A Phase 1 interventional study of sunitinib + FOLFOX and sunitinib + FOLFOX in Colorectal Neoplasms and Neoplasms, sponsored by Pfizer. Completed at 3 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-07-15.
Sponsored by Pfizer · Phase 1, Interventional, and Treatment
This study determined the maximum tolerated dose and safety of SU011248 (sunitinib malate, SUTENT) in combination with FOLFOX [Leucovorin + Fluorouracil (5-FU) + Oxaliplatin]. Three different dosing regimens with starting doses of sunitinib at 37.5 mg/day (Schedule 2/2, Schedule 4/2, and Continuous Dosing) were tested in patients with advanced solid tumors, including colorectal cancer.
Study Design: Treatment, Single Group Assignment (7 cohorts), Open Label, Non-Randomized, Safety Study.
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This study's enrollment of 53 is close to the median of 50 across 7,253 interventional studies indexed under Neoplasms.
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Exclusion Criteria:
SU011248 \[sunitinib\] in combination with FOLFOX; FOLFOX is a chemotherapy regimen that combines oxaliplatin and leucovorin with bolus and infusion 5-FU. The modified FOLFOX 6 (mFOLFOX6) regimen is one of several different regimens of FOLFOX used in clinic, according to different dosages of the 4 drugs. mFOLFOX6 was administered every 2 weeks on Days 1 and 2 of each cycle. 25, 37.5 and 50 mg/day, oral, administered on an outpatient basis in three different dosing regimens: schedule 2/2 (2 weeks on, 2 weeks off), schedule 4/2 (4 weeks on, 2 weeks off), and continuous daily dosing (every day); FOLFOX will be administered every 2 weeks, using the modified FOLFOX 6 (mFOLFOX6) regimen, consisting of: oxaliplatin 85 mg/m2 + leucovorin 400 mg/m2 as a 2-hr IV infusion; 5-FU 400 mg/m2 IV bolus, followed by - 5-FU 2400 mg/m2 as a 46-hr IV infusion
Drug: sunitinib + FOLFOX
37.5 mg sunitinib + modified FOLFOX6 (Schedule 2/2)
Also known as: Sunitinib malate, SUTENT, mFOLFOX6
50 mg sunitinib + modified FOLFOX6 (Schedule 2/2)
Also known as: Sunitinib malate, SUTENT, mFOLFOX6
50 mg sunitinib + modified FOLFOX6 ( CRC, only Schedule 2/2)
Also known as: Sunitinib malate, SUTENT, mFOLFOX6
37.5 mg sunitinib + modified FOLFOX6 (Schedule 4/2)
Also known as: Sunitinib malate, SUTENT, mFOLFOX6
50 mg sunitinib + modified FOLFOX6 (Schedule 4/2)
Also known as: Sunitinib malate, SUTENT, mFOLFOX6
37.5 mg sunitinib + modified FOLFOX6 (Continuous Dosing)
Also known as: Sunitinib malate, SUTENT, mFOLFOX6
25 mg sunitinib + modified FOLFOX6 (Continuous Dosing)
Also known as: Sunitinib malate, SUTENT, mFOLFOX6
Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs)
All observed or volunteered AEs and SAEs regardless of treatment group or suspected causal relationship to the investigational product(s) were reported.
Time frame: up to 20 weeks
Objective Response (OR)
From the start of treatment until disease progression/recurrence. OR=confirmed Complete Response (CR) or confirmed Partial Response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). CR = disappearance of all target lesions. CR was confirmed if it persisted on repeat imaging study ≥ 4 weeks after initial documentation of response. PR = ≥ 30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions. PR was confirmed if it persisted on repeat imaging study ≥ 4 weeks after initial documentation of response.
Time frame: From start of treatment until Day 8 of Cycles 4 and 8 (2/2 Schedule), Day 8 of Cycles 3 and 6 (4/2 Schedule), and Day 1 of Cycles 3 and 7 (Continuous Dosing)
Maximum Plasma Concentration (Cmax) of Sunitinib
Time frame: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose
Time to Cmax (Tmax) of Sunitinib
Time frame: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose
Minimum Plasma Concentration (Cmin) of Sunitinib
Time frame: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose
Clearance (CL/F) of Sunitinib
Drug clearance (CL/F) = dose divided by area under the plasma concentration-time profile from time zero to twenty-four hours.
Time frame: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose
Area Under Plasma Concentration-Time Profile From Time Zero to Twenty-Four Hours Postdose (AUC24) of Sunitinib
AUC24 = Area under the plasma concentration-time profile from time zero (pre-dose) to twenty-four hours. AUC24 was obtained by the Linear/Log trapezoidal method.
Time frame: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose
Terminal Phase Half-Life (t1/2) of Sunitinib
t1/2 = terminal phase half-life. t1/2 was obtained by natural log of 2 (ln2) divided by the rate constant for terminal phase (kel).
Time frame: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose
Cmax of SU-012662 (Sunitinib's Metabolite)
Time frame: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose
Tmax of SU-012662 (Sunitinib's Metabolite)
Time frame: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose
Cmin of SU-012662 (Sunitinib's Metabolite)
Time frame: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose
AUC24 for SU-012662 (Sunitinib's Metabolite)
AUC24 = Area under the plasma concentration-time profile from time zero (pre-dose) to twenty-four hours. AUC24 was obtained by the Linear/Log trapezoidal method.
Time frame: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose.
CL/F of SU-012662 (Sunitinib's Metabolite)
CL/F = dose divided by area under the plasma concentration-time profile from time zero to twenty-four hours.
Time frame: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose
T1/2 of SU-012662 (Sunitinib's Metabolite)
t1/2 = terminal phase half-life. t1/2 was obtained by ln2 divided by kel.
Time frame: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose
Cmax of Free Platinum
Oxaliplatin was metabolized to platinum and free platinum was measured.
Time frame: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose
Tmax of Free Platinum
Oxaliplatin was metabolized to platinum and free platinum was measured.
Time frame: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose
Area Under the Plasma Concentration-Time Profile From Time Zero to Infinity (AUCinf) for Free Platinum
Oxaliplatin was metabolized to platinum and free platinum was measured. AUCinf = Area under the plasma concentration-time profile from time zero (pre-dose) to infinity. AUCinf was obtained by the Linear/Log trapezoidal method.
Time frame: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose
T1/2 for Free Platinum
t1/2 = terminal phase half-life. t1/2 was obtained by ln2 divided by kel. Oxaliplatin was metabolized to platinum and free platinum was measured.
Time frame: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose
Cmax of Total Platinum
Oxaliplatin was metabolized to platinum and total platinum was measured.
Time frame: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose
Tmax of Total Platinum
Oxaliplatin was metabolized to platinum and total platinum was measured.
Time frame: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose
Area Under the Plasma Concentration-Time Profile From Time Zero to Forty-Eight Hours (AUC48) for Total Platinum
Oxaliplatin was metabolized to platinum and total platinum was measured. AUC48 = Area under the plasma concentration-time profile from time zero (pre-dose) to forty-eight hours. AUC48 was obtained by the Linear/Log trapezoidal method.
Time frame: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose
Steady State Concentration (Css) of Fluorouracil (5-FU)
Steady state is reached when the amount of drug getting into the system per unit time is equal to the amount of drug cleared from the system.
Time frame: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose
Steady State Clearance (CLss) of 5-FU
CLss was determined by total amount of drug received during infusion or duration of infusion (Ki) divided by Css.
Time frame: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose
Area Under the Curve (AUC) of 5-FU
Time frame: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose
Cmax of 5-FU
Time frame: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose
T1/2 of Free Platinum, Total Platinum, and 5-FU
t1/2 = terminal phase half-life. t1/2 was obtained by ln2 divided by kel. Oxaliplatin was metabolized to platinum and free and total platinum were measured.
Time frame: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose
CL/F of Free Platinum, Total Platinum, and 5-FU
CL/F = dose divided by area under the plasma concentration-time profile from time zero to twenty-four hours.
Time frame: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose
Cmin of Free Platinum, Total Platinum, and 5-FU
Time frame: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose
Volume Endothelial Transfer Constant (Ktrans) of Tumors in a Selected Group of Subjects Assessed by Dynamic Contrast-Enhanced Magnetic Resonance Imaging (DCE-MRI)
Volume endothelial Ktrans was estimated by fitting the tissue contrast agent time course to the Kety equation (Tofts model for analysis of DCE-MRI data).
Time frame: Cycle 3 (Day 1), Cycle 3 (Day 8)
Initial Area Dnder the Contrast Agent Concentration-Time Curve (IAUC) of Tumors in a Selected Group of Subjects Assessed by DCE-MRI
IAUC: The initial area under the curve was estimated by integrating the area under the contrast agent concentration time course for the first 90 seconds after bolus arrival in the tumor.
Time frame: Cycle 3 (Day 1) and Cycle 3 (Day 8)
| Milestone | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (CRC Only, Schedule 2/2) | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 4/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 4/2) | 37.5 mg Sunitinib + Modified FOLFOX6 (Continuous Dosing) | 25 mg Sunitinib + Modified FOLFOX6 (Continuous Dosing) |
|---|---|---|---|---|---|---|---|
| Started | 4 | 9 | 5 | 12 | 9 | 6 | 8 |
| Completed | 1 | 4 | 3 | 4 | 3 | 2 | 3 |
| Not completed | 3 | 5 | 2 | 8 | 6 | 4 | 5 |
| Withdrew: Lack of efficacy | 3 | 5 | 1 | 2 | 3 | 2 | 0 |
| Withdrew: Adverse event | 0 | 0 | 0 | 2 | 0 | 0 | 2 |
| Withdrew: Death | 0 | 0 | 0 | 2 | 0 | 2 | 1 |
| Withdrew: Protocol violation | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
| Withdrew: Withdrawal by subject | 0 | 0 | 1 | 0 | 1 | 0 | 0 |
| Withdrew: Other | 0 | 0 | 0 | 1 | 2 | 0 | 2 |
All observed or volunteered AEs and SAEs regardless of treatment group or suspected causal relationship to the investigational product(s) were reported.
| participants | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (CRC Only, Schedule 2/2) | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 4/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 4/2) | 37.5 mg Sunitinib + Modified FOLFOX6 (Continuous Dosing) | 25 mg Sunitinib + Modified FOLFOX6 (Continuous Dosing) |
|---|---|---|---|---|---|---|---|
| AEs | 4 | 9 | 5 | 12 | 9 | 6 | 8 |
| SAEs | 0 | 4 | 0 | 7 | 3 | 2 | 4 |
From the start of treatment until disease progression/recurrence. OR=confirmed Complete Response (CR) or confirmed Partial Response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). CR = disappearance of all target lesions. CR was confirmed if it persisted on repeat imaging study ≥ 4 weeks after initial documentation of response. PR = ≥ 30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions. PR was confirmed if it persisted on repeat imaging study ≥ 4 weeks after initial documentation of response.
| participants | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (CRC Only, Schedule 2/2) | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 4/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 4/2) | 37.5 mg Sunitinib + Modified FOLFOX6 (Continuous Dosing) | 25 mg Sunitinib + Modified FOLFOX6 (Continuous Dosing) |
|---|---|---|---|---|---|---|---|
| Objective Response (OR) | 0 | 2 | 0 | 0 | 0 | 0 | 2 |
| ng/mL | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) |
|---|---|---|
| Cycle 1, Day 14 | 47.13 ± 13.165 | 61.36 ± 14.692 |
| Cycle 2, Day 1 | 44.95 ± 14.272 | 60.24 ± 13.830 |
| hours | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) |
|---|---|---|
| Cycle 1, Day 14 | 8.00 (6.00 to 10.00) | 10.00 (4.00 to 10.00) |
| Cycle 2, Day 1 | 7.00 (6.00 to 24.00) | 8.00 (4.00 to 10.00) |
| ng/mL | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) |
|---|---|---|
| Cycle 1, Day 14 | 34.95 ± 10.618 | 38.23 ± 11.629 |
| Cycle 2, Day 1 | 30.28 ± 10.188 | 39.47 ± 16.632 |
Drug clearance (CL/F) = dose divided by area under the plasma concentration-time profile from time zero to twenty-four hours.
| L/hr | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) |
|---|---|---|
| Cycle 1, Day 14 | 41.13 ± 10.104 | 44.29 ± 5.663 |
| Cycle 2, Day 1 | 42.40 ± 12.700 | 49.44 ± 16.211 |
AUC24 = Area under the plasma concentration-time profile from time zero (pre-dose) to twenty-four hours. AUC24 was obtained by the Linear/Log trapezoidal method.
| ng*hr/mL | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) |
|---|---|---|
| Cycle 1, Day 14 | 985.43 ± 251.046 | 1233.73 ± 322.353 |
| Cycle 2, Day 1 | 948.40 ± 284.871 | 1202.50 ± 396.337 |
t1/2 = terminal phase half-life. t1/2 was obtained by natural log of 2 (ln2) divided by the rate constant for terminal phase (kel).
No measurements were reported for this outcome.
| ng/mL | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) |
|---|---|---|
| Cycle 1, Day 14 | 18.95 ± 3.007 | 22.80 ± 5.189 |
| Cycle 2, Day 1 | 18.75 ± 2.977 | 23.44 ± 7.094 |
| hours | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) |
|---|---|---|
| Cycle 1, Day 14 | 8.00 (6.00 to 10.00) | 10.00 (0.00 to 24.00) |
| Cycle 2, Day 1 | 15.00 (0.00 to 24.00) | 4.00 (2.00 to 24.00) |
| ng/mL | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) |
|---|---|---|
| Cycle 1, Day 14 | 14.45 ± 3.497 | 15.70 ± 4.365 |
| Cycle 2, Day 1 | 13.59 ± 4.585 | 17.68 ± 5.599 |
AUC24 = Area under the plasma concentration-time profile from time zero (pre-dose) to twenty-four hours. AUC24 was obtained by the Linear/Log trapezoidal method.
| ng*hr/mL | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) |
|---|---|---|
| Cycle 1, Day 14 | 401.51 ± 63.164 | 468.79 ± 117.108 |
| Cycle 2, Day 1 | 395.82 ± 66.618 | 495.97 ± 154.314 |
CL/F = dose divided by area under the plasma concentration-time profile from time zero to twenty-four hours.
No measurements were reported for this outcome.
t1/2 = terminal phase half-life. t1/2 was obtained by ln2 divided by kel.
No measurements were reported for this outcome.
Oxaliplatin was metabolized to platinum and free platinum was measured.
| ng/mL | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) |
|---|---|---|
| Cycle 1, Day 1 | 935.25 ± 442.974 | 634.00 ± 134.050 |
| Cycle 2, Day 1 | 1043.75 ± 381.656 | 789.43 ± 239.650 |
Oxaliplatin was metabolized to platinum and free platinum was measured.
| hours | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) |
|---|---|---|
| Cycle 1, Day 1 | 2.00 (1.00 to 2.00) | 2.00 (1.00 to 2.00) |
| Cycle 2, Day 1 | 2.00 (2.00 to 2.00) | 2.00 (1.00 to 2.00) |
Oxaliplatin was metabolized to platinum and free platinum was measured. AUCinf = Area under the plasma concentration-time profile from time zero (pre-dose) to infinity. AUCinf was obtained by the Linear/Log trapezoidal method.
| ng*hr/mL | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) |
|---|---|---|
| Cycle 1, Day 1 | 7459.28 ± 2892.442 | 6490.17 ± 1947.621 |
| Cycle 2, Day 1 | 7942.64 ± 3043.567 | 7092.65 ± 1906.756 |
t1/2 = terminal phase half-life. t1/2 was obtained by ln2 divided by kel. Oxaliplatin was metabolized to platinum and free platinum was measured.
| hours | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) |
|---|---|---|
| Cycle 1, Day 1 | 16.15 ± 3.077 | 15.60 ± 2.038 |
| Cycle 2, Day 1 | 18.55 ± 5.622 | 31.20 ± 37.925 |
Oxaliplatin was metabolized to platinum and total platinum was measured.
| ng/mL | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) |
|---|---|---|
| Cycle 1, Day 1 | 2490.00 ± 748.465 | 2137.14 ± 415.681 |
| Cycle 2, Day 1 | 2905.00 ± 636.684 | 2641.43 ± 387.145 |
Oxaliplatin was metabolized to platinum and total platinum was measured.
| hours | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) |
|---|---|---|
| Cycle 1, Day 1 | 2.00 (2.00 to 2.00) | 2.00 (1.00 to 2.00) |
| Cycle 2, Day 1 | 2.00 (2.00 to 2.00) | 2.00 (2.00 to 2.00) |
Oxaliplatin was metabolized to platinum and total platinum was measured. AUC48 = Area under the plasma concentration-time profile from time zero (pre-dose) to forty-eight hours. AUC48 was obtained by the Linear/Log trapezoidal method.
| ng*hr/mL | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) |
|---|---|---|
| Cycle 1, Day 1 | 47264.02 ± 10509.556 | 43713.95 ± 5590.750 |
| Cycle 2, Day 1 | 56813.62 ± 11980.029 | 51962.03 ± 8118.343 |
Steady state is reached when the amount of drug getting into the system per unit time is equal to the amount of drug cleared from the system.
| ng/mL | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) |
|---|---|---|
| Cycle 1, Day 1 | 567.52 ± 351.207 | 334.26 ± 89.579 |
| Cycle 2, Day 1 | 598.86 ± 127.635 | 647.32 ± 284.203 |
CLss was determined by total amount of drug received during infusion or duration of infusion (Ki) divided by Css.
| L/hr | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) |
|---|---|---|
| Cycle 1, Day 1 | 284.99 ± 147.808 | 312.63 ± 93.563 |
| Cycle 2, Day 1 | 174.51 ± 49.445 | 201.12 ± 103.534 |
No measurements were reported for this outcome.
No measurements were reported for this outcome.
t1/2 = terminal phase half-life. t1/2 was obtained by ln2 divided by kel. Oxaliplatin was metabolized to platinum and free and total platinum were measured.
No measurements were reported for this outcome.
CL/F = dose divided by area under the plasma concentration-time profile from time zero to twenty-four hours.
No measurements were reported for this outcome.
No measurements were reported for this outcome.
Volume endothelial Ktrans was estimated by fitting the tissue contrast agent time course to the Kety equation (Tofts model for analysis of DCE-MRI data).
No measurements were reported for this outcome.
IAUC: The initial area under the curve was estimated by integrating the area under the contrast agent concentration time course for the first 90 seconds after bolus arrival in the tumor.
No measurements were reported for this outcome.
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | — | 0/4 (0%) | 4/4 (100%) |
| 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | — | 4/9 (44.4%) | 9/9 (100%) |
| 50 mg Sunitinib + Modified FOLFOX6 (CRC Only, Schedule 2/2) | — | 0/5 (0%) | 5/5 (100%) |
| 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 4/2) | — | 7/12 (58.3%) | 12/12 (100%) |
| 50 mg Sunitinib + Modified FOLFOX6 (Schedule 4/2) | — | 3/9 (33.3%) | 9/9 (100%) |
| 37.5 mg Sunitinib + Modified FOLFOX6 (Continuous Dosing) | — | 2/6 (33.3%) | 6/6 (100%) |
| 25 mg Sunitinib + Modified FOLFOX6 (Continuous Dosing) | — | 4/8 (50%) | 8/8 (100%) |
| Event | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (CRC Only, Schedule 2/2) | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 4/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 4/2) | 37.5 mg Sunitinib + Modified FOLFOX6 (Continuous Dosing) | 25 mg Sunitinib + Modified FOLFOX6 (Continuous Dosing) |
|---|---|---|---|---|---|---|---|
| Disease progressionGeneral disorders | 0/4 | 0/9 | 0/5 | 1/12 | 0/9 | 2/6 | 0/8 |
| SepsisInfections and infestations | 0/4 | 0/9 | 0/5 | 1/12 | 0/9 | 0/6 | 2/8 |
| PyrexiaGeneral disorders | 0/4 | 2/9 | 0/5 | 2/12 | 0/9 | 0/6 | 0/8 |
| Abdominal painGastrointestinal disorders | 0/4 | 0/9 | 0/5 | 2/12 | 0/9 | 0/6 | 0/8 |
| AnorexiaMetabolism and nutrition disorders | 0/4 | 0/9 | 0/5 | 0/12 | 0/9 | 1/6 | 0/8 |
| DehydrationMetabolism and nutrition disorders | 0/4 | 1/9 | 0/5 | 1/12 | 0/9 | 1/6 | 0/8 |
| Disseminated intravascular coagulationBlood and lymphatic system disorders | 0/4 | 0/9 | 0/5 | 0/12 | 0/9 | 0/6 | 1/8 |
| ThrombocytopeniaBlood and lymphatic system disorders | 0/4 | 1/9 | 0/5 | 0/12 | 0/9 | 0/6 | 1/8 |
| Hepatic failureHepatobiliary disorders | 0/4 | 0/9 | 0/5 | 0/12 | 0/9 | 0/6 | 1/8 |
| InfectionInfections and infestations | 0/4 | 0/9 | 0/5 | 0/12 | 0/9 | 0/6 | 1/8 |
| Event | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (CRC Only, Schedule 2/2) | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 4/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 4/2) | 37.5 mg Sunitinib + Modified FOLFOX6 (Continuous Dosing) | 25 mg Sunitinib + Modified FOLFOX6 (Continuous Dosing) |
|---|---|---|---|---|---|---|---|
| NeutropeniaBlood and lymphatic system disorders | 4/4 | 9/9 | 3/5 | 5/12 | 8/9 | 4/6 | 5/8 |
| VomitingGastrointestinal disorders | 0/4 | 5/9 | 4/5 | 5/12 | 5/9 | 5/6 | 3/8 |
| FatigueGeneral disorders | 2/4 | 6/9 | 2/5 | 6/12 | 7/9 | 5/6 | 4/8 |
| DiarrhoeaGastrointestinal disorders | 1/4 | 4/9 | 4/5 | 4/12 | 5/9 | 2/6 | 3/8 |
| NauseaGastrointestinal disorders | 1/4 | 5/9 | 4/5 | 7/12 | 5/9 | 4/6 | 5/8 |
| AnaemiaBlood and lymphatic system disorders | 3/4 | 7/9 | 0/5 | 3/12 | 3/9 | 1/6 | 1/8 |
| ThrombocytopeniaBlood and lymphatic system disorders | 3/4 | 6/9 | 2/5 | 2/12 | 5/9 | 3/6 | 3/8 |
| Mucosal inflammationGeneral disorders | 2/4 | 1/9 | 3/5 | 3/12 | 4/9 | 2/6 | 1/8 |
| Abdominal painGastrointestinal disorders | 0/4 | 5/9 | 1/5 | 2/12 | 4/9 | 3/6 | 3/8 |
| ConstipationGastrointestinal disorders | 2/4 | 5/9 | 1/5 | 4/12 | 2/9 | 1/6 | 1/8 |
| Age, Customized(participants) | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (CRC Only, Schedule 2/2) | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 4/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 4/2) | 37.5 mg Sunitinib + Modified FOLFOX6 (Continuous Dosing) | 25 mg Sunitinib + Modified FOLFOX6 (Continuous Dosing) | Total |
|---|---|---|---|---|---|---|---|---|
| < 65 years | 2 | 6 | 5 | 7 | 6 | 6 | 5 | 37 |
| > = 65 years | 2 | 3 | 0 | 5 | 3 | 0 | 3 | 16 |
| Sex: Female, Male(Participants) | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 2/2) | 50 mg Sunitinib + Modified FOLFOX6 (CRC Only, Schedule 2/2) | 37.5 mg Sunitinib + Modified FOLFOX6 (Schedule 4/2) | 50 mg Sunitinib + Modified FOLFOX6 (Schedule 4/2) | 37.5 mg Sunitinib + Modified FOLFOX6 (Continuous Dosing) | 25 mg Sunitinib + Modified FOLFOX6 (Continuous Dosing) | Total |
|---|---|---|---|---|---|---|---|---|
| Female | 1 | 4 | 2 | 6 | 1 | 2 | 3 | 19 |
| Male | 3 | 5 | 3 | 6 | 8 | 4 | 5 | 34 |
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