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NCT00397488 · REGISTRY CONDITION SEARCH

Sunitinib in Treating Patients With Progressive Metastatic Transitional Cell Cancer of the Urothelium

Found through the registry condition index, not selected as a treatment recommendation. This discovery collection was restricted to studies with posted results.

Phase
PHASE2
Status at capture
COMPLETED
Registry last update
2016-01-25

RATIONALE: Sunitinib may stop the growth of tumor cells by blocking some of the enzymes needed for their growth and by blocking blood flow to the tumor. PURPOSE: This phase II trial is studying how well sunitinib works in treating patients with progressive metastatic transitional cell cancer of the urothelium.

Open the original ClinicalTrials.gov record → · Download preserved record

What did the study report?

Outcomes, safety and baseline populations are separate source sections. Quality-of-life measures appear under their original outcome titles.

Who could take part
eligibility Criteria
DISEASE CHARACTERISTICS: * Histologically confirmed transitional cell carcinoma of the urothelium, including 1 of the following sites: * Bladder * Urethra * Ureter * Renal pelvis * Progressive metastatic disease * Progressive disease defined as new or progressive lesions on cross-sectional imaging * Progressed despite prior treatment with cytotoxic chemotherapy * Measurable disease * Previously treated disease, as defined by the following: * Received treatment with 1-4 cytotoxic agents * Prior therapy must have included ≥ 1 of the following: * Cisplatin * Carboplatin * Paclitaxel * Docetaxel * Gemcitabine hydrochloride * Prior cytotoxic agents in the perioperative or metastatic setting allowed and may have been administered sequentially (e.g., first-line treatment followed by second-line treatment at time of progression) or all as part of a single regimen * No symptomatic CNS metastases PATIENT CHARACTERISTICS: * Karnofsky performance status 60-100% * Absolute neutrophil count ≥ 1,000/mm³ * Platelet count ≥ 100,000/mm³ * Hemoglobin ≥ 8.0 g/dL * Bilirubin ≤ 1.5 mg/dL (unless Gilbert's disease is present) * AST and ALT ≤ 2.5 times upper limit of normal (ULN) (5 times ULN if liver function abnormalities are due to underlying malignancy) * Creatinine ≤ 2.0 mg/dL * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception * None of the following within the past 6 months: * Myocardial infarction * Severe or unstable angina * Coronary or peripheral artery bypass graft * Symptomatic congestive heart failure * Cerebrovascular accident or transient ischemic attack * Pulmonary embolism * No ongoing cardiac dysrhythmias ≥ grade 2 * No prolonged QTc interval on baseline ECG * No uncontrolled hypertension, defined as blood pressure \> 150/100 mm Hg despite optimal medical therapy * No preexisting thyroid abnormality (i.e., thyroid function tests that cannot be maintained in the normal range with medication) * No known HIV- or AIDS-related illness or other active infection PRIOR CONCURRENT THERAPY: * See Disease Characteristics * At least 4 weeks since prior radiotherapy or chemotherapy * At least 4 weeks since prior major surgery * No other concurrent investigational drugs * No concurrent participation in another clinical trial (supportive care trials or non-treatment trials \[e.g., quality of life\] allowed) * No concurrent therapeutic doses of warfarin (low-dose warfarin ≤ 2 mg once daily for thromboembolic prophylaxis allowed)
healthy Volunteers
false
maximum Age
120 Years
minimum Age
18 Years
sex
ALL
std Ages
  1. ADULT
  2. OLDER_ADULT
Treatment arms and interventions
arm Groups
  1. description
    This is a phase II trial of Sunitinib in patients with metastatic urothelial carcinoma. Sunitinib will be administered at a dose of 50 mg orally once daily for four consecutive weeks followed by a two-week rest period for the initial population. A second cohort of patients will be enrolled, who will receive 37.5 mg of sunitinib orally, on a continuous dosing schedule. Intra-patient dose reduction may be required depending on the type and severity of individual toxicity encountered. Re-staging imaging studies will be performed after every cycle of treatment during the first 4 cycles and subsequently after every other cycle. Patients may continue on study as long as they are tolerating therapy and in the absence of disease progression.
    intervention Names
    1. Drug: sunitinib malate
    label
    Sunitinib
    type
    EXPERIMENTAL
interventions
  1. arm Group Labels
    1. Sunitinib
    name
    sunitinib malate
    type
    DRUG
Study design
allocation
NA
intervention Model
SINGLE_GROUP
masking Info
masking
NONE
primary Purpose
TREATMENT
Enrollment
count
78
type
ACTUAL
Registered outcome plans (not posted results)
primary Outcomes
  1. description
    Response rate as measured by RECIST criteria. The best overall response is the best response recorded from the start of the treatment until disease progression/recurrence (taking as reference for PD the smallest measurements recorded since the treatment started). In general, the patient's best response assignment will depend on the achievement of both measurement and confirmation criteria
    measure
    Overall Objective Response
    time Frame
    2 years
Full study description
brief Summary
RATIONALE: Sunitinib may stop the growth of tumor cells by blocking some of the enzymes needed for their growth and by blocking blood flow to the tumor. PURPOSE: This phase II trial is studying how well sunitinib works in treating patients with progressive metastatic transitional cell cancer of the urothelium.
detailed Description
OBJECTIVES: Primary * Determine the response rate in patients with progressive metastatic transitional cell carcinoma of the urothelium treated with sunitinib malate. * Determine the safety of this regimen in these patients. Secondary * Determine the time to disease progression in patients treated with this regimen. * To determine time to tumor progression (TTP) for sunitinib malate on a continuous dosing schedule for treatment of metastatic urothelial carcinoma. * To estimate sunitinib and SU012662 trough plasma concentration (Ctrough) data for the continuous daily schedule and to determine potential association with efficacy and safety.
Source references
Source notices and limitations
    Discovery and provenance
    1. release id
      ctgov-registry-1336d216cbd1bbff780dac70
      edge id
      nct-edge-d5610a70c0d7bd0ef080
      requested nct id
      NCT00397488
      primary nct id
      NCT00397488
      source kind
      ctgov_condition_query
      source record id
      Source null
      source file sha256
      308f79635904744c3081b7bece1bbf864685110f5917c0840a211e0e58d7fefc
      payload sha256
      c707750434bd869c76e17bda43cb2e5cd96c6a9b01934ad636e73e25a9c10f44
      payload
      clinical indication matching status
      condition_index_match_asserted_by_registry_not_reviewed
      end exclusive
      true
      id
      nct-edge-d5610a70c0d7bd0ef080
      link basis
      returned_by_explicit_condition_and_posted_results_filter_query
      nct id
      NCT00397488
      occurrences
      1. context exact
        NCT00397488
        end
        11
        exact text
        NCT00397488
        start
        0
      offset unit
      unicode_code_points
      query cond
      Urethral Cancer
      query disease state id
      ds-urethral-cancer
      source file
      /Users/arunverma/Documents/ChatGPT/Cancer Statistics Website/research-data/2026-09-10/clinicaltrials-condition/round-0000/raw/cond-urethral-cancer-000.json
      source file sha256
      308f79635904744c3081b7bece1bbf864685110f5917c0840a211e0e58d7fefc
      source json pointer
      /studies/25/protocolSection/identificationModule/nctId
      source kind
      ctgov_condition_query
      source record id
      Source null
      source string basis
      parsed_JSON_string_unmodified
      source string sha256
      ceb7db1cc26f194c97e748b86241482097d374b17474557833b12258ecadd740

    Preserved source evidence · Not medical advice