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    Clinical Trial Results:
    A Phase II Study of GW786034 Using a Randomized Discontinuation Design in Subjects with Locally Recurrent or Metastatic Clear-Cell Renal Cell Carcinoma

    Summary
    EudraCT number
    2005-002212-13
    Trial protocol
    GB   CZ   BE  
    Global end of trial date
    10 Sep 2013

    Results information
    Results version number
    v1(current)
    This version publication date
    27 Apr 2016
    First version publication date
    15 Mar 2015
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    VEG102616
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    GlaxoSmithKline
    Sponsor organisation address
    980 Great West Road, Brentford, Middlesex, United Kingdom,
    Public contact
    GSK Response Center, GlaxoSmithKline, 1 866-435-7343,
    Scientific contact
    GSK Response Center, GlaxoSmithKline, 1 866-435-7343,
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    13 Feb 2014
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    10 Sep 2013
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The principal objective of the trial is to compare the progressive disease rate at 16 weeks post-randomization of subjects receiving GW786034 or placebo and to determine the stable disease rate at 12 weeks in the Lead-in phase.
    Protection of trial subjects
    An Independent Data Monitoring Committee was formed to evaluate periodic safety and efficacy data.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    24 Oct 2005
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Australia: 49
    Country: Number of subjects enrolled
    China: 13
    Country: Number of subjects enrolled
    Hong Kong: 9
    Country: Number of subjects enrolled
    Israel: 17
    Country: Number of subjects enrolled
    Malaysia: 13
    Country: Number of subjects enrolled
    Taiwan: 1
    Country: Number of subjects enrolled
    United States: 63
    Country: Number of subjects enrolled
    Belgium: 45
    Country: Number of subjects enrolled
    Czech Republic: 15
    Worldwide total number of subjects
    225
    EEA total number of subjects
    60
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    150
    From 65 to 84 years
    75
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    This study was originally designed as a Phase II, multi-centre study utilizing a randomized discontinuation design. In the original study design, a 12-week Lead-in Phase was an open-label period during which all enrolled participants received pazopanib.

    Pre-assignment
    Screening details
    All participants began with 12 weeks of open-label treatment. In the original design, participants with stable disease at Week 12 were to be randomized. After the interim analysis, the study was amended to be treated like a single-arm open-label study. Any participants who had been randomized to placebo were to be crossed back to pazopanib.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Monitor, Carer

    Arms
    Arm title
    Pazopanib 800 mg
    Arm description
    Pazopanib 800 milligrams (mg) (tablets) administered orally once a day.
    Arm type
    Experimental

    Investigational medicinal product name
    pazopanib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    - pazopanib (GW786034) tablets were administered orally, once daily - participants fasted for at least 2 hours prior to dosing and at least 1 hour post-dose, with the exception of water which was allowed freely - the dose reduction (to 600 mg or 400 mg) due to safety reason was allowed as well as dose escalation to 800 mg when clinically appropriate

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    - placebo tablets were administered orally, once daily - participants fasted for at least 2 hours prior to dosing and at least 1 hour post-dose, with the exception of water which was allowed freely

    Number of subjects in period 1
    Pazopanib 800 mg
    Started
    225
    Completed
    129
    Not completed
    96
         Adverse event, serious fatal
    7
         Sponsor Terminated Study
    2
         Participant was Hospitalized until Death
    1
         Off Study Medication for >21 Days
    1
         Developed Secondary Malignancy
    1
         Disease Progression
    13
         Consent withdrawn by subject
    12
         Adverse event, non-fatal
    30
         Death
    1
         Declining Performance Status
    1
         Primary Investigator Discretion
    2
         Lost to follow-up
    23
         Protocol deviation
    2

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Pazopanib 800 mg
    Reporting group description
    Pazopanib 800 milligrams (mg) (tablets) administered orally once a day.

    Reporting group values
    Pazopanib 800 mg Total
    Number of subjects
    225 225
    Age categorical
    Units: Subjects
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    59.8 ( 10.33 ) -
    Gender categorical
    Units: Subjects
        Female
    69 69
        Male
    156 156
    Race
    Units: Subjects
        White
    178 178
        Asian-Japanese/East Asian/South East Asian HER
    38 38
        African American/African Heritage (HER)
    4 4
        Asian-Central/South Asian Heritage
    2 2
        American Indian or Alaska Native and White
    1 1
        Asian-Mixed Asian Heritage
    1 1
        Native Hawaiian or other Pacific Islander
    1 1

    End points

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    End points reporting groups
    Reporting group title
    Pazopanib 800 mg
    Reporting group description
    Pazopanib 800 milligrams (mg) (tablets) administered orally once a day.

    Primary: Overall Response by RECIST criteria in Participants

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    End point title
    Overall Response by RECIST criteria in Participants [1]
    End point description
    The overall response is the number of participants who experience a confirmed complete (CR) or partial response (PR) of the total analysis population. Per the Response Evaluation Criteria In Solid Tumors (RECIST): CR = all detectable tumor has disappeared, PR = a >=30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum, Progressive disease (PD) = a >=20% increase in target lesions, Stable Disease = small changes that do not meet previously given criteria. Overall Response: Estimated value = 34.7%, 2-sided 95% CI=28.4% to 40.9%. Estimation Parameter: Percentage. The estimated value provided is the response rate.
    End point type
    Primary
    End point timeframe
    Baseline to Response (up to 2.40 years). Assessments occurred at Week 12 and every 8 weeks thereafter
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Statistical information is entered in the endpoint description. The system does not allow statistical data to be entered in the statisticial analysis section for studies with 1 treatment arm.
    End point values
    Pazopanib 800 mg
    Number of subjects analysed
    225 [2]
    Units: Participants
        Complete Response
    3
        Partial Response
    75
        Stable Disease
    101
        Progressive Disease
    24
        Not evaluable
    22
        Complete Response + Partial Response
    78
    Notes
    [2] - All Enrolled Population: all participants who received at least one dose of pazopanib
    No statistical analyses for this end point

    Primary: Stable disease at 12 weeks - Interim Analysis of first 60 participants

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    End point title
    Stable disease at 12 weeks - Interim Analysis of first 60 participants [3]
    End point description
    The protocol called for an interim analysis of the first 60 participants to determine their status at Week 12, and to determine the number of participants with stable disease, although all categories were reported. Stable disease is defined as a disease that has not grown enough to be called progressive disease and has not shrunk enough to be called partial/complete response. Estimated value = 42%, 2-sided 95% CI=29% to 54%. Estimation Parameter: Percentage. The estimated value is the percentage of the first 60 participants who had stable disease at Week 12, as assessed by the investigator.
    End point type
    Primary
    End point timeframe
    Week 12
    Notes
    [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Statistical information is entered in the endpoint description. The system does not allow statistical data to be entered in the statisticial analysis section for studies with 1 treatment arm.
    End point values
    Pazopanib 800 mg
    Number of subjects analysed
    60 [4]
    Units: Participants
        Complete Response
    0
        Partial Response
    23
        Stable Disease
    25
        Progressive Disease
    3
    Notes
    [4] - Subset of the All Enrolled Population including only the first 60 participants
    No statistical analyses for this end point

    Secondary: Duration of response

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    End point title
    Duration of response
    End point description
    Using RECIST criteria: date of first confirmed tumor response (CR or PR) to date of tumor progression or to death. Participants who did not progress or die were censored at their last radiologic assessment. Only participants who had a response were analyzed. The upper limit of the 95% confidence interval could not be determined (not reached) because too few responses with a known end date; therefore, the value of 99999 was entered which represents NA.
    End point type
    Secondary
    End point timeframe
    First response until progression of disease (up to 2.40 years). Assessments occurred at Week 12 and every 8 weeks thereafter
    End point values
    Pazopanib 800 mg
    Number of subjects analysed
    78 [5]
    Units: weeks
        median (confidence interval 95%)
    68 (53.7 to 99999)
    Notes
    [5] - All Enrolled Population that had a CR or PR.
    No statistical analyses for this end point

    Secondary: Progression-free Survival

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    End point title
    Progression-free Survival
    End point description
    Progression-free Survival is defined as the interval between the first day of treatment and the earliest date of disease progression or death due to any cause, whichever occurred first. Progressive disease is defined as a >=20% increase in target lesions. Participants who did not progress or die were censored at their last radiologic assessment.
    End point type
    Secondary
    End point timeframe
    From the first day of treatment to the earliest date of disease progression or death due to any cause (up to 2.40 years)
    End point values
    Pazopanib 800 mg
    Number of subjects analysed
    225 [6]
    Units: weeks
        median (confidence interval 95%)
    45.3 (36 to 59.1)
    Notes
    [6] - All Enrolled Population
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Until participant was off study, approximately 7.84 years
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    16.1
    Reporting groups
    Reporting group title
    Pazopanib 800 mg
    Reporting group description
    Pazopanib 800 mg (tablets) administered orally once a day.

    Serious adverse events
    Pazopanib 800 mg
    Total subjects affected by serious adverse events
         subjects affected / exposed
    80 / 225 (35.56%)
         number of deaths (all causes)
    25
         number of deaths resulting from adverse events
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Adenocarcinoma of colon
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Haemangioblastoma
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Colorectal adenocarcinoma
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Vascular disorders
    Haematoma
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hypertension
         subjects affected / exposed
    2 / 225 (0.89%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Deep vein thrombosis
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    Chest pain
         subjects affected / exposed
    4 / 225 (1.78%)
         occurrences causally related to treatment / all
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    Fatigue
         subjects affected / exposed
    2 / 225 (0.89%)
         occurrences causally related to treatment / all
    2 / 3
         deaths causally related to treatment / all
    0 / 1
    Oedema peripheral
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    General physical health deterioration
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Reproductive system and breast disorders
    Pelvic pain
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
         subjects affected / exposed
    3 / 225 (1.33%)
         occurrences causally related to treatment / all
    1 / 4
         deaths causally related to treatment / all
    1 / 2
    Haemoptysis
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pleural effusion
         subjects affected / exposed
    6 / 225 (2.67%)
         occurrences causally related to treatment / all
    0 / 12
         deaths causally related to treatment / all
    0 / 0
    Pneumothorax
         subjects affected / exposed
    2 / 225 (0.89%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Pulmonary embolism
         subjects affected / exposed
    5 / 225 (2.22%)
         occurrences causally related to treatment / all
    4 / 5
         deaths causally related to treatment / all
    0 / 0
    Psychiatric disorders
    Confusional state
         subjects affected / exposed
    2 / 225 (0.89%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Depression
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    3 / 225 (1.33%)
         occurrences causally related to treatment / all
    3 / 3
         deaths causally related to treatment / all
    0 / 0
    Aspartate aminotransferase increased
         subjects affected / exposed
    2 / 225 (0.89%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Blood creatinine increased
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Blood thyroid stimulating hormone decreased
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Blood urea increased
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Body temperature increased
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Lipase increased
         subjects affected / exposed
    3 / 225 (1.33%)
         occurrences causally related to treatment / all
    5 / 6
         deaths causally related to treatment / all
    0 / 0
    Ejection fraction decreased
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Injury, poisoning and procedural complications
    Femur fracture
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hip fracture
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Road traffic accident
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Stab wound
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Post procedural complication
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Postoperative wound complication
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Congenital, familial and genetic disorders
    Hydrocele
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cardiac disorders
    Atrial fibrillation
         subjects affected / exposed
    2 / 225 (0.89%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Myocardial infarction
         subjects affected / exposed
    2 / 225 (0.89%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Ventricular fibrillation
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Stress cardiomyopathy
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Nervous system disorders
    Cerebrovascular accident
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Dizziness
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Haemorrhage intracranial
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Headache
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Transient ischaemic attack
         subjects affected / exposed
    2 / 225 (0.89%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Nerve root compression
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Thrombocytopenia
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Eye disorders
    Retinal tear
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    3 / 225 (1.33%)
         occurrences causally related to treatment / all
    1 / 3
         deaths causally related to treatment / all
    0 / 0
    Abdominal pain lower
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Abdominal pain upper
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Ascites
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Constipation
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Diarrhoea
         subjects affected / exposed
    2 / 225 (0.89%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal haemorrhage
         subjects affected / exposed
    3 / 225 (1.33%)
         occurrences causally related to treatment / all
    2 / 3
         deaths causally related to treatment / all
    0 / 0
    Ileal perforation
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Large intestinal ulcer
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Large intestine perforation
         subjects affected / exposed
    2 / 225 (0.89%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    1 / 1
    Oesophagitis
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Pancreatitis
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Pancreatitis acute
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Small intestinal obstruction
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Vomiting
         subjects affected / exposed
    2 / 225 (0.89%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Haemorrhoidal haemorrhage
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Faecaloma
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Large intestinal stenosis
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Hepatobiliary disorders
    Bile duct stone
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hepatic failure
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Jaundice
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Bile duct stenosis
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Drug-induced liver injury
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Skin and subcutaneous tissue disorders
    Skin lesion
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Renal and urinary disorders
    Haematuria
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Proteinuria
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Renal failure acute
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Urogenital haemorrhage
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Musculoskeletal and connective tissue disorders
    Arthritis
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Back pain
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Muscular weakness
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Intervertebral disc protrusion
         subjects affected / exposed
    2 / 225 (0.89%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Cellulitis
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastroenteritis
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Infection
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Lower respiratory tract infection
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Wound infection
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Anal abscess
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Metabolism and nutrition disorders
    Dehydration
         subjects affected / exposed
    3 / 225 (1.33%)
         occurrences causally related to treatment / all
    1 / 3
         deaths causally related to treatment / all
    0 / 0
    Hypercalcaemia
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hyperkalaemia
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Hypoglycaemia
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Hyponatraemia
         subjects affected / exposed
    2 / 225 (0.89%)
         occurrences causally related to treatment / all
    2 / 4
         deaths causally related to treatment / all
    0 / 0
    Decreased appetite
         subjects affected / exposed
    1 / 225 (0.44%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Pazopanib 800 mg
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    215 / 225 (95.56%)
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    32 / 225 (14.22%)
         occurrences all number
    79
    Aspartate aminotransferase increased
         subjects affected / exposed
    28 / 225 (12.44%)
         occurrences all number
    61
    Weight decreased
         subjects affected / exposed
    24 / 225 (10.67%)
         occurrences all number
    42
    Vascular disorders
    Hypertension
         subjects affected / exposed
    100 / 225 (44.44%)
         occurrences all number
    133
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    31 / 225 (13.78%)
         occurrences all number
    42
    Dysgeusia
         subjects affected / exposed
    57 / 225 (25.33%)
         occurrences all number
    63
    Headache
         subjects affected / exposed
    47 / 225 (20.89%)
         occurrences all number
    68
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    13 / 225 (5.78%)
         occurrences all number
    15
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    14 / 225 (6.22%)
         occurrences all number
    15
    Chest pain
         subjects affected / exposed
    16 / 225 (7.11%)
         occurrences all number
    18
    Fatigue
         subjects affected / exposed
    108 / 225 (48.00%)
         occurrences all number
    150
    Mucosal inflammation
         subjects affected / exposed
    12 / 225 (5.33%)
         occurrences all number
    14
    Oedema peripheral
         subjects affected / exposed
    20 / 225 (8.89%)
         occurrences all number
    23
    Pyrexia
         subjects affected / exposed
    16 / 225 (7.11%)
         occurrences all number
    19
    Gastrointestinal disorders
    Abdominal distension
         subjects affected / exposed
    12 / 225 (5.33%)
         occurrences all number
    13
    Abdominal pain
         subjects affected / exposed
    41 / 225 (18.22%)
         occurrences all number
    52
    Abdominal pain upper
         subjects affected / exposed
    13 / 225 (5.78%)
         occurrences all number
    14
    Constipation
         subjects affected / exposed
    39 / 225 (17.33%)
         occurrences all number
    45
    Diarrhoea
         subjects affected / exposed
    148 / 225 (65.78%)
         occurrences all number
    305
    Dyspepsia
         subjects affected / exposed
    25 / 225 (11.11%)
         occurrences all number
    31
    Flatulence
         subjects affected / exposed
    14 / 225 (6.22%)
         occurrences all number
    17
    Nausea
         subjects affected / exposed
    100 / 225 (44.44%)
         occurrences all number
    146
    Stomatitis
         subjects affected / exposed
    13 / 225 (5.78%)
         occurrences all number
    14
    Vomiting
         subjects affected / exposed
    52 / 225 (23.11%)
         occurrences all number
    88
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    44 / 225 (19.56%)
         occurrences all number
    60
    Dysphonia
         subjects affected / exposed
    12 / 225 (5.33%)
         occurrences all number
    16
    Dyspnoea
         subjects affected / exposed
    26 / 225 (11.56%)
         occurrences all number
    29
    Epistaxis
         subjects affected / exposed
    25 / 225 (11.11%)
         occurrences all number
    32
    Oropharyngeal pain
         subjects affected / exposed
    15 / 225 (6.67%)
         occurrences all number
    20
    Skin and subcutaneous tissue disorders
    Alopecia
         subjects affected / exposed
    26 / 225 (11.56%)
         occurrences all number
    27
    Dry skin
         subjects affected / exposed
    14 / 225 (6.22%)
         occurrences all number
    16
    Erythema
         subjects affected / exposed
    12 / 225 (5.33%)
         occurrences all number
    13
    Hair colour changes
         subjects affected / exposed
    100 / 225 (44.44%)
         occurrences all number
    108
    Palmar-plantar erythrodysaesthesia syndrome
         subjects affected / exposed
    25 / 225 (11.11%)
         occurrences all number
    42
    Rash
         subjects affected / exposed
    37 / 225 (16.44%)
         occurrences all number
    72
    Skin hypopigmentation
         subjects affected / exposed
    14 / 225 (6.22%)
         occurrences all number
    14
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    13 / 225 (5.78%)
         occurrences all number
    15
    Insomnia
         subjects affected / exposed
    21 / 225 (9.33%)
         occurrences all number
    27
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    36 / 225 (16.00%)
         occurrences all number
    50
    Back pain
         subjects affected / exposed
    29 / 225 (12.89%)
         occurrences all number
    36
    Muscle spasms
         subjects affected / exposed
    20 / 225 (8.89%)
         occurrences all number
    30
    Myalgia
         subjects affected / exposed
    12 / 225 (5.33%)
         occurrences all number
    12
    Pain in extremity
         subjects affected / exposed
    20 / 225 (8.89%)
         occurrences all number
    36
    Musculoskeletal chest pain
         subjects affected / exposed
    12 / 225 (5.33%)
         occurrences all number
    13
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    18 / 225 (8.00%)
         occurrences all number
    23
    Upper respiratory tract infection
         subjects affected / exposed
    22 / 225 (9.78%)
         occurrences all number
    31
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    70 / 225 (31.11%)
         occurrences all number
    86

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    13 Dec 2006
    -Updated sponsor information and added EUDRA No. -The randomized portion of the trial was stopped and all subjects had to receive GW786034. The objectives and data analysis were clarified to define the response rate calculation -Updated new treatment approvals -Included birth control requirements for males in inclusion/exclusion criteria -Clarified upper limit of allowed warfarin dosing -Urine serum pregnancy testing was allowed on Day 1. Added assessments for albumin, inorganic phosphate and magnesium. Subjects had free T3 and T4 assessment if TSH was abnormal. Clarified timing of visit windows, screening period events and the continuation visit phase events -Bone scan was planned to be obtained for all subjects at baseline. If the baseline scan was positive, a repeat scan had to be obtained at the time of the confirmation of a CR or PR. If the scan was negative, a repeat scan was not required. The scans at week 12 and 24 were removed. The scans were allowed at any time if clinically indicated -The first disease assessment in the Treatment Phase was planned to be done at week 8 and per time and event schedule. A confirmation of a CR or PR was planned to be conducted at a minimum interval of 4 weeks from the scan that initially revealed the CR or PR. The “clock” was reset for subsequent scans which were obtained approximately 8 weeks after the confirmation scan. Disease assessment of brain, thorax, abdomen and pelvis using imaging studies were planned to be obtained at screening and two-part disease assessment of thorax, abdomen and pelvis were planned to be obtained during the treatment periods unless clinically indicated. -Clarified sections 8.1-8.2 regarding concomitant medications for verapamil, pimozide, propafenone and diltiazem. Prohibited erectile dysfunction medications -Clarified disease related outcomes or events reporting -The study included IDMC -Study assessments aligned with the time event schedule -End of randomization clarified in schema
    25 Aug 2009
    Change 1 – Sponsor information: Updated with new medical monitoring information Change 2 – Visit assessment schedule: Allow subject visits from every 4 weeks to visit every 12 weeks after week 148. Change 3 – Time and events table for visit after week 148: insert new table to address details of the visits after week 148. Change 4 – Investigational Product: Allow subject in the future to transition from 100mg and 500mg tablets to 200mg and/or 400mg tablets.
    19 Aug 2011
    Change 1 – Remove old information: This amendment permits continued access to clinical trial material for subjects ongoing at the time of implementation of this amendment with adjustment to the frequency of clinical visits, scans and labs. Patient treatment and disease management will be at the discretion of the treating physician and as indicated by local standard of medical care of local standard of medical care and local approved labeling (or the DCSI). Change 2 – Data Collection: Investigators will only be required to collect and report to the Sponsor SAEs, pregnancies and non-serious AEs leading to IP discontinuation, other reasons leading to IP withdrawal and any non-serious AEs the investigator deems important to report using the forms provided. Collection of additional safety information will no longer be required by the Sponsor but will be at the discretion and judgment of the investigator. Change 3 – Sponsor information: Updated with new medical monitor information.
    16 Nov 2011
    This amendment changes the description of the investigational product GW786034 to: pazopanib monohydrochloride salt is supplied as aqueous film-coated tablets containing either 200mg or 400mg of the free base. Both the 200mg and the 400mg tablets are oval shaped and white in color. Refer to the pazopanib IB for information regarding the physical and chemical properties of pazopanib and a list of excipients.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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