Summary of design of single-agent studies from which data were analyzed
Design (study number) | Population (n) | Dosing schedule* | Study day for full PK sampling | Full PK sampling time points post-dose (h) | ||||
---|---|---|---|---|---|---|---|---|
Single-dose studies | ||||||||
R, DB, PC (001) | Healthy volunteers (6) | 50 mg† | 1 | Pre-dose (0), 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 9, 10, 11, 12, 16, 24, 30, 36, 48 | ||||
R, OL, three-way CO of sunitinib free base, l-malate salt, and the effect of food (004) | Healthy volunteers (15) | 50 mg‡ | 1 | 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 9, 10, 11, 12, 16, 24, 30, 36, 48, 72, 216 | ||||
3 single doses (free base fasted; l-malate salt fasted; l-malate salt fed) | ||||||||
R, OL, two-way CO study with/without concomitant ketoconazole (009) | Healthy volunteers (27) | 10 mg§ | 1 | 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16, 24, 30, 36, 48, 72, 120, 168, 216, 312, 408, 504 | ||||
Ketoconazole: 400 mg p.o. qd ×7 d | ||||||||
OL, CO study with/without concomitant rifampin (1001) | Healthy volunteers (25) | 50 mg | 1 | 0, 2, 4, 7, 8, 9, 12, 16, 24, 36, 48, 72, 144, 240, 288, 336, 408 | ||||
Rifampin: 400 mg p.o. qd ×7 d | ||||||||
OL, dose escalation (006) | AML (29) | 50-350 mg‡ | 1 | 0, 4, 6, 8, 10, 12, 24, 48 | ||||
Multiple-dose studies | ||||||||
OL, single-arm, NR, dose-escalating study of three treatment schedules (013) | GIST (68, of which 18 with full PK) | 25, 50 or 75 mg qd (2/2, 4/2 or 2/1) | Schedule 2/2∥ | |||||
Cycle 1: 1, 14 | 0, 1, 4, 6, 8, 10, 12, 24, 48 | |||||||
Cycle 2: 14 | ||||||||
Schedule 4/2∥ | ||||||||
Cycle 1: 1 and 28 | As above | |||||||
Cycle 2: 28 | ||||||||
Schedule 2/1∥ | ||||||||
Cycle 1: 1, 14 | As above | |||||||
Cycle 2: 14 | ||||||||
DB, PC, R (1004) | GIST (154) | 50 mg qd (4/2) | Schedule 4/2 | |||||
Cycle 1: 1, 14, 28 | Trough sampling only | |||||||
Additional cycles: 1, 28 | ||||||||
OL, NR (1045) | GIST (12) | 25, 50, 75 mg qd (4/2) | Schedule 4/2∥ | |||||
Cycle 1: 1 | 0, 1, 2, 4, 6, 8, 10 | |||||||
Cycle 1: 2, 7, 14, 21 | 0 | |||||||
Cycle 1: 28 | 0, 1, 2, 4, 6, 8, 10, 24, 48 | |||||||
OL, NR (014) | mRCC (56) | 50 mg qd (4/2) | Schedule 4/2 | |||||
Cycles 1-4: 1, 14, 28 | Trough sampling only | |||||||
Additional cycles: 1 | ||||||||
OL, NR (1006) | mRCC (92) | 50 mg qd (4/2) | Schedule 4/2 | |||||
Cycle 1: 1, 14, 28Cycles 2-4: 1, 28 | Trough sampling only | |||||||
Additional cycles: 1 | ||||||||
OL, NR, dose escalation (002) | Solid tumor (27) | 25, 50, 75 or 100 mg‡ qd or qod (4/2) | Schedule 4/2∥ | |||||
Cycle 1: 1 and 27 or 28 | 0, 1, 2, 3, 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 8, 10, 12, 14, 16, 24 | |||||||
OL, NR, dose escalation (005) | Solid tumor (41) | 50, 75 mg‡ qd or qod (2/2 or 4/2) | Schedule 2/2∥ | |||||
Cycle 1: 1 and 13 or 14 | 0, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 20, 24, 48 | |||||||
Cycles 2 and 3: 13 or 14 | ||||||||
Schedule 4/2∥ | ||||||||
Cycle 1: 1 and 28 | As above | |||||||
Cycles 2 and 3: 28 | ||||||||
Schedule 4/2∥ | ||||||||
Cycle 1: 14 | 0, 4, 6, 8, 10, 12, 24 | |||||||
OL, NR (016) | Solid tumor (12) | 50 mg qd (2/1) | Schedule 2/1∥ | |||||
Cycle 1: 1 and 14 | 0, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 20, 24 | |||||||
Cycle 2: 14 | ||||||||
Cycle 3: 14 | ||||||||
OL, dose escalation (018) | Solid tumor (26) | 50-175 mg loading dose on day 1; 50 mg qd (2/1) | Schedule 2/1∥ | |||||
Cycle 1: 1 | 0, 4, 6, 8, 10, 12, 24 | |||||||
Cycle 2: 1 and 14 | ||||||||
Cycle 3: 14 (for >50 mg) | ||||||||
Cycle 1: 14 | 0, 4, 6, 8, 10, 12, 24, 72, 120 |
Abbreviations: CO, crossover; DB, double-blind; MD, multiple dose; mRCC, metastatic renal cell carcinoma; GIST, gastrointestinal stromal tumor; n, number of subjects evaluable for PK; NR, nonrandomized; OL, open-label; PC, placebo-controlled; p.o., oral; PK, pharmacokinetics; qd, everyday; qod, every other day; R, randomized; SD, single dose.
↵* Information provided: dose of sunitinib (in all studies sunitinib was administered in the form of l-malate salt capsules unless stated); frequency of dosing and dosing schedule (weeks on treatment/weeks off treatment).
↵† Free base powder in bottle.
↵‡ Free base and l-malate salt capsule.
↵§ l-Malate salt powder in bottle.
↵∥ Trough PK sampling was also done.