Renal Cell CarcinomaPhase 3METEORNCT01865747
A Study of Cabozantinib (XL184) vs Everolimus in Subjects With Metastatic Renal Cell Carcinoma
A Phase 3 study testing Cabozantinib tablets and Everolimus (Afinitor) tablets in people with Renal Cell Carcinoma, run by Exelixis at 205 sites in 26 countries.
Trial summary
The purpose of this study is to evaluate the effect of Cabozantinib (XL184) compared with Everolimus (Afinitor) on progression-free survival (PFS) and overall survival (OS) in subjects with advanced renal cell cancer that has progressed after prior VEGFR tyrosine kinase inhibitor therapy. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Renal Cell Carcinoma
- What is being tested?
- Cabozantinib tablets and Everolimus (Afinitor) tablets
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 658 participants
- Where
- 205 sitesin 26 countries
- Study dates
- Jun 2013to 15 Jan 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
Select Inclusion Criteria:
- Documented histological or cytological diagnosis of renal cell cancer with a clear-cell component.
- Measurable disease as determined by the investigator.
- Must have received at least one VEGFR-targeting TKI (eg, sorafenib, sunitinib, axitinib, pazopanib or tivozanib).
- Recovery from toxicities related to any prior treatments, unless AE(s) are clinically nonsignificant and/or stable on supportive therapy.
- Adequate organ and marrow function.
- Sexually active fertile subjects(male and female)must agree to use medically accepted methods of contraception during the course of the study and for 4 months after the last dose of study treatment.
- Female subjects of childbearing potential must not be pregnant at screening.
Select Exclusion Criteria:
- Prior treatment with everolimus, or any other specific or selective TORC1/PI3K/AKT inhibitor (eg, temsirolimus), or cabozantinib.
- Receipt of any type of small molecule kinase inhibitor (including investigational kinase inhibitor) within 2 weeks before randomization.
- Receipt of any type of anticancer antibody (including investigational antibody) within 4 weeks before randomization.
- Radiation therapy for bone metastasis within 2 weeks, any other external radiation therapy within 4 weeks before randomization. Systemic treatment with radionuclides within 6 weeks before randomization. Subjects with clinically relevant ongoing complications from prior radiation therapy are not eligible.
- Known brain metastases or cranial epidural disease unless adequately treated with radiotherapy and/or surgery and stable for at least 3 months before randomization.
- Concomitant anticoagulation at therapeutic doses with oral anticoagulants or platelet inhibitors.
- Chronic treatment with corticosteroids or other immunosuppressive agents.
- Serious illness other than cancer.
- Major surgery within 3 months before randomization. Complete wound healing from major surgery must have occurred 1 month before randomization and from minor surgery at least 10 days before randomization.
- Pregnant or lactating females.
- Diagnosis of another malignancy within 2 years before randomization, except for superficial skin cancers, or localized, low grade tumors.
Trial locations and contacts
205 sites in 26 countries.
205 sites in 26 countries
United States59 sites
Study site
Albany, New York, 12206
Study site
Anchorage, Alaska, 99503
Study site
Ann Arbor, Michigan, 48109
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Aurora, Colorado, 80045
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Austin, Texas, 78731
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Baltimore, Maryland, 21201
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Baltimore, Maryland, 21287
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Bedford, Texas, 76022
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Birmingham, Alabama
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Boca Raton, Florida, 33486
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Boston, Massachusetts, 02215
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Charleston, South Carolina, 29425
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Chicago, Illinois, 60611
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Chicago, Illinois, 60612
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Chicago, Illinois, 60637
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Cleveland, Ohio, 44106
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Cleveland, Ohio, 44195
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Columbus, Ohio, 43210
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Dallas, Texas, 75246
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Denver, Colorado, 80218
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Detroit, Michigan, 48201
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Detroit, Michigan, 48202
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Duarte, California, 91010
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Durham, North Carolina, 22710
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Fort Worth, Texas, 76104
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Gilbert, Arizona, 85234
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Houston, Texas, 77024
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Houston, Texas, 77030
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Iowa City, Iowa, 52242
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Knoxville, Tennessee, 37920
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La Jolla, California, 92093
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Las Vegas, Nevada, 89148
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Los Angeles, California, 90048
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Los Angeles, California, 90095
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Memphis, Tennessee, 38120
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Miami, Florida, 33136
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Miami, Florida, 33176
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Nashville, Tennessee, 37203
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Nashville, Tennessee, 37232
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New Haven, Connecticut, 06520
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New York, New York, 10065
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Orlando, Florida, 06520
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Philadelphia, Pennsylvania, 19111
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Pittsburgh, Pennsylvania, 15232
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Portland, Oregon, 97213
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Portland, Oregon, 97239
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Rochester, Minnesota, 55905
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Salt Lake City, Utah, 84112
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San Antonio, Texas, 78229
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Scottsdale, Arizona, 85259
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Seattle, Washington, 98109
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St Louis, Missouri, 63110
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Tampa, Florida, 33612
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Tucson, Arizona, 85724
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Vallejo, California, 94589
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Vancouver, Washington, 98684
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Washington D.C., District of Columbia, 20007
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Westwood, Kansas, 66205
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Yakima, Washington, 98902
Germany18 sites
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Aachen, North Rhine-Westphalia, 52074
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Berlin, 12200
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Dresden, 01307
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Erfurt, Thuringia, 99089
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Erlangen, Bavaria, 91054
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Essen, North Rhine-Westphalia, 45122
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Frankfurt am Main, 60590
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Freiburg im Breisgau, Baden Wuttemberg, 79106
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Gütersloh, 33332
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Hamburg, 20246
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Hanover, 30605
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Heidelberg, 69120
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Jena, Thuringia, 99089
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Mainz, Rhineland-Palatinate, 55131
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München, 81675
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Munich, 81377
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Tübingen, Baden-Wurttemberg, 72076
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Ulm, Baden-Wurttemberg, 89075
Australia14 sites
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Adelaide, South Australia, 5000
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Bentleight East, Victoria, 3165
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Box Hill, Victoria, 3128
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Concord, New South Wales, 2139
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Darlinghurst, New South Wales, 2010
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Hobart, Tasmania, 7000
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Kogarah, New South Wales, 2217
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Milton, Queensland, 4064
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Port Macquarie, New South Wales
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Randwick, New South Wales, 2031
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Wahroonga, New South Wales, 2076
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Westmead, New South Wales, 2145
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Wodonga, Victoria, 3690
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Wooloongabba, Queensland, 4102
Canada14 sites
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Calgary, Alberta, T2N 4N2
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Edmonton, Alberta, T6G 1Z2
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Halifax, Nova Scotia, B3H 1V7
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Hamilton, Ontario, L8V 5C2
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Kingston, Ontario, K7L 5P9
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London, Ontario, N6A 4L6
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Montreal, Quebec, H2L 4M1
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Oshawa, Ontario, L1G 2B9
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Ottawa, Ontario, K1H 8L6
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Saskatoon, Saskatchewan, S7N 4H4
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Toronto, Ontario, M4N 3M5
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Toronto, Ontario, M5G 2N2
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Vancouver, British Columbia, V5Z 4E6
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Winnepeg, Manitoba, R3A 1R9
Spain13 sites
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Badalona, Catalonia, 08003
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Barcelona, Catalonia, 08025
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Barcelona, 08035
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L'Hospitalet de Llobregat, Catalonia, 08907
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Madrid, 28034
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Madrid, 28041
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Madrid, 28922
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Málaga, Málaga
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Oviedo, Principality of Asturias, 33006
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Pamplona, Navarre, 31008
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Santiago de Compostela, 15706
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Seville, 28050
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Valencia, 46010
United Kingdom12 sites
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Aberdeen, Scotland, AB25 2ZN
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Birmingham, England, B15 2TH
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Derby, England, DE22 3NE
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Edinburgh, Scotland, EH4 2XU
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Glasgow, Scotland
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Guildford, England, GU2 7XX
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London, England, EC1A 7BE
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London, England, SE1 9ER
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London, England
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Manchester, England, M20 4BX
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Metropolitan Borough of Wirral, England, CH63 4JY
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Northwood, England, HA6 2RN
France11 sites
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Besançon, Doubs, 25030
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Bordeaux, Gironde, 33075
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Caen, Calvados, 14076
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Le Mans, Sarthe, 72000
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Lyon, Rhône, 96008
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Marseille, 13273
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Nantes, Loire-Atlantique, 44805
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Paris, 75908
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Rennes, Ille-et-Vilaine, 35042
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Toulouse, Haute-Garonne, 31052
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Villejuif, Val-de-Marne, 94805
Italy10 sites
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Arezzo, Tuscany, 52100
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Bari, Apulia, 70124
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Cremona, Lombardy, Lombardia
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Genoa, Liguria, 16132
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Meldola, Emilia-Romagna, 47014
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Modena, Emilia-Romagna, 41124
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Ravenna, Emilia-Romagna, 48100
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Rome, Lazio, 00128
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Rome, Lazio, 00152
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Terni, Umbria, 05100
Belgium7 sites
Study site
Antwerp, 2020
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Bonheiden, Antwerpen, 2820
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Brasschaat, Antwerpen, 2930
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Brussels, Brussels Capital, 1000
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Leuven, Vlaams Brabant, 3000
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Liège, 4000
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Roeselare, West-Vlaanderen, 8800
Netherlands4 sites
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Amsterdam, North Holland, 1066 CX
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Leiden, South Holland, 2333 ZA
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Maastricht, Limburg, 6229 HX
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Rotterdam, South Holland, 3045 PM
Poland4 sites
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Bialystok, Podlaskie Voivodeship, 15-027
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Gdansk, Pomeranian Voivodeship, 80-210
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Poznan, Greater Poland Voivodeship, 60-569
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Warsaw, 04-909
Russia4 sites
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Moscow, 115478
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Omsk, 644013
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Saint Petersburg, 196247
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Yaroslavl, 150040
Turkey (Türkiye)4 sites
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Ankara, 6500
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Gaziantep, 27100
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Istanbul, 34365
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Izmir, 35100
Austria3 sites
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Linz, Upper Austria, 4010
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Vienna, 1090
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Vienna, 1100
Czechia3 sites
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Brno, 656 91
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Olomouc, Olomouc Region, 775 20
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Prague, 128 08
Denmark3 sites
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Aarhus, Central Jutland, DK-8000
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Herlev, Capital Region, DK-2730
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Odense, Region Syddanmark, DK-5000
Portugal3 sites
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Lisbon, 1500-650
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Lisbon, 1649-035
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Porto, 200-072
South Korea3 sites
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Seoul, 110-744
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Seoul, 120-752
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Seoul
Sweden3 sites
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Lund, Skåne County, SE-22185
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Stockholm, Södermanland County
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Umeå
Argentina2 sites
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La Plata, Buenos Aires, B1900BAJ
Study site
Mar del Plata, B7600LTO
Finland2 sites
Study site
Helsinki, 290
Study site
Turku, Länsi-Suomen Lääni, FI-20520
About this study
Official title: A Phase 3, Randomized, Controlled Study of Cabozantinib (XL184) vs Everolimus in Subjects With Metastatic Renal Cell Carcinoma That Has Progressed After Prior VEGFR Tyrosine Kinase Inhibitor Therapy
The purpose of this study is to evaluate the effect of Cabozantinib (XL184) compared with Everolimus (Afinitor) on progression-free survival (PFS) and overall survival (OS) in subjects with advanced renal cell cancer that has progressed after prior VEGFR tyrosine kinase inhibitor therapy.
- Conditions
- Renal Cell Carcinoma
- Being tested
- Cabozantinib tablets, Everolimus (Afinitor) tablets
- Keywords
- renal cell cancer, kidney, vascular endothelial growth factor receptor 2 (VEGFR2), tyrosine kinase inhibitor, hepatocyte growth factor receptor protein (MET), von Hippel-Lindau gene
- 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.
Cabozantinib tabletsDrug
Also called XL184
Everolimus (Afinitor) tabletsDrug
| Study group | Role | What they receive |
|---|---|---|
| Cabozantinib (XL184) | Experimental | Cabozantinib (XL184) 60 mg tablet once daily. Receives: Drug: Cabozantinib tablets |
| Everolimus (Afinitor) | Active comparator | Everolimus (Afinitor) 10 mg tablet once daily. Receives: Drug: Everolimus (Afinitor) tablets |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival (PFS)
The primary analysis of PFS is the time from randomization to date of first documented tumor progression as determined by investigator (per RECIST 1.1 criteria) or death due to any cause, whichever occurred first. A Kaplan-Meier analysis was performed to estimate the median duration.
Measured: PFS is measured from the date of randomization until the date of first documented disease progression or date of death from any cause as determined by the Independent Radiology Committee (IRC) per RECIST 1.1, assessed for up to 17 months.
Secondary outcomes (2)
Overall Survival (OS)
Overall Survival (OS) is defined as the time from randomization to the date of death. Participants that had not died were censored at last known date alive. Median OS was calculated using Kaplan-Meier estimates. Interim analyses for OS occurred after 320 deaths (78% of the total OS events needed for final analysis).
Measured: OS was measured from the time of randomization until 320 deaths, approximately 28 months
Objective Response Rate (ORR)
Objective Response Rate (ORR) is the number of participants with a best response of complete response (CR) or partial response (PR) divided by number of randomized participants. ORR was assessed by the Independent Radiology Committee (IRC) per RECIST 1.1 which was confirmed by a subsequent visit >= 28 days later, and was analyzed in the Intent to Treat (ITT) population at the time of the primary analysis of Progression Free Survival (PFS). The data cutoff date was 22 May 2015.
Measured: ORR was assessed at 8 weeks post-randomization, every 8 weeks for 12 months, and every 12 weeks until date of disease progression or death, up to May 2015 (approximately 21 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 May 2013 (estimated)
- Study startJun 2013
- Primary completion22 May 2015
- Study completion15 Jan 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 (9)Papers the sponsor has linked to this study.
- Other trials for Renal Cell CarcinomaStudies of the same condition, open and under way.
- More trials run by ExelixisThe 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
- 658 participants (actual)
Sponsor and investigators
- Lead sponsor
- Exelixis
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01865747
- Sponsor's protocol ID
- XL184-308
- Acronym
- METEOR
- Status last verified
- Apr 2021
- First submitted
- 21 May 2013
- Last updated
- 27 Apr 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Gong AJ, Ruchalski K, Kim HJ, Douek M, Gutierrez A, Patel M, Sai V, Coy H, Villegas B, Raman S, Goldin J. RECIST 1.1 Target Lesion Categorical Response in Metastatic Renal Cell Carcinoma: A Comparison of Conventional versus Volumetric Assessment. Radiol Imaging Cancer. 2023 Sep;5(5):e220166. doi: 10.1148/rycan.220166.
PubMed 37656041Denize T, Farah S, Cimadamore A, Flaifel A, Walton E, Sticco-Ivins MA, Labaki C, Braun DA, Sun M, Wang E, Xie W, Choueiri TK, Signoretti S. Biomarkers of Angiogenesis and Clinical Outcomes to Cabozantinib and Everolimus in Patients with Metastatic Renal Cell Carcinoma from the Phase III METEOR Trial. Clin Cancer Res. 2022 Feb 15;28(4):748-755. doi: 10.1158/1078-0432.CCR-21-3088.
PubMed 34921022Powles T, Choueiri TK, Motzer RJ, Jonasch E, Pal S, Tannir NM, Signoretti S, Kaldate R, Scheffold C, Wang E, Aftab DT, Escudier B, George DJ. Outcomes based on plasma biomarkers in METEOR, a randomized phase 3 trial of cabozantinib vs everolimus in advanced renal cell carcinoma. BMC Cancer. 2021 Aug 7;21(1):904. doi: 10.1186/s12885-021-08630-w.
PubMed 34364385Donskov F, Motzer RJ, Voog E, Hovey E, Grullich C, Nott LM, Cuff K, Gil T, Jensen NV, Chevreau C, Negrier S, Depenbusch R, Bergmann L, Cornelio I, Champsaur A, Escudier B, Pal S, Powles T, Choueiri TK. Outcomes based on age in the phase III METEOR trial of cabozantinib versus everolimus in patients with advanced renal cell carcinoma. Eur J Cancer. 2020 Feb;126:1-10. doi: 10.1016/j.ejca.2019.10.032. Epub 2019 Dec 27.
PubMed 31887537Flaifel A, Xie W, Braun DA, Ficial M, Bakouny Z, Nassar AH, Jennings RB, Escudier B, George DJ, Motzer RJ, Morris MJ, Powles T, Wang E, Huang Y, Freeman GJ, Choueiri TK, Signoretti S. PD-L1 Expression and Clinical Outcomes to Cabozantinib, Everolimus, and Sunitinib in Patients with Metastatic Renal Cell Carcinoma: Analysis of the Randomized Clinical Trials METEOR and CABOSUN. Clin Cancer Res. 2019 Oct 15;25(20):6080-6088. doi: 10.1158/1078-0432.CCR-19-1135. Epub 2019 Aug 1.
PubMed 31371341Cella D, Escudier B, Tannir NM, Powles T, Donskov F, Peltola K, Schmidinger M, Heng DYC, Mainwaring PN, Hammers HJ, Lee JL, Roth BJ, Marteau F, Williams P, Baer J, Mangeshkar M, Scheffold C, Hutson TE, Pal S, Motzer RJ, Choueiri TK. Quality of Life Outcomes for Cabozantinib Versus Everolimus in Patients With Metastatic Renal Cell Carcinoma: METEOR Phase III Randomized Trial. J Clin Oncol. 2018 Mar 10;36(8):757-764. doi: 10.1200/JCO.2017.75.2170. Epub 2018 Jan 29.
PubMed 29377755Escudier B, Powles T, Motzer RJ, Olencki T, Aren Frontera O, Oudard S, Rolland F, Tomczak P, Castellano D, Appleman LJ, Drabkin H, Vaena D, Milwee S, Youkstetter J, Lougheed JC, Bracarda S, Choueiri TK. Cabozantinib, a New Standard of Care for Patients With Advanced Renal Cell Carcinoma and Bone Metastases? Subgroup Analysis of the METEOR Trial. J Clin Oncol. 2018 Mar 10;36(8):765-772. doi: 10.1200/JCO.2017.74.7352. Epub 2018 Jan 8.
PubMed 29309249Choueiri TK, Escudier B, Powles T, Tannir NM, Mainwaring PN, Rini BI, Hammers HJ, Donskov F, Roth BJ, Peltola K, Lee JL, Heng DYC, Schmidinger M, Agarwal N, Sternberg CN, McDermott DF, Aftab DT, Hessel C, Scheffold C, Schwab G, Hutson TE, Pal S, Motzer RJ; METEOR investigators. Cabozantinib versus everolimus in advanced renal cell carcinoma (METEOR): final results from a randomised, open-label, phase 3 trial. Lancet Oncol. 2016 Jul;17(7):917-927. doi: 10.1016/S1470-2045(16)30107-3. Epub 2016 Jun 5.
PubMed 27279544Choueiri TK, Escudier B, Powles T, Mainwaring PN, Rini BI, Donskov F, Hammers H, Hutson TE, Lee JL, Peltola K, Roth BJ, Bjarnason GA, Geczi L, Keam B, Maroto P, Heng DY, Schmidinger M, Kantoff PW, Borgman-Hagey A, Hessel C, Scheffold C, Schwab GM, Tannir NM, Motzer RJ; METEOR Investigators. Cabozantinib versus Everolimus in Advanced Renal-Cell Carcinoma. N Engl J Med. 2015 Nov 5;373(19):1814-23. doi: 10.1056/NEJMoa1510016. Epub 2015 Sep 25.
PubMed 26406150
Study at a glance
From the registry record, last updated by the sponsor on 27 Apr 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Controlled Study of Cabozantinib (XL184) vs Everolimus in Subjects With Metastatic Renal Cell Carcinoma That Has Progressed After Prior VEGFR Tyrosine Kinase Inhibitor Therapy
- ClinicalTrials.gov ID
- NCT01865747
- Acronym / sponsor ID
- METEOR / XL184-308
- Conditions
- Renal Cell Carcinoma
- Keywords
- renal cell cancer, kidney, vascular endothelial growth factor receptor 2 (VEGFR2), tyrosine kinase inhibitor, hepatocyte growth factor receptor protein (MET), von Hippel-Lindau gene
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 658 participants (actual)
- Lead sponsor
- ExelixisIndustry (pharma, biotech, devices)
- Study start
- Jun 2013
- Primary completion
- 22 May 2015 (actual)
- Study completion
- 15 Jan 2021 (actual)
- First posted
- 31 May 2013 (estimated)
- Results
- Posted 18 Jul 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the effect of Cabozantinib (XL184) compared with Everolimus (Afinitor) on progression-free survival (PFS) and overall survival (OS) in subjects with advanced renal cell cancer that has progressed after prior VEGFR tyrosine kinase inhibitor therapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Cabozantinib (XL184) | Experimental | Drug: Cabozantinib tabletsCabozantinib (XL184) 60 mg tablet once daily. |
| Everolimus (Afinitor) | Active comparator | Drug: Everolimus (Afinitor) tabletsEverolimus (Afinitor) 10 mg tablet once daily. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
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 |
|---|---|---|
| Cabozantinib tabletsAlso: XL184 | Drug | Cabozantinib (XL184) |
| Everolimus (Afinitor) tablets | Drug | Everolimus (Afinitor) |
Primary outcome
Progression-free Survival (PFS)
Time frame: PFS is measured from the date of randomization until the date of first documented disease progression or date of death from any cause as determined by the Independent Radiology Committee (IRC) per RECIST 1.1, assessed for up to 17 months.
The primary analysis of PFS is the time from randomization to date of first documented tumor progression as determined by investigator (per RECIST 1.1 criteria) or death due to any cause, whichever occurred first. A Kaplan-Meier analysis was performed to estimate the median duration.
2 secondary outcomes
Overall Survival (OS)
Time frame: OS was measured from the time of randomization until 320 deaths, approximately 28 months
Objective Response Rate (ORR)
Time frame: ORR was assessed at 8 weeks post-randomization, every 8 weeks for 12 months, and every 12 weeks until date of disease progression or death, up to May 2015 (approximately 21 months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Apr 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 37656041Gong AJ, Ruchalski K, Kim HJ, Douek M, Gutierrez A, Patel M, Sai V, Coy H, Villegas B, Raman S, Goldin J. RECIST 1.1 Target Lesion Categorical Response in Metastatic Renal Cell Carcinoma: A Comparison of Conventional versus Volumetric Assessment. Radiol Imaging Cancer. 2023 Sep;5(5):e220166. doi: 10.1148/rycan.220166.
- Derived from this study: PubMed 34921022Denize T, Farah S, Cimadamore A, Flaifel A, Walton E, Sticco-Ivins MA, Labaki C, Braun DA, Sun M, Wang E, Xie W, Choueiri TK, Signoretti S. Biomarkers of Angiogenesis and Clinical Outcomes to Cabozantinib and Everolimus in Patients with Metastatic Renal Cell Carcinoma from the Phase III METEOR Trial. Clin Cancer Res. 2022 Feb 15;28(4):748-755. doi: 10.1158/1078-0432.CCR-21-3088.
- Derived from this study: PubMed 34364385Powles T, Choueiri TK, Motzer RJ, Jonasch E, Pal S, Tannir NM, Signoretti S, Kaldate R, Scheffold C, Wang E, Aftab DT, Escudier B, George DJ. Outcomes based on plasma biomarkers in METEOR, a randomized phase 3 trial of cabozantinib vs everolimus in advanced renal cell carcinoma. BMC Cancer. 2021 Aug 7;21(1):904. doi: 10.1186/s12885-021-08630-w.
- Derived from this study: PubMed 31887537Donskov F, Motzer RJ, Voog E, Hovey E, Grullich C, Nott LM, Cuff K, Gil T, Jensen NV, Chevreau C, Negrier S, Depenbusch R, Bergmann L, Cornelio I, Champsaur A, Escudier B, Pal S, Powles T, Choueiri TK. Outcomes based on age in the phase III METEOR trial of cabozantinib versus everolimus in patients with advanced renal cell carcinoma. Eur J Cancer. 2020 Feb;126:1-10. doi: 10.1016/j.ejca.2019.10.032. Epub 2019 Dec 27.
- Derived from this study: PubMed 31371341Flaifel A, Xie W, Braun DA, Ficial M, Bakouny Z, Nassar AH, Jennings RB, Escudier B, George DJ, Motzer RJ, Morris MJ, Powles T, Wang E, Huang Y, Freeman GJ, Choueiri TK, Signoretti S. PD-L1 Expression and Clinical Outcomes to Cabozantinib, Everolimus, and Sunitinib in Patients with Metastatic Renal Cell Carcinoma: Analysis of the Randomized Clinical Trials METEOR and CABOSUN. Clin Cancer Res. 2019 Oct 15;25(20):6080-6088. doi: 10.1158/1078-0432.CCR-19-1135. Epub 2019 Aug 1.
- Derived from this study: PubMed 29377755Cella D, Escudier B, Tannir NM, Powles T, Donskov F, Peltola K, Schmidinger M, Heng DYC, Mainwaring PN, Hammers HJ, Lee JL, Roth BJ, Marteau F, Williams P, Baer J, Mangeshkar M, Scheffold C, Hutson TE, Pal S, Motzer RJ, Choueiri TK. Quality of Life Outcomes for Cabozantinib Versus Everolimus in Patients With Metastatic Renal Cell Carcinoma: METEOR Phase III Randomized Trial. J Clin Oncol. 2018 Mar 10;36(8):757-764. doi: 10.1200/JCO.2017.75.2170. Epub 2018 Jan 29.
- Derived from this study: PubMed 29309249Escudier B, Powles T, Motzer RJ, Olencki T, Aren Frontera O, Oudard S, Rolland F, Tomczak P, Castellano D, Appleman LJ, Drabkin H, Vaena D, Milwee S, Youkstetter J, Lougheed JC, Bracarda S, Choueiri TK. Cabozantinib, a New Standard of Care for Patients With Advanced Renal Cell Carcinoma and Bone Metastases? Subgroup Analysis of the METEOR Trial. J Clin Oncol. 2018 Mar 10;36(8):765-772. doi: 10.1200/JCO.2017.74.7352. Epub 2018 Jan 8.
- Derived from this study: PubMed 27279544Choueiri TK, Escudier B, Powles T, Tannir NM, Mainwaring PN, Rini BI, Hammers HJ, Donskov F, Roth BJ, Peltola K, Lee JL, Heng DYC, Schmidinger M, Agarwal N, Sternberg CN, McDermott DF, Aftab DT, Hessel C, Scheffold C, Schwab G, Hutson TE, Pal S, Motzer RJ; METEOR investigators. Cabozantinib versus everolimus in advanced renal cell carcinoma (METEOR): final results from a randomised, open-label, phase 3 trial. Lancet Oncol. 2016 Jul;17(7):917-927. doi: 10.1016/S1470-2045(16)30107-3. Epub 2016 Jun 5.
- Derived from this study: PubMed 26406150Choueiri TK, Escudier B, Powles T, Mainwaring PN, Rini BI, Donskov F, Hammers H, Hutson TE, Lee JL, Peltola K, Roth BJ, Bjarnason GA, Geczi L, Keam B, Maroto P, Heng DY, Schmidinger M, Kantoff PW, Borgman-Hagey A, Hessel C, Scheffold C, Schwab GM, Tannir NM, Motzer RJ; METEOR Investigators. Cabozantinib versus Everolimus in Advanced Renal-Cell Carcinoma. N Engl J Med. 2015 Nov 5;373(19):1814-23. doi: 10.1056/NEJMoa1510016. Epub 2015 Sep 25.
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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.
The record lists no contact. Use the official record to reach the sponsor.
205 sites in 26 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Cabozantinib tablets and Everolimus (Afinitor) tablets in people with Renal Cell Carcinoma, run by Exelixis at 205 sites in 26 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
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 27 Apr 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 205 sites in United States, Germany, Australia, Canada, Spain and 21 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 18 Jul 2017). 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) (time frame: PFS is measured from the date of randomization until the date of first documented disease progression or date of death from any cause as determined by the Independent Radiology Committee (IRC) per RECIST 1.1, assessed for up to 17 months.). 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 NCT01865747, which also lists 9 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 27 Apr 2021.