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Status unknownNCT02398552Updated Mar 1, 2016

A Phase II Trila of Sunitinib Schedule 4/2 vs. Shedule 2/1 as First Line Therapy in Metastatic Renal Cell Carcinoma.

A Phase 2 interventional study of Sunitinib in Metastatic Renal Cell Carcinoma, sponsored by Peking University Cancer Hospital & Institute. Status unknown at 6 sites in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2016-03-01.

Sponsored by Peking University Cancer Hospital & Institute · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Feb 2016), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
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Study summary

Sunitinib given at 50 mg/day on schedule 4/2 (4 weeks on treatment, 2 weeks off) is the standard care for first-line treatment of metastatic renal cell carcinoma, but the schedule was reported with a high rate of dose reduction and dose discontinuation because of the safety profile. So investigators conducte this randomized, multi-center phase II study to determine whether a sunitinib regimen of 50 mg/day 2-weeks on/1-week off could provide the same efficacy in terms of progression-free survival, objective response, and overall survival, while reducing drug-related toxicity.

Read the detailed description

Sunitinib given at 50 mg/day on schedule 4/2 (4 weeks on treatment, 2 weeks off) is the standard care for first-line treatment of metastatic renal cell carcinoma, but the schedule was reported with a high rate of dose reduction and dose discontinuation because of the safety profile. Sunitinib 50mg/day on schedule 2/1 (2 weeks on treatment, 1 weeks off) was reported to be associated with significantly decrease toxicities in patients who initially experienced grade 3 or greater toxicity on the schedule 4/2 and could extend treatment duration considerably. Through this research, we would like to explore whether the schedule 2/1 of sunitinib 50 mg/day as first line therapy could provide the same efficacy as standard schedule 4/2 in terms of progression-free survival, objective response, and overall survival, while reducing drug-related toxicity in metastatic renal cell carcinoma patients.

02

Conditions studied

  • Metastatic Renal Cell Carcinoma

Keywords

  • metastatic renal cell carcinoma
  • sunitinib
  • schedule 2weeks on/1 week off
03

In context

Carcinoma

6,741 studies on the registry are indexed under Carcinoma; 1,161 are open to participants now.

This study's planned enrollment of 80 is above the median of 45 across 5,170 interventional studies indexed under Carcinoma.

Browse Carcinoma studies →

Lead sponsor

Peking University Cancer Hospital & Institute is the lead sponsor of 261 studies on the registry; 128 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age≥18 years, ≤75 years, male or female
  • Advanced renal cell carcinoma is diagnosed histologically or pathologically
  • Treatment naive at diagnosed
  • At least one measurable tumor lesion (Response Evaluation Criteria In Solid Tumors)
  • Eastern Cooperative Oncology Group(ECOG) performance scale is 0 or 1
  • The expected life span is ≥12 weeks
  • No contraindications for targeted therapy, with enough liver function and renal function and normal ECG recording Peripheral hemogram: neutrophil≥1.5×109/L, Plt≥100×109/L, Hgb≥90g/L Renal function: serum creatinine≤1.5 folds the upper limit of normal (ULN) For patients with non-metastatic liver dysfunction:alanine aminotransferase and aspartate aminotransferase≤2.5 ULN, For patients with metastatic liver dysfunction: alanine aminotransferase and aspartate aminotransferase≤5 ULN
  • The patients participate voluntarily and have signed the informed consent form

Exclusion criteria

Exclusion Criteria:

  • Patients who have received any systemic therapy including targeted therapy,immunotherapy,chemotherapy etc at diagnosed.
  • Pregnant and lactating women, or female patients of child-bearing age without taking contraceptive measures
  • Patients with severe acute infection without being controlled effectively or having pyogenic and chronic infections with persistently unhealed wounds
  • Past history of serious heart diseases, including: cardiac function classification ≥NYHA class II, unstable angina pectoris, myocardial infarction, arrhythmia requiring anti-arrhythmic drug therapy (excluding β-blockers or digoxin), and uncontrolled hypertension
  • Patients with a history of HIV infection or active phase of chronic hepatitis B/C
  • negative imaging examination result 4 weeks prior to enrollment)
  • Epilepsy patients requiring drug therapy (e.g. steroids or antiepileptic drugs)
  • A history of allogeneic organ transplantation
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
80 participants (estimated)

Study arms

  • Active comparator
    Sunitinib 50mg/day schedule 4/2

    Sunitinib 50mg/day 4 weeks on/2 weeks off per 6 weeks till disease progression or intolerable toxicity.

    Drug: Sunitinib

  • Experimental
    Sunitinib 50mg/day schedule 2/1

    Sunitinib 50mg/day 2 weeks on/1 week off per 6 weeks till disease progression or intolerable toxicity.

    Drug: Sunitinib

Interventions

  • DrugSunitinib

    altenative schedules of sunitinib as first line therapy in metastatic renal cell carcinoma patients.

    Also known as: Sutent

06

What researchers measure

Primary outcomes

  1. progress-free survival (PFS)

    Time from enrollment to the dates of disease progression,death from any cause or last tumor assessment reported between date of first patient enrollment until March 2017 cut off date

    Time frame: 2 years

Secondary outcomes

  1. The percentage of patients who can get complete response, partial response.

    Time frame: 2 years

Other outcomes

  1. Number of adverse events

    Time frame: 1 year

07

Study locations

1 of 6 sites recruiting
  • Chinese acadamy of medical science cancer institute & hospital
    Beijing, Beijing 100021, China
    • Changling Li, MD · Contact · changllss@yahoo.com.cn · 0086-10-67781331
    • Changling Li, MD · Principal investigator
    Not yet recruiting
  • Peking University First Hospital
    Beijing, Beijing 100034, China
    • Zhisong He, MD · Contact · wyj7074@sohu.com · 0086-10-83572211
    • Zhisong He, MD · Principal investigator
    Not yet recruiting
  • Beijing Cancer Hospital
    Beijing, Beijing 100142, China
    • Chuanliang Cui, MD · Contact · 1008ccl@163.com · 0086-10-88196951
    • Jun Guo, MD,PHD · Contact · guoj307@126.com · 0086-10-88196317
    • Jun Guo, MD,PHD · Principal investigator
    Recruiting
  • Sun Yat-sen university cancer center
    Guangzhou, Guangdong 510060, China
    • Fangjian Zhou, MD · Contact · zhoufj@sysucc.org.cn · 0086-20-87343088
    • Fangjian Zhou, MD · Principal investigator
    Not yet recruiting
  • Cancer Hospital, Fudan University
    Shanghai, Shanghai 200032, China
    • Dingwei Ye, MD · Contact · dwye@163.com · 0086-21-64175590
    • Dingwei Ye, MD · Principal investigator
    Not yet recruiting
  • Tianjin medical university cancer institute & hospital
    Tianjin, Tianjin 300060, China
    Not yet recruiting
08

References and documents

Publications

  • Motzer RJ, Hutson TE, Tomczak P, Michaelson MD, Bukowski RM, Oudard S, Negrier S, Szczylik C, Pili R, Bjarnason GA, Garcia-del-Muro X, Sosman JA, Solska E, Wilding G, Thompson JA, Kim ST, Chen I, Huang X, Figlin RA. Overall survival and updated results for sunitinib compared with interferon alfa in patients with metastatic renal cell carcinoma. J Clin Oncol. 2009 Aug 1;27(22):3584-90. doi: 10.1200/JCO.2008.20.1293. Epub 2009 Jun 1. PubMed 19487381 ↗
  • Houk BE, Bello CL, Poland B, Rosen LS, Demetri GD, Motzer RJ. Relationship between exposure to sunitinib and efficacy and tolerability endpoints in patients with cancer: results of a pharmacokinetic/pharmacodynamic meta-analysis. Cancer Chemother Pharmacol. 2010 Jul;66(2):357-71. doi: 10.1007/s00280-009-1170-y. Epub 2009 Dec 5. PubMed 19967539 ↗
  • Neri B, Vannini A, Brugia M, Muto A, Rangan S, Rediti M, Tassi R, Cerullo C. Biweekly sunitinib regimen reduces toxicity and retains efficacy in metastatic renal cell carcinoma: a single-center experience with 31 patients. Int J Urol. 2013 May;20(5):478-83. doi: 10.1111/j.1442-2042.2012.03204.x. Epub 2012 Nov 1. PubMed 23113655 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 1, 2016, 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
NCT02398552
Lead sponsor
Peking University Cancer Hospital & Institute
Responsible party
Jun Guo (Director of department of renal cancer and melanoma, Peking University Cancer Hospital & Institute) — Principal investigator
First posted
Mar 25, 2015
Start date
Mar 2015
Primary completion
Mar 2017 (estimated)
Completion
Mar 2017 (estimated)
Last update
Mar 1, 2016

Study contacts

Chuanliang Cui, MD
Contact
1008ccl@163.com
0086-10-88196951
Jun Guo, MD,PHD
Contact
guoj307@126.com
0086-10-88196317
Jun Guo, MD,PHD
principal investigator · Peking University Cancer Hospital & Institute

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Feb 2016. You cannot join it, but the record below documents what was studied.

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