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NCT02811861 · OUTCOME

Progression-free Survival (PFS) by Independent Imaging Review (IIR)

Lenvatinib/Everolimus or Lenvatinib/Pembrolizumab Versus Sunitinib Alone as Treatment of Advanced Renal Cell Carcinoma · Source last updated 2026-02-23

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

Measure
MEDIAN
Unit
months
Interval / dispersion
95% Confidence Interval
Time frame
From the date of randomization to the date of the first documentation of PD or date of death, whichever occurred first or up to data cutoff date 28 Aug 2020 (up to approximately 46 months)

What was measured

PFS assessed by IIR was defined as the time from the date of randomization to the date of the first documentation of progressive disease (PD) or death (whichever occurred first) using Response Evaluation Criteria in Solid Tumors (RECIST 1.1). PD was defined as at least a 20 percent (%) increase or 5 millimeter (mm) increase in the sum of diameters of target lesions (taking as reference the smallest sum on study) recorded since the treatment started or the appearance of 1 or more new lesions. PFS was analyzed using Kaplan-Meier method.

Analysis population: The FAS included all randomized participants regardless of the treatment actually received.

Groups in this outcome

Lenvatinib 18 mg Plus Everolimus 5 mg

Participants received lenvatinib 18 milligrams (mg) administered orally, once daily in each 21-day cycle, plus everolimus 5 mg administered orally, once daily in each 21-day cycle until participant had disease progression, development of unacceptable toxicity, participant request, withdrawal of consent.

Lenvatinib 20 mg Plus Pembrolizumab 200 mg

Participants received lenvatinib 20 mg administered orally, once daily in each 21-day cycle, plus pembrolizumab 200 mg administered intravenously, every 3 weeks in each 21-day cycle until participant had disease progression, development of unacceptable toxicity, participant request, withdrawal of consent, completion of 35 treatments (approximately 2 years) with pembrolizumab, or sponsor termination of the study.

Sunitinib 50 mg

Participants received sunitinib 50 mg administered orally, once daily, on a schedule of 4 weeks on treatment followed by 2 weeks off treatment until participant had disease progression, development of unacceptable toxicity, participant request, withdrawal of consent.

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

Analysis denominator · Participants

GroupSource count
Lenvatinib 18 mg Plus Everolimus 5 mg357
Lenvatinib 20 mg Plus Pembrolizumab 200 mg355
Sunitinib 50 mg357

Reported measurements

Source class 1
Values in months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Lenvatinib 18 mg Plus Everolimus 5 mg14.7Not reported11.116.7Not reported
Lenvatinib 20 mg Plus Pembrolizumab 200 mg23.9Not reported20.827.7Not reported
Sunitinib 50 mg9.2Not reported6.011.0Not reported

Source statistical analyses

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

  1. ci Lower Limit
    0.53
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.80
    group Ids
    1. OG000
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    <0.0001
    param Type
    Stratified Hazard Ratio
    param Value
    0.65
    statistical Comment
    Hazard ratio is based on a Cox Proportional Hazards Model including treatment group as a factor.
    statistical Method
    Stratified Log-rank Test
  2. ci Lower Limit
    0.32
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.49
    group Ids
    1. OG001
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    <0.0001
    param Type
    Stratified Hazard Ratio
    param Value
    0.39
    statistical Comment
    Hazard ratio is based on a Cox Proportional Hazards Model including treatment group as a factor.
    statistical Method
    Stratified Log-rank Test
Complete source fields
analyses
  1. ci Lower Limit
    0.53
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.80
    group Ids
    1. OG000
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    <0.0001
    param Type
    Stratified Hazard Ratio
    param Value
    0.65
    statistical Comment
    Hazard ratio is based on a Cox Proportional Hazards Model including treatment group as a factor.
    statistical Method
    Stratified Log-rank Test
  2. ci Lower Limit
    0.32
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.49
    group Ids
    1. OG001
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    <0.0001
    param Type
    Stratified Hazard Ratio
    param Value
    0.39
    statistical Comment
    Hazard ratio is based on a Cox Proportional Hazards Model including treatment group as a factor.
    statistical Method
    Stratified Log-rank Test
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        11.1
        upper Limit
        16.7
        value
        14.7
      2. group Id
        OG001
        lower Limit
        20.8
        upper Limit
        27.7
        value
        23.9
      3. group Id
        OG002
        lower Limit
        6.0
        upper Limit
        11.0
        value
        9.2
denoms
  1. counts
    1. group Id
      OG000
      value
      357
    2. group Id
      OG001
      value
      355
    3. group Id
      OG002
      value
      357
    units
    Participants
description
PFS assessed by IIR was defined as the time from the date of randomization to the date of the first documentation of progressive disease (PD) or death (whichever occurred first) using Response Evaluation Criteria in Solid Tumors (RECIST 1.1). PD was defined as at least a 20 percent (%) increase or 5 millimeter (mm) increase in the sum of diameters of target lesions (taking as reference the smallest sum on study) recorded since the treatment started or the appearance of 1 or more new lesions. PFS was analyzed using Kaplan-Meier method.
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants received lenvatinib 18 milligrams (mg) administered orally, once daily in each 21-day cycle, plus everolimus 5 mg administered orally, once daily in each 21-day cycle until participant had disease progression, development of unacceptable toxicity, participant request, withdrawal of consent.
    id
    OG000
    title
    Lenvatinib 18 mg Plus Everolimus 5 mg
  2. description
    Participants received lenvatinib 20 mg administered orally, once daily in each 21-day cycle, plus pembrolizumab 200 mg administered intravenously, every 3 weeks in each 21-day cycle until participant had disease progression, development of unacceptable toxicity, participant request, withdrawal of consent, completion of 35 treatments (approximately 2 years) with pembrolizumab, or sponsor termination of the study.
    id
    OG001
    title
    Lenvatinib 20 mg Plus Pembrolizumab 200 mg
  3. description
    Participants received sunitinib 50 mg administered orally, once daily, on a schedule of 4 weeks on treatment followed by 2 weeks off treatment until participant had disease progression, development of unacceptable toxicity, participant request, withdrawal of consent.
    id
    OG002
    title
    Sunitinib 50 mg
param Type
MEDIAN
population Description
The FAS included all randomized participants regardless of the treatment actually received.
reporting Status
POSTED
time Frame
From the date of randomization to the date of the first documentation of PD or date of death, whichever occurred first or up to data cutoff date 28 Aug 2020 (up to approximately 46 months)
title
Progression-free Survival (PFS) by Independent Imaging Review (IIR)
type
PRIMARY
unit Of Measure
months

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