Clinical Trial Results:
Phase II study of sunitinib malate (SUTENT®) in relapsed germ cell tumors in males.
Summary
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EudraCT number |
2007-004981-42 |
Trial protocol |
SK |
Global end of trial date |
02 Jan 2012
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Results information
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Results version number |
v1(current) |
This version publication date |
22 Sep 2022
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First version publication date |
22 Sep 2022
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
GCTSK001
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
- | ||
WHO universal trial number (UTN) |
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Sponsors
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Sponsor organisation name |
Národný onkologický ústav
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Sponsor organisation address |
Klenova 1, Bratislava, Slovakia, 833 10
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Public contact |
Prof.Michal Mego, MD:, DSc., Narodny onkologicky ustav, 00421 259378108, michal.mego@nou.sk
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Scientific contact |
Prof.Michal Mego, MD:, DSc., Narodny onkologicky ustav, 00421 259378108, michal.mego@nou.sk
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
21 Nov 2011
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
21 Nov 2011
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Global end of trial reached? |
Yes
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Global end of trial date |
02 Jan 2012
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
12-month post treatment initiation continuous progression-free survival
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Protection of trial subjects |
All the procedures performed in study involving human participants were conducted in accordance with
the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki
Declaration and its later amendments or comparable ethical standards. Informed consent was obtained
from all individual participants included in the study.
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Background therapy |
Sunitinib malate (SUTENT®) 50 mg/day administered orally in a one daily dose for a 4 weeks in a 6 week-cycle (4 weeks on/2 weeks off) | ||
Evidence for comparator |
NA | ||
Actual start date of recruitment |
25 Jul 2008
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Slovakia: 10
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Worldwide total number of subjects |
10
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EEA total number of subjects |
10
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
10
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
From 25 July 2008 to October 2010, a total of 10 patients were screened into the study. 10 subjects were enrolled and receive study treatment. All patients were platinum-refractory with the excepton of one. Patients were pre-treated with a median of 3 cisplatin-containing therapies. The median age was 32 years (range 19–55 years). | ||||||
Pre-assignment
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Screening details |
Patients with radiological and/or serological proof of relapsed metastatic germ cell tumors, who were not eligible for curative chemotherapy or surgery and had failed at least 2 platinum-based regimens or 1 platinum regimen in the case of platinum-refractory disease or primary mediastinal non- seminomatous germ cell tumor, | ||||||
Period 1
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Period 1 title |
Overall Study (overall period)
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Is this the baseline period? |
Yes | ||||||
Allocation method |
Non-randomised - controlled
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Blinding used |
Not blinded | ||||||
Arms
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Arm title
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Sunitinib malate | ||||||
Arm description |
Uncontrolled, Non-randomised, open-label, 1 arm (SUTENT® given orally). The single-stage Phase II design will be used. | ||||||
Arm type |
Experimental | ||||||
Investigational medicinal product name |
Sunitinib malate
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Investigational medicinal product code |
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Other name |
SUTENT®
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Pharmaceutical forms |
Capsule
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Routes of administration |
Oral use
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Dosage and administration details |
Sunitinib malate (SUTENT®) 50 mg/day administered orally in a one daily dose for 4 weeks in a 6 week-cycle (4 weeks on/2 weeks off).
Administration of SUTENT® will be performed on an outpatient basis. The starting dose will be 50 mg daily. The dose should be taken once daily at approximately the same time of day. Patients are required to have a drug rest period of at least 14 days after each dosing period. The start of the next cycle may be delayed if additional time is required for the patient to recover from treatment-associated toxicity experienced during the previous cycle. Dosing may be modified after discussion with Principal Investigator. The study investigator implements dose suspension or reduction in order to ensure patient safety. No pre-medication or patient monitoring immediately after administration of SUTENT is required.
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Baseline characteristics reporting groups
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Reporting group title |
Overall Study (overall period)
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Reporting group description |
Single arm trial with Sunitinib malate (SUTENT®) 50 mg/day administered orally. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Subject analysis sets
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Subject analysis set title |
Overall study (overall period)
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Subject analysis set type |
Intention-to-treat | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
Single arm trial with Sunitinib malate (SUTENT®) 50 mg/day administered orally.
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End points reporting groups
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Reporting group title |
Sunitinib malate
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Reporting group description |
Uncontrolled, Non-randomised, open-label, 1 arm (SUTENT® given orally). The single-stage Phase II design will be used. | ||
Subject analysis set title |
Overall study (overall period)
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Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
Single arm trial with Sunitinib malate (SUTENT®) 50 mg/day administered orally.
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End point title |
Twelve-month post treatment initiation continuous progression-free survival rate (intent-to-treat population) | ||||||||||||
End point description |
Twelve month post-treatment initiation continuous progression-free survival rate will be summarized as counts and proportions with exact binomial 90% confidence interval (ITT population)
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End point type |
Primary
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End point timeframe |
PFS will be calculated from the starting the treatmentl to the date of progression or death or or to the date of last follow up.
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Notes [1] - Median Progression-free survival was 10.8 weeks [2] - Median Progression-free survival was 10.8 weeks |
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Statistical analysis title |
descriptive statistics | ||||||||||||
Comparison groups |
Sunitinib malate v Overall study (overall period)
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Number of subjects included in analysis |
20
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Analysis specification |
Pre-specified
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Analysis type |
other [3] | ||||||||||||
P-value |
< 5 | ||||||||||||
Method |
Chi-squared | ||||||||||||
Confidence interval |
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Notes [3] - Intention to treat analysis. |
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End point title |
Overall response rate | |||||||||
End point description |
Overall response rate = rate of complete remission (CR) or partial response (PR) based on RECIST criteria among all evaluable patients
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End point type |
Secondary
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End point timeframe |
Objective response rate is defined as sum of complete and partial responses. It is defined from start of the treatment until progresson of disease or start of new anticancer treatment.
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Notes [4] - 2 patients achieved PR, 0 CR [5] - 2 patients achieved PR, 0 CR |
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No statistical analyses for this end point |
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End point title |
Duration of response | ||||||||||||
End point description |
Response Duration will be measured from the time when measurement criteria for CR/PR (whichever is first recorded) are first met until the first date that recurrent or progressive disease is objectively documented, taking as reference the smallest measurements recorded since the treatment started.
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End point type |
Secondary
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End point timeframe |
Duration of response (CR+PR), defined from the earliest time when confirmed remission criteria are met until death or progression. Patients continuing in remission at the end of the study are treated as censored (ITT population).
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Notes [6] - Duration of response was 10,2 weeks (71,5 days) [7] - Duration of response was 10,2 weeks (71,5 days) |
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No statistical analyses for this end point |
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End point title |
Overall survival | ||||||||||||
End point description |
The length of time from the start of treatment to to the death.
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End point type |
Secondary
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End point timeframe |
Overall survival (OS) will be calculated from the beginning of the treatment until death from any cause on intention-to-treat basis.
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Notes [8] - Overall survival was 12,9 weeks. [9] - Overall survival was 12,9 weeks. |
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No statistical analyses for this end point |
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End point title |
Toxicity | |||||||||
End point description |
For evaluation of toxicity, NCI Common Terminology Criteria for Adverse Events Version 3.0 (CTCAE) was used.
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End point type |
Secondary
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End point timeframe |
Toxicity will be evaluated in all patients from the time of first administration of the Sutent®.
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Notes [10] - 4 subjects experienced at least one adverse event Gr.3 or 4. [11] - 4 subjects experienced at least one adverse event Gr.3 or 4. |
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
Adverse events will be evaluated in all patients from the time of first administration of the Sutent® on an ongoing basis.
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Adverse event reporting additional description |
Adverse events will be categorized using the CTCAE, Version 3.0. The worst event for each patient will be described. Both events related and unrelated to treatment will be captured. Clinical and laboratory data will be tabulated and compared to normal ranges for the institution.
Adverse events Grade 3 and Grade 4 will be reported.
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Assessment type |
Systematic | ||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
CTCAE | ||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
3.0
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Reporting groups
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Reporting group title |
all subjects
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Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 0% | |||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? No | |||
Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported | |||
Online references |
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http://www.ncbi.nlm.nih.gov/pubmed/22846980 |