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Study cancelled: Withdrawn before enrollment of any participants
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Pazopanib monotherapy is approved by the Food and Drug Administration (FDA), European Medicines Agency, and other regulatory authorities worldwide for the treatment of patients with advanced renal cell carcinoma and patients with advanced soft tissue sarcoma (STS) who received prior chemotherapy. Based on the improved progression-free survival and sustained responses observed in a pivotal Phase 3, randomized, placebo-controlled study, it is hypothesized that pazopanib may have a role in a maintenance setting for STS in maintaining the initial response to chemotherapy and delaying the need for further treatment at relapse and its associated toxicity and impact on health-related quality-of-life. This Phase 2, randomized, double-blind, placebo-controlled study will evaluate maintenance therapy with pazopanib versus placebo in subjects with advanced or metastatic STS who have not progressed after 4 to 6 cycles of first-line anthracycline-based chemotherapy. Approximately 188 eligible subjects will be randomized in a 1:1 ratio to treatment with pazopanib 800 milligrams (mg) daily or placebo. Study completion will be the point at which 70% of randomized subjects have died. Once a subject has objective evidence of disease progression, the subject will be managed as per standard practice by their physician. Subjects will continue to be followed for second progression, health related quality of life, survival until study completion, withdrawal of consent, or early termination of the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pazopanib | Experimental | Subjects will receive pazopanib 800 mg once daily during each 28-day treatment period until disease progression, unacceptable adverse event (AE)/serious adverse event (SAE), death or withdrawal of consent |
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| Placebo | Placebo Comparator | Subjects will receive placebo once daily during each 28-day treatment period until disease progression, unacceptable AE/SAE, death or withdrawal of consent |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pazopanib 800 mg | Drug | Aqueous film-coated, oval-shaped, white tablets containing either 200 mg or 400 mg pazopanib |
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| Measure | Description | Time Frame |
|---|---|---|
| Progression-free survival (PFS) | PFS is defined as time from randomization to development of disease progression or death due to any cause. Disease progression will be evaluated based on investigators' radiologic assessments by Response Evaluation Criteria in Solid Tumors [RECIST] version 1.1 | At Day 57 and every 8 weeks thereafter until disease progression or death (assessed up to 2 years) |
| Measure | Description | Time Frame |
|---|---|---|
| Overall survival (OS) | OS is defined as time from randomization to death due to any cause. | At Day 57, then every 8 weeks until disease progression, and every 3 months thereafter until death (assessed up to 2 years) |
| Disease control rate (DCR) |
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Inclusion Criteria:
Note: Subjects must have no evidence of radiological progression as confirmed by Computed Tomography (CT)/ Magnetic Resonance Imaging (MRI) within 4 weeks before randomization and no signs of clinical progression before randomization.
Note: Female subjects who are lactating must discontinue nursing before the first dose of study treatment and refrain from nursing from the first dose until 14 days following the last dose of study treatment.
Exclusion Criteria:
Note: Lesions infiltrating major pulmonary vessels (contiguous tumor and vessels) are excluded; however, the presence of a tumor that is touching but not infiltrating (abutting) the vessel is acceptable (CT with contrast is strongly recommended to evaluate such lesions).
Presence of hepatitis B surface antigen (HBsAg), positive hepatitis C antibody test result at screening or within 3 months before the first dose of study treatment. Exception: subject can be enrolled if hepatitis C Ribonucleic acid (RNA) is negative.
Presence of another active liver or biliary disease. Exceptions: subject can be enrolled in case of Gilbert's syndrome or asymptomatic gallstones, liver metastases or otherwise stable chronic liver disease per investigator assessment.
Note: Stable chronic liver disease should generally be defined by the absence of ascites, encephalopathy, coagulopathy, hypoalbuminaemia, oesophageal or gastric varices, persistent jaundice, or cirrhosis.
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| Name | Affiliation | Role |
|---|---|---|
| GSK Clinical Trials | GlaxoSmithKline | Study Director |
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| ID | Term |
|---|---|
| D012509 | Sarcoma |
| ID | Term |
|---|---|
| D018204 | Neoplasms, Connective and Soft Tissue |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| C516667 | pazopanib |
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| Placebo | Drug | Tablets matching the 200 mg and 400 mg pazopanib tablets |
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DCR is defined as percentage of complete response + partial response + stable disease at 4 months after randomization based on RECIST version 1.1.
| At 4 months after randomization |
| Safety and tolerability as assessed by physical examination findings | A brief physical examination will include height (baseline only), body weight and evaluation of the subject's medical conditions | From Day 1 up to end of treatment (assessed up to 2 years) |
| Safety and tolerability as assessed by temperature measurement | From Day 1 up to end of treatment (assessed up to 2 years) |
| Safety and tolerability as assessed by systolic and diastolic blood pressure measurement | From Day 1 up to end of treatment (assessed up to 2 years) |
| Safety and tolerability as assessed by pulse rate measurement | From Day 1 up to end of treatment (assessed up to 2 years) |
| Safety and tolerability as assessed by composite of clinical laboratory tests | Clinical laboratory tests will include chemistry and hematology parameters | From Day 1 up to end of treatment (assessed up to 2 years) |
| Safety and tolerability as assessed by cardiac assessments | Cardiac assessments will include twelve-lead electrocardiogram (ECG), echocardiogram (ECHO) or multigated angiogram (MUGA) assessments | From Day 1 up to end of treatment (assessed up to 2 years) |
| Safety and tolerability as assessed by number of subjects with adverse event | From Day 1 up to end of treatment (assessed up to 2 years) |
| Time to worsening of dyspnea or pain scores as measured by the MD Anderson Symptom Inventory (MDASI) questionnaire | The MDASI is a 19-item general cancer questionnaire asking subjects to rate symptoms at their worst on a scale of 0-10, including pain and shortness of breath as items. Time to symptom deterioration is defined as worsening in tumour pain score or dyspnea score of 2 points or more from baseline, confirmed by at least one additional weekly measure within a four week period. | Weekly from baseline up to week 48 |