of 2.9 years approximately (from data collected and observed retrospectively for 1 year)

Population: FAS population was analyzed. Here, Overall Number of Participants signifies participants evaluable for this outcome measure. As per protocol, no comparison was planned between long responders and refractory participants.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants With First Best Response to Subsequent Treatments Post Axitinib TreatmentPR+CR12 Participants
Long Responders to AxitinibNumber of Participants With First Best Response to Subsequent Treatments Post Axitinib TreatmentSD35 Participants
Long Responders to AxitinibNumber of Participants With First Best Response to Subsequent Treatments Post Axitinib TreatmentPD33 Participants
Long Responders to AxitinibNumber of Participants With First Best Response to Subsequent Treatments Post Axitinib TreatmentMissing data14 Participants
Secondary

Number of Participants With Reasons to Discontinue Subsequent Treatments Post Axitinib Treatment: All Participants

In this outcome measure, participants who stopped subsequent treatments after axitinib discontinuation due to any reasons like PD, toxicity and others are reported.

Time frame: From initiation of subsequent treatment (post axitinib treatment) to a maximum subsequent treatment duration of 2.9 years approximately (from data collected and observed retrospectively for 1 year)

Population: FAS population was analyzed. This outcome measure as per protocol was intended to be analyzed only in long responders group. Here, Overall Number of Participants signifies participants evaluable for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibNumber of Participants With Reasons to Discontinue Subsequent Treatments Post Axitinib Treatment: All ParticipantsPD60 Participants
Long Responders to AxitinibNumber of Participants With Reasons to Discontinue Subsequent Treatments Post Axitinib Treatment: All ParticipantsToxicity9 Participants
Long Responders to AxitinibNumber of Participants With Reasons to Discontinue Subsequent Treatments Post Axitinib Treatment: All ParticipantsOther9 Participants
Long Responders to AxitinibNumber of Participants With Reasons to Discontinue Subsequent Treatments Post Axitinib Treatment: All ParticipantsNo data2 Participants
Secondary

Objective Response Rate (ORR) to Axitinib as Second Line of Treatment and Subsequent Treatment in Group of Long Responders

ORR was defined as the number of participants with CR or PR. As per RECIST1.1 criteria: CR = disappearance of all target lesions; PR = \>= 30% decrease in sum of target lesions taking as reference baseline sum diameters.

Time frame: From first dose of axitinib as second line of treatment and from first dose of axitinib as subsequent treatment up to a maximum axitinib therapy duration of 5.4 years approximately (data collected and observed retrospectively for 1 year)

Population: FAS population was analyzed. This outcome measure as per protocol was intended to be analyzed only in long responders group.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Long Responders to AxitinibObjective Response Rate (ORR) to Axitinib as Second Line of Treatment and Subsequent Treatment in Group of Long RespondersAxitinib as second line of treatment25 Participants
Long Responders to AxitinibObjective Response Rate (ORR) to Axitinib as Second Line of Treatment and Subsequent Treatment in Group of Long RespondersAxitinib as subsequent treatment15 Participants
Secondary

Overall Survival (OS) From Axitinib Treatment in Group of Long Responders

OS was defined as the time from the date of start of axitinib treatment to the date of death due to any cause. If there was no death, the case was censored as OS at latest follow-up.

Time frame: Day 1 of axitinib dose to death due to any cause or date of latest follow-up in case of censored up to a maximum axitinib therapy of 5.4 years, approximately (from the data collected and observed retrospectively during 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study. This outcome measure as per protocol was intended to be analyzed only in long responders group.

ArmMeasureValue (MEDIAN)Dispersion
Long Responders to AxitinibOverall Survival (OS) From Axitinib Treatment in Group of Long Responders35.975 monthsStandard Error 3.453
Secondary

Overall Survival (OS) From Subsequent Treatments Post Axitinib Treatment

OS was defined as the time from the date of randomization to treatment up to the date of death due to any cause.

Time frame: From initiation of subsequent treatment (post axitinib treatment) to a maximum subsequent treatment duration of 2.9 years approximately (from data collected and observed retrospectively for 1 year)

Population: FAS population was analyzed. This outcome measure as per protocol was intended to be analyzed only in long responders group. Here, Overall Number of Participants signifies participants evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)Dispersion
Long Responders to AxitinibOverall Survival (OS) From Subsequent Treatments Post Axitinib Treatment24.706 monthsStandard Error 1.396
Secondary

Overall Survival (OS) to Axitinib as the Second Line of Treatment and Subsequent Treatment in Group of Long Responders

OS was defined as the time from the date of start of second line of treatment and subsequent treatment till the date of death due to any cause. If there was no death, the case was censored as OS at latest follow-up.

Time frame: From first dose of axitinib as second line of treatment and from first dose of axitinib as subsequent treatment to death due to any cause/date of latest follow-up if censored upto max. of 5.4 yrs., approx. (data collected, observed retrospectively 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study. This outcome measure as per protocol was intended to be analyzed only in long responders group.

ArmMeasureGroupValue (MEDIAN)Dispersion
Long Responders to AxitinibOverall Survival (OS) to Axitinib as the Second Line of Treatment and Subsequent Treatment in Group of Long RespondersAxitinib as second line of treatment44.813 monthsStandard Error 10.54
Long Responders to AxitinibOverall Survival (OS) to Axitinib as the Second Line of Treatment and Subsequent Treatment in Group of Long RespondersAxitinib as subsequent treatment26.513 monthsStandard Error 2.925
Secondary

Percentage of Participants With Reduced Doses of Axitinib of More Than 5 Milligram (mg) Twice Daily: All Participants

Percentage of participants whose axitinib dose was reduced 5 mg dose at least 1 time in 12 hours (twice daily) are reported in this outcome measure.

Time frame: For maximum axitinib treatment duration of 5.4 years, approximately (data collected and observed retrospectively for 1 year)

Population: FAS population was analyzed. Here, Overall Number of Participants signifies participants evaluable for this outcome measure. As per protocol, no comparison was planned between long responders and refractory participants.

ArmMeasureValue (NUMBER)
Long Responders to AxitinibPercentage of Participants With Reduced Doses of Axitinib of More Than 5 Milligram (mg) Twice Daily: All Participants72.9 Percentage of participants
Secondary

Percentage of Participants With Titrated (Increased) Doses of Axitinib of More Than 5 Milligram (mg) Twice Daily: All Participants

Percentage of participants whose axitinib dose was titrated and increased to more than 5mg dose at least 1 time in 12 hours (twice daily), are reported in this outcome measure.

Time frame: For maximum axitinib treatment duration of 5.4 years, approximately (from data collected and observed retrospectively for 1 year)

Population: FAS population was analyzed. Here, Overall Number of Participants signifies participants evaluable for this outcome measure. As per protocol, no comparison was planned between long responders and refractory participants.

ArmMeasureValue (NUMBER)
Long Responders to AxitinibPercentage of Participants With Titrated (Increased) Doses of Axitinib of More Than 5 Milligram (mg) Twice Daily: All Participants27.1 Percentage of participants
Secondary

Progression-free Survival (PFS) to Axitinib as Second Line of Treatment and Subsequent Treatment in Group of Long Responders

PFS was defined as the time from the start of axitinib as second line of treatment and subsequent treatment to disease progression or death by any cause. If there was no progression or death, the case was censored as PFS at date of latest follow-up. As per RECIST 1.1, PD: \>= 20% increase in sum of diameters of target lesions, taking as a reference smallest sum on treatment, the sum must also demonstrate an absolute increase of at least 5 mm, or the appearance of \>=1 new lesions.

Time frame: From first dose of axitinib as second line and from first dose of axitinib as subsequent lines to PD/death by any cause/date of latest follow-up if censored up to a max. axitinib therapy of 5.4 yrs. approx. (data collected, observed retrospectively 1 yr.)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study. This outcome measure as per protocol was intended to be analyzed only in long responders group.

ArmMeasureGroupValue (MEDIAN)Dispersion
Long Responders to AxitinibProgression-free Survival (PFS) to Axitinib as Second Line of Treatment and Subsequent Treatment in Group of Long RespondersAxitinib as second line of treatment18.661 monthsStandard Error 2.917
Long Responders to AxitinibProgression-free Survival (PFS) to Axitinib as Second Line of Treatment and Subsequent Treatment in Group of Long RespondersAxitinib as subsequent treatment16.559 monthsStandard Error 1.698
Secondary

Progression-free Survival (PFS) to Axitinib Treatment in Group of Long Responders

PFS was defined as the time from the start of axitinib treatment to disease progression or death by any cause. If there was no progression or death, the case was censored as PFS at date of latest follow-up. PD: \>= 20% increase in sum of diameters of target lesions, taking as a reference smallest sum on treatment, the sum must also demonstrate an absolute increase of at least 5 mm, or the appearance of \>=1 new lesions.

Time frame: Day 1 of axitinib dose to disease progression or death due to any cause or date of latest follow-up in case of censored up to a maximum axitinib therapy of 5.4 years, approximately (from the data collected and observed retrospectively during 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study. This outcome measure as per protocol was intended to be analyzed only in long responders group.

ArmMeasureValue (MEDIAN)Dispersion
Long Responders to AxitinibProgression-free Survival (PFS) to Axitinib Treatment in Group of Long Responders18.136 monthsStandard Error 2.23
Secondary

Time to Progression (TTP) to Axitinib as the Second Line of Treatment and Subsequent Treatment in Group of Long Responders

TTP was defined as the time from the start of second line of treatment and subsequent treatment to date of disease progression. If there was no progression, the case was censored as TTP at latest follow-up. PD: \>=20% increase in sum of diameters of target lesions, taking as a reference smallest sum on treatment, the sum must also demonstrate an absolute increase of at least 5 mm, or the appearance of \>=1 new lesions.

Time frame: From first dose of axitinib as second line of treatment and from first dose of axitinib as subsequent treatment to PD/date of latest follow-up if censored up to max. treatment duration of 5.4 yrs., approx. (data collected, observed retrospectively 1 year)

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study. This outcome measure as per protocol was intended to be analyzed only in long responders group.

ArmMeasureGroupValue (MEDIAN)Dispersion
Long Responders to AxitinibTime to Progression (TTP) to Axitinib as the Second Line of Treatment and Subsequent Treatment in Group of Long RespondersAxitinib as second line of treatment21.388 monthsStandard Error 4.695
Long Responders to AxitinibTime to Progression (TTP) to Axitinib as the Second Line of Treatment and Subsequent Treatment in Group of Long RespondersAxitinib as subsequent treatment18.136 monthsStandard Error 3.857
Secondary

Time to Progression (TTP) to Axitinib Treatment in Group of Long Responders

TTP was defined as the time from the start of axitinib treatment to date of disease progression. If there was no progression, the case was censored as TTP at latest follow-up. As per RECIST 1.1, PD: \>= 20% increase in sum of diameters of target lesions, taking as a reference smallest sum on treatment, the sum must also demonstrate an absolute increase of at least 5 mm, or the appearance of \>=1 new lesions.

Time frame: Day 1 of axitinib dose to disease progression or date of latest follow-up in case of censored up to a maximum (max.)axitinib therapy duration of 5.4 years(yrs.)approximately(approx.)(from the data collected, observed retrospectively during 1 year [yr.])

Population: FAS included all evaluable participants, i.e. all participants who met all the inclusion criteria and none of the exclusion criteria and have received at least 1 dose of axitinib prior to inclusion in the study. This outcome measure as per protocol was intended to be analyzed only in long responders group.

ArmMeasureValue (MEDIAN)Dispersion
Long Responders to AxitinibTime to Progression (TTP) to Axitinib Treatment in Group of Long Responders18.727 monthsStandard Error 2.598

Source: ClinicalTrials.gov · Data processed: Feb 19, 2026