Trial Outcomes & Findings for Sunitinib Malate in Treating Patients With Previously Untreated Metastatic Kidney Cancer (NCT NCT01158222)

NCT ID: NCT01158222

Last Updated: 2018-09-14

Results Overview

Treatment repeats every 42 days for at least 4 courses in the absence of disease progression or unacceptable toxicity.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

37 participants

Primary outcome timeframe

after 6 months of treatment (4 cycles)

Results posted on

2018-09-14

Participant Flow

5 additional patients were consented but not enrolled in the study. No information was collected on them and they are not included in the patient flow. Demographics information was not collected on these patients.

Participant milestones

Participant milestones
Measure
Arm I
Patients receive oral sunitinib malate once daily on days 1-28. Treatment repeats every 42 days for at least 4 courses in the absence of disease progression or unacceptable toxicity. sunitinib malate: Given orally laboratory biomarker analysis: Correlative studies reverse transcriptase-polymerase chain reaction: Correlative studies polymorphism analysis: Correlative studies
Overall Study
STARTED
37
Overall Study
COMPLETED
20
Overall Study
NOT COMPLETED
17

Reasons for withdrawal

Reasons for withdrawal
Measure
Arm I
Patients receive oral sunitinib malate once daily on days 1-28. Treatment repeats every 42 days for at least 4 courses in the absence of disease progression or unacceptable toxicity. sunitinib malate: Given orally laboratory biomarker analysis: Correlative studies reverse transcriptase-polymerase chain reaction: Correlative studies polymorphism analysis: Correlative studies
Overall Study
Not eligible for intermediate phase
17

Baseline Characteristics

Sunitinib Malate in Treating Patients With Previously Untreated Metastatic Kidney Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm I
n=37 Participants
Patients receive oral sunitinib malate once daily on days 1-28. Treatment repeats every 42 days for at least 4 courses in the absence of disease progression or unacceptable toxicity. sunitinib malate: Given orally laboratory biomarker analysis: Correlative studies reverse transcriptase-polymerase chain reaction: Correlative studies polymorphism analysis: Correlative studies
Age, Customized
40-49
3 Participants
n=5 Participants
Age, Customized
50-59
9 Participants
n=5 Participants
Age, Customized
60-69
18 Participants
n=5 Participants
Age, Customized
70-79
6 Participants
n=5 Participants
Age, Customized
80-89
1 Participants
n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
Sex: Female, Male
Male
26 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
35 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
Race (NIH/OMB)
White
34 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
Region of Enrollment
United States
37 participants
n=5 Participants

PRIMARY outcome

Timeframe: after 6 months of treatment (4 cycles)

Treatment repeats every 42 days for at least 4 courses in the absence of disease progression or unacceptable toxicity.

Outcome measures

Outcome measures
Measure
Arm I
n=20 Participants
Patients receive oral sunitinib malate once daily on days 1-28. Treatment repeats every 42 days for at least 4 courses in the absence of disease progression or unacceptable toxicity. sunitinib malate: Given orally laboratory biomarker analysis: Correlative studies reverse transcriptase-polymerase chain reaction: Correlative studies polymorphism analysis: Correlative studies
Feasibility as Assessed by Proportion of Patients Eligible for Intermittent Therapy Who Actually Receive it
20 Participants

SECONDARY outcome

Timeframe: Pre-treatment, day 1, and day 28 of every cycle

Population: Did not complete this analysis. Data not collected.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day 28 of each cycle

Population: Did not complete this analysis. Data not collected.

Outcome measures

Outcome data not reported

Adverse Events

Arm I

Serious events: 13 serious events
Other events: 37 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Arm I
n=37 participants at risk
Patients receive oral sunitinib malate once daily on days 1-28. Treatment repeats every 42 days for at least 4 courses in the absence of disease progression or unacceptable toxicity. sunitinib malate: Given orally laboratory biomarker analysis: Correlative studies reverse transcriptase-polymerase chain reaction: Correlative studies polymorphism analysis: Correlative studies
Cardiac disorders
Atrial Fibrillation
2.7%
1/37 • Number of events 1
Gastrointestinal disorders
Abdominal Pain
5.4%
2/37 • Number of events 2
Gastrointestinal disorders
Diarrhea
2.7%
1/37 • Number of events 1
Gastrointestinal disorders
Gastrointestinal disorder - other
2.7%
1/37 • Number of events 1
General disorders
Chills
2.7%
1/37 • Number of events 1
General disorders
Edema Trunk
2.7%
1/37 • Number of events 1
General disorders
Fever
2.7%
1/37 • Number of events 1
Infections and infestations
Abdominal infection
2.7%
1/37 • Number of events 1
Infections and infestations
Infection and infestation - other
2.7%
1/37 • Number of events 1
Infections and infestations
Lung infection
2.7%
1/37 • Number of events 1
Infections and infestations
Upper respiratory infection
5.4%
2/37 • Number of events 2
Infections and infestations
Urinary tract infection
2.7%
1/37 • Number of events 1
Investigations
Weight Gain
2.7%
1/37 • Number of events 1
Metabolism and nutrition disorders
Hyperkalemia
2.7%
1/37 • Number of events 1
Nervous system disorders
Intracranial Hemorrhage
2.7%
1/37 • Number of events 1
Nervous system disorders
Syncope
2.7%
1/37 • Number of events 2
Renal and urinary disorders
Hematuria
2.7%
1/37 • Number of events 1
Renal and urinary disorders
Proteinuria
2.7%
1/37 • Number of events 1
Renal and urinary disorders
Renal and urinary disorders - other
2.7%
1/37 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Hypoxia
2.7%
1/37 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders - other
2.7%
1/37 • Number of events 1
Skin and subcutaneous tissue disorders
Palmar-Plantar Erythrodysesthesia Syndrome
2.7%
1/37 • Number of events 1
Vascular disorders
Thromboembolic Event
2.7%
1/37 • Number of events 1

Other adverse events

Other adverse events
Measure
Arm I
n=37 participants at risk
Patients receive oral sunitinib malate once daily on days 1-28. Treatment repeats every 42 days for at least 4 courses in the absence of disease progression or unacceptable toxicity. sunitinib malate: Given orally laboratory biomarker analysis: Correlative studies reverse transcriptase-polymerase chain reaction: Correlative studies polymorphism analysis: Correlative studies
Blood and lymphatic system disorders
Anemia
70.3%
26/37 • Number of events 67
Blood and lymphatic system disorders
Blood and lymphatic system disorders - other
5.4%
2/37 • Number of events 2
Endocrine disorders
Hyperthyroidism
8.1%
3/37 • Number of events 3
Endocrine disorders
Hypothyroidism
48.6%
18/37 • Number of events 24
Gastrointestinal disorders
Abdominal distension
5.4%
2/37 • Number of events 2
Gastrointestinal disorders
Abdominal Pain
24.3%
9/37 • Number of events 12
Gastrointestinal disorders
Cheilitis
10.8%
4/37 • Number of events 7
Gastrointestinal disorders
Constipation
48.6%
18/37 • Number of events 32
Gastrointestinal disorders
Dental Caries
5.4%
2/37 • Number of events 2
Gastrointestinal disorders
Diarrhea
62.2%
23/37 • Number of events 88
Gastrointestinal disorders
Dry Mouth
10.8%
4/37 • Number of events 5
Gastrointestinal disorders
Dyspepsia
51.4%
19/37 • Number of events 35
Gastrointestinal disorders
Flatulence
8.1%
3/37 • Number of events 4
Gastrointestinal disorders
Gastroesophageal Reflux Disease
13.5%
5/37 • Number of events 6
Gastrointestinal disorders
Gastrointestinal Disorders - Other
10.8%
4/37 • Number of events 9
Gastrointestinal disorders
Hemorrhoidal hemorrhage
16.2%
6/37 • Number of events 6
Gastrointestinal disorders
Hemorrhoids
18.9%
7/37 • Number of events 7
Gastrointestinal disorders
Lip Pain
5.4%
2/37 • Number of events 2
Gastrointestinal disorders
Mucositis Oral
83.8%
31/37 • Number of events 107
Gastrointestinal disorders
Nausea
67.6%
25/37 • Number of events 75
Gastrointestinal disorders
Oral Hemorrhage
8.1%
3/37 • Number of events 3
Gastrointestinal disorders
Oral Pain
8.1%
3/37 • Number of events 5
Gastrointestinal disorders
Vomiting
35.1%
13/37 • Number of events 25
General disorders
Chills
8.1%
3/37 • Number of events 5
General disorders
Edema limbs
29.7%
11/37 • Number of events 15
General disorders
Fatigue
94.6%
35/37 • Number of events 127
General disorders
Fever
10.8%
4/37 • Number of events 8
General disorders
General Disorders - Other
10.8%
4/37 • Number of events 4
General disorders
Localized Edema
5.4%
2/37 • Number of events 3
General disorders
Pain
40.5%
15/37 • Number of events 35
Infections and infestations
Lung Infection
5.4%
2/37 • Number of events 2
Infections and infestations
Mucosal Infection
5.4%
2/37 • Number of events 3
Infections and infestations
Nail Infection
5.4%
2/37 • Number of events 2
Infections and infestations
Pharyngitis
8.1%
3/37 • Number of events 3
Infections and infestations
Rhinitis Infective
5.4%
2/37 • Number of events 2
Infections and infestations
Skin Infection
5.4%
2/37 • Number of events 9
Infections and infestations
Tooth Infection
5.4%
2/37 • Number of events 4
Infections and infestations
Upper Respiratory Infection
13.5%
5/37 • Number of events 6
Infections and infestations
Urinary Tract Infection
10.8%
4/37 • Number of events 5
Injury, poisoning and procedural complications
Bruising
8.1%
3/37 • Number of events 6
Investigations
Alanine Aminotransferase Increased
27.0%
10/37 • Number of events 18
Investigations
Alkaline Phosphatase Increased
8.1%
3/37 • Number of events 5
Investigations
Aspartate Aminotranferase Increased
35.1%
13/37 • Number of events 34
Investigations
Blood Bilirubin Increased
10.8%
4/37 • Number of events 7
Investigations
Creatinine Increased
45.9%
17/37 • Number of events 39
Investigations
Lymphocyte Count Decreased
10.8%
4/37 • Number of events 6
Investigations
Neutrophil Count Decreased
48.6%
18/37 • Number of events 57
Investigations
Platelet Count Decreased
83.8%
31/37 • Number of events 115
Investigations
Weight Gain
8.1%
3/37 • Number of events 6
Investigations
Weight Loss
37.8%
14/37 • Number of events 16
Investigations
White Blood Cell Decreased
67.6%
25/37 • Number of events 73
Metabolism and nutrition disorders
Anorexia
51.4%
19/37 • Number of events 53
Metabolism and nutrition disorders
Dehydration
13.5%
5/37 • Number of events 5
Metabolism and nutrition disorders
Hypercalcemia
5.4%
2/37 • Number of events 3
Metabolism and nutrition disorders
Hyperclycemia
21.6%
8/37 • Number of events 18
Metabolism and nutrition disorders
Hyperkalemia
16.2%
6/37 • Number of events 11
Metabolism and nutrition disorders
Hyperuricemia
8.1%
3/37 • Number of events 5
Metabolism and nutrition disorders
Hypoalbuminemia
13.5%
5/37 • Number of events 12
Metabolism and nutrition disorders
Hypocalcemia
5.4%
2/37 • Number of events 4
Metabolism and nutrition disorders
Hypokalemia
5.4%
2/37 • Number of events 4
Metabolism and nutrition disorders
Hypomagnesemia
10.8%
4/37 • Number of events 4
Metabolism and nutrition disorders
Hyponatremia
27.0%
10/37 • Number of events 32
Metabolism and nutrition disorders
Hypophosphatemia
13.5%
5/37 • Number of events 5
Musculoskeletal and connective tissue disorders
Arthralgia
24.3%
9/37 • Number of events 121
Musculoskeletal and connective tissue disorders
Arthritis
5.4%
2/37 • Number of events 3
Musculoskeletal and connective tissue disorders
Back Pain
13.5%
5/37 • Number of events 5
Musculoskeletal and connective tissue disorders
Generalized Muscle Weakness
10.8%
4/37 • Number of events 11
Musculoskeletal and connective tissue disorders
Muscle Weakness Lower Limb
5.4%
2/37 • Number of events 3
Musculoskeletal and connective tissue disorders
Myalgia
24.3%
9/37 • Number of events 20
Musculoskeletal and connective tissue disorders
Pain in Extremity
29.7%
11/37 • Number of events 17
Nervous system disorders
Cognitive Disturbance
10.8%
4/37 • Number of events 4
Nervous system disorders
Dizziness
16.2%
6/37 • Number of events 6
Nervous system disorders
Dysgeusia
70.3%
26/37 • Number of events 58
Nervous system disorders
Headache
27.0%
10/37 • Number of events 21
Nervous system disorders
Syncope
5.4%
2/37 • Number of events 2
Psychiatric disorders
Anxiety
10.8%
4/37 • Number of events 4
Psychiatric disorders
Depression
13.5%
5/37 • Number of events 6
Psychiatric disorders
Insomnia
8.1%
3/37 • Number of events 3
Renal and urinary disorders
Hematuria
5.4%
2/37 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Cough
18.9%
7/37 • Number of events 9
Respiratory, thoracic and mediastinal disorders
Dyspnea
8.1%
3/37 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Epistaxis
18.9%
7/37 • Number of events 12
Respiratory, thoracic and mediastinal disorders
Sore Throat
5.4%
2/37 • Number of events 5
Respiratory, thoracic and mediastinal disorders
Voice Alteration
8.1%
3/37 • Number of events 3
Skin and subcutaneous tissue disorders
Alopecia
10.8%
4/37 • Number of events 4
Skin and subcutaneous tissue disorders
Dry Skin
37.8%
14/37 • Number of events 22
Skin and subcutaneous tissue disorders
Erythema Multiforme
16.2%
6/37 • Number of events 11
Skin and subcutaneous tissue disorders
Erythroderma
5.4%
2/37 • Number of events 2
Skin and subcutaneous tissue disorders
Pain of Skin
10.8%
4/37 • Number of events 5
Skin and subcutaneous tissue disorders
Palmar-plantar Erythrodysesthesia Syndrome
54.1%
20/37 • Number of events 78
Skin and subcutaneous tissue disorders
Pruritus
21.6%
8/37 • Number of events 13
Skin and subcutaneous tissue disorders
Purpura
21.6%
8/37 • Number of events 18
Skin and subcutaneous tissue disorders
Rash Acneiform
27.0%
10/37 • Number of events 19
Skin and subcutaneous tissue disorders
Scalp Pain
5.4%
2/37 • Number of events 2
Skin and subcutaneous tissue disorders
Skin and Subcutaneous Tissue Disorders - Other
16.2%
6/37 • Number of events 10
Vascular disorders
Hot Flashes
8.1%
3/37 • Number of events 3
Vascular disorders
Hypertension
59.5%
22/37 • Number of events 45
Musculoskeletal and connective tissue disorders
Bone Pain
8.1%
3/37 • Number of events 8

Additional Information

Dr. Brian Rini

Case Comprehensive Cancer Center

Phone: 216-444-9567

Results disclosure agreements

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