CClinicalTrials.gg
CompletedNCT02187042RENACALLUpdated Oct 24, 2019Results posted

Evaluation Of The Impact Of A Call Center In Management Of Metastatic And/Or Advanced Renal Cell Carcinoma Patients Treated With Sunitinib (Sutent) In First Line

An observational study in Metastatic/Advanced Renal Cell Carcinoma, sponsored by Pfizer. Completed at 13 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-10-24.

Sponsored by Pfizer · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
70
Ages
18 Years and older
Sex
All
01

Study summary

100 patients with metastatic and/or advanced renal cell carcinoma treated with sunitinib (Sutent) will be inclued and followed with standard care plus a call center

Principal assumption : the proportion of patients presenting with at least one grade 3 or 4 AE (whether related to sunitinib or not).

Read the detailed description

RENACALL is a prospective intermediate care study whose main aim is to evaluate the impact of a therapy management platform on the management of patients suffering from advanced/metastatic renal cell carcinoma and receiving first line treatment with Sutent®.

100 mRCC patients treated receiving first line Sutent® treatment shall be included in the study, and shall benefit both from conventional follow-up and from additional therapy management platform-based follow-up. Platform follow-up shall consist in regular phone calls to accompany patients in their real life home management of their treatment with sunitinib (prevention, advice and guidance of patients towards options)..

02

Conditions studied

  • Metastatic/Advanced Renal Cell Carcinoma

Keywords

  • sunitinib
  • call center
  • management of patients
  • nurses
  • metastatic renal carcinoma
03

In context

Carcinoma

6,741 studies on the registry are indexed under Carcinoma; 1,163 are open to participants now.

This study's enrollment of 70 is below the median of 149 across 1,175 observational studies indexed under Carcinoma.

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
Sampling method
Probability sample

Study population

The 100 metastatic and/or advanced patients of the study will come from the population of patients under the care of French renal cell carcinoma oncologists

Eligibility criteria

Inclusion Criteria:

Man or woman aged 18 or over;

  • Patient suffering from a/mRCC, receiving sunitinib first-line treatment, as per SPC recommendations;
  • Resolution (grade ≤ 1 according to CTCAE version 4.03 of June 2010) of all acute toxic effects due to radiotherapy or surgical procedure prior to initiation of sunitinib;
  • Patient who can be monitored for 6 months.
  • Female patient of child-bearing age using a form of contraception during treatment with Sunitinib and for at least 28 days after termination of treatment with Sunitinib;
  • Patient having signed his/her consent form;
  • Patient affiliated with a social security scheme.

Non-inclusion criteria

  • Patient participating in a clinical trial during sunitinib treatment;
  • Patient managed by a home hospitalisation service during sunitinib treatment;
  • Patient taking part in therapeutic education programmes, or benefiting from nursing consultation, or from any other significant treatment support and likely to impact adverse event management.
  • Patient untreated and/or symptomatic brain metastases prior to sunitinib initiation;
  • Patient refusing the use of his/her personal data.
  • Patient with an ECOG performance status upon inclusion > 2;
  • Patient presenting with a serum creatinine level >1.5 times the upper limit of the normal level;
  • Patient presenting with a bilirubin level > 2 mg/dl, aspartate transaminase (ASAT) or alanine transaminase (ALAT) >2.5 times the upper limit of the normal value, or >5 times the upper limit of the normal value in the presence of liver metastases upon initiation of sunitinib treatment.
  • Patients who are staff members of a centre involved in the study, or close to one of the staff members of a centre directly involved in conducting the study, or patients employed by Pfizer and involved in conducting the study
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
70 participants (actual)
Patient registry
No

Groups and cohorts

  • All patients

    Metastatic and/or advanced renal cell carcinoma patients treated with sunitinib in first line and followed by standard care plus call center

    Other: Best supportive care · Other: call center

Interventions

  • OtherBest supportive care

    BSC may include medications and supportive measures deemed necessary to palliate disease related symptoms and improve quality of life

  • Othercall center

    Nurses from a call center will call the patients at regular time to help patients in the management of their cancer, with some dietetic advices, medical advices etc.

06

What researchers measure

Primary outcomes

  1. Number of Participants With at Least 1 Adverse Event (AE) of Grade 3 or 4 Based on National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.03

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; life threatening; initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect. The severity was graded by NCI CTCAE v.4.03. Grade 1 was mild AE. Grade 2 was moderate AE. Grade 3 was severe AE. Grade 4 was life-threatening consequences and urgent intervention AE. Grade 5 was death related to AE.

    Time frame: Baseline up to 6 months

Secondary outcomes

  1. Number of Participants With at Least 1 Sunitinib Dose Reduction

    Number of participants treated with sunitinib having had at least 1 dose reduction relative to the initial dose are reported.

    Time frame: Baseline up to 6 months

  2. Number of Participants Involved in at Least 1 Occasion For Each of the Reasons for a Sunitinib Dose Reduction

    Number of participants treated with sunitinib having had at least 1 dose reduction relative to the initial dose according to the reasons for dose reductions are reported.

    Time frame: Baseline up to 6 months

  3. Average Sunitinib Dose Reduction

    Time frame: Baseline up to 6 months

  4. Number of Participants With at Least 1 Temporary Interruption of Sunitinib Treatment

    Reason for temporary dose interruptions included: who had AEs that were intolerable, surgery, omission, doctor choice and any other reason judged by doctor.

    Time frame: Baseline up to 6 months

  5. Mean Duration (in Days) of Temporary Interruption to Sunitinib Treatment

    Reason for temporary dose interruptions included: who had AEs that were intolerable, surgery, omission, doctor choice and any other reason judged by doctor.

    Time frame: Baseline up to 6 months

  6. Number of Participants Involved on at Least 1 Occasion for Each of the Reasons for a Sunitinib Temporary Treatment Interruption

    Reason for temporary dose interruptions included: who had AEs that were intolerable, surgery, omission, doctor choice and any other reason judged by doctor. Participants were counted in more than 1 category.

    Time frame: Baseline up to 6 months

  7. Number of Participants Who Permanently Discontinued Sunitinib Treatment

    Reason for permanent discontinuation of sunitinib treatment included: progressive disease, toxicity, participant's choice, doctor's choice and death of participant.

    Time frame: Baseline up to 6 months

  8. Number of Participants Involved on At Least 1 Occasion for Each of the Reasons for a Permanent Sunitinib Treatment Discontinuation

    Reason for permanent discontinuation of sunitinib treatment included: progressive disease, toxicity, participant's choice, doctor's choice and death of participant.

    Time frame: Baseline up to 6 months

  9. Mean Duration of Sunitinib Treatment

    Total mean duration (in months) of sunitinib treatment is reported in this outcome measure.

    Time frame: Baseline up to 6 months

  10. Number of Participants Classified on the Basis of Number of Sunitinib Treatment Cycles

    Last treatment cycle was declared by doctor either on the notified date to discontinue sunitinib or on the date of the last consultation if sunitinib treatment was not stopped

    Time frame: Baseline up to 6 months

  11. Number of Participants With At Least 1 Unplanned Hospitalization

    Number of participants with at least 1 unplanned hospitalizations either related or unrelated to sunitinib were reported.

    Time frame: Baseline up to 6 months

  12. Number of Participants With At Least 1 Unplanned Consultation

    Number of participants with at least 1 unplanned consultations either related or unrelated to sunitinib were reported.

    Time frame: Baseline up to 6 months

  13. Number of Participants Who Were "Adherent" as Per 4- Item Morisky Medication Adherence Scale (MMAS-4)

    MMAS-4 is a self-reported measure of medication taking behavior, consisting of 4 questions based on forgetting taking medication, carelessness about taking medication, stopping medication when feeling better, or stopping medication when feeling worse. Each question has answer either "Yes" or "No"; "Yes" =1 and "No" =0. The sum of answer to all 4 questions resulted in total MMAS-4 score. Total MMAS-4 score ranges from 0 (best adherence) to 4 (worst adherence), a low score representing improved adherence. Adherent participants were defined as participants with an MMAS-4 score of 0.

    Time frame: Baseline up to 6 months

  14. Mean 4-Item Morisky Medication Adherence Scale (MMAS-4) Score

    MMAS-4 is a self-reported measure of medication taking behavior, consisting of 4 questions based on forgetting taking medication, carelessness about taking medication, stopping medication when feeling better, or stopping medication when feeling worse. Each question has answer either "Yes" or "No"; "Yes" =1 and "No" =0. The sum of answer to all 4 questions resulted in total MMAS-4 score. Total MMAS-4 score ranges from 0 (best adherence) to 4 (worst adherence), a low score representing improved adherence. High adherence: score of 0, average adherence: score of 1 or 2, poor adherence: score of 3 or 4.

    Time frame: Baseline up to 6 months

  15. Objective Response Rate (ORR): Percentage of Participants With a Complete or Partial Best Response

    ORR used for the assessment of response to treatment. As per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1: Complete response (CR) was defined as complete disappearance of all target lesions and non-target disease, with the exception of nodal disease. All nodes, both target and non-target, must decrease to normal (short axis less than \[\<\] 10 millimetre \[mm\]). No new lesions. Partial response (PR) was defined as greater than or equal to (\>=) 30 percent (%) decrease under baseline of the sum of diameters of all target lesions. The short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions. No unequivocal progression of non-target disease. No new lesions.

    Time frame: Baseline up to 6 months

  16. Mean Scores for Each Dimension on the Participant's Satisfaction (With the Management By the Telephone Call Center) Questionnaire

    Participants' satisfaction with call center was assessed via the self-administered questionnaire completed at the end of the study. Questionnaire evaluated 4 dimensions with total of 8 items. Dimensions were: 1) Satisfaction with advice: 3 item, 2) Satisfaction with care, 3) Satisfaction concerning the service: 3 items and 4) Overall satisfaction with support in management of sunitinib treatment: 1 item. Each item had 5 responses: very satisfied, satisfied, not very satisfied, not satisfied and no opinion equivalent to score of +2, +1, 1, -2 and no score respectively. A score was calculated for each dimension by calculating the mean scores obtained for each item if at least 50% of the items for the dimension had been completed (and are not "no opinion"). Overall possible mean score range for each dimension was +2 to -2, where higher scores signified higher satisfaction.

    Time frame: At the end of the study (At Month 6)

  17. Number of Participants Who Reported Themselves Being "Satisfied" or "Very Satisfied" With the Management By the Telephone Call Center

    Participants' satisfaction with call center was assessed via the self-administered questionnaire completed at the end of the study. Questionnaire evaluated 4 dimensions with total of 8 items. Dimensions were: 1) Satisfaction concerning advice: have 3 item, 2) Satisfaction concerning management: 1 items, 3) Satisfaction concerning the service: 3 items and 4) Overall satisfaction with support in management of sunitinib treatment: 1 item. Each item had 5 responses: very satisfied, satisfied, not very satisfied, not satisfied and no opinion. In this outcome measure number of participants who were either "Satisfied" or "Very Satisfied" for overall satisfaction were reported.

    Time frame: At the end of the study (At Month 6)

  18. Mean Scores for Each Dimension on the Physician's Satisfaction (With the Management By the Telephone Call Center) Questionnaire

    Physician's satisfaction with call center service for participants' follow-up was assessed via the self-administered questionnaire completed at the end of the study. Questionnaire evaluated 3 dimensions with total of 5 items. Dimensions were: 1) Satisfaction concerning advice: had 3 items, 2) Satisfaction concerning management: 1 items and 3) Overall satisfaction: 1 item. Each item had 5 responses: very satisfied, satisfied, not very satisfied, not satisfied and no opinion equivalent to score of +2, +1, 1, -2 and no score respectively. A score was calculated for each dimension by calculating the mean scores obtained for each item if at least 50% of the items for the dimension have been completed (and are not "no opinion"). Overall possible mean score range for each dimension was +2 to -2, where higher scores signified higher satisfaction.

    Time frame: At the end of the study (At Month 6)

  19. Number of Investigating Physicians Who Reported Themselves Being "Satisfied" or "Very Satisfied" With the Management By the Telephone Call Center

    Physicians' satisfaction with call center service for participants' follow-up was assessed via the self-administered questionnaire completed at the end of the study. Questionnaire evaluated 3 dimensions with total of 5 item. Dimensions were: 1) Satisfaction concerning advice: had 3 items, 2) Satisfaction concerning management: 1 items and 3) Overall satisfaction: 1 item. Each item had 5 responses: very satisfied, satisfied, not very satisfied, not satisfied and no opinion. In this outcome measure number of physicians who were either "Satisfied" or "Very Satisfied" for overall satisfaction were reported.

    Time frame: Baseline up to 6 months

  20. Total Number of Calls (Planned and Unplanned)

    1 participant can call more than once during the study.

    Time frame: Baseline up to 6 months

  21. Number of Participants Who Were Taking Sunitinib as Told to Call Center During the First Call

    Participants were followed up for taking their medication and they were supposed to respond either "yes" or "no". In this outcome measure participants who responded "Yes" are reported.

    Time frame: First call made anytime from baseline up to 6 months

  22. Number of Participants With Their Responses as "Yes" Against the Actions of Investigating Physicians, as Told to Call Center During the First Call

    Actions of investigating doctors/physicians: did doctor clearly explained how to take treatment, were participants given documentation about treatment by doctor or medical team, did doctor explained how to manage any side effects due to treatment which could occur and were prescriptions or orders for supportive medical treatments given by doctor. Participants responded either "Yes" or "No". In this outcome measure participants who responded "Yes" to each action are reported.

    Time frame: First call made anytime from baseline up to 6 months

  23. Number of Telephone Calls Describing Actions Taken by Call Center

    In this outcome measure number of telephone calls against each action taken/or described by the call center to the participants are reported. Actions taken by the call center included: 1) Given advice about managing the treatment: a) advice about taking Sunitinib, b) advice about using the Sunitinib follow-up diary, c) reporting any AE; 2) Given general preventative advice: a) advice about taking preventative systemic treatments, b) lifestyle advice, c) food/dietetic advice, d) oro-dental hygiene advice; 3) Given specific preventative advice for a type of AE: a) prevention of skin toxicities, b) prevention of gastrointestinal disorders, c) prevention of cardiac disorders, d) prevention of infectious/inflammatory problems, e)other preventative advice; 4) Actions recommended to participant: a) do not forget the planned consultation with the oncologist, b) get the additional investigations requested performed.

    Time frame: Baseline up to 6 months

  24. Number of Telephone Calls Where Participants Declared Adverse Events

    In this outcome measure total number of telephone calls where participants declared of any AE are reported. Participants could call more than once to declare AE.

    Time frame: Baseline up to 6 months

07

Results

Posted Oct 24, 2019

Participant flow

Participant flow — Overall Study
MilestoneCall CenterStandard of Care
Started4227
Completed2913
Not completed1314
Withdrew: Death11
Withdrew: Toxicity65
Withdrew: Participant choice10
Withdrew: Doctor choice10
Withdrew: Progressive disease48

Outcome measures

PrimaryNumber of Participants With at Least 1 Adverse Event (AE) of Grade 3 or 4 Based on National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.03

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; life threatening; initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect. The severity was graded by NCI CTCAE v.4.03. Grade 1 was mild AE. Grade 2 was moderate AE. Grade 3 was severe AE. Grade 4 was life-threatening consequences and urgent intervention AE. Grade 5 was death related to AE.

Time frame:
Baseline up to 6 months
Reported as:
Count of participants · Participants
Number of Participants With at Least 1 Adverse Event (AE) of Grade 3 or 4 Based on National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.03
ParticipantsCall CenterStandard of Care
Number of Participants With at Least 1 Adverse Event (AE) of Grade 3 or 4 Based on National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.033414
SecondaryNumber of Participants With at Least 1 Sunitinib Dose Reduction

Number of participants treated with sunitinib having had at least 1 dose reduction relative to the initial dose are reported.

Time frame:
Baseline up to 6 months
Reported as:
Count of participants · Participants
Number of Participants With at Least 1 Sunitinib Dose Reduction
ParticipantsCall CenterStandard of Care
Number of Participants With at Least 1 Sunitinib Dose Reduction124
SecondaryNumber of Participants Involved in at Least 1 Occasion For Each of the Reasons for a Sunitinib Dose Reduction

Number of participants treated with sunitinib having had at least 1 dose reduction relative to the initial dose according to the reasons for dose reductions are reported.

Time frame:
Baseline up to 6 months
Reported as:
Count of participants · Participants
Number of Participants Involved in at Least 1 Occasion For Each of the Reasons for a Sunitinib Dose Reduction
ParticipantsCall CenterStandard of Care
Adverse Event123
Unknown01
SecondaryAverage Sunitinib Dose Reduction
Time frame:
Baseline up to 6 months
Reported as:
Mean · milligram per day (mg/day)
Average Sunitinib Dose Reduction
milligram per day (mg/day)Call CenterStandard of Care
Average Sunitinib Dose Reduction12.5 ± 012.5 ± 0
SecondaryNumber of Participants With at Least 1 Temporary Interruption of Sunitinib Treatment

Reason for temporary dose interruptions included: who had AEs that were intolerable, surgery, omission, doctor choice and any other reason judged by doctor.

Time frame:
Baseline up to 6 months
Reported as:
Count of participants · Participants
Number of Participants With at Least 1 Temporary Interruption of Sunitinib Treatment
ParticipantsCall CenterStandard of Care
Number of Participants With at Least 1 Temporary Interruption of Sunitinib Treatment278
SecondaryMean Duration (in Days) of Temporary Interruption to Sunitinib Treatment

Reason for temporary dose interruptions included: who had AEs that were intolerable, surgery, omission, doctor choice and any other reason judged by doctor.

Time frame:
Baseline up to 6 months
Reported as:
Mean · days
Mean Duration (in Days) of Temporary Interruption to Sunitinib Treatment
daysCall CenterStandard of Care
Mean Duration (in Days) of Temporary Interruption to Sunitinib Treatment10.5 ± 11.516.6 ± 19.4
SecondaryNumber of Participants Involved on at Least 1 Occasion for Each of the Reasons for a Sunitinib Temporary Treatment Interruption

Reason for temporary dose interruptions included: who had AEs that were intolerable, surgery, omission, doctor choice and any other reason judged by doctor. Participants were counted in more than 1 category.

Time frame:
Baseline up to 6 months
Reported as:
Count of participants · Participants
Number of Participants Involved on at Least 1 Occasion for Each of the Reasons for a Sunitinib Temporary Treatment Interruption
ParticipantsCall CenterStandard of Care
AE197
Surgery10
Omission40
Doctor choice61
Other21
SecondaryNumber of Participants Who Permanently Discontinued Sunitinib Treatment

Reason for permanent discontinuation of sunitinib treatment included: progressive disease, toxicity, participant's choice, doctor's choice and death of participant.

Time frame:
Baseline up to 6 months
Reported as:
Count of participants · Participants
Number of Participants Who Permanently Discontinued Sunitinib Treatment
ParticipantsCall CenterStandard of Care
Number of Participants Who Permanently Discontinued Sunitinib Treatment1314
SecondaryNumber of Participants Involved on At Least 1 Occasion for Each of the Reasons for a Permanent Sunitinib Treatment Discontinuation

Reason for permanent discontinuation of sunitinib treatment included: progressive disease, toxicity, participant's choice, doctor's choice and death of participant.

Time frame:
Baseline up to 6 months
Reported as:
Count of participants · Participants
Number of Participants Involved on At Least 1 Occasion for Each of the Reasons for a Permanent Sunitinib Treatment Discontinuation
ParticipantsCall CenterStandard of Care
Progressive Disease48
Toxicity65
Participant Choice10
Doctor's Choice10
Death11
SecondaryMean Duration of Sunitinib Treatment

Total mean duration (in months) of sunitinib treatment is reported in this outcome measure.

Time frame:
Baseline up to 6 months
Reported as:
Mean · Months
Mean Duration of Sunitinib Treatment
MonthsCall CenterStandard of Care
Mean Duration of Sunitinib Treatment4.8 ± 1.94.2 ± 1.9
SecondaryNumber of Participants Classified on the Basis of Number of Sunitinib Treatment Cycles

Last treatment cycle was declared by doctor either on the notified date to discontinue sunitinib or on the date of the last consultation if sunitinib treatment was not stopped

Time frame:
Baseline up to 6 months
Reported as:
Count of participants · Participants
Number of Participants Classified on the Basis of Number of Sunitinib Treatment Cycles
ParticipantsCall CenterStandard of Care
1 Cycle63
2 Cycles17
3 Cycles75
4 Cycles2812
SecondaryNumber of Participants With At Least 1 Unplanned Hospitalization

Number of participants with at least 1 unplanned hospitalizations either related or unrelated to sunitinib were reported.

Time frame:
Baseline up to 6 months
Reported as:
Count of participants · Participants
Number of Participants With At Least 1 Unplanned Hospitalization
ParticipantsCall Center
Number of Participants With At Least 1 Unplanned Hospitalization9
SecondaryNumber of Participants With At Least 1 Unplanned Consultation

Number of participants with at least 1 unplanned consultations either related or unrelated to sunitinib were reported.

Time frame:
Baseline up to 6 months
Reported as:
Count of participants · Participants
Number of Participants With At Least 1 Unplanned Consultation
ParticipantsCall Center
Number of Participants With At Least 1 Unplanned Consultation16
SecondaryNumber of Participants Who Were "Adherent" as Per 4- Item Morisky Medication Adherence Scale (MMAS-4)

MMAS-4 is a self-reported measure of medication taking behavior, consisting of 4 questions based on forgetting taking medication, carelessness about taking medication, stopping medication when feeling better, or stopping medication when feeling worse. Each question has answer either "Yes" or "No"; "Yes" =1 and "No" =0. The sum of answer to all 4 questions resulted in total MMAS-4 score. Total MMAS-4 score ranges from 0 (best adherence) to 4 (worst adherence), a low score representing improved adherence. Adherent participants were defined as participants with an MMAS-4 score of 0.

Time frame:
Baseline up to 6 months
Reported as:
Count of participants · Participants
Number of Participants Who Were "Adherent" as Per 4- Item Morisky Medication Adherence Scale (MMAS-4)
ParticipantsCall CenterStandard of Care
Number of Participants Who Were "Adherent" as Per 4- Item Morisky Medication Adherence Scale (MMAS-4)3015
SecondaryMean 4-Item Morisky Medication Adherence Scale (MMAS-4) Score

MMAS-4 is a self-reported measure of medication taking behavior, consisting of 4 questions based on forgetting taking medication, carelessness about taking medication, stopping medication when feeling better, or stopping medication when feeling worse. Each question has answer either "Yes" or "No"; "Yes" =1 and "No" =0. The sum of answer to all 4 questions resulted in total MMAS-4 score. Total MMAS-4 score ranges from 0 (best adherence) to 4 (worst adherence), a low score representing improved adherence. High adherence: score of 0, average adherence: score of 1 or 2, poor adherence: score of 3 or 4.

Time frame:
Baseline up to 6 months
Reported as:
Mean · Units on a scale
Mean 4-Item Morisky Medication Adherence Scale (MMAS-4) Score
Units on a scaleCall CenterStandard of Care
Mean 4-Item Morisky Medication Adherence Scale (MMAS-4) Score0.1 ± 0.50.2 ± 0.4
SecondaryObjective Response Rate (ORR): Percentage of Participants With a Complete or Partial Best Response

ORR used for the assessment of response to treatment. As per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1: Complete response (CR) was defined as complete disappearance of all target lesions and non-target disease, with the exception of nodal disease. All nodes, both target and non-target, must decrease to normal (short axis less than \[\<\] 10 millimetre \[mm\]). No new lesions. Partial response (PR) was defined as greater than or equal to (\>=) 30 percent (%) decrease under baseline of the sum of diameters of all target lesions. The short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions. No unequivocal progression of non-target disease. No new lesions.

Time frame:
Baseline up to 6 months
Reported as:
Number · Percentage of participants
Objective Response Rate (ORR): Percentage of Participants With a Complete or Partial Best Response
Percentage of participantsCall Center
Objective Response Rate (ORR): Percentage of Participants With a Complete or Partial Best Response33.3
SecondaryMean Scores for Each Dimension on the Participant's Satisfaction (With the Management By the Telephone Call Center) Questionnaire

Participants' satisfaction with call center was assessed via the self-administered questionnaire completed at the end of the study. Questionnaire evaluated 4 dimensions with total of 8 items. Dimensions were: 1) Satisfaction with advice: 3 item, 2) Satisfaction with care, 3) Satisfaction concerning the service: 3 items and 4) Overall satisfaction with support in management of sunitinib treatment: 1 item. Each item had 5 responses: very satisfied, satisfied, not very satisfied, not satisfied and no opinion equivalent to score of +2, +1, 1, -2 and no score respectively. A score was calculated for each dimension by calculating the mean scores obtained for each item if at least 50% of the items for the dimension had been completed (and are not "no opinion"). Overall possible mean score range for each dimension was +2 to -2, where higher scores signified higher satisfaction.

Time frame:
At the end of the study (At Month 6)
Reported as:
Mean · Units on a scale
Mean Scores for Each Dimension on the Participant's Satisfaction (With the Management By the Telephone Call Center) Questionnaire
Units on a scaleCall Center
Satisfaction with the advice1.2 ± 0.9
Satisfaction with care1.1 ± 1.1
Satisfaction with the service1.2 ± 0.9
Overall satisfaction with support in management1.2 ± 0.9
SecondaryNumber of Participants Who Reported Themselves Being "Satisfied" or "Very Satisfied" With the Management By the Telephone Call Center

Participants' satisfaction with call center was assessed via the self-administered questionnaire completed at the end of the study. Questionnaire evaluated 4 dimensions with total of 8 items. Dimensions were: 1) Satisfaction concerning advice: have 3 item, 2) Satisfaction concerning management: 1 items, 3) Satisfaction concerning the service: 3 items and 4) Overall satisfaction with support in management of sunitinib treatment: 1 item. Each item had 5 responses: very satisfied, satisfied, not very satisfied, not satisfied and no opinion. In this outcome measure number of participants who were either "Satisfied" or "Very Satisfied" for overall satisfaction were reported.

Time frame:
At the end of the study (At Month 6)
Reported as:
Count of participants · Participants
Number of Participants Who Reported Themselves Being "Satisfied" or "Very Satisfied" With the Management By the Telephone Call Center
ParticipantsCall Center
Number of Participants Who Reported Themselves Being "Satisfied" or "Very Satisfied" With the Management By the Telephone Call Center19
SecondaryMean Scores for Each Dimension on the Physician's Satisfaction (With the Management By the Telephone Call Center) Questionnaire

Physician's satisfaction with call center service for participants' follow-up was assessed via the self-administered questionnaire completed at the end of the study. Questionnaire evaluated 3 dimensions with total of 5 items. Dimensions were: 1) Satisfaction concerning advice: had 3 items, 2) Satisfaction concerning management: 1 items and 3) Overall satisfaction: 1 item. Each item had 5 responses: very satisfied, satisfied, not very satisfied, not satisfied and no opinion equivalent to score of +2, +1, 1, -2 and no score respectively. A score was calculated for each dimension by calculating the mean scores obtained for each item if at least 50% of the items for the dimension have been completed (and are not "no opinion"). Overall possible mean score range for each dimension was +2 to -2, where higher scores signified higher satisfaction.

Time frame:
At the end of the study (At Month 6)
Reported as:
Mean · Units on a scale
Mean Scores for Each Dimension on the Physician's Satisfaction (With the Management By the Telephone Call Center) Questionnaire
Units on a scalePhysicians
Satisfaction with the advice0.4 ± 1.1
Satisfaction with care-0.6 ± 1.2
Overall satisfaction of participant care0.1 ± 1.4
SecondaryNumber of Investigating Physicians Who Reported Themselves Being "Satisfied" or "Very Satisfied" With the Management By the Telephone Call Center

Physicians' satisfaction with call center service for participants' follow-up was assessed via the self-administered questionnaire completed at the end of the study. Questionnaire evaluated 3 dimensions with total of 5 item. Dimensions were: 1) Satisfaction concerning advice: had 3 items, 2) Satisfaction concerning management: 1 items and 3) Overall satisfaction: 1 item. Each item had 5 responses: very satisfied, satisfied, not very satisfied, not satisfied and no opinion. In this outcome measure number of physicians who were either "Satisfied" or "Very Satisfied" for overall satisfaction were reported.

Time frame:
Baseline up to 6 months
Reported as:
Number · Physicians
Number of Investigating Physicians Who Reported Themselves Being "Satisfied" or "Very Satisfied" With the Management By the Telephone Call Center
PhysiciansPhysicians
Number of Investigating Physicians Who Reported Themselves Being "Satisfied" or "Very Satisfied" With the Management By the Telephone Call Center7
SecondaryTotal Number of Calls (Planned and Unplanned)

1 participant can call more than once during the study.

Time frame:
Baseline up to 6 months
Reported as:
Number · Calls
Total Number of Calls (Planned and Unplanned)
CallsCall Center
Total Number of Calls (Planned and Unplanned)431
SecondaryNumber of Participants Who Were Taking Sunitinib as Told to Call Center During the First Call

Participants were followed up for taking their medication and they were supposed to respond either "yes" or "no". In this outcome measure participants who responded "Yes" are reported.

Time frame:
First call made anytime from baseline up to 6 months
Reported as:
Count of participants · Participants
Number of Participants Who Were Taking Sunitinib as Told to Call Center During the First Call
ParticipantsCall Center
Number of Participants Who Were Taking Sunitinib as Told to Call Center During the First Call33
SecondaryNumber of Participants With Their Responses as "Yes" Against the Actions of Investigating Physicians, as Told to Call Center During the First Call

Actions of investigating doctors/physicians: did doctor clearly explained how to take treatment, were participants given documentation about treatment by doctor or medical team, did doctor explained how to manage any side effects due to treatment which could occur and were prescriptions or orders for supportive medical treatments given by doctor. Participants responded either "Yes" or "No". In this outcome measure participants who responded "Yes" to each action are reported.

Time frame:
First call made anytime from baseline up to 6 months
Reported as:
Count of participants · Participants
Number of Participants With Their Responses as "Yes" Against the Actions of Investigating Physicians, as Told to Call Center During the First Call
ParticipantsCall Center
Doctor clearly explained how to take treatment31
Participants given documentation about treatment31
Doctor explain manage side effect due to treatment27
Prescriptions for supportive medical treatments27
SecondaryNumber of Telephone Calls Describing Actions Taken by Call Center

In this outcome measure number of telephone calls against each action taken/or described by the call center to the participants are reported. Actions taken by the call center included: 1) Given advice about managing the treatment: a) advice about taking Sunitinib, b) advice about using the Sunitinib follow-up diary, c) reporting any AE; 2) Given general preventative advice: a) advice about taking preventative systemic treatments, b) lifestyle advice, c) food/dietetic advice, d) oro-dental hygiene advice; 3) Given specific preventative advice for a type of AE: a) prevention of skin toxicities, b) prevention of gastrointestinal disorders, c) prevention of cardiac disorders, d) prevention of infectious/inflammatory problems, e)other preventative advice; 4) Actions recommended to participant: a) do not forget the planned consultation with the oncologist, b) get the additional investigations requested performed.

Time frame:
Baseline up to 6 months
Reported as:
Number · Telephone calls
Number of Telephone Calls Describing Actions Taken by Call Center
Telephone callsCall Center
Advice about managing treatment: taking Sunitinib266
Advice about managing treatment:Sunitinib followup281
Advice about managing treatment: Reporting any AE341
General preventative advice: taking treatments263
General preventative advice: Lifestyle advice278
General preventative advice: Food/dietetic advice222
General preventative advice: Orodental hygiene272
Specific advice for type of AE: skin toxicities270
Specific advice for type of AE: GI disorders271
Specific advice for type of AE: cardiac disorders317
Specific advice for type of AE: infectious problem233
Specific advice for type of AE:preventative advice289
Actions to participants:Do not forget consultation134
Actions to participants: additional investigation137
SecondaryNumber of Telephone Calls Where Participants Declared Adverse Events

In this outcome measure total number of telephone calls where participants declared of any AE are reported. Participants could call more than once to declare AE.

Time frame:
Baseline up to 6 months
Reported as:
Number · Telephone calls
Number of Telephone Calls Where Participants Declared Adverse Events
Telephone callsCall Center
Number of Telephone Calls Where Participants Declared Adverse Events280

Adverse events

Collected over Baseline up to 6 months. Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Call Center2/42 (4.8%)12/42 (28.6%)42/42 (100%)
Standard of Care3/27 (11.1%)15/27 (55.6%)27/27 (100%)
Most frequent serious events
Showing 10 of 37
Most frequent serious events
EventCall CenterStandard of Care
AnaemiaBlood and lymphatic system disorders0/424/27
Neoplasm ProgressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/422/27
HaematuriaRenal and urinary disorders1/422/27
HypertensionVascular disorders3/420/27
PyrexiaGeneral disorders2/420/27
Cerebrovascular AccidentNervous system disorders2/420/27
Renal FailureRenal and urinary disorders2/420/27
ThrombocytopeniaBlood and lymphatic system disorders1/421/27
Adrenal InsufficiencyEndocrine disorders0/421/27
AstheniaGeneral disorders1/421/27
Most frequent other events
Showing 10 of 132
Most frequent other events
EventCall CenterStandard of Care
HypertensionVascular disorders33/4210/27
Decreased AppetiteMetabolism and nutrition disorders27/427/27
DysgeusiaNervous system disorders27/425/27
FatigueGeneral disorders26/424/27
DiarrhoeaGastrointestinal disorders24/425/27
NauseaGastrointestinal disorders24/424/27
AstheniaGeneral disorders22/4215/27
Mucosal InflammationGeneral disorders16/4210/27
VomitingGastrointestinal disorders15/423/27
Weight DecreasedInjury, poisoning and procedural complications15/421/27

Baseline characteristics

Safety population included participants treated with Sunitinib.

Age, Continuous
Age, Continuous(years)Call CenterStandard of CareTotal
Mean67.2 ± 10.365.6 ± 9.266.6 ± 9.8
Sex: Female, Male
Sex: Female, Male(Participants)Call CenterStandard of CareTotal
Female12517
Male302252
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Call CenterStandard of CareTotal
Count of participants——0
08

Study locations

13 sites
  • CHU de la Timone
    Marseille, Cedex 5 13335, France
  • CHU Strasbourg
    Strasbourg, Cedex 67091, France
  • Centre Hospitalier d'Annecy
    Annecy Cedex, 74011, France
  • Centre Catalan Urologie Andrologie
    Cabestany, 66330, France
  • Centre hospitalier de Chambery
    Chambery, 73000, France
  • Hopital prive La Louviere
    Lille, 59042, France
  • Clinique Claude Bernard Chimiotherapie Ambulatoire
    Metz, 57000, France
  • CRLC Val d'Aurelle
    Montpellier cedex 05, 34295, France
  • Polyclinique Gentilly
    Nancy, 54000, France
  • Polyclinique de Gentilly Service Oncologie Médicale
    Nancy, 54100, France
  • CHI de Cornouailles - Oncologie hospitalisation
    Quimper Cedex, 29107, France
  • Hopital Jean BERNARD - Tours - 7eme etage
    Valenciennes, 59300, France
  • Centre Alexis Vautrin
    Vandoeuvre les Nancy, 54511, France
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References and documents

Study documents

  • Statistical analysis plan · Feb 6, 2019
  • Study protocol · Jul 21, 2017

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No — Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 24, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02187042
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Jul 10, 2014
Start date
Oct 7, 2015
Primary completion
Jul 25, 2018
Completion
Jul 25, 2018
Results posted
Oct 24, 2019
Last update
Oct 24, 2019

Study contacts

Pfizer CT.gov Call Center
study director · Pfizer

Oversight

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

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This study is completed, as verified in Oct 2019. You cannot join it, but the record below documents what was studied.

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