Trial Outcomes & Findings for Study of Cabozantinib (XL184) Versus Mitoxantrone Plus Prednisone in Men With Previously Treated Symptomatic Castration-resistant Prostate Cancer (NCT NCT01522443)

NCT ID: NCT01522443

Last Updated: 2018-05-23

Results Overview

The pre-specified primary analysis of Pain Response at Week 6 confirmed at Week 12 was defined as ≥ 30% from baseline in the average daily worst pain intensity score during a 7-day reporting period, with neither a concomitant increase in average daily use of any opioid narcotic type, nor addition of any new opioid narcotic type, relative to baseline. Pain Progression at a given time point is defined as ≥ 30% increase compared with baseline in the average daily worst pain intensity score during a 7-day reporting period or either an increase in the average daily use of any type of opioid narcotic or addition of a new opioid narcotic type compared with baseline.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

119 participants

Primary outcome timeframe

Pain response was measured at Week 6 and Week 12 by self-reports of subjects

Results posted on

2018-05-23

Participant Flow

First patient enrolled: 15 March 2012, Data cut off date: 06 October 2014. The study was terminated by the Sponsor after 119 subjects were enrolled which was less than the planned sample size of 246 subjects.

Participant milestones

Participant milestones
Measure
Cabozantinib
Subjects randomized to the cabozantinib arm will also receive placebo mitoxantrone injections (color-matched with methylene blue) and placebo prednisone capsules. Cabozantinib (XL184) 60 mg tablets taken orally once daily and mitoxantrone-matched placebo infusion every 3 weeks (maximum of 10 infusions) plus prednisone-matched placebo capsules orally twice daily.
Mitoxantrone/Prednisone
Subjects randomized to the mitoxantrone + prednisone arm will also receive placebo cabozantinib tablets. Mitoxantrone (12mg/m\^2) given by IV once every 3 weeks (maximum of 10 infusions) plus prednisone-matched placebo capsules orally twice daily.
Overall Study
STARTED
61
58
Overall Study
COMPLETED
8
3
Overall Study
NOT COMPLETED
53
55

Reasons for withdrawal

Reasons for withdrawal
Measure
Cabozantinib
Subjects randomized to the cabozantinib arm will also receive placebo mitoxantrone injections (color-matched with methylene blue) and placebo prednisone capsules. Cabozantinib (XL184) 60 mg tablets taken orally once daily and mitoxantrone-matched placebo infusion every 3 weeks (maximum of 10 infusions) plus prednisone-matched placebo capsules orally twice daily.
Mitoxantrone/Prednisone
Subjects randomized to the mitoxantrone + prednisone arm will also receive placebo cabozantinib tablets. Mitoxantrone (12mg/m\^2) given by IV once every 3 weeks (maximum of 10 infusions) plus prednisone-matched placebo capsules orally twice daily.
Overall Study
No longer receiving clinical benefit
36
28
Overall Study
Adverse Event
10
15
Overall Study
Withdrawal by Subject
5
8
Overall Study
No study treatment given
1
1
Overall Study
Other
1
3

Baseline Characteristics

Study of Cabozantinib (XL184) Versus Mitoxantrone Plus Prednisone in Men With Previously Treated Symptomatic Castration-resistant Prostate Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cabozantinib
n=61 Participants
Subjects randomized to the cabozantinib arm will also receive placebo mitoxantrone injections (color-matched with methylene blue) and placebo prednisone capsules. Cabozantinib (XL184) 60 mg tablets taken orally once daily and mitoxantrone-matched placebo infusion every 3 weeks (maximum of 10 infusions) plus prednisone-matched placebo capsules orally twice daily.
Mitoxantrone/Prednisone
n=58 Participants
Subjects randomized to the mitoxantrone + prednisone arm will also receive placebo cabozantinib tablets. Mitoxantrone (12mg/m\^2) given by IV once every 3 weeks (maximum of 10 infusions) plus prednisone-matched placebo capsules orally twice daily.
Total
n=119 Participants
Total of all reporting groups
Age, Customized
<65 years
24 participants
n=5 Participants
26 participants
n=7 Participants
50 participants
n=5 Participants
Age, Customized
65 to <75 years
30 participants
n=5 Participants
26 participants
n=7 Participants
56 participants
n=5 Participants
Age, Customized
75 to <85 years
7 participants
n=5 Participants
6 participants
n=7 Participants
13 participants
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
61 Participants
n=5 Participants
58 Participants
n=7 Participants
119 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
57 Participants
n=5 Participants
57 Participants
n=7 Participants
114 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian/Alaska Native
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
Race/Ethnicity, Customized
Asian
1 participants
n=5 Participants
3 participants
n=7 Participants
4 participants
n=5 Participants
Race/Ethnicity, Customized
Black/African-American
8 participants
n=5 Participants
3 participants
n=7 Participants
11 participants
n=5 Participants
Race/Ethnicity, Customized
Multiple
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
Race/Ethnicity, Customized
White
49 participants
n=5 Participants
51 participants
n=7 Participants
100 participants
n=5 Participants
Race/Ethnicity, Customized
Not Reported
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
Race/Ethnicity, Customized
Other
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
Geographic Region
North America
44 participants
n=5 Participants
36 participants
n=7 Participants
80 participants
n=5 Participants
Geographic Region
Europe
8 participants
n=5 Participants
13 participants
n=7 Participants
21 participants
n=5 Participants
Geographic Region
Asia
9 participants
n=5 Participants
9 participants
n=7 Participants
18 participants
n=5 Participants
ECOG Performance Status (per IVRS/IWRS)
0-1 (normal to symptoms, but ambulatory)
53 participants
n=5 Participants
52 participants
n=7 Participants
105 participants
n=5 Participants
ECOG Performance Status (per IVRS/IWRS)
≥2 (ambulatory to incapable of self-care/death)
8 participants
n=5 Participants
6 participants
n=7 Participants
14 participants
n=5 Participants
Randomization Stratification Factors (per IVRS/IWRS)
ECOG = 0-1 and prior cabazitaxel: yes
18 participants
n=5 Participants
18 participants
n=7 Participants
36 participants
n=5 Participants
Randomization Stratification Factors (per IVRS/IWRS)
ECOG = 0-1 and prior cabazitaxel: no
35 participants
n=5 Participants
34 participants
n=7 Participants
69 participants
n=5 Participants
Randomization Stratification Factors (per IVRS/IWRS)
ECOG ≥ 2 and prior cabazitaxel: yes
7 participants
n=5 Participants
6 participants
n=7 Participants
13 participants
n=5 Participants
Randomization Stratification Factors (per IVRS/IWRS)
ECOG ≥ 2 and prior cabazitaxel: no
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
Time from initial diagnosis to randomization
4.7 years
n=5 Participants
5.3 years
n=7 Participants
5.0 years
n=5 Participants
Gleason score at diagnosis (Primary + Secondary)
<7
2 participants
n=5 Participants
4 participants
n=7 Participants
6 participants
n=5 Participants
Gleason score at diagnosis (Primary + Secondary)
7
17 participants
n=5 Participants
21 participants
n=7 Participants
38 participants
n=5 Participants
Gleason score at diagnosis (Primary + Secondary)
>7
40 participants
n=5 Participants
28 participants
n=7 Participants
68 participants
n=5 Participants
Gleason score at diagnosis (Primary + Secondary)
Unknown
2 participants
n=5 Participants
4 participants
n=7 Participants
6 participants
n=5 Participants
Gleason score at diagnosis (Primary + Secondary)
Missing
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
Prior prostate surgery/procedure
Transurethral resection of the prostate (TURP)
8 participants
n=5 Participants
6 participants
n=7 Participants
14 participants
n=5 Participants
Prior prostate surgery/procedure
Radical prostatectomy - with
17 participants
n=5 Participants
13 participants
n=7 Participants
30 participants
n=5 Participants
Prior prostate surgery/procedure
Radical prostatectomy - without
3 participants
n=5 Participants
2 participants
n=7 Participants
5 participants
n=5 Participants
Prior prostate surgery/procedure
Cyrosurgery
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
Prior prostate surgery/procedure
Bilateral orchiectomy
4 participants
n=5 Participants
2 participants
n=7 Participants
6 participants
n=5 Participants
Prior prostate surgery/procedure
Other
55 participants
n=5 Participants
52 participants
n=7 Participants
107 participants
n=5 Participants
Bone-scan lesion area (BSLA)
72865.0 mm^2
n=5 Participants
72702.5 mm^2
n=7 Participants
72865.0 mm^2
n=5 Participants
Sites of prostate cancer metastasis
Bone
61 participants
n=5 Participants
58 participants
n=7 Participants
119 participants
n=5 Participants
Sites of prostate cancer metastasis
Lymph node
29 participants
n=5 Participants
18 participants
n=7 Participants
47 participants
n=5 Participants
Sites of prostate cancer metastasis
Visceral (soft tissue; liver)
8 participants
n=5 Participants
8 participants
n=7 Participants
16 participants
n=5 Participants
Sites of prostate cancer metastasis
Visceral (soft tissue; lung)
2 participants
n=5 Participants
5 participants
n=7 Participants
7 participants
n=5 Participants
Sites of prostate cancer metastasis
Other soft tissue
7 participants
n=5 Participants
3 participants
n=7 Participants
10 participants
n=5 Participants
Pain score (BPI Item 3) during Run-In Stage
6.00 units on a scale
n=5 Participants
6.14 units on a scale
n=7 Participants
6.00 units on a scale
n=5 Participants
Pain score (BPI Item 3) during Run-In Stage
4-5
10 participants
n=5 Participants
15 participants
n=7 Participants
25 participants
n=5 Participants
Pain score (BPI Item 3) during Run-In Stage
>5-6
22 participants
n=5 Participants
13 participants
n=7 Participants
35 participants
n=5 Participants
Pain score (BPI Item 3) during Run-In Stage
>6-7
18 participants
n=5 Participants
15 participants
n=7 Participants
33 participants
n=5 Participants
Pain score (BPI Item 3) during Run-In Stage
>7-8
11 participants
n=5 Participants
15 participants
n=7 Participants
26 participants
n=5 Participants
Number of prior anticancer agents
2
0 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
Number of prior anticancer agents
3
6 Participants
n=5 Participants
4 Participants
n=7 Participants
10 Participants
n=5 Participants
Number of prior anticancer agents
4
20 Participants
n=5 Participants
14 Participants
n=7 Participants
34 Participants
n=5 Participants
Number of prior anticancer agents
≥5
35 Participants
n=5 Participants
37 Participants
n=7 Participants
72 Participants
n=5 Participants
Prior cabazitaxel (per IVRS/IWRS)
Yes
25 Participants
n=5 Participants
24 Participants
n=7 Participants
49 Participants
n=5 Participants
Prior cabazitaxel (per IVRS/IWRS)
No
36 Participants
n=5 Participants
34 Participants
n=7 Participants
70 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Pain response was measured at Week 6 and Week 12 by self-reports of subjects

Population: The primary analysis of pain response was based on the Intent to Treat (ITT) population of 119 participants (61 cabozantinib, 58 mitoxantrone plus prednisone).

The pre-specified primary analysis of Pain Response at Week 6 confirmed at Week 12 was defined as ≥ 30% from baseline in the average daily worst pain intensity score during a 7-day reporting period, with neither a concomitant increase in average daily use of any opioid narcotic type, nor addition of any new opioid narcotic type, relative to baseline. Pain Progression at a given time point is defined as ≥ 30% increase compared with baseline in the average daily worst pain intensity score during a 7-day reporting period or either an increase in the average daily use of any type of opioid narcotic or addition of a new opioid narcotic type compared with baseline.

Outcome measures

Outcome measures
Measure
Cabozantinib
n=61 Participants
Subjects randomized to the cabozantinib arm will also receive placebo mitoxantrone injections (color-matched with methylene blue) and placebo prednisone capsules. Cabozantinib (XL184) 60 mg tablets taken orally once daily and mitoxantrone-matched placebo infusion every 3 weeks (maximum of 10 infusions) plus prednisone-matched placebo capsules orally twice daily.
Mitoxantrone/Prednisone
n=58 Participants
Subjects randomized to the mitoxantrone + prednisone arm will also receive placebo cabozantinib tablets. Mitoxantrone (12mg/m\^2) given by IV once every 3 weeks (maximum of 10 infusions) plus prednisone-matched placebo capsules orally twice daily.
Pain Response at Week 6 Confirmed at Week 12, Week 12 Reported
15 percentage of responders
Interval 5.9 to 24.0
17 percentage of responders
Interval 7.5 to 27.0

SECONDARY outcome

Timeframe: BSR was measured at the end of Week 12 as determined by the IRF

Population: Analysis was conducted on the randomized ITT population (61 cabozantinib, 58 mitoxantrone plus prednisone) for BSR at Week 12.

BSR is defined as \>=30% in the bone scan lesion area (BSLA) compared with baseline. Bones scans were evaluated by an independent radiology facility (IRF) for response.

Outcome measures

Outcome measures
Measure
Cabozantinib
n=61 Participants
Subjects randomized to the cabozantinib arm will also receive placebo mitoxantrone injections (color-matched with methylene blue) and placebo prednisone capsules. Cabozantinib (XL184) 60 mg tablets taken orally once daily and mitoxantrone-matched placebo infusion every 3 weeks (maximum of 10 infusions) plus prednisone-matched placebo capsules orally twice daily.
Mitoxantrone/Prednisone
n=58 Participants
Subjects randomized to the mitoxantrone + prednisone arm will also receive placebo cabozantinib tablets. Mitoxantrone (12mg/m\^2) given by IV once every 3 weeks (maximum of 10 infusions) plus prednisone-matched placebo capsules orally twice daily.
Bone Scan Response (BSR)
31 percentage of responders
Interval 20.0 to 43.0
5.2 percentage of responders
Interval 0.0 to 11.0

SECONDARY outcome

Timeframe: OS was measured at the time of randomization until 78 deaths

Population: The Intent to Treat (ITT) population was used and included 119 randomized subjects (61 cabozantinib, 58 mitoxantrone plus prednisone) at the time of primary analysis (data cut off date: 06 October 2014).

OS was defined as the time from randomization to the date of death (due to any cause). Participants that had not died were censored at last known date alive. The analyses for OS occurred after 78/196 deaths (40% of the total required for the pre-specified primary analysis of OS). The data cut-off date was 06 October 2014. Median OS was calculated using Kaplan-Meier estimates.

Outcome measures

Outcome measures
Measure
Cabozantinib
n=61 Participants
Subjects randomized to the cabozantinib arm will also receive placebo mitoxantrone injections (color-matched with methylene blue) and placebo prednisone capsules. Cabozantinib (XL184) 60 mg tablets taken orally once daily and mitoxantrone-matched placebo infusion every 3 weeks (maximum of 10 infusions) plus prednisone-matched placebo capsules orally twice daily.
Mitoxantrone/Prednisone
n=58 Participants
Subjects randomized to the mitoxantrone + prednisone arm will also receive placebo cabozantinib tablets. Mitoxantrone (12mg/m\^2) given by IV once every 3 weeks (maximum of 10 infusions) plus prednisone-matched placebo capsules orally twice daily.
Overall Survival (OS)
9.0 months
Interval 6.8 to 11.56
7.9 months
Interval 5.26 to 9.1

Adverse Events

Cabozantinib

Serious events: 16 serious events
Other events: 60 other events
Deaths: 0 deaths

Mitoxantrone/Prednisone

Serious events: 15 serious events
Other events: 57 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Cabozantinib
n=60 participants at risk
Subjects randomized to the cabozantinib arm will also receive placebo mitoxantrone injections (color-matched with methylene blue) and placebo prednisone capsules. Cabozantinib (XL184) 60 mg tablets taken orally once daily and mitoxantrone-matched placebo infusion every 3 weeks (maximum of 10 infusions) plus prednisone-matched placebo capsules orally twice daily.
Mitoxantrone/Prednisone
n=57 participants at risk
Subjects randomized to the mitoxantrone + prednisone arm will also receive placebo cabozantinib tablets. Mitoxantrone (12mg/m\^2) given by IV once every 3 weeks (maximum of 10 infusions) plus prednisone-matched placebo capsules orally twice daily.
Nervous system disorders
Hypoaesthesia
1.7%
1/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Nervous system disorders
Syncope
1.7%
1/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Psychiatric disorders
Confusional state
1.7%
1/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
3.3%
2/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
3.5%
2/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Vascular disorders
Deep vein thrombosis
1.7%
1/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Vascular disorders
Hypertension
1.7%
1/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Blood and lymphatic system disorders
Anaemia
1.7%
1/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Blood and lymphatic system disorders
Febrile neutropenia
0.00%
0/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
7.0%
4/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Blood and lymphatic system disorders
Neutropenia
0.00%
0/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
5.3%
3/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Gastrointestinal disorders
Abdominal pain
0.00%
0/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
3.5%
2/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Gastrointestinal disorders
Diarrhoea
1.7%
1/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
1.8%
1/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Gastrointestinal disorders
Large intestine perforation
1.7%
1/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Gastrointestinal disorders
Nausea
3.3%
2/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
1.8%
1/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Gastrointestinal disorders
Vomiting
1.7%
1/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
1.8%
1/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
General disorders
Asthenia
1.7%
1/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
1.8%
1/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
General disorders
Malaise
1.7%
1/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
General disorders
Pyrexia
1.7%
1/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
1.8%
1/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Infections and infestations
Cellulitis
0.00%
0/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
1.8%
1/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Infections and infestations
Gastroenteritis viral
1.7%
1/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Infections and infestations
Neutropenic sepsis
0.00%
0/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
1.8%
1/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Infections and infestations
Pneumonia
3.3%
2/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
1.8%
1/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Investigations
Hepatic enzyme increased
1.7%
1/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Investigations
Liver function test abnormal
1.7%
1/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Investigations
Neutrophil count decreased
0.00%
0/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
1.8%
1/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Investigations
Platelet count decreased
1.7%
1/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Metabolism and nutrition disorders
Dehydration
0.00%
0/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
1.8%
1/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Metabolism and nutrition disorders
Failure to thrive
0.00%
0/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
1.8%
1/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Musculoskeletal and connective tissue disorders
Muscular weakness
1.7%
1/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Nervous system disorders
Depressed level of consciousness
1.7%
1/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).

Other adverse events

Other adverse events
Measure
Cabozantinib
n=60 participants at risk
Subjects randomized to the cabozantinib arm will also receive placebo mitoxantrone injections (color-matched with methylene blue) and placebo prednisone capsules. Cabozantinib (XL184) 60 mg tablets taken orally once daily and mitoxantrone-matched placebo infusion every 3 weeks (maximum of 10 infusions) plus prednisone-matched placebo capsules orally twice daily.
Mitoxantrone/Prednisone
n=57 participants at risk
Subjects randomized to the mitoxantrone + prednisone arm will also receive placebo cabozantinib tablets. Mitoxantrone (12mg/m\^2) given by IV once every 3 weeks (maximum of 10 infusions) plus prednisone-matched placebo capsules orally twice daily.
Gastrointestinal disorders
Nausea
63.3%
38/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
42.1%
24/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
General disorders
Fatigue
56.7%
34/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
47.4%
27/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Metabolism and nutrition disorders
Decreased appetite
46.7%
28/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
40.4%
23/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Gastrointestinal disorders
Diarrhoea
45.0%
27/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
29.8%
17/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Investigations
Weight decreased
41.7%
25/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
14.0%
8/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Gastrointestinal disorders
Constipation
40.0%
24/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
33.3%
19/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Gastrointestinal disorders
Vomiting
38.3%
23/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
33.3%
19/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Vascular disorders
Hypertension
30.0%
18/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
General disorders
Asthenia
23.3%
14/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
7.0%
4/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Psychiatric disorders
Depression
23.3%
14/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
14.0%
8/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Metabolism and nutrition disorders
Hypokalaemia
21.7%
13/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
7.0%
4/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Investigations
Aspartate aminotransferase increased
20.0%
12/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
3.5%
2/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Investigations
Alanine aminotransferase increased
16.7%
10/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Respiratory, thoracic and mediastinal disorders
Dysphonia
16.7%
10/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
1.8%
1/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Skin and subcutaneous tissue disorders
Dry skin
15.0%
9/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
5.3%
3/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Gastrointestinal disorders
Dyspepsia
15.0%
9/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
7.0%
4/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Psychiatric disorders
Insomnia
15.0%
9/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
8.8%
5/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysaesthesia syndrome
15.0%
9/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Investigations
Blood alkaline phosphatase increased
13.3%
8/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
3.5%
2/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Metabolism and nutrition disorders
Hypomagnesaemia
13.3%
8/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
1.8%
1/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
13.3%
8/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
1.8%
1/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Gastrointestinal disorders
Oral pain
11.7%
7/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
1.8%
1/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Metabolism and nutrition disorders
Hyponatraemia
10.0%
6/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
3.5%
2/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Endocrine disorders
Hypothyroidism
10.0%
6/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
1.8%
1/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Investigations
Neutrophil count decreased
10.0%
6/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
3.5%
2/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Skin and subcutaneous tissue disorders
Skin ulcer
10.0%
6/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Gastrointestinal disorders
Glossodynia
6.7%
4/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Investigations
Lymphocyte count decreased
6.7%
4/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Renal and urinary disorders
Proteinuria
6.7%
4/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Skin and subcutaneous tissue disorders
Blister
5.0%
3/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Investigations
Blood bilirubin increased
5.0%
3/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Psychiatric disorders
Depressed mood
5.0%
3/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Respiratory, thoracic and mediastinal disorders
Dyspnoea exertional
5.0%
3/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Skin and subcutaneous tissue disorders
Erythema
5.0%
3/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Metabolism and nutrition disorders
Musculoskeletal stiffness
5.0%
3/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Vascular disorders
Pallor
5.0%
3/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Skin and subcutaneous tissue disorders
Petechiae
5.0%
3/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Gastrointestinal disorders
Retching
5.0%
3/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
General disorders
Sinusitis
5.0%
3/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Skin and subcutaneous tissue disorders
Skin discolouration
5.0%
3/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
Renal and urinary disorders
Urinary retention
5.0%
3/60 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).
0.00%
0/57 • Up to 95 weeks
The safety data includes subjects who were randomized and treated with at least one dose of the study treatment. Of 119 patients, 61 were randomized to receive cabozantinib and 58 mitoxantrone plus prednisone. The Safety population included 117 subjects (60 cabozantinib, 57 mitoxantrone plus prednisone).

Additional Information

Exelixis Medical Information

Exelixis, Inc.

Phone: 855-292-3935

Results disclosure agreements

  • Principal investigator is a sponsor employee Our agreements with investigators vary; constant is our right to review results communications prior to public release, and embargo communications for a period of ≤60 days from submittal for review. We do not prohibit investigators from publishing, but we may require previously undisclosed confidential information, other than study results, to be removed from publications, and single-center publications are postponed until after publication of the trial's primary multicenter publication.
  • Publication restrictions are in place

Restriction type: OTHER