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WithdrawnNCT01441388Updated Dec 20, 2011

A Study Of Crizotinib Plus VEGF Inhibitor Combinations In Patients With Advanced Solid Tumors.

A Phase 1 interventional study of Crizotinib plus VEGF inhibitor combinations and Crizotinib plus axitinib in Carcinoma, Renal Cell, Glioblastoma and Carcinoma, Hepatocellular, sponsored by Pfizer. Withdrawn. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2011-12-20.

Sponsored by Pfizer · Phase 1, Interventional, and Treatment

Why this study was withdrawn
Business/Operational issues
Phase
Phase 1
Study type
Interventional
Enrollment
0
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

Despite the success of anti-angiogenic therapy in multiple treatment settings, a fraction of patients are refractory to vascular endothelial growth factor (VEGF) inhibitor treatment while the majority of patients will eventually develop evasive resistance and exhibit disease progression while on therapy. It is proposed that mesenchymal-epithelial transition factor (c-MET) and its ligand hepatocyte growth factor (HGF or scatter factor) contribute significantly to VEGF inhibitor resistance such that combining a c-MET inhibitor with a VEGF inhibitor will provide additional clinical activity compared to VEGF inhibitor alone. This hypothesis will be tested using the cMET/ALK inhibitor, crizotinib, in combination with individual VEGF inhibitors. Three combinations will be prioritized, namely crizotinib plus axitinib, crizotinib plus sunitinib and crizotinib plus bevacizumab, with a fourth combination, crizotinib plus sorafenib to be tested only if crizotinib does not combine with either axitinib and/or sunitinib.

02

Conditions studied

  • Carcinoma, Renal Cell
  • Glioblastoma
  • Carcinoma, Hepatocellular

Keywords

  • Phase 1b
  • crizotinib
  • sunitinib
  • axitinib
  • sorafenib
  • bevacizumab
  • cMET inhibitor
  • VEGF inhibitor
  • crizotinib combination
03

In context

Carcinoma

6,738 studies on the registry are indexed under Carcinoma; 1,159 are open to participants now.

Browse Carcinoma studies →

Lead sponsor

Pfizer is the lead sponsor of 3,244 studies on the registry; 139 are open to participants now.

Of its 582 completed or terminated interventional studies of FDA-regulated products, 381 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Dose Escalation Population: Histological or cytological diagnosis of advanced/metastatic solid tumor that is resistant to standard therapy or for which no standard therapy is available. Lesions may be measurable or non measurable.
  • Expansion Population 1: Patients with histologically confirmed metastatic renal cell cancer with no prior systemic therapy directed at the malignant tumor.
  • Expansion Population 2: Patients with histologically confirmed metastatic renal cell cancer whose prior systemic therapy directed at the malignant tumor was single agent VEGF inhibitor and who now have acquired resistance to this treatment. Resistance is defined as progression following an initial response (complete or partial), or stable disease for at least 6 months on single agent VEGF inhibitor.
  • Expansion Population 3: Patients with histologically confirmed glioblastoma whose disease has failed on previous therapy, and which must have included treatment with external beam radiation and temozolomide chemotherapy, and who now have radiographically recurrent or progressive disease.
  • Expansion Population 4: Patients with histologically confirmed advanced-stage (unresectable or metastatic) hepatocellular carcinoma who have not received previous systemic therapy directed at the malignant tumor will be eligible to receive crizotinib plus sorafenib, should this combination be tested. Eligibility criteria also include normal hepatic function or Child-Pugh hepatic function class A.

Exclusion criteria

Exclusion Criteria:

  • Patients with hemorrhagic brain metastases or with known symptomatic brain metastases requiring steroids.
  • Major surgery within 4 weeks of starting study treatment.
  • Radiation therapy within 2 weeks of starting study treatment.
  • Hypertension that cannot be controlled with medications (>150/90 mmHg despite optimal medical therapy).
  • For glioblastoma patients: Prior treatment of glioblastoma with Gliadel wafers, stereotactic radiation, or brachytherapy unless there is pathological or definitive radiological evidence (PET scan or perfusion MRI) of recurrent tumor or unless there is new enhancement outside of the radiation field. History of Grade 2 or greater acute intracranial hemorrhage. Radiation therapy (RT) for glioblastoma within 3 months unless there is either: a) histopathologic confirmation of recurrent tumor, or b) new enhancement on MRI outside of the RT treatment field.Concomitant treatment with therapeutic doses of anticoagulants (low dose warfarin (Coumadin) up to 2 mg PO daily for deep vein thrombosis prophylaxis is allowed).
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Dose Escalation

    Histological or cytological diagnosis of advanced/metastatic solid tumor that is resistant to standard therapy or for which no standard therapy is available.

    Drug: Crizotinib plus VEGF inhibitor combinations

  • Experimental
    Expansion Population 1

    Patients with histologically confirmed metastatic renal cell cancer with no prior systemic therapy directed at the malignant tumor.

    Drug: Crizotinib plus axitinib · Drug: Crizotinib plus sunitinib

  • Experimental
    Expansion Population 2

    Patients with histologically confirmed metastatic renal cell cancer whose prior systemic therapy directed at the malignant tumor was single agent VEGF inhibitor and who now have acquired resistance to this treatment.

    Drug: Crizotinib plus axitinib · Drug: Crizotinib plus sunitinib

  • Experimental
    Expansion Population 3

    Patients with histologically confirmed glioblastoma whose disease has failed on previous therapy, and which must have included treatment with external beam radiation and temozolomide chemotherapy, and who now have radiographically recurrent or progressive disease.

    Drug: Crizotinib plus bevacizumab

  • Experimental
    Expansion Population 4

    Patients with histologically confirmed advanced-stage (unresectable or metastatic) hepatocellular carcinoma who have not received previous systemic therapy directed at the malignant tumor will be eligible to receive crizotinib plus sorafenib, should this combination be tested.

    Drug: Crizotinib plus sorafenib

Interventions

  • DrugCrizotinib plus VEGF inhibitor combinations

    Three combinations will be prioritized, namely crizotinib plus axitinib, crizotinib plus sunitinib and crizotinib plus bevacizumab, with a fourth combination, crizotinib plus sorafenib to be tested only if crizotinib does not combine with either axitinib and/or sunitinib. All study drugs are tablets or capsules except for bevacizumab which is parenteral (intravenous). Dosage, frequency and duration to be determined.

  • DrugCrizotinib plus axitinib

    Study drugs are tablets or capsules; dosage, frequency and duration to be determined.

  • DrugCrizotinib plus sunitinib

    Study drugs are tablets or capsules; dosage, frequency and duration to be determined.

  • DrugCrizotinib plus axitinib

    Study drugs are tablets or capsules; dosage, frequency and duration to be determined.

  • DrugCrizotinib plus sunitinib

    Study drugs are tablets or capsules; dosage, frequency and duration to be determined.

  • DrugCrizotinib plus bevacizumab

    Study drugs are tablets or capsules except for bevacizumab which is parenteral (intravenous). Dosage, frequency and duration to be determined.

  • DrugCrizotinib plus sorafenib

    Study drugs are tablets or capsules; dosage, frequency and duration to be determined.

06

What researchers measure

Primary outcomes

  1. Dose Limiting Toxicities (DLTs).

    Time frame: 12 months

Secondary outcomes

  1. Duration of Response (DR)

    Time frame: 24 months

  2. Progression free survival (PFS)

    Time frame: 24 months

  3. Area under the plasma concentration versus time curve (AUC) of crizotinib and each VEGF inhibitor

    Time frame: 24 months

  4. Best overall response, as assessed using the Response Evaluation Criteria in Solid Tumor (RECIST) version 1.1 or , in the case of GBM (glioblastoma multiforme , RANO (Response Assessment in Neuro-Oncology) criteria.

    Time frame: 24 months

  5. Overall survival (OS) up to 12 months

    Time frame: 24 months

  6. Pre- and post-dose levels of soluble peripheral blood biomarkers.

    Time frame: 24 months

  7. Tumor tissue biomarkers.

    Time frame: 18 months

  8. 6-month progression free survival proportion (PFS6) for glioblastoma patients

    Time frame: 24 months

  9. Peak plasma concentration (Cmax) of crizotinib and each VEGF inhibitor

    Time frame: 24 months

07

Study locations

No study locations are listed for this record.

08

References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 20, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01441388
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Sep 27, 2011
Start date
Dec 2011
Primary completion
Nov 2013 (estimated)
Completion
Nov 2013 (estimated)
Last update
Dec 20, 2011

Study contacts

Pfizer CT.gov Call Center
study director · Pfizer

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Dec 2011. You cannot join it, but the record below documents what was studied.

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