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Axitinib

Phase 3FDA approved

Carcinoma, Pancreatic Ductal | Small molecule | Oncology |Pfizer, Inc.|Trials Updated: May 6, 2026

Axitinib development status

FDA approval on record Jan 27, 2012 as Inlyta
Approval holderPf Prism Cv
ApplicationNDA202324
Highest phase Phase 3
Registered trials 45 across 16 sponsors since Oct 2004

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

Axitinib target and mechanism

Molecular targetFLT1, FLT4, KDR
Target classInhibitor
ModalitySmall molecule

Also known as AG-013736, AG-013736 (axitinib), Axitinib (AG-013736), AG-103736

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials26
Total Enrollment4,168

FDA Designations

No designations recorded

Axitinib clinical trials

Axitinib · 26 trials · 24 indications

Phase 3 3Phase 2 12Phase 1 11
NCT00920816Axitinib (AG-013736) For the Treatment of Metastatic Renal Cell CancerKidney Neoplasms
COMPLETED492 Analytics
NCT00678392Axitinib (AG 013736) As Second Line Therapy For Metastatic Renal Cell CancerKidney Neoplasms
COMPLETED723 Analytics
NCT00471146Study Of Gemcitabine Plus AG-013736 Versus Gemcitabine For Advanced Pancreatic Cancer.Carcinoma, Pancreatic Ductal
COMPLETED630 Analytics
PHASE3COMPLETED
Axitinib (AG-013736) For the Treatment of Metastatic Renal Cell Cancer
Kidney NeoplasmsUnlock trial analytics
PHASE3COMPLETED
Axitinib (AG 013736) As Second Line Therapy For Metastatic Renal Cell Cancer
Kidney NeoplasmsUnlock trial analytics
PHASE3COMPLETED
Study Of Gemcitabine Plus AG-013736 Versus Gemcitabine For Advanced Pancreatic Cancer.
Carcinoma, Pancreatic DuctalUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression Free Survival (PFS): First-Line Participants
Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 107)

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.

Progression Free Survival (PFS): Second-Line Participants
Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 103)

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.

Progression-Free Survival (PFS)
From initiation of treatment up to follow-up period (up to 3 years)

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.

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).

Objective response rate defined as the number of patients with complete response or partial response
4 years

over the total number of patients in a given cohort.

Overall Survival (OS) - Stratified Analysis, Randomized Portion
From randomization until at least two years after the last participant has been randomized (up to 6 years)

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.

Objective Response Rate (ORR) - Percentage of Participants With Objective Response
Baseline up to disease progression, death, or withdrawal; performed at baseline and repeated every 8 weeks for 24 weeks, then every 12 weeks.

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 (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.

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.

Incidence of Adverse Events (AE) Per CTCAE 4.03
After 2 cycles (28 days)

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.

Pilot Phase - Determine Dose-concentration Relationship and Estimate the Effective Dose of SLM (Informed by Preclinical Data) Using the Continual Reassessment Method (CRM).
14 days

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%.

Number of Participants With Dose-Limiting Toxicities (DLT): Dose Finding Phase
Cycle 1 Day 1 to Cycle 2 Day 21 (up to 42 days)

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.

Dose-Escalation Part: Number of Participants With Dose-Limiting Toxicities (DLTs)
Cycle 1 (28 days)

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.

Number of Participants With Cycle 1 Dose-limiting Toxicities (DLTs)
Baseline up to Day 21 of Cycle 1

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.

Single Dose: Maximum Observed Plasma Concentration (Cmax)
Predose, 0.5, 1, 2, 4, 6, 8, 10, 24, and 32-hour postdose
Area Under the Plasma Concentration-Time Curve From Time Zero to Time Infinity (AUCinf)
Predose, 0.5, 1, 2, 4, 6, 8, 10, 24, and 32-hour postdose

AUCinf is obtained from AUC (0 - t) plus AUC (t - infinity).

Single Dose: Time to Reach Maximum Observed Plasma Concentration (Tmax)
Predose, 0.5, 1, 2, 4, 6, 8, 10, 24, and 32-hour postdose
Single Dose: Plasma Decay Half-Life (t1/2)
Predose, 0.5, 1, 2, 4, 6, 8, 10, 24, and 32-hour postdose

Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.

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 - ∞).

Number of Participants With Adverse Events
Up to 795 days of treatment plus 28-days follow-up

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.

Maximum Tolerated Dose (MTD) of Axitinib (AG-013736) in Combination With Chemotherapy
Baseline to withdrawal from study or Day 21 of Cycle 1 [all cohorts except cohort 4 (Day 28 of Cycle 1)]

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 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

Percentage of Participants With Objective Response (OR): First-Line Participants
Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 107)
Percentage of Participants With Objective Response (OR): Second-Line Participants
Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 103)
Duration of Response (DR): First-Line Participants
Baseline until disease progression or death (assessed on Week 6, Week 12 and thereafter every 8 weeks up to Week 107)
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AEXPERIMENTAL -
BACTIVE_COMPARATOR -
AxitinibEXPERIMENTAL -
SorafenibACTIVE_COMPARATOR -
Group 1 - Arm CLOSED, no patients recruitedEXPERIMENTALVEGFR1, VEGFR2, VEGFR3
Group 2 - Arm CLOSED, no patients recruitedEXPERIMENTALBCR-ABL, SRC
Group 3 - Arm CLOSEDEXPERIMENTALALK, ROS1, MET
Group 4 - Arm CLOSED, no patients recruitedEXPERIMENTALKIT, PDGFRA, PDGFRB, ABL1
Group 5 - Arm CLOSEDEXPERIMENTALEGFR
Group 6 - Arm CLOSEDEXPERIMENTALhigh mutation burden, POLE, POLD1
Group 7 - Arm CLOSEDEXPERIMENTALBRCA1, BRCA2, mutations in HRD
Group 8 - Arm CLOSEDEXPERIMENTALCDKN2A, CDK4, CCND1, SMARCA4
Group 9 Arm CLOSEDEXPERIMENTALCSF1R, PDGFRA, PDGFRB,VEGFR1, VEGFR2, VEGFR3, KIT, FLT3, RET, FGFR1, FGFR2, FGFR3, VHL
Group 10 Arm CLOSEDEXPERIMENTALAKT1, AKT2, AKT3, FBXW7, FLCN, mTOR, NF1, NF2, NTRK3, PIK3CA, PIK3R1, PTEN, RHEB, STK11, TSC1, TSC2
Group 11 - Arm CLOSEDEXPERIMENTALERBB2
Group 12 - Arm CLOSEDEXPERIMENTALBRAFV600
Group 13 - Arm CLOSEDEXPERIMENTALPTCH1, SMO
Group 14EXPERIMENTALERBB2
COTHERNon-randomized arm
AG-013736/Cisplatin/GemcitabineEXPERIMENTAL -
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 -
Study TreatmentEXPERIMENTALDuring 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 phaseEXPERIMENTALTo 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 phaseEXPERIMENTALDose Escalation Advanced solid tumor that is resistant to standard therapy or for which no standard therapy is available
Expansion Phase Cohort 1EXPERIMENTALDose Expansion, Cohort 1: axitinib in combination with crizotinib Advanced renal cell cancer \[RCC\] with no prior systemic therapy
Expansion Phase Cohort 2EXPERIMENTALDose 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
IEXPERIMENTALAxitinib (continuous) + Pemetrexed(500mg/m2)/Cisplatin(75mg/m2) x max 6 cycles followed by axitinib maintenance
IIEXPERIMENTALAxitinib (modified) + Pemetrexed(500mg/m2)/Cisplatin(75mg/m2) x max 6 cycles followed by axitinib maintenance
IIIACTIVE_COMPARATORpemetrexed and cisplatin
IVEXPERIMENTALAxitinib interrupted before each chemo cycle (Pemetrexed(500mg/m2)/Cisplatin(75mg/m2) x max 6 cycles followed by axitinib maintenance
VACTIVE_COMPARATORpemetrexed and cisplatin
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
OpenEXPERIMENTAL -
Axitinib [AG-013736] + chemotherapy combinationEXPERIMENTALThe 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 + PlaceboOTHERDocetaxel + Placebo
Docetaxel + AG-013736EXPERIMENTALDocetaxel + AG-013736
Cohort 1EXPERIMENTAL -
Cohort 2EXPERIMENTAL -
Cohort 3EXPERIMENTAL -
Cohort 4EXPERIMENTAL -
Cohort 5EXPERIMENTAL -
Cohort 6EXPERIMENTAL -

Interventions

NameTypeDescription
Axitinib (AG-013736)DRUGaxitinib will be given at a starting dose of 5 mg BID with continuous dosing
SorafenibDRUGsorafenib will be given at a dose of 400 mg BID continuous dosing
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
OlaparibDRUG300mg taken twice daily
DasatinibDRUG100mg administered orally once daily
Nivolumab plus IpilimumabDRUG* 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.
AxitinibDRUG5mg orally twice daily
BosutinibDRUG500mg orally once daily
CrizotinibDRUG250mg orally twice daily
PalbociclibDRUG125mg orally once daily for 21 consecutive days followed by 7 days off treatment to comprise a complete cycle of 28 days
SunitinibDRUG50mg orally once daily on a schedule of 4 weeks on treatment followed by 2 weeks off
TemsirolimusDRUG25mg infused over a 30-60 minute period once a week
ErlotinibDRUG150mg orally, once daily
Trastuzumab plus PertuzumabDRUGTrastuzumab = 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 CobimetinibDRUGVemurafenib = 960 mg orally every 12 hours. Cobimetinib = 60 mg orally once daily for 21 days, followed by 7 days of rest
VismodegibDRUG150mg taken orally, once daily
TucatinibDRUG300mg taken orally, twice daily
Best Supportive CareOTHERBSC may include medications and supportive measures deemed necessary to palliate disease related symptoms and improve quality of life.
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
AG-013736 (axitinib)DRUGAG-013736 5 mg twice daily \[bid\] continuous dosing in 28 day cycles.
Axitinib [AG-013736]DRUGVEGFR \[vascular endothelial growth factor Receptor\] 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.
AG013736DRUGAG013736, tablets 5 mg BID daily until tumor progression or toxicity
Selenomethionine (SLM)DRUGSLM 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-3475DRUGMK-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.
capecitabineDRUGGiven 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.
chemotherapyDRUGPemetrexed(500mg/m2)/Cisplatin(75mg/m2) x max 6 cycles
Axitinib + Paclitaxel + Carboplatin (Cohort 1)DRUGAxitinib (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)DRUGAxitinib (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)DRUGAxitinib (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)DRUGAxitinib (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)DRUGAxitinib (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)DRUGAxitinib (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)DRUGAxitinib (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)DRUGAxitinib (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)DRUGAxitinib (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)DRUGAxitinib (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.
DocetaxelDRUGStandard of care drug administration
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites125

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...

Countries:United StatesBosnia and HerzegovinaBulgariaChileChinaIndiaMalaysiaMexicoPhilippinesRomaniaRussiaSouth AfricaTaiwanUkraineAustraliaAustriaBrazilCanadaFranceGermanyGreeceIrelandItalyJapanPolandSingaporeSlovakiaSouth KoreaSpainSwedenUnited KingdomArgentinaBelgiumHong KongHungaryNetherlandsSwitzerlandCzechia
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Frequently asked questions about Axitinib

What is axitinib?

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.

What does axitinib target?

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.

Who makes axitinib?

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.

What phase is axitinib in?

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.

What clinical trials is axitinib in?

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.

Is axitinib the same as AG-013736?

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.