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Gastrointestinal Stromal TumorsPhase 1/2NCT00457743

A Phase I/II Study of Sunitinib Malate (SU011248) In Patients With Gastrointestinal Stromal Tumor (GIST)

A Phase 1/2 study testing Sunitinib malate (SU011248) in people with Gastrointestinal Stromal Tumors, run by Pfizer at 4 sites in Japan.

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

Phase I;To investigate the clinically recommended dose of Sunitinib malate (SU011248) following multiple oral dosing in the first cycle (4 consecutive weeks and 2 weeks rest) by reviewing the safety and tolerability. Read more about this study

Who is it for?
Ages 20 to 75 years
Conditions the study is for
Gastrointestinal Stromal Tumors
What is being tested?
Sunitinib malate (SU011248)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
4 sitesJapan
Study dates
Jan 2005to Aug 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 20 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with histologically-confirmed metastatic or unresectable gastrointestinal stromal tumor (GIST).
  • Patients previously treated with imatinib mesylate.

Who cannot join

  • Patients who have not recovered from the acute toxic effects of previous antineoplastic therapy or treatment with imatinib mesylate.
  • Any tumor therapy for gastrointestinal stromal tumor (GIST) discontinued less than 4 weeks prior to starting study treatment. Imatinib mesylate discontinued less than 2 weeks prior to starting therapy.

Trial locations and contacts

4 sites in 1 country.

Japan4 sites
  • Pfizer Investigational Site

    Chuo-ku, Tokyo

  • Pfizer Investigational Site

    Kashiwa, Chiba

  • Pfizer Investigational Site

    Sapporo, Hokkaido

  • Pfizer Investigational Site

    Suita, Osaka

Other trials in Japan

About this study

Official title: A Phase I/II Study of Sunitinib Malate (SU011248) In The Treatment of Patients With Malignant Gastrointestinal Stromal Tumor (GIST) Previously Treated by Imatinib Mesylate.

Phase I;To investigate the clinically recommended dose of Sunitinib malate (SU011248) following multiple oral dosing in the first cycle (4 consecutive weeks and 2 weeks rest) by reviewing the safety and tolerability.

Phase II;To determine the objective tumor response and the safety of Sunitinib malate (SU011248) at the clinically recommended dose.

Being tested
Sunitinib malate (SU011248)
Keywords
Evaluate of RTD for Japanese GIST patients
Medical subject headings
Gastrointestinal Stromal Tumors

What participants receive

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

  • Sunitinib malate (SU011248)Drug

    SU011248

Study groups in NCT00457743
Study groupRoleWhat they receive
SU011248Experimental25 , 50 or 75 mg/day of SU011248
Receives: Drug: Sunitinib malate (SU011248)

What is being measured

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

  1. Number of Subjects With Dose Limiting Toxicities (DLT)

    Dose Limiting Toxicities(DLT) in the subjects enrolled in Phase 1.

    Measured: Cycle 1 (Baseline to Week 6)

  2. Maximum Plasma Concentration (Cmax) on Cycle 1 Day 1

    Maximum Plasma Concentration (Cmax) of SU-011248, its active metabolite SU-012662 and Total drug (SU-011248+SU-012662) in the subjects enrolled in Phase 1.

    The Cmax for total drug (SU-011248+SU-012662) was calculated as the mean of the Cmax of total drug from each individual subject (it is not the simple sum of means of Cmax of SU-011248 and SU-012662).

    Measured: Day 1 of Cycle 1

  3. Maximum Plasma Concentration (Cmax) on Cycle 1 Day 28

    Maximum Plasma Concentration (Cmax) of SU-011248, its active metabolite SU-012662 and Total drug (SU-011248+SU-012662) in the subjects enrolled in Phase 1.

    The Cmax for total drug (SU-011248+SU-012662) was calculated as the mean of the Cmax of total drug from each individual subject (it is not the simple sum of means of Cmax of SU-011248 and SU-012662).

    Measured: Day 28 of Cycle 1

  4. Area Under the Plasma Concentration Curve (AUC0-24) on Cycle 1 Day 1

    Area Under the Plasma Concentration Curve (AUC0-24) of SU-011248, its active metabolite SU-012662 and Total drug (SU-011248+SU-012662) in the subjects enrolled in Phase 1.

    The AUC0-24 for total drug (SU-011248+SU-012662) was calculated as the mean of the AUC0-24 of total drug from each individual subject (it is not the simple sum of means of AUC0-24 of SU-011248 and SU-012662).

    Measured: Day 1 of Cycle 1

  5. Area Under the Plasma Concentration Curve (AUC0-24) on Cycle 1 Day 28

    Area Under the Plasma Concentration Curve (AUC0-24) of SU-011248, its active metabolite SU-012662 and Total drug (SU-011248+SU-012662) in the subjects enrolled in Phase 1.

    The AUC0-24 for total drug (SU-011248+SU-012662) was calculated as the mean of the AUC0-24 of total drug from each individual subject (it is not the simple sum of means of AUC0-24 of SU-011248 and SU-012662).

    Measured: Day 28 of Cycle 1

  6. Time to First Occurrence of Cmax (Tmax) on Cycle 1 Day 1

    Time to First Occurrence of Cmax (Tmax) of SU-011248, its active metabolite SU-012662 and Total drug (SU-011248+SU-012662) in the subjects enrolled in Phase 1.

    The Tmax for total drug (SU-011248+SU-012662) was calculated as the median of the Tmax of total drug from each individual subject (it is not the simple sum of median of Tmax of SU-011248 and SU-012662).

    Measured: Day 1 of Cycle 1

  7. Time to First Occurrence of Cmax (Tmax) on Cycle 1 Day 28

    Time to First Occurrence of Cmax (Tmax) of SU-011248, its active metabolite SU-012662 and Total drug (SU-011248+SU-012662) in the subjects enrolled in Phase 1.

    The Tmax for total drug (SU-011248+SU-012662) was calculated as the median of the Tmax of total drug from each individual subject (it is not the simple sum of medians of Tmax of SU-011248 and SU-012662).

    Measured: Day 28 of Cycle 1

  8. SU-011248 Clearance on Cycle 1 Day 28

    SU-011248 Clearance in the subjects enrolled in Phase 1.

    Clearance was calculated by dividing a SU-011248 dose(mg) by AUC0-24(ng•h/mL).

    Measured: Day 28 of Cycle 1

  9. Accumulation Ratio (Rac) on Cycle 1 Day 28

    Accumulation Ratio (Rac) of SU-011248, its active metabolite SU-012662 and Total drug (SU-011248+SU-012662) on Cycle 1 Day 28 in the subjects enrolled in Phase 1.

    Rac was the ratio of Day 28 to Day 1.

    Measured: Day 28 of Cycle 1

  10. Number of Subjects With Clinical Benefit Response (CBR) Based on the Extramural Review Committee Assessment in Recommended Dose Group

    Clinical Benefit Response is defined as sum of subjects confirmed with complete response (CR), partial response (PR), or stable disease (SD)>= 22 weeks on study according to Response Evaluation Criteria in Solid Tumors (RECIST).

    Measured: Day 28 of Cycles 1-4

Secondary outcomes (14)
  1. Plasma Concentrations of Vascular Endothelial Growth Factor (VEGF)

    Plasma concentrations of potential pharmacodynamic markers; Vascular Endothelial Growth Factor (VEGF)

    Measured: Day 1, 14, 28 of Cycles 1-4

  2. Plasma Concentrations of Soluble Vascular Endothelial Growth Factor Type 2 Receptors (sVEGFR2)

    Plasma concentrations of potential pharmacodynamic markers; Soluble Vascular Endothelial Growth Factor Type 2 Receptors (sVEGFR2)

    Measured: Day 1, 14, 28 of Cycles 1-4

  3. Plasma Concentrations of Soluble Stem Cell Factor Receptor (sKIT)

    Plasma concentrations of potential pharmacodynamic markers; Soluble Stem Cell Factor Receptor (sKIT)

    Measured: Day 1, 14, 28 of Cycles 1-4

  4. Trough Plasma Concentration (Ctrough) of SU-011248

    Trough Plasma Concentration (Ctrough) means the concentration prior to study drug administration

    Measured: Day 14, 28 of Cycle 1; Day 1, 14, 28 of Cycles 2-4

  5. Trough Plasma Concentration (Ctrough) of SU-012262

    Trough Plasma Concentration (Ctrough) means the concentration prior to study drug administration

    Measured: Day 14, 28 of Cycle 1; Day 1, 14, 28 of Cycles 2-4

  6. Trough Plasma Concentration (Ctrough) of SU-011248+SU-012662

    Trough Plasma Concentration (Ctrough) means the concentration prior to study drug administration

    Measured: Day 14, 28 of Cycle 1; Day 1, 14, 28 of Cycles 2-4

  7. Changes From Baseline of Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) Questionnaires

    Patient-reported outcome: Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) questionnaires (version 4A).

    The questionnaire consists of a 13-item subscale which covers specific fatigue questions. The subject rates the intensity of fatigue and its related symptoms on a five-point scale(0 to 4). High score is indicating low fatigue. The total score of the 13 items was evaluated.

    Change from Baseline: Score at each observation minus score at baseline

    Measured: Day 7, 14, 28, 35 of Cycle 1; Day 1, 7, 14, 28, 35 of Cycles 2-4

  8. Change From Baseline of European Quality of Life Questionnaire- 5 Dimensions(EQ-5D) Questionnaires

    The EQ-5D questionnaires evaluates 5 dimensions of health. The subjects rates the severity of impairment for each dimensions on a 3-point scale(1 to 3). The digits for five dimensions were combined in a five-digit number describing the respondent's health state. Health states were converted into a weighted health state index. High score is indicating high health.

    Change from Baseline: weighted health state index at each observation minus weighted health state index at baseline

    Measured: Day 28 of Cycle 1; Day 1, 28 of Cycles 2-4

  9. Number of Subjects With Disease Controlled Based on the Extramural Review Committee Assessment in Recommended Dose Group

    Number of subjects with Disease Controlled is defined as sum of the subjects confirmed with complete response (CR), partial response (PR), or stable disease (SD)>= 10 weeks on study according to Response Evaluation Criteria in Solid Tumors (RECIST).

    Measured: Day 28 of Cycles 1-4

  10. Number of Subjects With Objective Response Based on the Extramural Review Committee Assessment in Recommended Dose Group

    Number of subjects with Objective Response is defined as sum of the subjects confirmed with complete response (CR) and partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST).

    Measured: Day 28 of Cycles 1-4

  11. Time To Tumor Progression (TTP)

    Time To tumor Progression (TTP) is defined as the time from the date of first dose of study treatment to the date of the first documentation of Progressive Disease (PD).

    Measured: From the first dose to Progressive Disease

  12. Progression-Free Survival (PFS)

    Progression-Free Survival (PFS) is defined as the time from the date of first dose of study treatment to the date of the first documentation of Progressive Disease (PD) or death.

    Measured: From the first dose to Progressive Disease or Death

  13. Time To Failure (TTF)

    Time To Failure (TTF) is defined as the time from the date of first dose of study treatment to the date of the first documentation of Progressive Disease (PD), the date of treatment discontinuation except completion of treatment, or date of death due to cancer.

    Measured: From the first dose to Progressive Disease, Treatment discontinuation except completion of treatment, or Death due to cancer.

  14. Overall Survival Time

    Overall Survival Time is defined as the time from the date of first dose of study treatment to the date of the death due to any cause. For subjects whose death had not been confirmed, Overall Survival Time was censored on the last date when the patient was known to be alive.

    Survival was surveyed once a year from the registration day of the first subject, for all the subjects who received the study drug at least once.

    Measured: From the first dose to death

Timeline

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

  1. First posted6 Apr 2007 (estimated)
  2. Study startJan 2005
  3. Primary completionAug 2008
  4. Study completionAug 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
36 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00457743
Sponsor's protocol ID
A6181045
Other IDs
JapicCTI-070386
Status last verified
Oct 2009
First submitted
4 Apr 2007
Last updated
13 Nov 2009
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Sunitinib malate (SU011248) in people with Gastrointestinal Stromal Tumors, run by Pfizer at 4 sites in Japan.

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 2 inclusion and 2 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 13 Nov 2009. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in Japan. 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 13 Nov 2009). 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 Dose Limiting Toxicities (DLT) (time frame: Cycle 1 (Baseline to Week 6)). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 13 Nov 2009.

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