NCT01223027

Brief Summary

This study will evaluate the safety and efficacy of Dovitinib versus sorafenib 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
564

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Mar 2011

Typical duration for phase_3

Geographic Reach
26 countries

193 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

September 30, 2010

Completed
18 days until next milestone

First Posted

Study publicly available on registry

October 18, 2010

Completed
4 months until next milestone

Study Start

First participant enrolled

March 1, 2011

Completed
3.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2014

Completed
1.4 years until next milestone

Results Posted

Study results publicly available

November 6, 2015

Completed
Last Updated

December 7, 2015

Status Verified

November 1, 2015

Enrollment Period

3.3 years

First QC Date

September 30, 2010

Results QC Date

June 29, 2015

Last Update Submit

November 5, 2015

Conditions

Keywords

DovitinibTKIRenal cell cancerRCCmRCC

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)

EXPERIMENTAL

Patients randomized to the dovitinib treatment arm received 500 mg of dovitinib orally on 5 days on/2 days off dosing schedule.

Drug: Dovitinib

Sorafenib + BSC

ACTIVE COMPARATOR

Patients in the sorafenib control arm received400 mg of sorafenib (2 x 200 mg tablets) orally taken twice daily.

Drug: Sorafenib

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.

Also known as: TKI258
Dovitinib + best supportive care (BSC)

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.

Sorafenib + BSC

Eligibility Criteria

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

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

Location

University of California San Diego - Moores Cancer Center Dept of Moores Cancer Ctr (5)

La Jolla, California, 92093-0658, United States

Location

Cedars Sinai Medical Center Cedars Sinai Medical Ctr. (SC)

Los Angeles, California, 90048, United States

Location

University of California at Los Angeles UCLA (4)

Los Angeles, California, 90095, United States

Location

Stanford University Medical Center Cancer Clinical Trials Office

Stanford, California, 94304, United States

Location

Rocky Mountain Cancer Centers RMCC

Greenwood Village, Colorado, United States

Location

Florida Cancer Specialists DeptofFloridaCancerSpecialists

Fort Myers, Florida, 33901, United States

Location

University Cancer & Blood Center, LLC

Athens, Georgia, 30607, United States

Location

Straub Clinic & Hospital Straub

Honolulu, Hawaii, 96813, United States

Location

Moanalua Medical Center. Attn: Oncology Dept

Honolulu, Hawaii, 96817, United States

Location

University of Kansas Cancer Center Univ of KS

Kansas City, Kansas, 66160, United States

Location

University of Maryland Medical Center UMMC

Baltimore, Maryland, 21201, United States

Location

Karmanos Cancer Institute Dept.of KarmanosCancerInst (5)

Detroit, Michigan, 48201, United States

Location

University of Minnesota Medical Center - Fairview Univ of MN

Minneapolis, Minnesota, 55455, United States

Location

Comprehensive Cancer Centers of Nevada CCC of Nevada (1)

Las Vegas, Nevada, 89109, United States

Location

CINJ at Cooper University Hospital Cooper

Voorhees Township, New Jersey, 08043, United States

Location

Memorial Sloan Kettering Cancer Center Dept. of MSKCC

New York, New York, 90033, United States

Location

SUNY - Upstate Medical University Div. of Hematology-Oncology

Syracuse, New York, 13210, United States

Location

New York Oncology Hematology, P.C. Dept. of New York Oncology. PC

Troy, New York, 12180, United States

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Willamette Valley Clinical Studies Williamette Valley Cancer

Eugene, Oregon, 97404, United States

Location

St. Luke's Hospital and Health Network St Luke's

Bethlehem, Pennsylvania, United States

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Medical University of South Carolina -Hollings Cancer Center Med Univ SC

Charleston, South Carolina, 29425, United States

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Cancer Centers of the Carolinas CC of C -Eastside

Greenville, South Carolina, 29605, United States

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Sarah Cannon Research Institute SC - 3

Chattanooga, Tennessee, 37404, United States

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The West Clinic

Memphis, Tennessee, 38120, United States

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Vanderbilt University Medical Center SC

Nashville, Tennessee, 37232, United States

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Baylor Health Care System/Sammons Cancer Center Dept. of Sammons Cancer (4)

Dallas, Texas, 75246, United States

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Texas Oncology Texas Onc - Austin

Dallas, Texas, 75251, United States

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Texas Oncology Texas Oncology - Houston

Dallas, Texas, 75251, United States

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University of Texas Southwestern Medical Center UTSW

Dallas, Texas, 75390-9034, United States

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Deke Slayton Cancer Center Deke Slayton Cancer Center (2)

Webster, Texas, 77598, United States

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Utah Cancer Specialists Dept.of Utah Cancer Spec. (3)

Salt Lake City, Utah, 84106, United States

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University of Virginia Health Systems Univ Virginia

Charlottesville, Virginia, 22908-0334, United States

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Rockwood Clinic Spokane Location

Spokane, Washington, 99202, United States

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Novartis Investigative Site

Buenos Aires, Buenos Aires, C1050AAK, Argentina

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Rosario, Sante Fe, S200DSK, Argentina

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St Leonards, New South Wales, 2065, Australia

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Westmead, New South Wales, 2145, Australia

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South Brisbane, Queensland, 4101, Australia

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Woodville, South Australia, 5011, Australia

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Footscray, Victoria, 3011, Australia

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Heidelberg, Victoria, 3084, Australia

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Linz, A-4020, Austria

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Vienna, 1090, Austria

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Brussels, 1000, Belgium

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Brussels, 1200, Belgium

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Ghent, 9000, Belgium

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Leuven, 3000, Belgium

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Liège, 4000, Belgium

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Porto Alegre, Rio Grande do Sul, 90610-000, Brazil

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Vancouver, British Columbia, V5Z 4E6, Canada

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Halifax, Nova Scotia, B3H 2Y9, Canada

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Hamilton, Ontario, L8N 4A6, Canada

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Ottawa, Ontario, K1H 8L6, Canada

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Toronto, Ontario, M5G 2M9, Canada

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Montreal, Quebec, H2L 4M1, Canada

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Montreal, Quebec, H2X 1N8, Canada

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Montreal, Quebec, H3T 1E2, Canada

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Saskatoon, Saskatchewan, S7N 4H4, Canada

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Bogotá, Colombia

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Brno, Czech Republic, 656 53, Czechia

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Olomouc, 775 20, Czechia

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Prague, 150 06, Czechia

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Suresnes, France, 92150, France

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Besançon, 25030, France

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Bordeaux, 33075, France

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Caen, 14021, France

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Clermont-Ferrand, 63011, France

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Grenoble, 38043, France

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Lyon, 69373, France

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Marseille, 13273, France

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Nice, 06189, France

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Saint-Herblain Cédex, 44805, France

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Vandoeuvre-Les-Nancy Cede, 54511, France

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Villejuif, 94805, France

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Aschaffenburg, 63739, Germany

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Erlangen, 91054, Germany

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Greifswald, 17475, Germany

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Weiden, 92637, Germany

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Athens, Greece, 115 28, Greece

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Athens, GR, 115 27, Greece

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Thessaloniki, GR, 546 45, Greece

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Meldola, FC, 47014, Italy

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Nagoya, Aichi-ken, 466-8560, Japan

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Chiba, Chiba, 260-8717, Japan

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Tōon, Ehime, 791-0295, Japan

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Fukuoka, Fukuoka, 812-8582, Japan

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Obihiro, Hokkaido, 080-0016, Japan

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Kobe, Hyōgo, 650-0047, Japan

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Yokohama, Kanagawa, 236 0037, Japan

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Yokohama, Kanagawa, 241-8515, Japan

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Matsumoto, Nagano, 390-8621, Japan

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Osaka, Osaka, 537-8511, Japan

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Osaka, Osaka, 545-8586, Japan

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Sayama, Osaka, 589-8511, Japan

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Suita, Osaka, 565-0871, Japan

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Takatsuki, Osaka, 569-8686, Japan

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Hidaka, Saitama, 350-1298, Japan

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Kitaadachi-gun, Saitama, 362-0806, Japan

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Bunkyo-ku, Tokyo, 113-8603, Japan

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Koto, Tokyo, 135-8550, Japan

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Minato-ku, Tokyo, 105-8470, Japan

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Shinjuku-ku, Tokyo, 160-8582, Japan

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Shinjuku-ku, Tokyo, 162-8666, Japan

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Yamagata, Yamagata, 990-9585, Japan

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Meerssen, KR, 6231, Netherlands

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Amsterdam, 1081 HV, Netherlands

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Breda, 4818 CK, Netherlands

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Dordrecht, 3318AT, Netherlands

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Maastricht, 6229 HX, Netherlands

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Rotterdam, 3075 EA, Netherlands

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Ålesund, NO-6026, Norway

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Bergen, -N5021, Norway

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Warsaw, 02-781, Poland

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Warsaw, 04-141, Poland

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Riyadh, 11211, Saudi Arabia

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Bratislava, Slovak Republic, 83310, Slovakia

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Seoul, Korea, 03722, South Korea

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Seoul, Korea, 05505, South Korea

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Seoul, Korea, 06351, South Korea

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Seoul, Korea, 110 744, South Korea

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Córdoba, Andalusia, 14004, Spain

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Málaga, Andalusia, 29010, Spain

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Seville, Andalusia, 41014, Spain

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Palma de Mallorca, Balearic Islands, 07120, Spain

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Barcelona, Barcelona, 08041, Spain

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Sabadell, Barcelona, 08208, Spain

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Badalona, Catalonia, 08916, Spain

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Barcelona, Catalonia, 08003, Spain

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Barcelona, Catalonia, 08035, Spain

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Barcelona, Catalonia, 08036, Spain

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L'Hospitalet de Llobregat, Catalonia, 08907, Spain

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Santiago de Compostela, Galicia, 15706, Spain

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Las Palmas de Gran Canarias, Las Palmas de Gran Canaria, 35016, Spain

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Alcorcón, Madrid, 28922, Spain

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Madrid, Madrid, 28040, Spain

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Pamplona, Navarre, 31008, Spain

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Stockholm, SE-171 76, Sweden

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Sundsvall, 851 86, Sweden

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Umeå, SE-901 85, Sweden

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Uppsala, SE-751 85, Sweden

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Sankt Gallen, 9007, Switzerland

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Northwood, Middlesex, HA6 2RN, United Kingdom

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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.

MeSH Terms

Conditions

Carcinoma, Renal Cell

Interventions

4-amino-5-fluoro-3-(5-(4-methylpiperazin-1-yl)-1H-benzimidazol-2-yl)quinolin-2(1H)-oneSorafenib

Condition Hierarchy (Ancestors)

AdenocarcinomaCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsKidney NeoplasmsUrologic NeoplasmsUrogenital NeoplasmsNeoplasms by SiteFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesKidney DiseasesUrologic DiseasesMale Urogenital Diseases

Intervention Hierarchy (Ancestors)

Phenylurea CompoundsUreaAmidesOrganic ChemicalsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsNiacinamideNicotinic AcidsAcids, HeterocyclicHeterocyclic CompoundsPyridinesHeterocyclic Compounds, 1-Ring

Results Point of Contact

Title
Study Director
Organization
Novartis Pharmaceuticals

Study Officials

  • Novartis Pharmaceuticals

    Novartis Pharmaceuticals

    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
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

Locations