Study Of Sunitinib Malate Versus Sorafenib In Patients With Inoperable Liver Cancer
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Purpose
The study will evaluate the efficacy and safety of sunitinib (Arm A), given at 37.5 mg orally once daily, compared to sorafenib (Arm B), given orally at 400 mg twice daily, in patients with inoperable liver cancer. A total number of 1200 patients will be enrolled, 600 on Arm A and 600 on Arm B. Study treatment may be adjusted based on patient tolerance. and will be given until disease progression, occurrence of unacceptable toxicity, or other withdrawal criteria are met. After discontinuation of study treatment, patients will be followed up in order to collect information on further antineoplastic therapy and survival.
| Condition | Intervention | Phase |
|---|---|---|
|
Carcinoma, Hepatocellular |
Drug: sunitinib malate Drug: sorafenib |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Multinational, Randomized, Open-Label, Phase 3 Study Of Sunitinib Malate Versus Sorafenib In Patients With Advanced Hepatocellular Carcinoma |
- Overall Survival (OS) [ Time Frame: Baseline, every 4 weeks during treatment, every 8 weeks posttreatment up to Week 150 ] [ Designated as safety issue: No ]Overall survival is the duration from randomization to death. For participants who are alive, overall survival was censored at the last contact.
- Progression-Free Survival (PFS) [ Time Frame: Baseline, every 4 weeks during treatment, every 8 weeks posttreatment up to Week 150 ] [ Designated as safety issue: No ]The period from randomization until disease progression or death.
- Time to Tumor Progression (TTP) [ Time Frame: Baseline, every 4 weeks during treatment, every 8 weeks posttreatment up to Week 150 ] [ Designated as safety issue: No ]Time in weeks from randomization to first documentation of objective tumor progression or death due to cancer, whichever comes first. Tumor progression was determined from oncologic assessment data (where data meet the criteria for progressive disease [PD])
- European Quality of Life (EQ-5D)- Health State Profile Utility Score [ Time Frame: Day 1 of each cycle ] [ Designated as safety issue: No ]EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state (eg, "confined to bed"). Scoring formula assigns a utility value for each domain in the profile. Score is transformed and results in a score range -0.594 to 1.000; higher score indicates better health state.
| Enrollment: | 1075 |
| Study Start Date: | July 2008 |
| Study Completion Date: | December 2011 |
| Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Arm A
sunitinib arm
|
Drug: sunitinib malate
sunitinib capsules at starting dose of 37.5 mg PO daily, until disease progression, occurrence of unacceptable toxicity, or other withdrawal criteria are met. Sunitinib dosing interruptions and/or reductions are allowed based on patient tolerability.
Other Name: Sutent®
|
|
Active Comparator: Arm B
sorafenib arm
|
Drug: sorafenib
sorafenib tablets at starting dose of 400 mg PO twice daily, until disease progression, occurrence of unacceptable toxicity, or other withdrawal criteria are met. Sorafenib dosing interruptions and/or reductions are allowed based on patient tolerability.
Other Name: Nexavar®
|
Detailed Description:
This study was terminated on April 22th, 2010, based on a higher incidence of serious adverse events in the sunitinib arm compared to the sorafenib arm, and the fact that sunitinib did not meet the criteria to demonstrate that it was either superior or non-inferior to sorafenib in the survival of patients with advanced hepatocellular cancer. Patients on sunitinib who are judged by the investigator as receiving clinical benefit may chose to remain on study and continue treatment with sunitinib until clinical benefit as per the investigator's judgment.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Histologically-confirmed diagnosis of hepatocellular carcinoma
- presence of measurable disease by radiographic imaging
- Child-Pugh class A
- ECOG PS 0 or 1
- adequate organ function.
Exclusion Criteria:
- Prior treatment with any systemic treatment for hepatocellular carcinoma
- prior local treatment within 4 weeks from entry
- presence of clinically relevant ascites
- severe hemorrhage <4 weeks of starting study treatment
- known HIV or serious acute or chronic illness
- current treatment on another clinical trial
- pregnancy or breastfeeding
Contacts and Locations
Hide Study Locations| United States, California | |
| Pfizer Investigational Site | |
| Fountain Valley, California, United States, 92708 | |
| Pfizer Investigational Site | |
| La Jolla, California, United States, 92093 | |
| Pfizer Investigational Site | |
| La Jolla, California, United States, 92037 | |
| Pfizer Investigational Site | |
| Orange, California, United States, 92868 | |
| Pfizer Investigational Site | |
| San Diego, California, United States, 92103 | |
| United States, Florida | |
| Pfizer Investigational Site | |
| Miami, Florida, United States, 33136 | |
| United States, Georgia | |
| Pfizer Investigational Site | |
| Ringgold, Georgia, United States, 30736 | |
| United States, Iowa | |
| Pfizer Investigational Site | |
| Iowa City, Iowa, United States, 52242 | |
| United States, Kentucky | |
| Pfizer Investigational Site | |
| Crestview Hills, Kentucky, United States, 41017 | |
| United States, New York | |
| Pfizer Investigational Site | |
| Bronx, New York, United States, 10467 | |
| United States, Ohio | |
| Pfizer Investigational Site | |
| Cincinnati, Ohio, United States, 45219 | |
| Pfizer Investigational Site | |
| Cincinnati, Ohio, United States, 45242 | |
| Pfizer Investigational Site | |
| Cincinnati, Ohio, United States, 45236 | |
| Pfizer Investigational Site | |
| Cincinnati, Ohio, United States, 45238 | |
| Pfizer Investigational Site | |
| Cincinnati, Ohio, United States, 45248 | |
| Pfizer Investigational Site | |
| Cincinnati, Ohio, United States, 45230 | |
| Pfizer Investigational Site | |
| Fairfield, Ohio, United States, 45014 | |
| Pfizer Investigational Site | |
| Hamilton, Ohio, United States, 45013 | |
| United States, Tennessee | |
| Pfizer Investigational Site | |
| Chattanooga, Tennessee, United States, 37404 | |
| Pfizer Investigational Site | |
| Franklin, Tennessee, United States, 37067 | |
| Pfizer Investigational Site | |
| Gallatin, Tennessee, United States, 37066 | |
| Pfizer Investigational Site | |
| Hermitage, Tennessee, United States, 37076 | |
| Pfizer Investigational Site | |
| Hixson, Tennessee, United States, 37343 | |
| Pfizer Investigational Site | |
| Lebanon, Tennessee, United States, 37087 | |
| Pfizer Investigational Site | |
| Murfreesboro, Tennessee, United States, 37130 | |
| Pfizer Investigational Site | |
| Nashville, Tennessee, United States, 37207 | |
| Pfizer Investigational Site | |
| Nashville, Tennessee, United States, 37205 | |
| Pfizer Investigational Site | |
| Nashville, Tennessee, United States, 37211 | |
| Pfizer Investigational Site | |
| Nashville, Tennessee, United States, 37203 | |
| Pfizer Investigational Site | |
| Smyrna, Tennessee, United States, 37167 | |
| United States, Virginia | |
| Pfizer Investigational Site | |
| Mechanicsville, Virginia, United States, 23116 | |
| Pfizer Investigational Site | |
| Midlothian, Virginia, United States, 23114 | |
| Pfizer Investigational Site | |
| Richmond, Virginia, United States, 23235-4730 | |
| Pfizer Investigational Site | |
| Richmond, Virginia, United States, 23230 | |
| United States, Washington | |
| Pfizer Investigational Site | |
| Seattle, Washington, United States, 98101 | |
| Australia, New South Wales | |
| Pfizer Investigational Site | |
| Concord, New South Wales, Australia, 2139 | |
| Australia, South Australia | |
| Pfizer Investigational Site | |
| Elizabeth Vale, South Australia, Australia, 5112 | |
| Pfizer Investigational Site | |
| Woodville South, South Australia, Australia, 5011 | |
| Australia, Victoria | |
| Pfizer Investigational Site | |
| Melbourne, Victoria, Australia, 3004 | |
| Pfizer Investigational Site | |
| Parkville, Victoria, Australia, 3050 | |
| Belgium | |
| Pfizer Investigational Site | |
| Bruxelles, Belgium, 1070 | |
| Pfizer Investigational Site | |
| Bruxelles, Belgium, 1200 | |
| Pfizer Investigational Site | |
| Gent, Belgium, 900 | |
| Canada, Alberta | |
| Pfizer Investigational Site | |
| Calgary, Alberta, Canada, T2N 4N2 | |
| Canada, British Columbia | |
| Pfizer Investigational Site | |
| Vancouver, British Columbia, Canada, V5Z 4E6 | |
| Canada, Ontario | |
| Pfizer Investigational Site | |
| Kingston, Ontario, Canada, K7L 5P9 | |
| Pfizer Investigational Site | |
| Toronto, Ontario, Canada, M6R 1B5 | |
| Canada, Quebec | |
| Pfizer Investigational Site | |
| Montreal, Quebec, Canada, H2X 3J4 | |
| China, Anhui | |
| Pfizer Investigational Site | |
| Hefei, Anhui, China, 230022 | |
| China, Fujian | |
| Pfizer Investigational Site | |
| Fuzhou City, Fujian, China, 350014 | |
| China, Guangdong | |
| Pfizer Investigational Site | |
| Guangzhou, Guangdong, China, 510080 | |
| Pfizer Investigational Site | |
| Guangzhou, Guangdong, China, 510060 | |
| China, Guangxi | |
| Pfizer Investigational Site | |
| Nanning, Guangxi, China, 530021 | |
| China, Hubei | |
| Pfizer Investigational Site | |
| Wuhan, Hubei, China, 430030 | |
| China, Jiangsu | |
| Pfizer Investigational Site | |
| Nanjing, Jiangsu, China, 210002 | |
| China, Sichuan | |
| Pfizer Investigational Site | |
| Chengdu, Sichuan, China, 610041 | |
| China, Zhejiang | |
| Pfizer Investigational Site | |
| Hangzhou, Zhejiang, China, 310022 | |
| Pfizer Investigational Site | |
| Hangzhou, Zhejiang, China, 310016 | |
| China | |
| Pfizer Investigational Site | |
| Beijing, China, 100071 | |
| Pfizer Investigational Site | |
| Beijing, China, 100035 | |
| Pfizer Investigational Site | |
| Bejing, China, 100021 | |
| Pfizer Investigational Site | |
| Chong qing, China, 400038 | |
| Pfizer Investigational Site | |
| Guangzhou, China, 510515 | |
| Pfizer Investigational Site | |
| Nanjing, China, 210009 | |
| Pfizer Investigational Site | |
| Shanghai, China, 200070 | |
| France | |
| Pfizer Investigational Site | |
| Amiens Cedex 1, France, 80054 | |
| Pfizer Investigational Site | |
| Bordeaux Cedex, France, 33075 | |
| Pfizer Investigational Site | |
| Clichy Cedex, France, 92118 | |
| Pfizer Investigational Site | |
| Creteil Cedex, France, 94010 | |
| Pfizer Investigational Site | |
| Lille Cedex, France, 59037 | |
| Pfizer Investigational Site | |
| Nice Cedex 2, France, 06189 | |
| Pfizer Investigational Site | |
| Paris, France, 75012 | |
| Pfizer Investigational Site | |
| Paris Cedex 13, France, 75651 | |
| Pfizer Investigational Site | |
| St Herblain Cedex, France, 44805 | |
| Pfizer Investigational Site | |
| Strasbourg Cedex, France, 67091 | |
| Pfizer Investigational Site | |
| Toulouse, France, 31059 | |
| Pfizer Investigational Site | |
| Vandoeuvre Les Nancy Cedex, France, 54511 | |
| Pfizer Investigational Site | |
| Villejuif Cedex, France, 94804 | |
| Germany | |
| Pfizer Investigational Site | |
| Hamburg, Germany, 20246 | |
| Pfizer Investigational Site | |
| Hannover, Germany, 30625 | |
| Pfizer Investigational Site | |
| Mainz, Germany, 55131 | |
| Pfizer Investigational Site | |
| Muenchen, Germany, 81377 | |
| Hong Kong | |
| Pfizer Investigational Site | |
| Hong Hong, Hong Kong | |
| Pfizer Investigational Site | |
| Kowloon, Hong Kong | |
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| Shatin, New Territories, Hong Kong | |
| Pfizer Investigational Site | |
| Tuen Mun, New Territories, Hong Kong | |
| Italy | |
| Pfizer Investigational Site | |
| Meldola, FC, Italy, 47014 | |
| Pfizer Investigational Site | |
| Bari, Italy, 70126 | |
| Pfizer Investigational Site | |
| Bologna, Italy, 40138 | |
| Pfizer Investigational Site | |
| Cattolica (RN), Italy, 47841 | |
| Pfizer Investigational Site | |
| Milano, Italy, 20132 | |
| Pfizer Investigational Site | |
| Milano, Italy, 20122 | |
| Pfizer Investigational Site | |
| Padova, Italy, 35128 | |
| Pfizer Investigational Site | |
| Pavia, Italy, 27100 | |
| Pfizer Investigational Site | |
| Ravenna, Italy, 48100 | |
| Pfizer Investigational Site | |
| Rimini, Italy, 47900 | |
| Japan | |
| Pfizer Investigational Site | |
| Nagoya, Aichi, Japan | |
| Pfizer Investigational Site | |
| Chiba city, Chiba, Japan | |
| Pfizer Investigational Site | |
| Kashiwa-shi, Chiba, Japan | |
| Pfizer Investigational Site | |
| Kurume city, Fukuoka, Japan | |
| Pfizer Investigational Site | |
| Gifu-shi, Gifu, Japan | |
| Pfizer Investigational Site | |
| Sapporo-shi, Hokkaido, Japan | |
| Pfizer Investigational Site | |
| Nishinomiya, Hyogo, Japan | |
| Pfizer Investigational Site | |
| Kanazawa city, Ishikawa, Japan | |
| Pfizer Investigational Site | |
| Omura-shi, Nagasaki, Japan | |
| Pfizer Investigational Site | |
| Osaka-shi, Osaka-fu, Japan | |
| Pfizer Investigational Site | |
| Osaka-Sayama, Osaka, Japan | |
| Pfizer Investigational Site | |
| Izunokuni-shi, Shizuoka, Japan | |
| Pfizer Investigational Site | |
| Bunkyo-ku, Tokyo, Japan | |
| Pfizer Investigational Site | |
| Chiyoda-ku, Tokyo, Japan | |
| Pfizer Investigational Site | |
| Chuo-ku, Tokyo, Japan | |
| Pfizer Investigational Site | |
| Itabashi-ku, Tokyo, Japan | |
| Pfizer Investigational Site | |
| Mitaka-shi, Tokyo, Japan | |
| Pfizer Investigational Site | |
| Setagaya-ku, Tokyo, Japan | |
| Pfizer Investigational Site | |
| Okayama, Japan | |
| Korea, Republic of | |
| Pfizer Investigational Site | |
| Chonju, Chonbuk, Korea, Republic of, 561-712 | |
| Pfizer Investigational Site | |
| Goyang-si, Gyeonggi-do, Korea, Republic of, 411-769 | |
| Pfizer Investigational Site | |
| Hwasun-gun, Jeollanam-do, Korea, Republic of, 519-809 | |
| Pfizer Investigational Site | |
| Busan, Korea, Republic of, 614-735 | |
| Pfizer Investigational Site | |
| Daegu, Korea, Republic of, 705-718 | |
| Pfizer Investigational Site | |
| Daegu, Korea, Republic of, 700-712 | |
| Pfizer Investigational Site | |
| Incheon, Korea, Republic of, 405-760 | |
| Pfizer Investigational Site | |
| Seoul, Korea, Republic of, 138-736 | |
| Pfizer Investigational Site | |
| Seoul, Korea, Republic of, 120-752 | |
| Pfizer Investigational Site | |
| Seoul, Korea, Republic of, 152-703 | |
| Pfizer Investigational Site | |
| Seoul, Korea, Republic of, 110-744 | |
| Pfizer Investigational Site | |
| Seoul, Korea, Republic of, 135-710 | |
| Malaysia | |
| Pfizer Investigational Site | |
| Lembah Pantai, Kuala Lumpur, Malaysia, 59100 | |
| Pfizer Investigational Site | |
| Subang Jaya, Selangor, Malaysia, 47500 | |
| Pfizer Investigational Site | |
| Kuala Lumpur, Malaysia, 50586 | |
| Philippines | |
| Pfizer Investigational Site | |
| Cebu City, Cebu, Philippines, 6000 | |
| Pfizer Investigational Site | |
| Cebu City, Philippines, 6000 | |
| Pfizer Investigational Site | |
| Davao City, Philippines | |
| Pfizer Investigational Site | |
| Manila, Philippines, 1015 | |
| Pfizer Investigational Site | |
| Manila, Philippines, 1000 | |
| Pfizer Investigational Site | |
| Quezon City, Philippines, 1104 | |
| Pfizer Investigational Site | |
| Quezon City, Philippines | |
| Pfizer Investigational Site | |
| Quezon City, Philippines, 1102 | |
| Poland | |
| Pfizer Investigational Site | |
| Warszawa, Poland, 02-781 | |
| Pfizer Investigational Site | |
| Warszawa, Poland, 02-097 | |
| Russian Federation | |
| Pfizer Investigational Site | |
| Chelyabinsk, Russian Federation, 454087 | |
| Pfizer Investigational Site | |
| Pyatigorsk, Russian Federation, 357502 | |
| Pfizer Investigational Site | |
| St.Petersburg, Russian Federation, 194044 | |
| Singapore | |
| Pfizer Investigational Site | |
| Singapore, Singapore, 169610 | |
| Pfizer Investigational Site | |
| Singapore, Singapore, 119074 | |
| South Africa | |
| Pfizer Investigational Site | |
| Parktown, South Africa, 2193 | |
| Spain | |
| Pfizer Investigational Site | |
| Sabadell, Barcelona, Spain, 08208 | |
| Pfizer Investigational Site | |
| Santander, Cantabria, Spain, 39008 | |
| Pfizer Investigational Site | |
| Palma de Mallorca, Illes Balears, Spain, 07198 | |
| Pfizer Investigational Site | |
| El Palmar, Murcia, Spain, 30120 | |
| Pfizer Investigational Site | |
| Sevilla, Spain, 41013 | |
| Sweden | |
| Pfizer Investigational Site | |
| Linkoping, Sweden, 581 85 | |
| Taiwan | |
| Pfizer Investigational Site | |
| Pu-Tz City, Chai-Yi, Taiwan, 613 | |
| Pfizer Investigational Site | |
| Kwei-Shan, Taoyuan, Taiwan, 333 | |
| Pfizer Investigational Site | |
| Changhua, Taiwan, 500 | |
| Pfizer Investigational Site | |
| Kaohsiung, Taiwan, 807 | |
| Pfizer Investigational Site | |
| Kaohsiung, Taiwan, 833 | |
| Pfizer Investigational Site | |
| Taichung, Taiwan, 404 | |
| Pfizer Investigational Site | |
| Taichung City, Taiwan, 407 | |
| Pfizer Investigational Site | |
| Tainan, Taiwan, 704 | |
| Pfizer Investigational Site | |
| Tainan, Taiwan, 736 | |
| Pfizer Investigational Site | |
| Taipei, Taiwan, 110 | |
| Pfizer Investigational Site | |
| Taipei, Taiwan, 112 | |
| Thailand | |
| Pfizer Investigational Site | |
| Bangkok Noi, Bangkok, Thailand, 10700 | |
| Pfizer Investigational Site | |
| Ptumwan, Bangkok, Thailand, 10330 | |
| Pfizer Investigational Site | |
| Amphoe Mueang, Chiang Mai, Thailand, 50200 | |
| Turkey | |
| Pfizer Investigational Site | |
| Ankara, Turkey, 06100 | |
| Pfizer Investigational Site | |
| Istanbul, Turkey | |
| United Kingdom | |
| Pfizer Investigational Site | |
| Cambridge, Cambridgeshire, United Kingdom, CR2 0QQ | |
| Pfizer Investigational Site | |
| London, United Kingdom, W12 OHS | |
| Pfizer Investigational Site | |
| London, United Kingdom, W12 0NN | |
| Study Director: | Pfizer CT.gov Call Center | Pfizer |
More Information
Additional Information:
No publications provided by Pfizer
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Pfizer |
| ClinicalTrials.gov Identifier: | NCT00699374 History of Changes |
| Other Study ID Numbers: | A6181170 |
| Study First Received: | June 16, 2008 |
| Results First Received: | December 7, 2012 |
| Last Updated: | December 7, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Pfizer:
|
sunitinib phase 3 randomized hepatocellular liver |
Additional relevant MeSH terms:
|
Carcinoma Carcinoma, Hepatocellular Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type Neoplasms Adenocarcinoma Liver Neoplasms Digestive System Neoplasms Neoplasms by Site Digestive System Diseases Liver Diseases Sorafenib |
Sunitinib Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Protein Kinase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Angiogenesis Inhibitors Angiogenesis Modulating Agents Growth Substances Physiological Effects of Drugs Growth Inhibitors |
ClinicalTrials.gov processed this record on June 18, 2013