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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00678392
Other study ID # A4061032
Secondary ID AXIS TRIAL2008-0
Status Completed
Phase Phase 3
First received
Last updated
Start date September 3, 2008
Est. completion date February 25, 2016

Study information

Verified date December 2018
Source Pfizer
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The study is designed to demonstrate that axitinib (AG-013736) is superior to sorafenib in delaying tumor progression in patients with metastatic renal cell cancer after failure of one first line regimen.


Recruitment information / eligibility

Status Completed
Enrollment 723
Est. completion date February 25, 2016
Est. primary completion date August 31, 2010
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria:

- Histologically or cytologically confirmed renal cell cancer with a component of clear cell subtype, with metastasis

- Evidence of measurable disease

- Must have failed one prior systemic first-line regimen for metastatic renal cell cancer

Exclusion Criteria:

- Prior treatment for metastatic renal cell cancer with more that one systemic first line therapy

- Major surgery less than 4 weeks or radiation less than 2 weeks of starting study drug

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Axitinib (AG-013736)
axitinib will be given at a starting dose of 5 mg twice daily [BID] with continuous dosing
Sorafenib
sorafenib will be given at a dose of 400 mg twice daily [BID] with continuous dosing

Locations

Country Name City State
Australia Ballarat Oncology & Haematology Services Ballarat Victoria
Australia Peter MacCallum Cancer Centre East Melbourne Victoria
Australia The Canberra Hospital, Medical Oncology Garran Australian Capital Territory
Australia Austin Hospital, Austin Health Heidelberg Victoria
Australia Heidelberg Repatriation Hospital, Austin Health Heidelberg West Victoria
Australia Ashford Cancer Centre Research Kurralta Park South Australia
Austria Med. Abt. KH Barmherzige Brueder Wien, Krankenhaus der Barmherzigen Brueder Wien Wien
Austria Universitaets-Klinik fuer Innere Medizin I Wien
Brazil Fundacao Pio XII Hospital de Cancer de Barretos Barretos SP
Brazil Irmandade da Santa Casa de Misericordia de Porto Alegre (ISCMPA) - Hospital Santa Rita Porto Alegre RS
Brazil Clinica Oncologistas Associados Rio de Janeiro RJ
Brazil Fundacao Antonio Prudente Sao Paulo SP
Canada Tom Baker Cancer Centre Calgary Alberta
Canada Cross Cancer Institute Edmonton Alberta
Canada British Columbia Cancer Agency - Cancer Centre for the Southern Interior Kelowna British Columbia
Canada Dr. Leon Richard Oncology Centre Moncton New Brunswick
Canada RSM Durham Regional Cancer Centre Lakeridge Health Oshawa Oshawa Ontario
Canada Dr. H. Bliss Murphy Cancer Centre St. John's Newfoundland and Labrador
China Beijing Cancer Hospital Beijing P.R.
China Cancer Institute and Hospital, Chinese Academy of Medical Sciences Beijing Chaoyang District
China Sun Yet-Sen University Cancer Center Guangzhou
China The Department of Medical Oncology, PLA Cancer Center, Nanjing Bayi Hospital Nanjing Jiangsu
China Urology Department, Renji Hospital,Shanghai Jiao Tong University School of Medicine Shanghai
China Tianjin Oncology Hospital,biology treatment department Tianjin
China Xijing Hospital, The Fourth Military Medical University Xi'an Shaanxi
France Hopital Saint-André Bordeaux Cedex
France Hôpital Henri Mondor CRETEIL Cedex
France Centre Leon Berard Lyon Cedex 08
France Institut Paoli-Calmettes Marseille Cedex 09
France Hopital Europeen Georges Pompidou Paris Cedex 15
France Centre Eugene Marquis Rennes
France Centre Rene Gauducheau - Service Oncologie Medicale St Herblain Cedex
France CHRU de Tours - Hopital Bretonneau Tours Cedex 1
France Centre Alexis Vautrin Vandoeuvre les Nancy
France Institut Gustave Roussy / Service d'Immunotherapie Villejuif Cedex
Germany RWTH Aachen, Urologische Klinik Aachen
Germany Charite - Universitaetsmedizin Berlin, Campus Benjamin Franklin Berlin
Germany Innere Klinik und Poliklinik fuer Tumorforschung, Universitaetsklinikum Essen Essen
Germany Klinikum Region Hannover Krankenhaus Siloah Hannover
Germany Klinikum der Johannes-Gutenberg-Universitaet, III. Medizinische Klinik und Poliklinik Mainz
Germany Ludwig-Maximilians-Universitaet Muenchen, Klinikum Grosshadern Urologische Klinik und Poliklinik Muenchen
Germany Klinikum Oldenburg gGmbH, Klinik fuer Innere Medizin II Onkologie / Haematologie Oldenburg
Greece Alexandra University Hospital / Oncology Dept. Athens Attiki
Greece "Theagenio"Cancer Hospital / 3rd. Dept. of Clinical Oncology Thessaloniki Macedonia
India Fortis Memorial Research Institute Gurgaon Haryana
India Bhagwan Mahaveer Cancer Hospital and Research Center Jaipur Rajasthan
India Amrita Institute of Medical Sciences Kochi Kerala
India Christian Medical College & Hospital Ludhiana Punjab
India Dept. of Medical Oncology, Tata Memorial Hospital Mumbai Maharashtra
Ireland Oncology Department Dublin 24
Italy UOC Oncologia Medica, Ospedale San Donato Arezzo
Italy Centro di Riferimento Oncologico, Istituto Nazionale Tumori, IRCCS Aviano (PN)
Italy Dipartimento dei laboratori diagnositici e per le terapie cellulari Aviano (PN)
Italy Azienda Ospedaliera Spedali Civili di Brescia, Unita' Operativa Oncologia Medica Brescia
Italy Struttura Complessa di Oncologia Cremona
Italy UOC Oncologia Medica B, IRCCS AO Universitaria San Martino Genova
Italy Fondazione IRCCS, Istituto Nazionale dei Tumori, SC Oncologia Medica 2 Milano
Italy Divisione di Oncologia, AORN Antonio Cardarelli Napoli
Italy Istituto per lo Studio e la Cura dei Tumori Fondazione Pascale Napoli
Italy Unita' Operativa Oncologia Medica 2, Regione del Veneto Padova
Italy IRCCS Policlinico San Matteo Pavia
Italy Azienda Ospedaliera San Camillo Forlanini, Oncologia Medica, Padiglione Flajani, I piano Roma
Italy Struttura Complessa di Oncologia Medica A Roma
Italy UO di Oncologia ed Ematologia, Istituto Clinico Humanitas Rozzano (MI)
Japan Akita University Hospital Akita
Japan Tokyo Women's Medical University Medical Center East, Department of Urology Arakawa-ku Tokyo
Japan Chiba Cancer Center Chiba
Japan National Cancer Center Hospital Chuo-Ku Tokyo
Japan Kyushu University Hospital Fukuoka
Japan Hamamatsu University School of Medicine Hamamatsu-City Shizuoka
Japan Nihon University Itabashi Hospital Itabashi-ku Tokyo
Japan Kumamoto University Hospital Kumamoto
Japan Kinki University Hospital Osakasayama Osaka
Japan Hokkaido University Hospital Sapporo Hokkaido
Japan Sapporo Medical University School of Medicine Sapporo-shi Hokkaido
Japan Keio University Hospital Shinjuku-ku Tokyo
Japan Tokyo Women's Medical University Hospital Shinjuku-ku Tokyo
Japan Shizuoka Cancer Center Sunto-gun Shizuoka
Japan Tokushima University Tokushima
Japan University of Tsukuba, Graduate School of Comprehensive Human Sciences, Department of Urology Tsukuba Ibaraki
Japan Yamaguchi University Hospital Ube-shi Yamaguchi
Japan Yamagata University Hospital Yamagata
Korea, Republic of Dong-A University Medical Center, Department of Medicine, Division of Hemato-Oncology Busan
Korea, Republic of National Cancer Center, Urologic Oncology Clinic, Center for Specific Organs Cancer Goyang-si Gyeonggi-do
Korea, Republic of Catholic University of Korea, Seoul St. Mary's Hospital, Department of Oncology Seoul
Korea, Republic of Samsung Medical Center Seoul
Korea, Republic of Seoul National University Hospital Seoul
Korea, Republic of Severance Hospital Seoul
Poland Wojewodzkie Centrum Onkologii Gdansk
Poland Centrum Medyczne HCP Poznan Wielkopolska
Poland Klinika Onkologii, Szpital Kliniczny Przemienienia Panskiego Uniwersytetu Medycznego Poznan
Poland Pracownia Tomografii Komputerowej Poznan
Poland Wielkopolskie Centrum Onkologii im.Marii Sklodowskiej-Curie Poznan Wielkopolska
Poland Klinika Onkologii, Wojskowy Instytut Medyczny Warszawa
Poland Klinika Urologii i Onkologii Urologicznej Wroclaw
Russian Federation Cancer Research Center named after N.N. Blokhin, Biotherapy Department Moscow
Russian Federation Cancer Research Center named after N.N.Blokhin, Chemotherapy Department Moscow
Russian Federation Moscow Research Institute of Oncology P.A. Herzen Moscow
Russian Federation Russian Research Center of Roentgenology and Radiology Moscow
Russian Federation The Main Clinical Hospital of the Ministry of Internal Affairs of Russian Federation Moscow
Russian Federation Medical Radiology Research Center of the Minzdravsotsrazvitiya of Russia Obninsk Kaluga Region
Russian Federation City Clinical Oncology Dispensary St. Petersburg
Singapore National Cancer Centre Singapore Singapore
Slovakia Narodny Onkologicky ustav Bratislava
Slovakia Onkologicky Ustav sv. Alzbety Bratislava
Slovakia Nemocnica s poliklinikou Zilina Zilina
Spain Hospital Vall D¿Hebron Barcelona
Spain Institut Catala D'Oncologia L'Hospitalet L'hospitalet de Llobregat Barcelona
Spain Hospital Universitario 12 de Octubre Madrid
Spain Hospital Universitario Ramon Y Cajal Madrid
Spain Hospital Clinico Universitario Virgen de La Victoria Malaga
Spain Clinica Universitaria de Navarra Pamplona Navarra
Spain Hospital de Navarra Pamplona Navarra
Spain Hospital Universitario Virgen Macarena Sevilla
Spain Hospital Universitario Miguel Servet Zaragoza
Sweden Universitetssjukhuset, Onkologiska kliniken Linkoping
Sweden Norrlands Universitetssjukhus, Onkologkliniken Umea
Sweden Onkologkliniken Vaxjo
Taiwan Chang Gung Medical Foundation-Kaohsiung Branch Kaohsiung Hsien
Taiwan Taichung Veterans General Hospital, Department of Surgery Taichung
Taiwan Department of Oncology, National Taiwan University Hospital Taipei
Taiwan Chang Gung Medical Foundation-Linkou Branch Taoyuan
United Kingdom Clatterbridge Centre for Oncology NHS Foundation Trust Bebington, Wirral
United Kingdom University of Birmingham, CRUK Institute for Cancer Studies Birmingham
United Kingdom Royal Bournemouth & Poole Hospitals Bournemouth
United Kingdom Bristol Haematology and Oncology Centre Bristol
United Kingdom Addenbrooke`s Hospital Cambridge
United Kingdom The Beatson West of Scotland Cancer Centre Glasgow
United Kingdom Department of Medical Oncology, St. Bartholomew's Hospital London
United Kingdom Royal Marsden Hospital London England
United Kingdom Mount Vernon Cancer Centre Northwood Middlesex
United Kingdom University Department of Medical Oncology/Oxford Cancer Centre Oxford
United Kingdom Royal Marsden Hospital NHS Foundation Trust Surrey
United States University of Michigan Health System Ann Arbor Michigan
United States Virginia Cancer Specialists, PC Arlington Virginia
United States Peachtree Hematology-Oncology Consultants, P.C. Atlanta Georgia
United States Rocky Mountain Cancer Centers Aurora Colorado
United States University of Colorado Cancer Center Aurora Colorado
United States University of Colorado Denver: Division of Medical Oncology Aurora Colorado
United States Texas Oncolgoy - Austin North Austin Texas
United States Texas Oncology - Austin Central Austin Texas
United States Texas Oncology - Austin Midtown Austin Texas
United States Texas Oncology - Austin Northwest Austin Texas
United States Texas Oncology - Central Midtown Austin Texas
United States Texas Oncology - South Austin Austin Texas
United States Texas Oncology, P.A. Bedford Texas
United States Mountain States Tumor Institute Boise Idaho
United States Florida Cancer Specialists Bonita Springs Florida
United States Beth Israel Deaconess Medical Center Boston Massachusetts
United States Massachusetts General Hospital Boston Massachusetts
United States Rocky Mountain Cancer Centers Boulder Colorado
United States Florida Cancer Specialists Bradenton Florida
United States Montefiore Medical Center Bronx New York
United States East Valley Hematology and Oncology Medical Group Burbank California
United States Maurice Berkowtiz, MD Burbank California
United States Florida Cancer Specialists Cape Coral Florida
United States Florida Cancer Specialists Cape Coral Florida
United States Cental Indiana Cancer Centers Carmel Indiana
United States Raleigh Hematology Oncology Associates, DBA Cary North Carolina
United States Texas Oncology - Cedar Park Cedar Park Texas
United States Medical University of South Carolina Charleston South Carolina
United States Chattanooga Oncology and Hematology Associates, PC Chattanooga Tennessee
United States Chattanooga Oncology Hematology Associates P.C. Chattanooga Tennessee
United States Virginia Oncology Associates Chesapeake Virginia
United States Case Western Reserve University Cleveland Ohio
United States Cleveland Clinic Foundation Cleveland Ohio
United States Rocky Mountain Cancer Centers Colorado Springs Colorado
United States Missouri Cancer Associates Columbia Missouri
United States James Care in Kenny Columbus Ohio
United States Ohio State University Columbus Ohio
United States Ohio State University Arthur G. James Cancer Hospital and Richard J. Solove Research Institute Columbus Ohio
United States Texas Oncology - Baylor Charles A. Sammons Cancer Center Dallas Texas
United States University of Miami Sylvester at Deerfield Beach Deerfield Beach Florida
United States Rocky Mountain Cancer Centers Denver Colorado
United States Rocky Mountain Cancer Centers, LLP Denver Colorado
United States Karmanos Cancer Institute Detroit Michigan
United States Agajanian Institute of Oncology and Hematology Downey California
United States Duke University Medical Center Durham North Carolina
United States Investigational Chemotherapy Services Durham North Carolina
United States Cancer Centers of the Carolinas Easley South Carolina
United States Albermarie Hospitals Elizabeth City North Carolina
United States Virginia Oncology Associates Elizabeth City North Carolina
United States Florida Cancer Specialists Englewood Florida
United States Oncology Associates of Oregon, P.C. Eugene Oregon
United States Virginia Cancer Specialists, PC Fairfax Virginia
United States Weisberg Cancer Treatment Center Farmington Hills Michigan
United States Central Indiana Cancer Centers Fishers Indiana
United States Florida Cancer Specialists Fort Myers Florida
United States Florida Cancer Specialists Fort Myers Florida
United States Florida Cancer Specialists Fort Myers Florida
United States Florida Cancer Specialists Fort Myers Florida
United States Investigation Products Center (IPC) Fort Worth Texas
United States Investigational Products Center (IPC) Fort Worth Texas
United States US Oncology Research and Clinical Pharmacy Fort Worth Texas
United States Tennessee Oncology, PLLC Franklin Tennessee
United States Vanderbilt-Ingram Cancer Center-Cool Springs Franklin Tennessee
United States Mountain States Tumor Institute Fruitland Idaho
United States Virginia Cancer Specialists, PC Gainesville Virginia
United States Tennessee Oncology, PLLC Gallatin Tennessee
United States Los Angeles Hematology/Oncology Medical Group Glendale California
United States Cental Indiana Cancer Centers Greenfield Indiana
United States Cancer Centers of the Carolinas Greenville South Carolina
United States Hematology and Oncology Associates of SC, LLC - Eastside Medical Center Greenville South Carolina
United States Hackensack University Medical Center Hackensack New Jersey
United States The Cancer Center at Hackensack University Medical Center Hackensack New Jersey
United States The Cancer Center at Hackensack University Medical Center - The Hillcrest Building Hackensack New Jersey
United States Virginia Oncology Associates Hampton Virginia
United States Comprehensive Cancer Centers of Nevada Henderson Nevada
United States Tennessee Oncology, PLLC Hermitage Tennessee
United States Penn State Milton S. Hershey Medical Center Hershey Pennsylvania
United States Chattanooga Oncology & Hematology Associates Hixson Tennessee
United States Genitourinary Cancer Center Houston Texas
United States The University of Texas MD Anderson Cancer Center Houston Texas
United States Central Indiana Cancer Centers Indianapolis Indiana
United States Central Indiana Cancer Centers Indianapolis Indiana
United States Rocky Mountain Cancer Centers Lakewood Colorado
United States Comprehensive Cancer Centers of Nevada Las Vegas Nevada
United States Comprehensive Cancer Centers of Nevada Las Vegas Nevada
United States Comprehensive Cancer Centers of Nevada Las Vegas Nevada
United States Nevada Cancer Institute Las Vegas Nevada
United States Tennessee Oncology, PLLC Lebanon Tennessee
United States Virginia Cancer Specialists, PC Leesburg Virginia
United States Rocky Mountain Cancer Centers Littleton Colorado
United States Rocky Mountain Cancer Centers Lone Tree Colorado
United States Rocky Mountain Cancer Centers Longmont Colorado
United States Kenmar Research Institute Los Angeles California
United States LAC-USC Medical Center Los Angeles California
United States Los Angeles Hematology/Oncology Medical Group Los Angeles California
United States Metropolitan Hematology/Oncology Medical Group Los Angeles California
United States Ronald Regan UCLA Medical Center Los Angeles California
United States UCLA Los Angeles California
United States USC Norris Cancer Hospital and Clinics Los Angeles California
United States Monarch Mayfield Heights Ohio
United States Loyola University Chicago Cardinal Bernardin Cancer Center Maywood Illinois
United States Lake University - Ireland Cancer Center (LUICC) Mentor Ohio
United States Mountain States Tumor Institute Meridian Idaho
United States University of Miami Hospital and Clinics Miami Florida
United States University of Minnesota Medical Center Fairview Minneapolis Minnesota
United States Agajanian Institute of Oncology and Hematology Montebello California
United States Tennessee Oncology, PLLC Murfreesboro Tennessee
United States Mountain States Tumor Institute Nampa Idaho
United States Florida Cancer Specialists Naples Florida
United States Florida Cancer Specialists Naples Florida
United States Sarah Cannon Research Institute Nashville Tennessee
United States Tennessee Oncology, PLLC Nashville Tennessee
United States Tennessee Oncology, PLLC Nashville Tennessee
United States Tennessee Oncology, PLLC Nashville Tennessee
United States Tennessee Oncology, PLLC Nashville Tennessee
United States Vanderbilt University Medical Center Nashville Tennessee
United States Vanderbilt-Ingram Cancer Center Nashville Tennessee
United States Memorial Sloan Kettering Cancer Center New York New York
United States Memorial Sloan Kettering Cancer Center - Sidney Kimmel Center New York New York
United States Virginia Oncology Associates Newport News Virginia
United States Virginia Oncology Associates Norfolk Virginia
United States Department of Medicine MSG @ SUNY HSC @ Syrcacuse, Inc. Oneida New York
United States UHHS - Chagrin Highlands Orange Village Ohio
United States M.D. Anderson Cancer Center Orlando Orlando Florida
United States Orlando Regional Medical Center Orlando Florida
United States Department of Medicine MSG @ SUNY HSC @ Syracuse, Inc. Oswego New York
United States Rocky Mountain Cancer Centers Parker Colorado
United States Fox Chase Cancer Center Philadelphia Pennsylvania
United States Florida Cancer Specialists Port Charlotte Florida
United States Raleigh Hematology Oncology Associates, P.C. Raleigh North Carolina
United States Chattanooga Oncology and Hematology Associates, PC Ringgold Georgia
United States Texas Oncology - Round Rock Round Rock Texas
United States Texas Oncology - Seton Williamson Round Rock Texas
United States St. John's Mercy Medical Center Saint Louis Missouri
United States St. John's Mercy, David C. Pratt Cancer Center Saint Louis Missouri
United States Florida Cancer Specialists Sarasota Florida
United States Florida Cancer Specialists Sarasota Florida
United States Seattle Cancer Care Alliance Seattle Washington
United States University of Washington Medical Center Seattle Washington
United States Virginia Mason Medical Center, Section of Hematology/Oncology Seattle Washington
United States Cancer Centers of the Carolinas, Seneca Seneca South Carolina
United States Tennessee Oncology, PLLC Smyrna Tennessee
United States Cancer Centers of the Carolinas Spartanburg South Carolina
United States Willamette Valley Cancer Institute and Research Center Springfield Oregon
United States Department of Medicine MSG @ SUNY HSC @ Syracuse, Inc Syracuse New York
United States Suny Upstate Medical University Syracuse New York
United States Rocky Mountain Cancer Centers Thornton Colorado
United States Mountain States Tumor Institute Twin Falls Idaho
United States Texas Oncology, P.A. Tyler Texas
United States Florida Cancer Specialists Venice Florida
United States Florida Cancer Specialists Venice Florida
United States Virginia Oncology Associates Virginia Beach Virginia
United States Georgetown University Hospital, Lombardi Cancer Center Washington District of Columbia
United States Georgetown University Medical Center Washington District of Columbia
United States St. John's Mercy Medical Center Washington Missouri
United States Deke Slayton Cancer Center Webster Texas
United States Texas Oncology - Clear Lake Webster Texas
United States Brian LeBerthon, MD, A Medical Corporation West Covina California
United States UHHS - Westlake Westlake Ohio
United States Agajanian Institute of Oncology and Hematology Whittier California
United States Virginia Cancer Specialists, PC Woodbridge Virginia

Sponsors (1)

Lead Sponsor Collaborator
Pfizer

Countries where clinical trial is conducted

United States,  Australia,  Austria,  Brazil,  Canada,  China,  France,  Germany,  Greece,  India,  Ireland,  Italy,  Japan,  Korea, Republic of,  Poland,  Russian Federation,  Singapore,  Slovakia,  Spain,  Sweden,  Taiwan,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Progression-Free Survival (PFS) PFS was defined as the time in months from start of study treatment to the first documentation of objective tumor progression of disease (PD) or to death due to any cause, whichever occurs first. PD was assessed by response evaluation criteria in solid tumors (RECIST) version 1.0. PD: >=20 percent (%) increase in the sum of the longest dimensions (LD) of the target lesions taking as a reference the smallest sum of the LD recorded since the start of treatment or unequivocal progression in non-target lesions or the appearance of 1 or more new lesions. Occurrence of a pleural effusion or ascites was also considered PD if demonstrated by cytological investigation and it was not previously documented. New bone lesions not previously documented were considered PD if confirmed by computed tomography/magnetic resonance imaging or X-ray. From initiation of treatment up to follow-up period (up to 3 years)
Secondary Overall Survival (OS) OS was defined as the duration from start of study treatment to date of death due to any cause. OS was calculated as (months) = (date of death minus the date of first dose of study medication plus 1) divided by 30.4. For participants who were alive, overall survival was censored on last date the participants were known to be alive. From initiation of treatment up to follow-up period (up to 3 years)
Secondary Objective Response Rate (ORR) ORR = percentage of participants with confirmed complete response (CR) or confirmed partial response (PR) according to RECIST version 1.0 recorded from first dose of study treatment until PD or death due to any cause. CR: disappearance of all target, non target lesions and no appearance of new lesions, documented on 2 occasions separated by at least 4 weeks. PR: at least 30 % decrease in sum of LD of target lesions taking as reference baseline sum of LD, without progression of non target lesions, no appearance of new lesions. PD: >=20% increase in sum of LD of the target lesions taking as a reference smallest sum of LD recorded since the start of treatment or unequivocal progression in non-target lesions or appearance of 1 or more new lesions. Occurrence of pleural effusion or ascites if demonstrated by cytological investigation, not previously documented. New bone lesions not previously documented if confirmed by computed tomography/magnetic resonance imaging or X-ray. From initiation of treatment up to follow-up period (up to 3 years)
Secondary Duration of Response (DR) DR: time from first documentation of objective tumor response (CR or PR), that was subsequently confirmed, to the first documentation of PD or to death due to any cause, whichever occurred first as per RECIST version 1.0, a) CR: disappearance of all target, non target lesions and no appearance of new lesions, documented on 2 occasions separated by at least 4 weeks, b) PR: at least 30 % decrease in sum of LD of target lesions taking as reference baseline sum of LD, without progression of non target lesions, no appearance of new lesions, c) PD: >=20% increase in sum of LD of the target lesions taking as a reference smallest sum of LD recorded since the start of treatment or unequivocal progression in non-target lesions or appearance of 1 or more new lesions. Occurrence of pleural effusion or ascites if demonstrated by cytological investigation, not previously documented. New bone lesions not previously documented if confirmed by computed tomography/magnetic resonance imaging or X-ray. From initiation of treatment up to follow-up period (up to 3 years)
Secondary Percentage of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life- threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. A treatment emergent AE was defined as an event that emerged during the treatment period that was absent before treatment, or worsened during the treatment period relative to the pretreatment state. AEs included both serious and non-serious AEs. From initiation of treatment up to follow-up period (up to 3 years)
Secondary Percentage of Participants With Adverse Events (AEs) by Severity An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Severity of the AEs was graded according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 3.0. Grade 1= mild; Grade 2= moderate; Grade 3= severe; Grade 4= life-threatening or disabling; Grade 5= death related to AE. From initiation of treatment up to follow-up period (up to 3 years)
Secondary Percentage of Participants With Treatment-Related Adverse Events (AEs) and Serious Adverse Events (SAEs) An AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life -threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs included both serious and non -serious AEs. From initiation of treatment up to follow-up period (up to 3 years)
Secondary Number of Participants With Clinically Significant Laboratory Abnormalities: Hematology Hematology laboratory test included hemoglobin, platelet count, white blood cells count, neutrophils and lymphocytes. Abnormalities were assessed by CTCAE Grade Version 2 for severity: Grade 1= mild; Grade 2= moderate; Grade 3= severe and Grade 4= life-threatening or disabling. From initiation of treatment up to follow-up period (up to 3 years)
Secondary Number of Participants With Clinically Significant Laboratory Abnormalities: Biochemistry Biochemistry laboratory test included parameters: alanine aminotransferase, alkaline phosphatase, amylase, aspartate aminotransferase, bicarbonate, bilirubin, creatinine, hypercalcemia, hyperglycemia, hyperkalemia, hypernatremia, hypoalbuminemia, hypocalcemia, hypoglycemia, hypokalemia, hyponatremia, hypophosphatemia and lipase. Abnormalities were assessed by CTCAE Grade Version 2 for severity: Grade 1= mild; Grade 2= moderate; Grade 3= severe and Grade 4= life-threatening or disabling. From initiation of treatment up to follow-up period (up to 3 years)
Secondary Number of Participants With Clinically Significant Laboratory Abnormalities: Urinalysis Urinalysis included urine blood/ hemoglobin, glucose and protein. Abnormalities were assessed by CTCAE Grade Version 2 for severity: Grade 1= mild; Grade 2= moderate; Grade 3= severe and Grade 4= life-threatening or disabling. From initiation of treatment up to follow-up period (up to 3 years)
Secondary Functional Assessment of Cancer Therapy Kidney Symptom Index-15 (FKSI-15) Score FKSI was used to assess quality of life (QoL) for those diagnosed with renal cell cancer and consisted of 15 items (lack of energy, side effects, pain, losing weight, bone pain, fatigue, enjoying life, short of breath, worsened condition, appetite, coughing, bothered by fevers, ability to work, hematuria and sleep). Each of the 15 items was answered on a 5-point Likert-type scale ranging from 0 to 4 (0= not at all, 1= a little bit, 2= somewhat, 3= quite a bit, 4= very much). Total FKSI score = sum of the 15 item scores; total range: 0 - 60; 0 (no symptoms) to 60 (very much); higher scores indicate greater presence of symptoms. Baseline (Predose on Cycle 1 Day 1) , Day 1 of each cycle until Cycle 21, End of treatment (Day 670) and Follow-up visit (Day 698)
Secondary Functional Assessment of Cancer Therapy Kidney Symptom Index-Disease Related Symptoms (FKSI-DRS) Score FKSI-DRS was used to assess quality of life for those diagnosed with renal cell cancer and consisted of 9 items (lack of energy, pain, losing weight, bone pain, fatigue, short of breath, coughing, bothered by fevers, and hematuria). Each of the 9 items was answered on a 5-point Likert-type scale ranging from 0 to 4 (0= not at all, 1= a little bit, 2= somewhat, 3= quite a bit, 4= very much). Total FKSI-DRS score = sum of the 9 item scores; total range: 0 - 36; 0 (no symptoms) to 36 (very much); higher scores indicate greater presence of symptoms. Baseline (Predose on Cycle 1 Day 1) , Day 1 of each cycle until Cycle 21, End of treatment (Day 670) and Follow-up visit (Day 698)
Secondary Euro Quality of Life Questionnaire- 5 Dimension (EQ-5D): Health State Profile Utility Score EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility or index score. Health state profile component assesses level of health for 5 domains: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each domain was rated on a 3-point response scale (1= no problems, 2= some/moderate problems and 3= extreme problems). Scoring formula developed by EuroQol Group assigned a utility value for each domain in the profile. Score were transformed and resulted in a total score range of 0 to 1, with higher scores indicating better health. Baseline (Predose on Cycle 1 Day 1) , Day 1 of each cycle until Cycle 21, End of treatment (Day 670) and Follow-up visit (Day 698)
Secondary Euro Quality of Life Questionnaire- 5 Dimension (EQ-5D): Visual Analog Scale (VAS) EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single index value. VAS component: participants rated their current health state on a scale from 0 (worst imaginable health state) to 100 (best imaginable health state); higher scores indicate a better health. Baseline (Predose on Cycle 1 Day 1) , Day 1 of each cycle until Cycle 21, End of treatment (Day 670) and Follow-up visit (Day 698)
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