To Compare The Effects Of Two Doses Of Vandetanib In Patients With Advanced Medullary Thyroid Cancer

NCT ID: NCT01496313

Last Updated: 2025-10-03

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

81 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-06-08

Study Completion Date

2024-07-11

Brief Summary

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The purpose of this study is to give patients with medullary thyroid cancer either 300mg/day or 150mg/day vandetanib and compare how well each dose affects how their cancer responds. It will also help the investigators understand the side effects of different doses in these patients.

Detailed Description

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An International, Randomised, Double-Blind, Two-Arm Study To Evaluate The Safety And Efficacy Of Vandetanib 150 And 300mg/Day In Patients With Unresectable Locally Advanced Or Metastatic Medullary Thyroid Carcinoma With Progressive Or Symptomatic Disease

Conditions

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Thyroid Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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300mg vandetanib

Group Type ACTIVE_COMPARATOR

300mg vandetanib

Intervention Type DRUG

Oral blinded tablets taken once daily.

At objective disease progression or 14 months (whichever is earlier), patient may be unblinded to treatment

Dosing with unblinded study treatment can continue until 24 months after patient was randomised.

At any time dosing may be interrupted for up to 6 weeks due to toxicity. Dosing may restart at a reduced dose (200mg/day). Once reduced, dose increases are not permitted and dosing must stop if further toxicities occur.

150mg vandetanib

Group Type ACTIVE_COMPARATOR

150mg vandetanib

Intervention Type DRUG

Oral blinded tablets taken once daily.

At objective disease progression or 14 months (whichever is earlier), patient may be unblinded to treatment. Patients who have not dose reduced at the time of unblinding may have their dose increased to 300mg

Dosing with unblinded study treatment can continue until 24 months after patient was randomised

At any time dosing may be interrupted for up to 6 weeks due to toxicity. Dosing may restart at a reduced dose (100mg/day) \[OR 300 reduced to 200mg/day if dose was increased at unblinding.\] Once reduced, dose increases are not permitted and dosing must stop if further toxicities occur.

Interventions

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300mg vandetanib

Oral blinded tablets taken once daily.

At objective disease progression or 14 months (whichever is earlier), patient may be unblinded to treatment

Dosing with unblinded study treatment can continue until 24 months after patient was randomised.

At any time dosing may be interrupted for up to 6 weeks due to toxicity. Dosing may restart at a reduced dose (200mg/day). Once reduced, dose increases are not permitted and dosing must stop if further toxicities occur.

Intervention Type DRUG

150mg vandetanib

Oral blinded tablets taken once daily.

At objective disease progression or 14 months (whichever is earlier), patient may be unblinded to treatment. Patients who have not dose reduced at the time of unblinding may have their dose increased to 300mg

Dosing with unblinded study treatment can continue until 24 months after patient was randomised

At any time dosing may be interrupted for up to 6 weeks due to toxicity. Dosing may restart at a reduced dose (100mg/day) \[OR 300 reduced to 200mg/day if dose was increased at unblinding.\] Once reduced, dose increases are not permitted and dosing must stop if further toxicities occur.

Intervention Type DRUG

Other Intervention Names

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SAR390530 SAR390530

Eligibility Criteria

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Inclusion Criteria

* Written consent from Female or male patients aged 18 years and over. Previously confirmed histological diagnosis of unresectable, locally advanced or metastatic, hereditary or sporadic MTC Objective disease progression within the previous 14 months prior to enrolment, and/or
* Have one or more symptoms that the Investigator believes to be related to the patient's MTC.
* World Health Organisation (WHO) or Eastern Cooperative Oncology Group (ECOG) Performance status 0-2.
* Has measurable disease (at least one lesion, not irradiated within 12 weeks of study randomisation, with longest diameter more or equal 10mm (lymph nodes minimum more or equal 15 mm) with CT or MRI).
* Lesions must be amenable to accurate and repeat measurement.

Exclusion Criteria

* Prior treatment (major surgery, radiation therapy, chemotherapy, or other investigational drugs) received within 28 days before randomization.
* Abnormal liver function tests (bilirubin more than 1.5xULRR, and ALT, AST, or ALP more than 2.5xULRR or 5.0xULRR if related to liver metastases).
* Significant cardiac conditions or events such as reduced cardiac functions, symptomatic cardiac arrhythmia requiring treatment, congenital long QT syndrome, history of drug-induced QT prolongation, or QTcF correction unmeasurable or more than 450 ms.
* Abnormal electrolytes such as potassium, magnesium and calcium, or abnormal organ functions such as decreased creatinine clearance.
* For women only - currently pregnant or breast feeding.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Sciences & Operations

Role: STUDY_CHAIR

Sanofi

Locations

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Research Site

Houston, Texas, United States

Site Status

Investigational Site Number : 1903

Olomouc, , Czechia

Site Status

Research Site

Olomouc, , Czechia

Site Status

Investigational Site Number : 1901

Prague, , Czechia

Site Status

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Prague, , Czechia

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Bangalore Karnataka, , India

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Vellore, , India

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Beersheba, , Israel

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Haifa, , Israel

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Jerusalem, , Israel

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Petah Tikva, , Israel

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Catania, , Italy

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Milan, , Italy

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Palermo, , Italy

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Pisa, , Italy

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Roma, , Italy

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Siena, , Italy

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Torino, , Italy

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Groningen, , Netherlands

Site Status

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Leiden, , Netherlands

Site Status

Investigational Site Number : 5704

Warsaw, Masovian Voivodeship, Poland

Site Status

Investigational Site Number : 5703

Gliwice, , Poland

Site Status

Research Site

Gliwice, , Poland

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Warsaw, , Poland

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Zgierz, , Poland

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Saint Petersburg, , Russia

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Cardiff, , United Kingdom

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Greater London, , United Kingdom

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London, , United Kingdom

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Tyne & Wear, , United Kingdom

Site Status

Countries

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United States Czechia India Israel Italy Netherlands Poland Russia United Kingdom

Related Links

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Other Identifiers

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LPS14809

Identifier Type: OTHER

Identifier Source: secondary_id

2011-004701-24

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

D4200C00097

Identifier Type: -

Identifier Source: org_study_id

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