Recent Updates
Recently added Catalysts

sunitinib

Phase 3

Breast Neoplasms | Small molecule | Oncology |Pfizer, Inc.|Last Updated: Mar 27, 2019

Target and mechanism

Molecular targetCSF1R, KIT, FLT1, KDR, FLT4, PDGFRA
Target classInhibitor
ModalitySmall molecule
ChEMBLCHEMBL535

Also known as sunitinib malate, SU011248, Sunitinib (Sutent), Sunitinib, Pemetrexed, Sunitinib, Pemetrexed, Cisplatin, Carboplatin, Sunitinib malate (SU011248), Sunitinib and Bortezomib, SU011248 capsule

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials9
Total Enrollment1,992

FDA Designations

No designations recorded

Clinical trial landscape

sunitinib · 41 trials · 23 indications

Phase 3 6Phase 2 22Phase 1 13
NCT00375674A Clinical Trial Comparing Efficacy And Safety Of Sunitinib Versus Placebo For TheTreatment Of Patients At High Risk Of Recurrent Renal Cell CancerKidney Neoplasms
COMPLETED674 Analytics
NCT00457392A Study In Patients With Non-Small Cell Lung Cancer To Test If Erlotinib Plus SU011248 Is Better Than Erlotinib AloneCarcinoma, Non-Small Cell Lung
COMPLETED960 Analytics
NCT00393939Study Of Sunitinib In Combination With Docetaxel Vs Docetaxel In Patients With Advanced Breast CancerBreast Neoplasms
COMPLETED594 Analytics
NCT00435409A Study Of Sunitinib In Combination With Capecitabine Compared With Capecitabine In Patients With Breast CancerBreast Neoplasms
COMPLETED442 Analytics
NCT00373256A Study Of SU011248 Plus Paclitaxel Versus Bevacizumab Plus Paclitaxel In Patients With Advanced Breast CancerBreast Neoplasms
COMPLETED488 Analytics
NCT00075218A Study To Assess The Safety And Efficacy Of SU11248 In Patients With Gastrointestinal Stromal Tumor(GIST)Gastrointestinal Stromal Tumor
COMPLETED361 Analytics
PHASE3COMPLETED
A Clinical Trial Comparing Efficacy And Safety Of Sunitinib Versus Placebo For TheTreatment Of Patients At High Risk Of Recurrent Renal Cell Cancer
Kidney NeoplasmsUnlock trial analytics
PHASE3COMPLETED
A Study In Patients With Non-Small Cell Lung Cancer To Test If Erlotinib Plus SU011248 Is Better Than Erlotinib Alone
Carcinoma, Non-Small Cell LungUnlock trial analytics
PHASE3COMPLETED
Study Of Sunitinib In Combination With Docetaxel Vs Docetaxel In Patients With Advanced Breast Cancer
Breast NeoplasmsUnlock trial analytics
PHASE3COMPLETED
A Study Of Sunitinib In Combination With Capecitabine Compared With Capecitabine In Patients With Breast Cancer
Breast NeoplasmsUnlock trial analytics
PHASE3COMPLETED
A Study Of SU011248 Plus Paclitaxel Versus Bevacizumab Plus Paclitaxel In Patients With Advanced Breast Cancer
Breast NeoplasmsUnlock trial analytics
PHASE3COMPLETED
A Study To Assess The Safety And Efficacy Of SU11248 In Patients With Gastrointestinal Stromal Tumor(GIST)
Gastrointestinal Stromal TumorUnlock trial analytics

Study Endpoints

Primary Endpoints

Disease-free Survival (DFS)- Assessed by Blinded Independent Central Review
Every 12 weeks during the first 3 years and every 6 months after that unless the participant had withdrawn consent. Performed 5 years after LSLV or when approximately 258 events survival status, whichever was later.

DFS was defined as the time interval (in years) from the date of randomization to the first date of recurrence or occurrence of a secondary malignancy or death. Recurrence refers to relapse of the primary tumor in-situ or at metastatic sites. Date of recurrence or occurrence: The date of the recurrence or occurrence of a secondary malignancy for the first time, either by blinded independent central review (BICR) or investigator assessment for respective analyses. Participants were followed with tumor imaging for recurrence or occurrence of a secondary malignancy for remainder of follow-up period unless the participant had withdrawn consent. According to the statistical analysis plan there are two cohorts: 1.Global Cohort: primary analysis of DFS was performed approximately 5 years after last participant in the Global Cohort is randomized; 2. China Cohort: primary analysis of DFS was performed approximately 3 years after the last participant in China Cohort was randomized.

DFS- Assessed by the Investigator [Stratified by University of California Los Angeles Integrated Staging System (UISS) High Risk Group-Intent to Treat Population]
Every 12 weeks during the first 3 years and every 6 months after that unless the participant had withdrawn consent. Performed 5 years after LSLV or when approximately 258 events survival status, whichever was later

DFS was defined as the time interval (in years) from the date of randomization to the first date of recurrence or occurrence of a secondary malignancy or death. Recurrence refers to relapse of the primary tumor in-situ or at metastatic sites. Date of recurrence or occurrence: The date of the recurrence or occurrence of a secondary malignancy for the first time, either by BICR or investigator assessment for the respective analyses. Participants were followed with tumor imaging for recurrence or occurrence of a secondary malignancy for the remainder of the follow-up period unless the participants had withdrawn consent. According to the statistical analysis plan there are two cohorts: 1.Global Cohort: primary analysis of DFS was performed approximately 5 years after last participant in the Global Cohort is randomized; 2. China Cohort: primary analysis of DFS was performed approximately 3 years after the last participant in China Cohort was randomized.

Overall Survival (OS)
Baseline to death or 28 days after last dose for the last participant

Overall survival is the duration from assignment to study medication to death. For participants who are alive, overall survival is censored at the last contact.

Progression-Free Survival (PFS)
Baseline up to Month 33

PFS defined as time from date of randomization to date of the first documentation of objective tumor progression or death due to any cause, whichever occurred first. PFS calculated as (Months) = (first event date minus randomization date plus 1) divided by 30.4.

Progression Free Survival (PFS)
Baseline until disease progression (up to 3 years from first dose)

Defined as the time from the date of randomization to the date of the first documentation of objective tumor progression or death due to any cause, whichever occurs first. If tumor progression data include more than 1 date, the first date will be used. PFS (in months) will be calculated as (first event date minus randomization date plus 1) divided by 30.4.

Time to Tumor Progression (TTP) as Assessed by Imaging Studies at End of Double-blind Treatment Phase
Day 28 of each 6-week cycle : duration of double-blind treatment phase

Time from randomization to first documentation of objective tumor progression based on the assessment of an independent, third-party imaging laboratory using RECIST (Response Evaluation Criteria in Solid Tumors).

Time to Tumor Progression (TTP) as Assessed in the Double-blind Treatment Phase at End of Study
Day 28 of each 6-week cycle : duration of double-blind treatment phase after Last Subject Last Visit (LSLV)

Time from randomization to first documentation of objective tumor progression based on the assessment of an independent, third-party imaging laboratory using RECIST (Response Evaluation Criteria in Solid Tumors).

Estimated Steady-State Maximum Plasma Concentration (Cmax,ss) of Sunitinib and Its Metabolite
pre-dose on Day 1, Day 12-18 and Day 25-29 of Cycle 1,2, 3 and 2, 4, 6, 8 hours post-dose on Day 1 Cycle 1

Estimated steady-state maximum plasma concentration (Cmax,ss) of Sunitinib and its metabolite SU012662. Summarized data for all time points was reported.

Estimated Area Under the Plasma Concentration Versus Time Curve From Time Zero to 24 Hours Post Dose AUC(0-24) of Sunitinib and Its Metabolite
pre-dose on Day 1, Day 12-18 and Day 25-29 of Cycle 1,2, 3 and 2, 4, 6, 8 hours post-dose on Day 1 Cycle 1

Estimated area under the plasma concentration versus time curve from time zero to 24 hours post dose (AUC24) of Sunitinib and its metabolite SU012662. Summarized data for all time points was reported.

Estimated Oral Clearance (CL/F) of Sunitinib and Its Metabolite
pre-dose on Day 1, Day 12-18 and Day 25-29 of Cycle 1,2, 3 and 2, 4, 6, 8 hours post-dose on Day 1 Cycle 1

SU012662 is the metabolite of Sunitinib. Oral clearance (CL/F) is a quantitative measure of the rate at which a drug substance is removed from the blood (CL) normalized by the oral bioavailability of the drug (F). Summarized data for all time points was reported.

Maximum Observed Plasma Concentration (Cmax) of Sunitinib and Its Metabolite
Cycle 1 Day 1: pre-dose, 2, 4, 6, and 8 hours post-dose

SU012662 is the metabolite of Sunitinib.

Time to Reach Maximum Observed Plasma Concentration (Tmax) for Sunitinib and Its Metabolite
Cycle 1 Day 1: pre-dose, 2, 4, 6, and 8 hours post-dose

SU012662 is the metabolite of Sunitinib.

Area Under the Plasma Concentration-Time Curve From Time Zero to 8 Hours Post Dose AUC(0-8) for Sunitinib and Its Metabolite
Cycle 1 Day 1: pre-dose, 2, 4, 6, and 8 hours post-dose

AUC(0-8) was defined as area under the plasma concentration time-curve from time zero to 8 hours post dose. SU012662 is the metabolite of Sunitinib.

Clinical Benefit Response Rate (CBR)
Up to 799 days of treatment

CBR rate is defined as the percentage of participants with a best overall response of confirmed complete response (CR), confirmed partial response (PR) ,or stable disease (SD) ≥ 24 weeks. Based on RECIST, CR is defined as the disappearance of all target lesions and PR is defined as a greater than or equal to 30% decrease in the sum of the longest dimensions of the target lesion. SD is defined neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum longest dimensions since the treatment started.

Number of Participants With Objective Response Based on Data Review Committee's Assessment
Day 1 of Cycle 2, every 6 weeks after Cycle 2, and at the end of Cycle 8.

Number 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 version 1.0 (RECIST). CR is defined as disappearance of all target and non-target lesions. PR is defined as ≥30% decrease in sum of the longest dimensions (LDs) of the target lesions taking as reference the baseline sum LD according to RECIST. Confirmed responses are those that persist on repeat evaluation ≥4 weeks after initial documentation of response.

Number of Participants With Objective Response
Baseline, Week 9, and every 8 weeks up to Month 34

Number of participants with objective response based assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). CR defined as disappearance of all target lesions. PR defined as a greater than or equal to 30 percent (≥30%) decrease in sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions.

Number of Subjects With Overall Confirmed Objective Response (OR)
From start of treatment through Day 1 of Weeks 5, 9, and every 8 weeks thereafter

OR = subjects with confirmed complete response (CR) or partial response (PR) according to the Response Evaluation Criteria in Solid Tumors (RECIST) persisting \> = 4 weeks after initial documentation of response. A CR was defined as the disappearance of all target lesions. A PR was defined as a ≥ 30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions.

Best Overall Response
From start of treatment until Day 28 of Cycle 1, Day 28 of Cycles thereafter

Number of subjects with best overall response. Complete response (CR)=disappearance of all target lesions. Partial Response (PR)= ≥30% decrease in sum of longest dimensions of lesions taking as reference baseline sum longest dimensions. Progressive disease (PD)= ≥ 20% increase in sum of longest dimensions of lesions taking as a reference smallest sum of the longest dimensions since treatment start, or the appearance of ≥ 1 new lesion. Stable disease (SD)=neither shrinkage for PR or increase for PD taking as reference smallest sum of longest dimensions since treatment start.

Objective Response (CR or PR)
From start of treatment until Day 28 of Cycle 1, Day 28 of Cycles thereafter

Number of patients with objective response: confirmed CR or confirmed PR according to RECIST. CR was defined as the disappearance of all target lesions. A PR was defined as a ≥30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions. To be assigned a status of PR or CR, changes in tumor measurements in patients with responding tumors had to have been confirmed by repeat studies that were performed ≥ 4 weeks after the criteria for response were first met.

Percentage of Participants With Overall Confirmed Objective Disease Response
From start of treatment through 18 months

Objective disease response =participants with confirmed complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). A CR was defined as the disappearance of all target and non-target lesions. A PR was defined as a \> = 30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions associated to a non-progressive disease response for the non target lesions.

Objective Response (Complete Response (CR) or Partial Response (PR))
From start of study treatment until Day 28 of Cycle 1, Day 28 of Cycles thereafter

Number of patients with Objective Response (OR): confirmed CR or confirmed PR according to the Response Evaluation Criteria in Solid Tumors (RECIST). CR = the disappearance of all target lesions. PR = a ≥30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions.

Number of Subjects With Objective Response
Day 28 of Cycles 1-4

Based on Extramural Review Committee's assessment. Number of subjects with objective response is defined as sum of the subjects with confirmed complete response (CR) and partial response (PR) as the best overall response according to Response Evaluation Criteria in Solid Tumors (RECIST). Confirmed responses were those that persisted on repeat imaging study ≥4 weeks after initial documentation of response. CR = the disappearance of all target lesions. PR = a ≥30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions.

Proportion of Subjects Surviving at One Year
From start of treatment until 1 year or death

Proportion of those surviving at the end of one year from the first dose of study treatment. In the absence of confirmation of death, survival time was censored at the last date the subject was known to be alive. Patients lacking data beyond the day of first dose had their survival time censored at Day 1 of treatment.

Number of Participants With Clinical Benefit Response (CBR) According to RECIST
Planned duration on this protocol of up to 1 year

CBR is defined as a confirmed complete response (CR), confirmed partial response (PR), or stable disease (SD) for at least 24 weeks on study according to RECIST. Confirmed responses are those that persisted on repeat imaging \>= 4 wks after initial response. Participants with no on-study radiographic tumor re-evaluation counted as non-responders.

Objective Response (Complete Response[CR] + Partial Response[PR]) in Subjects
4 week treatment cycles up to 1 year in absence of withdrawal criteria requiring discontinuation includes 28 day post study follow up

Confirmed objective responses using RECIST criteria defined as responses persisting on repeat imaging study for 2 assessments with at least 4 weeks between, and evaluating all target and non-target sites followed since baseline. Two PRs separated by an SD or NE visit in between was considered a confirmed response if the 2 PRs were \> 4 weeks apart. CR=disappearance of all target lesions. PR is a \>=30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions.

Overall confirmed objective response rate (ORR)
From screening until at least 28 days beyond discontinuation of study treatment.
Number of Subjects With Overall Confirmed Objective Disease Response According to the Response Evaluation Criteria in Solid Tumors (RECIST)
4 week treatment cycles up to 1 year in absence of withdrawal criteria requiring discontinuation including 28 day post study follow up

Objective disease response = subjects with confirmed complete response (CR) or partial response (PR) according to RECIST. A CR was defined as the disappearance of all target lesions. A PR was defined as a ≥ 30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions.

Anti-tumor efficacy
Number of Subjects With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors(RECIST)
From start of study treatment until Day 28 of Cycles 1-5, Day 28 of even Cycles thereafter

Overall confirmed objective response = confirmed Complete Response (CR) or confirmed Partial Response (PR) according to RECIST. CR defined as disappearance of all target lesions. PR defined as \>= 30 percent decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions.

Radiographic objective disease response
From screening until disease progression or discontinuation of study
Safety and toxicity of combination therapy with sunitinib and bortezomib
every week
Number of Participants With Adverse Events
End of study (up to individual discontinuation)

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 , dose limiting toxicities (DLT), serious adverse events, adverse events resulted in discontinuation.

Number of Participants With First-cycle Dose Limiting Toxicities (DLTs)
Cycle 1 (Baseline to Day 21)

The incidence of DLTs assessed during the first cycle (21 days).

Number of Participants With First Cycle Dose-limiting Toxicities (DLTs)
Cycle 1 (Baseline to Week 4)

A DLT is any of a predefined set of unacceptable adverse events, regardless of cause. DLTs were assessed during the first cycle (4 weeks).

To determine maximally tolerated dose of SU011248 (dosed continuously or on a 2/1 Schedule) when given in combination with pemetrexed, pemetrexed and cisplatin or pemetrexed and carboplatin.
From screening until at least 28 days beyond discontinuation of study treatment
Time to Reach Maximum Plasma Concentration (Tmax): Sunitinib (SU011248), Sunitinib Metabolite (SU012662), and Total Drug PK Parameters
1, 2, 4, 6, 8, 12, 24 hours postdose

Median Tmax = time for maximum plasma concentration (Cmax) for SU011248, SU012662, and combined SU011248 and SU012662 (total drug); collected C1D2, C2D3. Paired observation.

Maximum Observed Plasma Concentration (Cmax): Sunitinib (SU011248), Sunitinib Metabolite (SU012662), and Total Drug PK Parameters
1, 2, 4, 6, 8, 12, 24 hours postdose

Mean Cmax = maximum plasma concentration for SU011248, SU012662, and combined SU011248 and SU012662 (total drug) measured as nanograms per milliliter (ng/mL); collected C1D2, C2D3. Paired observation; Cmax dose corrected C2D3 (dose correction if predose concentrations of SU011248 or SU012662 were \> 5% of Cmax).

Area Under the Plasma Concentration-time Profile From Time Zero (0) to 24 Hours (AUC24): Sunitinib (SU011248), Sunitinib Metabolite (SU012662), and Total Drug PK Parameters
1, 2, 4, 6, 8, 12, 24 hours postdose

Mean AUC24 = area under plasma concentration-time profile from time 0 to 24 hours for SU011248, SU012662, and combined SU011248 and SU012662 (total drug) measured in nanograms times hour per milliliter (ng\*hr/mL); collected C1D2, C2D3. Paired observation; AUC24 dose corrected C2D3 (dose correction if predose concentrations of SU011248 or SU012662 were \> 5% of Cmax).

Area Under the Curve From Time 0 to Last Quantifiable Concentration (AUClast): Sunitinib (SU011248), Sunitinib Metabolite (SU012662), and Total Drug PK Parameters
1, 2, 4, 6, 8, 12, 24 hours postdose

Mean AUClast = area under the plasma concentration-time profile from time 0 (predose) to the last measurable concentration; collected C1D2, C2D3. Data did not allow calculation of AUClast; not summarized; AUC summarized in outcome measure: Area under the plasma concentration-time curve from time zero (0) to 24 hours (AUC24): Sunitinib (SU011248), Sunitinib Metabolite (SU012662), and Total Drug PK Parameters.

Trough Plasma Concentration (Ctrough) at Time Zero (0): Sunitinib (SU011248), Sunitinib Metabolite (SU012662), and Total Drug PK Parameters
0 hour postdose

Mean Ctrough=plasma concentration-time profile at time 0 (predose); collected C1D2, C1D15, and C2D1. Calculated by setting concentration values below the limit of quantification to zero.

Time to Reach Maximum Plasma Concentration (Tmax): Docetaxel PK Parameters
0.5, 1, 1.5, 2, 3, 4, 6, 8, 24, 32, 48 hours postdose

Median Tmax = time to maximum plasma concentration (Cmax) for Docetaxel; collected C1D1, C2D1. Paired observation.

Maximum Observed Plasma Concentration (Cmax): Docetaxel PK Parameters
0.5, 1, 1.5, 2, 3, 4, 6, 8, 24, 32, 48 hours postdose

Mean Cmax = maximum plasma concentration for Docetaxel; collected C1D1, C2D1. Paired observation; Cmax dose corrected (dose correction if predose concentrations of SU011248 or SU012662 were \> 5% of Cmax).

Area Under the Plasma Concentration-time Curve From Time Zero (0) to 24 Hours (AUC24): Docetaxel PK Parameters
0.5, 1, 1.5, 2, 3, 4, 6, 8, 24, 32, 48 hours postdose

Mean AUC24 = area under the plasma concentration-time profile from time 0 to 24 hours; collected C1D1, C2D1. Paired observation.

Area Under the Plasma Concentration-time Curve From Time Zero (0) to 48 Hours (AUC48): Docetaxel PK Parameters
0.5, 1, 1.5, 2, 3, 4, 6, 8, 24, 32, 48 hours postdose

Mean AUC48 = area under the plasma concentration-time profile from time 0 to 48 hours; collected C1D1, C2D1. Paired observation.

Area Under the Curve From Time 24 Hours to 48 Hours (AUC24_48) : Docetaxel PK Parameters
0.5, 1, 1.5, 2, 3, 4, 6, 8, 24, 32, 48 hours postdose

Mean AUC24\_48 = area under the plasma concentration-time profile from 24 to 48 hours; collected C1D1, C2D1. Paired observation.

Area Under the Curve From Time 0 to Last Quantifiable Concentration (AUClast): Docetaxel PK Parameters
0.5, 1, 1.5, 2, 3, 4, 6, 8, 24, 32, 48 hours postdose

Mean AUClast = area under the plasma concentration-time profile from time 0 (predose) to the last measurable concentration; collected C1D1, C2D1. Paired observation.

Plasma Elimination Half-life (t1/2): Docetaxel PK Parameters
0.5, 1, 1.5, 2, 3, 4, 6, 8, 24, 32, 48 hours postdose

Mean Thalf (t1/2) = terminal elimination half life; collected C1D1, C2D1. Paired observation.

Percentage of Participants With Prostate Specific Antigen (PSA) Response
Baseline, Day 1 of each 21-day cycle

PSA response rate, which is defined as a greater than or equal to a 50% decrease in PSA from baseline, that is subsequently confirmed.

Safety of the combination of SU011248 and paclitaxel
9/05-7/07
Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs)
up to 20 weeks

All observed or volunteered AEs and SAEs regardless of treatment group or suspected causal relationship to the investigational product(s) were reported.

Number of Subjects With Dose Limiting Toxicities (DLT)
Cycle 1 (Baseline to Week 6)

Dose Limiting Toxicities(DLT) in the subjects enrolled in Phase 1.

Maximum Plasma Concentration (Cmax) on Cycle 1 Day 1
Day 1 of Cycle 1

Maximum Plasma Concentration (Cmax) of SU-011248, its active metabolite SU-012662 and Total drug (SU-011248+SU-012662) in the subjects enrolled in Phase 1. The Cmax for total drug (SU-011248+SU-012662) was calculated as the mean of the Cmax of total drug from each individual subject (it is not the simple sum of means of Cmax of SU-011248 and SU-012662).

Maximum Plasma Concentration (Cmax) on Cycle 1 Day 28
Day 28 of Cycle 1

Maximum Plasma Concentration (Cmax) of SU-011248, its active metabolite SU-012662 and Total drug (SU-011248+SU-012662) in the subjects enrolled in Phase 1. The Cmax for total drug (SU-011248+SU-012662) was calculated as the mean of the Cmax of total drug from each individual subject (it is not the simple sum of means of Cmax of SU-011248 and SU-012662).

Area Under the Plasma Concentration Curve (AUC0-24) on Cycle 1 Day 1
Day 1 of Cycle 1

Area Under the Plasma Concentration Curve (AUC0-24) of SU-011248, its active metabolite SU-012662 and Total drug (SU-011248+SU-012662) in the subjects enrolled in Phase 1. The AUC0-24 for total drug (SU-011248+SU-012662) was calculated as the mean of the AUC0-24 of total drug from each individual subject (it is not the simple sum of means of AUC0-24 of SU-011248 and SU-012662).

Area Under the Plasma Concentration Curve (AUC0-24) on Cycle 1 Day 28
Day 28 of Cycle 1

Area Under the Plasma Concentration Curve (AUC0-24) of SU-011248, its active metabolite SU-012662 and Total drug (SU-011248+SU-012662) in the subjects enrolled in Phase 1. The AUC0-24 for total drug (SU-011248+SU-012662) was calculated as the mean of the AUC0-24 of total drug from each individual subject (it is not the simple sum of means of AUC0-24 of SU-011248 and SU-012662).

Time to First Occurrence of Cmax (Tmax) on Cycle 1 Day 1
Day 1 of Cycle 1

Time to First Occurrence of Cmax (Tmax) of SU-011248, its active metabolite SU-012662 and Total drug (SU-011248+SU-012662) in the subjects enrolled in Phase 1. The Tmax for total drug (SU-011248+SU-012662) was calculated as the median of the Tmax of total drug from each individual subject (it is not the simple sum of median of Tmax of SU-011248 and SU-012662).

Time to First Occurrence of Cmax (Tmax) on Cycle 1 Day 28
Day 28 of Cycle 1

Time to First Occurrence of Cmax (Tmax) of SU-011248, its active metabolite SU-012662 and Total drug (SU-011248+SU-012662) in the subjects enrolled in Phase 1. The Tmax for total drug (SU-011248+SU-012662) was calculated as the median of the Tmax of total drug from each individual subject (it is not the simple sum of medians of Tmax of SU-011248 and SU-012662).

SU-011248 Clearance on Cycle 1 Day 28
Day 28 of Cycle 1

SU-011248 Clearance in the subjects enrolled in Phase 1. Clearance was calculated by dividing a SU-011248 dose(mg) by AUC0-24(ng•h/mL).

Accumulation Ratio (Rac) on Cycle 1 Day 28
Day 28 of Cycle 1

Accumulation Ratio (Rac) of SU-011248, its active metabolite SU-012662 and Total drug (SU-011248+SU-012662) on Cycle 1 Day 28 in the subjects enrolled in Phase 1. Rac was the ratio of Day 28 to Day 1.

Number of Subjects With Clinical Benefit Response (CBR) Based on the Extramural Review Committee Assessment in Recommended Dose Group
Day 28 of Cycles 1-4

Clinical Benefit Response is defined as sum of subjects confirmed with complete response (CR), partial response (PR), or stable disease (SD)\>= 22 weeks on study according to Response Evaluation Criteria in Solid Tumors (RECIST).

Type, incidence, severity, timing, seriousness, and relatedness of adverse events and laboratory abnormalities
November 2007

Secondary Endpoints

Overall Survival (OS)- (Stratified by UISS High Risk Group-Intent to Treat Population)
Every 12 weeks until the time for final analysis (up to data cut-off date: 30 April 2017; maximum exposure:14.9 months)
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) by Severity
Cycle 1(Day 1 & Day 28); subsequent cycles (Day 1); end of treatment/withdrawal and 28 days post treatment, or until all serious or study medication-related toxicities had resolved or were determined to be "chronic" or "stable," whichever was later
Summary of Duration of Treatment-Emergent Adverse Events of Special Interest by MedDRA Preferred Terms (All Causalities, All Cycles)
Cycle 1(Day 1 & Day 28); subsequent cycles (Day 1); end of treatment/withdrawal and 28 days post treatment, or until all serious or study medication-related toxicities had resolved or were determined to be "chronic" or "stable," whichever was later
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AEXPERIMENTAL -
BPLACEBO_COMPARATOR -
1EXPERIMENTAL -
2ACTIVE_COMPARATOR -
Children with GISTEXPERIMENTALchildren ages 6yrs-\<18yrs
Young adults with GISTEXPERIMENTALyoung adults ages 18yrs-\<21 yrs
Sunitinib armEXPERIMENTAL -
SunitinibEXPERIMENTAL -
SUNITINIB MALATE.EXPERIMENTALSunitinib malate starting dose 37.5 mg daily continuous daily schedule
SU-011248 capsuleEXPERIMENTAL -
SU011248 (sunitinib)EXPERIMENTALSingle-arm study
CDDEXPERIMENTAL -
2/1EXPERIMENTAL -
Single armEXPERIMENTALSU011248 \[sunitinib\] in combination with FOLFOX; FOLFOX is a chemotherapy regimen that combines oxaliplatin and leucovorin with bolus and infusion 5-FU. The modified FOLFOX 6 (mFOLFOX6) regimen is one of several different regimens of FOLFOX used in clinic, according to different dosages of the 4 drugs. mFOLFOX6 was administered every 2 weeks on Days 1 and 2 of each cycle. 25, 37.5 and 50 mg/day, oral, administered on an outpatient basis in three different dosing regimens: schedule 2/2 (2 weeks on, 2 weeks off), schedule 4/2 (4 weeks on, 2 weeks off), and continuous daily dosing (every day); FOLFOX will be administered every 2 weeks, using the modified FOLFOX 6 (mFOLFOX6) regimen, consisting of: oxaliplatin 85 mg/m2 + leucovorin 400 mg/m2 as a 2-hr IV infusion; 5-FU 400 mg/m2 IV bolus, followed by - 5-FU 2400 mg/m2 as a 46-hr IV infusion
SU011248EXPERIMENTAL25 , 50 or 75 mg/day of SU011248

Interventions

NameTypeDescription
Sunitinib malateDRUGsunitinib malate 50 mg PO on schedule 4/2: 4 weeks on, 2 weeks off for 1 year or until disease recurrence or occurrence of a secondary malignancy, significant toxicity, or withdrawal of consent.
PlaceboOTHERPlacebo PO for 1 year on schedule 4/2: 4 weeks on, 2 weeks off or until disease recurrence or occurrence of a secondary malignancy, significant toxicity, or withdrawal of consent
erlotinibDRUGplus erlotinib 150 mg daily by tablets in a continuous regimen until progression or unacceptable toxicity
sunitinibDRUGSunitinib 37.5 mg daily by oral capsules in a continuous regimen
TaxotereDRUGDocetaxel 100 mg/m2 every 3 weeks in the comparator arm
Sunitinib + CapecitabineDRUGSunitinib administered orally at a starting dose of 37.5 mg once a day on a continuous regimen. Capecitabine administered orally at a starting dose of 2000 mg/m\^2 per day \[1000 mg/m\^2 bid (twice daily)\] from days 1-14 every 3 weeks. Study treatment should be given until progression or withdrawal from the study for other reasons.
CapecitabineDRUGCapecitabine administered orally at a starting dose of 2500 mg/m\^2 per day \[1250 mg/m\^2 bid (twice daily)\] from days 1-14 every 3 weeks. Study treatment should be given until progression or withdrawal from the study for other reasons. At the time of progression, patients may be eligible to crossover to single agent sunitinib, administered orally at a starting dose of 37.5 mg daily.
paclitaxelDRUGPaclitaxel 90 mg/m2 IV, 3 weekly doses every 28 days until progression or unacceptable toxicity.
bevacizumabDRUGBevacizumab 10 mg/kg IV every 2 weeks.
SU011248DRUG50 mg taken orally once a day. 6 week treatment cycle (Schedule 4/2) 4 weeks on study drug/2 weeks off study drug.
sunitinib malate dose escalationDRUGsunitinib starting dose will be 15mg/m\^2 daily on a 4 weeks on/2 weeks off schedule (Schedule 4/2).
FOLFIRI (The combination regimen of Irinotecan, l-Leucovorin and 5-Fluorouracil)DRUGFOLFIRI treatment with Sunitinib on Day, Irinotecan 180M/M IV , l-Leucovorin 200M/M, 5FU 400M/M bolus and 2400M/M in 46-hour continuous infusion on Day1 each 42 day cycle. Number of Cycles: until progression or unacceptable toxicity develops.
Sunitinib (SU011248)DRUGSunitinib 50 mg by oral capsule, daily for 4 weeks in every 6 week cycle until progression or unacceptable toxicity.
SU011248/TrastuzumabDRUGSU011248 will be administered orally, starting dose of 37.5 mg daily on a continuous regimen. Trastuzumab will be administered weekly (loading dose 4 mg/kg followed by weekly 2mg/kg) or every 3 weeks (loading dose 8 mg/kg followed by 6mg/kg q3w). Study treatment should continue until progression, withdrawal for other reasons, or for up to 18 months following which patients requiring continued access will be offered SU011248 on a separate protocol.
ChemotherapyDRUGThe choice of chemotherapy will be at the discretion of the investigator within the limits outlined below. 1. Capecitabine - 1000-1250 mg/m2 twice daily days 1-14 every 3 weeks 2. Vinorelbine - 25-30 mg/m2 rapid intravenous infusion or 60-80 mg/m2 oral weekly, expressed in 3-week cycles 3. Docetaxel - 75-100 mg/m2 every 3 weeks 4. Paclitaxel - 175-200 mg/m2 every 3 weeks 5. Paclitaxel - 80-90 mg/m2 weekly, in a continuous regimen expressed in 3-week cycles or administration of 3 weeks of treatment followed by 1 week of rest. Use of the 3/1 regimen will require extra care in scheduling disease assessments. 6. Gemcitabine - 800-1250 mg/m2 Days 1 and 8 every 3 weeks Study will continue until disease progression or it is in the best interest of the patient to discontinue based on achievement of maximum benefit or tolerability issues. At the time of progression patients randomized to chemotherapy will be offered crossover to single agent SU011248.
SU011248 capsuleDRUG50mg, PO on day 28 of each 42 day cycle, until progression or unacceptable toxicity develops
carboplatinDRUGAUC of 6 mg\*min/mL via IV infusion every 21 days for 4 cycles as per institutional practices.
SU011248 (sunitinib)DRUG37.5 mg/day, oral, continuous daily dosing
Sunitinib and BortezomibDRUG50 mg/m2, IV (in the vein)on day 5 of each 28 day cycle. Number of cycles: until progression or unacceptable toxicity develops
Sunitinib, PemetrexedDRUGSunitinib daily by oral capsule in a continuous daily dosing regimen with pemetrexed every 3 weeks until progression or unacceptable toxicity.
5-fluorouracilDRUG5- fluorouracil is given as 4000 mg/m\^2 total dose over 96 hr continuous infusion of a 21 day chemotherapy cycle. Each 21 day cycle is repeated until progression of disease or unacceptable toxicity is observed.
cisplatinDRUGCisplatin is given 80 mg/m\^2 through a vein on day 1 every 21 days. Each 21 day cycle is repeated until progression of disease or unacceptable toxicity is observed.
oxaliplatinDRUGOxaliplatin is given 110mg/m\^2 through a vein on day 1 every 21 days. Each 21 day cycle is repeated until progression of disease or unacceptable toxicity is observed.
sunitinib + mFOLFOX6DRUG37.5 mg/day, oral, administered on an outpatient basis for 4 weeks on, 2 weeks off (Schedule 4/2)
S-1DRUGS-1 80 mg/m2 on days 1-21 of each 28 day cycle
Sunitinib, Pemetrexed, Cisplatin, CarboplatinDRUGDose finding study using Sunitinib daily by oral capsule in a continuous regimen or administered for 2 weeks out of every 3 weeks, with pemetrexed every 3 weeks or also with cisplatin 75 mg/m2 or carboplatin AUC=5 mg\*min/mL until progression or unacceptable toxicity.
Sunitinib (Sutent)DRUGSunitinib (Sutent) 37.5 mg in schedule 2/1; Sunitinib (Sutent) 37.5 mg in continuous dosing (post discontinuation of axotere) and in accordance with Investigator decision
DocetaxelDRUGDocetaxel Phase 1 - escalating doses (60 and 75 mg/m2), intravenous therapy (IV), administered every 3 weeks. Phase 2 - Phase 1 optimal combination dose (75 mg/m2, IV, every 3 weeks).
PrednisoneDRUGPrednisone Phase1/2 - 5 mg twice a day (BID), oral.
sunitinib + FOLFOXDRUG37.5 mg sunitinib + modified FOLFOX6 (Schedule 2/2)
Sunitinib malate (SU011248)DRUGSU011248
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites115

Inclusion Criteria: * High risk renal cancer per modified UISS criteria * Eastern Cooperative Oncology Group (ECOG) 0-2 * predominant clear cell histology * No prior anti-cancer treatment * Kidney tumor has been removed * No evidence of macroscopic disease following surgery Exclusion Criteria: * ...

Countries:United StatesAustraliaChinaColombiaCzechiaDenmarkFranceGermanyGreeceIrelandIsraelItalyMalaysiaMexicoPolandSlovakiaSouth KoreaSpainSwedenSwitzerlandTaiwanUnited KingdomArgentinaAustriaBelgiumBrazilCanadaChileHong KongHungaryNetherlandsNorwayRussiaThailandFinlandPanamaPortugalRomaniaTurkey (Türkiye)UkraineSingaporeJapanBulgaria
Unlock Eligibility Criteria

Frequently asked questions about sunitinib

What is SU011248 used for?

SU011248, also known as sunitinib, is an investigational small molecule being studied for the treatment of several cancers, including metastatic breast cancer, renal cell carcinoma, prostate cancer, colorectal cancer, and gastrointestinal stromal tumor. It is currently in Phase 2 clinical development for oncology indications.

What does SU011248 target?

SU011248 is a kinase inhibitor that targets CSF1R, KIT, FLT1, KDR, FLT4, and PDGFRA. By inhibiting these receptors, it interferes with signaling pathways involved in tumor growth and angiogenesis.

Who makes SU011248?

SU011248 is being developed by Pfizer, Inc., a biopharmaceutical company traded on the New York Stock Exchange under the ticker symbol PFE.

What phase is SU011248 in?

SU011248 is in Phase 2 clinical development. It is an investigational drug and has not been approved by regulatory authorities. Clinical trials are ongoing to evaluate its safety and efficacy in various cancer indications.

What clinical trials is SU011248 in?

SU011248 has been studied in four completed clinical trials, including NCT00078000, NCT00174434, NCT00243503, and NCT00246571. These trials evaluated the drug in patients with metastatic breast cancer, both as a single agent and in combination with other therapies such as paclitaxel and trastuzumab.

Is SU011248 the same as sunitinib?

Yes, SU011248 is also known as sunitinib. Both names refer to the same investigational drug being developed by Pfizer for the treatment of various cancers.