Kidney NeoplasmsPhase 3NCT00920816
Axitinib (AG-013736) For the Treatment of Metastatic Renal Cell Cancer
A Phase 3 study testing Axitinib (AG-013736) and Sorafenib in people with Kidney Neoplasms, run by Pfizer at 125 sites in 14 countries.
Trial summary
The study is designed to demonstrate that axitinib (AG-013736) is superior to sorafenib in delaying tumor progression in patients with metastatic renal cell cancer. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Kidney Neoplasms
- What is being tested?
- Axitinib (AG-013736) and Sorafenib
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 492 participants
- Where
- 125 sitesin 14 countries
- Study dates
- 25 Aug 2009to 29 Apr 2021
- Phase
- Phase 3
- 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 documented metastatic renal cell cancer with a component of clear cell histology.
- Evidence of measurable disease.
- Patients with mRCC must have received no prior systemic first-line therapy or must have progressive disease per RECIST (version 1.0) after one prior systemic first line regimen for metastatic disease containing sunitinib, cytokine(s), or both.
Who cannot join
- Prior treatment for metastatic renal cell cancer with more that one systemic first line therapy.
- Major surgery less that 4 weeks or radiation less than 2 weeks of starting study drug.
Trial locations and contacts
125 sites in 14 countries.
125 sites in 14 countries
United States58 sites
New York Oncology Hematology, PC
Albany, New York, 12206
New York Oncology Hematology, PC
Albany, New York, 12208
Texas Oncology- Amarillo
Amarillo, Texas, 79106
Illinois Cancer Specialists
Arlington Heights, Illinois, 60005
Texas Oncology-Beaumont, Mamie McFaddin Ward Cancer Center
Beaumont, Texas, 77702-1449
Texas Oncology- Bedford
Bedford, Texas, 76022
Indiana University Health Central Indiana Cancer Centers
Carmel, Indiana, 46032
Raleigh Hematology Oncology Associates
Cary, North Carolina, 27518
Medical University of South Carolina University Hospital
Charleston, South Carolina, 29425
Medical University of South Carolina
Charleston, South Carolina, 29425
Oncology and Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care
Christiansburg, Virginia, 24073
Missouri Cancer Associates
Columbia, Missouri, 65201
Texas Oncology- Baylor Charles A. Sammons Cancer Center
Dallas, Texas, 75246
Indiana University Health Central Indiana Cancer Centers
Fishers, Indiana, 46037
Texas Oncology- Fort Worth 12th Avenue
Fort Worth, Texas, 76104
Texas Oncology- Southwest Fort Worth
Fort Worth, Texas, 76132
Investigational Products Center (lPC)
Fort Worth, Texas, 76177
US Oncology Research and Clinical Pharmacy
Fort Worth, Texas, 76177
Texas Oncology - Grapevine
Grapevine, Texas, 76051
Indiana University Health Central Indiana Cancer Centers
Greenfield, Indiana, 46140
Comprehensive Cancer Centers of Nevada
Henderson, Nevada, 89052
US Oncology West Region
Henderson, Nevada, 89052
Comprehensive Cancer Centers of Nevada
Henderson, Nevada, 89074
Penn State Milton S. Hershey Medical Center, Penn State Cancer Institute
Hershey, Pennsylvania, 17033-0850
Indiana University Health Central Indiana Cancer Centers
Indianapolis, Indiana, 46219
Indiana University Health Central Indiana Cancer Centers
Indianapolis, Indiana, 46227
Cancer Care Centers of South Texas
Kerrville, Texas, 78028
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89128
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89148
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89169
New York Oncology Hematology, PC
Latham, New York, 12110
Oncology and Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care
Low Moor, Virginia, 24457
Texas Oncology- McAllen South Second Street
McAllen, Texas, 78503
Advanced Medical Specialties
Miami, Florida, 33143
Advanced Medical Specialties
Miami, Florida, 33176
Texas Oncology- Midland Allison Cancer Center
Midland, Texas, 79701
Hematology-Oncology Associates of Northern NJ, PA
Morristown, New Jersey, 07962
Illinois Cancer Specialists
Niles, Illinois, 60714
Nebraska Methodist Hospital
Omaha, Nebraska, 68114
Hematology-Oncology Associates of Northern NJ, PA
Parsippany, New Jersey, 07054
Northwest Cancer Specialists, PC
Portland, Oregon, 97213
Northwest Cancer Specialists, PC
Portland, Oregon, 97225
Northwest Cancer Specialists, PC
Portland, Oregon, 97227
Raleigh Hematology Oncology Associates
Raleigh, North Carolina, 27607
Raleigh Hematology Oncology Associates
Raleigh, North Carolina, 27614
New York Oncology Hematology, PC
Rexford, New York, 12148
Oncology and Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care
Roanoke, Virginia, 24014
Oncology and Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care
Salem, Virginia, 24153
Cancer Care Centers of South Texas
San Antonio, Texas, 78217
Cancer Care Centers of South Texas
San Antonio, Texas, 78258-3912
New York Oncology Hematology, PC
Troy, New York, 12180
Northwest Cancer Specialists, PC
Tualatin, Oregon, 97062
Northwest Cancer Specialists, PC
Vancouver, Washington, 98684
Northwest Cancer Specialists, PC
Vancouver, Washington, 98686
Texas Oncology-Deke Slayton Cancer Center
Webster, Texas, 77598-4420
Wenatchee Valley Medical Center
Wenatchee, Washington, 98801
Texas Oncology-Weslaco
Weslaco, Texas, 78596
Oncology and Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care
Wytheville, Virginia, 24382
China20 sites
Cancer Institute and Hospital ,Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, 100021
Department of Urology,Peking University First Hospital
Beijing, 100034
Beijing Cancer Hospital/Department of Renal Cancer and Melanoma
Beijing, 100036
Jilin Provincial Cancer Hospital
Changchun, Jilin, 130012
West China Hospital of Sichuan University
Chengdu, Sichuan, 610041
South-Western Hospital, 3rd Military Medical University
Chongqing, 400038
The Fuzhou General Hospital, PLA Nanjing Military Area Command
Fuzhou, Fujian, 350025
Urology Department, Sun Yet-Sen University Cancer Center
Guangzhou, Guangdong, 510060
Nanfang Hospital
Guangzhou, Guangdong, 510515
Chinese PLA General Hospital
Haidian District, Beijing Municipality, 100853
Sir Run Run Shaw Hospital of College of Medicine of Zhejiang University, Center for Oncology
Hangzhou, Zhejiang, 310016
Nanjing Bayi Hospital
Nanjing, Jiangsu, 210002
The Oncology Department, Jiangsu Province Hospital
Nanjing, Jiangsu, 210029
Jiangsu Cancer Hospital
Nanjing, 210009
Urology Department, Renji Hospital,Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, 200127
Fudan University, Cancer Hospital, Department of Urology
Shanghai, 200032
Urology Department, 1st Hospital of China Medical University
Shenyang, Liaoning, 110001
Tianjin Oncology Hospital,biology treatment department
Tianjin, 300060
Urology Department, The Second Hospital of Tianjin Medical University
Tianjin, 300211
Xijing Hospital, The Fourth Military Medical University,Oncology Department
Xi'an, Shaanxi, 710032
India10 sites
Chinmaya Mission Hospital
Bangalore, Karnataka, 560038
Sri Venkateshwara Hospital
Bangalore, Karnataka, 560068
NU Hospitals
Bangalore, Karnataka, 560070
Shettys hospital
Bangalore, 560068
BIBI General Hospital and Cancer Centre,
Hyderabad, Andhra Pradesh, 500024
Cancer Care Clinic and Hospitals
Nagpur, Maharashtra, 440012
Shatabdi Superspeciality Hospital
Nashik, Maharashtra, 422 005
Curie Manavata Cancer Centre
Nashik, Maharashtra, 422004
Deenanath Mangeshkar Hospital and Research Centre
Pune, Maharashtra, 411 004
Sahyadri Speciality Hospital
Pune, Maharashtra, 411 004
Russia6 sites
Moscow State Healthcare Institution Oncology Clinical Dispensary #1
Moscow, 105005
P.A. Herzen Moscow Oncology Research Institute,
Moscow, 125284
GBU RO "Ryazan Regional Clinical Oncology Dispensary"
Ryazan, Russian Federation, 390011
FGBOU VO "Ryazan State Medical University named after academician I.P.Pavlov"
Ryazan, Russian Federation, 390026
FGBOU VO "First Saint-Petersburg State Medical University n.a. I.P.Pavlov"
Saint Petersburg, 197022
Republican Clinical Oncology Dispensary of the Ministry of Health of Bashkortostan Republic
Ufa, 450054
Mexico5 sites
Centenario Hospital Miguel Hidalgo
Aguascalientes, 20000
Hospital General de Mexico O.D.
Mexico City, Mexico City, 06726
Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran
Mexico City, Mexico City, 14000
Oaxaca Site Management Organization
Oaxaca City, 68000
Centro Hemato-Oncologico Privado
Toluca, State of Mexico, 50080
Philippines5 sites
Makati Medical Center
Makati City, 1200
Room 805, Committee on Research Room, Manila Doctors Hospital
Manila, 1000
Rm. 3227 Doctors Clinic, Annex II Bldg., National Kidney & Transplant Institute
Quezon City, Diliman
St. Lukes Medical Center
Quezon City, National Capital Region, 1102
University of the East Ramon Magsaysay Memorial Medical Center
Quezon City, National Capital Region, 1113
Ukraine5 sites
KP Dnipropetrovska oblasna klinichna likarnia im. I.I. Mechnykova" Dnipropetrovskoi oblasnoi rady,
Dnipro, 49005
Komunalne nekomertsiine pidpryiemstvo Kharkivskoi oblasnoi rady Oblasnyi medychnyi klinichnyi tsentr
Kharkiv, 61037
DU Instytut Urolohii NAMN Ukrainy, viddil onkourolohii, KNP Kyivskyi miskyi klinichnyi onkolohichnyi
Kyiv, 03115
Komunalne nekomertsiine pidpryiemstvo Lvivskoi oblasnoi rady Lvivskyi onkolohichnyi rehionalnyi
Lviv, 79031
SI "Zaporizhzhya Medical Academy of Postgraduate Education of the Ministry of Health of Ukraine"
Zaporizhzhya, 69040
Chile4 sites
Instituto de Terapias Oncologicas Providencia
Providencia, Santiago Metropolitan, 7501088
Private Office
Santiago, RM 8360160
Instituto Clinico Oncologico del Sur
Temuco, Araucania, 4810561
Instituto Clinico Oncologico del Sur
Temuco, Cautin, 4810469
Bosnia and Herzegovina3 sites
Clinic of Oncology
Banja Luka, 78000
Institute of Oncology, University Hospital Center Sarajevo
Sarajevo, 71000
University Clinical Center Tuzla, Clinic for Oncology, Hematology and Radiotherapy
Tuzla, 75000
Romania3 sites
Institutul Oncologic "Prof.Dr.I.Chiricuta" Cluj-Napoca
Cluj-Napoca, 400015
Institutul Oncologic ''Prof.Dr. I. Chiricuta'' Cluj Napoca
Cluj-Napoca, 400015
Oncomed SRL
Timișoara, JUD. Timis, 300239
Bulgaria2 sites
Spetsializirana Bolnitsa za Aktivno Lechenie po Onkologiya, EAD, Klinika po Himioterapiya
Sofia, 1756
SBALOZ D-r Marko Markov-Varna
Varna, 9000
Taiwan2 sites
Taichung Veterans General Hospital
Taichung, 407
Taipei Veterans General Hospital
Taipei, 112
About this study
Official title: AG-013736 (AXITINIB) FOR THE TREATMENT OF METASTATIC RENAL CELL CANCER
The study is designed to demonstrate that axitinib (AG-013736) is superior to sorafenib in delaying tumor progression in patients with metastatic renal cell cancer.
- Conditions
- Kidney Neoplasms
- Being tested
- Axitinib (AG-013736), Sorafenib
- Keywords
- Axitinib in First & Second Line Treatment of Patients With Metastatic Renal Cell Cancer
- Medical subject headings
- Kidney Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Axitinib (AG-013736)Drug
axitinib will be given at a starting dose of 5 mg BID with continuous dosing
SorafenibDrug
sorafenib will be given at a dose of 400 mg BID continuous dosing
| Study group | Role | What they receive |
|---|---|---|
| A | Experimental | Not described Receives: Drug: Axitinib (AG-013736) |
| B | Active comparator | Not described Receives: Drug: Sorafenib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival (PFS): First-Line Participants
Time in months from randomization to first documentation of objective tumor progression or death due to any cause. PFS calculated as (first event date minus date of randomization plus 1)/30.4. Tumor progression determined from oncologic assessment data (where it meets criteria for progressive disease [PD]), or from adverse event (AE) data (where outcome was "Death"). Progression using Response Evaluation Criteria in Solid Tumors (RECIST) is >= 20 percent (%) increase in sum of longest diameter of target lesions; measurable increase in non-target lesion; appearance of new lesions.
Measured: Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 107)
Progression Free Survival (PFS): Second-Line Participants
Time in months from randomization to first documentation of objective tumor progression or death due to any cause. PFS calculated as (first event date minus date of randomization plus 1)/30.4. Tumor progression determined from oncologic assessment data (where it meets criteria for progressive disease [PD]), or from adverse event (AE) data (where outcome was "Death"). Progression using Response Evaluation Criteria in Solid Tumors (RECIST) is >= 20 percent (%) increase in sum of longest diameter of target lesions; measurable increase in non-target lesion; appearance of new lesions.
Measured: Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 103)
Secondary outcomes (6)
Percentage of Participants With Objective Response (OR): First-Line Participants
Percentage of participants with OR based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to RECIST. Confirmed response were those that persisted on repeat imaging study at least 4 weeks after initial documentation of response. CR was defined as disappearance of all lesions (target and/or non target). PR were those with at least 30 percent decrease in sum of the longest dimensions of target lesions taking as a reference the baseline sum longest dimensions, with non target lesions not increased or absent.
Measured: Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 107)
Percentage of Participants With Objective Response (OR): Second-Line Participants
Percentage of participants with OR based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to RECIST. Confirmed response were those that persisted on repeat imaging study at least 4 weeks after initial documentation of response. CR was defined as disappearance of all lesions (target and/or non target). PR were those with at least 30 percent decrease in sum of the longest dimensions of target lesions taking as a reference the baseline sum longest dimensions, with non target lesions not increased or absent.
Measured: Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 103)
Duration of Response (DR): First-Line Participants
Time in months from the first documentation of objective tumor response that is subsequently confirmed to objective tumor progression or death due to any cause. Duration of tumor response was calculated as (the date of the first documentation of objective tumor progression or death due to any cause minus the date of the first CR or PR that was subsequently confirmed plus 1) divided by 30.4. DR was calculated for the subgroup of participants with a confirmed objective tumor response.
Measured: Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 107)
Duration of Response (DR): Second-Line Participants
Time in months from the first documentation of objective tumor response that is subsequently confirmed to objective tumor progression or death due to any cause. Duration of tumor response was calculated as (the date of the first documentation of objective tumor progression or death due to any cause minus the date of the first CR or PR that was subsequently confirmed plus 1) divided by 30.4. DR was calculated for the subgroup of participants with a confirmed objective tumor response.
Measured: Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 103)
Overall Survival (OS): First-Line Participants
Time in months from date of randomization to date of death due to any cause. OS was calculated as (the death date minus the date of randomization plus 1) divided by 30.4. Death was determined from adverse event data (where outcome was death) or from follow-up contact data (where the participant current status was death).
Measured: Baseline until death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 107)
Overall Survival (OS): Second-Line Participants
Time in months from date of randomization to date of death due to any cause. OS was calculated as (the death date minus the date of randomization plus 1) divided by 30.4. Death was determined from adverse event data (where outcome was death) or from follow-up contact data (where the participant current status was death).
Measured: Baseline until death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 103)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Jun 2009 (estimated)
- Study start25 Aug 2009
- Primary completion27 Jul 2012
- Study completion29 Apr 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (8)Papers the sponsor has linked to this study.
- Other trials for Kidney NeoplasmsStudies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Masking
- None (open label)
- Enrolment
- 492 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00920816
- Sponsor's protocol ID
- A4061051
- Other IDs
- 2010-018585-23
- Status last verified
- Apr 2022
- First submitted
- 11 Jun 2009
- Last updated
- 6 May 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- Individual data sharing
- Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
Publications
Rini BI, Atkins MB, Choueiri TK, Teresi RE, Rosbrook B, Thakur M, Hutson TE. Plain language summary looking at how long side effects last after treatment with axitinib is stopped in people with advanced renal cell carcinoma. Future Oncol. 2023 Dec;19(40):2623-2629. doi: 10.2217/fon-2023-0233. Epub 2023 Aug 1.
PubMed 37526095Aldin A, Besiroglu B, Adams A, Monsef I, Piechotta V, Tomlinson E, Hornbach C, Dressen N, Goldkuhle M, Maisch P, Dahm P, Heidenreich A, Skoetz N. First-line therapy for adults with advanced renal cell carcinoma: a systematic review and network meta-analysis. Cochrane Database Syst Rev. 2023 May 4;5(5):CD013798. doi: 10.1002/14651858.CD013798.pub2.
PubMed 37146227Rini BI, Atkins MB, Choueiri TK, Thomaidou D, Rosbrook B, Thakur M, Hutson TE. Time to Resolution of Axitinib-Related Adverse Events After Treatment Interruption in Patients With Advanced Renal Cell Carcinoma. Clin Genitourin Cancer. 2021 Oct;19(5):e306-e312. doi: 10.1016/j.clgc.2021.03.019. Epub 2021 Apr 5.
PubMed 33947608de Velasco G, McKay RR, Lin X, Moreira RB, Simantov R, Choueiri TK. Comprehensive Analysis of Survival Outcomes in Non-Clear Cell Renal Cell Carcinoma Patients Treated in Clinical Trials. Clin Genitourin Cancer. 2017 Dec;15(6):652-660.e1. doi: 10.1016/j.clgc.2017.03.004. Epub 2017 Mar 21.
PubMed 28410911Hutson TE, Al-Shukri S, Stus VP, Lipatov ON, Shparyk Y, Bair AH, Rosbrook B, Andrews GI, Vogelzang NJ. Axitinib Versus Sorafenib in First-Line Metastatic Renal Cell Carcinoma: Overall Survival From a Randomized Phase III Trial. Clin Genitourin Cancer. 2017 Feb;15(1):72-76. doi: 10.1016/j.clgc.2016.05.008. Epub 2016 May 27.
PubMed 27498023Grunwald V, Lin X, Kalanovic D, Simantov R. Early Tumour Shrinkage: A Tool for the Detection of Early Clinical Activity in Metastatic Renal Cell Carcinoma. Eur Urol. 2016 Dec;70(6):1006-1015. doi: 10.1016/j.eururo.2016.05.010. Epub 2016 May 26.
PubMed 27238653Qin S, Bi F, Jin J, Cheng Y, Guo J, Ren X, Huang Y, Tarazi J, Tang J, Chen C, Kim S, Ye D. Axitinib versus sorafenib as a second-line therapy in Asian patients with metastatic renal cell carcinoma: results from a randomized registrational study. Onco Targets Ther. 2015 Jun 8;8:1363-73. doi: 10.2147/OTT.S83302. eCollection 2015.
PubMed 26089686Hutson TE, Lesovoy V, Al-Shukri S, Stus VP, Lipatov ON, Bair AH, Rosbrook B, Chen C, Kim S, Vogelzang NJ. Axitinib versus sorafenib as first-line therapy in patients with metastatic renal-cell carcinoma: a randomised open-label phase 3 trial. Lancet Oncol. 2013 Dec;14(13):1287-94. doi: 10.1016/S1470-2045(13)70465-0. Epub 2013 Oct 25.
PubMed 24206640
Study at a glance
From the registry record, last updated by the sponsor on 6 May 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- AG-013736 (AXITINIB) FOR THE TREATMENT OF METASTATIC RENAL CELL CANCER
- ClinicalTrials.gov ID
- NCT00920816
- Acronym / sponsor ID
- A4061051
- Conditions
- Kidney Neoplasms
- Keywords
- Axitinib in First & Second Line Treatment of Patients With Metastatic Renal Cell Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 492 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- 25 Aug 2009 (actual)
- Primary completion
- 27 Jul 2012 (actual)
- Study completion
- 29 Apr 2021 (actual)
- First posted
- 15 Jun 2009 (estimated)
- Results
- Posted 4 Feb 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study is designed to demonstrate that axitinib (AG-013736) is superior to sorafenib in delaying tumor progression in patients with metastatic renal cell cancer.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| A | Experimental | Drug: Axitinib (AG-013736) |
| B | Active comparator | Drug: Sorafenib |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Histologically documented metastatic renal cell cancer with a component of clear cell histology.
- Evidence of measurable disease.
- Patients with mRCC must have received no prior systemic first-line therapy or must have progressive disease per RECIST (version 1.0) after one prior systemic first line regimen for metastatic disease containing sunitinib, cytokine(s), or both.
Key exclusion criteria (2 listed)
- Prior treatment for metastatic renal cell cancer with more that one systemic first line therapy.
- Major surgery less that 4 weeks or radiation less than 2 weeks of starting study drug.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Axitinib (AG-013736)axitinib will be given at a starting dose of 5 mg BID with continuous dosing | Drug | A |
| Sorafenibsorafenib will be given at a dose of 400 mg BID continuous dosing | Drug | B |
Primary outcome
Progression Free Survival (PFS): First-Line Participants
Time frame: Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 107)
Time in months from randomization to first documentation of objective tumor progression or death due to any cause. PFS calculated as (first event date minus date of randomization plus 1)/30.4. Tumor progression determined from oncologic assessment data (where it meets criteria for progressive disease [PD]), or from adverse event (AE) data (where outcome was "Death"). Progression using Response Evaluation Criteria in Solid Tumors (RECIST) is >= 20 percent (%) increase in sum of longest diameter of target lesions; measurable increase in non-target lesion; appearance of new lesions.
Progression Free Survival (PFS): Second-Line Participants
Time frame: Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 103)
Time in months from randomization to first documentation of objective tumor progression or death due to any cause. PFS calculated as (first event date minus date of randomization plus 1)/30.4. Tumor progression determined from oncologic assessment data (where it meets criteria for progressive disease [PD]), or from adverse event (AE) data (where outcome was "Death"). Progression using Response Evaluation Criteria in Solid Tumors (RECIST) is >= 20 percent (%) increase in sum of longest diameter of target lesions; measurable increase in non-target lesion; appearance of new lesions.
6 secondary outcomes
Percentage of Participants With Objective Response (OR): First-Line Participants
Time frame: Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 107)
Percentage of Participants With Objective Response (OR): Second-Line Participants
Time frame: Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 103)
Duration of Response (DR): First-Line Participants
Time frame: Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 107)
Duration of Response (DR): Second-Line Participants
Time frame: Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 103)
Overall Survival (OS): First-Line Participants
Time frame: Baseline until death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 107)
Overall Survival (OS): Second-Line Participants
Time frame: Baseline until death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 103)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 May 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 37526095Rini BI, Atkins MB, Choueiri TK, Teresi RE, Rosbrook B, Thakur M, Hutson TE. Plain language summary looking at how long side effects last after treatment with axitinib is stopped in people with advanced renal cell carcinoma. Future Oncol. 2023 Dec;19(40):2623-2629. doi: 10.2217/fon-2023-0233. Epub 2023 Aug 1.
- Derived from this study: PubMed 37146227Aldin A, Besiroglu B, Adams A, Monsef I, Piechotta V, Tomlinson E, Hornbach C, Dressen N, Goldkuhle M, Maisch P, Dahm P, Heidenreich A, Skoetz N. First-line therapy for adults with advanced renal cell carcinoma: a systematic review and network meta-analysis. Cochrane Database Syst Rev. 2023 May 4;5(5):CD013798. doi: 10.1002/14651858.CD013798.pub2.
- Derived from this study: PubMed 33947608Rini BI, Atkins MB, Choueiri TK, Thomaidou D, Rosbrook B, Thakur M, Hutson TE. Time to Resolution of Axitinib-Related Adverse Events After Treatment Interruption in Patients With Advanced Renal Cell Carcinoma. Clin Genitourin Cancer. 2021 Oct;19(5):e306-e312. doi: 10.1016/j.clgc.2021.03.019. Epub 2021 Apr 5.
- Derived from this study: PubMed 28410911de Velasco G, McKay RR, Lin X, Moreira RB, Simantov R, Choueiri TK. Comprehensive Analysis of Survival Outcomes in Non-Clear Cell Renal Cell Carcinoma Patients Treated in Clinical Trials. Clin Genitourin Cancer. 2017 Dec;15(6):652-660.e1. doi: 10.1016/j.clgc.2017.03.004. Epub 2017 Mar 21.
- Derived from this study: PubMed 27498023Hutson TE, Al-Shukri S, Stus VP, Lipatov ON, Shparyk Y, Bair AH, Rosbrook B, Andrews GI, Vogelzang NJ. Axitinib Versus Sorafenib in First-Line Metastatic Renal Cell Carcinoma: Overall Survival From a Randomized Phase III Trial. Clin Genitourin Cancer. 2017 Feb;15(1):72-76. doi: 10.1016/j.clgc.2016.05.008. Epub 2016 May 27.
- Derived from this study: PubMed 27238653Grunwald V, Lin X, Kalanovic D, Simantov R. Early Tumour Shrinkage: A Tool for the Detection of Early Clinical Activity in Metastatic Renal Cell Carcinoma. Eur Urol. 2016 Dec;70(6):1006-1015. doi: 10.1016/j.eururo.2016.05.010. Epub 2016 May 26.
- Derived from this study: PubMed 26089686Qin S, Bi F, Jin J, Cheng Y, Guo J, Ren X, Huang Y, Tarazi J, Tang J, Chen C, Kim S, Ye D. Axitinib versus sorafenib as a second-line therapy in Asian patients with metastatic renal cell carcinoma: results from a randomized registrational study. Onco Targets Ther. 2015 Jun 8;8:1363-73. doi: 10.2147/OTT.S83302. eCollection 2015.
- Derived from this study: PubMed 24206640Hutson TE, Lesovoy V, Al-Shukri S, Stus VP, Lipatov ON, Bair AH, Rosbrook B, Chen C, Kim S, Vogelzang NJ. Axitinib versus sorafenib as first-line therapy in patients with metastatic renal-cell carcinoma: a randomised open-label phase 3 trial. Lancet Oncol. 2013 Dec;14(13):1287-94. doi: 10.1016/S1470-2045(13)70465-0. Epub 2013 Oct 25.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
125 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Axitinib (AG-013736) and Sorafenib in people with Kidney Neoplasms, run by Pfizer at 125 sites in 14 countries.
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 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 6 May 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 125 sites in United States, China, India, Russia, Mexico and 9 more countries. 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 phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 4 Feb 2014). 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?
Progression Free Survival (PFS): First-Line Participants (time frame: Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 107)). The study lists 2 primary outcomes in all. 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 NCT00920816, which also lists 8 linked publications.
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 6 May 2022.