Pazopanib in Renal Cell Carcinoma after checkpoint inhibitor treatment

  • Research type

    Research Study

  • Full title

    A prospective international multicenter phase II study to evaluate the efficacy, safety and quality of life of oral daily pazopanib in patients with advanced and/or metastatic renal cell carcinoma after previous therapy with checkpoint inhibitor treatment

  • IRAS ID

    227228

  • Contact name

    Thomas Powles

  • Contact email

    Thomas.Powles@bartshealth.nhs.uk

  • Sponsor organisation

    Novartis Pharma AG

  • Eudract number

    2017-000708-10

  • Duration of Study in the UK

    3 years, 11 months, 30 days

  • Research summary

    Summary of Research
    This study will test the safety and effects of pazopanib (Votrient®) on advanced and/or metastatic renal cell carcinoma, a kidney cancer that has spread to other organs of the body, after adult patients have had a type of cancer medication called a ‘checkpoint inhibitor’ and need to change to a new medication. Pazopanib interferes with the growth and spread of cancer cells in the body and is approved in the UK for advanced kidney cancer. Over 5900 people have received pazopanib in clinical trials and many more as a routine treatment for their cancer. The study will take place in hospital outpatient clinics. Pazopanib tablets are taken once a day until the study ends: 2 years after the last patient starts. Hospital visits will be four times in the first two months, monthly until Month 7 then every 8-12 weeks. Most visits include: blood and urine samples, general health check and quality of life questionnaires and heart imaging tests, and a CT or MRI scan to measure the cancer. Optionally, new tumour samples will be collected three times during the study.

    Summary of Results
    Overall, at around 38 months after receiving pazopanib, the median length of time that participants lived after receiving treatment without their cancer getting worse was 6.8 months.
    Looking at the median results, researchers found that the participants who took pazopanib as a second-line treatment lived longer without their cancer getting worse (PFS) than the participants who took pazopanib as a third-line treatment.
    The proportion (percentage) of participants who took pazopanib as second-line treatment and experienced worsening of cancer or died was lower than those who took pazopanib as third-line treatment. The participants who took pazopanib as a second-line treatment were also more likely to show no worsening of cancer at 1 year than those who took pazopanib as a third-line treatment.

  • REC name

    South Central - Hampshire B Research Ethics Committee

  • REC reference

    17/SC/0452

  • Date of REC Opinion

    3 Oct 2017

  • REC opinion

    Further Information Favourable Opinion