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NCT00693992

Sunitinib Malate as Maintenance Therapy in Treating Patients With Stage III or Stage IV Non-Small Cell Lung Cancer Previously Treated With Combination Chemotherapy

Completed Phase 3 Results posted Last updated 11 June 2019
What this trial tests

Phase 3 trial testing Laboratory Biomarker Analysis in Stage IIIB Lung Non-Small Cell Cancer AJCC v7 in 210 participants. Completed in 28 May 2015.

Timeline
15 June 2008
Primary endpoint
8 November 2013
28 May 2015

Quick facts

Lead sponsorNational Cancer Institute (NCI)
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment210
Start date15 June 2008
Primary completion8 November 2013
Estimated completion28 May 2015
Sites484 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Cancer Institute (NCI)

Who can join

18 and older, any sex, with Stage IIIB Lung Non-Small Cell Cancer AJCC v7 or Stage IV Non-Small Cell Lung Cancer AJCC v7. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Progression Free Survival (PFS) Primary · Time from randomization to disease progression and death of any cause, whichever comes first (up to 5 years)

Progression Free Survival (PFS) was defined as the time from randomization until disease progression or death, whichever occurs first. The median PFS with 95% CI was estimated using the Kaplan-Meier method. Progression is defined as in the primary outcome measure.

GroupValue95% CI
Arm I (Sunitinib Malate)4.33.2 – 4.9
Arm II (Placebo)2.61.8 – 3.0
Overall Survival (OS) Secondary · Time from randomization to death (up to 5 years)

Overall survival (OS) is defined as the time from patient randomization to death from any cause. The median OS with 95% CI was estimated using the Kaplan-Meier method.

GroupValue95% CI
Arm I (Sunitinib Malate)11.79.9 – 14.0
Arm II (Placebo)12.19.8 – 15.3
Response Rate (RR) Secondary · Duration of treatment (up to 5 years)

The percentage of patients who respond (completely or partially) to each combination regimen will be estimated. Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria: Complete Response (CR): disappearance of all target lesions; Partial Response (PR) 30% decrease in sum of longest diameter of target lesions.

GroupValue95% CI
Arm I (Sunitinib Malate)11
Arm II (Placebo)5
Percentage of Deterioration in QOL at 3 Months Using the EORTC QLQ-C30 Global Health Subscale Secondary · At 3 months

The percentage of patients with at least a 10% drop in the EORTC-QLQ-C30 Global Health Subscale score from baseline to 3-months. The difference between groups will be tested using Fisher's exact test.

GroupValue95% CI
Arm I (Sunitinib Malate)55.8
Arm II (Placebo)28.6
Percentage of Deterioration in Symptom Progression at 3 Months Using the EORTC LC13 Dyspnea Subscale Secondary · At 3 months

The percentage of patients with at least a 10% drop in the EORTC LC13 Dyspnea Subscale score from baseline to 3-months. The difference between groups will be tested using Fisher's exact test.

GroupValue95% CI
Arm I (Sunitinib Malate)31.5
Arm II (Placebo)29.3
Grade and Type of Toxicity as Assessed by the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0 Secondary · Duration of study (up to 5 years)

Grade 3 or 4 adverse events which affected more than 5% of participants are summarized by arm.

Fatigue
GroupValue95% CI
Arm I (Sunitinib Malate)26
Arm II (Placebo)0
Thrombocytopenia
GroupValue95% CI
Arm I (Sunitinib Malate)12
Arm II (Placebo)0
Hypertension
GroupValue95% CI
Arm I (Sunitinib Malate)12
Arm II (Placebo)0
Rash
GroupValue95% CI
Arm I (Sunitinib Malate)11
Arm II (Placebo)0
Mucositis
GroupValue95% CI
Arm I (Sunitinib Malate)11
Arm II (Placebo)0
Neutropenia
GroupValue95% CI
Arm I (Sunitinib Malate)7
Arm II (Placebo)0
Anemia
GroupValue95% CI
Arm I (Sunitinib Malate)6
Arm II (Placebo)0

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm I (Sunitinib Malate)
Serious: 33/97 (34%)
Deaths:
Arm II (Placebo)
Serious: 14/92 (15%)
Deaths:

Serious adverse events (90 terms)

ReactionSystemArm I (Sunitinib Malate)Arm II (Placebo)
FatigueGeneral disorders
AnorexiaMetabolism and nutrition disorders
Hemoglobin decreasedBlood and lymphatic system disorders
NauseaGastrointestinal disorders
Platelet count decreasedInvestigations
DyspneaRespiratory, thoracic and mediastinal disorders
HypertensionVascular disorders
Hand-and-foot syndromeSkin and subcutaneous tissue disorders
DiarrheaGastrointestinal disorders
Mucositis oralGastrointestinal disorders
VomitingGastrointestinal disorders
Aspartate aminotransferase increasedInvestigations
Neutrophil count decreasedInvestigations
DehydrationMetabolism and nutrition disorders
PneumoniaInfections and infestations
Urinary tract infectionInfections and infestations
Leukocyte count decreasedInvestigations
Muscle weaknessMusculoskeletal and connective tissue disorders
Peripheral sensory neuropathyNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Left ventricular failureCardiac disorders
Myocardial ischemiaCardiac disorders
HypothyroidismEndocrine disorders
ConstipationGastrointestinal disorders
Other adverse events (92 terms — click to expand)

ReactionSystemArm I (Sunitinib Malate)Arm II (Placebo)
FatigueGeneral disorders
DiarrheaGastrointestinal disorders
NauseaGastrointestinal disorders
Mucositis oralGastrointestinal disorders
AnorexiaMetabolism and nutrition disorders
HypertensionVascular disorders
Hand-and-foot syndromeSkin and subcutaneous tissue disorders
HeadacheNervous system disorders
Platelet count decreasedInvestigations
Neutrophil count decreasedInvestigations
Hemoglobin decreasedBlood and lymphatic system disorders
Skin hypopigmentationSkin and subcutaneous tissue disorders
Leukocyte count decreasedInvestigations
Blood glucose increasedMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
Peripheral sensory neuropathyNervous system disorders
DyspneaRespiratory, thoracic and mediastinal disorders
HypothyroidismEndocrine disorders
VomitingGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
Edema limbsGeneral disorders
Weight lossInvestigations
Serum sodium decreasedMetabolism and nutrition disorders
DysgeusiaNervous system disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
Chest painGeneral disorders
Creatinine increasedInvestigations
Lymphocyte count decreasedInvestigations
Serum albumin decreasedMetabolism and nutrition disorders
Pain in extremityMusculoskeletal and connective tissue disorders
AlopeciaSkin and subcutaneous tissue disorders
HemolysisBlood and lymphatic system disorders
Left ventricular failureCardiac disorders
Abdominal painGastrointestinal disorders
ConstipationGastrointestinal disorders
PainGeneral disorders
Alkaline phosphatase increasedInvestigations
Amylase increasedInvestigations
CD4 lymphocytes decreasedInvestigations
Electrocardiogram QTc interval prolongedInvestigations

Most-reported serious reactions: Fatigue, Anorexia, Hemoglobin decreased, Nausea, Platelet count decreased, Dyspnea, Hypertension, Hand-and-foot syndrome.

Data from ClinicalTrials.gov NCT00693992 adverse events section.

Sponsor's own description

This randomized phase III trial studies sunitinib malate to see how well it works when given as maintenance therapy (meaning it is approved for treatment after chemotherapy) in patients with stage IIIB-IV non-small cell lung cancer who have responded to prior treatment with combination chemotherapy. Sunitinib malate may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking the growth of new blood vessels necessary for tumor growth. It is not yet known whether sunitinib malate is effective in helping tumors continue to shrink or stop growing.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Maintenance chemotherapy for advanced non-small-cell lung cancer: new life for an old idea.
    Gerber DE, Schiller JH. · · 2013 · cited 108× · PMID 23401441 · DOI 10.1200/jco.2012.43.7459
  2. A novel computational approach for drug repurposing using systems biology.
    Peyvandipour A, Saberian N, Shafi A, Donato M, et al · · 2018 · cited 72× · PMID 29534151 · DOI 10.1093/bioinformatics/bty133
  3. Antiangiogenic agents in combination with chemotherapy in patients with advanced non-small cell lung cancer.
    Ulahannan SV, Brahmer JR. · · 2011 · cited 58× · PMID 21469981 · DOI 10.3109/07357907.2011.554476
  4. New advances in antiangiogenic combination therapeutic strategies for advanced non-small cell lung cancer.
    Qiang H, Chang Q, Xu J, Qian J, et al · · 2020 · cited 53× · PMID 32065262 · DOI 10.1007/s00432-020-03129-6
  5. Antiangiogenic agents in the management of non-small cell lung cancer: where do we stand now and where are we headed?
    Aggarwal C, Somaiah N, Simon G. · · 2012 · cited 53× · PMID 22481432 · DOI 10.4161/cbt.19594
  6. Adding to the mix: fibroblast growth factor and platelet-derived growth factor receptor pathways as targets in non-small cell lung cancer.
    Kono SA, Heasley LE, Doebele RC, Camidge DR. · · 2012 · cited 46× · PMID 22165970 · DOI 10.2174/156800912799095144
  7. Rationale for targeting VEGF, FGF, and PDGF for the treatment of NSCLC.
    Ballas MS, Chachoua A. · · 2011 · cited 41× · PMID 21691577 · DOI 10.2147/ott.s18155
  8. Maintenance Sunitinib following Initial Platinum-Based Combination Chemotherapy in Advanced-Stage IIIB/IV Non-Small Cell Lung Cancer: A Randomized, Double-Blind, Placebo-Controlled Phase III Study-CALGB 30607 (Alliance).
    Baggstrom MQ, Socinski MA, Wang XF, Gu L, et al · · 2017 · cited 32× · PMID 28161554 · DOI 10.1016/j.jtho.2017.01.022

Verify or expand the search:

Other trials of Laboratory Biomarker Analysis

Trials testing the same drug.

Other recruiting trials for Stage IIIB Lung Non-Small Cell Cancer AJCC v7

Currently open trials in the same condition.

Other National Cancer Institute (NCI) trials

Trials by the same sponsor.

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