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Advanced Renal Cell CarcinomaPhase 3NCT01076010

An Extension Treatment Protocol for Subjects Who Have Participated in a Study of Tivozanib Versus Sorafenib in Kidney Carcinoma (Protocol AV-951-09-301).

A Phase 3 study testing Tivozanib and Sorafenib in people with Advanced Renal Cell Carcinoma, run by AVEO Pharmaceuticals, Inc. at 75 sites in 15 countries.

Completed

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

Official record
Search all trials

Trial summary

Open-label, multi-center extension treatment protocol to allow access to tivozanib and sorafenib for subjects who have participated on the AV-951-09-301 protocol. Eligible subjects who were randomized to receive sorafenib on AV-951-09-301 and had documented progression of disease will receive a tivozanib dose of 1.5… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Advanced Renal Cell Carcinoma
What is being tested?
Tivozanib and Sorafenib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
277 participants
Where
75 sitesin 15 countries
Study dates
Mar 2010to Jul 2014
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

  • The subject must have participated on Protocol AV-951-09-301, and must meet either of the following bulleted criteria:
  • Demonstrated disease progression per RECIST during treatment with sorafenib, OR
  • Demonstrated clinical benefit [complete response (CR), partial response (PR), or stable disease (SD) per RECIST] and acceptable tolerability after treatment with tivozanib or sorafenib on protocol AV-951-09-301.
  • Eastern Cooperative Oncology Group performance status ≤ 2 and life expectancy ≥ 3 months.
  • If female and of childbearing potential, documentation of negative pregnancy test prior to enrollment.
  • Ability to give written informed consent

Who cannot join

  • Newly identified central nervous system (CNS) malignancies or documented progression of CNS metastases; subjects will be allowed only if the CNS metastases have been adequately treated with radiotherapy or surgery. For subjects receiving steroid therapy for allowed steroid maintenance therapy.
  • Duration since last dose on Protocol AV-951-09-301:
  • For subjects continuing tivozanib or sorafenib (subjects who demonstrated clinical benefit and acceptable tolerability during treatment with tivozanib or sorafenib on protocol AV-951-09-301): more than 2 weeks since last dose of tivozanib or sorafenib.
  • For subjects initiating tivozanib (ie demonstrated disease progression during treatment with sorafenib): more than 4 weeks since last dose of sorafenib. Subjects demonstrating disease progression due to CNS metastasis will be allowed up to 8 weeks since last dose of sorafenib in order to complete treatment for CNS metastasis.
  • Inadequate recovery from any prior surgical procedure or major surgical procedure within 4 weeks prior to administration of first dose of study drug.
  • Any of the following hematologic abnormalities:
Show all 25Show fewer
  • Hemoglobin < 9.0 g/dL
  • Absolute neutrophil count < 1500 per mm3
  • Platelet count < 75,000 per mm3
  • Prothrombin time or Partial thromboplastin time >1.5 × upper limit of normal (ULN)
  • Any of the following serum chemistry abnormalities:
  • Total bilirubin > 1.5 × ULN (or > 2.5 × ULN for subjects with Gilbert's syndrome)
  • Aspartate aminotransferase or alanine aminotransferase > 2.5 × ULN (or > 5 × ULN for subjects with liver metastasis)
  • Alkaline phosphatase > 2.5 × ULN (or > 5 × ULN for subjects with liver or bone metastasis)
  • Creatinine > 2.0 × ULN
  • Proteinuria > 3+ by urinalysis or urine dipstick
  • If female, pregnant or lactating.
  • Sexually active pre-menopausal female subjects (and female partners of male subjects) must use adequate contraceptive measures, while on study and for at least 50 days after the last dose of study drug. Sexually active male subjects must use adequate contraceptive measures, while on study and for at least 90 days after the last dose of study drug. All fertile male and female subjects,and their partners,must agree to use a highly effective method of contraception. Effective birth control includes (a) Intrauterine device plus one barrier method; or (b) 2 barrier methods. Effective barrier methods are male or female condoms, diaphragms, and spermicides (creams or gels that contain a chemical to kill sperm). (Note: Oral, implantable, or injectable contraceptives may be affected by cytochrome P450 interactions, and are not considered effective for this study).
  • Uncontrolled hypertension: systolic blood pressure > 150 mmHg or diastolic blood pressure >100 mmHg on 2 or more antihypertensive medications, documented on 2 consecutive measurements taken at least 24 hours apart.
  • Unhealed wounds (including active peptic ulcers).
  • Serious/active infection or infection requiring parenteral antibiotics.
  • Life-threatening illness or organ system dysfunction compromising safety evaluation.
  • Psychiatric disorder, altered mental status precluding informed consent or necessary testing.
  • Inability to comply with protocol requirements.
  • Treatment with another anti-cancer therapy or participation in another interventional protocol (excluding AV-951-09-301).

Trial locations and contacts

75 sites in 15 countries.

75 sites in 15 countries

Russia18 sites
  • Site 451

    Chelyabinsk, 454087

  • Site 452

    Kazan', 420029

  • Site 454

    Moscow, 105077

  • Site 453

    Moscow, 115478

  • Site 458

    Moscow, 115478

  • Site 460

    Moscow, 115478

  • Site 461

    Moscow, 115478

  • Site 462

    Moscow, 125284

  • Site 450

    Nizhny Novgorod, 603109

  • Site 456

    Obninsk, 249036

  • Site 467

    Omsk, 644013

  • Site 463

    Pyatigorsk, 357500

  • Site 457

    Rostov-on-Don, 344022

  • Site 466

    Saint Petersburg, 193312

  • Site 465

    Saint Petersburg, 198255

  • Site 459

    Ufa, Bashkortostan Republic, 450054

  • Site 464

    Yaroslavl, 150054

  • Site 455

    Yekaterinburg, 620102

Other trials in Russia

Ukraine9 sites
  • Site 491

    Chernihiv, 14029

  • Site 498

    Dniproperovsk, 49005

  • Site 492

    Dniproperovsk, 49102

  • Site 493

    Donetsk, 83092

  • Site 496

    Donetsk, 83092

  • Site 490

    Ivano-Frankivsk, 76000

  • Site 494

    Kharkiv, 61037

  • Site 497

    Uzhhorod, 88014

  • Site 495

    Zaporizhia, 69600

Other trials in Ukraine

India8 sites
  • Site 156

    Ahmedabad, Gujarat, 380015

  • Site 154

    Delhi, 110085

  • Site 191

    Jaipur, Rajasthan, 302004

  • Site 150

    Kolkata, West Bengal, 700054

  • Site 158

    Lucknow, Uttar Pradesh, 226003

  • Site 151

    Nashik, Maharashtra, 422005

  • Site 153

    Pune, Maharashtra, 411004

  • Site 152

    Vellore, Tamil Nadu, 632004

Other trials in India

Poland7 sites
  • Site 432

    Bialystok, 15-027

  • Site 434

    Bydgoszcz, 85-168

  • Site 431

    Gdansk, 80-952

  • Site 435

    Olsztyn, 10-228

  • Site 433

    Poznan, 61-878

  • Site 430

    Warsaw, 02-781

  • Site 436

    Warsaw, 04-141

Other trials in Poland

United States5 sites
  • Site 187

    Dallas, Texas, 75246

  • Site 185

    Los Angeles, California, 90095

  • Site 182

    Minneapolis, Minnesota, 55455

  • Site 186

    New York, New York, 10065-6007

  • Site 184

    Orlando, Florida, 32806

Other trials in United States

Bulgaria5 sites
  • Site 403

    Plovdiv, 4004

  • Site 404

    Sofia, 1431

  • Site 400

    Sofia, 1756

  • Site 401

    Varna, 9002

  • Site 402

    Veliko Tarnovo, 5000

Other trials in Bulgaria

Romania5 sites
  • Site 444

    Brasov, 500085

  • Site 441

    Bucharest, 022328

  • Site 440

    Bucharest, 041345

  • Site 443

    Bucharest, 050659

  • Site 442

    Timișoara, 300239

Other trials in Romania

Serbia5 sites
  • Site 480

    Belgrade, 11000

  • Site 481

    Belgrade, 11000

  • Site 482

    Belgrade, 11000

  • Site 484

    Kamenitz, 21204

  • Site 483

    Niš, 18000

Other trials in Serbia

Hungary3 sites
  • Site 423

    Budapest, H-1108

  • Site 421

    Kaposvár, H-7400

  • Site 422

    Pécs, H-7624

Other trials in Hungary

Italy3 sites
  • Site 160

    Arezzo, 52100

  • Site 161

    Pavia, 27100

  • Site 162

    Roma, 00152

Other trials in Italy

Chile2 sites
  • Site 122

    Santiago, 8320000

  • Site 123

    Temuco, 4810469

Other trials in Chile

United Kingdom2 sites
  • Site 170

    Cambridge, CB2 0QQ

  • Site 172

    Leicester, LE1 5WW

Other trials in United Kingdom

Canada1 site
  • Site 110

    Montreal, Quebec, H2X 1N8

Other trials in Canada

Czechia1 site
  • Site 411

    Prague, 180 81

Other trials in Czechia

France1 site
  • Site 133

    Saint-Herblain, 44805

Other trials in France

About this study

Official title: An Extension Treatment Protocol for Subjects Who Have Participated in a Phase 3 Study of Tivozanib vs. Sorafenib in Renal Cell Carcinoma (Protocol AV-951-09-301).

Open-label, multi-center extension treatment protocol to allow access to tivozanib and sorafenib for subjects who have participated on the AV-951-09-301 protocol. Eligible subjects who were randomized to receive sorafenib on AV-951-09-301 and had documented progression of disease will receive a tivozanib dose of 1.5 mg/day. Eligible subjects who were randomized to tivozanib or sorafenib in AV-951-09-301, and displayed clinical benefit and acceptable tolerability to treatment, will continue to receive tivozanib or sorafenib at the same dose and schedule as in AV-951-09-301.

Read the detailed description

This is an extension treatment protocol to allow access to tivozanib or sorafenib for subjects enrolled on AV-951-09-301(parent protocol). Subjects who failed sorafenib on the parent protocol will be offered tivozanib. Subjects who were randomized to tivozanib, and demonstrated clinical benefit and acceptable tolerability will be offered long-term access to tivozanib. Subjects who were randomized to sorafenib, and demonstrated clinical benefit and acceptable tolerability will be offered long-term access to sorafenib. Subjects who continue receiving sorafenib on this protocol and progress will be allowed to cross-over to tivozanib.

Being tested
Tivozanib, Sorafenib

What participants receive

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

  • TivozanibDrug

    Tivozanib capsules, administered orally, on a dosing schedule of 3 weeks of treatment (beginning on Day 1) followed by 1 week off treatment. One cycle was defined as 4 weeks of treatment.

  • SorafenibDrug

    Sorafenib tablets, 400 mg twice daily, administered orally for 4 weeks (1 cycle = 4 weeks). One cycle was defined as 4 weeks of treatment. Cycles were repeated every 4 weeks.

Study groups in NCT01076010
Study groupRoleWhat they receive
Sorafenib crossover to tivozanib.ExperimentalThe subjects who failed sorafenib (had Response Evaluation Criteria in Solid Tumors [RECIST] - defined progressive disease) on the parent protocol AV-951-09-301 will be offered tivozanib hydrochloride on Protocol AV- 951-09-902.
Receives: Drug: Tivozanib; Drug: Sorafenib
First line tivozanib.ExperimentalThe subjects who were randomized to tivozanib (continued from the parent Protocol AV-951-09-301) and demonstrated clinical benefit and acceptable tolerability in Protocol AV-951-09-301.
Receives: Drug: Tivozanib
First line sorafenib.Active comparatorThe subjects who were randomized to sorafenib (continued from the parent Protocol AV-951-09-301) and demonstrated clinical benefit and acceptable tolerability were to be offered long-term access to sorafenib.
Receives: Drug: Sorafenib

What is being measured

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

  1. Number of Days Subjects Received Treatment in Each Treatment Arm

    Number of days subjects received treatment who were from Protocol AV-951-09-301 who either continued on tivozanib in this trial (subjects with first-line experience on tivozanib treatment), who crossed over from sorafenib to tivozanib in this trial (crossover subjects) participated in, and who continued on sorafenib in this trial (subjects with first-line experience on sorafenib treatment). Subjects could be discontinued due to unacceptable toxicities or clinical or documented PD

    Measured: From enrollment to until all subjects discontinue (due to documented progressive disease [PD] or unacceptable toxicities) or until 3 years after the first subject was enrolled in Protocol AV-951-09-902

  2. Number of Cycles Subjects Received Treatment in Each Treatment Arm

    Number of cycles subjects received who were from Protocol AV-951-09-301 who either continued on tivozanib in this trial (subjects with first-line experience on tivozanib treatment), who crossed over from sorafenib to tivozanib in this trial (crossover subjects) participated in, and who continued on sorafenib in this trial (subjects with first-line experience on sorafenib treatment). Subjects could be discontinued due to unacceptable toxicities or clinical or documented PD

    Measured: From enrollment to until all subjects discontinue (due to documented PD or unacceptable toxicities) or until 3 years after the first subject was enrolled in Protocol AV-951-09-902

  3. Total Dose Administered to Subjects in Each Treatment Arm (mg)

    The total dose administered to subjects who were from Protocol AV-951-09-301 who either continued on tivozanib in this trial (subjects with first-line experience on tivozanib treatment), who crossed over from sorafenib to tivozanib in this trial (crossover subjects) participated in, and who continued on sorafenib in this trial (subjects with first-line experience on sorafenib treatment). Subjects could be discontinued due to unacceptable toxicities or clinical or documented PD

    Measured: From enrollment to until all subjects discontinue (due to documented PD or unacceptable toxicities) or until 3 years after the first subject was enrolled in Protocol AV-951-09-902

  4. Average Daily Dose Administered to Subjects in Each Treatment Arm

    The average daily dose administered to subjects who were from Protocol AV-951-09-301 who either continued on tivozanib in this trial (subjects with first-line experience on tivozanib treatment), who crossed over from sorafenib to tivozanib in this trial (crossover subjects) participated in, and who continued on sorafenib in this trial (subjects with first-line experience on sorafenib treatment). Subjects could be discontinued due to unacceptable toxicities or clinical or documented PD

    Measured: From enrollment to until all subjects discontinue (due to documented PD or unacceptable toxicities) or until 3 years after the first subject was enrolled in Protocol AV-951-09-902

  5. Relative Dose Intensity (RDI) of Treatment Administered to Subjects in Each Treatment Arm

    RDI is defined as 100% times the actual dose intensity divided by the intended dose intensity. The RDI of subjects who were from Protocol AV-951-09-301 who either continued on tivozanib in this trial (subjects with first-line experience on tivozanib treatment), who crossed over from sorafenib to tivozanib in this trial (crossover subjects) participated in, and who continued on sorafenib in this trial (subjects with first-line experience on sorafenib treatment). Subjects could be discontinued due to unacceptable toxicities or clinical or documented PD

    Measured: From enrollment to until all subjects discontinue (due to documented PD or unacceptable toxicities) or until 3 years after the first subject was enrolled in Protocol AV-951-09-902

  6. Number of Subjects With Adverse Events

    Number of subjects with Treatment-Related Adverse Events (AEs) as assessed by Common Terminology Criteria for Adverse Events v3.0

    Measured: From enrollment assessed up to 3 years of treatment or until follow-up (up to 30 days end-of-trial visit after treatment discontinuation), whichever occurs earlier

Secondary outcomes (4)
  1. Number of Subjects With Objective Response Rate (ORR) Who Continued Treatment With Tivozanib or Sorafenib and Who Received Tivozanib After Failure of Sorafenib

    ORR is defined as the proportion of subjects with confirmed complete response (CR) or confirmed partial response (PR) according to RECIST (Version 1.0), relative to the total population of dosed subjects. CR is disappearance of all target and non-target lesions and normalization of tumor marker levels. At least a 30% decrease in the sum of the loading dose (LD) of target lesions, taking as reference the baseline sum LD. To allow long-term access to sorafenib for subjects who participated in Protocol AV-951-09-301 (NCT01030783), and demonstrated clinical benefit and acceptable tolerability to sorafenib.

    Measured: From Day 1 to the end of treatment (EOT) Visit, approximately every 8 weeks

  2. Duration of Response (DR)

    DR was defined as the time from the first documentation of objective tumor response (confirmed CR or confirmed PR) according to RECIST (Version 1.0) to the first documentation of objective tumor progression or to death due to any reason. DR was calculated for the subgroup of subjects with a confirmed objective tumor response (PR or CR). CR is Disappearance of all target and non-target lesions and normalization of tumor marker levels. PR is At least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD. Number of subjects with disease progression or death and censored endpoints were summarized and statistical analysis were performed for duration of response.

    Measured: From the first documentation of objective tumor response to the first documentation of objective tumor progression, assessed up to treatment discontinuation or to death due to any reason or maximum up to 3 years, whichever occurs earlier

  3. Progression-free Survival (PFS)

    PFS was defined as the date of first dose of study drug to the first documentation of objective tumor progression or death due to any reason, whichever occurred first. For the crossover subjects and subjects with first-line experience on tivozanib treatment, the timeframe for PFS assessment started from the date of first dose of tivozanib in the AV-951-09-902 study. For subjects with first-line experience on sorafenib treatment, the timeframe for PFS assessment started from the date of first dose of sorafenib in the AV-951-09-902. Number of subjects with disease progression or death was summarized and statistical analysis were performed for PFS.

    Measured: From the date of first dose of study drug (tivozanib or sorafenib) in the AV-951-09-902 study to the first documentation of objective tumor progression or death due to any reason or maximum up to 3 years, whichever occurred first

  4. Overall Survival (OS)

    OS was defined as the time from the first dose of study drug (tivozanib or sorafenib) date on this study to date of death due to any cause. Number of subjects died or alive was summarized and statistical analysis were performed for OS.

    Measured: From the date of first dose of study drug (tivozanib or sorafenib) in the AV-951-09-902 study to death due to any reason or maximum up to 3 years, whichever occurred first

Timeline

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

  1. First posted25 Feb 2010 (estimated)
  2. Study startMar 2010
  3. Primary completionJul 2014
  4. Study completionJul 2014

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 3
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
277 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01076010
Sponsor's protocol ID
AV-951-09-902
Other IDs
2009-015987-32, 2009
Status last verified
Sep 2020
First submitted
24 Feb 2010
Last updated
5 Oct 2020
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Tivozanib and Sorafenib in people with Advanced Renal Cell Carcinoma, run by AVEO Pharmaceuticals, Inc. at 75 sites in 15 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 6 inclusion and 25 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 5 Oct 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 75 sites in Russia, Ukraine, India, Poland, United States and 10 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 5 Oct 2020). 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 Days Subjects Received Treatment in Each Treatment Arm (time frame: From enrollment to until all subjects discontinue (due to documented progressive disease [PD] or unacceptable toxicities) or until 3 years after the first subject was enrolled in Protocol AV-951-09-902). The study lists 6 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 5 Oct 2020.

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