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Carcinoma, Renal CellPhase 1/2NCT00113529

Study Of SU011248 Plus Gefitinib (Iressa) In Patients With Advanced Renal Cell Carcinoma

A Phase 1/2 study testing Gefitinib + Sunitinib in people with Carcinoma, Renal Cell, run by Pfizer at 3 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

To assess the maximum tolerated dose and overall safety and tolerability of sunitinib [SU011248] administered in combination with gefitinib (Iressa) for the treatment of patients with metastatic renal cell carcinoma (Phase 1). To assess antitumor activity of the combination of gefitinib and sunitinib (Phase 2). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Carcinoma, Renal Cell
What is being tested?
Gefitinib + Sunitinib
Could I receive a placebo?
No, everyone receives an active treatment
How many people
42 participants
Where
3 sitesUnited States
Study dates
Oct 2004to Oct 2008
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically confirmed renal cell carcinoma with metastases
  • Evidence of unidimensionally measurable disease
  • Failure of 1 prior immunotherapy or no prior systemic therapy for metastatic RCC

Who cannot join

  • RCC without any clear (conventional) cell component
  • History of or known brain metastases
  • Uncontrolled hypertension or other significant cardiac events within the 12 months prior to study entry

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • Pfizer Investigational Site

    Ann Arbor, Michigan, 48109

  • Pfizer Investigational Site

    New York, New York, 10021

  • Pfizer Investigational Site

    Philadelphia, Pennsylvania, 19111-2497

Other trials in United States

About this study

Official title: A Phase 1/2 Safety And Pharmacokinetic Study Of SU011248 In Combination With Gefitinib (Iressa) In Patients With Metastatic Renal Cell Carcinoma

To assess the maximum tolerated dose and overall safety and tolerability of sunitinib [SU011248] administered in combination with gefitinib (Iressa) for the treatment of patients with metastatic renal cell carcinoma (Phase 1). To assess antitumor activity of the combination of gefitinib and sunitinib (Phase 2).

Being tested
Gefitinib + Sunitinib
Medical subject headings
Carcinoma, Renal Cell

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Gefitinib + SunitinibDrug

    Also called Iressa, SU011248, SUTENT

    Until disease progression or unacceptable toxicity.

Study groups in NCT00113529
Study groupRoleWhat they receive
Sunitinib + GefitinibExperimentalPhase 1 - 37.5 mg Sunitinib 4/2 Schedule + 250 mg Gefitinib; 50 mg Sunitinib + 250 mg Gefitinib Phase 2 - 37.5 mg Sunitinib 4/2 Schedule + 250 mg Gefitinib
Receives: Drug: Gefitinib + Sunitinib

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Subjects With Overall Confirmed Objective Disease Response According to the Response Evaluation Criteria in Solid Tumors (RECIST)

    Objective disease response = subjects with confirmed complete response (CR) or partial response (PR) according to RECIST. A CR was defined as the disappearance of all target lesions. A PR was defined as a ≥ 30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions.

    Measured: From start of treatment until Day 28 of Cycles 1 to 4, Day 28 of even cycles thereafter

Secondary outcomes (29)
  1. Time to Tumor Response (TTR)

    TTR was defined as the time from date of the first dose of study medication to first documentation of objective tumor response (CR or PR). For subjects proceeding from PR to CR, the onset of PR was taken as the onset of response. If lesion assessment data included more than 1 date, the first date was used. TTR was calculated as (first event date minus first dose date +1)/7. TTR was calculated based on the subgroup of subjects with a baseline disease assessment, who had the correct histological cancer type, and had a confirmed objective tumor response. Kaplan-Meier method was used.

    Measured: From start of treatment until Day 28 of Cycles 1 to 4, Day 28 of even cycles thereafter

  2. Duration of Response (DR)

    DR was defined as the time from start of the first documentation of objective tumor response to the first documentation of objective tumor progression or death due to any cause, whichever occurred first. If tumor progression data included more than 1 date, the first date was used. DR was calculated as (the end date for DR minus first CR or PR that was subsequently confirmed +1)/7. DR was calculated for the subgroup of subjects with an objective tumor response (CR or PR).

    Measured: From start of treatment until Day 28 of Cycles 1 to 4, Day 28 of even cycles thereafter or death due to cancer

  3. Time to Tumor Progression (TTP)

    TTP was defined as the time from the date of first dose of study medication to first documentation of objective tumor progression. If tumor progression data included more than 1 date, the first date was used. TTP (in weeks) was calculated as (first event date minus first dose date +1)/7. Kaplan-Meier method was used.

    Measured: From start of treatment until Day 28 of Cycles 1 to 4, Day 28 of even cycles thereafter

  4. Overall Survival (OS)

    OS was defined as the time from date of the first dose of study medication to date of death due to any cause. OS (in weeks) is calculated as (date of death minus first dose date +1)/7. For subjects not expiring, their survival times were censored at the last date of known contact they were known to be alive. Subjects lacking data beyond the day of first dose had their survival times censored at 1 day. Kaplan-Meier method was used.

    Measured: From start of study treatment until death

  5. Progression-Free Survival (PFS)

    PFS was defined as the time from the date of first dose of study medication to the date of first documentation of tumor progression or death due to any cause, whichever occurred first. If tumor progression data included more than 1 date, the first date was used. PFS (in weeks) was calculated as (first event date minus first dose date +1)/7. Kaplan-Meier method was used.

    Measured: From start of treatment until Day 28 of Cycles 1 to 4, Day 28 of even cycles thereafter or death

  6. Probability of Survival at One Year

    Survival rate was defined as the percentage of subjects alive at 1 year after the date of first administration of study medication. Survival rate was estimated using the Kaplan-Meier method.

    Measured: From start of treatment until Day 28 of Cycles 1 to 4, Day 28 of even cycles thereafter up until 1 year

  7. VEGF (Vascular Endothelial Growth Factor) Concentration at Baseline

    Concentration of VEGF at baseline.

    Measured: Baseline (Cycle 1, Day 1)

  8. VEGF Ratio to Baseline at Each Time Point

    VEGF concentration at each time point divided by VEGF concentration at baseline (ratio to baseline).

    Measured: Baseline to Cycle 3, Day 28 inclusive

  9. VEGF-C Concentration at Baseline

    Concentration of VEGF-C at baseline.

    Measured: Baseline (Cycle 1, Day 1)

  10. VEGF-C Ratio to Baseline at Each Time Point

    VEGF-C concentration at each time point divided by VEGF-C concentration at baseline (ratio to baseline).

    Measured: Baseline to Cycle 3, Day 28 inclusive

  11. Soluble VEGF Receptor 2 (sVEGFR2) Concentration at Baseline

    Concentration of sVEGFR2 at baseline.

    Measured: Baseline (Cycle 1, Day 1)

  12. sVEGFR2 Ratio to Baseline at Each Time Point

    sVEGFR2 concentration at each time point divided by sVEGFR2 concentration at baseline (ratio to baseline).

    Measured: Baseline to Cycle 3, Day 28 inclusive

  13. Soluble VEGF Receptor 3 (sVEGFR3) Concentration at Baseline

    Concentration of sVEGFR3 at baseline.

    Measured: Baseline (Cycle 1, Day 1)

  14. sVEGFR3 Ratio to Baseline at Each Time Point

    sVEGFR3 concentration at each time point divided by sVEGFR3 concentration at baseline (ratio to baseline).

    Measured: Baseline to Cycle 3, Day 28 inclusive

  15. Change From Baseline in VEGF by Time Point Stratified by Tumor Response (CR or PR or [SD > = 6 Weeks] Versus PD)

    Change = median VEGF level at each specified time point for subjects with tumor response (CR or PR or [SD > = 6 weeks] versus PD) minus median VEGF level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

    Measured: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

  16. Change From Baseline in VEGFC by Time Point Stratified by Tumor Response (CR or PR or [SD > = 6 Weeks] Versus PD)

    Change = median VEGFC level at each specified time point for subjects with tumor response (CR or PR or [SD > = 6 weeks] versus PD) minus median VEGFC level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

    Measured: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

  17. Change From Baseline in VEGFR2 by Time Point Stratified by Tumor Response (CR or PR or [SD > = 6 Weeks] Versus PD)

    Change = median VEGFR2 level at each specified time point for subjects with tumor response (CR or PR or [SD > = 6 weeks] versus PD) minus median VEGFR2 level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

    Measured: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

  18. Change From Baseline in VEGFR3 by Time Point Stratified by Tumor Response (CR or PR or [SD > = 6 Weeks] Versus PD)

    Change = median VEGFR3 level at each specified time point for subjects with tumor response (CR or PR or [SD > = 6 weeks] versus PD) minus median VEGFR3 level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

    Measured: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

  19. Change From Baseline in VEGF by Time Point Stratified by PFS >= Median and PFS < Median

    Change = median VEGF level at each specified time point for subjects with tumor response PFS >= Median or PFS < Median minus median VEGF level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

    Measured: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

  20. Change From Baseline in VEGFC by Time Point Stratified by PFS >= Median and PFS < Median

    Change = median VEGFC level at each specified time point for subjects with tumor response PFS >= Median or PFS < Median minus median VEGFC level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

    Measured: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

  21. Change From Baseline in VEGFR2 by Time Point Stratified by PFS >= Median and PFS < Median

    Change = median VEGFR2 level at each specified time point for subjects with tumor response PFS >= Median or PFS < Median minus median VEGFR2 level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

    Measured: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

  22. Change From Baseline in VEGFR3 by Time Point Stratified by PFS >= Median and PFS < Median

    Change = median VEGFR3 level at each specified time point for subjects with tumor response PFS >= Median or PFS < Median minus median VEGFR3 level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

    Measured: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

  23. Change From Baseline in VEGF by Time Point Stratified by TTP >= Median and TTP < Median

    Change = median VEGF level at each specified time point for subjects with tumor response TTP >= Median and TTP < Median minus median VEGF level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

    Measured: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

  24. Change From Baseline in VEGFC by Time Point Stratified by TTP >= Median and TTP < Median

    Change = median VEGFC level at each specified time point for subjects with tumor response TTP >= Median and TTP < Median minus median VEGFC level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

    Measured: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

  25. Change From Baseline in VEGFR2 by Time Point Stratified by TTP >= Median and TTP < Median

    Change = median VEGFR2 level at each specified time point for subjects with tumor response TTP >= Median and TTP < Median minus median VEGFR2 level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

    Measured: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

  26. Change From Baseline in VEGFR3 by Time Point Stratified by TTP >= Median and TTP < Median

    Change = median VEGFR3 level at each specified time point for subjects with tumor response TTP >= Median and TTP < Median minus median VEGFR3 level at Baseline. A measure of dispersion is not included because the Wilcoxon rank sum test is a non-parametric test that makes no assumptions about the distribution of the data (eg, normality).

    Measured: Baseline (Cycle 1, Day 1) to Cycle 3, Day 28 inclusive

  27. Trough Plasma Concentrations (Ctrough) of Sunitinib

    Measured: prior to dosing on Cycle 1 (Days 1, 28), Cycle 2 (Days 1, 28), Cycle 3 (Days 1, 28)

  28. Ctrough of SU-012662 (Sunitinib's Metabolite)

    Measured: prior to dosing on Cycle 1 (Days 1, 28), Cycle 2 (Days 1, 28), Cycle 3 (Days 1, 28)

  29. Ctrough of Gefitinib

    Measured: prior to dosing on Cycle 1 (Days 1, 28), Cycle 2 (Days 1, 28), Cycle 3 (Days 1, 28)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Jun 2005 (estimated)
  2. Study startOct 2004
  3. Primary completionSep 2007
  4. Study completionOct 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
42 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00113529
Sponsor's protocol ID
A6181038
Status last verified
Aug 2011
First submitted
8 Jun 2005
Last updated
29 Aug 2011
Data monitoring committee
No

Publications

  • Motzer RJ, Hudes GR, Ginsberg MS, Baum MS, Harmon CS, Kim ST, Chen I, Redman BG. Phase I/II trial of sunitinib plus gefitinib in patients with metastatic renal cell carcinoma. Am J Clin Oncol. 2010 Dec;33(6):614-8. doi: 10.1097/COC.0b013e3181c4454d.

    PubMed 20142724

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Gefitinib + Sunitinib in people with Carcinoma, Renal Cell, run by Pfizer at 3 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Aug 2011. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 31 Mar 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Subjects With Overall Confirmed Objective Disease Response According to the Response Evaluation Criteria in Solid Tumors (RECIST) (time frame: From start of treatment until Day 28 of Cycles 1 to 4, Day 28 of even cycles thereafter). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00113529, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Aug 2011.

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