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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03916458
Other study ID # A6181227
Secondary ID ATILA
Status Completed
Phase
First received
Last updated
Start date December 17, 2019
Est. completion date November 3, 2020

Study information

Verified date October 2021
Source Pfizer
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

Observational, retrospective, multicentre study in spanish patients with metastatic Renal Cell Carcinoma (mRCC) treated with sunitinib as a first-line treatment (treatment with previous cytokine therapy is accepted) according to clinical practice who obtained a complete response (CR) to treatment in one of these 2 situations: 1. Complete response (CR) obtained exclusively with first-line sunitinib treatment (sunitinib CR). 2. Response obtained after a period of time on treatment with sunitinib in which local treatment was also performed (surgery of the residual metastasis/metastases, radiofrequency ablation or radiotherapy) to achieve the total macroscopic disappearance of the disease, according to the opinion of the physician responsible for the patient (CR + local treatment).


Recruitment information / eligibility

Status Completed
Enrollment 62
Est. completion date November 3, 2020
Est. primary completion date November 3, 2020
Accepts healthy volunteers No
Gender All
Age group N/A and older
Eligibility Inclusion Criteria: 1. Patients who are 18 year-old or over who have been treated for metastatic renal cell carcinoma with sunitinib as first-line treatment (treatment with prior cytokine therapy is accepted) between 2007 and 30 September 2018 and who have obtained as a best treatment response the total remission of the disease in the opinion of the doctor in charge from a clinical, radiological and/or macroscopic point of view. This response must have been reached through two possible strategies: A) Systemic treatment with sunitinib alone. B) Treatment with sunitinib and subsequent local treatment for one or more residual lesions that have not responded to the drug (traditional surgery, radiotherapy, SBRT (Stereotactic Body Radiation Therapy)). 2. The duration of CR must have been confirmed with at least 2 consecutive imaging tests, without having a limit in the duration of this response. Although the patient had progressed subsequently, he/she may be included in this registry. 3. Patients from any risk group 4. Tumours of any histology Exclusion Criteria: 1. Patients treated with another drug other than Sunitinib. 2. Patients with no radiology reports proving CR. 3. Patients with no record of the dose and regimen received with Sunitinib. 4. Patients who achieved complete remission after 30 September 2018.

Study Design


Related Conditions & MeSH terms


Locations

Country Name City State
Spain Complexo Hospitalario Universitario de Ferrol A Coruña
Spain Hospital Universitario Fundación Alcorcón Alcorcon Madrid
Spain Hospital Universitario Infanta Cristina Badajoz
Spain Hospital Clínico de Barcelona Barcelona
Spain Hospital de la Santa Creu i Sant Barcelona
Spain Hospital del Mar Barcelona
Spain Hospital Universitario Reina Sofía Córdoba
Spain Hospital Universitario de Guadalajara Guadalajara
Spain Hospital Duran i Reynals Hospitalet de Llobregat Barcelona
Spain Complejo Hospitalario de Jaén Jaén
Spain Hospital Universitario Severo Ochoa Leganés Madrid
Spain Hospital Universitario de León León
Spain Hospital Universitario Lucus Augusti / Servicio de Oncología Médica Lugo
Spain Hospital Clínico San Carlos de Madrid Madrid
Spain Hospital Universitario 12 de octubre Madrid
Spain Hospital Universitario La Paz Madrid
Spain Hospital Universitario Ramón y Cajal Madrid
Spain Hospital San Juan de Dios Manresa Barcelona
Spain Complexo Hospitalario Universitario de Ourense Ourense
Spain Hospital Universitario Son Espases Palma de Mallorca Mallorca
Spain Hospital Infanta Cristina Parla Madrid
Spain Hospital Parc Taulí de Sabadell Sabadell Barcelona
Spain Hospital Universitario Nuestra Señora de Candelaria Santa Cruz de Tenerife Tenerife
Spain Hospital Universitario de Marqués de Valdecilla Santander Cantabria
Spain Complejo Asistencial de Segovia Segovia
Spain Hospital de Valme Sevilla
Spain Hospital Universitario Mutua Terrassa Terrassa Barcelona
Spain Hospita Virgen de la Salud Toledo Madrid
Spain Hospital Clínico Universitario de Valencia Valencia
Spain Instituto Valenciano de Oncología Valencia
Spain Hospital Universitario Doctor Peset València

Sponsors (1)

Lead Sponsor Collaborator
Pfizer

Country where clinical trial is conducted

Spain, 

Outcome

Type Measure Description Time frame Safety issue
Other Time to Achieve CR in Participants Classified According to Heng I Criteria Prognosis Time to CR: difference between treatment start date and CR confirmation date. As per RECIST v1.1, CR=disappearance of all known target and all non-target lesions and absence of new lesions, normalization of tumor markers. Pathological lymph nodes must have short axis measures <10mm. CR was confirmed with 2 consecutive CT scans performed with at least 4 weeks between them. Confirmation from oncologist and radiologist was required at each site. Heng prognostic model identified KPS of <80 at treatment initiation, period from diagnosis to start of treatment for metastatic disease <1year, anemia, hypercalcemia, neutrophilia, thrombocytosis as prognostic factors. Participants were classified into 3 prognosis group: favorable(0 factor), intermediate(1-2 factors) and poor(3 or more factors). KPS measured ability of participants with cancer to perform ordinary tasks. KPS scores range: 0 (dead) to 100 (normal, no complaint). High KPS score= participant better able to carry out daily activities. From treatment initiation date to CR confirmation date, up to a maximum of approximately 13 years (from the data collected and observed retrospectively for approximately 10 months)
Other Time to Achieve CR in Participants Classified According to Heng I Criteria Prognosis at Least 2 Consecutive CT Scans Time to CR: difference between treatment start date and CR confirmation date. As per RECIST v1.1, CR=disappearance of all known target and all non-target lesions and absence of new lesions, normalization of tumor markers. Pathological lymph nodes must have short axis measures <10mm. CR was confirmed with 2 consecutive CT scans performed with at least 4 weeks between them. Confirmation from oncologist and radiologist was required at each site. Heng prognostic model identified KPS of <80 at treatment initiation, period from diagnosis to start of treatment for metastatic disease <1year, anemia, hypercalcemia, neutrophilia, thrombocytosis as prognostic factors. Participants were classified into 3 prognosis group: favorable(0 factor), intermediate(1-2 factors) and poor(3 or more factors). KPS measured ability of participants with cancer to perform ordinary tasks. KPS scores range: 0(dead) to 100(normal, no complaint). High KPS score=participant better able to carry out daily activities. From treatment initiation date to CR confirmation date, up to a maximum of approximately 13 years (from the data collected and observed retrospectively for approximately 10 months)
Other Time to Achieve CR in Participants Classified According to Previous Nephrectomy Status Time to achieve CR according to previous nephrectomy status were reported in this outcome measure. Time to CR was calculated as the difference between treatment start date and CR confirmation date. As per RECIST v1.1, CR=disappearance of all known target and all non-target lesions and absence of new lesions, normalization of tumor markers. Pathological lymph nodes must have short axis measures <10mm. CR was confirmed with 2 consecutive CT scans performed with at least 4 weeks between them. Confirmation from oncologist and radiologist was required at each site. From treatment initiation date to CR confirmation date, up to a maximum of approximately 13 years (from the data collected and observed retrospectively for approximately 10 months)
Other Time to Achieve CR in Participants Classified According to Histology Type Time to achieve CR according to type of histology as clear cell, non-clear cell and sarcomatoid were reported in this outcome measure. Time to CR was calculated as the difference between treatment start date and CR confirmation date. As per RECIST v1.1, CR=disappearance of all known target and all non-target lesions and absence of new lesions, normalization of tumor markers. Pathological lymph nodes must have short axis measures <10mm. CR was confirmed with 2 consecutive CT scans performed with at least 4 weeks between them. Confirmation from oncologist and radiologist was required at each site. From treatment initiation date to CR confirmation date, up to a maximum of approximately 13 years (from the data collected and observed retrospectively for approximately 10 months)
Other Duration of Response Based on Type of Treatment Received Duration of response was defined as the time from date on which the CR was identified until the date of the CT scan conforming tumor progression, the change of treatment due to unacceptable toxicity, death from any cause or until the date of the last follow-up at the close of study. As per RECIST v1.1: CR = disappearance of target and non-target lesions and normalization of tumor markers. Pathological lymph nodes must have short axis measures <10 mm. Tumor progression = at least a 20% increase in the sum of diameters of measured lesions taking as references the smallest sum of diameters recorded on study (including baseline) and an absolute increase of >=5 mm or appearance of at least 1 new lesion. Unequivocal progression of existing non-target lesions. Analysis was performed using Kaplan-Meier method. From first documented CR date until progression/death or change of treatment due to unacceptable toxicity or last follow-up date, up to a maximum of approximately 13 years (from the data collected and observed retrospectively for approximately 10 months)
Other Number of Participants With Dose Interruption From start of drug up to a maximum of approximately 13 years (from the data collected and observed retrospectively for approximately 10 months)
Other Number of Participants Who Received Subsequent Local Treatment Local treatments were the following: traditional surgery, radiotherapy, or stereotactic body radiation therapy (SBRT), to achieve the total macroscopic disappearance of the disease along with CR, according to the opinion of the physician responsible for the participant. Up to a maximum of approximately 13 years (from the data collected and observed retrospectively for approximately 10 months)
Other Number of Participants Who Discontinued Sunitinib Treatment Due to Toxicity Number of participants who discontinued sunitinib treatment due to toxicity were reported in this outcome measure. From start of drug up to a maximum of approximately 13 years (from the data collected and observed retrospectively for approximately 10 months)
Other Number of Participants With Grade 3 or Higher Toxicity to Sunitinib Number of participants with Grade 3 or higher toxicity as per common terminology criteria for adverse events (CTCAE) version 4 were reported. Grade 1= mild; Grade 2= moderate; Grade 3= severe; Grade 4= life-threatening or disabling; Grade 5= death. From start of drug up to a maximum of approximately 13 years (from the data collected and observed retrospectively for approximately 10 months)
Primary Time to Complete Remission of Lesions Time to complete remission of lesions was calculated as the difference between treatment start date and complete response (CR) confirmation date. As per response evaluation criteria in solid tumors (RECIST) version (v) 1.1, CR = disappearance of all known target and all non-target lesions and the absence of new lesions, normalization of tumor markers. Pathological lymph nodes must have short axis measures <10 millimeter (mm). CR was confirmed with 2 consecutive computed tomography (CT) scans performed with at least 4 weeks between them during the follow-up of participants. Confirmation from the oncologist and radiologist was required at each site. From treatment initiation date to CR confirmation date, up to a maximum of approximately 13 years (from the data collected and observed retrospectively for approximately 10 months)
Primary Duration of Complete Remission (DOR) DOR was defined as the time from date on which the CR was identified until tumor progression, the change of treatment due to unacceptable toxicity, death from any cause or until the date of the last follow-up at the close of study. As per RECIST v1.1: CR = disappearance of target and non-target lesions and normalization of tumor markers. Pathological lymph nodes must have short axis measures <10 mm. Tumor progression = at least a 20% increase in the sum of diameters of measured lesions taking as references the smallest sum of diameters recorded on study (including baseline) and an absolute increase of >=5 mm or appearance of at least 1 new lesion. Unequivocal progression of existing non-target lesions. From first documented CR date until progression/death or change of treatment due to unacceptable toxicity or last follow-up date, up to a maximum of approximately 13 years (from the data collected and observed retrospectively for approximately 10 months)
Primary Progression Free Survival (PFS) PFS was calculated as the time from the date of CR confirmation (2nd CT scan) until the date of progression/death or change of treatment for unacceptable toxicity or censored on the date of the last follow-up. As per RECIST v1.1: CR = disappearance of target and non-target lesions and normalization of tumor markers. Pathological lymph nodes must have short axis measures <10 mm. Tumor progression = at least a 20% increase in the sum of diameters of measured lesions taking as references the smallest sum of diameters recorded on study (including baseline) and an absolute increase of >=5 mm or appearance of at least 1 new lesion. Unequivocal progression of existing non-target lesions. Analysis was performed using Kaplan-Meier method. From CR confirmation date until progression/death or change of treatment due to unacceptable toxicity/last follow-up date, up to maximum of approximately 13 years (data collected, observed retrospectively for approximately 10 months)
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