Trial Outcomes & Findings for Sunitinib Malate in Treating Patients With Thyroid Cancer That Did Not Respond to Iodine I 131 and Cannot Be Removed by Surgery (NCT NCT00381641)

NCT ID: NCT00381641

Last Updated: 2025-03-28

Results Overview

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT or MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR."

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

63 participants

Primary outcome timeframe

Up to 2 years

Results posted on

2025-03-28

Participant Flow

Participant milestones

Participant milestones
Measure
Sunitinib Malate-Radioactive Iodine Refractory Subgroup
Patients receive sunitinib malate PO QD on days 1-28. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity This arm contains results for the Radioactive Iodine Refractory Thyroid Cancer Subgroup Sunitinib Malate: Given PO
Sunitinib Malate-Metastatic Medullary Subgroup
Patients receive sunitinib malate PO QD on days 1-28. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity This arm contains results for the Metastatic Medullary Thyroid Cancer Subgroup Sunitinib Malate: Given PO
Overall Study
STARTED
38
25
Overall Study
COMPLETED
38
23
Overall Study
NOT COMPLETED
0
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Sunitinib Malate-Radioactive Iodine Refractory Subgroup
Patients receive sunitinib malate PO QD on days 1-28. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity This arm contains results for the Radioactive Iodine Refractory Thyroid Cancer Subgroup Sunitinib Malate: Given PO
Sunitinib Malate-Metastatic Medullary Subgroup
Patients receive sunitinib malate PO QD on days 1-28. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity This arm contains results for the Metastatic Medullary Thyroid Cancer Subgroup Sunitinib Malate: Given PO
Overall Study
Withdrawal by Subject
0
2

Baseline Characteristics

Sunitinib Malate in Treating Patients With Thyroid Cancer That Did Not Respond to Iodine I 131 and Cannot Be Removed by Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sunitinib Malate-Radioactive Iodine Refractory Subgroup
n=38 Participants
Patients receive sunitinib malate PO QD on days 1-28. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity This arm contains results for the Radioactive Iodine Refractory Thyroid Cancer Subgroup Sunitinib Malate: Given PO
Sunitinib Malate-Metastatic Medullary Subgroup
n=25 Participants
Patients receive sunitinib malate PO QD on days 1-28. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity This arm contains results for the Metastatic Medullary Thyroid Cancer Subgroup Sunitinib Malate: Given PO
Total
n=63 Participants
Total of all reporting groups
Age, Continuous
59.1 years
n=5 Participants
50.9 years
n=7 Participants
55.8 years
n=5 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
12 Participants
n=7 Participants
26 Participants
n=5 Participants
Sex: Female, Male
Male
24 Participants
n=5 Participants
13 Participants
n=7 Participants
37 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
White
37 Participants
n=5 Participants
20 Participants
n=7 Participants
57 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
38 participants
n=5 Participants
25 participants
n=7 Participants
63 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 2 years

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT or MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR."

Outcome measures

Outcome measures
Measure
Sunitinib Malate-Radioactive Iodine Refractory Subgroup
n=38 Participants
Patients receive sunitinib malate PO QD on days 1-28. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity This arm contains results for the Radioactive Iodine Refractory Thyroid Cancer Subgroup Sunitinib Malate: Given PO
Sunitinib Malate-Metastatic Medullary Subgroup
n=25 Participants
Patients receive sunitinib malate PO QD on days 1-28. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity This arm contains results for the Metastatic Medullary Thyroid Cancer Subgroup Sunitinib Malate: Given PO
Objective Response Rate, Assessed Using the Response Evaluation Criteria in Solid Tumors (RECIST)
9 Participants
7 Participants

SECONDARY outcome

Timeframe: From time of first treatment with sunitinib, assessed up to 2 years

Any grade toxicity of any type, regardless of attribution

Outcome measures

Outcome measures
Measure
Sunitinib Malate-Radioactive Iodine Refractory Subgroup
n=38 Participants
Patients receive sunitinib malate PO QD on days 1-28. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity This arm contains results for the Radioactive Iodine Refractory Thyroid Cancer Subgroup Sunitinib Malate: Given PO
Sunitinib Malate-Metastatic Medullary Subgroup
n=25 Participants
Patients receive sunitinib malate PO QD on days 1-28. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity This arm contains results for the Metastatic Medullary Thyroid Cancer Subgroup Sunitinib Malate: Given PO
Incidence of Toxicity, Graded According to the Common Terminology Criteria for Adverse Events Version 3.0
38 Participants
24 Participants

SECONDARY outcome

Timeframe: Up to 10 years

Kaplan-Meier curves will be generated and 95% confidence intervals will be derived for median overall survival.

Outcome measures

Outcome measures
Measure
Sunitinib Malate-Radioactive Iodine Refractory Subgroup
n=38 Participants
Patients receive sunitinib malate PO QD on days 1-28. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity This arm contains results for the Radioactive Iodine Refractory Thyroid Cancer Subgroup Sunitinib Malate: Given PO
Sunitinib Malate-Metastatic Medullary Subgroup
n=25 Participants
Patients receive sunitinib malate PO QD on days 1-28. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity This arm contains results for the Metastatic Medullary Thyroid Cancer Subgroup Sunitinib Malate: Given PO
Overall Survival
32.6 Months
Interval 18.4 to 70.9
65.4 Months
Interval 27.0 to 69.5

SECONDARY outcome

Timeframe: Time from start of treatment to time of progression or death of any cause, assessed up to 10 years

Outcome measures

Outcome measures
Measure
Sunitinib Malate-Radioactive Iodine Refractory Subgroup
n=38 Participants
Patients receive sunitinib malate PO QD on days 1-28. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity This arm contains results for the Radioactive Iodine Refractory Thyroid Cancer Subgroup Sunitinib Malate: Given PO
Sunitinib Malate-Metastatic Medullary Subgroup
n=25 Participants
Patients receive sunitinib malate PO QD on days 1-28. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity This arm contains results for the Metastatic Medullary Thyroid Cancer Subgroup Sunitinib Malate: Given PO
Time to Progression or Death Evaluated Using the RECIST
12.8 Months
Interval 8.3 to 16.4
19.3 Months
Interval 7.7 to 34.6

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline to 2 years

Relevant laboratory correlates will be compared between responders and non-responders using the Wilcoxon rank sum test. The association between the presence or absence of RET gene rearrangements/mutations and tumor response, as well as the association between germ-line polymorphisms in the RET gene and response, will be analyzed using Fisher's exact test. The correlative and genetic data will also be entered as covariates (univariate analyses only due to the small sample size) in a Cox regression model of progression-free survival.

Outcome measures

Outcome data not reported

Adverse Events

Sunitinib Malate-Radioactive Iodine Refractory Subgroup

Serious events: 17 serious events
Other events: 38 other events
Deaths: 21 deaths

Sunitinib Malate-Metastatic Medullary Subgroup

Serious events: 12 serious events
Other events: 24 other events
Deaths: 5 deaths

Serious adverse events

Serious adverse events
Measure
Sunitinib Malate-Radioactive Iodine Refractory Subgroup
n=38 participants at risk
Patients receive sunitinib malate PO QD on days 1-28. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity This arm contains results for the Radioactive Iodine Refractory Thyroid Cancer Subgroup Sunitinib Malate: Given PO
Sunitinib Malate-Metastatic Medullary Subgroup
n=25 participants at risk
Patients receive sunitinib malate PO QD on days 1-28. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity This arm contains results for the Metastatic Medullary Thyroid Cancer Subgroup Sunitinib Malate: Given PO
Gastrointestinal disorders
Abdominal pain
0.00%
0/38
8.0%
2/25
Renal and urinary disorders
Acute kidney injury
2.6%
1/38
0.00%
0/25
Metabolism and nutrition disorders
Anorexia
0.00%
0/38
8.0%
2/25
Musculoskeletal and connective tissue disorders
Bone pain
0.00%
0/38
4.0%
1/25
Respiratory, thoracic and mediastinal disorders
Bronchial obstruction
0.00%
0/38
4.0%
1/25
Musculoskeletal and connective tissue disorders
Buttock pain
0.00%
0/38
4.0%
1/25
Cardiac disorders
Cardiac disorders - Other
2.6%
1/38
0.00%
0/25
Hepatobiliary disorders
Cholecystitis
0.00%
0/38
4.0%
1/25
General disorders
Death NOS
2.6%
1/38
0.00%
0/25
Metabolism and nutrition disorders
Dehydration
5.3%
2/38
4.0%
1/25
Gastrointestinal disorders
Dysphagia
2.6%
1/38
4.0%
1/25
Respiratory, thoracic and mediastinal disorders
Dyspnea
0.00%
0/38
8.0%
2/25
Respiratory, thoracic and mediastinal disorders
Epistaxis
2.6%
1/38
4.0%
1/25
General disorders
Fatigue
2.6%
1/38
0.00%
0/25
Gastrointestinal disorders
Gastric hemorrhage
2.6%
1/38
0.00%
0/25
Gastrointestinal disorders
Gastric ulcer
2.6%
1/38
0.00%
0/25
Gastrointestinal disorders
Gastritis
2.6%
1/38
0.00%
0/25
Gastrointestinal disorders
Gastrointestinal disorders - Other
0.00%
0/38
4.0%
1/25
Hepatobiliary disorders
Hepatic failure
5.3%
2/38
0.00%
0/25
Vascular disorders
Hypertension
2.6%
1/38
0.00%
0/25
Metabolism and nutrition disorders
Hyponatremia
2.6%
1/38
0.00%
0/25
Infections and infestations
Infections and infestations - Other
0.00%
0/38
4.0%
1/25
Respiratory, thoracic and mediastinal disorders
Laryngeal edema
2.6%
1/38
0.00%
0/25
Respiratory, thoracic and mediastinal disorders
Laryngeal obstruction
0.00%
0/38
4.0%
1/25
Cardiac disorders
Left ventricular systolic dysfunction
5.3%
2/38
0.00%
0/25
Gastrointestinal disorders
Mucositis oral
0.00%
0/38
4.0%
1/25
Investigations
Neutrophil count decreased
2.6%
1/38
0.00%
0/25
Gastrointestinal disorders
Oral pain
0.00%
0/38
4.0%
1/25
Cardiac disorders
Pericardial effusion
0.00%
0/38
4.0%
1/25
Nervous system disorders
Peripheral motor neuropathy
0.00%
0/38
4.0%
1/25
Investigations
Platelet count decreased
2.6%
1/38
0.00%
0/25
Respiratory, thoracic and mediastinal disorders
Pleural effusion
2.6%
1/38
0.00%
0/25
Respiratory, thoracic and mediastinal disorders
Pneumonitis
5.3%
2/38
8.0%
2/25
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.00%
0/38
4.0%
1/25
Reproductive system and breast disorders
Reproductive system and breast disorders - Other
0.00%
0/38
4.0%
1/25
Infections and infestations
Skin infection
2.6%
1/38
0.00%
0/25
Skin and subcutaneous tissue disorders
Skin ulceration
0.00%
0/38
4.0%
1/25
Gastrointestinal disorders
Small intestinal obstruction
0.00%
0/38
4.0%
1/25
Respiratory, thoracic and mediastinal disorders
Tracheal fistula
2.6%
1/38
0.00%
0/25
Infections and infestations
Urinary tract infection
2.6%
1/38
0.00%
0/25

Other adverse events

Other adverse events
Measure
Sunitinib Malate-Radioactive Iodine Refractory Subgroup
n=38 participants at risk
Patients receive sunitinib malate PO QD on days 1-28. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity This arm contains results for the Radioactive Iodine Refractory Thyroid Cancer Subgroup Sunitinib Malate: Given PO
Sunitinib Malate-Metastatic Medullary Subgroup
n=25 participants at risk
Patients receive sunitinib malate PO QD on days 1-28. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity This arm contains results for the Metastatic Medullary Thyroid Cancer Subgroup Sunitinib Malate: Given PO
Gastrointestinal disorders
Abdominal pain
10.5%
4/38
20.0%
5/25
Investigations
Alanine aminotransferase increased
36.8%
14/38
24.0%
6/25
Investigations
Alkaline phosphatase increased
21.1%
8/38
16.0%
4/25
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
10.5%
4/38
0.00%
0/25
Skin and subcutaneous tissue disorders
Alopecia
7.9%
3/38
28.0%
7/25
Blood and lymphatic system disorders
Anemia
76.3%
29/38
56.0%
14/25
Metabolism and nutrition disorders
Anorexia
34.2%
13/38
36.0%
9/25
Psychiatric disorders
Anxiety
7.9%
3/38
0.00%
0/25
Musculoskeletal and connective tissue disorders
Arthralgia
10.5%
4/38
16.0%
4/25
Investigations
Aspartate aminotransferase increased
42.1%
16/38
16.0%
4/25
Musculoskeletal and connective tissue disorders
Back pain
10.5%
4/38
24.0%
6/25
Investigations
Blood bilirubin increased
7.9%
3/38
16.0%
4/25
Musculoskeletal and connective tissue disorders
Bone pain
7.9%
3/38
0.00%
0/25
Infections and infestations
Bronchial infection
5.3%
2/38
0.00%
0/25
Respiratory, thoracic and mediastinal disorders
Bronchopulmonary hemorrhage
5.3%
2/38
0.00%
0/25
Injury, poisoning and procedural complications
Bruising
0.00%
0/38
8.0%
2/25
Gastrointestinal disorders
Constipation
34.2%
13/38
16.0%
4/25
Respiratory, thoracic and mediastinal disorders
Cough
26.3%
10/38
16.0%
4/25
Investigations
Creatinine increased
15.8%
6/38
4.0%
1/25
Metabolism and nutrition disorders
Dehydration
5.3%
2/38
4.0%
1/25
Gastrointestinal disorders
Diarrhea
65.8%
25/38
44.0%
11/25
Nervous system disorders
Dizziness
13.2%
5/38
16.0%
4/25
Gastrointestinal disorders
Dry mouth
13.2%
5/38
8.0%
2/25
Skin and subcutaneous tissue disorders
Dry skin
13.2%
5/38
4.0%
1/25
Nervous system disorders
Dysgeusia
26.3%
10/38
24.0%
6/25
Gastrointestinal disorders
Dyspepsia
36.8%
14/38
4.0%
1/25
Gastrointestinal disorders
Dysphagia
5.3%
2/38
4.0%
1/25
Respiratory, thoracic and mediastinal disorders
Dyspnea
18.4%
7/38
12.0%
3/25
General disorders
Edema face
5.3%
2/38
32.0%
8/25
General disorders
Edema limbs
10.5%
4/38
16.0%
4/25
Respiratory, thoracic and mediastinal disorders
Epistaxis
21.1%
8/38
16.0%
4/25
Eye disorders
Eye disorders - Other
0.00%
0/38
8.0%
2/25
General disorders
Fatigue
86.8%
33/38
72.0%
18/25
General disorders
Fever
15.8%
6/38
8.0%
2/25
Gastrointestinal disorders
Flatulence
5.3%
2/38
4.0%
1/25
Gastrointestinal disorders
Gastritis
7.9%
3/38
8.0%
2/25
Gastrointestinal disorders
Gastrointestinal disorders - Other
5.3%
2/38
8.0%
2/25
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
2.6%
1/38
12.0%
3/25
Nervous system disorders
Headache
23.7%
9/38
24.0%
6/25
Vascular disorders
Hot flashes
7.9%
3/38
0.00%
0/25
Metabolism and nutrition disorders
Hyperglycemia
71.1%
27/38
68.0%
17/25
Skin and subcutaneous tissue disorders
Hyperhidrosis
5.3%
2/38
4.0%
1/25
Metabolism and nutrition disorders
Hyperkalemia
2.6%
1/38
12.0%
3/25
Metabolism and nutrition disorders
Hypernatremia
5.3%
2/38
8.0%
2/25
Vascular disorders
Hypertension
47.4%
18/38
16.0%
4/25
Endocrine disorders
Hyperthyroidism
0.00%
0/38
16.0%
4/25
Metabolism and nutrition disorders
Hypoalbuminemia
26.3%
10/38
12.0%
3/25
Metabolism and nutrition disorders
Hypocalcemia
31.6%
12/38
40.0%
10/25
Metabolism and nutrition disorders
Hypoglycemia
10.5%
4/38
4.0%
1/25
Metabolism and nutrition disorders
Hypokalemia
18.4%
7/38
16.0%
4/25
Metabolism and nutrition disorders
Hyponatremia
10.5%
4/38
12.0%
3/25
Metabolism and nutrition disorders
Hypophosphatemia
15.8%
6/38
16.0%
4/25
Vascular disorders
Hypotension
5.3%
2/38
0.00%
0/25
Endocrine disorders
Hypothyroidism
2.6%
1/38
16.0%
4/25
Psychiatric disorders
Insomnia
10.5%
4/38
4.0%
1/25
Investigations
Investigations - Other
0.00%
0/38
24.0%
6/25
Investigations
Lipase increased
0.00%
0/38
12.0%
3/25
Infections and infestations
Lung infection
5.3%
2/38
4.0%
1/25
Investigations
Lymphocyte count decreased
52.6%
20/38
56.0%
14/25
Gastrointestinal disorders
Mucositis oral
47.4%
18/38
48.0%
12/25
Musculoskeletal and connective tissue disorders
Myalgia
5.3%
2/38
12.0%
3/25
Skin and subcutaneous tissue disorders
Nail loss
2.6%
1/38
8.0%
2/25
Gastrointestinal disorders
Nausea
52.6%
20/38
52.0%
13/25
Musculoskeletal and connective tissue disorders
Neck pain
7.9%
3/38
0.00%
0/25
Investigations
Neutrophil count decreased
55.3%
21/38
32.0%
8/25
General disorders
Non-cardiac chest pain
7.9%
3/38
8.0%
2/25
Gastrointestinal disorders
Oral pain
13.2%
5/38
8.0%
2/25
General disorders
Pain
7.9%
3/38
44.0%
11/25
Musculoskeletal and connective tissue disorders
Pain in extremity
23.7%
9/38
24.0%
6/25
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysesthesia syndrome
47.4%
18/38
48.0%
12/25
Nervous system disorders
Peripheral sensory neuropathy
18.4%
7/38
12.0%
3/25
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
13.2%
5/38
0.00%
0/25
Investigations
Platelet count decreased
57.9%
22/38
48.0%
12/25
Skin and subcutaneous tissue disorders
Rash maculo-papular
21.1%
8/38
28.0%
7/25
Gastrointestinal disorders
Rectal hemorrhage
2.6%
1/38
8.0%
2/25
Renal and urinary disorders
Renal and urinary disorders - Other
5.3%
2/38
0.00%
0/25
Investigations
Serum amylase increased
0.00%
0/38
12.0%
3/25
Respiratory, thoracic and mediastinal disorders
Sinus disorder
5.3%
2/38
0.00%
0/25
Infections and infestations
Sinusitis
10.5%
4/38
0.00%
0/25
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other
2.6%
1/38
16.0%
4/25
Infections and infestations
Skin infection
5.3%
2/38
4.0%
1/25
Gastrointestinal disorders
Toothache
5.3%
2/38
0.00%
0/25
Infections and infestations
Upper respiratory infection
7.9%
3/38
0.00%
0/25
Infections and infestations
Urinary tract infection
5.3%
2/38
0.00%
0/25
Vascular disorders
Vascular disorders - Other
0.00%
0/38
8.0%
2/25
Respiratory, thoracic and mediastinal disorders
Voice alteration
5.3%
2/38
0.00%
0/25
Gastrointestinal disorders
Vomiting
36.8%
14/38
12.0%
3/25
Investigations
Weight loss
7.9%
3/38
12.0%
3/25
Investigations
White blood cell decreased
78.9%
30/38
76.0%
19/25

Additional Information

Dr. Tanguy Seiwert

University of Chicago

Phone: (773) 702-2452

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60