Trial Outcomes & Findings for Sunitinib in Treating Patients With Relapsed Multiple Myeloma (NCT NCT00514137)

NCT ID: NCT00514137

Last Updated: 2014-05-28

Results Overview

A confirmed response is defined as a patient who has achieved response and maintained it on two consecutive evaluations at least 2 weeks apart. A Complete Response (CR) is defined as the complete disappearance of an M-protein and fewer than 5% bone marrow plasmacytosis. A Hematologic Very good partial response (VGPR) is defined as having a ≥ 90% reduction of M-protein from serum, a Urine M-spike to be ≤ 100 mg/24 hours, and a disappearance of soft tissue plasmacytomas. A Partial Response (PR) is defined as having a 50-89% reduction in the level of the serum monoclonal protein, a reduction in 24-hour urinary light chain excretion either by ≥90% or to \<200 mg, and a ≥ 50% reduction in size of soft tissue plasmacytoma.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

13 participants

Primary outcome timeframe

Every 6 weeks from the first initiation of therapy up to 72 weeks

Results posted on

2014-05-28

Participant Flow

Thirteen participants were accrued from September 2007 to December 2008.

All 13 participants were analyzed.

Participant milestones

Participant milestones
Measure
Treatment (Kinase Inhibitor Therapy)
Patients receive oral sunitinib malate once daily on days 1-42. Treatment repeats every 42 days for up to 12 courses in the absence of disease progression or unacceptable toxicity.
Overall Study
STARTED
13
Overall Study
COMPLETED
13
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Sunitinib in Treating Patients With Relapsed Multiple Myeloma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Kinase Inhibitor Therapy)
n=13 Participants
Patients receive oral sunitinib malate once daily on days 1-42. Treatment repeats every 42 days for up to 12 courses in the absence of disease progression or unacceptable toxicity.
Age, Continuous
61 years
n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
Region of Enrollment
United States
11 participants
n=5 Participants
Region of Enrollment
Hong Kong
1 participants
n=5 Participants
Region of Enrollment
Singapore
1 participants
n=5 Participants

PRIMARY outcome

Timeframe: Every 6 weeks from the first initiation of therapy up to 72 weeks

Population: All 13 participants were evaluable for a response

A confirmed response is defined as a patient who has achieved response and maintained it on two consecutive evaluations at least 2 weeks apart. A Complete Response (CR) is defined as the complete disappearance of an M-protein and fewer than 5% bone marrow plasmacytosis. A Hematologic Very good partial response (VGPR) is defined as having a ≥ 90% reduction of M-protein from serum, a Urine M-spike to be ≤ 100 mg/24 hours, and a disappearance of soft tissue plasmacytomas. A Partial Response (PR) is defined as having a 50-89% reduction in the level of the serum monoclonal protein, a reduction in 24-hour urinary light chain excretion either by ≥90% or to \<200 mg, and a ≥ 50% reduction in size of soft tissue plasmacytoma.

Outcome measures

Outcome measures
Measure
Treatment (Kinase Inhibitor Therapy)
n=13 Participants
Patients receive oral sunitinib malate once daily on days 1-42. Treatment repeats every 42 days for up to 12 courses in the absence of disease progression or unacceptable toxicity.
The Number of Confirmed Responses (Complete Response [CR], Very Good Partial Response [VGPR], or Partial Response [PR])
0 participants

SECONDARY outcome

Timeframe: Time from registration to progression or death due to any cause, assessed up to 3 years

The distribution of progression-free survival will be estimated using the method of Kaplan-Meier.

Outcome measures

Outcome measures
Measure
Treatment (Kinase Inhibitor Therapy)
n=13 Participants
Patients receive oral sunitinib malate once daily on days 1-42. Treatment repeats every 42 days for up to 12 courses in the absence of disease progression or unacceptable toxicity.
Event-free Survival
2.86 months
Interval 1.35 to 5.52

SECONDARY outcome

Timeframe: From the documentation of response until the date of progression

Population: No analysis was done because there were no confirmed responses.

The distribution of duration of response will be estimated using the method of Kaplan-Meier.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: From the time of first treatment to up to 30 days after the last day of study drug treatment

Assessed per National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 3.0. Included are the toxicities at least possibly related to the study drug.

Outcome measures

Outcome measures
Measure
Treatment (Kinase Inhibitor Therapy)
n=13 Participants
Patients receive oral sunitinib malate once daily on days 1-42. Treatment repeats every 42 days for up to 12 courses in the absence of disease progression or unacceptable toxicity.
Toxicity
Grade 3+ Adverse Events
10 participants
Toxicity
Grade 4+ Adverse Events
3 participants
Toxicity
Grade 5 Adverse Events
0 participants

Adverse Events

Treatment (Kinase Inhibitor Therapy)

Serious events: 5 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (Kinase Inhibitor Therapy)
n=13 participants at risk
Patients receive oral sunitinib malate once daily on days 1-42. Treatment repeats every 42 days for up to 12 courses in the absence of disease progression or unacceptable toxicity.
Blood and lymphatic system disorders
Hemoglobin decreased
15.4%
2/13 • Number of events 2
Cardiac disorders
Left ventricular dysfunction
7.7%
1/13 • Number of events 1
Gastrointestinal disorders
Vomiting
7.7%
1/13 • Number of events 1
General disorders
Pain
7.7%
1/13 • Number of events 1
Infections and infestations
Pneumonia
7.7%
1/13 • Number of events 1
Investigations
Creatinine increased
7.7%
1/13 • Number of events 1
Investigations
Leukocyte count decreased
7.7%
1/13 • Number of events 1
Investigations
Neutrophil count decreased
15.4%
2/13 • Number of events 2
Investigations
Platelet count decreased
7.7%
1/13 • Number of events 1
Renal and urinary disorders
Protein urine positive
7.7%
1/13 • Number of events 1
Renal and urinary disorders
Renal failure
7.7%
1/13 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Dyspnea
7.7%
1/13 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Hypoxia
7.7%
1/13 • Number of events 1

Other adverse events

Other adverse events
Measure
Treatment (Kinase Inhibitor Therapy)
n=13 participants at risk
Patients receive oral sunitinib malate once daily on days 1-42. Treatment repeats every 42 days for up to 12 courses in the absence of disease progression or unacceptable toxicity.
Blood and lymphatic system disorders
Hemoglobin decreased
61.5%
8/13 • Number of events 9
Endocrine disorders
Hypothyroidism
7.7%
1/13 • Number of events 1
Gastrointestinal disorders
Constipation
7.7%
1/13 • Number of events 1
Gastrointestinal disorders
Diarrhea
46.2%
6/13 • Number of events 8
Gastrointestinal disorders
Dyspepsia
30.8%
4/13 • Number of events 6
Gastrointestinal disorders
Ear, nose and throat examination abnormal
38.5%
5/13 • Number of events 6
Gastrointestinal disorders
Gastritis
7.7%
1/13 • Number of events 1
Gastrointestinal disorders
Nausea
38.5%
5/13 • Number of events 5
Gastrointestinal disorders
Oral pain
7.7%
1/13 • Number of events 1
Gastrointestinal disorders
Vomiting
15.4%
2/13 • Number of events 2
General disorders
Edema limbs
7.7%
1/13 • Number of events 1
General disorders
Fatigue
84.6%
11/13 • Number of events 19
General disorders
Fever
15.4%
2/13 • Number of events 2
Investigations
Amylase increased
15.4%
2/13 • Number of events 3
Investigations
Leukocyte count decreased
69.2%
9/13 • Number of events 11
Investigations
Lipase increased
15.4%
2/13 • Number of events 2
Investigations
Neutrophil count decreased
53.8%
7/13 • Number of events 10
Investigations
Platelet count decreased
76.9%
10/13 • Number of events 14
Investigations
Weight loss
7.7%
1/13 • Number of events 1
Metabolism and nutrition disorders
Anorexia
53.8%
7/13 • Number of events 8
Metabolism and nutrition disorders
Serum calcium decreased
15.4%
2/13 • Number of events 4
Musculoskeletal and connective tissue disorders
Bone pain
7.7%
1/13 • Number of events 1
Nervous system disorders
Dizziness
7.7%
1/13 • Number of events 1
Nervous system disorders
Taste alteration
38.5%
5/13 • Number of events 7
Respiratory, thoracic and mediastinal disorders
Dyspnea
46.2%
6/13 • Number of events 6
Respiratory, thoracic and mediastinal disorders
Hemorrhage nasal
15.4%
2/13 • Number of events 2
Skin and subcutaneous tissue disorders
Hand-and-foot syndrome
7.7%
1/13 • Number of events 1
Skin and subcutaneous tissue disorders
Rash desquamating
23.1%
3/13 • Number of events 5
Skin and subcutaneous tissue disorders
Skin hypopigmentation
7.7%
1/13 • Number of events 3
Vascular disorders
Hypertension
30.8%
4/13 • Number of events 4

Additional Information

Shaji Kumar, M.D.

Mayo Clinic Cancer Center

Results disclosure agreements

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

Restriction type: LTE60