NCT00410761 · STUDY IN CONTEXT
An Efficacy Study Comparing ZD6474 to Placebo in Medullary Thyroid Cancer
Draft scope assessment: unclear. Attached because the study's own record describes metastatic disease. The study was not selected for this indication by its sponsor, and its eligibility has not been reconciled against this page in full. Found because this study's registry identifier is printed in an FDA approval notice, an FDA product label or an NCI summary held by this site. The citing document and the exact position of the identifier inside it are recorded. Being cited is not a statement that the study supports this treatment.
Read the full study record and all posted results →
Linked outcomes
Median time to progression (months) from randomisation until objective disease progression (determined by RECIST assessments) or death (by any cause in the absence of objective progression) provided death is within 3 months from the last evaluable RECIST assessment. Values here are estimated (from a Weibull model) as the medians were not met.
The ORR is the number of patients that are responders ie those patients with a confirmed best objective response of complete response (CR) or partial response (PR) as defined by RECIST criteria. The categories for best objective response are CR, PR, stable disease (SD)\>= 12 weeks, progressive disease (PD) or NE.
Disease control rate is defined as the number of patients who achieved disease control at 8 weeks following randomisation. Disease control at 8 weeks is defined as a best objective response of complete response (CR), partial response (PR) or stable disease (SD) \>= 12 weeks
Response is defined as a confirmed best objective response of CR or PR. Duration of response is defined as time from the date of first documented response until date of documented progression or death in the absence of disease progression (provided death is within 3 months of last RECIST assessment). Values are estimated as the medians weren't met
OS is defined as the time from the date of randomization until death.
Best biochemical response was calculated from assessments at baseline and during treatment. Responders were those patients with a best biochemical response of CR or PR, confirmed by repeat assessments, which were to be performed no less than 4 weeks after the criteria for PR or CR were first met. CR and PR being defined according to level of CTN.
Reported safety
Quality of life and patient-reported measures
Brief Pain Inventory · Time to Worsening of Pain (TWP)
Score direction: Not stated by the study. Direction is never inferred from an instrument name.
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- qol key
- qol-0007
- source section id
- NCT00410761-om-0007
- source outcome index
- 7
- instrument
- Brief Pain Inventory
- instrument basis
- matched 'brief pain inventory' in the study's own wording
- scale title
- Time to Worsening of Pain (TWP)
- measure definition
- TWP was derived using the worst pain score from brief pain inventory (BPI) and patient reported opioid analgesic use. BPI uses 0 to 10 numeric rating scales asking subjects to rate their pain. TWP results are presented.
- time frame
- During the last week of the screening period (Day -7 to Day 0), the brief pain inventory (BPI) and opioid analgesic use were self-reported once a day for 4 days to establish baseline, then every week during blinded study treatment, up to discontinuation.
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
Full draft applicability and source-link record
- trial
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- trial label
- An Efficacy Study Comparing ZD6474 to Placebo in Medullary Thyroid Cancer
- applicability
- unclear
- applicability note
- Attached because the study's own record describes metastatic disease. The study was not selected for this indication by its sponsor, and its eligibility has not been reconciled against this page in full.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- provenance class
- regulator-cited
- discovery note
- Found because this study's registry identifier is printed in an FDA approval notice, an FDA product label or an NCI summary held by this site. The citing document and the exact position of the identifier inside it are recorded. Being cited is not a statement that the study supports this treatment.
- outcome Count
- 6
- harms Count
- 4
- qol Count
- 1
- outcomes
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- outcome key
- om-0000
- source section id
- NCT00410761-om-0000
- source outcome index
- 0
- endpoint
- Progression-Free Survival(PFS)
- endpoint definition
- Median time to progression (months) from randomisation until objective disease progression (determined by RECIST assessments) or death (by any cause in the absence of objective progression) provided death is within 3 months from the last evaluable RECIST assessment. Values here are estimated (from a Weibull model) as the medians were not met.
- time origin
- RECIST tumour assessments were performed at screening (within 3 weeks before date of randomisation), then once every 12 weeks up to and including discontinuation of blinded study treatment, unless patients had withdrawn consent.
- analysis role
- primary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- outcome key
- om-0001
- source section id
- NCT00410761-om-0001
- source outcome index
- 1
- endpoint
- Objective Response Rate (ORR)
- endpoint definition
- The ORR is the number of patients that are responders ie those patients with a confirmed best objective response of complete response (CR) or partial response (PR) as defined by RECIST criteria. The categories for best objective response are CR, PR, stable disease (SD)\>= 12 weeks, progressive disease (PD) or NE.
- time origin
- RECIST assessments performed at screening (within 3 weeks before randomisation), then every 12 weeks. For patients with objective response of CR or PR, an additional confirmatory scan was performed ≥4 weeks following the date of first response.
- analysis role
- secondary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- outcome key
- om-0002
- source section id
- NCT00410761-om-0002
- source outcome index
- 2
- endpoint
- Disease Control Rate (DCR)
- endpoint definition
- Disease control rate is defined as the number of patients who achieved disease control at 8 weeks following randomisation. Disease control at 8 weeks is defined as a best objective response of complete response (CR), partial response (PR) or stable disease (SD) \>= 12 weeks
- time origin
- RECIST tumour assessments were performed at screening (within 3 weeks before date of randomisation), then once every 12 weeks up to and including discontinuation of blinded study treatment, unless patients had withdrawn consent
- analysis role
- secondary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- outcome key
- om-0003
- source section id
- NCT00410761-om-0003
- source outcome index
- 3
- endpoint
- Duration of Response (DoR)
- endpoint definition
- Response is defined as a confirmed best objective response of CR or PR. Duration of response is defined as time from the date of first documented response until date of documented progression or death in the absence of disease progression (provided death is within 3 months of last RECIST assessment). Values are estimated as the medians weren't met
- time origin
- RECIST tumour assessments were performed at screening (within 3 weeks before date of randomisation), then once every 12 weeks up to and including discontinuation of blinded study treatment, unless patients had withdrawn consent
- analysis role
- secondary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- DoR is a time to event endpoint and because the medians were not met in this study there is no appropriate measure of dispersion of the median
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- outcome key
- om-0004
- source section id
- NCT00410761-om-0004
- source outcome index
- 4
- endpoint
- Overall Survival (OS)
- endpoint definition
- OS is defined as the time from the date of randomization until death.
- time origin
- From date of randomization until death, up to approximately 105 months
- analysis role
- secondary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- outcome key
- om-0005
- source section id
- NCT00410761-om-0005
- source outcome index
- 5
- endpoint
- Biochemical Response Calcitonin (CTN)
- endpoint definition
- Best biochemical response was calculated from assessments at baseline and during treatment. Responders were those patients with a best biochemical response of CR or PR, confirmed by repeat assessments, which were to be performed no less than 4 weeks after the criteria for PR or CR were first met. CR and PR being defined according to level of CTN.
- time origin
- Blood samples for analysis of CTN were taken at screening baseline (average of 0, 1, 4 and 8 hours), then every 4 weeks until discontinuation and 60 day follow up
- analysis role
- secondary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- arms
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- outcome key
- om-0000
- arm key
- OG000
- arm label
- Vandetanib 300 mg
- regimen
- Vandetanib (300 mg daily)
- analyzed count
- 231
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT00410761-om-0000#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- outcome key
- om-0000
- arm key
- OG001
- arm label
- Placebo
- regimen
- Placebo daily
- analyzed count
- 100
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT00410761-om-0000#groups/OG001
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- outcome key
- om-0001
- arm key
- OG000
- arm label
- Vandetanib 300 mg
- regimen
- Vandetanib (300 mg daily)
- analyzed count
- 231
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT00410761-om-0001#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- outcome key
- om-0001
- arm key
- OG001
- arm label
- Placebo
- regimen
- Placebo daily
- analyzed count
- 100
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT00410761-om-0001#groups/OG001
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- outcome key
- om-0002
- arm key
- OG000
- arm label
- Vandetanib 300 mg
- regimen
- Vandetanib (300 mg daily)
- analyzed count
- 231
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT00410761-om-0002#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- outcome key
- om-0002
- arm key
- OG001
- arm label
- Placebo
- regimen
- Placebo daily
- analyzed count
- 100
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT00410761-om-0002#groups/OG001
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- outcome key
- om-0003
- arm key
- OG000
- arm label
- Vandetanib 300 mg
- regimen
- Vandetanib (300 mg daily)
- analyzed count
- 104
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT00410761-om-0003#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- outcome key
- om-0003
- arm key
- OG001
- arm label
- Placebo
- regimen
- Placebo daily
- analyzed count
- 13
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT00410761-om-0003#groups/OG001
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- outcome key
- om-0004
- arm key
- OG000
- arm label
- Vandetanib 300 mg
- regimen
- Vandetanib (300 mg daily)
- analyzed count
- 231
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT00410761-om-0004#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- outcome key
- om-0004
- arm key
- OG001
- arm label
- Placebo
- regimen
- Placebo daily
- analyzed count
- 100
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT00410761-om-0004#groups/OG001
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- outcome key
- om-0005
- arm key
- OG000
- arm label
- Vandetanib 300 mg
- regimen
- Vandetanib (300 mg daily)
- analyzed count
- 231
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT00410761-om-0005#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- outcome key
- om-0005
- arm key
- OG001
- arm label
- Placebo
- regimen
- Placebo daily
- analyzed count
- 100
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT00410761-om-0005#groups/OG001
- harms
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- harm key
- EG000
- source section id
- NCT00410761-ae
- event group key
- EG000
- event group label
- Randomized Treatment Period: Vandetanib 300 mg
- serious affected
- 92
- serious at risk
- 231
- other affected
- 226
- other at risk
- 231
- frequency threshold
- 5
- collection period
- Serious adverse events(SAEs) and all-cause mortality(deaths) were collected from randomization (Day 1) up to end of follow-up, approximately 212 months. Other (non-serious) AEs were reported from randomization (Day 1) up to data cut-off date 01-Jun-2010, approximately 42 months. AEs and SAEs were collected from Day 1 to cut-off date 01-Jun-2010 and were presented in clinical database. After this cut-off date, SAEs were reported in pharmacovigilance database, but no non-serious AEs were reported.
- event definition
- The safety population included all participants who received at least 1 dose of vandetanib/placebo. All-cause mortality (deaths) was assessed in all randomized participants.
- undenominated note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- harm key
- EG001
- source section id
- NCT00410761-ae
- event group key
- EG001
- event group label
- Randomized Treatment Period: Placebo
- serious affected
- 16
- serious at risk
- 99
- other affected
- 87
- other at risk
- 99
- frequency threshold
- 5
- collection period
- Serious adverse events(SAEs) and all-cause mortality(deaths) were collected from randomization (Day 1) up to end of follow-up, approximately 212 months. Other (non-serious) AEs were reported from randomization (Day 1) up to data cut-off date 01-Jun-2010, approximately 42 months. AEs and SAEs were collected from Day 1 to cut-off date 01-Jun-2010 and were presented in clinical database. After this cut-off date, SAEs were reported in pharmacovigilance database, but no non-serious AEs were reported.
- event definition
- The safety population included all participants who received at least 1 dose of vandetanib/placebo. All-cause mortality (deaths) was assessed in all randomized participants.
- undenominated note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- harm key
- EG002
- source section id
- NCT00410761-ae
- event group key
- EG002
- event group label
- Open-Label Treatment Period: Vandetanib 300 mg/Vandetanib 300 mg
- serious affected
- 53
- serious at risk
- 109
- other affected
- 32
- other at risk
- 109
- frequency threshold
- 5
- collection period
- Serious adverse events(SAEs) and all-cause mortality(deaths) were collected from randomization (Day 1) up to end of follow-up, approximately 212 months. Other (non-serious) AEs were reported from randomization (Day 1) up to data cut-off date 01-Jun-2010, approximately 42 months. AEs and SAEs were collected from Day 1 to cut-off date 01-Jun-2010 and were presented in clinical database. After this cut-off date, SAEs were reported in pharmacovigilance database, but no non-serious AEs were reported.
- event definition
- The safety population included all participants who received at least 1 dose of vandetanib/placebo. All-cause mortality (deaths) was assessed in all randomized participants.
- undenominated note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- harm key
- EG003
- source section id
- NCT00410761-ae
- event group key
- EG003
- event group label
- Open-Label Treatment Period: Placebo/Vandetanib 300 mg
- serious affected
- 36
- serious at risk
- 79
- other affected
- 70
- other at risk
- 79
- frequency threshold
- 5
- collection period
- Serious adverse events(SAEs) and all-cause mortality(deaths) were collected from randomization (Day 1) up to end of follow-up, approximately 212 months. Other (non-serious) AEs were reported from randomization (Day 1) up to data cut-off date 01-Jun-2010, approximately 42 months. AEs and SAEs were collected from Day 1 to cut-off date 01-Jun-2010 and were presented in clinical database. After this cut-off date, SAEs were reported in pharmacovigilance database, but no non-serious AEs were reported.
- event definition
- The safety population included all participants who received at least 1 dose of vandetanib/placebo. All-cause mortality (deaths) was assessed in all randomized participants.
- undenominated note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- quality of life
- release id
- clinical-indications-draft-1
- disease state id
- ds-thyroid-cancer-lenvima-a86d5f90
- nct id
- NCT00410761
- qol key
- qol-0007
- source section id
- NCT00410761-om-0007
- source outcome index
- 7
- instrument
- Brief Pain Inventory
- instrument basis
- matched 'brief pain inventory' in the study's own wording
- scale title
- Time to Worsening of Pain (TWP)
- measure definition
- TWP was derived using the worst pain score from brief pain inventory (BPI) and patient reported opioid analgesic use. BPI uses 0 to 10 numeric rating scales asking subjects to rate their pain. TWP results are presented.
- time frame
- During the last week of the screening period (Day -7 to Day 0), the brief pain inventory (BPI) and opioid analgesic use were self-reported once a day for 4 days to establish baseline, then every week during blinded study treatment, up to discontinuation.
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- setting source links
Preserved source evidence · Not medical advice
Triangle