Randomized Phase II Study Investigating Pazopanib Versus Weekly Paclitaxel in Relapsed or Progressive Urothelial Cancer.
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Embargo End Date
ICR Authors
Authors
Jones, RJ
Hussain, SA
Protheroe, AS
Birtle, A
Chakraborti, P
Huddart, RA
Jagdev, S
Bahl, A
Stockdale, A
Sundar, S
Crabb, SJ
Dixon-Hughes, J
Alexander, L
Morris, A
Kelly, C
Stobo, J
Paul, J
Powles, T
Hussain, SA
Protheroe, AS
Birtle, A
Chakraborti, P
Huddart, RA
Jagdev, S
Bahl, A
Stockdale, A
Sundar, S
Crabb, SJ
Dixon-Hughes, J
Alexander, L
Morris, A
Kelly, C
Stobo, J
Paul, J
Powles, T
Document Type
Journal Article
Date
2017-06-01
Date Accepted
2017-04-12
Abstract
Purpose Two previous single-arm trials have drawn conflicting conclusions regarding the activity of pazopanib in urothelial cancers after failure of platinum-based chemotherapy. Patients and Methods This randomized (1:1) open-label phase II trial compared the efficacy of pazopanib 800 mg orally with paclitaxel (80 mg/m2 days 1, 8, and 15 every 28 days) in the second-line setting. The primary end point was overall survival (OS). Results Between August 2012 and October 2014, 131 patients, out of 140 planned, were randomly assigned. The study was terminated early on the recommendation of the independent data monitoring committee because of futility. Final analysis after the preplanned number of deaths (n = 110) occurred after a median follow-up of 18 months. One hundred fifteen deaths had occurred at the final data extract presented here. Median OS was 8.0 months for paclitaxel (80% CI, 6.9 to 9.7 months) and 4.7 months for pazopanib (80% CI, 4.2 to 6.4 months). The hazard ratio (HR) adjusted for baseline stratification factors was 1.28 (80% CI, 0.99 to 1.67; one-sided P = .89). Median progression-free survival was 4.1 months for paclitaxel (80% CI, 3.0 to 5.6 months) and 3.1 months for pazopanib (80% CI, 2.7 to 4.6 months; HR, 1.09; 80% CI, 0.85 to 1.40; one-sided P = .67). Discontinuations for toxicity occurred in 7.8% and 23.1% for paclitaxel and pazopanib, respectively. Conclusion Pazopanib did not have greater efficacy than paclitaxel in the second-line treatment of urothelial cancers. There was a trend toward superior OS for paclitaxel.
Citation
Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2017, 35 (16), pp. 1770 - 1777
Source Title
Publisher
AMER SOC CLINICAL ONCOLOGY
ISSN
0732-183X
eISSN
1527-7755
Collections
Research Team
Clinical Academic Radiotherapy (Huddart)