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AG-013736

Phase 3

Carcinoma, Pancreatic Ductal | Small molecule | Oncology |Pfizer, Inc.|Last Updated: Jun 5, 2019

Target and mechanism

Molecular targetFLT1, FLT4, KDR
Target classInhibitor
ModalitySmall molecule

Also known as Axitinib

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment630

FDA Designations

No designations recorded

Clinical trial landscape

AG-013736 · 17 trials · 16 indications

Phase 3 1Phase 2 9Phase 1 7
NCT00471146Study Of Gemcitabine Plus AG-013736 Versus Gemcitabine For Advanced Pancreatic Cancer.Carcinoma, Pancreatic Ductal
COMPLETED630 Analytics
PHASE3COMPLETED
Study Of Gemcitabine Plus AG-013736 Versus Gemcitabine For Advanced Pancreatic Cancer.
Carcinoma, Pancreatic DuctalUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Survival (OS)
Baseline until death or at least 1 year after the randomization of last participant

Time in weeks from randomization to date of death due to any cause. OS was calculated as (the death date minus the date of randomization plus 1) divided by 7. Death was determined from adverse event data (where outcome was death) or from follow-up contact data (where the participant current status was death).

Percentage of Participants With Objective Response (OR)
Baseline until disease progression or discontinuation from the study due to any cause, assessed every 6 weeks during chemotherapy phase and every 8 weeks during single agent phase up to final study visit (Week 78)

Percentage of participants with objective response based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). Confirmed response are those that persist on repeat imaging study at least 4 weeks after initial documentation of response. CR are those with disappearance of all target lesions. PR are those with at least 30 percent decrease in sum of the longest dimensions of target lesions taking as a reference the baseline sum longest dimensions.

Progression Free Survival (PFS)
Baseline, every 6 weeks until disease progression or initiation of subsequent anticancer therapy up to 2.75 years

Time in months from start of study treatment to first randomization date of objective tumor progression or death due to any cause. PFS was calculated as (first event date minus the first randomization date plus 1) divided by 30.4. Tumor progression was determined from oncologic assessment data (where data meet the criteria for progressive disease \[PD\]), or from adverse event (AE) data (where the outcome was "Death").

Objective Response Rate (Percentage of Participants With Complete Response [CR] or Partial Response [PR]): Independent Review Committee Assessment
Up to 765 days of treatment at the data cut-off date

Percentage of participants with objective response based assessment of confirmed CR or confirmed PR by the Independent Review Committee, according to Response Evaluation Criteria in Solid Tumors (RECIST Version 1.0). CR was defined as the disappearance of all target and nontarget lesions and no appearance of new lesions. PR was defined as at least a 30% decrease in the sum of the longest diameters of the targeted lesions. CR and PR had to be documented on 2 occasions separated by at least 4 weeks.

Objective Response Rate (Percentage of Participants With Complete Response [CR] or Partial Response [PR]): Investigators Assessment
Up to 765 days of treatment at the data cut-off date

Percentage of participants with objective response based assessment of confirmed CR or confirmed PR by the investigator, according to Response Evaluation Criteria in Solid Tumors (RECIST Version 1.0). CR was defined as the disappearance of all target and nontarget lesions and no appearance of new lesions. PR was defined as at least a 30% decrease in the sum of the longest diameters of the targeted lesions. CR and PR had to be documented on 2 occasions separated by at least 4 weeks.

To establish the bioequivalence of test 5 mg market-image tablets of AG-013736 polymorph Form XLI to reference 5 mg tablets of AG- 013736 polymorph Form IV under fed conditions.
3 days per period
Plasma Pharmacokinetics of AG-013736 in Chinese Healthy Volunteers
3 months
To establish bioequivalence of five 1 mg film coated immediate release (FCIR) tablets of AG-013736 to one 5 mg FCIR tablet of AG-013736.
3 days per period
To assess the effect of a high-fat, high-calorie meal and overnight fasting on polymorph Form XLI AG-013736 plasma pharmacokinetics following a single 5 mg oral dose in healthy volunteers.
2 months
Maximum Observed Plasma Concentration (Cmax)
0 (pre-dose), 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 12, 16, 24, 36, 48, 96 and 144 hours (hrs) post-dose
Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)]
0 (pre-dose), 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 12, 16, 24, 36, 48, 96 and 144 hrs post-dose

AUC (0 - ∞) = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞).

Time to Tumor Progression (TTP)
Phase 2 double-blind baseline until tumor progression or death or discontinuation from study treatment, assessed every 9 weeks up to 129 weeks

Time in days from start of study treatment to first documentation of objective tumor progression or death due to cancer, whichever comes first. TTP was calculated as first event date minus the date of first dose of study medication plus 1. Tumor progression was determined from oncologic assessment data (where data meet the criteria for progressive disease \[PD\]).

Maximum Tolerated Dose (MTD)
Baseline up to Day 28

MTD is defined as the dose level at which "no more than 1 of 6 participants experience dose-limiting toxicity (DLT) following de-escalation from the maximum administered dose (MAD)." DLT includes grade (Gr) 2 or greater gastrointestinal toxicities, Gr 3 anemia, nonhematological toxicities (excluding nausea, vomiting, and diarrhea) or Gr 4 neutropenia, thrombocytopenia and inability to resume axitinib (AG-013736) dosing within 14 days of stopping due to treatment related toxicity.

Secondary Endpoints

Progression Free Survival (PFS)
Baseline until disease progression or at least 1 year after the randomization of last participant
Percentage of Participants With Objective Response (OR)
Baseline, every 8 weeks until tumor progression or death
Duration of Response (DR)
Baseline until death or at least 1 year after the randomization of last participant
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AEXPERIMENTAL -
BACTIVE_COMPARATOR -
AG-013736/Cisplatin/GemcitabineEXPERIMENTAL -
CEXPERIMENTALAG-013736 (axitinib)
DACTIVE_COMPARATORbevacizumab (avastin)
AG-013736EXPERIMENTAL -
AG-013736 (axitinib)EXPERIMENTALAG-013736 single agent in continuous dosing until disease progression or unacceptable toxicity
GemcitabineACTIVE_COMPARATOR -
Axitinib [AG-013736] plus gemcitabineEXPERIMENTAL -
Axitinib [AG-013736]EXPERIMENTAL -
Single arm studyEXPERIMENTAL -
Sequence 1 (BABA)EXPERIMENTALTreatment A: 5-mg Form IV tablet; Treatment B: 5-mg Form XLI tablets Subjects in this sequence will participate in 4 periods in the following order: B -\> A -\> B -\> A
Sequence 2 (ABAB)EXPERIMENTALTreatment A: 5-mg Form IV tablet; Treatment B: 5-mg Form XLI tablets Subjects in this sequence will participate in 4 periods in the following order: A -\> B-\> A -\> B
Cohort 1EXPERIMENTAL -
Sequence 1 (ABC)OTHERThe following treatments will be administered in the following order A -\> B-\> C 1. Treatment A = AG-013736 polymorph Form XLI film-coated immediate release (FCIR) tablet administered after overnight fasting 2. Treatment B = AG-013736 polymorph Form XLI film-coated immediate release (FCIR) tablet administered with a high-fat, high-calorie meal. 3. Treatment C = AG-013736 polymorph Form XLI film-coated immediate release (FCIR) tablet administered with a moderate-fat, standard-calorie meal.
Sequence 2 (ACB)OTHERThe following treatments will be administered in the following order A -\> C -\> B 1. Treatment A = AG-013736 polymorph Form XLI film-coated immediate release (FCIR) tablet administered after overnight fasting 2. Treatment B = AG-013736 polymorph Form XLI film-coated immediate release (FCIR) tablet administered with a high-fat, high-calorie meal. 3. Treatment C = AG-013736 polymorph Form XLI film-coated immediate release (FCIR) tablet administered with a moderate-fat, standard-calorie meal.
Sequence 3 (BCA)OTHERThe following treatments will be administered in the following order B -\> C -\> A 1. Treatment A = AG-013736 polymorph Form XLI film-coated immediate release (FCIR) tablet administered after overnight fasting 2. Treatment B = AG-013736 polymorph Form XLI film-coated immediate release (FCIR) tablet administered with a high-fat, high-calorie meal. 3. Treatment C = AG-013736 polymorph Form XLI film-coated immediate release (FCIR) tablet administered with a moderate-fat, standard-calorie meal.
Sequence 4 (BAC)OTHERThe following treatments will be administered in the following order B -\> A -\> C 1. Treatment A = AG-013736 polymorph Form XLI film-coated immediate release (FCIR) tablet administered after overnight fasting 2. Treatment B = AG-013736 polymorph Form XLI film-coated immediate release (FCIR) tablet administered with a high-fat, high-calorie meal. 3. Treatment C = AG-013736 polymorph Form XLI film-coated immediate release (FCIR) tablet administered with a moderate-fat, standard-calorie meal.
Sequence 5 (CAB)OTHERThe following treatments will be administered in the following order C -\> A -\> B 1. Treatment A = AG-013736 polymorph Form XLI film-coated immediate release (FCIR) tablet administered after overnight fasting 2. Treatment B = AG-013736 polymorph Form XLI film-coated immediate release (FCIR) tablet administered with a high-fat, high-calorie meal. 3. Treatment C = AG-013736 polymorph Form XLI film-coated immediate release (FCIR) tablet administered with a moderate-fat, standard-calorie meal.
Sequence 6 (CBA)OTHERThe following treatments will be administered in the following order C -\> B -\> A 1. Treatment A = AG-013736 polymorph Form XLI film-coated immediate release (FCIR) tablet administered after overnight fasting 2. Treatment B = AG-013736 polymorph Form XLI film-coated immediate release (FCIR) tablet administered with a high-fat, high-calorie meal. 3. Treatment C = AG-013736 polymorph Form XLI film-coated immediate release (FCIR) tablet administered with a moderate-fat, standard-calorie meal.
Hepatic Function - Mild ImpairmentEXPERIMENTALSubjects with mild hepatic impairment (Child Pugh class A, score 5-6)
Hepatic Function - Moderate ImpairmentEXPERIMENTALSubjects with moderate hepatic impairment(Child Pugh class B,score 7-9)
Hepatic Function - NormalEXPERIMENTALGroup 1 1\) subjects with normal hepatic function
Docetaxel + PlaceboOTHERDocetaxel + Placebo
Docetaxel + AG-013736EXPERIMENTALDocetaxel + AG-013736
Cohort 2EXPERIMENTAL -
Cohort 3EXPERIMENTAL -
Cohort 4EXPERIMENTAL -
Cohort 5EXPERIMENTAL -
Cohort 6EXPERIMENTAL -

Interventions

NameTypeDescription
AG-013736DRUGoral administration, starting dose 5 mg twice daily \[BID\] every day until unacceptable toxicity or tumor progression.
GemcitabineDRUGintravenous administration at 1,000 mg/m\^2 day 1, day 8 and day 15 every 4 weeks (conventional dose) until unacceptable toxicity or tumor progression.
placeboDRUGplacebo
cisplatinDRUG1mg/ml solution or as lyophilized powder, to be administered as 80 mg/m\^2 IV infusion on Day 1 of 21-day cycle. For a maximum of 6 cycles
BevacizumabDRUGBevacizumab is available as 100 and 400 mg preservative-free, single use vials- The starting dose is 15 mg/kg, iv infusion, every 3 weeks.
CarboplatinDRUGCarboplatin is available as pre-mixed 10mg /ml aqueous solution- The starting dose is AUC 6 mg\*min/ml, iv infusion, every 3 weeks.
PaclitaxelDRUGPaclitaxel is available in multidose vials (30 mg/5ml;100mg/16.7 ml;300 mg/50ml)- The starting dose is 200 mg/m2, every 3 weeks
AG-013736 (axitinib)DRUGAG-013736 (axitinib) is available as 1mg, and 5 mg film-coated tablets for oral administration- The starting dose is 5 mg BID-
Bevacizumab (avastin)DRUGBevacizumab intravenous \[IV\] infusion 5 mg/kg every two weeks until disease progression, intolerance or withdrawal of consent.
FOLFIRI (Irinotecan, leucovorin, 5-fluorouracil [5FU])DRUGIrinotecan (180 mg/m²) intravenous infusion \[IV\] over 90 minutes, concurrently with leucovorin (400 mg/m²) intravenous infusion \[IV\] over 2 hours followed immediately by 5-FU bolus (400 mg/m²) intravenous \[IV\] and a subsequent 5-FU infusion (2400 mg/m² over 46-48 hours), repeated every 2 weeks until disease progression, intolerance or withdrawal of consent.
FOLFOX (oxaliplatin, leucovorin, 5-fluorouracil [5FU])DRUGOxaliplatin (85 mg/m²) intravenous infusion \[IV\] over 120 minutes, concurrently with leucovorin (400 mg/m²) intravenous infusion \[IV\] over 2 hours followed by 5-FU IV bolus (400 mg/m²) and a subsequent 5-FU IV infusion (2400 mg/m² over 46-48 hours), repeated every 2 weeks until disease progression, intolerance or withdrawal of consent.
AG013736DRUGAG013736, tablets 5 mg BID daily until tumor progression or toxicity
AG-103736DRUGsingle oral dose of film coated immediate release tablet (one 5-mg tablet for Treatment A and five 1-mg tablets for Treatment B)
DocetaxelDRUGStandard of care drug administration
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites204

Inclusion Criteria: * Histologically or cytologically confirmed, metastatic or locally-, advanced pancreatic adenocarcinoma not amenable to curative resection. * Adequate renal, hepatic and bone marrow function. * Performance status 0 or 1. Exclusion Criteria: * Prior treatment with any systemic ...

Countries:United StatesArgentinaAustraliaAustriaBelgiumCanadaFranceGermanyHong KongHungaryIndiaIrelandItalyJapanNetherlandsRussiaSingaporeSouth AfricaSouth KoreaSpainSwedenSwitzerlandTaiwanUnited KingdomPolandRomaniaUkraineCzechiaChina
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Frequently asked questions about AG-013736

What is AG-013736 used for?

AG-013736, also known as axitinib, is an investigational small molecule being studied for use in oncology. Clinical trials have evaluated it in metastatic renal cell cancer, squamous non-small-cell lung cancer, advanced solid tumors, and hepatic insufficiency. It is being developed by Pfizer, Inc. and is currently in Phase 2 clinical development.

What does AG-013736 target?

AG-013736 is a kinase inhibitor, belonging to the -tinib class of targeted therapies. As a small molecule kinase inhibitor, it works by blocking specific enzymes involved in cancer cell growth and proliferation. The drug is being investigated for its activity against various tumor types, including renal cell carcinoma and non-small-cell lung cancer.

Who makes AG-013736?

AG-013736 is being developed by Pfizer, Inc., a biopharmaceutical company traded on the New York Stock Exchange under the ticker symbol PFE. The drug is also known by the name axitinib. It is currently in Phase 2 clinical development for oncology indications.

What phase is AG-013736 in?

AG-013736 is in Phase 2 clinical development. It is an investigational drug and has not been approved by regulatory authorities. Completed clinical trials include Phase 1 and Phase 2 studies evaluating the drug in patients with renal cell cancer, non-small-cell lung cancer, advanced solid tumors, and hepatic insufficiency.

What clinical trials is AG-013736 in?

AG-013736 has been studied in several completed clinical trials. NCT00569946 evaluated axitinib as second-line treatment in metastatic renal cell cancer. NCT00735904 tested AG-013736 combined with cisplatin and gemcitabine in squamous non-small-cell lung cancer. NCT01469052 was a first-in-human Phase 1 study in advanced solid tumors, and NCT00692341 assessed hepatic impairment effects.

Is AG-013736 the same as axitinib?

Yes, AG-013736 is the same drug as axitinib. Axitinib is the alternative name for AG-013736, and both names refer to the same investigational compound being developed by Pfizer, Inc. The drug is a small molecule kinase inhibitor currently in Phase 2 clinical trials for oncology indications.