Unique ID issued by UMIN | UMIN000009579 |
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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 |
Phase II study of personalized titration of axitinib using therapeutic drug monitoring (TDM) in sunitinib-refractory metastatic or advanced renal cell carcinoma
Phase II study of personalized titration of axitinib using TDM in sunitinib-refractory renal cell carcinoma
Phase II study of personalized titration of axitinib using therapeutic drug monitoring (TDM) in sunitinib-refractory metastatic or advanced renal cell carcinoma
Phase II study of personalized titration of axitinib using TDM in sunitinib-refractory renal cell carcinoma
Japan |
Renal cell carcinoma
Hematology and clinical oncology | Urology |
Malignancy
NO
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.
Efficacy
Exploratory
Phase II
Progression-free survival rate at 6 months
Pharmacokinetics, response rate, time to treatment failure, safety
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Titration of axitinib using Therapeutic Drug Monitoring (TDM)
20 | years-old | <= |
Not applicable |
Male and Female
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.
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.
32
1st name | |
Middle name | |
Last name | Toshimi Takano |
Toranomon Hospital
Department of Medical Oncology
2-2-2 Toranomon, Minato-ku, Tokyo
03-3588-1111
takano@toranomon.gr.jp
1st name | |
Middle name | |
Last name | Yuji Miura |
Toranomon Hospital
Department of Medical Oncology
2-2-2 Toranomon, Minato-ku, Tokyo
03-3588-1111
yujmiura@mac.com
Toranomon Hospital
Japan Research Foundation for Clinical Pharmacology
Non profit foundation
NO
2012 | Year | 12 | Month | 19 | Day |
Published
Completed
2012 | Year | 12 | Month | 19 | Day |
2013 | Year | 02 | Month | 01 | Day |
2016 | Year | 02 | Month | 29 | Day |
2016 | Year | 05 | Month | 31 | Day |
2016 | Year | 08 | Month | 30 | Day |
2016 | Year | 12 | Month | 31 | Day |
2012 | Year | 12 | Month | 19 | Day |
2018 | Year | 09 | Month | 27 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000011240
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