NCT00920816

Brief 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.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
492

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Aug 2009

Longer than P75 for phase_3

Geographic Reach
14 countries

125 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 11, 2009

Completed
4 days until next milestone

First Posted

Study publicly available on registry

June 15, 2009

Completed
2 months until next milestone

Study Start

First participant enrolled

August 25, 2009

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 27, 2012

Completed
1.5 years until next milestone

Results Posted

Study results publicly available

February 4, 2014

Completed
7.2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

April 29, 2021

Completed
Last Updated

May 6, 2022

Status Verified

April 1, 2022

Enrollment Period

2.9 years

First QC Date

June 11, 2009

Results QC Date

July 26, 2013

Last Update Submit

April 9, 2022

Conditions

Keywords

Axitinib in First & Second Line Treatment of Patients With Metastatic Renal Cell Cancer

Outcome Measures

Primary Outcomes (2)

  • Progression Free Survival (PFS): First-Line Participants

    Time in months from randomization to first documentation of objective tumor progression or death due to any cause. PFS calculated as (first event date minus date of randomization plus 1)/30.4. Tumor progression determined from oncologic assessment data (where it meets criteria for progressive disease \[PD\]), or from adverse event (AE) data (where outcome was "Death"). Progression using Response Evaluation Criteria in Solid Tumors (RECIST) is \>= 20 percent (%) increase in sum of longest diameter of target lesions; measurable increase in non-target lesion; appearance of new lesions.

    Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 107)

  • Progression Free Survival (PFS): Second-Line Participants

    Time in months from randomization to first documentation of objective tumor progression or death due to any cause. PFS calculated as (first event date minus date of randomization plus 1)/30.4. Tumor progression determined from oncologic assessment data (where it meets criteria for progressive disease \[PD\]), or from adverse event (AE) data (where outcome was "Death"). Progression using Response Evaluation Criteria in Solid Tumors (RECIST) is \>= 20 percent (%) increase in sum of longest diameter of target lesions; measurable increase in non-target lesion; appearance of new lesions.

    Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 103)

Secondary Outcomes (6)

  • Percentage of Participants With Objective Response (OR): First-Line Participants

    Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 107)

  • Percentage of Participants With Objective Response (OR): Second-Line Participants

    Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 103)

  • Duration of Response (DR): First-Line Participants

    Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 107)

  • Duration of Response (DR): Second-Line Participants

    Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 103)

  • Overall Survival (OS): First-Line Participants

    Baseline until death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 107)

  • +1 more secondary outcomes

Other Outcomes (8)

  • Functional Assessment of Cancer Therapy Kidney Symptom Index-15 (FKSI-15): First-Line Participants

    Baseline (Pre-dose on Cycle [C]1 Day [D]1), D1 of each cycle until C23, end of treatment (up to Week 107), follow-up (28 days after last dose)

  • Functional Assessment of Cancer Therapy Kidney Symptom Index-15 (FKSI-15): Second-Line Participants

    Baseline (Pre-dose on Cycle [C]1 Day [D]1), D1 of each cycle until C21, end of treatment (up to Week 103), follow-up (28 days after last dose)

  • Functional Assessment of Cancer Therapy Kidney Symptom Index -Disease Related Symptoms (FKSI-DRS): First-Line Participants

    Baseline (Pre-dose on Cycle [C]1 Day [D]1), D1 of each cycle until C23, end of treatment (up to Week 107), follow-up (28 days after last dose)

  • +5 more other outcomes

Study Arms (2)

A

EXPERIMENTAL
Drug: Axitinib (AG-013736)

B

ACTIVE COMPARATOR
Drug: Sorafenib

Interventions

axitinib will be given at a starting dose of 5 mg BID with continuous dosing

A

sorafenib will be given at a dose of 400 mg BID continuous dosing

B

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically documented metastatic renal cell cancer with a component of clear cell histology.
  • Evidence of measurable disease.
  • Patients with mRCC must have received no prior systemic first-line therapy or must have progressive disease per RECIST (version 1.0) after one prior systemic first line regimen for metastatic disease containing sunitinib, cytokine(s), or both.

You may not qualify if:

  • Prior treatment for metastatic renal cell cancer with more that one systemic first line therapy.
  • Major surgery less that 4 weeks or radiation less than 2 weeks of starting study drug.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (125)

Advanced Medical Specialties

Miami, Florida, 33143, United States

Location

Advanced Medical Specialties

Miami, Florida, 33176, United States

Location

Illinois Cancer Specialists

Arlington Heights, Illinois, 60005, United States

Location

Illinois Cancer Specialists

Niles, Illinois, 60714, United States

Location

Indiana University Health Central Indiana Cancer Centers

Carmel, Indiana, 46032, United States

Location

Indiana University Health Central Indiana Cancer Centers

Fishers, Indiana, 46037, United States

Location

Indiana University Health Central Indiana Cancer Centers

Greenfield, Indiana, 46140, United States

Location

Indiana University Health Central Indiana Cancer Centers

Indianapolis, Indiana, 46219, United States

Location

Indiana University Health Central Indiana Cancer Centers

Indianapolis, Indiana, 46227, United States

Location

Missouri Cancer Associates

Columbia, Missouri, 65201, United States

Location

Nebraska Methodist Hospital

Omaha, Nebraska, 68114, United States

Location

Comprehensive Cancer Centers of Nevada

Henderson, Nevada, 89052, United States

Location

US Oncology West Region

Henderson, Nevada, 89052, United States

Location

Comprehensive Cancer Centers of Nevada

Henderson, Nevada, 89074, United States

Location

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, 89128, United States

Location

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, 89148, United States

Location

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, 89169, United States

Location

Hematology-Oncology Associates of Northern NJ, PA

Morristown, New Jersey, 07962, United States

Location

Hematology-Oncology Associates of Northern NJ, PA

Parsippany, New Jersey, 07054, United States

Location

New York Oncology Hematology, PC

Albany, New York, 12206, United States

Location

New York Oncology Hematology, PC

Albany, New York, 12208, United States

Location

New York Oncology Hematology, PC

Latham, New York, 12110, United States

Location

New York Oncology Hematology, PC

Rexford, New York, 12148, United States

Location

New York Oncology Hematology, PC

Troy, New York, 12180, United States

Location

Raleigh Hematology Oncology Associates

Cary, North Carolina, 27518, United States

Location

Raleigh Hematology Oncology Associates

Raleigh, North Carolina, 27607, United States

Location

Raleigh Hematology Oncology Associates

Raleigh, North Carolina, 27614, United States

Location

Northwest Cancer Specialists, PC

Portland, Oregon, 97213, United States

Location

Northwest Cancer Specialists, PC

Portland, Oregon, 97225, United States

Location

Northwest Cancer Specialists, PC

Portland, Oregon, 97227, United States

Location

Northwest Cancer Specialists, PC

Tualatin, Oregon, 97062, United States

Location

Penn State Milton S. Hershey Medical Center, Penn State Cancer Institute

Hershey, Pennsylvania, 17033-0850, United States

Location

Medical University of South Carolina University Hospital

Charleston, South Carolina, 29425, United States

Location

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Location

Texas Oncology- Amarillo

Amarillo, Texas, 79106, United States

Location

Texas Oncology-Beaumont, Mamie McFaddin Ward Cancer Center

Beaumont, Texas, 77702-1449, United States

Location

Texas Oncology- Bedford

Bedford, Texas, 76022, United States

Location

Texas Oncology- Baylor Charles A. Sammons Cancer Center

Dallas, Texas, 75246, United States

Location

Texas Oncology- Fort Worth 12th Avenue

Fort Worth, Texas, 76104, United States

Location

Texas Oncology- Southwest Fort Worth

Fort Worth, Texas, 76132, United States

Location

Investigational Products Center (lPC)

Fort Worth, Texas, 76177, United States

Location

US Oncology Research and Clinical Pharmacy

Fort Worth, Texas, 76177, United States

Location

Texas Oncology - Grapevine

Grapevine, Texas, 76051, United States

Location

Cancer Care Centers of South Texas

Kerrville, Texas, 78028, United States

Location

Texas Oncology- McAllen South Second Street

McAllen, Texas, 78503, United States

Location

Texas Oncology- Midland Allison Cancer Center

Midland, Texas, 79701, United States

Location

Cancer Care Centers of South Texas

San Antonio, Texas, 78217, United States

Location

Cancer Care Centers of South Texas

San Antonio, Texas, 78258-3912, United States

Location

Texas Oncology-Deke Slayton Cancer Center

Webster, Texas, 77598-4420, United States

Location

Texas Oncology-Weslaco

Weslaco, Texas, 78596, United States

Location

Oncology and Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care

Christiansburg, Virginia, 24073, United States

Location

Oncology and Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care

Low Moor, Virginia, 24457, United States

Location

Oncology and Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care

Roanoke, Virginia, 24014, United States

Location

Oncology and Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care

Salem, Virginia, 24153, United States

Location

Oncology and Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care

Wytheville, Virginia, 24382, United States

Location

Northwest Cancer Specialists, PC

Vancouver, Washington, 98684, United States

Location

Northwest Cancer Specialists, PC

Vancouver, Washington, 98686, United States

Location

Wenatchee Valley Medical Center

Wenatchee, Washington, 98801, United States

Location

Clinic of Oncology

Banja Luka, 78000, Bosnia and Herzegovina

Location

Institute of Oncology, University Hospital Center Sarajevo

Sarajevo, 71000, Bosnia and Herzegovina

Location

University Clinical Center Tuzla, Clinic for Oncology, Hematology and Radiotherapy

Tuzla, 75000, Bosnia and Herzegovina

Location

Spetsializirana Bolnitsa za Aktivno Lechenie po Onkologiya, EAD, Klinika po Himioterapiya

Sofia, 1756, Bulgaria

Location

SBALOZ D-r Marko Markov-Varna

Varna, 9000, Bulgaria

Location

Instituto Clinico Oncologico del Sur

Temuco, Cautin, 4810469, Chile

Location

Instituto Clinico Oncologico del Sur

Temuco, Región de la Araucanía, 4810561, Chile

Location

Instituto de Terapias Oncologicas Providencia

Providencia, Santiago Metropolitan, 7501088, Chile

Location

Private Office

Santiago, RM 8360160, Chile

Location

Cancer Institute and Hospital ,Chinese Academy of Medical Sciences

Beijing, Beijing Municipality, 100021, China

Location

Chinese PLA General Hospital

Haidian District, Beijing Municipality, 100853, China

Location

The Fuzhou General Hospital, PLA Nanjing Military Area Command

Fuzhou, Fujian, 350025, China

Location

Urology Department, Sun Yet-Sen University Cancer Center

Guangzhou, Guangdong, 510060, China

Location

Nanfang Hospital

Guangzhou, Guangdong, 510515, China

Location

Nanjing Bayi Hospital

Nanjing, Jiangsu, 210002, China

Location

The Oncology Department, Jiangsu Province Hospital

Nanjing, Jiangsu, 210029, China

Location

Jilin Provincial Cancer Hospital

Changchun, Jilin, 130012, China

Location

Urology Department, 1st Hospital of China Medical University

Shenyang, Liaoning, 110001, China

Location

Xijing Hospital, The Fourth Military Medical University,Oncology Department

Xi'an, Shaanxi, 710032, China

Location

Urology Department, Renji Hospital,Shanghai Jiao Tong University School of Medicine

Shanghai, Shanghai Municipality, 200127, China

Location

West China Hospital of Sichuan University

Chengdu, Sichuan, 610041, China

Location

Sir Run Run Shaw Hospital of College of Medicine of Zhejiang University, Center for Oncology

Hangzhou, Zhejiang, 310016, China

Location

Department of Urology,Peking University First Hospital

Beijing, 100034, China

Location

Beijing Cancer Hospital/Department of Renal Cancer and Melanoma

Beijing, 100036, China

Location

South-Western Hospital, 3rd Military Medical University

Chongqing, 400038, China

Location

Jiangsu Cancer Hospital

Nanjing, 210009, China

Location

Fudan University, Cancer Hospital, Department of Urology

Shanghai, 200032, China

Location

Tianjin Oncology Hospital,biology treatment department

Tianjin, 300060, China

Location

Urology Department, The Second Hospital of Tianjin Medical University

Tianjin, 300211, China

Location

BIBI General Hospital and Cancer Centre,

Hyderabad, Andhra Pradesh, 500024, India

Location

Chinmaya Mission Hospital

Bangalore, Karnataka, 560038, India

Location

Sri Venkateshwara Hospital

Bangalore, Karnataka, 560068, India

Location

NU Hospitals

Bangalore, Karnataka, 560070, India

Location

Cancer Care Clinic and Hospitals

Nagpur, Maharashtra, 440012, India

Location

Shatabdi Superspeciality Hospital

Nashik, Maharashtra, 422 005, India

Location

Curie Manavata Cancer Centre

Nashik, Maharashtra, 422004, India

Location

Deenanath Mangeshkar Hospital and Research Centre

Pune, Maharashtra, 411 004, India

Location

Sahyadri Speciality Hospital

Pune, Maharashtra, 411 004, India

Location

Shettys hospital

Bangalore, 560068, India

Location

University Malaya Medical Centre

Kuala Lumpur, 59100, Malaysia

Location

Hospital General de Mexico O.D.

Mexico City, Mexico City, 06726, Mexico

Location

Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran

Mexico City, Mexico City, 14000, Mexico

Location

Centro Hemato-Oncologico Privado

Toluca, State of Mexico, 50080, Mexico

Location

Centenario Hospital Miguel Hidalgo

Aguascalientes, 20000, Mexico

Location

Oaxaca Site Management Organization

Oaxaca City, 68000, Mexico

Location

Rm. 3227 Doctors Clinic, Annex II Bldg., National Kidney & Transplant Institute

Quezon City, Diliman, Philippines

Location

St. Lukes Medical Center

Quezon City, National Capital Region, 1102, Philippines

Location

University of the East Ramon Magsaysay Memorial Medical Center

Quezon City, National Capital Region, 1113, Philippines

Location

Makati Medical Center

Makati City, 1200, Philippines

Location

Room 805, Committee on Research Room, Manila Doctors Hospital

Manila, 1000, Philippines

Location

Oncomed SRL

Timișoara, JUD. Timis, 300239, Romania

Location

Institutul Oncologic "Prof.Dr.I.Chiricuta" Cluj-Napoca

Cluj-Napoca, 400015, Romania

Location

Institutul Oncologic ''Prof.Dr. I. Chiricuta'' Cluj Napoca

Cluj-Napoca, 400015, Romania

Location

GBU RO "Ryazan Regional Clinical Oncology Dispensary"

Ryazan, Russian Federation, 390011, Russia

Location

FGBOU VO "Ryazan State Medical University named after academician I.P.Pavlov"

Ryazan, Russian Federation, 390026, Russia

Location

Moscow State Healthcare Institution Oncology Clinical Dispensary #1

Moscow, 105005, Russia

Location

P.A. Herzen Moscow Oncology Research Institute,

Moscow, 125284, Russia

Location

FGBOU VO "First Saint-Petersburg State Medical University n.a. I.P.Pavlov"

Saint Petersburg, 197022, Russia

Location

Republican Clinical Oncology Dispensary of the Ministry of Health of Bashkortostan Republic

Ufa, 450054, Russia

Location

GVI Oncology

Port Elizabeth, 6045, South Africa

Location

Taichung Veterans General Hospital

Taichung, 407, Taiwan

Location

Taipei Veterans General Hospital

Taipei, 112, Taiwan

Location

KP Dnipropetrovska oblasna klinichna likarnia im. I.I. Mechnykova" Dnipropetrovskoi oblasnoi rady,

Dnipro, 49005, Ukraine

Location

Komunalne nekomertsiine pidpryiemstvo Kharkivskoi oblasnoi rady Oblasnyi medychnyi klinichnyi tsentr

Kharkiv, 61037, Ukraine

Location

DU Instytut Urolohii NAMN Ukrainy, viddil onkourolohii, KNP Kyivskyi miskyi klinichnyi onkolohichnyi

Kyiv, 03115, Ukraine

Location

Komunalne nekomertsiine pidpryiemstvo Lvivskoi oblasnoi rady Lvivskyi onkolohichnyi rehionalnyi

Lviv, 79031, Ukraine

Location

SI "Zaporizhzhya Medical Academy of Postgraduate Education of the Ministry of Health of Ukraine"

Zaporizhzhya, 69040, Ukraine

Location

Related Publications (8)

  • Rini BI, Atkins MB, Choueiri TK, Teresi RE, Rosbrook B, Thakur M, Hutson TE. Plain language summary looking at how long side effects last after treatment with axitinib is stopped in people with advanced renal cell carcinoma. Future Oncol. 2023 Dec;19(40):2623-2629. doi: 10.2217/fon-2023-0233. Epub 2023 Aug 1.

  • Aldin A, Besiroglu B, Adams A, Monsef I, Piechotta V, Tomlinson E, Hornbach C, Dressen N, Goldkuhle M, Maisch P, Dahm P, Heidenreich A, Skoetz N. First-line therapy for adults with advanced renal cell carcinoma: a systematic review and network meta-analysis. Cochrane Database Syst Rev. 2023 May 4;5(5):CD013798. doi: 10.1002/14651858.CD013798.pub2.

  • Rini BI, Atkins MB, Choueiri TK, Thomaidou D, Rosbrook B, Thakur M, Hutson TE. Time to Resolution of Axitinib-Related Adverse Events After Treatment Interruption in Patients With Advanced Renal Cell Carcinoma. Clin Genitourin Cancer. 2021 Oct;19(5):e306-e312. doi: 10.1016/j.clgc.2021.03.019. Epub 2021 Apr 5.

  • de Velasco G, McKay RR, Lin X, Moreira RB, Simantov R, Choueiri TK. Comprehensive Analysis of Survival Outcomes in Non-Clear Cell Renal Cell Carcinoma Patients Treated in Clinical Trials. Clin Genitourin Cancer. 2017 Dec;15(6):652-660.e1. doi: 10.1016/j.clgc.2017.03.004. Epub 2017 Mar 21.

  • Hutson TE, Al-Shukri S, Stus VP, Lipatov ON, Shparyk Y, Bair AH, Rosbrook B, Andrews GI, Vogelzang NJ. Axitinib Versus Sorafenib in First-Line Metastatic Renal Cell Carcinoma: Overall Survival From a Randomized Phase III Trial. Clin Genitourin Cancer. 2017 Feb;15(1):72-76. doi: 10.1016/j.clgc.2016.05.008. Epub 2016 May 27.

  • Grunwald V, Lin X, Kalanovic D, Simantov R. Early Tumour Shrinkage: A Tool for the Detection of Early Clinical Activity in Metastatic Renal Cell Carcinoma. Eur Urol. 2016 Dec;70(6):1006-1015. doi: 10.1016/j.eururo.2016.05.010. Epub 2016 May 26.

  • Qin S, Bi F, Jin J, Cheng Y, Guo J, Ren X, Huang Y, Tarazi J, Tang J, Chen C, Kim S, Ye D. Axitinib versus sorafenib as a second-line therapy in Asian patients with metastatic renal cell carcinoma: results from a randomized registrational study. Onco Targets Ther. 2015 Jun 8;8:1363-73. doi: 10.2147/OTT.S83302. eCollection 2015.

  • Hutson TE, Lesovoy V, Al-Shukri S, Stus VP, Lipatov ON, Bair AH, Rosbrook B, Chen C, Kim S, Vogelzang NJ. Axitinib versus sorafenib as first-line therapy in patients with metastatic renal-cell carcinoma: a randomised open-label phase 3 trial. Lancet Oncol. 2013 Dec;14(13):1287-94. doi: 10.1016/S1470-2045(13)70465-0. Epub 2013 Oct 25.

Related Links

MeSH Terms

Conditions

Kidney Neoplasms

Interventions

AxitinibSorafenib

Condition Hierarchy (Ancestors)

Urologic NeoplasmsUrogenital NeoplasmsNeoplasms by SiteNeoplasmsFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesKidney DiseasesUrologic DiseasesMale Urogenital Diseases

Intervention Hierarchy (Ancestors)

BenzamidesAmidesOrganic ChemicalsBenzoatesAcids, CarbocyclicCarboxylic AcidsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsIndazolesPyrazolesAzolesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingPhenylurea CompoundsUreaNiacinamideNicotinic AcidsAcids, HeterocyclicPyridines

Limitations and Caveats

The objective of the statistical analysis for secondary endpoints was to summarize data using descriptive statistics without performing any hypothesis testing. Safety analysis did not include data from all China participants due to inability to obtain timely approval to use data in accordance to HGRAC regulations.

Results Point of Contact

Title
Pfizer ClinicalTrials.gov Call Center
Organization
Pfizer Inc.

Study Officials

  • Pfizer CT.gov Call Center

    Pfizer

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 11, 2009

First Posted

June 15, 2009

Study Start

August 25, 2009

Primary Completion

July 27, 2012

Study Completion

April 29, 2021

Last Updated

May 6, 2022

Results First Posted

February 4, 2014

Record last verified: 2022-04

Data Sharing

IPD Sharing
Will share

Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

More information

Locations