UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000009579
Receipt number R000011240
Scientific Title Phase II study of personalized titration of axitinib using therapeutic drug monitoring (TDM) in sunitinib-refractory metastatic or advanced renal cell carcinoma
Date of disclosure of the study information 2012/12/19
Last modified on 2018/09/27 16:45:09

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Basic information

Public title

Phase II study of personalized titration of axitinib using therapeutic drug monitoring (TDM) in sunitinib-refractory metastatic or advanced renal cell carcinoma

Acronym

Phase II study of personalized titration of axitinib using TDM in sunitinib-refractory renal cell carcinoma

Scientific Title

Phase II study of personalized titration of axitinib using therapeutic drug monitoring (TDM) in sunitinib-refractory metastatic or advanced renal cell carcinoma

Scientific Title:Acronym

Phase II study of personalized titration of axitinib using TDM in sunitinib-refractory renal cell carcinoma

Region

Japan


Condition

Condition

Renal cell carcinoma

Classification by specialty

Hematology and clinical oncology Urology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

1. To evaluate the efficacy of personalized titration of axitinib using Therapeutic Drug Monitoring (TDM) in sunitinib-refractory metastatic or advanced renal cell carcinoma.
2. To determine the cutoff of Area Under the Curve (AUC) to predict the efficacy of axitinib.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

Progression-free survival rate at 6 months

Key secondary outcomes

Pharmacokinetics, response rate, time to treatment failure, safety


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Titration of axitinib using Therapeutic Drug Monitoring (TDM)

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients with metastatic or advanced renal cell carcinoma with histological confirmation of clear cell carcinoma or a component of clear cell.
2) Patients must have received one prior therapy with sunitinib and had disease progression on or within 6 months of stopping sunitinib therapy. (Prior cytokines therapy is permitted.)
3) Aged >= 20
4) ECOG performance status 0-1.
5) Patients with evaluable disease as defined by the RECIST criteria.
6) Patients with adequate bone marrow reserve (neutrophil count >=1500/mm3, hemoglobin level >= 9.0 g/dL, platelet count >= 75,000/mm3), adequate liver function (AST and ALT <= 100 IU/L, total bilirubin <= 2.0 mg/dL), kidney function (serum creatinine <=2.0 mg/dL. All laboratory data should be evaluated within 14 days before enrollment.
7) Expected survival >= 90 days.
8) Written informed consent obtained from patients.

Key exclusion criteria

1) Patients who received VEGFR inhibitors (sorafenib, axitinib etc.) except for sunitinib, anti-VEGF antibody (bevacizumab), or mTOR inhibitors (everolimus or temsirolimus).
2) Patients who received palliative radiotherapy for bone metastasis within 2 weeks.
3) Patients who received major surgery within 4 weeks.
4) Patients who do not recover from side effects of sunitinib.
5) Patients with symptomatic brain metastases.
6) Patients with other active malignancies.
7) Patients with active infections.
8) Patients with serious complications (uncontrollable gastrointestinal bleeding, diabetics, cardiac diseases and hypertension etc.).
9) Patients who are undergoing dialysis.
10) Patients who developed pulmonary embolism, myocardial infarction, congestive heart failure and cerebrovascular disease within 12 months.
11) Patients with a history of serious drug allergy.
12) Patients who receive continuous corticosteroid administration.
13) Patients with serious mental problem.
14) Pregnant or lactating female.
15) Other patients evaluated to be inadequate to participate in this study by investigators.

Target sample size

32


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Toshimi Takano

Organization

Toranomon Hospital

Division name

Department of Medical Oncology

Zip code


Address

2-2-2 Toranomon, Minato-ku, Tokyo

TEL

03-3588-1111

Email

takano@toranomon.gr.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yuji Miura

Organization

Toranomon Hospital

Division name

Department of Medical Oncology

Zip code


Address

2-2-2 Toranomon, Minato-ku, Tokyo

TEL

03-3588-1111

Homepage URL


Email

yujmiura@mac.com


Sponsor or person

Institute

Toranomon Hospital

Institute

Department

Personal name



Funding Source

Organization

Japan Research Foundation for Clinical Pharmacology

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2012 Year 12 Month 19 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2012 Year 12 Month 19 Day

Date of IRB


Anticipated trial start date

2013 Year 02 Month 01 Day

Last follow-up date

2016 Year 02 Month 29 Day

Date of closure to data entry

2016 Year 05 Month 31 Day

Date trial data considered complete

2016 Year 08 Month 30 Day

Date analysis concluded

2016 Year 12 Month 31 Day


Other

Other related information



Management information

Registered date

2012 Year 12 Month 19 Day

Last modified on

2018 Year 09 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000011240


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name