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NCT00073307 · OUTCOME

Final Overall Survival (OS) - Primary Analysis in the ITT (Intent To Treat) Population

Study of BAY43-9006 in Patients With Unresectable and/or Metastatic Renal Cell Cancer · Source last updated 2014-02-06

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
MEDIAN
Unit
days
Interval / dispersion
95% Confidence Interval
Time frame
From start of randomization of the first subject (1Dec2003) until the data cut-off (8Sep2006) for the final OS analysis, approximately 33 months later

What was measured

Overall survival determined as the time (days) from the date of randomization at start of study to the date of death, due to any cause. Outcome measure was assessed regularly, i.e. every 3 weeks for the first 24 weeks during treatment and every 4 weeks thereafter and approximately every 3 months during post-treatment.

Analysis population: Evaluations based on ITT population. Subjects alive at time of analysis were censored at last date of follow-up (FU) (last visit or contact or at data cut-off date). In case of incomplete date, day was missing, day 15 was used.

Groups in this outcome

Sorafenib (Nexavar, BAY43-9006)

Sorafenib was to be orally administered as 2 x 200 mg tablets bid (twice daily). Dose modification due to toxicity was permitted.

Placebo

Subjects received matching placebo tablets administered orally twice a day. \[until \~31 May 2005\]

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Sorafenib (Nexavar, BAY43-9006)451
Placebo452

Reported measurements

Source class 1
Values in days · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Sorafenib (Nexavar, BAY43-9006)542Not reported500598Not reported
Placebo461Not reported408526Not reported

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    0.74
    ci Pct Value
    95
    ci Upper Limit
    1.04
    estimate Comment
    Two treatment groups compared using log-rank test (Sorafenib over Placebo) stratified by country and Motzer category
    group Description
    Sample size based on primary efficacy endpoint of OS. Clinically meaningful improvement defined as 33.3% improvement in median OS (i.e. HR of 0.75, Sorafenib over Placebo). With overall two-sided alpha of 0.04, 90% power and randomization of 1:1, two formal interim analyses and one final analysis were planned using O'Brien-Fleming type error spending function, and a total of approximately 540 events (deaths) were required for the final analysis.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.146
    p Value Comment
    According to O'Brien-Fleming type alpha spending function and total actual deaths at final analysis, threshold for statistical significance was alpha=0.037 (two-sided).
    param Type
    Hazard Ratio (HR)
    param Value
    0.88
    statistical Method
    Log Rank
    tested Non Inferiority
    false
Complete source fields
analyses
  1. ci Lower Limit
    0.74
    ci Pct Value
    95
    ci Upper Limit
    1.04
    estimate Comment
    Two treatment groups compared using log-rank test (Sorafenib over Placebo) stratified by country and Motzer category
    group Description
    Sample size based on primary efficacy endpoint of OS. Clinically meaningful improvement defined as 33.3% improvement in median OS (i.e. HR of 0.75, Sorafenib over Placebo). With overall two-sided alpha of 0.04, 90% power and randomization of 1:1, two formal interim analyses and one final analysis were planned using O'Brien-Fleming type error spending function, and a total of approximately 540 events (deaths) were required for the final analysis.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.146
    p Value Comment
    According to O'Brien-Fleming type alpha spending function and total actual deaths at final analysis, threshold for statistical significance was alpha=0.037 (two-sided).
    param Type
    Hazard Ratio (HR)
    param Value
    0.88
    statistical Method
    Log Rank
    tested Non Inferiority
    false
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        500
        upper Limit
        598
        value
        542
      2. group Id
        OG001
        lower Limit
        408
        upper Limit
        526
        value
        461
denoms
  1. counts
    1. group Id
      OG000
      value
      451
    2. group Id
      OG001
      value
      452
    units
    Participants
description
Overall survival determined as the time (days) from the date of randomization at start of study to the date of death, due to any cause. Outcome measure was assessed regularly, i.e. every 3 weeks for the first 24 weeks during treatment and every 4 weeks thereafter and approximately every 3 months during post-treatment.
dispersion Type
95% Confidence Interval
groups
  1. description
    Sorafenib was to be orally administered as 2 x 200 mg tablets bid (twice daily). Dose modification due to toxicity was permitted.
    id
    OG000
    title
    Sorafenib (Nexavar, BAY43-9006)
  2. description
    Subjects received matching placebo tablets administered orally twice a day. \[until \~31 May 2005\]
    id
    OG001
    title
    Placebo
param Type
MEDIAN
population Description
Evaluations based on ITT population. Subjects alive at time of analysis were censored at last date of follow-up (FU) (last visit or contact or at data cut-off date). In case of incomplete date, day was missing, day 15 was used.
reporting Status
POSTED
time Frame
From start of randomization of the first subject (1Dec2003) until the data cut-off (8Sep2006) for the final OS analysis, approximately 33 months later
title
Final Overall Survival (OS) - Primary Analysis in the ITT (Intent To Treat) Population
type
PRIMARY
unit Of Measure
days

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Preserved source evidence · Not medical advice