Metastatic Renal Cell CarcinomaPhase 3NCT01223027
Study of Dovitinib Versus Sorafenib in Patients With Metastatic Renal Cell Carcinoma
A Phase 3 study testing Dovitinib and Sorafenib in people with Metastatic Renal Cell Carcinoma, run by Novartis Pharmaceuticals at 199 sites in 27 countries.
Trial summary
This study will evaluate the safety and efficacy of Dovitinib versus sorafenib 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
- Metastatic Renal Cell Carcinoma
- What is being tested?
- Dovitinib and Sorafenib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 564 participants
- Where
- 199 sitesin 27 countries
- Study dates
- Mar 2011to Jun 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
- Patients with metastatic renal cell carcinoma (mRCC) with histological or cytological confirmation of clear cell carcinoma or a component of clear cell
- Patients must have received one and only one prior VEGF-targeted therapy and one and only one prior mTOR inhibitor therapy in the metastatic setting. One VEGF targeted therapy (e.g. sunitinib, or pazopanib, or axitinib, or tivozanib or bevacizumab) and one prior mTOR inhibitor therapy (everolimus, or temsirolimus or ridaforolimus)
- Prior cytokines therapy and prior vaccines in the adjuvant setting is permitted.
- Patients must have had disease progression on or within 6 months of stopping the last therapy.
- Patients must have at least one measurable lesion at baseline (by RECIST Criteria Guidelines v1.1) assessed by Computer Tomography (CT) Scan or Magnetic Resonance Imaging (MRI).
- Karnofsky performance status ≥ 70%
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- Patients must have the following laboratory values:
- Absolute Neutrophil Count (ANC) ≥ 1.5 x 109/L
- Platelets ≥ 100 x 109/L
- Hemoglobin (Hgb) > 9 g/dL
- Serum total bilirubin: ≤ 1.5 x ULN
- ALT and AST ≤ 3.0 x ULN (Patients with known liver metastases: AST and ALT ≤ 5.0 x ULN)
- Serum creatinine ≤ 1.5 x ULN
Who cannot join
- Patients who have previously received sorafenib therapy in the neoadjuvant, adjuvant or metastatic setting.
- Patients who have previously received Dovitinib or brivanib in the neoadjuvant, adjuvant or metastatic setting.
- Patients with brain metastases. Radiological imaging (e.g. CT or MRI scan) of the brain is required at screening/baseline
- Patients with another primary malignancy within 3 years prior to starting study treatment, with the exception of adequately treated basal cell carcinoma, squamous cell carcinoma or non-melanomatous skin cancer, or in-situ carcinoma of the uterine cervix
- Patients who have received the last administration of an anticancer targeted small molecule therapy ≤ 2 weeks prior to starting study treatment (e.g. sunitinib, pazopanib, axitinib, everolimus, temsirolimus), or who have not recovered from the side effects of such therapy
- Patients who have received the last administration of nitrosurea or mitomycin-C ≤ 6 weeks prior to starting study treatment, or who have not recovered from the side effects of such therapy
Show all 10Show fewer
- Patients who have undergone major surgery (e.g., intra-thoracic, intra-abdominal or intra-pelvic) ≤ 4 weeks prior to starting study treatment or who have not recovered from side effects of such therapy
- Patients with a history of pulmonary embolism (PE), or untreated deep venous thrombosis (DVT) within the past 6 months
- Patients with concurrent severe and/or uncontrolled medical conditions which could compromise participation in the study
- Other protocol-defined inclusion/exclusion criteria may apply
Trial locations and contacts
199 sites in 27 countries.
199 sites in 27 countries
United States34 sites
University Cancer & Blood Center, LLC
Athens, Georgia, 30607
University of Maryland Medical Center UMMC
Baltimore, Maryland, 21201
St. Luke's Hospital and Health Network St Luke's
Bethlehem, Pennsylvania
Medical University of South Carolina -Hollings Cancer Center Med Univ SC
Charleston, South Carolina, 29425
University of Virginia Health Systems Univ Virginia
Charlottesville, Virginia, 22908-0334
Sarah Cannon Research Institute SC - 3
Chattanooga, Tennessee, 37404
Baylor Health Care System/Sammons Cancer Center Dept. of Sammons Cancer (4)
Dallas, Texas, 75246
Texas Oncology Texas Onc - Austin
Dallas, Texas, 75251
Texas Oncology Texas Oncology - Houston
Dallas, Texas, 75251
University of Texas Southwestern Medical Center UTSW
Dallas, Texas, 75390-9034
Karmanos Cancer Institute Dept.of KarmanosCancerInst (5)
Detroit, Michigan, 48201
Willamette Valley Clinical Studies Williamette Valley Cancer
Eugene, Oregon, 97404
Highlands Oncology Group Dept of Highlands Oncology Grp
Fayetteville, Arkansas, 72703
Florida Cancer Specialists DeptofFloridaCancerSpecialists
Fort Myers, Florida, 33901
Cancer Centers of the Carolinas CC of C -Eastside
Greenville, South Carolina, 29605
Rocky Mountain Cancer Centers RMCC
Greenwood Village, Colorado
Straub Clinic & Hospital Straub
Honolulu, Hawaii, 96813
Moanalua Medical Center. Attn: Oncology Dept
Honolulu, Hawaii, 96817
University of Kansas Cancer Center Univ of KS
Kansas City, Kansas, 66160
University of California San Diego - Moores Cancer Center Dept of Moores Cancer Ctr (5)
La Jolla, California, 92093-0658
Comprehensive Cancer Centers of Nevada CCC of Nevada (1)
Las Vegas, Nevada, 89109
Cedars Sinai Medical Center Cedars Sinai Medical Ctr. (SC)
Los Angeles, California, 90048
University of California at Los Angeles UCLA (4)
Los Angeles, California, 90095
The West Clinic
Memphis, Tennessee, 38120
University of Minnesota Medical Center - Fairview Univ of MN
Minneapolis, Minnesota, 55455
Vanderbilt University Medical Center SC
Nashville, Tennessee, 37232
Memorial Sloan Kettering Cancer Center Dept. of MSKCC
New York, New York, 90033
Utah Cancer Specialists Dept.of Utah Cancer Spec. (3)
Salt Lake City, Utah, 84106
Rockwood Clinic Spokane Location
Spokane, Washington, 99202
Stanford University Medical Center Cancer Clinical Trials Office
Stanford, California, 94304
SUNY - Upstate Medical University Div. of Hematology-Oncology
Syracuse, New York, 13210
New York Oncology Hematology, P.C. Dept. of New York Oncology. PC
Troy, New York, 12180
CINJ at Cooper University Hospital Cooper
Voorhees Township, New Jersey, 08043
Deke Slayton Cancer Center Deke Slayton Cancer Center (2)
Webster, Texas, 77598
Japan26 sites
Novartis Investigative Site
Bunkyo-ku, Tokyo, 113-8603
Novartis Investigative Site
Chiba, Chiba, 260-8717
Novartis Investigative Site
Fukuoka, Fukuoka, 812-8582
Novartis Investigative Site
Hidaka, Saitama, 350-1298
Novartis Investigative Site
Hiroshima, Hiroshima, 734-8551
Novartis Investigative Site
Kitaadachi-gun, Saitama, 362-0806
Novartis Investigative Site
Kobe, Hyōgo, 650-0017
Novartis Investigative Site
Kobe, Hyōgo, 650-0047
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Koto, Tokyo, 135-8550
Novartis Investigative Site
Kyoto, Kyoto, 602-8566
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Matsumoto, Nagano, 390-8621
Novartis Investigative Site
Minato-ku, Tokyo, 105-8470
Novartis Investigative Site
Nagoya, Aichi-ken, 466-8560
Novartis Investigative Site
Obihiro, Hokkaido, 080-0016
Novartis Investigative Site
Osaka, Osaka, 537-8511
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Osaka, Osaka, 545-8586
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Sapporo, Hokkaido, 060-8648
Novartis Investigative Site
Sayama, Osaka, 589-8511
Novartis Investigative Site
Shinjuku-ku, Tokyo, 160-8582
Novartis Investigative Site
Shinjuku-ku, Tokyo, 162-8666
Novartis Investigative Site
Suita, Osaka, 565-0871
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Takatsuki, Osaka, 569-8686
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Tōon, Ehime, 791-0295
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Yamagata, Yamagata, 990-9585
Novartis Investigative Site
Yokohama, Kanagawa, 236 0037
Novartis Investigative Site
Yokohama, Kanagawa, 241-8515
Spain22 sites
Novartis Investigative Site
Alcorcón, Madrid, 28922
Novartis Investigative Site
Badalona, Catalonia, 08916
Novartis Investigative Site
Barcelona, Barcelona, 08041
Novartis Investigative Site
Barcelona, Catalonia, 08003
Novartis Investigative Site
Barcelona, Catalonia, 08035
Novartis Investigative Site
Barcelona, Catalonia, 08036
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Benidorm, Valencia, 03501
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Córdoba, Andalusia, 14004
Novartis Investigative Site
L'Hospitalet de Llobregat, Catalonia, 08907
Novartis Investigative Site
Las Palmas de Gran Canarias, Las Palmas de Gran Canaria, 35016
Novartis Investigative Site
Madrid, Madrid, 28007
Novartis Investigative Site
Madrid, Madrid, 28040
Novartis Investigative Site
Madrid, Madrid, 28041
Novartis Investigative Site
Málaga, Andalusia, 29010
Novartis Investigative Site
Oviedo, Principality of Asturias, 33006
Novartis Investigative Site
Palma de Mallorca, Balearic Islands, 07120
Novartis Investigative Site
Pamplona, Navarre, 31008
Novartis Investigative Site
Sabadell, Barcelona, 08208
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Santiago de Compostela, Galicia, 15706
Novartis Investigative Site
Seville, Andalusia, 41014
Novartis Investigative Site
Valencia, Valencia, 46009
Novartis Investigative Site
Valencia, Valencia, 46010
France18 sites
Novartis Investigative Site
Besançon, 25030
Novartis Investigative Site
Bordeaux, 33075
Novartis Investigative Site
Caen, 14021
Novartis Investigative Site
Clermont-Ferrand, 63011
Novartis Investigative Site
Grenoble, 38043
Novartis Investigative Site
Lyon, 69373
Novartis Investigative Site
Marseille, 13273
Novartis Investigative Site
Nice, 06189
Novartis Investigative Site
Paris, 75015
Novartis Investigative Site
Paris, 75651
Novartis Investigative Site
Rennes, 35062
Novartis Investigative Site
Saint-Herblain Cédex, 44805
Novartis Investigative Site
Saint-Priest-en-Jarez, 42271
Novartis Investigative Site
Strasbourg, F-67098
Novartis Investigative Site
Suresnes, France, 92150
Novartis Investigative Site
Toulouse, 31059
Novartis Investigative Site
Vandoeuvre-Les-Nancy Cede, 54511
Novartis Investigative Site
Villejuif, 94805
Germany16 sites
Novartis Investigative Site
Aschaffenburg, 63739
Novartis Investigative Site
Berlin, 10098
Novartis Investigative Site
Chemnitz, 09119
Novartis Investigative Site
Erlangen, 91054
Novartis Investigative Site
Greifswald, 17475
Novartis Investigative Site
Hamburg, 20246
Novartis Investigative Site
Hanover, 30625
Novartis Investigative Site
Heidelberg, 69120
Novartis Investigative Site
Jena, 07740
Novartis Investigative Site
Leipzig, 04103
Novartis Investigative Site
Marburg, 35039
Novartis Investigative Site
München, 81675
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Münster, 48149
Novartis Investigative Site
Nuremberg, 90419
Novartis Investigative Site
Ulm, 89081
Novartis Investigative Site
Weiden, 92637
Canada13 sites
Novartis Investigative Site
Calgary, Alberta, T2N 4N2
Novartis Investigative Site
Edmonton, Alberta, T6G 1Z2
Novartis Investigative Site
Halifax, Nova Scotia, B3H 2Y9
Novartis Investigative Site
Hamilton, Ontario, L8N 4A6
Novartis Investigative Site
London, Ontario, N6A 4L6
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Montreal, Quebec, H2L 4M1
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Montreal, Quebec, H2X 1N8
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Montreal, Quebec, H3T 1E2
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Ottawa, Ontario, K1H 8L6
Novartis Investigative Site
Saskatoon, Saskatchewan, S7N 4H4
Novartis Investigative Site
Toronto, Ontario, M4N 3M5
Novartis Investigative Site
Toronto, Ontario, M5G 2M9
Novartis Investigative Site
Vancouver, British Columbia, V5Z 4E6
Italy9 sites
Novartis Investigative Site
Arezzo, AR, 52100
Novartis Investigative Site
Candiolo, TO, 10060
Novartis Investigative Site
Cremona, CR, 26100
Novartis Investigative Site
Meldola, FC, 47014
Novartis Investigative Site
Milan, MI, 20133
Novartis Investigative Site
Modena, MO, 41100
Novartis Investigative Site
Naples, 80132
Novartis Investigative Site
Pavia, PV, 27100
Novartis Investigative Site
Roma, RM, 00152
United Kingdom8 sites
Novartis Investigative Site
Bristol, Avon, BS2 8ED
Novartis Investigative Site
Colchester, CO3 3NB
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Leicester, LE1 5WW
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London, NW3 4QG
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London, SW17 0QT
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Manchester, M20 9BX
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Northwood, Middlesex, HA6 2RN
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Southampton, SO16 6YD
Australia6 sites
Novartis Investigative Site
Footscray, Victoria, 3011
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Heidelberg, Victoria, 3084
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South Brisbane, Queensland, 4101
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St Leonards, New South Wales, 2065
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Westmead, New South Wales, 2145
Novartis Investigative Site
Woodville, South Australia, 5011
Netherlands6 sites
Novartis Investigative Site
Amsterdam, 1081 HV
Novartis Investigative Site
Breda, 4818 CK
Novartis Investigative Site
Dordrecht, 3318AT
Novartis Investigative Site
Maastricht, 6229 HX
Novartis Investigative Site
Meerssen, KR, 6231
Novartis Investigative Site
Rotterdam, 3075 EA
Belgium5 sites
Novartis Investigative Site
Brussels, 1000
Novartis Investigative Site
Brussels, 1200
Novartis Investigative Site
Ghent, 9000
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Leuven, 3000
Novartis Investigative Site
Liège, 4000
Hungary5 sites
Novartis Investigative Site
Budapest, 1086
Novartis Investigative Site
Budapest, H-1122
Novartis Investigative Site
Debrecen, 4032
Novartis Investigative Site
Pécs, 7624
Novartis Investigative Site
Szolnok, H-5000
South Korea4 sites
Novartis Investigative Site
Seoul, Korea, 03722
Novartis Investigative Site
Seoul, Korea, 05505
Novartis Investigative Site
Seoul, Korea, 06351
Novartis Investigative Site
Seoul, Korea, 110 744
Sweden4 sites
Novartis Investigative Site
Stockholm, SE-171 76
Novartis Investigative Site
Sundsvall, 851 86
Novartis Investigative Site
Umeå, SE-901 85
Novartis Investigative Site
Uppsala, SE-751 85
Czechia3 sites
Novartis Investigative Site
Brno, Czech Republic, 656 53
Novartis Investigative Site
Olomouc, 775 20
Novartis Investigative Site
Prague, 150 06
Greece3 sites
Novartis Investigative Site
Athens, Greece, 115 28
Novartis Investigative Site
Athens, GR, 115 27
Novartis Investigative Site
Thessaloniki, GR, 546 45
Israel3 sites
Novartis Investigative Site
Petah Tikva, 49100
Novartis Investigative Site
Ramat Gan, 5266202
Novartis Investigative Site
Zrifin, 70300
Argentina2 sites
Novartis Investigative Site
Buenos Aires, Buenos Aires, C1050AAK
Novartis Investigative Site
Rosario, Sante Fe, S200DSK
Austria2 sites
Novartis Investigative Site
Linz, A-4020
Novartis Investigative Site
Vienna, 1090
Norway2 sites
Novartis Investigative Site
Ålesund, NO-6026
Novartis Investigative Site
Bergen, -N5021
Poland2 sites
Novartis Investigative Site
Warsaw, 02-781
Novartis Investigative Site
Warsaw, 04-141
Brazil1 site
Novartis Investigative Site
Porto Alegre, Rio Grande do Sul, 90610-000
Slovakia1 site
Novartis Investigative Site
Bratislava, Slovak Republic, 83310
About this study
Official title: An Open-label, Randomized, Multi-center, Phase III Study to Compare the Safety and Efficacy of Dovitinib Versus Sorafenib in Patients With Metastatic Renal Cell Carcinoma After Failure of Anti-angiogenic (VEGF-targeted and mTOR Inhibitor) Therapies
This study will evaluate the safety and efficacy of Dovitinib versus sorafenib in patients with metastatic renal cell cancer.
- Conditions
- Metastatic Renal Cell Carcinoma
- Being tested
- Dovitinib, Sorafenib
- Keywords
- Dovitinib, TKI, Renal cell cancer, RCC, mRCC
- 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.
DovitinibDrug
Also called TKI258
Dovitinib is formulated as an oral gelatin capsule of 100 mg strength and was dosed on a flat scale of 500 mg on a 5 days on/2 days off dosing schedule. Medication labels complied withthe legal requirements of each country and were printed in the local language.
SorafenibDrug
Sorafenib is formulated as a round, oral, biconvex, red film-coated tablet that contains 200 mg of sorafenib (tosylate). Sorafenib was administered twice daily without food at least 1 hour before or 2 hours after a meal. Sorafenib was supplied according to local practice.
| Study group | Role | What they receive |
|---|---|---|
| Dovitinib + best supportive care (BSC) | Experimental | Patients randomized to the dovitinib treatment arm received 500 mg of dovitinib orally on 5 days on/2 days off dosing schedule. Receives: Drug: Dovitinib |
| Sorafenib + BSC | Active comparator | Patients in the sorafenib control arm received400 mg of sorafenib (2 x 200 mg tablets) orally taken twice daily. Receives: Drug: Sorafenib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival (PFS) Per Independent Central Radiology Review
Assessed according to RECIST 1.1. PFS was defined as the time from the date of randomization to the date of the first documented disease progression or death due to any cause. If a patient had not progressed or died, on the date of the analysis cut-off or when he/she received any further anti-neoplastic therapy, PFS was censored on the date of last tumor assessment before the cutoff date or the anti-neoplastic therapy date. The distribution of PFS was estimated using the Kaplan-Meier method. The median PFS along with 95% confidence intervals was presented by treatment group.
Measured: Until disease progression or discontinuation of treatment due to unacceptable toxicity up to 30-Jun-2014 (discontinuation)
Secondary outcomes (8)
Overall Survival (OS)
Overall survival (OS) was the key secondary endpoint and was defined as the time from date of randomization to the date of death due to any cause. If a patient was not known to have died, survival was censored on the date of last contact.
Measured: until at least 386 deaths are documented in the clinical database.
Progression Free Survival (PFS) Per Investigator's Radiology Review
PFS was defined as the time from the date of randomization to the date of the first documented disease progression or death due to any cause. The primary analysis for PFS (based on central review) was also to be repeated on FAS considering the Investigator assessments and using the same analytical conventions as the primary analysis.
Measured: Until disease progression or discontinuation of treatment due to unacceptable toxicity
Percentage of Participants With Overall Response Rate (ORR) by Central Radiology Review
Overall response rate (ORR) was defined as the proportion of patients with best overall response of complete response (CR) or partial response (PR). Best overall esponse (BOR) for each patient was determined from the sequence of overall (lesion) responses according to the following rules: CR = at least two determinations of CR at least 4 weeks apart before progression where confirmation required or one determination of CR prior to progression where confirmation not required. CR = at least two determinations of CR at least 4 weeks apart before progression where confirmation required or one determination of CR prior to progression where confirmation not required. SD = at least one SD assessment (or better) > 6 weeks after randomization (and not qualifying for CR or PR). PD = progression ≤ 17 weeks after randomization (and not qualifying for CR, PR or SD).
Measured: Until disease progression or discontinuation of treatment due to unacceptable toxicity
Time to Definitive Worsening of Karnofsky Performance Status (KPS)
Time to definitive worsening of Karnofsky performance status (KPS) was defined as the time from date of randomization to the date of definitive worsening of KPS or to the date of death whichever occurred earlier. Definitive worsening was defined as a definitive decrease in performance status by at least one Karnofsky category (i.e. at least 10 points less) compared to Baseline. Worsening was considered definitive if no later increase above the defined threshold was observed within the course of the study. A single measure reporting a decrease in Karnofsky performance status was sufficient to consider it as definitive only if it was the last one available for this patient. Time to definitive worsening of KPS was analyzed at the time of the final analysis for PFS.
Measured: from date of randomization to the date of definitive worsening of KPS or to the date of death whichever occurred earlier
Patient-reported Outcomes (PROs): Time to Deterioration of Functional Assessment of Cancer Therapy-Kidney Symptom Index, Disease Related Symptoms (FKSI-DRS) by at Least 2 Scores
The Kidney Cancer Symptom Index - Disease Related Symptoms (FKSI-DRS) is a validated symptom scale used in studies of patients with kidney cancer. It includes 9-items that assess pain, bone pain, fatigue, lack of energy, shortness of breath, fevers, weight loss, coughing, and blood in urine and responses to each question are answered on a 5-point Likert-type scale ranging from 0 to 4 (e.g., 0 = not at all; 1 = a little bit; 2 = somewhat; 3 = quite a bit; 4 = very much). FKSI-DRS scores range from 0 to 36, where higher scores correspond to better outcomes (eg, fewer symptoms).
Measured: from date of randomization, at least 2 score units
Patient-reported Outcomes (PROs): Time to Definitive Deterioration of the Physical Functioning (PF) Scale of EORTC QLQ-C30 by at Least 10%
The EORTC QLQ-C30 contains 30 items and is composed of both multi-item scales and single-item measures. These include five functional scales (physical, role, emotional, social and cognitive functioning), three symptom scales (fatigue, pain, nausea, and vomiting), a global health status/QoL scale, and six single items (dyspnea, diarrhea, constipation, anorexia, insomnia and financial impact). Each of the multiitem scales includes a different set of items - no item occurs in more than one scale. Each item in the EORTC QLQ-C30 has 4 response categories (1=Not at all, 2= A little, 3= Quite a bit, 4= Very much) with the higher number representing a worse outcome.
Measured: from date of randomization
Patient-reported Outcomes (PROs): Time to Definitive Deterioration of the Quality of Life (QoL) Scale Scores of EORTC QLQ-C30 by at Least 10%
The EORTC QLQ-C30 contains 30 items and is composed of both multi-item scales and single-item measures. These include five functional scales (physical, role, emotional, social and cognitive functioning), three symptom scales (fatigue, pain, nausea, and vomiting), a global health status/QoL scale, and six single items (dyspnea, diarrhea, constipation, anorexia, insomnia and financial impact). Each of the multiitem scales includes a different set of items - no item occurs in more than one scale. Each item in the EORTC QLQ-C30 has 4 response categories (1=Not at all, 2= A little, 3= Quite a bit, 4= Very much) with the higher number representing a worse outcome.
Measured: from date of randomization
Pre-dose Concentration in Plasma in Dovitinib
Predose concentrations of dovitinib were summarized by visit using PAS. All concentration data was listed by patient and time point using FAS. Mean pre-dose concentrations along with standard deviation (SD) was plotted over time if appropriate.
Measured: Week 2 Day 5, Week 4 Day 5, Week 6 Day 5
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Oct 2010 (estimated)
- Study startMar 2011
- Primary completionJun 2014
- Study completionJun 2014
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 (1)Papers the sponsor has linked to this study.
- Other trials for Metastatic Renal Cell CarcinomaStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe 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
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 564 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01223027
- Sponsor's protocol ID
- CTKI258A2302
- Other IDs
- 2009-015459-25, 2009
- Status last verified
- Nov 2015
- First submitted
- 30 Sep 2010
- Last updated
- 7 Dec 2015
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Motzer RJ, Porta C, Vogelzang NJ, Sternberg CN, Szczylik C, Zolnierek J, Kollmannsberger C, Rha SY, Bjarnason GA, Melichar B, De Giorgi U, Grunwald V, Davis ID, Lee JL, Esteban E, Urbanowitz G, Cai C, Squires M, Marker M, Shi MM, Escudier B. Dovitinib versus sorafenib for third-line targeted treatment of patients with metastatic renal cell carcinoma: an open-label, randomised phase 3 trial. Lancet Oncol. 2014 Mar;15(3):286-96. doi: 10.1016/S1470-2045(14)70030-0. Epub 2014 Feb 17.
PubMed 24556040
Study at a glance
From the registry record, last updated by the sponsor on 7 Dec 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-label, Randomized, Multi-center, Phase III Study to Compare the Safety and Efficacy of Dovitinib Versus Sorafenib in Patients With Metastatic Renal Cell Carcinoma After Failure of Anti-angiogenic (VEGF-targeted and mTOR Inhibitor) Therapies
- ClinicalTrials.gov ID
- NCT01223027
- Acronym / sponsor ID
- CTKI258A2302
- Conditions
- Metastatic Renal Cell Carcinoma
- Keywords
- Dovitinib, TKI, Renal cell cancer, RCC, mRCC
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 564 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- Mar 2011
- Primary completion
- Jun 2014 (actual)
- Study completion
- Jun 2014 (actual)
- First posted
- 18 Oct 2010 (estimated)
- Results
- Posted 6 Nov 2015
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will evaluate the safety and efficacy of Dovitinib versus sorafenib in patients with metastatic renal cell cancer.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Dovitinib + best supportive care (BSC) | Experimental | Drug: DovitinibPatients randomized to the dovitinib treatment arm received 500 mg of dovitinib orally on 5 days on/2 days off dosing schedule. |
| Sorafenib + BSC | Active comparator | Drug: SorafenibPatients in the sorafenib control arm received400 mg of sorafenib (2 x 200 mg tablets) orally taken twice daily. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (13 listed)
- Patients with metastatic renal cell carcinoma (mRCC) with histological or cytological confirmation of clear cell carcinoma or a component of clear cell
- Patients must have received one and only one prior VEGF-targeted therapy and one and only one prior mTOR inhibitor therapy in the metastatic setting. One VEGF targeted therapy (e.g. sunitinib, or pazopanib, or axitinib, or tivozanib or bevacizumab) and one prior mTOR inhibitor therapy (everolimus, or temsirolimus or ridaforolimus)
- Prior cytokines therapy and prior vaccines in the adjuvant setting is permitted.
- Patients must have had disease progression on or within 6 months of stopping the last therapy.
- Patients must have at least one measurable lesion at baseline (by RECIST Criteria Guidelines v1.1) assessed by Computer Tomography (CT) Scan or Magnetic Resonance Imaging (MRI).
Key exclusion criteria (10 listed)
- Patients who have previously received sorafenib therapy in the neoadjuvant, adjuvant or metastatic setting.
- Patients who have previously received Dovitinib or brivanib in the neoadjuvant, adjuvant or metastatic setting.
- Patients with brain metastases. Radiological imaging (e.g. CT or MRI scan) of the brain is required at screening/baseline
- Patients with another primary malignancy within 3 years prior to starting study treatment, with the exception of adequately treated basal cell carcinoma, squamous cell carcinoma or non-melanomatous skin cancer, or in-situ carcinoma of the uterine cervix
- Patients who have received the last administration of an anticancer targeted small molecule therapy ≤ 2 weeks prior to starting study treatment (e.g. sunitinib, pazopanib, axitinib, everolimus, temsirolimus), or who have not recovered from the side effects of such therapy
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 |
|---|---|---|
| DovitinibAlso: TKI258Dovitinib is formulated as an oral gelatin capsule of 100 mg strength and was dosed on a flat scale of 500 mg on a 5 days on/2 days off dosing schedule. Medication labels complied withthe legal requirements of each country and were printed in the local language. | Drug | Dovitinib + best supportive care (BSC) |
| SorafenibSorafenib is formulated as a round, oral, biconvex, red film-coated tablet that contains 200 mg of sorafenib (tosylate). Sorafenib was administered twice daily without food at least 1 hour before or 2 hours after a meal. Sorafenib was supplied according to local practice. | Drug | Sorafenib + BSC |
Primary outcome
Progression Free Survival (PFS) Per Independent Central Radiology Review
Time frame: Until disease progression or discontinuation of treatment due to unacceptable toxicity up to 30-Jun-2014 (discontinuation)
Assessed according to RECIST 1.1. PFS was defined as the time from the date of randomization to the date of the first documented disease progression or death due to any cause. If a patient had not progressed or died, on the date of the analysis cut-off or when he/she received any further anti-neoplastic therapy, PFS was censored on the date of last tumor assessment before the cutoff date or the anti-neoplastic therapy date. The distribution of PFS was estimated using the Kaplan-Meier method. The median PFS along with 95% confidence intervals was presented by treatment group.
8 secondary outcomes
Overall Survival (OS)
Time frame: until at least 386 deaths are documented in the clinical database.
Progression Free Survival (PFS) Per Investigator's Radiology Review
Time frame: Until disease progression or discontinuation of treatment due to unacceptable toxicity
Percentage of Participants With Overall Response Rate (ORR) by Central Radiology Review
Time frame: Until disease progression or discontinuation of treatment due to unacceptable toxicity
Time to Definitive Worsening of Karnofsky Performance Status (KPS)
Time frame: from date of randomization to the date of definitive worsening of KPS or to the date of death whichever occurred earlier
Patient-reported Outcomes (PROs): Time to Deterioration of Functional Assessment of Cancer Therapy-Kidney Symptom Index, Disease Related Symptoms (FKSI-DRS) by at Least 2 Scores
Time frame: from date of randomization, at least 2 score units
Patient-reported Outcomes (PROs): Time to Definitive Deterioration of the Physical Functioning (PF) Scale of EORTC QLQ-C30 by at Least 10%
Time frame: from date of randomization
Patient-reported Outcomes (PROs): Time to Definitive Deterioration of the Quality of Life (QoL) Scale Scores of EORTC QLQ-C30 by at Least 10%
Time frame: from date of randomization
Pre-dose Concentration in Plasma in Dovitinib
Time frame: Week 2 Day 5, Week 4 Day 5, Week 6 Day 5
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Dec 2015.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 24556040Motzer RJ, Porta C, Vogelzang NJ, Sternberg CN, Szczylik C, Zolnierek J, Kollmannsberger C, Rha SY, Bjarnason GA, Melichar B, De Giorgi U, Grunwald V, Davis ID, Lee JL, Esteban E, Urbanowitz G, Cai C, Squires M, Marker M, Shi MM, Escudier B. Dovitinib versus sorafenib for third-line targeted treatment of patients with metastatic renal cell carcinoma: an open-label, randomised phase 3 trial. Lancet Oncol. 2014 Mar;15(3):286-96. doi: 10.1016/S1470-2045(14)70030-0. Epub 2014 Feb 17.
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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.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
199 sites in 27 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Dovitinib and Sorafenib in people with Metastatic Renal Cell Carcinoma, run by Novartis Pharmaceuticals at 199 sites in 27 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 13 inclusion and 10 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 7 Dec 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 199 sites in United States, Japan, Spain, France, Germany and 22 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 6 Nov 2015). 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) Per Independent Central Radiology Review (time frame: Until disease progression or discontinuation of treatment due to unacceptable toxicity up to 30-Jun-2014 (discontinuation)). 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 NCT01223027, 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 7 Dec 2015; AzTrials last refreshed its copy on 8 Nov 2026.