PF-04856884 (CVX-060) In Combination With Axitinib In Patients With Previously Treated Metastatic Renal Cell Carcinoma

Sponsor
Pfizer (Industry)
Overall Status
Terminated
CT.gov ID
NCT01441414
Collaborator
(none)
18
29
2
28.2
0.6
0

Study Details

Study Description

Brief Summary

To evaluate the combination of PF-04856884 (CVX-060) in combination with Axitinib (AG-013736) in patients that have received one prior systemic regimen for metastatic renal cell carcinoma (mRCC) vs. axitinib alone.

Condition or Disease Intervention/Treatment Phase
  • Biological: PF-04856884
  • Drug: Axitinib (AG-013736)
  • Drug: Axitinib (AG-013736)
Phase 2

Detailed Description

The study was prematurely discontinued on 06Nov2012 due to tolerability findings in patients treated in Part I of the study that have prompted the Sponsor to re-evaluate the strategic development of the program. An unexpected frequency of arterial thrombotic events (ATEs) and venous thrombotic events (VTEs) were reported in patients treated in Part I.

Study Design

Study Type:
Interventional
Actual Enrollment :
18 participants
Allocation:
Randomized
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A PHASE II TRIAL OF PF-04856884 (CVX-060), A SELECTIVE ANGIOPOIETIN-2 (ANG-2) INHIBITOR IN COMBINATION WITH AG-013736 (AXITINIB) IN PATIENTS WITH PREVIOUSLY TREATED METASTATIC RENAL CELL CARCINOMA
Actual Study Start Date :
Nov 21, 2011
Actual Primary Completion Date :
Mar 27, 2014
Actual Study Completion Date :
Mar 27, 2014

Arms and Interventions

Arm Intervention/Treatment
Experimental: ARM A

PF-04856884 in combination with AG-013736

Biological: PF-04856884
15 mg/kg/week intravenously [IV] until toxicity or disease progression

Drug: Axitinib (AG-013736)
5 mg PO BID

Active Comparator: ARM B

AG-013736 alone

Drug: Axitinib (AG-013736)
5 mg PO BID

Outcome Measures

Primary Outcome Measures

  1. Number of Participants With Non-serious Adverse Events (AEs) in Part I (Reported in ≥2 of the Participants Overall). [4 months]

    Incidence and severity of all treatment-emergent AEs (TEAEs) of both all-causality and treatment-related by preferred term (PT) categorized according to Common Terminology Criteria for Adverse Events (CTCAE) grades reported in ≥2 participants overall (CTCAE Grades 3, 4 and 5, combined) for any PT are presented. Participants who are included under all-causality TEAE PT are coded as NA if they appear for the same PT under treatment-related TEAE below. Participants in Part I received PF-04856884 15 mg/kg/week and AG-013736 5 mg twice daily. Following the decision on 06 November 2012 not to continue with Part II of the study, any participant remaining in Part I continued to receive PF-04856884 at a reduced dose of 10 mg/kg/week in combination with AG-013736 (5 mg twice a week) or AG-013736 alone (5 mg twice a week).

  2. Number of Participants With Serious Adverse Events (SAEs) in Part I [4 months]

    Incidence and severity of all-causality serious adverse events (SAEs) are presented by PT categorized according to Common Terminology Criteria for Adverse Events (CTCAE) grades. Participants in Part I received PF-04856884 15 mg/kg/week and AG-013736 5 mg twice daily. Following the decision on 06 November 2012 not to continue with Part II of the study, any participant remaining in Part I continued to receive PF-04856884 at a reduced dose of 10 mg/kg/week in combination with AG-013736 (5 mg twice a week) or AG-013736 alone (5 mg twice a week). Participants with treatment-related TEAE are coded as NA if they appear for the same preferred term under all-causality TEAE.

  3. Progression Free Survival (PFS) in Adult Participants With Previously Treated Metastatic Renal Cell Cancer (mRCC) in Part II [3 years]

    PFS is defined as the time (in days) from date of randomization to first documentation of investigator assessed tumor progression or death, whichever comes first. Progression free survival was to be calculated as (first event date - the date of randomization +1).

Secondary Outcome Measures

  1. Number of Participants With Non-serious AEs and SAEs [3 years]

    Incidence and severity of all-causality AEs and SAEs to be presented by PT categorized according to Common Terminology Criteria for Adverse Events (CTCAE) grades. Participants in Part I received PF-04856884 15 mg/kg/week and AG-013736 5 mg twice daily. Following the decision on 06 November 2012 not to continue with Part II of the study, any participant remaining in Part I continued to receive PF-04856884 at a reduced dose of 10 mg/kg/week in combination with AG-013736 (5 mg twice a week) or AG-013736 alone (5 mg twice a week).

  2. Overall Response Rate (ORR) in Metastatic Renal Cell Cancer (mRCC) Patients Treated With PF-04856884 in Combination With AG-013736 vs. AG-013736 Alone. [4 months]

    ORR is defined as the proportion of participants with confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST), relative to all randomized participants as defined in the FA Set. Confirmed responses are those that persist on repeat imaging study ≥ 4 weeks after initial documentation of response. Participants who do not have on-study radiographic tumor evaluation or who die, progress, or drop out for any reason prior to reaching a CR or PR will be counted as non-responders (NR) in the assessment of ORR.

  3. Duration of Response (DR) in Metastatic Renal Cell Cancer (mRCC) Patients Treated With PF-04856884 in Combination With AG-013736 vs. AG-013736 Alone [3 years]

    DR is defined as the time from the first documentation of objective tumor response (CR or PR) that is subsequently confirmed to the first documentation of tumor progression or to death due to cancer. Duration of tumor response was to be calculated as (the end date for DR - first CR or PR that is subsequently confirmed +1).

  4. Tmax (Time When Maximum Serum PF-04856884 Concentration Was Reached) [Pre-dose, 1, 2, 4, 6, 8, 192, 360, 361, 362, 365, 367 hours post dose and end of treatment]

    Pharmacokinetic parameter, Tmax (Time when maximum serum PF-04856884 concentration was reached) was done using non-compartmental methods.

  5. Cmax (Observed Peak Serum PF-04856884 Concentration) [Pre-dose, 1, 2, 4, 6, 8, 192, 360, 361, 362, 365, 367 hours post dose and end of treatment]

    Pharmacokinetic parameter Cmax (observed peak PF-04856884 serum concentration) was estimated using noncompartmental methods.

  6. Cmin (Trough PF-04856884 Serum Concentration) [Pre-dose, 1, 2, 4, 6, 8, 192, 360, 361, 362, 365, 367 hours post dose and end of treatment]

    Pharmacokinetic parameter Cmin (trough PF-04856884 serum concentration) was estimated using noncompartmental methods.

  7. Number of Anti-drug Antibodies (ADA) Samples Confirmed Positive [0 and 360 hours post dose and end of study]

    Detection of neutralizing anti-PF-04856884 antibodies was based on the ability of anti-PF-04856884 neutralizing antibodies to bind to Tag-PF-04856884.

  8. Progression Free Survival (PFS) in Adult Participants With Previously Treated Metastatic Renal Cell Cancer (mRCC) as Measured by an Independent Radiological Assessment [3 years]

    PFS is defined as the time (in days) from date of randomization to first documentation of investigator assessed tumor progression or death, whichever comes first. PFS was to be calculated as (first event date - the date of randomization +1).

  9. Overall Survival (OS) at 2 Years [5 years]

    OS is defined as the time from the first dose date to date of death. For participants not expiring, their survival times will be censored at the last date they are known to be alive, or 2 year whichever is earlier. The 2-year OS rate will be estimated from a time-to event analysis of OS.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Adult male or female patients with histologically or cytologically confirmed renal cell cancer (RCC) with a component of clear cell subtype and evidence of metastasis

  • Evidence of unidimensionally measurable disease

  • Prior therapy: Part I: Having received 1 to 3 prior systemic regimens for treatment of mRCC

  • Part II: Evidence of disease progression following 1 prior regimen administered as 1st line therapy for mRCC. The prior regimen must have contained one of the following: VEGFR2 tyrosine kinase inhibitor (TKI) or other anti VEGF [Vascular Endothelial Growth Factor] compounds, such as bevacizumab

  • adequate bone marrow, liver and renal function

Exclusion Criteria:
Part I:
  • Intolerant to prior AG 013736 therapy or prior treatment with compounds which contain the core platform antibody as PF 04856884
Part II:
  • Prior AG 013736 therapy, more than one systemic first-line regimen for the treatment of mRCC and prior treatment with compounds which contain the core platform antibody as PF 04856884

  • major surgery <4 weeks or radiation therapy <2 weeks prior to start of therapy

  • clinically significant gastrointestinal abnormalities

  • current use or anticipated need for drugs that are known potent CYP3A4 inhibitors and drugs that are known CYP3A4 or CYP1A2 inducers

  • history of bleeding diathesis or coagulopathy

  • Grade 3 or greater hemorrhage from any cause <4 weeks prior to screening;

  • hemoptysis >½ teaspoon of blood per day within 2 weeks prior to screening.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Pinnacle Oncology Hematology Scottsdale Arizona United States 85258
2 Arizona Oncology Associates, PC - HOPE Tucson Arizona United States 85704
3 Arizona Oncology Associates, PC-HOPE Tucson Arizona United States 85710
4 Rocky Mountain Cancer Centers Aurora Colorado United States 80012
5 Rocky Mountain Cancer Centers Boulder Colorado United States 80303
6 Rocky Mountain Cancer Centers Centennial Colorado United States 80112
7 Rocky Mountain Cancer Centers Colorado Springs Colorado United States 80907
8 Rocky Mountain Cancer Centers Colorado Springs Colorado United States 80909
9 Rocky Mountain Cancer Centers Denver Colorado United States 80218
10 Rocky Mountain Cancer Centers Denver Colorado United States 80220
11 Rocky Mountain Cancer Centers Lakewood Colorado United States 80228
12 Rocky Mountain Cancer Centers Littleton Colorado United States 80120-4413
13 Rocky Mountain Cancer Centers Lone Tree Colorado United States 80124
14 Rocky Mountain Cancer Centers Longmont Colorado United States 80501
15 Rocky Mountain Cancer Centers Parker Colorado United States 80138
16 Rocky Mountain Cancer Centers Pueblo Colorado United States 81008
17 Rocky Mountain Cancer Centers Thornton Colorado United States 80260
18 Nebraska Methodist Hospital Omaha Nebraska United States 68114
19 Comprehensive Cancer Centers of Nevada Henderson Nevada United States 89014
20 Comprehensive Cancer Centers of Nevada Henderson Nevada United States 89052
21 Comprehensive Cancer Centers of Nevada Henderson Nevada United States 89074
22 Comprehensive Cancer Centers of Nevada Las Vegas Nevada United States 89128
23 Comprehensive Cancer Centers of Nevada Las Vegas Nevada United States 89148
24 Comprehensive Cancer Centers of Nevada Las Vegas Nevada United States 89169
25 Regional Cancer Care-Durham Durham North Carolina United States 27704
26 Texas Oncology-Tyler Tyler Texas United States 75702
27 Seattle Cancer Care Alliance Seattle Washington United States 98109
28 University of Washington Medical Center Seattle Washington United States 98195
29 Masarykuv onkologicky ustav Brno Czechia 65653

Sponsors and Collaborators

  • Pfizer

Investigators

  • Study Director: Pfizer CT.gov Call Center, Pfizer

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT01441414
Other Study ID Numbers:
  • B1131004
  • 2011-002190-33
First Posted:
Sep 27, 2011
Last Update Posted:
Jan 8, 2019
Last Verified:
Dec 1, 2018
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Keywords provided by Pfizer
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details This multicenter, open-label study consisted of a safety lead in stage (Part I) followed by a randomized Phase 2 stage (Part II). A total of 18 participants were screened and assigned to treatment in Part I, with 3 participants completing Part I of the study. At the completion of Part I, all 18 participants had discontinued combined treatment.
Pre-assignment Detail During Part I, 3 to 4 participants were initially treated with the study drug combination in 28-day cycles. If no participants experienced Cycle 1 dose limiting toxicities (DLTs), another 6 to 9 participants were treated at this dose level. Part II of the study was to be initiated if Cycle 1 DLTs were observed in <33% in at least 12 participants.
Arm/Group Title PF-04856884 + AG-013736
Arm/Group Description Participants in Part I received PF-04856884 15 mg/kg/week and AG-013736 5 mg twice a day. Following the decision of 06 November 2012 not to continue with Part II of the study, any participant remaining in Part I continued to receive PF-04856884 at a reduced dose of 10 mg/kg/week in combination with AG-013736 (5 mg twice a week) or AG-013736 alone (5 mg twice a week).
Period Title: Overall Study
STARTED 18
COMPLETED 3
NOT COMPLETED 15

Baseline Characteristics

Arm/Group Title PF-04856884 + AG-013736
Arm/Group Description Participants in Part I received PF-04856884 15 mg/kg/week and AG-013736 5 mg twice a day. Following the decision of 06 November 2012 not to continue with Part II of the study, any participant remaining in Part I continued to receive PF-04856884 at a reduced dose of 10 mg/kg/week in combination with AG-013736 (5 mg twice a week) or AG-013736 alone (5 mg twice a week).
Overall Participants 18
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
63.2
(10.9)
Sex: Female, Male (Count of Participants)
Female
4
22.2%
Male
14
77.8%

Outcome Measures

1. Primary Outcome
Title Number of Participants With Non-serious Adverse Events (AEs) in Part I (Reported in ≥2 of the Participants Overall).
Description Incidence and severity of all treatment-emergent AEs (TEAEs) of both all-causality and treatment-related by preferred term (PT) categorized according to Common Terminology Criteria for Adverse Events (CTCAE) grades reported in ≥2 participants overall (CTCAE Grades 3, 4 and 5, combined) for any PT are presented. Participants who are included under all-causality TEAE PT are coded as NA if they appear for the same PT under treatment-related TEAE below. Participants in Part I received PF-04856884 15 mg/kg/week and AG-013736 5 mg twice daily. Following the decision on 06 November 2012 not to continue with Part II of the study, any participant remaining in Part I continued to receive PF-04856884 at a reduced dose of 10 mg/kg/week in combination with AG-013736 (5 mg twice a week) or AG-013736 alone (5 mg twice a week).
Time Frame 4 months

Outcome Measure Data

Analysis Population Description
The FA set was the primary population for evaluating all safety and efficacy endpoints per the treatment randomization as well as participant characteristics.
Arm/Group Title All-causality CTCAE Grade 3 All-causality CTCAE Grade 4 All-causality CTCAE Grade 5 Treatment-related CTCAE Grade 3 Treatment-related CTCAE Grade 4 Treatment-related CTCAE Grade 5 All-causality Overall Treatment-related Overall
Arm/Group Description Incidence and severity of all-causality CTCAE Grade 3 TEAEs are presented. Participants with multiple occurrences of an AE within a category were counted once within the category. Incidence and severity of all-causality CTCAE Grade 4 TEAEs are presented. Participants with multiple occurrences of an AE within a category were counted once within the category. Incidence and severity of all-causality CTCAE Grade 5 TEAEs are presented. Participants with multiple occurrences of an AE within a category were counted once within the category. Incidence and severity of treatment-related CTCAE Grade 3 TEAEs are presented. Participants with multiple occurrences of an AE within a category were counted once within the category. Incidence and severity of treatment-related CTCAE Grade 4 TEAEs are presented. Participants with multiple occurrences of an AE within a category were counted once within the category. Incidence and severity of treatment-related CTCAE Grade 5 TEAEs are presented. Participants with multiple occurrences of an AE within a category were counted once within the category. Incidence and severity of all-causality CTCAE Grades 3, 4, and 5 are presented. Participants with multiple occurrences of an AE within a category were counted once within the category. Incidence and severity of treatment-related CTCAE Grades 3,4, and 5 are presented. Participants with multiple occurrences of an AE within a category were counted once within the category.
Measure Participants 18 18 18 18 18 18 18 18
Anaemia
0
0%
0
NaN
0
NaN
0
NaN
0
NaN
0
NaN
4
NaN
2
NaN
Leukocytosis
2
11.1%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
2
NaN
NA
NaN
Pericardial effusion
0
0%
1
NaN
0
NaN
0
NaN
1
NaN
0
NaN
2
NaN
2
NaN
Hyperthyroidism
0
0%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
2
NaN
NA
NaN
Hypothyroidism
0
0%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
NA
NaN
NA
NaN
Vision blurred
0
0%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
NA
NaN
NA
NaN
Abdominal pain
1
5.6%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
2
NaN
NA
NaN
Constipation
0
0%
0
NaN
0
NaN
0
NaN
0
NaN
0
NaN
8
NaN
2
NaN
Diarrhoea
0
0%
0
NaN
0
NaN
0
NaN
0
NaN
0
NaN
10
NaN
9
NaN
Dry mouth
0
0%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
3
NaN
NA
NaN
Gastritis
0
0%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
2
NaN
NA
NaN
Nausea
1
5.6%
0
NaN
0
NaN
1
NaN
0
NaN
0
NaN
11
NaN
7
NaN
Oral pain
0
0%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
2
NaN
NA
NaN
Stomatitis
0
0%
0
NaN
0
NaN
0
NaN
0
NaN
0
NaN
2
NaN
2
NaN
Toothache
0
0%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
2
NaN
NA
NaN
Vomiting
1
5.6%
0
NaN
0
NaN
1
NaN
0
NaN
0
NaN
10
NaN
6
NaN
Asthenia
1
5.6%
0
NaN
0
NaN
1
NaN
0
NaN
0
NaN
2
NaN
2
NaN
Fatigue
5
27.8%
0
NaN
0
NaN
4
NaN
0
NaN
0
NaN
11
NaN
8
NaN
Oedema peripheral
0
0%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
NA
NaN
NA
NaN
Pneumonia
1
5.6%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
2
NaN
NA
NaN
Upper respiratory tract infection
0
0%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
2
NaN
NA
NaN
Urinary tract infection
1
5.6%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
3
NaN
NA
NaN
Blood creatinine increased
0
0%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
3
NaN
NA
NaN
Weight decreased
2
11.1%
0
NaN
0
NaN
1
NaN
0
NaN
0
NaN
4
NaN
4
NaN
Decreased appetite
1
5.6%
0
NaN
0
NaN
1
NaN
0
NaN
0
NaN
12
NaN
11
NaN
Dehydration
0
0%
0
NaN
0
NaN
0
NaN
0
NaN
0
NaN
3
NaN
2
NaN
Hypercalcaemia
0
0%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
2
NaN
NA
NaN
Hypokalaemia
1
5.6%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
2
NaN
NA
NaN
Hyponatraemia
1
5.6%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
2
NaN
NA
NaN
Hypovolaemia
0
0%
0
NaN
0
NaN
0
NaN
0
NaN
0
NaN
2
NaN
2
NaN
Arthralgia
1
5.6%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
3
NaN
NA
NaN
Back pain
1
5.6%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
5
NaN
NA
NaN
Muscle spasms
0
0%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
2
NaN
NA
NaN
Muscular weakness
0
0%
0
NaN
0
NaN
0
NaN
0
NaN
0
NaN
2
NaN
2
NaN
Myalgia
0
0%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
2
NaN
NA
NaN
Cerebrovascular accident
1
5.6%
1
NaN
0
NaN
1
NaN
1
NaN
0
NaN
2
NaN
2
NaN
Dizziness
0
0%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
4
NaN
NA
NaN
Headache
1
5.6%
0
NaN
0
NaN
1
NaN
0
NaN
0
NaN
3
NaN
2
NaN
Migraine
1
5.6%
0
NaN
0
NaN
1
NaN
0
NaN
0
NaN
2
NaN
2
NaN
Neuropathy peripheral
1
5.6%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
2
NaN
NA
NaN
Depression
1
5.6%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
3
NaN
NA
NaN
Insomnia
1
5.6%
0
NaN
0
NaN
1
NaN
0
NaN
0
NaN
7
NaN
2
NaN
Proteinuria
0
0%
0
NaN
0
NaN
0
NaN
0
NaN
0
NaN
3
NaN
3
NaN
Cough
0
0%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
7
NaN
NA
NaN
Dysphonia
0
0%
0
NaN
0
NaN
0
NaN
0
NaN
0
NaN
5
NaN
5
NaN
Dyspnoea
1
5.6%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
6
NaN
NA
NaN
Hypoxia
1
5.6%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
2
NaN
NA
NaN
Pleural effusion
1
5.6%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
3
NaN
NA
NaN
Pulmonary embolism
1
5.6%
1
NaN
0
NaN
1
NaN
1
NaN
0
NaN
2
NaN
2
NaN
Night sweats
0
0%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
2
NaN
NA
NaN
Palmar-plantar erythrodysaesthesia
0
0%
0
NaN
0
NaN
0
NaN
0
NaN
0
NaN
2
NaN
2
NaN
Hot flush
0
0%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
3
NaN
NA
NaN
Hypertension
5
27.8%
0
NaN
0
NaN
4
NaN
0
NaN
0
NaN
10
NaN
9
NaN
Hypotension
1
5.6%
0
NaN
0
NaN
NA
NaN
NA
NaN
NA
NaN
4
NaN
NA
NaN
2. Primary Outcome
Title Number of Participants With Serious Adverse Events (SAEs) in Part I
Description Incidence and severity of all-causality serious adverse events (SAEs) are presented by PT categorized according to Common Terminology Criteria for Adverse Events (CTCAE) grades. Participants in Part I received PF-04856884 15 mg/kg/week and AG-013736 5 mg twice daily. Following the decision on 06 November 2012 not to continue with Part II of the study, any participant remaining in Part I continued to receive PF-04856884 at a reduced dose of 10 mg/kg/week in combination with AG-013736 (5 mg twice a week) or AG-013736 alone (5 mg twice a week). Participants with treatment-related TEAE are coded as NA if they appear for the same preferred term under all-causality TEAE.
Time Frame 4 months

Outcome Measure Data

Analysis Population Description
The FA set was the primary population for evaluating all safety and efficacy endpoints per the treatment randomization as well as participant characteristics.
Arm/Group Title All-causality CTCAE Grade 2 All-causality CTCAE Grade 3 All-causality CTCAE Grade 4 All-causality CTCAE Grade 5
Arm/Group Description Number of participants who had serious TEAEs (all-causality) of CTCAE Grade 2 TEAEs are presented Number of participants who had serious TEAEs (all-causality) of CTCAE Grade 3 TEAEs are presented Number of participants who had serious TEAEs (all-causality) of CTCAE Grade 4 TEAEs are presented Number of participants who had serious TEAEs (all-causality) of CTCAE Grade 5 TEAEs are presented
Measure Participants 18 18 18 18
Pneumonia
1
5.6%
1
NaN
0
NaN
0
NaN
Pleural effusion
1
5.6%
1
NaN
0
NaN
0
NaN
Ileus
1
5.6%
0
NaN
0
NaN
0
NaN
Abdominal pain
0
0%
1
NaN
0
NaN
0
NaN
Ascites
1
5.6%
0
NaN
0
NaN
0
NaN
Lung infection
0
0%
1
NaN
0
NaN
0
NaN
Back pain
0
0%
1
NaN
0
NaN
0
NaN
Musculoskeletal chest pain
0
0%
1
NaN
0
NaN
0
NaN
Convulsion
1
5.6%
0
NaN
0
NaN
0
NaN
Embolism
1
5.6%
0
NaN
0
NaN
0
NaN
Hyponatraemia
0
0%
1
NaN
0
NaN
0
NaN
Dyspnoea
0
0%
1
NaN
0
NaN
0
NaN
Hypotension
0
0%
1
NaN
0
NaN
0
NaN
Cerebrovascular accident
0
0%
1
NaN
1
NaN
0
NaN
Migraine
0
0%
1
NaN
0
NaN
0
NaN
Meningioma
0
0%
1
NaN
0
NaN
0
NaN
Hypovolaemia
1
5.6%
0
NaN
0
NaN
0
NaN
Pulmonary embolism
0
0%
1
NaN
1
NaN
0
NaN
Pericardial effusion
0
0%
0
NaN
1
NaN
0
NaN
Gastrointestinal disorder
0
0%
0
NaN
0
NaN
1
NaN
Chest discomfort
0
0%
1
NaN
0
NaN
0
NaN
Hypertension
0
0%
1
NaN
0
NaN
0
NaN
3. Primary Outcome
Title Progression Free Survival (PFS) in Adult Participants With Previously Treated Metastatic Renal Cell Cancer (mRCC) in Part II
Description PFS is defined as the time (in days) from date of randomization to first documentation of investigator assessed tumor progression or death, whichever comes first. Progression free survival was to be calculated as (first event date - the date of randomization +1).
Time Frame 3 years

Outcome Measure Data

Analysis Population Description
The primary efficacy endpoint of estimating median PFS in Part II was not assessed due to early termination of the study.
Arm/Group Title PF-04856884 + AG-013736
Arm/Group Description Participants in Part I received PF-04856884 15 mg/kg/week and AG-013736 5 mg twice a day. Following the decision of 06 November 2012 not to continue with Part II of the study, any participant remaining in Part I continued to receive PF-04856884 at a reduced dose of 10 mg/kg/week in combination with AG-013736 (5 mg twice a week) or AG-013736 alone (5 mg twice a week).
Measure Participants 0
4. Secondary Outcome
Title Number of Participants With Non-serious AEs and SAEs
Description Incidence and severity of all-causality AEs and SAEs to be presented by PT categorized according to Common Terminology Criteria for Adverse Events (CTCAE) grades. Participants in Part I received PF-04856884 15 mg/kg/week and AG-013736 5 mg twice daily. Following the decision on 06 November 2012 not to continue with Part II of the study, any participant remaining in Part I continued to receive PF-04856884 at a reduced dose of 10 mg/kg/week in combination with AG-013736 (5 mg twice a week) or AG-013736 alone (5 mg twice a week).
Time Frame 3 years

Outcome Measure Data

Analysis Population Description
This endpoint was not assessed due to the early termination of the study.
Arm/Group Title PF-04856884 + AG-013736
Arm/Group Description Participants in Part I received PF-04856884 15 mg/kg/week and AG-013736 5 mg twice a day. Following the decision of 06 November 2012 not to continue with Part II of the study, any participant remaining in Part I continued to receive PF-04856884 at a reduced dose of 10 mg/kg/week in combination with AG-013736 (5 mg twice a week) or AG-013736 alone (5 mg twice a week).
Measure Participants 0
5. Secondary Outcome
Title Overall Response Rate (ORR) in Metastatic Renal Cell Cancer (mRCC) Patients Treated With PF-04856884 in Combination With AG-013736 vs. AG-013736 Alone.
Description ORR is defined as the proportion of participants with confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST), relative to all randomized participants as defined in the FA Set. Confirmed responses are those that persist on repeat imaging study ≥ 4 weeks after initial documentation of response. Participants who do not have on-study radiographic tumor evaluation or who die, progress, or drop out for any reason prior to reaching a CR or PR will be counted as non-responders (NR) in the assessment of ORR.
Time Frame 4 months

Outcome Measure Data

Analysis Population Description
The FA set was the primary population for evaluating all safety and efficacy endpoints per the treatment randomization as well as participant characteristics.
Arm/Group Title PF-04856884 + AG-013736
Arm/Group Description Participants in Part I received PF-04856884 15 mg/kg/week and AG-013736 5 mg twice a day. Following the decision of 06 November 2012 not to continue with Part II of the study, any participant remaining in Part I continued to receive PF-04856884 at a reduced dose of 10 mg/kg/week in combination with AG-013736 (5 mg twice a week) or AG-013736 alone (5 mg twice a week).
Measure Participants 18
Complete response (CR)
0
0%
Partial response (PR)
11.1
61.7%
ORR (CR + PR)
11.1
61.7%
6. Secondary Outcome
Title Duration of Response (DR) in Metastatic Renal Cell Cancer (mRCC) Patients Treated With PF-04856884 in Combination With AG-013736 vs. AG-013736 Alone
Description DR is defined as the time from the first documentation of objective tumor response (CR or PR) that is subsequently confirmed to the first documentation of tumor progression or to death due to cancer. Duration of tumor response was to be calculated as (the end date for DR - first CR or PR that is subsequently confirmed +1).
Time Frame 3 years

Outcome Measure Data

Analysis Population Description
This endpoint was not assessed due to the early termination of the study.
Arm/Group Title PF-04856884 + AG-013736
Arm/Group Description Participants in Part I received PF-04856884 15 mg/kg/week and AG-013736 5 mg twice a day. Following the decision of 06 November 2012 not to continue with Part II of the study, any participant remaining in Part I continued to receive PF-04856884 at a reduced dose of 10 mg/kg/week in combination with AG-013736 (5 mg twice a week) or AG-013736 alone (5 mg twice a week).
Measure Participants 0
7. Secondary Outcome
Title Tmax (Time When Maximum Serum PF-04856884 Concentration Was Reached)
Description Pharmacokinetic parameter, Tmax (Time when maximum serum PF-04856884 concentration was reached) was done using non-compartmental methods.
Time Frame Pre-dose, 1, 2, 4, 6, 8, 192, 360, 361, 362, 365, 367 hours post dose and end of treatment

Outcome Measure Data

Analysis Population Description
The FA set was the primary population for evaluating all safety and efficacy endpoints per the treatment randomization as well as participant characteristics.
Arm/Group Title PF-04856884 + AG-013736
Arm/Group Description Participants in Part I received PF-04856884 15 mg/kg/week and AG-013736 5 mg twice a day. Following the decision of 06 November 2012 not to continue with Part II of the study, any participant remaining in Part I continued to receive PF-04856884 at a reduced dose of 10 mg/kg/week in combination with AG-013736 (5 mg twice a week) or AG-013736 alone (5 mg twice a week).
Measure Participants 18
CYCLE1/DAY1
2.000
(1.6450)
CYCLE1/DAY22
3.000
(2.1122)
8. Secondary Outcome
Title Cmax (Observed Peak Serum PF-04856884 Concentration)
Description Pharmacokinetic parameter Cmax (observed peak PF-04856884 serum concentration) was estimated using noncompartmental methods.
Time Frame Pre-dose, 1, 2, 4, 6, 8, 192, 360, 361, 362, 365, 367 hours post dose and end of treatment

Outcome Measure Data

Analysis Population Description
The FA set was the primary population for evaluating all safety and efficacy endpoints per the treatment randomization as well as participant characteristics.
Arm/Group Title PF-04856884 + AG-013736
Arm/Group Description Participants in Part I received PF-04856884 15 mg/kg/week and AG-013736 5 mg twice a day. Following the decision of 06 November 2012 not to continue with Part II of the study, any participant remaining in Part I continued to receive PF-04856884 at a reduced dose of 10 mg/kg/week in combination with AG-013736 (5 mg twice a week) or AG-013736 alone (5 mg twice a week).
Measure Participants 18
CYCLE1/DAY1
337100
(76245)
CYCLE1/DAY22
531400
(154780)
9. Secondary Outcome
Title Cmin (Trough PF-04856884 Serum Concentration)
Description Pharmacokinetic parameter Cmin (trough PF-04856884 serum concentration) was estimated using noncompartmental methods.
Time Frame Pre-dose, 1, 2, 4, 6, 8, 192, 360, 361, 362, 365, 367 hours post dose and end of treatment

Outcome Measure Data

Analysis Population Description
The FA set was the primary population for evaluating all safety and efficacy endpoints per the treatment randomization as well as participant characteristics.
Arm/Group Title PF-04856884 + AG-013736
Arm/Group Description Participants in Part I received PF-04856884 15 mg/kg/week and AG-013736 5 mg twice a day. Following the decision of 06 November 2012 not to continue with Part II of the study, any participant remaining in Part I continued to receive PF-04856884 at a reduced dose of 10 mg/kg/week in combination with AG-013736 (5 mg twice a week) or AG-013736 alone (5 mg twice a week).
Measure Participants 18
CYCLE1/DAY1
932.7
(3499.1)
CYCLE1/DAY22
168900
(84507)
10. Secondary Outcome
Title Number of Anti-drug Antibodies (ADA) Samples Confirmed Positive
Description Detection of neutralizing anti-PF-04856884 antibodies was based on the ability of anti-PF-04856884 neutralizing antibodies to bind to Tag-PF-04856884.
Time Frame 0 and 360 hours post dose and end of study

Outcome Measure Data

Analysis Population Description
The FA set was the primary population for evaluating all safety and efficacy endpoints per the treatment randomization as well as participant characteristics.
Arm/Group Title PF-04856884 + AG-013736
Arm/Group Description Participants in Part I received PF-04856884 15 mg/kg/week and AG-013736 5 mg twice a day. Following the decision of 06 November 2012 not to continue with Part II of the study, any participant remaining in Part I continued to receive PF-04856884 at a reduced dose of 10 mg/kg/week in combination with AG-013736 (5 mg twice a week) or AG-013736 alone (5 mg twice a week).
Measure Participants 18
Measure ADA samples 91
Number [ADA samples]
8
11. Secondary Outcome
Title Progression Free Survival (PFS) in Adult Participants With Previously Treated Metastatic Renal Cell Cancer (mRCC) as Measured by an Independent Radiological Assessment
Description PFS is defined as the time (in days) from date of randomization to first documentation of investigator assessed tumor progression or death, whichever comes first. PFS was to be calculated as (first event date - the date of randomization +1).
Time Frame 3 years

Outcome Measure Data

Analysis Population Description
This endpoint of estimating median PFS was not assessed due to early termination of the study.
Arm/Group Title PF-04856884 + AG-013736
Arm/Group Description Participants in Part I received PF-04856884 15 mg/kg/week and AG-013736 5 mg twice a day. Following the decision of 06 November 2012 not to continue with Part II of the study, any participant remaining in Part I continued to receive PF-04856884 at a reduced dose of 10 mg/kg/week in combination with AG-013736 (5 mg twice a week) or AG-013736 alone (5 mg twice a week).
Measure Participants 0
12. Secondary Outcome
Title Overall Survival (OS) at 2 Years
Description OS is defined as the time from the first dose date to date of death. For participants not expiring, their survival times will be censored at the last date they are known to be alive, or 2 year whichever is earlier. The 2-year OS rate will be estimated from a time-to event analysis of OS.
Time Frame 5 years

Outcome Measure Data

Analysis Population Description
This endpoint was not assessed due to the early termination of the study.
Arm/Group Title PF-04856884 + AG-013736
Arm/Group Description Participants in Part I received PF-04856884 15 mg/kg/week and AG-013736 5 mg twice a day. Following the decision of 06 November 2012 not to continue with Part II of the study, any participant remaining in Part I continued to receive PF-04856884 at a reduced dose of 10 mg/kg/week in combination with AG-013736 (5 mg twice a week) or AG-013736 alone (5 mg twice a week).
Measure Participants 0

Adverse Events

Time Frame From the day the first dose of the investigational product was administered up to 1 year.
Adverse Event Reporting Description The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as nonserious in another participant, or one participant may have experienced both a serious and nonserious event during the study.
Arm/Group Title PF-04856884 + AG-013736
Arm/Group Description Participants in Part I received PF-04856884 15 mg/kg/week and AG-013736 5 mg twice a day. Following the decision of 06 November 2012 not to continue with Part II of the study, any participant remaining in Part I continued to receive PF-04856884 at a reduced dose of 10 mg/kg/week in combination with AG-013736 (5 mg twice a week) or AG-013736 alone (5 mg twice a week).
All Cause Mortality
PF-04856884 + AG-013736
Affected / at Risk (%) # Events
Total / (NaN)
Serious Adverse Events
PF-04856884 + AG-013736
Affected / at Risk (%) # Events
Total 12/18 (66.7%)
Cardiac disorders
Pericardial effusion 1/18 (5.6%)
Gastrointestinal disorders
Abdominal pain 1/18 (5.6%)
Ascites 1/18 (5.6%)
Gastrointestinal disorder 1/18 (5.6%)
Ileus 1/18 (5.6%)
General disorders
Chest discomfort 1/18 (5.6%)
Infections and infestations
Lung infection 1/18 (5.6%)
Pneumonia 2/18 (11.1%)
Metabolism and nutrition disorders
Hyponatraemia 1/18 (5.6%)
Hypovolaemia 1/18 (5.6%)
Musculoskeletal and connective tissue disorders
Back pain 1/18 (5.6%)
Musculoskeletal chest pain 1/18 (5.6%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Meningioma 1/18 (5.6%)
Nervous system disorders
Cerebrovascular accident 2/18 (11.1%)
Convulsion 1/18 (5.6%)
Migraine 1/18 (5.6%)
Respiratory, thoracic and mediastinal disorders
Dyspnoea 1/18 (5.6%)
Pleural effusion 2/18 (11.1%)
Pulmonary embolism 2/18 (11.1%)
Vascular disorders
Embolism 1/18 (5.6%)
Hypertension 1/18 (5.6%)
Hypotension 1/18 (5.6%)
Other (Not Including Serious) Adverse Events
PF-04856884 + AG-013736
Affected / at Risk (%) # Events
Total 18/18 (100%)
Blood and lymphatic system disorders
Anaemia 4/18 (22.2%)
Leukocytosis 2/18 (11.1%)
Thrombocytopenia 1/18 (5.6%)
Cardiac disorders
Angina pectoris 1/18 (5.6%)
Pericardial effusion 1/18 (5.6%)
Sinus tachycardia 1/18 (5.6%)
Ear and labyrinth disorders
Tinnitus 1/18 (5.6%)
Endocrine disorders
Hyperthyroidism 2/18 (11.1%)
Hypothyroidism 2/18 (11.1%)
Eye disorders
Eye pain 1/18 (5.6%)
Vision blurred 3/18 (16.7%)
Visual impairment 1/18 (5.6%)
Vitreous floaters 1/18 (5.6%)
Gastrointestinal disorders
Abdominal discomfort 1/18 (5.6%)
Abdominal distension 1/18 (5.6%)
Abdominal pain 2/18 (11.1%)
Aphthous stomatitis 1/18 (5.6%)
Ascites 1/18 (5.6%)
Constipation 8/18 (44.4%)
Diarrhoea 10/18 (55.6%)
Dry mouth 3/18 (16.7%)
Eructation 1/18 (5.6%)
Faecal incontinence 1/18 (5.6%)
Gastritis 2/18 (11.1%)
Gastrooesophageal reflux disease 1/18 (5.6%)
Glossodynia 1/18 (5.6%)
Nausea 11/18 (61.1%)
Oral pain 2/18 (11.1%)
Stomatitis 2/18 (11.1%)
Toothache 2/18 (11.1%)
Vomiting 10/18 (55.6%)
General disorders
Asthenia 2/18 (11.1%)
Chest pain 1/18 (5.6%)
Chills 1/18 (5.6%)
Fatigue 11/18 (61.1%)
Inflammation 1/18 (5.6%)
Localised oedema 1/18 (5.6%)
Mucosal inflammation 1/18 (5.6%)
Oedema 1/18 (5.6%)
Oedema peripheral 5/18 (27.8%)
Pain 1/18 (5.6%)
Pyrexia 1/18 (5.6%)
Hepatobiliary disorders
Cholecystitis 1/18 (5.6%)
Hepatic cyst 1/18 (5.6%)
Immune system disorders
Hypersensitivity 1/18 (5.6%)
Seasonal allergy 1/18 (5.6%)
Infections and infestations
Bronchitis 1/18 (5.6%)
Bronchopulmonary aspergillosis 1/18 (5.6%)
Candida infection 1/18 (5.6%)
Cellulitis 1/18 (5.6%)
Cystitis 1/18 (5.6%)
Ear infection 1/18 (5.6%)
Herpes zoster 1/18 (5.6%)
Otitis media 1/18 (5.6%)
Peritonitis 1/18 (5.6%)
Tooth infection 1/18 (5.6%)
Upper respiratory tract infection 2/18 (11.1%)
Urinary tract infection 3/18 (16.7%)
Injury, poisoning and procedural complications
Procedural pain 1/18 (5.6%)
Tooth fracture 1/18 (5.6%)
Investigations
Blood creatinine increased 3/18 (16.7%)
Blood thyroid stimulating hormone increased 1/18 (5.6%)
Coagulation time prolonged 1/18 (5.6%)
Haptoglobin increased 1/18 (5.6%)
Neutrophil count abnormal 1/18 (5.6%)
Weight decreased 4/18 (22.2%)
White blood cell count abnormal 1/18 (5.6%)
Metabolism and nutrition disorders
Decreased appetite 12/18 (66.7%)
Dehydration 3/18 (16.7%)
Hypercalcaemia 2/18 (11.1%)
Hypercholesterolaemia 1/18 (5.6%)
Hyperglycaemia 1/18 (5.6%)
Hypoalbuminaemia 1/18 (5.6%)
Hypocalcaemia 1/18 (5.6%)
Hypoglycaemia 1/18 (5.6%)
Hypokalaemia 2/18 (11.1%)
Hypomagnesaemia 1/18 (5.6%)
Hyponatraemia 1/18 (5.6%)
Hypophosphataemia 1/18 (5.6%)
Hypovolaemia 1/18 (5.6%)
Musculoskeletal and connective tissue disorders
Arthralgia 3/18 (16.7%)
Back pain 5/18 (27.8%)
Groin pain 1/18 (5.6%)
Muscle spasms 2/18 (11.1%)
Muscular weakness 2/18 (11.1%)
Musculoskeletal pain 1/18 (5.6%)
Myalgia 2/18 (11.1%)
Neck pain 1/18 (5.6%)
Pain in extremity 1/18 (5.6%)
Pain in jaw 1/18 (5.6%)
Nervous system disorders
Cognitive disorder 1/18 (5.6%)
Depressed level of consciousness 1/18 (5.6%)
Dizziness 4/18 (22.2%)
Dysgeusia 1/18 (5.6%)
Headache 3/18 (16.7%)
Hypoaesthesia 1/18 (5.6%)
Lethargy 1/18 (5.6%)
Memory impairment 1/18 (5.6%)
Migraine 2/18 (11.1%)
Neuropathy peripheral 2/18 (11.1%)
Somnolence 1/18 (5.6%)
Syncope 1/18 (5.6%)
Psychiatric disorders
Anxiety 1/18 (5.6%)
Confusional state 1/18 (5.6%)
Depression 3/18 (16.7%)
Flat affect 1/18 (5.6%)
Insomnia 7/18 (38.9%)
Restlessness 1/18 (5.6%)
Sleep disorder 1/18 (5.6%)
Renal and urinary disorders
Nocturia 1/18 (5.6%)
Proteinuria 3/18 (16.7%)
Urinary retention 1/18 (5.6%)
Reproductive system and breast disorders
Benign prostatic hyperplasia 1/18 (5.6%)
Scrotal oedema 1/18 (5.6%)
Respiratory, thoracic and mediastinal disorders
Cough 7/18 (38.9%)
Dysphonia 5/18 (27.8%)
Dyspnoea 6/18 (33.3%)
Dyspnoea exertional 1/18 (5.6%)
Epistaxis 1/18 (5.6%)
Haemoptysis 1/18 (5.6%)
Hypoxia 2/18 (11.1%)
Oropharyngeal pain 1/18 (5.6%)
Pleural effusion 2/18 (11.1%)
Rhinalgia 1/18 (5.6%)
Skin and subcutaneous tissue disorders
Erythema 1/18 (5.6%)
Nail disorder 1/18 (5.6%)
Night sweats 2/18 (11.1%)
Onychalgia 1/18 (5.6%)
Palmar-plantar erythrodysaesthesia syndrome 2/18 (11.1%)
Pruritus 1/18 (5.6%)
Rash 1/18 (5.6%)
Skin disorder 1/18 (5.6%)
Urticaria 1/18 (5.6%)
Vascular disorders
Embolism 1/18 (5.6%)
Hot flush 3/18 (16.7%)
Hypertension 9/18 (50%)
Hypotension 4/18 (22.2%)

Limitations/Caveats

On 06 Nov 2012, based on Part I safety findings and due to strategic considerations, Pfizer decided not to open enrolment onto Part II of the study and terminated the study. For primary OM, AEs reported in ≥2 participants overall are presented.

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.

Results Point of Contact

Name/Title Pfizer ClinicalTrials.gov Call Center
Organization Pfizer, Inc.
Phone 1-800-718-1021
Email ClinicalTrials.gov_Inquiries@pfizer.com
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT01441414
Other Study ID Numbers:
  • B1131004
  • 2011-002190-33
First Posted:
Sep 27, 2011
Last Update Posted:
Jan 8, 2019
Last Verified:
Dec 1, 2018