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Sunitinib Malate Schedule 4/2 vs. Sunitinib Malate Continuous Dosing As First-Line Therapy For Metastatic Renal Cell Cancer (RCC)

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ClinicalTrials.gov Identifier: NCT00267748
Recruitment Status : Completed
First Posted : December 21, 2005
Results First Posted : September 5, 2011
Last Update Posted : September 5, 2011
Sponsor:
Information provided by:
Pfizer

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: None (Open Label);   Primary Purpose: Treatment
Condition Carcinoma, Renal Cell
Interventions Drug: Sunitinib Malate Continuous Daily Dosing
Drug: Sunitinib Malate Schedule 4/2
Enrollment 317
Recruitment Details  
Pre-assignment Details  
Arm/Group Title Sunitinib 37.5 mg + Interferon Alpha-2b Sunitinib 50 mg (Schedule 4/2) Sunitinib 37.5 mg
Hide Arm/Group Description Sunitinib 37.5 mg or 50 mg self administered orally once daily in the evening for 4 consecutive weeks followed by 2 weeks off (Schedule 4/2) to comprise a complete 6-weeks cycle. Concomitant Interferon (IFN) alpha-2b self-administered at a dose of 3 million units (MU) or 6 MU or 9MU subcutaneously (s.c.) 3 times weekly on non-consecutive days for up to 1 year (9 cycles) of treatment or early withdrawal. Sunitinib 50 mg self administered orally, once daily in the morning for 4 consecutive weeks followed by 2 weeks off treatment to comprise a complete 6-weeks cycle. Sunitinib 37.5 mg continuous daily dosing (CDD) self administered orally once daily in the morning.
Period Title: Non-randomized Period
Started 25 0 0
Completed 2 0 0
Not Completed 23 0 0
Reason Not Completed
Progressive disease             10             0             0
Adverse Event             8             0             0
Death             1             0             0
Participant not willing to participate             1             0             0
Other             3             0             0
Period Title: Randomized Period
Started 0 146 146
Treated 0 146 143
Completed 0 19 14
Not Completed 0 127 132
Reason Not Completed
Death             0             2             3
Adverse Event             0             23             25
Global deterioration of health status             0             6             7
Lost to Follow-up             0             1             0
Objective progression or relapse             0             77             86
Withdrawal by Subject             0             9             2
Other             0             9             6
randomized but not treated             0             0             3
Arm/Group Title Sunitinib 37.5 mg + Interferon Alpha-2b Sunitinib 50 mg (Schedule 4/2) Sunitinib 37.5 mg Total
Hide Arm/Group Description Sunitinib 37.5 mg or 50 mg self administered orally once daily in the evening for 4 consecutive weeks followed by 2 weeks off (Schedule 4/2) to comprise a complete 6-weeks cycle. Concomitant Interferon (IFN) alpha-2b self-administered at a dose of 3 million units (MU) or 6 MU or 9MU subcutaneously (s.c.) 3 times weekly on non-consecutive days for up to 1 year (9 cycles) of treatment or early withdrawal. Sunitinib 50 mg self administered orally, once daily in the morning for 4 consecutive weeks followed by 2 weeks off treatment to comprise a complete 6-weeks cycle. Sunitinib 37.5 mg continuous daily dosing (CDD) self administered orally once daily in the morning. Total of all reporting groups
Overall Number of Baseline Participants 25 146 146 317
Hide Baseline Analysis Population Description
[Not Specified]
Age Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 25 participants 146 participants 146 participants 317 participants
62.4  (7.2) 60.4  (9.8) 64.3  (9.7) 62.4  (9.7)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 25 participants 146 participants 146 participants 317 participants
Female
5
  20.0%
45
  30.8%
57
  39.0%
107
  33.8%
Male
20
  80.0%
101
  69.2%
89
  61.0%
210
  66.2%
1.Primary Outcome
Title Time to Tumor Progression (TTP) Assessed Using Memorial Sloan-Kettering Cancer Center (MSKCC) Prognostic Factors Model
Hide Description MSKCC Prognostic Factor Model assessed as low(0),intermediate(1-2) or high(=>3) based on number of criteria present such as Karnofsky performance status < 80 %, Lactate dehydrogenase > 1.5 * Upper limit of Normal,Hemoglobin < lower limit of normal, serum calcium > 10 mg/dL;Time from first diagnosis of renal cell carcinoma to start of systemic therapy of < 1 year.TTP was time from start of study treatment to first documentation of objective tumor progression or death due to cancer.TTP was calculated as (first event date minus date of first dose of study medication plus 1) divided by 30.44.
Time Frame From date of randomization until the date of first documented progression or date of death due to any cause, assessed up to a maximum of 2 years
Hide Outcome Measure Data
Hide Analysis Population Description
The intent-to-treat (ITT) population included all participants who were randomized into the study regardless of whether they received study medication.
Arm/Group Title Sunitinib 50 mg (Schedule 4/2) Sunitinib 37.5 mg
Hide Arm/Group Description:
Sunitinib 50 mg self administered orally, once daily in the morning for 4 consecutive weeks followed by 2 weeks off treatment to comprise a complete 6-weeks cycle.
Sunitinib 37.5 mg continuous daily dosing (CDD) self administered orally once daily in the morning.
Overall Number of Participants Analyzed 146 146
Median (95% Confidence Interval)
Unit of Measure: Months
Stratified analysis : High Risk (=>3)
3.1
(0.5 to 10.4)
4.4
(1.4 to 7.1)
Stratified analysis : Intermediate Risk (1-2)
8.0
(5.1 to 11.1)
7.1
(5.5 to 10.0)
Stratified analysis : Low Risk (0)
20.7
(9.9 to 25.2)
8.4
(7.0 to 21.0)
Overall unstratified analysis
9.9
(7.0 to 13.4)
7.1
(6.8 to 9.7)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Sunitinib 50 mg (Schedule 4/2), Sunitinib 37.5 mg
Comments For High risk factor, the hazard ratio of TTP was estimated using stratified Cox Proportional Hazard model with the MSKCC prognostic factors (low, intermediate, high), used in the randomization, as a stratum and median TTP was estimated using Kaplan-Meier method. Log rank method was used to calculate p value.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.860
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.089
Confidence Interval (2-Sided) 95%
0.423 to 2.803
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Sunitinib 50 mg (Schedule 4/2), Sunitinib 37.5 mg
Comments For intermediate risk factor, the hazard ratio of TTP was estimated using stratified Cox Proportional Hazard model with the MSKCC prognostic factors (low, intermediate, high), used in the randomization, as a stratum and median TTP was estimated using Kaplan-Meier method. Log rank method was used to calculate p value.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.583
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.902
Confidence Interval (2-Sided) 95%
0.623 to 1.306
Estimation Comments [Not Specified]
Hide Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Sunitinib 50 mg (Schedule 4/2), Sunitinib 37.5 mg
Comments For low risk factor, the hazard ratio of TTP was estimated using stratified Cox Proportional Hazard model with the MSKCC prognostic factors (low, intermediate, high), used in the randomization, as a stratum and median TTP was estimated using Kaplan-Meier method. Log rank method was used to calculate p value.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.075
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.556
Confidence Interval (2-Sided) 95%
0.288 to 1.074
Estimation Comments [Not Specified]
Hide Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Sunitinib 50 mg (Schedule 4/2), Sunitinib 37.5 mg
Comments For overall stratified analysis, the hazard ratio of TTP was estimated using stratified Cox Proportional Hazard model with the MSKCC prognostic factors (low, intermediate, high), used in the randomization, as a stratum and median TTP was estimated using Kaplan-Meier method. Log rank method was used to calculate p value.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.220
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.827
Confidence Interval (2-Sided) 95%
0.609 to 1.124
Estimation Comments [Not Specified]
Hide Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Sunitinib 50 mg (Schedule 4/2), Sunitinib 37.5 mg
Comments For overall unstratified analysis, the hazard ratio of TTP was estimated using stratified Cox Proportional Hazard model. Two-sided unstratified Log rank method was used to calculate p value.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.090
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.773
Confidence Interval (2-Sided) 95%
0.572 to 1.044
Estimation Comments [Not Specified]
2.Secondary Outcome
Title Percentage of Participants With Objective Response (OR)
Hide Description Percentage of participants with objective response based assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). Confirmed responses are those that persist on repeat imaging study at least 4 weeks after initial documentation of response. CR are defined as the disappearance of all lesions (target and/or non target). PR are those with atleast 30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions.
Time Frame From date of randomization until the date of first documented progression or date of death due to any cause, assessed up to a maximum of 2 years
Hide Outcome Measure Data
Hide Analysis Population Description
ITT population included all participants who were randomized into the study regardless of whether they received study medication.
Arm/Group Title Sunitinib 50 mg (Schedule 4/2) Sunitinib 37.5 mg
Hide Arm/Group Description:
Sunitinib 50 mg self administered orally, once daily in the morning for 4 consecutive weeks followed by 2 weeks off treatment to comprise a complete 6-weeks cycle.
Sunitinib 37.5 mg continuous daily dosing (CDD) self administered orally once daily in the morning.
Overall Number of Participants Analyzed 146 146
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
32.2
(24.7 to 40.4)
28.1
(21.0 to 36.1)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Sunitinib 50 mg (Schedule 4/2), Sunitinib 37.5 mg
Comments Response rate was estimated for each treatment group, 95% Confidence Interval (CI) on the difference in response rate between the 2 treatments was computed. P-value was calculated from a Pearson chi-square test.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.444
Comments [Not Specified]
Method Chi-squared
Comments [Not Specified]
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value 4.110
Confidence Interval (2-Sided) 95%
-6.4 to 14.6
Estimation Comments [Not Specified]
3.Secondary Outcome
Title Duration of Response (DR)
Hide Description Time from the first documentation of objective tumor response to objective tumor progression or death due to any cause. Duration of tumor response was calculated as (the date of the first documentation of objective tumor progression or death due to cancer minus the date of the first CR or PR that was subsequently confirmed plus 1) divided by 30.44. DR was calculated for the subgroup of participants with a confirmed objective tumor response.
Time Frame From date of randomization until the date of first documented progression or date of death due to any cause, assessed up to a maximum of 2 years
Hide Outcome Measure Data
Hide Analysis Population Description
DR was calculated for the subgroup of participants from the ITT set, with a confirmed OR.
Arm/Group Title Sunitinib 50 mg (Schedule 4/2) Sunitinib 37.5 mg
Hide Arm/Group Description:
Sunitinib 50 mg self administered orally, once daily in the morning for 4 consecutive weeks followed by 2 weeks off treatment to comprise a complete 6-weeks cycle.
Sunitinib 37.5 mg continuous daily dosing (CDD) self administered orally once daily in the morning.
Overall Number of Participants Analyzed 47 41
Median (Full Range)
Unit of Measure: Months
12.5
(1.9 to 23.4)
8.7
(1.2 to 22.4)
4.Secondary Outcome
Title Overall Survival (OS) Assessed Using MSKCC Prognostic Factors Model
Hide Description MSKCC Prognostic Factor Model assessed as low (0), intermediate (1-2) or high (=>3) based upon number of criteria present. Criteria as follows: Karnofsky performance status < 80 %, Lactate dehydrogenase > 1.5 * Upper limit of Normal, Hemoglobin < lower limit of normal for local lab, Corrected serum calcium > 10 mg/dL; Time from first diagnosis of renal cell carcinoma to start of systemic therapy of < 1 year. OS was defined as time from date of start of treatment to date of death due to any cause. OS, in months, was calculated as (event date -start of treatment date + 1)/30.44.
Time Frame From date of randomization until the date of first documented progression or date of death due to any cause, assessed up to a maximum of 2 years
Hide Outcome Measure Data
Hide Analysis Population Description
ITT population included all participants who were randomized into the study regardless of whether they received study medication.
Arm/Group Title Sunitinib 50 mg (Schedule 4/2) Sunitinib 37.5 mg
Hide Arm/Group Description:
Sunitinib 50 mg self administered orally, once daily in the morning for 4 consecutive weeks followed by 2 weeks off treatment to comprise a complete 6-weeks cycle.
Sunitinib 37.5 mg continuous daily dosing (CDD) self administered orally once daily in the morning.
Overall Number of Participants Analyzed 146 146
Median (95% Confidence Interval)
Unit of Measure: Months
High Risk (equal or more than 3)
3.5
(1.1 to 21.2)
6.1
(3.6 to 15.1)
Intermediate Risk (1-2)
19.3
(14.0 to 24.7)
21.8 [1] 
(14.5 to NA)
Low Risk (0)
NA [2] 
(24.4 to NA)
28.9 [1] 
(28.9 to NA)
[1]
Higher confidence interval was inevaluable because insufficient participants experienced events
[2]
Insufficient participants experienced events to calculate median
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Sunitinib 50 mg (Schedule 4/2), Sunitinib 37.5 mg
Comments For high risk factor, the hazard ratio of OS was estimated using stratified Cox Proportional Hazard model with the MSKCC prognostic factors (low, intermediate, high), used in the randomization, as a stratum and median OS was estimated using Kaplan-Meier method. Log rank method was used to calculate p value.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.866
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.071
Confidence Interval (2-Sided) 95%
0.481 to 2.387
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Sunitinib 50 mg (Schedule 4/2), Sunitinib 37.5 mg
Comments For intermediate risk factor,the hazard ratio of OS was estimated using stratified Cox Proportional Hazard model with the MSKCC prognostic factors (low, intermediate, high), used in the randomization, as a stratum and median OS was estimated using Kaplan-Meier method. Log rank method was used to calculate p value.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.439
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.169
Confidence Interval (2-Sided) 95%
0.785 to 1.741
Estimation Comments [Not Specified]
Hide Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Sunitinib 50 mg (Schedule 4/2), Sunitinib 37.5 mg
Comments For low risk factor, the hazard ratio of OS was estimated using stratified Cox Proportional Hazard model with the MSKCC prognostic factors (low, intermediate, high), used in the randomization, as a stratum and median OS was estimated using Kaplan-Meier method. Log rank method was used to calculate p value.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.614
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.238
Confidence Interval (2-Sided) 95%
0.538 to 2.851
Estimation Comments [Not Specified]
Hide Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Sunitinib 50 mg (Schedule 4/2), Sunitinib 37.5 mg
Comments For overall stratified analysis, the hazard ratio of OS was estimated using stratified Cox Proportional Hazard model with the MSKCC prognostic factors (low, intermediate, high), used in the randomization, as a stratum and median OS was estimated using Kaplan-Meier method. Log rank method was used to calculate p value.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.365
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.162
Confidence Interval (2-Sided) 95%
0.838 to 1.612
Estimation Comments [Not Specified]
5.Other Pre-specified Outcome
Title Functional Assessment of Cancer Therapy-General (FACT-G)
Hide Description FACT-G is core questionnaire of Functional Assessment of Chronic Illness Therapy (FACIT) measurement system to evaluate quality of life (QoL) in cancer population.FACT-G consisted of 27 questions grouped in 4 domains of general Health-Related QoL(HRQoL):Physical Well-being(PWB),Social/Family Well-Being (SWB),Emotional Well-Being (EWB) and Functional Well-Being (FWB);each ranging from 0 (not at all) to 4 (very much) so that FACT-G ranged between 0-108.Since questions could be reversed coded, as appropriate, before calculating FACT-G,0 and 108 could be considered worst and best health states.
Time Frame From date of randomization until the date of first documented progression or date of death due to any cause, assessed up to a maximum of 2 years
Hide Outcome Measure Data
Hide Analysis Population Description
ITT population included all participants who were randomized into the study regardless of whether they received study medication.
Arm/Group Title Sunitinib 50 mg (Schedule 4/2) Sunitinib 37.5 mg
Hide Arm/Group Description:
Sunitinib 50 mg self administered orally, once daily in the morning for 4 consecutive weeks followed by 2 weeks off treatment to comprise a complete 6-weeks cycle.
Sunitinib 37.5 mg continuous daily dosing (CDD) self administered orally once daily in the morning.
Overall Number of Participants Analyzed 95 103
Mean (Standard Deviation)
Unit of Measure: Units on a scale
78.0  (15.9) 77.0  (17.1)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Sunitinib 50 mg (Schedule 4/2), Sunitinib 37.5 mg
Comments P value was calculated using sample t-test.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.6737
Comments [Not Specified]
Method t-test, 2 sided
Comments [Not Specified]
6.Other Pre-specified Outcome
Title FACT-Kidney Symptom Index for Disease Related Symptoms (FKSI-DRS)
Hide Description

FKSI-DRS is a subset of FKSI which is a questionnaire for Functional Assessment of Cancer Therapy -Kidney Symptom Index used to assess QoL/participant-reported outcomes for participants diagnosed with renal cell cancer.

The FKSI contained 15 questions and the FKSI-DRS consisted of 9 questions each ranging from 0 (not at all) to 4 (very much) so that FKSI-DRS ranged between 0-36. Since the questions could be reversed coded, as appropriate, before calculating FKSI-DRS, 0 and 36 could be considered the worst and best health states based on the 9 questions comprising FKSI-DRS.

Time Frame From date of randomization until the date of first documented progression or date of death due to any cause, assessed up to a maximum of 2 years
Hide Outcome Measure Data
Hide Analysis Population Description
ITT population included all participants who were randomized into the study regardless of whether they received study medication.
Arm/Group Title Sunitinib 50 mg (Schedule 4/2) Sunitinib 37.5 mg
Hide Arm/Group Description:
Sunitinib 50 mg self administered orally, once daily in the morning for 4 consecutive weeks followed by 2 weeks off treatment to comprise a complete 6-weeks cycle.
Sunitinib 37.5 mg continuous daily dosing (CDD) self administered orally once daily in the morning.
Overall Number of Participants Analyzed 95 104
Mean (Standard Deviation)
Unit of Measure: Units on scale
28.3  (5.6) 27.2  (5.9)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Sunitinib 50 mg (Schedule 4/2), Sunitinib 37.5 mg
Comments P value was calculated using sample t-test.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.1967
Comments [Not Specified]
Method t-test, 2 sided
Comments [Not Specified]
Time Frame [Not Specified]
Adverse Event Reporting Description The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
 
Arm/Group Title Sunitinib 37.5 mg + Interferon Alpha-2b Sunitinib 50 mg (Schedule 4/2) Sunitinib 37.5 mg
Hide Arm/Group Description Sunitinib 37.5 mg or 50 mg self administered orally once daily in the evening for 4 consecutive weeks followed by 2 weeks off (Schedule 4/2) to comprise a complete 6-weeks cycle. Concomitant Interferon (IFN) alpha-2b self-administered at a dose of 3 million units (MU) or 6 MU or 9MU subcutaneously (s.c.) 3 times weekly on non-consecutive days for up to 1 year (9 cycles) of treatment or early withdrawal. Sunitinib 50 mg self administered orally, once daily in the morning for 4 consecutive weeks followed by 2 weeks off treatment to comprise a complete 6-weeks cycle. Sunitinib 37.5 mg continuous daily dosing (CDD) self administered orally once daily in the morning.
All-Cause Mortality
Sunitinib 37.5 mg + Interferon Alpha-2b Sunitinib 50 mg (Schedule 4/2) Sunitinib 37.5 mg
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   --/--   --/--   --/-- 
Hide Serious Adverse Events
Sunitinib 37.5 mg + Interferon Alpha-2b Sunitinib 50 mg (Schedule 4/2) Sunitinib 37.5 mg
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   7/25 (28.00%)   50/146 (34.25%)   54/143 (37.76%) 
Blood and lymphatic system disorders       
Anaemia * 1  1/25 (4.00%)  3/146 (2.05%)  2/143 (1.40%) 
Pancytopenia * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Disseminated intravascular coagulati * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Thrombocytopenia * 1  0/25 (0.00%)  1/146 (0.68%)  2/143 (1.40%) 
Febrile neutropenia * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Neutropenia * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Cardiac disorders       
Myocardial infarction * 1  1/25 (4.00%)  0/146 (0.00%)  0/143 (0.00%) 
Atrial fibrillation * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Cardiac arrest * 1  0/25 (0.00%)  2/146 (1.37%)  0/143 (0.00%) 
Cardiac failure congestive * 1  0/25 (0.00%)  2/146 (1.37%)  1/143 (0.70%) 
Cardiomyopathy * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Gastrointestinal disorders       
Gastrointestinal haemorrhage * 1  1/25 (4.00%)  3/146 (2.05%)  3/143 (2.10%) 
Haematemesis * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Rectal haemorrhage * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Upper gastrointestinal haemorrhage * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Gastritis * 1  0/25 (0.00%)  1/146 (0.68%)  1/143 (0.70%) 
Gastroduodenitis * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Oesophagitis * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Constipation * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Diarrhoea * 1  0/25 (0.00%)  3/146 (2.05%)  1/143 (0.70%) 
Abdominal pain * 1  0/25 (0.00%)  1/146 (0.68%)  1/143 (0.70%) 
Abdominal pain upper * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Nausea * 1  0/25 (0.00%)  3/146 (2.05%)  2/143 (1.40%) 
Vomiting * 1  0/25 (0.00%)  3/146 (2.05%)  3/143 (2.10%) 
Intestinal perforation * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Ascites * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Peritonitis * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
General disorders       
Pyrexia * 1  0/25 (0.00%)  4/146 (2.74%)  1/143 (0.70%) 
Device dislocation * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Asthenia * 1  0/25 (0.00%)  3/146 (2.05%)  0/143 (0.00%) 
Disease progression * 1  0/25 (0.00%)  7/146 (4.79%)  11/143 (7.69%) 
Fatigue * 1  0/25 (0.00%)  1/146 (0.68%)  1/143 (0.70%) 
Oedema peripheral * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Pain * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Hepatobiliary disorders       
Cholecystitis * 1  1/25 (4.00%)  1/146 (0.68%)  2/143 (1.40%) 
Immune system disorders       
Hypersensitivity * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Infections and infestations       
Cellulitis * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Clostridium difficile colitis * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Abdominal wall abscess * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Bacteraemia * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Gastroenteritis * 1  0/25 (0.00%)  1/146 (0.68%)  1/143 (0.70%) 
Pneumonia * 1  0/25 (0.00%)  3/146 (2.05%)  3/143 (2.10%) 
Retroperitoneal abscess * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Sinusitis * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Subacute endocarditis * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Urinary tract infection * 1  0/25 (0.00%)  3/146 (2.05%)  0/143 (0.00%) 
Viral infection * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Injury, poisoning and procedural complications       
Compression fracture * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Femur fracture * 1  0/25 (0.00%)  1/146 (0.68%)  1/143 (0.70%) 
Hip fracture * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Meniscus lesion * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Fall * 1  0/25 (0.00%)  1/146 (0.68%)  1/143 (0.70%) 
Investigations       
Haemoglobin decreased * 1  1/25 (4.00%)  0/146 (0.00%)  0/143 (0.00%) 
Metabolism and nutrition disorders       
Dehydration * 1  1/25 (4.00%)  6/146 (4.11%)  12/143 (8.39%) 
Hypercalcaemia * 1  1/25 (4.00%)  2/146 (1.37%)  0/143 (0.00%) 
Hypocalcaemia * 1  1/25 (4.00%)  0/146 (0.00%)  0/143 (0.00%) 
Hypoglycaemia * 1  1/25 (4.00%)  0/146 (0.00%)  2/143 (1.40%) 
Hypokalaemia * 1  1/25 (4.00%)  0/146 (0.00%)  0/143 (0.00%) 
Hyponatraemia * 1  0/25 (0.00%)  1/146 (0.68%)  5/143 (3.50%) 
Hypovolaemia * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Musculoskeletal and connective tissue disorders       
Pathological fracture * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Muscular weakness * 1  0/25 (0.00%)  2/146 (1.37%)  2/143 (1.40%) 
Spinal column stenosis * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Back pain * 1  0/25 (0.00%)  0/146 (0.00%)  2/143 (1.40%) 
Musculoskeletal chest pain * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Musculoskeletal pain * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Pain in extremity * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Neoplasms benign, malignant and unspecified (incl cysts and polyps)       
Cancer pain * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Multiple myeloma * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Nervous system disorders       
Convulsion * 1  1/25 (4.00%)  0/146 (0.00%)  0/143 (0.00%) 
Syncope * 1  1/25 (4.00%)  1/146 (0.68%)  3/143 (2.10%) 
Cerebral ischaemia * 1  0/25 (0.00%)  2/146 (1.37%)  0/143 (0.00%) 
Cerebrovascular accident * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Embolic stroke * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Haemorrhage intracranial * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Transient ischaemic attack * 1  0/25 (0.00%)  1/146 (0.68%)  1/143 (0.70%) 
Demyelination * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Headache * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Dizziness * 1  0/25 (0.00%)  1/146 (0.68%)  2/143 (1.40%) 
Presyncope * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Psychiatric disorders       
Confusional state * 1  0/25 (0.00%)  1/146 (0.68%)  1/143 (0.70%) 
Delirium * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Mental status changes * 1  0/25 (0.00%)  2/146 (1.37%)  0/143 (0.00%) 
Renal and urinary disorders       
Bladder neck obstruction * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Renal failure * 1  0/25 (0.00%)  0/146 (0.00%)  2/143 (1.40%) 
Renal failure acute * 1  0/25 (0.00%)  2/146 (1.37%)  4/143 (2.80%) 
Renal haemorrhage * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Haematuria * 1  0/25 (0.00%)  1/146 (0.68%)  3/143 (2.10%) 
Respiratory, thoracic and mediastinal disorders       
Pleural effusion * 1  1/25 (4.00%)  2/146 (1.37%)  3/143 (2.10%) 
Pneumonia aspiration * 1  0/25 (0.00%)  0/146 (0.00%)  2/143 (1.40%) 
Pulmonary embolism * 1  0/25 (0.00%)  3/146 (2.05%)  2/143 (1.40%) 
Aspiration * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Cough * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Dyspnoea * 1  0/25 (0.00%)  2/146 (1.37%)  4/143 (2.80%) 
Hypoxia * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Epistaxis * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Skin and subcutaneous tissue disorders       
Angioedema * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Panniculitis * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Surgical and medical procedures       
Wound drainage * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Vascular disorders       
Hypertension * 1  1/25 (4.00%)  2/146 (1.37%)  2/143 (1.40%) 
Aortic dissection * 1  0/25 (0.00%)  0/146 (0.00%)  1/143 (0.70%) 
Arterial insufficiency * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Hypotension * 1  0/25 (0.00%)  0/146 (0.00%)  4/143 (2.80%) 
Orthostatic hypotension * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Shock * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
Microangiopathy * 1  0/25 (0.00%)  1/146 (0.68%)  0/143 (0.00%) 
*
Indicates events were collected by non-systematic assessment
1
Term from vocabulary, MedDRA 13.0
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 5%
Sunitinib 37.5 mg + Interferon Alpha-2b Sunitinib 50 mg (Schedule 4/2) Sunitinib 37.5 mg
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   25/25 (100.00%)   144/146 (98.63%)   142/143 (99.30%) 
Blood and lymphatic system disorders       
Neutropenia * 1  14/25 (56.00%)  24/146 (16.44%)  19/143 (13.29%) 
Thrombocytopenia * 1  9/25 (36.00%)  35/146 (23.97%)  28/143 (19.58%) 
Leukopenia * 1  7/25 (28.00%)  8/146 (5.48%)  5/143 (3.50%) 
Anaemia * 1  5/25 (20.00%)  25/146 (17.12%)  27/143 (18.88%) 
Lymphopenia * 1  3/25 (12.00%)  0/146 (0.00%)  0/143 (0.00%) 
Endocrine disorders       
Hypothyroidism * 1  0/25 (0.00%)  19/146 (13.01%)  11/143 (7.69%) 
Eye disorders       
Lacrimation increased * 1  0/25 (0.00%)  8/146 (5.48%)  7/143 (4.90%) 
Gastrointestinal disorders       
Diarrhoea * 1  20/25 (80.00%)  85/146 (58.22%)  98/143 (68.53%) 
Nausea * 1  14/25 (56.00%)  91/146 (62.33%)  76/143 (53.15%) 
Stomatitis * 1  13/25 (52.00%)  32/146 (21.92%)  33/143 (23.08%) 
Dyspepsia * 1  10/25 (40.00%)  37/146 (25.34%)  36/143 (25.17%) 
Vomiting * 1  8/25 (32.00%)  48/146 (32.88%)  48/143 (33.57%) 
Constipation * 1  5/25 (20.00%)  40/146 (27.40%)  39/143 (27.27%) 
Abdominal pain * 1  4/25 (16.00%)  16/146 (10.96%)  15/143 (10.49%) 
Oral pain * 1  4/25 (16.00%)  19/146 (13.01%)  18/143 (12.59%) 
Gastrooesophageal reflux disease * 1  3/25 (12.00%)  19/146 (13.01%)  7/143 (4.90%) 
Abdominal distension * 1  2/25 (8.00%)  12/146 (8.22%)  2/143 (1.40%) 
Glossitis * 1  2/25 (8.00%)  0/146 (0.00%)  0/143 (0.00%) 
Glossodynia * 1  2/25 (8.00%)  10/146 (6.85%)  7/143 (4.90%) 
Rectal haemorrhage * 1  2/25 (8.00%)  7/146 (4.79%)  8/143 (5.59%) 
Abdominal pain upper * 1  0/25 (0.00%)  11/146 (7.53%)  9/143 (6.29%) 
Dry mouth * 1  0/25 (0.00%)  11/146 (7.53%)  12/143 (8.39%) 
Dysphagia * 1  0/25 (0.00%)  12/146 (8.22%)  5/143 (3.50%) 
Flatulence * 1  0/25 (0.00%)  10/146 (6.85%)  12/143 (8.39%) 
Haemorrhoids * 1  0/25 (0.00%)  6/146 (4.11%)  8/143 (5.59%) 
Toothache * 1  0/25 (0.00%)  8/146 (5.48%)  3/143 (2.10%) 
General disorders       
Fatigue * 1  25/25 (100.00%)  94/146 (64.38%)  100/143 (69.93%) 
Pyrexia * 1  8/25 (32.00%)  23/146 (15.75%)  17/143 (11.89%) 
Chills * 1  7/25 (28.00%)  14/146 (9.59%)  18/143 (12.59%) 
Influenza like illness * 1  6/25 (24.00%)  0/146 (0.00%)  0/143 (0.00%) 
Mucosal inflammation * 1  2/25 (8.00%)  41/146 (28.08%)  36/143 (25.17%) 
Oedema peripheral * 1  2/25 (8.00%)  29/146 (19.86%)  26/143 (18.18%) 
Asthenia * 1  0/25 (0.00%)  13/146 (8.90%)  16/143 (11.19%) 
Chest pain * 1  0/25 (0.00%)  7/146 (4.79%)  8/143 (5.59%) 
Pain * 1  0/25 (0.00%)  4/146 (2.74%)  13/143 (9.09%) 
Infections and infestations       
Urinary tract infection * 1  2/25 (8.00%)  10/146 (6.85%)  8/143 (5.59%) 
Sinusitis * 1  0/25 (0.00%)  11/146 (7.53%)  3/143 (2.10%) 
Upper respiratory tract infection * 1  0/25 (0.00%)  12/146 (8.22%)  5/143 (3.50%) 
Injury, poisoning and procedural complications       
Contusion * 1  0/25 (0.00%)  8/146 (5.48%)  12/143 (8.39%) 
Investigations       
Alanine aminotransferase increased * 1  3/25 (12.00%)  0/146 (0.00%)  0/143 (0.00%) 
Weight decreased * 1  3/25 (12.00%)  20/146 (13.70%)  30/143 (20.98%) 
Aspartate aminotransferase increased * 1  2/25 (8.00%)  0/146 (0.00%)  0/143 (0.00%) 
White blood cell count decreased * 1  2/25 (8.00%)  0/146 (0.00%)  0/143 (0.00%) 
Blood creatinine increased * 1  0/25 (0.00%)  11/146 (7.53%)  11/143 (7.69%) 
Haemoglobin decreased * 1  0/25 (0.00%)  6/146 (4.11%)  11/143 (7.69%) 
Metabolism and nutrition disorders       
Decreased appetite * 1  11/25 (44.00%)  46/146 (31.51%)  59/143 (41.26%) 
Dehydration * 1  0/25 (0.00%)  10/146 (6.85%)  21/143 (14.69%) 
Hypokalaemia * 1  0/25 (0.00%)  5/146 (3.42%)  8/143 (5.59%) 
Musculoskeletal and connective tissue disorders       
Arthralgia * 1  6/25 (24.00%)  20/146 (13.70%)  25/143 (17.48%) 
Myalgia * 1  6/25 (24.00%)  14/146 (9.59%)  11/143 (7.69%) 
Pain in extremity * 1  3/25 (12.00%)  32/146 (21.92%)  23/143 (16.08%) 
Back pain * 1  2/25 (8.00%)  29/146 (19.86%)  24/143 (16.78%) 
Muscle spasms * 1  0/25 (0.00%)  13/146 (8.90%)  6/143 (4.20%) 
Musculoskeletal chest pain * 1  0/25 (0.00%)  5/146 (3.42%)  8/143 (5.59%) 
Musculoskeletal pain * 1  0/25 (0.00%)  9/146 (6.16%)  9/143 (6.29%) 
Nervous system disorders       
Dysgeusia * 1  7/25 (28.00%)  55/146 (37.67%)  49/143 (34.27%) 
Dizziness * 1  6/25 (24.00%)  22/146 (15.07%)  20/143 (13.99%) 
Headache * 1  5/25 (20.00%)  33/146 (22.60%)  23/143 (16.08%) 
Paraesthesia * 1  5/25 (20.00%)  0/146 (0.00%)  0/143 (0.00%) 
Ageusia * 1  2/25 (8.00%)  0/146 (0.00%)  0/143 (0.00%) 
Psychiatric disorders       
Anxiety * 1  0/25 (0.00%)  14/146 (9.59%)  11/143 (7.69%) 
Depression * 1  0/25 (0.00%)  10/146 (6.85%)  18/143 (12.59%) 
Insomnia * 1  0/25 (0.00%)  27/146 (18.49%)  22/143 (15.38%) 
Renal and urinary disorders       
Pollakiuria * 1  2/25 (8.00%)  0/146 (0.00%)  0/143 (0.00%) 
Respiratory, thoracic and mediastinal disorders       
Dyspnoea * 1  10/25 (40.00%)  29/146 (19.86%)  26/143 (18.18%) 
Epistaxis * 1  6/25 (24.00%)  34/146 (23.29%)  25/143 (17.48%) 
Dyspnoea exertional * 1  4/25 (16.00%)  0/146 (0.00%)  0/143 (0.00%) 
Cough * 1  2/25 (8.00%)  29/146 (19.86%)  31/143 (21.68%) 
Oropharyngeal pain * 1  0/25 (0.00%)  11/146 (7.53%)  13/143 (9.09%) 
Skin and subcutaneous tissue disorders       
Dry skin * 1  7/25 (28.00%)  22/146 (15.07%)  20/143 (13.99%) 
Palmar-plantar erythrodysaesthesia syndrome * 1  6/25 (24.00%)  46/146 (31.51%)  36/143 (25.17%) 
Rash * 1  6/25 (24.00%)  36/146 (24.66%)  44/143 (30.77%) 
Pruritus * 1  4/25 (16.00%)  10/146 (6.85%)  10/143 (6.99%) 
Yellow skin * 1  4/25 (16.00%)  8/146 (5.48%)  7/143 (4.90%) 
Hair colour changes * 1  2/25 (8.00%)  18/146 (12.33%)  21/143 (14.69%) 
Night sweats * 1  2/25 (8.00%)  0/146 (0.00%)  0/143 (0.00%) 
Alopecia * 1  0/25 (0.00%)  8/146 (5.48%)  16/143 (11.19%) 
Erythema * 1  0/25 (0.00%)  12/146 (8.22%)  7/143 (4.90%) 
Periorbital oedema * 1  0/25 (0.00%)  9/146 (6.16%)  7/143 (4.90%) 
Skin discolouration * 1  0/25 (0.00%)  10/146 (6.85%)  3/143 (2.10%) 
Skin lesion * 1  0/25 (0.00%)  9/146 (6.16%)  5/143 (3.50%) 
Vascular disorders       
Hypertension * 1  6/25 (24.00%)  46/146 (31.51%)  42/143 (29.37%) 
Accelerated hypertension * 1  2/25 (8.00%)  0/146 (0.00%)  0/143 (0.00%) 
*
Indicates events were collected by non-systematic assessment
1
Term from vocabulary, MedDRA 13.0
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Pfizer ClinicalTrials.gov Call Center
Organization: Pfizer, Inc.
Phone: 1-800-718-1021
EMail: ClinicalTrials.gov_Inquiries@pfizer.com
Layout table for additonal information
Responsible Party: Director, Clinical Trial Disclosure Group, Pfizer Inc
ClinicalTrials.gov Identifier: NCT00267748    
Other Study ID Numbers: A6181065
First Submitted: December 20, 2005
First Posted: December 21, 2005
Results First Submitted: June 23, 2011
Results First Posted: September 5, 2011
Last Update Posted: September 5, 2011