Study of Dovitinib Versus Sorafenib in Patients With Metastatic Renal Cell Carcinoma
An Open-label, Randomized, Multi-center, Phase III Study to Compare the Safety and Efficacy of Dovitinib Versus Sorafenib in Patients With Metastatic Renal Cell Carcinoma After Failure of Anti-angiogenic (VEGF-targeted and mTOR Inhibitor) Therapies
2 other identifiers
interventional
564
26 countries
193
Brief Summary
This study will evaluate the safety and efficacy of Dovitinib versus sorafenib in patients with metastatic renal cell cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Mar 2011
Typical duration for phase_3
193 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 30, 2010
CompletedFirst Posted
Study publicly available on registry
October 18, 2010
CompletedStudy Start
First participant enrolled
March 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2014
CompletedResults Posted
Study results publicly available
November 6, 2015
CompletedDecember 7, 2015
November 1, 2015
3.3 years
September 30, 2010
June 29, 2015
November 5, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Progression Free Survival (PFS) Per Independent Central Radiology Review
Assessed according to RECIST 1.1. PFS was defined as the time from the date of randomization to the date of the first documented disease progression or death due to any cause. If a patient had not progressed or died, on the date of the analysis cut-off or when he/she received any further anti-neoplastic therapy, PFS was censored on the date of last tumor assessment before the cutoff date or the anti-neoplastic therapy date. The distribution of PFS was estimated using the Kaplan-Meier method. The median PFS along with 95% confidence intervals was presented by treatment group.
Until disease progression or discontinuation of treatment due to unacceptable toxicity up to 30-Jun-2014 (discontinuation)
Secondary Outcomes (8)
Overall Survival (OS)
until at least 386 deaths are documented in the clinical database.
Progression Free Survival (PFS) Per Investigator's Radiology Review
Until disease progression or discontinuation of treatment due to unacceptable toxicity
Percentage of Participants With Overall Response Rate (ORR) by Central Radiology Review
Until disease progression or discontinuation of treatment due to unacceptable toxicity
Time to Definitive Worsening of Karnofsky Performance Status (KPS)
from date of randomization to the date of definitive worsening of KPS or to the date of death whichever occurred earlier
Patient-reported Outcomes (PROs): Time to Deterioration of Functional Assessment of Cancer Therapy-Kidney Symptom Index, Disease Related Symptoms (FKSI-DRS) by at Least 2 Scores
from date of randomization, at least 2 score units
- +3 more secondary outcomes
Study Arms (2)
Dovitinib + best supportive care (BSC)
EXPERIMENTALPatients randomized to the dovitinib treatment arm received 500 mg of dovitinib orally on 5 days on/2 days off dosing schedule.
Sorafenib + BSC
ACTIVE COMPARATORPatients in the sorafenib control arm received400 mg of sorafenib (2 x 200 mg tablets) orally taken twice daily.
Interventions
Dovitinib is formulated as an oral gelatin capsule of 100 mg strength and was dosed on a flat scale of 500 mg on a 5 days on/2 days off dosing schedule. Medication labels complied withthe legal requirements of each country and were printed in the local language.
Sorafenib is formulated as a round, oral, biconvex, red film-coated tablet that contains 200 mg of sorafenib (tosylate). Sorafenib was administered twice daily without food at least 1 hour before or 2 hours after a meal. Sorafenib was supplied according to local practice.
Eligibility Criteria
You may qualify if:
- Patients with metastatic renal cell carcinoma (mRCC) with histological or cytological confirmation of clear cell carcinoma or a component of clear cell
- Patients must have received one and only one prior VEGF-targeted therapy and one and only one prior mTOR inhibitor therapy in the metastatic setting. One VEGF targeted therapy (e.g. sunitinib, or pazopanib, or axitinib, or tivozanib or bevacizumab) and one prior mTOR inhibitor therapy (everolimus, or temsirolimus or ridaforolimus)
- Prior cytokines therapy and prior vaccines in the adjuvant setting is permitted.
- Patients must have had disease progression on or within 6 months of stopping the last therapy.
- Patients must have at least one measurable lesion at baseline (by RECIST Criteria Guidelines v1.1) assessed by Computer Tomography (CT) Scan or Magnetic Resonance Imaging (MRI).
- Karnofsky performance status ≥ 70%
- Patients must have the following laboratory values:
- Absolute Neutrophil Count (ANC) ≥ 1.5 x 109/L
- Platelets ≥ 100 x 109/L
- Hemoglobin (Hgb) \> 9 g/dL
- Serum total bilirubin: ≤ 1.5 x ULN
- ALT and AST ≤ 3.0 x ULN (Patients with known liver metastases: AST and ALT ≤ 5.0 x ULN)
- Serum creatinine ≤ 1.5 x ULN
You may not qualify if:
- Patients who have previously received sorafenib therapy in the neoadjuvant, adjuvant or metastatic setting.
- Patients who have previously received Dovitinib or brivanib in the neoadjuvant, adjuvant or metastatic setting.
- Patients with brain metastases. Radiological imaging (e.g. CT or MRI scan) of the brain is required at screening/baseline
- Patients with another primary malignancy within 3 years prior to starting study treatment, with the exception of adequately treated basal cell carcinoma, squamous cell carcinoma or non-melanomatous skin cancer, or in-situ carcinoma of the uterine cervix
- Patients who have received the last administration of an anticancer targeted small molecule therapy ≤ 2 weeks prior to starting study treatment (e.g. sunitinib, pazopanib, axitinib, everolimus, temsirolimus), or who have not recovered from the side effects of such therapy
- Patients who have received the last administration of nitrosurea or mitomycin-C ≤ 6 weeks prior to starting study treatment, or who have not recovered from the side effects of such therapy
- Patients who have undergone major surgery (e.g., intra-thoracic, intra-abdominal or intra-pelvic) ≤ 4 weeks prior to starting study treatment or who have not recovered from side effects of such therapy
- Patients with a history of pulmonary embolism (PE), or untreated deep venous thrombosis (DVT) within the past 6 months
- Patients with concurrent severe and/or uncontrolled medical conditions which could compromise participation in the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (199)
Highlands Oncology Group Dept of Highlands Oncology Grp
Fayetteville, Arkansas, 72703, United States
University of California San Diego - Moores Cancer Center Dept of Moores Cancer Ctr (5)
La Jolla, California, 92093-0658, United States
Cedars Sinai Medical Center Cedars Sinai Medical Ctr. (SC)
Los Angeles, California, 90048, United States
University of California at Los Angeles UCLA (4)
Los Angeles, California, 90095, United States
Stanford University Medical Center Cancer Clinical Trials Office
Stanford, California, 94304, United States
Rocky Mountain Cancer Centers RMCC
Greenwood Village, Colorado, United States
Florida Cancer Specialists DeptofFloridaCancerSpecialists
Fort Myers, Florida, 33901, United States
University Cancer & Blood Center, LLC
Athens, Georgia, 30607, United States
Straub Clinic & Hospital Straub
Honolulu, Hawaii, 96813, United States
Moanalua Medical Center. Attn: Oncology Dept
Honolulu, Hawaii, 96817, United States
University of Kansas Cancer Center Univ of KS
Kansas City, Kansas, 66160, United States
University of Maryland Medical Center UMMC
Baltimore, Maryland, 21201, United States
Karmanos Cancer Institute Dept.of KarmanosCancerInst (5)
Detroit, Michigan, 48201, United States
University of Minnesota Medical Center - Fairview Univ of MN
Minneapolis, Minnesota, 55455, United States
Comprehensive Cancer Centers of Nevada CCC of Nevada (1)
Las Vegas, Nevada, 89109, United States
CINJ at Cooper University Hospital Cooper
Voorhees Township, New Jersey, 08043, United States
Memorial Sloan Kettering Cancer Center Dept. of MSKCC
New York, New York, 90033, United States
SUNY - Upstate Medical University Div. of Hematology-Oncology
Syracuse, New York, 13210, United States
New York Oncology Hematology, P.C. Dept. of New York Oncology. PC
Troy, New York, 12180, United States
Willamette Valley Clinical Studies Williamette Valley Cancer
Eugene, Oregon, 97404, United States
St. Luke's Hospital and Health Network St Luke's
Bethlehem, Pennsylvania, United States
Medical University of South Carolina -Hollings Cancer Center Med Univ SC
Charleston, South Carolina, 29425, United States
Cancer Centers of the Carolinas CC of C -Eastside
Greenville, South Carolina, 29605, United States
Sarah Cannon Research Institute SC - 3
Chattanooga, Tennessee, 37404, United States
The West Clinic
Memphis, Tennessee, 38120, United States
Vanderbilt University Medical Center SC
Nashville, Tennessee, 37232, United States
Baylor Health Care System/Sammons Cancer Center Dept. of Sammons Cancer (4)
Dallas, Texas, 75246, United States
Texas Oncology Texas Onc - Austin
Dallas, Texas, 75251, United States
Texas Oncology Texas Oncology - Houston
Dallas, Texas, 75251, United States
University of Texas Southwestern Medical Center UTSW
Dallas, Texas, 75390-9034, United States
Deke Slayton Cancer Center Deke Slayton Cancer Center (2)
Webster, Texas, 77598, United States
Utah Cancer Specialists Dept.of Utah Cancer Spec. (3)
Salt Lake City, Utah, 84106, United States
University of Virginia Health Systems Univ Virginia
Charlottesville, Virginia, 22908-0334, United States
Rockwood Clinic Spokane Location
Spokane, Washington, 99202, United States
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Related Publications (1)
Motzer RJ, Porta C, Vogelzang NJ, Sternberg CN, Szczylik C, Zolnierek J, Kollmannsberger C, Rha SY, Bjarnason GA, Melichar B, De Giorgi U, Grunwald V, Davis ID, Lee JL, Esteban E, Urbanowitz G, Cai C, Squires M, Marker M, Shi MM, Escudier B. Dovitinib versus sorafenib for third-line targeted treatment of patients with metastatic renal cell carcinoma: an open-label, randomised phase 3 trial. Lancet Oncol. 2014 Mar;15(3):286-96. doi: 10.1016/S1470-2045(14)70030-0. Epub 2014 Feb 17.
PMID: 24556040DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Study Director
- Organization
- Novartis Pharmaceuticals
Study Officials
- STUDY DIRECTOR
Novartis Pharmaceuticals
Novartis Pharmaceuticals
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
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 30, 2010
First Posted
October 18, 2010
Study Start
March 1, 2011
Primary Completion
June 1, 2014
Study Completion
June 1, 2014
Last Updated
December 7, 2015
Results First Posted
November 6, 2015
Record last verified: 2015-11