Evaluation of Efficacy, Safety of Vandetanib in Patients With Differentiated Thyroid Cancer
NCT ID: NCT01876784
Last Updated: 2024-07-23
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE3
238 participants
INTERVENTIONAL
2013-09-17
2022-01-22
Brief Summary
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To determine the efficacy (as assessed by progression-free survival \[PFS\]) of vandetanib when compared to placebo in participants with differentiated thyroid cancer that is either locally advanced or metastatic who are refractory or unsuitable for radioiodine therapy.
Secondary Objectives:
* To determine the efficacy of vandetanib when compared to placebo in this participant population as assessed by efficacy variables including duration of response (DOR), objective response rate (ORR), change in tumour size (TS) and overall survival (OS).
* To evaluate the pharmacokinetics (PK) of vandetanib in this participant population and potentially investigate any influence of participant demography and pathophysiology on vandetanib PK.
* To demonstrate an improvement in time to worsening of pain (TWP) in participants treated with vandetanib when compared to placebo in this participant population.
* To evaluate the safety and tolerability of vandetanib treatment in this participant population.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
TRIPLE
Study Groups
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Vandetanib/ Vandetanib
Participants received Vandetanib 300 mg tablet, orally once daily until disease progression or death, in randomized treatment period (up to maximum of 40 months). Participants who completed the randomized treatment period, were offered the opportunity to continue the same vandetanib treatment in the open label period, if in the investigator's opinion, they received benefit and if the participant agreed and provided their informed consent to continue the open-label period for up to additional 31 months.
Vandetanib (SAR390530)
Pharmaceutical form: tablet
Route of administration: oral
Placebo/ Vandetanib
Participants received placebo matched to Vandetanib tablet, orally once daily until disease progression or death, in randomized treatment period (up to maximum of 40 months). Participants who completed the randomized treatment period, and experienced disease progression were offered the option of treatment in open-label period with vandetanib, if in the investigator's opinion, they received benefit and if the participant agreed and provided their informed consent to begin open-label vandetanib treatment i.e., 300 mg tablet, orally once daily for up to 31 months.
Vandetanib (SAR390530)
Pharmaceutical form: tablet
Route of administration: oral
Placebo
Pharmaceutical form: tablet
Route of administration: oral
Interventions
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Vandetanib (SAR390530)
Pharmaceutical form: tablet
Route of administration: oral
Placebo
Pharmaceutical form: tablet
Route of administration: oral
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Female or male aged 18 years and older with previously confirmed histological diagnosis of locally advanced or metastatic differentiated (excluding minimally invasive follicular) thyroid cancer not amenable to surgical resection, external beam radiotherapy or local therapy.
* Measurable disease defined as at least one lesion, not irradiated within 12 weeks of the date of randomization, that can be accurately measured at baseline.
* Participants must have experienced progression within 14 months and be RAI-refractory/resistant or unsuitable for RAI.
* Thyroid-stimulating hormone (TSH) suppression below 0.5 mU/L is required.
* World Health Organization (WHO) or Eastern Cooperative Oncology Group (ECOG) Performance status 0-2.
* Negative pregnancy test (urine or serum) for female participants of childbearing potential.
Exclusion Criteria
* Risk of prolonged interval between Q and T (QT) on an electrocardiogram (ECG) corrected for heart rate (QTc) as defined by: (1) Current therapy with any medication known to be associated with Torsades de pointes or potent inducers of cytochrome CYP3A4. (2) History of QT prolongation. (3) Congenital long QT syndrome. (4) QT interval corrected for heart rate by the Bazett's method (QTcB) correction unmeasurable or greater than 480 ms on screening ECG.
* Previous therapy with approved or investigational tyrosine kinase or anti- vascular endothelial growth factor (VEGF) receptor inhibitors or targeted therapies (e.g. multi-targeted kinase inhibitors such as sorafenib, AMG-706, sunitinib, pazopanib, lenvatinib).
* RAI therapy within 12 weeks prior to first dose of study drug, and radiation therapy other than RAI, including external beam, if not completed prior to randomization.
18 Years
ALL
No
Sponsors
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Genzyme, a Sanofi Company
INDUSTRY
Responsible Party
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Principal Investigators
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Clinical Sciences & Operations
Role: STUDY_DIRECTOR
Sanofi
Locations
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Research Site
Little Rock, Arkansas, United States
Research Site
Torrance, California, United States
Research Site
Lexington, Kentucky, United States
Research Site
Boston, Massachusetts, United States
Research Site
Ann Arbor, Michigan, United States
Washington University
St Louis, Missouri, United States
Research Site
Omaha, Nebraska, United States
Research Site
New York, New York, United States
Research Site
Portland, Oregon, United States
Research Site
Philadelphia, Pennsylvania, United States
Research Site
Porto Alegre, , Brazil
Research Site
Ribeirão Preto, , Brazil
Research Site
Rio de Janeiro, , Brazil
Research Site
São José do Rio Preto, , Brazil
Research Site
São Paulo, , Brazil
Research Site
Beijing, , China
Research Site
Changchun, , China
Research Site
Chengdu, , China
Research Site
Huangzhou, , China
Research Site
Shanghai, , China
Research Site
Tianjin, , China
Research Site
Wuhan, , China
Research Site
Olomouc, , Czechia
Research Site
Prague, , Czechia
Research Site
Odense, , Denmark
Research Site
Angers, , France
Research Site
Bordeaux, , France
Research Site
Caen, , France
Research Site
Paris, , France
Research Site
Villejuif, , France
Research Site
Catania, , Italy
Research Site
Milan, , Italy
Research Site
Napoli, , Italy
Research Site
Pisa, , Italy
Research Site
Roma, , Italy
Research Site
Siena, , Italy
Research Site
Bunkyō City, , Japan
Research Site
Fukuoka, , Japan
Research Site
Fukushima, , Japan
Research Site
Kashiwa-shi, , Japan
Research Site
Kobe, , Japan
Research Site
Kōtoku, , Japan
Research Site
Matsumoto-shi, , Japan
Research Site
Nagasaki, , Japan
Research Site
Nagoya, , Japan
Research Site
Niigata, , Japan
Research Site
Osaka, , Japan
Research Site
Shinjuku-ku, , Japan
Research Site
Yokohama, , Japan
Research Site
Gliwice, , Poland
Research Site
Kielce, , Poland
Research Site
Warsaw, , Poland
Research Site
Zgierz, , Poland
Research Site
Barnaul, , Russia
Research Site
Obninsk, , Russia
Research Site
Barcelona, , Spain
Research Site
Girona, , Spain
Research Site
Hospitalet de Llobregat(Barcel, , Spain
Research Site
Madrid, , Spain
Research Site
Lund, , Sweden
Research Site
Stockholm, , Sweden
Countries
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Other Identifiers
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2013-000422-58
Identifier Type: EUDRACT_NUMBER
Identifier Source: secondary_id
LPS14813
Identifier Type: OTHER
Identifier Source: secondary_id
D4203C00011
Identifier Type: -
Identifier Source: org_study_id
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