Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Label indication INLYTA is a kinase inhibitor indicated: • in combination with avelumab, for the first-line treatment of patients with advanced renal cell carcinoma (RCC). ( 1.1 ) • in combination with pembrolizumab, for the first-line treatment of patients with advanced RCC. ( 1.1 ) • as a single agent, for the treatment of advanced renal cell carcinoma (RCC) after failure of one prior systemic therapy. FDA label
Also known as AG-013736, AG-013736 (axitinib), Axitinib (AG-013736), AG-103736
Axitinib · 26 trials · 24 indications
Time in months from randomization to first documentation of objective tumor progression or death due to any cause. PFS calculated as (first event date minus date of randomization plus 1)/30.4. Tumor progression determined from oncologic assessment data (where it meets criteria for progressive disease \[PD\]), or from adverse event (AE) data (where outcome was "Death"). Progression using Response Evaluation Criteria in Solid Tumors (RECIST) is \>= 20 percent (%) increase in sum of longest diameter of target lesions; measurable increase in non-target lesion; appearance of new lesions.
Time in months from randomization to first documentation of objective tumor progression or death due to any cause. PFS calculated as (first event date minus date of randomization plus 1)/30.4. Tumor progression determined from oncologic assessment data (where it meets criteria for progressive disease \[PD\]), or from adverse event (AE) data (where outcome was "Death"). Progression using Response Evaluation Criteria in Solid Tumors (RECIST) is \>= 20 percent (%) increase in sum of longest diameter of target lesions; measurable increase in non-target lesion; appearance of new lesions.
PFS was defined as the time in months from start of study treatment to the first documentation of objective tumor progression of disease (PD) or to death due to any cause, whichever occurs first. PD was assessed by response evaluation criteria in solid tumors (RECIST) version 1.0. PD: \>=20 percent (%) increase in the sum of the longest dimensions (LD) of the target lesions taking as a reference the smallest sum of the LD recorded since the start of treatment or unequivocal progression in non-target lesions or the appearance of 1 or more new lesions. Occurrence of a pleural effusion or ascites was also considered PD if demonstrated by cytological investigation and it was not previously documented. New bone lesions not previously documented were considered PD if confirmed by computed tomography/magnetic resonance imaging or X-ray.
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).
over the total number of patients in a given cohort.
OS was defined as the time from the date of randomization to the date of death due to any cause. OS (in months) was calculated as (date of death - first randomization date +1)/30.4. For participants still alive at the time of the analysis, the OS time was censored on the last date they were known to be alive. All participants were followed up for survival at least every 3 months after discontinuing study treatment until at least two years after randomization of the last participant.
ORR was defined as the proportion of participants with objective response based assessment of complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST v1.0). CR was defined as complete disappearance of all target lesions and non-target disease. No new lesions. PR was defined as \>=30% decrease on study under baseline of the sum of longest diameters of all target lesions. No unequivocal progression of non-target disease. No new lesions.
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.
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.
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.
The AEs will be summarized and classified by body system and by treatment group. The type, incidence, severity, and causality of each AE, the duration of the event, and any required treatment interventions will be tabulated.
Dose escalation for this pilot study will be conducted using a CRM in which the probability of exceeding a blood selenium concentration of 45 µM on Day 14 is being modeled. Prior probabilities of exceeding a blood selenium concentration of 45 µM on Day 14 were estimated based on preclinical and preliminary data from the initial trial. A one parameter logistic model with intercept set at 3 and an initial value of 1 for the slope will be used to estimate the dose-concentration relationship through sequential recursive Bayesian assessment. The target probability of exceeding 45 µM is ≤20%.
DLT was defined as any of the following adverse events (AEs) occurring in the first two cycles of treatment which were attributable to one or both the study drugs: 1) Grade 4 neutropenia, 2) Febrile neutropenia lasting greater than (\>) 1 hour, 3) Grade greater than or equal to (\>=) 3 neutropenia with infection, 4) Grade \>=3 thrombocytopenia with bleeding, 4) Grade 4 thrombocytopenia, 5) Any grade \>=3 non-hematologic: non-laboratory toxicities despite maximum supportive therapy or hypertension despite maximal medical therapy, 6) Grade \>=3 non-hematologic toxicities resulted in hospitalisation or medical intervention 7) Inability to complete at least 75 percent (%) of axitinib dosing or 2 infusions of pembrolizumab within the DLT observation period (up to 42 days) due to treatment related toxicity. Severity of AEs was graded according to NCI (National Cancer Institute) Common Terminology Criteria for Adverse Events (CTCAE) version 4.03.
Toxicity as per National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 4.03. DLT defined as any following events attributable to any (axitinib or crizotinib) or both agents in combination: hematologic (Grade 4 neutropenia, absolute neutrophil count\<1000/mm\^3 with single temperature of \>38.3 degrees celsius or sustained temperature of 38 degrees celsius for \>1 hour; \>=Grade 3 neutropenic infection; \>=Grade 3 thrombocytopenia with bleeding; Grade 4 thrombocytopenia), non-hematologic (\>=Grade 3 toxicities \[except asymptomatic hypophosphatemia, hyperuricemia without signs, symptoms of gout, and tumor lysis syndrome\], nausea, vomiting or diarrhea persisted at Grade 3 or 4 despite maximal medical therapy; Grade 3 hypertension if persistent despite anti-hypertensives); In asymptomatic participant, Grade 3 QTc prolongation (QTc\>=501 msec) if persisted after correcting reversible causes, and failure to deliver \>=75 percent (%) of dose of each study drug.
DLT = Grade (GR) 2 proteinuria; GR3 nonhematological toxicity (NHT) (excluding alopecia and those that can be controlled with appropriate treatment) for greater than or equal to (\>=)7 days, GR3 thrombocytopenia with active bleeding; GR \>=3 febrile neutropenia (NP) or NP infection; GR 3 or 4 nausea, vomiting or diarrhea despite anti-emetics, anti-diarrheals; GR4 NHT, thrombocytopenia, NP for \>=7 days; \>= 1/2 teaspoon per day hemoptysis; any treatment related toxicity with \>3 consecutive days of capecitabine or 5 consecutive days of axitinib missed doses per cycle; delayed toxicity recovery \>14 days.
AUCinf is obtained from AUC (0 - t) plus AUC (t - infinity).
Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.
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 - ∞).
Number of participants with any adverse events, adverse events graded as Common Terminology Criteria for Adverse Events Version 3.0 (CTCAE) Grade 3 or higher, serious adverse events, and adverse events resulted in discontinuation.
MTD defined as the dose level at which more than 1 out of 6 participants experienced a dose limiting toxicity (DLT). DLT included grade (Gr) 4 neutropenia or thrombocytopenia, greater than or equal to (\>=) Gr 3 nonhematological toxicities or \>=0.5 teaspoon/day hemoptysis or \>=2 gram /24 hours proteinuria or inability to resume background chemotherapy or axitinib (AG-013736) dosing within 14 days of stopping due to treatment related toxicity.
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 \[PD\]).
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.
| Arm | Type | Description |
|---|---|---|
| A | EXPERIMENTAL | - |
| B | ACTIVE_COMPARATOR | - |
| Axitinib | EXPERIMENTAL | - |
| Sorafenib | ACTIVE_COMPARATOR | - |
| Group 1 - Arm CLOSED, no patients recruited | EXPERIMENTAL | VEGFR1, VEGFR2, VEGFR3 |
| Group 2 - Arm CLOSED, no patients recruited | EXPERIMENTAL | BCR-ABL, SRC |
| Group 3 - Arm CLOSED | EXPERIMENTAL | ALK, ROS1, MET |
| Group 4 - Arm CLOSED, no patients recruited | EXPERIMENTAL | KIT, PDGFRA, PDGFRB, ABL1 |
| Group 5 - Arm CLOSED | EXPERIMENTAL | EGFR |
| Group 6 - Arm CLOSED | EXPERIMENTAL | high mutation burden, POLE, POLD1 |
| Group 7 - Arm CLOSED | EXPERIMENTAL | BRCA1, BRCA2, mutations in HRD |
| Group 8 - Arm CLOSED | EXPERIMENTAL | CDKN2A, CDK4, CCND1, SMARCA4 |
| Group 9 Arm CLOSED | EXPERIMENTAL | CSF1R, PDGFRA, PDGFRB,VEGFR1, VEGFR2, VEGFR3, KIT, FLT3, RET, FGFR1, FGFR2, FGFR3, VHL |
| Group 10 Arm CLOSED | EXPERIMENTAL | AKT1, AKT2, AKT3, FBXW7, FLCN, mTOR, NF1, NF2, NTRK3, PIK3CA, PIK3R1, PTEN, RHEB, STK11, TSC1, TSC2 |
| Group 11 - Arm CLOSED | EXPERIMENTAL | ERBB2 |
| Group 12 - Arm CLOSED | EXPERIMENTAL | BRAFV600 |
| Group 13 - Arm CLOSED | EXPERIMENTAL | PTCH1, SMO |
| Group 14 | EXPERIMENTAL | ERBB2 |
| C | OTHER | Non-randomized arm |
| AG-013736/Cisplatin/Gemcitabine | EXPERIMENTAL | - |
| AG-013736 | EXPERIMENTAL | - |
| AG-013736 (axitinib) | EXPERIMENTAL | AG-013736 single agent in continuous dosing until disease progression or unacceptable toxicity |
| Gemcitabine | ACTIVE_COMPARATOR | - |
| Axitinib [AG-013736] plus gemcitabine | EXPERIMENTAL | - |
| Axitinib [AG-013736] | EXPERIMENTAL | - |
| Single arm study | EXPERIMENTAL | - |
| Study Treatment | EXPERIMENTAL | During the Dose-Escalation Part 1, patients will receive SLM twice daily for 14 days followed by SLM once daily in combination with axitinib 5 mg twice daily with titration according to package insert. Treatment will continue until disease progression or unacceptable toxicity. During the Expansion Part 2, patients will be treated at the maximum tolerated dose (MTD) of SLM determined as 4000 mcg SLM. SLM will be given orally twice daily for 14 days followed by SLM once daily in combination with axitinib 5 mg twice daily with titration according to package insert. Treatment will continue until disease progression or unacceptable toxicity. During the Pilot Phase, dosing will begin at dose level 3 (4000, 5000, or 6000 mcg SLM calculated based on patients' BSA). SLM will be given orally twice daily for 14 days. Each cohort will enroll 2 evaluable patients. |
| Dose finding phase and dose expansion phase | EXPERIMENTAL | To test the maximum tolerated dose of MK-3475 at 2 mg/kg every three weeks intravenous infusion in combination with approved axitinib dose |
| Axitinib in combination with crizotinib, escalation phase | EXPERIMENTAL | Dose Escalation Advanced solid tumor that is resistant to standard therapy or for which no standard therapy is available |
| Expansion Phase Cohort 1 | EXPERIMENTAL | Dose Expansion, Cohort 1: axitinib in combination with crizotinib Advanced renal cell cancer \[RCC\] with no prior systemic therapy |
| Expansion Phase Cohort 2 | EXPERIMENTAL | Dose Expansion, Cohort 2: axitinib in combination with crizotinib Advanced renal cell cancer with at least one but no more than two prior systemic treatment regimens directed at advanced RCC |
| I | EXPERIMENTAL | Axitinib (continuous) + Pemetrexed(500mg/m2)/Cisplatin(75mg/m2) x max 6 cycles followed by axitinib maintenance |
| II | EXPERIMENTAL | Axitinib (modified) + Pemetrexed(500mg/m2)/Cisplatin(75mg/m2) x max 6 cycles followed by axitinib maintenance |
| III | ACTIVE_COMPARATOR | pemetrexed and cisplatin |
| IV | EXPERIMENTAL | Axitinib interrupted before each chemo cycle (Pemetrexed(500mg/m2)/Cisplatin(75mg/m2) x max 6 cycles followed by axitinib maintenance |
| V | ACTIVE_COMPARATOR | pemetrexed and cisplatin |
| Hepatic Function - Mild Impairment | EXPERIMENTAL | Subjects with mild hepatic impairment (Child Pugh class A, score 5-6) |
| Hepatic Function - Moderate Impairment | EXPERIMENTAL | Subjects with moderate hepatic impairment(Child Pugh class B,score 7-9) |
| Hepatic Function - Normal | EXPERIMENTAL | Group 1 1\) subjects with normal hepatic function |
| Open | EXPERIMENTAL | - |
| Axitinib [AG-013736] + chemotherapy combination | EXPERIMENTAL | The following separate groups were included: axitinib 1. plus carboplatin/paclitaxel in three different schedules 2. plus paclitaxel 3. plus docetaxel/carboplatin 4. plus docetaxel 5. plus capecitabine 6. plus gemcitabine/cisplatin 7. plus pemetrexed/cisplatin |
| Docetaxel + Placebo | OTHER | Docetaxel + Placebo |
| Docetaxel + AG-013736 | EXPERIMENTAL | Docetaxel + AG-013736 |
| Cohort 1 | EXPERIMENTAL | - |
| Cohort 2 | EXPERIMENTAL | - |
| Cohort 3 | EXPERIMENTAL | - |
| Cohort 4 | EXPERIMENTAL | - |
| Cohort 5 | EXPERIMENTAL | - |
| Cohort 6 | EXPERIMENTAL | - |
| Name | Type | Description |
|---|---|---|
| Axitinib (AG-013736) | DRUG | axitinib will be given at a starting dose of 5 mg BID with continuous dosing |
| Sorafenib | DRUG | sorafenib will be given at a dose of 400 mg BID continuous dosing |
| AG-013736 | DRUG | oral administration, starting dose 5 mg twice daily \[BID\] every day until unacceptable toxicity or tumor progression. |
| Gemcitabine | DRUG | intravenous 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. |
| placebo | DRUG | placebo |
| Olaparib | DRUG | 300mg taken twice daily |
| Dasatinib | DRUG | 100mg administered orally once daily |
| Nivolumab plus Ipilimumab | DRUG | * Combination Phase - 3mg/kg nivolumab administered as an intravenous infusion over 30 minutes every 3 weeks for the first 4 doses in combination with ipilmumab 1mg/kg administered intravenously over 30 minutes, followed by the single-agent phase. * Single-Agent Phase - 480mg nivolumab administered as an intravenous infusion over 30 minutes every 4 weeks. |
| Axitinib | DRUG | 5mg orally twice daily |
| Bosutinib | DRUG | 500mg orally once daily |
| Crizotinib | DRUG | 250mg orally twice daily |
| Palbociclib | DRUG | 125mg orally once daily for 21 consecutive days followed by 7 days off treatment to comprise a complete cycle of 28 days |
| Sunitinib | DRUG | 50mg orally once daily on a schedule of 4 weeks on treatment followed by 2 weeks off |
| Temsirolimus | DRUG | 25mg infused over a 30-60 minute period once a week |
| Erlotinib | DRUG | 150mg orally, once daily |
| Trastuzumab plus Pertuzumab | DRUG | Trastuzumab = 3-weekly dose schedule. The recommended initial loading dose is 8mg/kg administered as a 90-minute infusion followed by 3-weekly maintenance dose of 6mg/kg administered as 90-minute infusion. Pertuzumab = 840mg administered as a 60-minute intravenous infusion, followed every 3 weeks thereafter by a dose of 420mg administered over a period of 30-60 minutes. |
| Vemurafenib plus Cobimetinib | DRUG | Vemurafenib = 960 mg orally every 12 hours. Cobimetinib = 60 mg orally once daily for 21 days, followed by 7 days of rest |
| Vismodegib | DRUG | 150mg taken orally, once daily |
| Tucatinib | DRUG | 300mg taken orally, twice daily |
| Best Supportive Care | OTHER | BSC may include medications and supportive measures deemed necessary to palliate disease related symptoms and improve quality of life. |
| cisplatin | DRUG | 1mg/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 |
| AG-013736 (axitinib) | DRUG | AG-013736 5 mg twice daily \[bid\] continuous dosing in 28 day cycles. |
| Axitinib [AG-013736] | DRUG | VEGFR \[vascular endothelial growth factor Receptor\] and PDGFR \[Platelet-Derived Growth Factor Receptor\] inhibitor: Single agent AG-013736 starting dose 5 mg BID +/- 20% according to toxicity. Treatment until progression or unacceptable toxicity occurs. |
| AG013736 | DRUG | AG013736, tablets 5 mg BID daily until tumor progression or toxicity |
| Selenomethionine (SLM) | DRUG | SLM administrated orally twice daily for 14 days followed by SLM once daily in combination with Axitinib 5 mg twice daily with titration according to package insert |
| MK-3475 | DRUG | MK-3475 with two dose levels: 2 mg/kg every three weeks to find the maximum tolerated dose and continue treatment in a dose expansion phase. |
| capecitabine | DRUG | Given orally twice daily for 14 days followed by 7 days of drug free period. Starting dose is 1000mg/m\^2 twice daily. Each 21 day cycle is repeated until progression of disease or unacceptable toxicity is observed. |
| chemotherapy | DRUG | Pemetrexed(500mg/m2)/Cisplatin(75mg/m2) x max 6 cycles |
| Axitinib + Paclitaxel + Carboplatin (Cohort 1) | DRUG | Axitinib (AG-013736) 1 milligram (mg) tablet orally twice daily (BID) as lead in dose from Day -5, -4 or -3 through Day 2 of Cycle 1 (21 days). Axitinib (AG-013736) 5 mg tablet orally BID from Day 3 to Day 18 of Cycle 1 and Day 3 to Day 20 of Cycle 2 (21 days) and all subsequent cycles (21 days). Paclitaxel \[200 milligram/square meter (mg/m\^2)\] 3-hour infusion followed by carboplatin 30-minutes infusion at a dose to target area under the concentration-time curve (AUC) of 6.0 milligram\*minute/milliliter (mg\*min/mL) on Day 1 of Cycle 1 and all subsequent cycles. |
| Axitinib + Paclitaxel + Carboplatin (Cohort 2) | DRUG | Axitinib (AG-013736) 3 tablets of 1 mg orally BID as lead in dose from Day -5, -4 or -3 through Day 2 of Cycle 1 (21 days). Axitinib (AG-013736) 5 mg tablet orally BID from Day 3 to Day 18 of Cycle 1 and Day 3 to Day 20 of Cycle 2 (21 days) and all subsequent cycles (21 days). Paclitaxel (200 mg/m\^2) 3-hour infusion followed by carboplatin 30-minutes infusion at a dose to target AUC of 6.0 mg\*min/mL on Day 1 of Cycle 1 and all subsequent cycles. |
| Axitinib + Paclitaxel + Carboplatin (Cohort 3) | DRUG | Axitinib (AG-013736) 5 mg tablet orally BID as lead in dose from Day -5, -4 or -3 through Day 2 of Cycle 1 (21 days). Axitinib (AG-013736) 5 mg tablet orally BID from Day 3 to Day 18 of Cycle 1 and Day 3 to Day 20 of Cycle 2 (21 days) and all subsequent cycles (21 days). Paclitaxel (200 mg/m\^2) 3-hour infusion followed by carboplatin 30-minutes infusion at a dose to target AUC of 6.0 mg\*min/mL on Day 1 of Cycle 1 and all subsequent cycles. |
| Axitinib + Paclitaxel (Cohort 4) | DRUG | Axitinib (AG-013736) 5 mg tablet orally BID from Day 1 to Day 25 of Cycle 1 (28 days) and then without interruption from Day 3 for Cycle 2 (28 days) and all subsequent cycles (28 days). Paclitaxel (90 mg/m\^2) 60-minute infusion on Day 1, 8, and 15 of each cycle. |
| Axitinib + Docetaxel + Carboplatin (Cohort 4a) | DRUG | Axitinib (AG-013736) 5 mg tablet orally BID as lead in dose from Day -5, -4 or -3 through Day 2 of Cycle 1 (21 days). Axitinib (AG-013736) 5 mg tablet orally BID from Day 3 to Day 18 of Cycle 1 and Day 3 to Day 20 of Cycle 2 (21 days) and all subsequent cycles (21 days). Docetaxel (75 mg/m\^2) 60-minute infusion on Day 1 of every cycle. Carboplatin 30-minutes infusion at a dose to target AUC of 6.0 mg\*min/mL on Day 1 of Cycle 1 and all subsequent cycles. |
| Axitinib + Docetaxel (Cohort 5) | DRUG | Axitinib (AG-013736) 5 mg tablet orally BID as lead in dose from Day -5, -4 or -3 through Day 2 of Cycle 1. Axitinib (AG-013736) 5 mg oral tablet BID administered from Day 3 to Day 18 of Cycle 1 (21 days) and then without interruption from Day 3 of Cycle 2 and all subsequent cycles. Docetaxel (100 mg/m\^2) 60-minute infusion on Day 1 of each cycle. |
| Axitinib + Capecitabine (Cohort 6) | DRUG | Axitinib (AG-013736) 5 mg tablet orally BID from Day 1 to Day 18 of Cycle 1 (21 days) and then without interruption from Day 3 of Cycle 2 and all subsequent cycles. Capecitabine (1000 mg/m\^2) orally BID from Day 1 to Day 14 of each cycle. |
| Axitinib + Capecitabine (Cohort 7) | DRUG | Axitinib (AG-013736) 5 mg tablet orally BID from Day 1 to Day 18 of Cycle 1 (21 days) and then without interruption from Day 3 of Cycle 2 and all subsequent cycles. Capecitabine (1250 mg/m\^2) orally BID from Day 1 to Day 14 of each cycle. |
| Axitinib + Gemcitabine + Cisplatin (Cohort 8) | DRUG | Axitinib (AG-013736) 5 mg tablet orally BID from Day -5, -4 or -3 to Day 18 of Cycle 1 (21 days) and then without interruption from Day 3 of Cycle 2 and all subsequent cycles. Gemcitabine (1250 mg/m\^2) 30-minute infusion on Day 1 and Day 8 of Cycle 1 and all subsequent cycles followed by cisplatin (80 mg/m\^2) infusion on Day 1 of each cycle. |
| Axitinib + Pemetrexed + Cisplatin (Cohort 9) | DRUG | Axitinib (AG-013736) 5 mg tablet orally BID from Day -5, -4 or -3 to Day 18 of Cycle 1 (21 days) and then without interruption from Day 3 of Cycle 2 and all subsequent cycles. Pemetrexed (500 mg/m\^2) 10-minute infusion followed by cisplatin (75 mg/m\^2) infusion on Day 1 of each cycle. |
| Docetaxel | DRUG | Standard of care drug administration |
Inclusion Criteria: * Histologically documented metastatic renal cell cancer with a component of clear cell histology. * Evidence of measurable disease. * Patients with mRCC must have received no prior systemic first-line therapy or must have progressive disease per RECIST (version 1.0) after one p...
Axitinib is a small molecule oncology drug developed by Pfizer, Inc. (ticker PFE). It is being studied in several cancer types, including acute myeloid leukemia, advanced metastatic clear cell renal cell carcinoma, advanced solid tumors, breast neoplasms, carcinoma, and non-small cell lung cancer. It is given both as a single agent and in combination with other therapies such as paclitaxel and carboplatin.
Axitinib targets FLT1, FLT4, and KDR, which are receptor tyrosine kinases. It acts as an inhibitor of these targets. By binding these kinases, axitinib interferes with signaling pathways that support tumor growth and blood vessel formation in the cancers under study.
Axitinib is developed by Pfizer, Inc., which trades under the ticker PFE. Pfizer is the company responsible for the clinical development program covering the cancer indications in which axitinib is being evaluated, including renal cell carcinoma and advanced solid tumors.
Axitinib is in Phase 2 development and remains investigational. Its clinical program includes Phase 1 and Phase 2 studies across several cancer types. The Phase 2 study is currently recruiting, while the Phase 1 trials listed have been completed.
Axitinib has been studied in several trials, including NCT03297606, a Phase 2 Canadian profiling and targeted agent utilization trial that is recruiting, and NCT02535533, a completed Phase 1 study in advanced metastatic clear cell renal cell carcinoma. Other completed studies include NCT02133742 in renal cell carcinoma and NCT01999972 in advanced solid tumors.
Yes, axitinib is also known as AG-013736. Other names used for the same compound include AG013736, Axitinib (AG-013736), and Axitinib [AG-013736]. Searches for any of these names refer to the same Pfizer oncology drug.