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Axitinib For The Treatment Of Advanced Hepatocellular Carcinoma

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT01210495
Recruitment Status : Completed
First Posted : September 28, 2010
Results First Posted : May 27, 2015
Last Update Posted : January 9, 2019
Sponsor:
Information provided by (Responsible Party):
Pfizer

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: Double (Participant, Investigator);   Primary Purpose: Treatment
Condition Hepatocellular Carcinoma
Interventions Drug: Axitinib (AG-013736)
Other: Best Supportive Care
Drug: Placebo
Enrollment 224
Recruitment Details Total 224 participants were enrolled in the study. Randomized portion enrolled 202 participants in 2 arms (134 in axitinib, 68 in placebo) in 70 centers (13 countries). Non-randomized portion enrolled 22 participants in 2 cohorts (15 in Child-Pugh Class A, 7 in Child-Pugh Class B score 7) according to Child-Pugh score in 13 centers (4 countries).
Pre-assignment Details Participants with Child-Pugh Class A (score 5 or 6) could have been enrolled into either non-randomized or to randomized portion. Participants with Child-Pugh Class B (score 7) were initially enrolled into non-randomized portion but following determination of recommended axitinib starting dose they could have been enrolled in randomized portion.
Arm/Group Title Child-Pugh Class A Child-Pugh Class B Axitinib Placebo
Hide Arm/Group Description Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the non-randomized portion at selected sites only at a starting axitinib dose of 5 milligrams (mg) twice daily (BID). Participants with Child-Pugh Class B disease (score 7) at selected sites were initially enrolled only into the non-randomized portion of this study to determine the recommended starting dose of axitinib for this population. The initial starting dose for this group was 2 mg BID. Participants in this group received axitinib + best supportive care. Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the randomized portion at a starting axitinib dose of 5 mg BID orally. Participants with Child-Pugh Class B disease (score 7) were to begin enrollment into the randomized portion of the study following determination of the recommended axitinib starting dose in the non-randomized portion. Study treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). Participants in this group received placebo + best supportive care. Treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). The starting dose of placebo for participants with Child Pugh Class A disease (score 5 or 6) was chosen as 5 mg BID. Participants with Child-Pugh Class B, score 7 received placebo that was determined from the non-randomized portion of the study until the recommended starting dose was determined, participants with Child-Pugh Class B, score 7, were not permitted to enter the randomized portion of the study.
Period Title: Overall Study
Started 15 7 134 68
Completed 0 0 0 0
Not Completed 15 7 134 68
Reason Not Completed
Participant Refused Further Follow-Up             1             0             11             2
Death             14             7             112             54
Study Terminated by Sponsor             0             0             4             11
Lost to Follow-up             0             0             1             1
Other unspecified             0             0             6             0
Arm/Group Title Child-Pugh Class A Child-Pugh Class B Axitinib Placebo Total
Hide Arm/Group Description Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the non-randomized portion at selected sites only at a starting axitinib dose of 5 mg BID. Participants with Child-Pugh Class B disease (score 7) at selected sites were initially enrolled only into the non-randomized portion of this study to determine the recommended starting dose of axitinib for this population. The initial starting dose for this group was 2 mg BID. Participants in this group received axitinib + best supportive care. Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the randomized portion at a starting axitinib dose of 5 mg BID orally. Participants with Child-Pugh Class B disease (score 7) were to begin enrollment into the randomized portion of the study following determination of the recommended axitinib starting dose in the non randomized portion. Study treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). Participants in this group received placebo + best supportive care. Treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). The starting dose of placebo for participants with Child Pugh Class A disease (score 5 or 6) was chosen as 5 mg BID. Participants with Child-Pugh Class B, score 7 received placebo that was determined from the non-randomized portion of the study until the recommended starting dose was determined, participants with Child Pugh Class B, score 7, were not permitted to enter the randomized portion of the study. Total of all reporting groups
Overall Number of Baseline Participants 15 7 134 68 224
Hide Baseline Analysis Population Description
Full analysis set (FAS) included all randomized participants, and participants were classified according to the randomized treatment arm regardless of what treatment, if any, was received.
Age, Customized  
Measure Type: Number
Unit of measure:  Participants
Number Analyzed 15 participants 7 participants 134 participants 68 participants 224 participants
<18 years 0 0 0 0 0
18-44 years 4 0 7 4 15
45-64 years 5 5 74 32 116
>=65 years 6 2 53 32 93
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 15 participants 7 participants 134 participants 68 participants 224 participants
Female
3
  20.0%
2
  28.6%
24
  17.9%
12
  17.6%
41
  18.3%
Male
12
  80.0%
5
  71.4%
110
  82.1%
56
  82.4%
183
  81.7%
1.Primary Outcome
Title Overall Survival (OS) - Stratified Analysis, Randomized Portion
Hide Description OS was defined as the time from the date of randomization to the date of death due to any cause. OS (in months) was calculated as (date of death - first randomization date +1)/30.4. For participants still alive at the time of the analysis, the OS time was censored on the last date they were known to be alive. All participants were followed up for survival at least every 3 months after discontinuing study treatment until at least two years after randomization of the last participant.
Time Frame From randomization until at least two years after the last participant has been randomized (up to 6 years)
Hide Outcome Measure Data
Hide Analysis Population Description
FAS included all randomized participants, and participants were classified according to the randomized treatment arm regardless of what treatment, if any, was received.
Arm/Group Title Axitinib Placebo
Hide Arm/Group Description:
Participants in this group received axitinib + best supportive care. Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the randomized portion at a starting axitinib dose of 5 mg BID orally. Participants with Child-Pugh Class B disease (score 7) were to begin enrollment into the randomized portion of the study following determination of the recommended axitinib starting dose in the non randomized portion. Study treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles).
Participants in this group received placebo + best supportive care. Treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). The starting dose of placebo for participants with Child Pugh Class A disease (score 5 or 6) was chosen as 5 mg BID. Participants with Child-Pugh Class B, score 7 received placebo that was determined from the non-randomized portion of the study until the recommended starting dose was determined, participants with Child Pugh Class B, score 7, were not permitted to enter the randomized portion of the study.
Overall Number of Participants Analyzed 134 68
Median (95% Confidence Interval)
Unit of Measure: months
12.7
(10.2 to 14.9)
9.7
(5.9 to 11.8)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Axitinib, Placebo
Comments The study was designed to test the null hypothesis that the true median OS was 5 months vs. the alternative hypothesis that the true median OS was at least 8.3 months (i.e., 66 percent [%] improvement in median OS).
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.2872
Comments For the overall stratified analysis the p-value is from a 1-sided log-rank test of treatment stratified by tumor invasion and geographic region.
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.907
Confidence Interval (2-Sided) 95%
0.646 to 1.274
Estimation Comments Assuming proportional hazards, a hazard ratio less than (<) 1 indicated reduction in hazard rate to favor Axitinib; hazard ratio greater than (>) 1 indicated reduction to favor Placebo.
2.Secondary Outcome
Title Progression-Free Survival (PFS) - Stratified Analysis, Randomized Portion
Hide Description PFS was defined as time from randomization to first documented objective tumor progression or to death due to any cause, whichever occurred first. PFS (in months) was calculated as (first event date - first randomization date +1)/30.4. Tumor progression was determined from oncologic assessment data (where data meet the criteria for progressive disease [PD]), or from adverse event (AE) data (where the outcome was death). As per response evaluation criteria in solid tumors (RECIST) 1.1, progression was defined as greater than or equal to (>=) 20% increase in sum of longest dimensions of target lesions or appearance of one or more new target lesions and unequivocal progression of existing non-target lesions, or appearance of 1 new non-target lesions. Participants discontinuing study treatment without documented evidence of PD were to be followed up at least every 8 weeks after discontinuing study treatment until disease progression, or initiation of another anticancer treatment.
Time Frame Every 8 weeks until disease progression/death or start of new treatment or until at least two years after the last participant has been randomized, whatever occurs first
Hide Outcome Measure Data
Hide Analysis Population Description
FAS included all randomized participants, and participants were classified according to the randomized treatment arm regardless of what treatment, if any, was received.
Arm/Group Title Axitinib Placebo
Hide Arm/Group Description:
Participants in this group received axitinib + best supportive care. Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the randomized portion at a starting axitinib dose of 5 mg BID orally. Participants with Child-Pugh Class B disease (score 7) were to begin enrollment into the randomized portion of the study following determination of the recommended axitinib starting dose in the non randomized portion. Study treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles).
Participants in this group received placebo + best supportive care. Treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). The starting dose of placebo for participants with Child Pugh Class A disease (score 5 or 6) was chosen as 5 mg BID. Participants with Child-Pugh Class B, score 7 received placebo that was determined from the non-randomized portion of the study until the recommended starting dose was determined, participants with Child Pugh Class B, score 7, were not permitted to enter the randomized portion of the study.
Overall Number of Participants Analyzed 134 68
Median (95% Confidence Interval)
Unit of Measure: months
3.6
(2.3 to 4.6)
1.9
(1.9 to 3.5)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Axitinib, Placebo
Comments [Not Specified]
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0039
Comments For the overall stratified analysis the p-value is from a 1-sided log-rank test of treatment stratified by tumor invasion and geographic region.
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.618
Confidence Interval (2-Sided) 95%
0.438 to 0.871
Estimation Comments Assuming proportional hazards, a hazard ratio <1 indicated a reduction in hazard rate in favor of Axitinib; a hazard ratio >1 indicated a reduction in favor of Placebo.
3.Secondary Outcome
Title Objective Response Rate (ORR) - Percentage of Participants With Objective Response by Stratified Analysis, Randomized Portion
Hide Description ORR was defined as the percentage of participants with confirmed complete response (CR) or confirmed partial response (PR) according to the RECIST 1.1. CR was defined as the disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must decrease to normal (short axis <10 millimetres [mm]). PR was defined as a 30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions.
Time Frame Every 8 weeks until at least two years after the last participant has been randomized
Hide Outcome Measure Data
Hide Analysis Population Description
FAS included all randomized participants, and participants were classified according to the randomized treatment arm regardless of what treatment, if any, was received.
Arm/Group Title Axitinib Placebo
Hide Arm/Group Description:
Participants in this group received axitinib + best supportive care. Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the randomized portion at a starting axitinib dose of 5 mg BID orally. Participants with Child-Pugh Class B disease (score 7) were to begin enrollment into the randomized portion of the study following determination of the recommended axitinib starting dose in the non randomized portion. Study treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles).
Participants in this group received placebo + best supportive care. Treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). The starting dose of placebo for participants with Child Pugh Class A disease (score 5 or 6) was chosen as 5 mg BID. Participants with Child-Pugh Class B, score 7 received placebo that was determined from the non-randomized portion of the study until the recommended starting dose was determined, participants with Child Pugh Class B, score 7, were not permitted to enter the randomized portion of the study.
Overall Number of Participants Analyzed 134 68
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: percentage of participants
9.7
(5.3 to 16.0)
2.9
(0.4 to 10.2)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Axitinib, Placebo
Comments [Not Specified]
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0914
Comments ORR for the 2 treatment arms was compared with a significance level of 0.025 using Cochran-Mantel-Haenszel (CMH) test for stratified analyses.
Method Cochran-Mantel-Haenszel
Comments [Not Specified]
Method of Estimation Estimation Parameter Risk Ratio (RR)
Estimated Value 3.172
Confidence Interval (2-Sided) 95%
0.759 to 13.265
Estimation Comments Risk ratio and confidence interval (CI) were based on the Mantel-Haenszel estimator; risk ratio was adjusted for geographical region and vascular invasion and extra hepatic spread.
4.Secondary Outcome
Title Time to Tumor Progression (TTP) - Stratified Analysis, Randomized Portion
Hide Description TTP was defined as the time from randomization to first documentation of objective tumor progression. If tumor progression data included more than 1 date, the first date was used. TTP (in months) was calculated as (first event date - first randomization date +1)/30.4.
Time Frame Every 8 weeks until disease progression/death or start of new treatment or until at least two years after the last participant has been randomized, whatever occurs first
Hide Outcome Measure Data
Hide Analysis Population Description
FAS included all randomized participants, and participants were classified according to the randomized treatment arm regardless of what treatment, if any, was received.
Arm/Group Title Axitinib Placebo
Hide Arm/Group Description:
Participants in this group received axitinib + best supportive care. Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the randomized portion at a starting axitinib dose of 5 mg BID orally. Participants with Child-Pugh Class B disease (score 7) were to begin enrollment into the randomized portion of the study following determination of the recommended axitinib starting dose in the non randomized portion. Study treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles).
Participants in this group received placebo + best supportive care. Treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). The starting dose of placebo for participants with Child Pugh Class A disease (score 5 or 6) was chosen as 5 mg BID. Participants with Child-Pugh Class B, score 7 received placebo that was determined from the non-randomized portion of the study until the recommended starting dose was determined, participants with Child Pugh Class B, score 7, were not permitted to enter the randomized portion of the study.
Overall Number of Participants Analyzed 134 68
Median (95% Confidence Interval)
Unit of Measure: months
3.7
(2.8 to 5.6)
1.9
(1.9 to 3.6)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Axitinib, Placebo
Comments [Not Specified]
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.006
Comments For the overall stratified analysis the p-value is from a 1-sided log-rank test of treatment stratified by tumor invasion and geographic region.
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.621
Confidence Interval (2-Sided) 95%
0.434 to 0.889
Estimation Comments Assuming proportional hazards, a hazard ratio <1 indicated a reduction in hazard rate in favor of Axitinib; a hazard ratio >1 indicated a reduction in favor of Placebo.
5.Secondary Outcome
Title Duration of Response (DR) by Unstratified Analysis, Randomized Portion
Hide Description DR was defined as the time from the first documentation of objective tumor response (CR or PR) that was subsequently confirmed to the first documentation of PD or to death due to any cause, whichever occurs first. If tumor progression data included more than 1 date, the first date was to be used. DR (in months) was to be calculated as (the end date for DR - first CR or PR that was subsequently confirmed +1)/30.4.
Time Frame From objective response to date of progression or death
Hide Outcome Measure Data
Hide Analysis Population Description
FAS included all randomized participants, and participants were classified according to the randomized treatment arm regardless of what treatment, if any, was received. DR was calculated for the subgroup of FAS participants with objective response.
Arm/Group Title Axitinib Placebo
Hide Arm/Group Description:
Participants in this group received axitinib + best supportive care. Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the randomized portion at a starting axitinib dose of 5 mg BID orally. Participants with Child-Pugh Class B disease (score 7) were to begin enrollment into the randomized portion of the study following determination of the recommended axitinib starting dose in the non randomized portion. Study treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles).
Participants in this group received placebo + best supportive care. Treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). The starting dose of placebo for participants with Child Pugh Class A disease (score 5 or 6) was chosen as 5 mg BID. Participants with Child-Pugh Class B, score 7 received placebo that was determined from the non-randomized portion of the study until the recommended starting dose was determined, participants with Child Pugh Class B, score 7, were not permitted to enter the randomized portion of the study.
Overall Number of Participants Analyzed 13 2
Median (95% Confidence Interval)
Unit of Measure: months
6.4
(3.7 to 9.3)
NA [1] 
(NA to NA)
[1]
Not reached
6.Secondary Outcome
Title Percentage of Participants With Overall Clinical Benefit Response (CBR) - Stratified Analysis, Randomized Portion
Hide Description CBR was defined as the percentage of participants with confirmed CR or confirmed PR or a best response of stable disease >=8 weeks according to RECIST 1.1 criteria, relative to all randomized participants who had baseline measurable disease. Confirmed responses were defined as those that persisted on repeat imaging study >=4 weeks after the initial documentation of response. Participants who did not have on study radiographic tumor re-evaluation or who died, progressed, or dropped out for any reason prior to reaching a CR, PR, or stable disease were counted as non-responders in the assessment of CBR. A participant who initially met the criteria for a PR and then subsequently became a confirmed CR was to be assigned a best response of CR.
Time Frame From Baseline up to end of treatment
Hide Outcome Measure Data
Hide Analysis Population Description
FAS included all randomized participants, and participants were classified according to the randomized treatment arm regardless of what treatment, if any, was received.
Arm/Group Title Axitinib Placebo
Hide Arm/Group Description:
Participants in this group received axitinib + best supportive care. Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the randomized portion at a starting axitinib dose of 5 mg BID orally. Participants with Child-Pugh Class B disease (score 7) were to begin enrollment into the randomized portion of the study following determination of the recommended axitinib starting dose in the non randomized portion. Study treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles).
Participants in this group received placebo + best supportive care. Treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). The starting dose of placebo for participants with Child Pugh Class A disease (score 5 or 6) was chosen as 5 mg BID. Participants with Child-Pugh Class B, score 7 received placebo that was determined from the non-randomized portion of the study until the recommended starting dose was determined, participants with Child Pugh Class B, score 7, were not permitted to enter the randomized portion of the study.
Overall Number of Participants Analyzed 134 68
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: percentage of participants
31.3
(23.6 to 39.9)
11.8
(5.2 to 21.9)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Axitinib, Placebo
Comments [Not Specified]
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0025
Comments For the overall stratified analysis the p-value is from Cochran-Mantel-Haenszel test of treatment stratified by geographical region and vascular invasion and extra hepatic spread.
Method Cochran-Mantel-Haenszel
Comments [Not Specified]
Method of Estimation Estimation Parameter Risk Ratio (RR)
Estimated Value 2.650
Confidence Interval (2-Sided) 95%
1.319 to 5.326
Estimation Comments Risk Ratio and CI based on the Mantel-Haenszel estimator; risk ratio was adjusted for geographical region and vascular invasion and extra hepatic spread.
7.Secondary Outcome
Title Axitinib Steady-State Pharmacokinetic (PK) Parameter - Maximum Observed Plasma Concentration (Cmax), Non-Randomized Portion
Hide Description Axitinib samples were to be collected from all participants on Cycle 1 Day 15 at the following time points: pre-dose, 1, 2, 3, 4, 6 and 8 hours after axitinib dosing.
Time Frame Cycle 1 Day 15
Hide Outcome Measure Data
Hide Analysis Population Description
The PK concentration set included all participants who were treated and had at least 1 measured concentration on at least 1 day of PK assessment. The PK parameter analysis set included all participants treated who had at least 1 estimated PK parameter of primary interest.
Arm/Group Title Child-Pugh Class A Child-Pugh Class B
Hide Arm/Group Description:
Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the non-randomized portion at selected sites only at a starting axitinib dose of 5 mg BID.
Participants with Child-Pugh Class B disease (score 7) at selected sites were initially enrolled only into the non-randomized portion of this study to determine the recommended starting dose of axitinib for this population. The initial starting dose for this group was 2 mg BID.
Overall Number of Participants Analyzed 12 7
Geometric Mean (95% Confidence Interval)
Unit of Measure: nanograms per milliliter (ng/mL)
35.74
(21.84 to 58.50)
21.16
(11.10 to 40.33)
8.Secondary Outcome
Title Axitinib Steady-State PK Parameter - Area Under the Plasma Concentration Versus Time Curve From 0 to 24 Hour (AUC0-24), Non-Randomized Portion
Hide Description Axitinib samples were to be collected from all participants on Cycle 1 Day 15 at the following time points: pre-dose, 1, 2, 3, 4, 6 and 8 hours after axitinib dosing. In the below table, 4 participants in Child-Pugh A and 1 participant in Child-Pugh B were not reported due to nonestimable half-life.
Time Frame Cycle 1 Day 15
Hide Outcome Measure Data
Hide Analysis Population Description
The PK concentration set included all participants who were treated and had at least 1 measured concentration on at least 1 day of PK assessment. The PK parameter analysis set included all participants treated who had at least 1 estimated PK parameter of primary interest.
Arm/Group Title Child-Pugh Class A Child-Pugh Class B
Hide Arm/Group Description:
Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the non-randomized portion at selected sites only at a starting axitinib dose of 5 mg BID.
Participants with Child-Pugh Class B disease (score 7) at selected sites were initially enrolled only into the non-randomized portion of this study to determine the recommended starting dose of axitinib for this population. The initial starting dose for this group was 2 mg BID.
Overall Number of Participants Analyzed 8 6
Geometric Mean (95% Confidence Interval)
Unit of Measure: nanograms*hour per milliliter (ng*hr/mL)
310.76
(175.02 to 551.75)
316.20
(162.96 to 613.55)
9.Secondary Outcome
Title Axitinib Steady-State Pharmacokinetic Parameter - Time to First Occurrence of Cmax (Tmax), Non-Randomized Portion
Hide Description Axitinib samples were to be collected from all participants on Cycle 1 Day 15 at the following time points: pre-dose, 1, 2, 3, 4, 6 and 8 hours after axitinib dosing.
Time Frame Cycle 1 Day 15
Hide Outcome Measure Data
Hide Analysis Population Description
The PK concentration set included all participants who were treated and had at least 1 measured concentration on at least 1 day of PK assessment. The PK parameter analysis set included all participants treated who had at least 1 estimated PK parameter of primary interest.
Arm/Group Title Child-Pugh Class A Child-Pugh Class B
Hide Arm/Group Description:
Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the non-randomized portion at selected sites only at a starting axitinib dose of 5 mg BID.
Participants with Child-Pugh Class B disease (score 7) at selected sites were initially enrolled only into the non-randomized portion of this study to determine the recommended starting dose of axitinib for this population. The initial starting dose for this group was 2 mg BID.
Overall Number of Participants Analyzed 12 7
Median (Full Range)
Unit of Measure: hours
2.50
(0.00 to 7.98)
1.05
(0.00 to 4.00)
10.Secondary Outcome
Title Axitinib Steady-State Pharmacokinetic Parameter - Apparent Oral Clearance (CL/F), Non-Randomized Portion
Hide Description Axitinib samples were to be collected from all participants on Cycle 1 Day 15 at the following time points: pre-dose, 1, 2, 3, 4, 6 and 8 hours after axitinib dosing. In the below table, 4 participants in Child-Pugh A and 1 participant in Child-Pugh B were not reported due to nonestimable half-life.
Time Frame Cycle 1 Day 15
Hide Outcome Measure Data
Hide Analysis Population Description
The PK concentration set included all participants who were treated and had at least 1 measured concentration on at least 1 day of PK assessment. The PK parameter analysis set included all participants treated who had at least 1 estimated PK parameter of primary interest.
Arm/Group Title Child-Pugh Class A Child-Pugh Class B
Hide Arm/Group Description:
Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the non-randomized portion at selected sites only at a starting axitinib dose of 5 mg BID.
Participants with Child-Pugh Class B disease (score 7) at selected sites were initially enrolled only into the non-randomized portion of this study to determine the recommended starting dose of axitinib for this population. The initial starting dose for this group was 2 mg BID.
Overall Number of Participants Analyzed 8 6
Geometric Mean (95% Confidence Interval)
Unit of Measure: liters per hour (L/hr)
32.18
(18.12 to 57.13)
12.65
(6.52 to 24.55)
11.Secondary Outcome
Title Axitinib Steady-State Pharmacokinetic Parameter - Terminal Plasma Elimination Half-Life (t1/2), Non-Randomized Portion
Hide Description Axitinib samples were to be collected from all participants on Cycle 1 Day 15 at the following time points: pre-dose, 1, 2, 3, 4, 6 and 8 hours after axitinib dosing. In the below table, 4 participants in Child-Pugh A and 1 participant in Child-Pugh B were not reported due to nonestimable half-life.
Time Frame Cycle 1 Day 15
Hide Outcome Measure Data
Hide Analysis Population Description
The PK concentration set included all participants who were treated and had at least 1 measured concentration on at least 1 day of PK assessment. The PK parameter analysis set included all participants treated who had at least 1 estimated PK parameter of primary interest.
Arm/Group Title Child-Pugh Class A Child-Pugh Class B
Hide Arm/Group Description:
Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the non-randomized portion at selected sites only at a starting axitinib dose of 5 mg BID.
Participants with Child-Pugh Class B disease (score 7) at selected sites were initially enrolled only into the non-randomized portion of this study to determine the recommended starting dose of axitinib for this population. The initial starting dose for this group was 2 mg BID.
Overall Number of Participants Analyzed 8 6
Mean (Standard Deviation)
Unit of Measure: hours
4.12  (3.55) 4.79  (2.42)
12.Secondary Outcome
Title Axitinib Steady-State Pharmacokinetic Parameter - Apparent Oral Volume of Distribution of the Drug During the Elimination Phase (Vz/F), Non-Randomized Portion
Hide Description Axitinib samples were to be collected from all participants on Cycle 1 Day 15 at the following time points: pre-dose, 1, 2, 3, 4, 6 and 8 hours after axitinib dosing. The PK parameter, Vz/F has been presented in this outcome measure. In the below table, 4 participants in Child-Pugh A and 1 participant in Child-Pugh B were not reported due to nonestimable half-life.
Time Frame Cycle 1 Day 15
Hide Outcome Measure Data
Hide Analysis Population Description
The PK concentration set included all participants who were treated and had at least 1 measured concentration on at least 1 day of PK assessment. The PK parameter analysis set included all participants treated who had at least 1 estimated PK parameter of primary interest.
Arm/Group Title Child-Pugh Class A Child-Pugh Class B
Hide Arm/Group Description:
Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the non-randomized portion at selected sites only at a starting axitinib dose of 5 mg BID.
Participants with Child-Pugh Class B disease (score 7) at selected sites were initially enrolled only into the non-randomized portion of this study to determine the recommended starting dose of axitinib for this population. The initial starting dose for this group was 2 mg BID.
Overall Number of Participants Analyzed 8 6
Geometric Mean (95% Confidence Interval)
Unit of Measure: liters
150.01
(94.67 to 237.68)
81.16
(47.70 to 138.08)
13.Secondary Outcome
Title Concentration of Soluble Proteins at Baseline in Randomized Portion
Hide Description Plasma soluble proteins interleukin-6 (IL-6), E-Selectin, interleukin-8 (IL-8), hepatocyte growth factor (HGF), matrix metalloproteinase-2 (MMP-2), stem cell factor (SCF), angiopoietin-2 (Ang-2), vascular endothelial growth factor-A (VEGF-A), vascular endothelial growth factor-C (VEGF-C), soluble vascular endothelial growth factor receptor 2 (sVEGFR2), soluble vascular endothelial growth factor receptor 3 (sVEGFR3), stromal cell-derived factor-1 (SDF1), neutrophil gelatinase-associated lipocalin (NGAL), migration inhibitory factor (MIF), c-MET, regulated upon activation normal T cell expressed and presumably secreted (RANTES), and monocyte chemotactic protein-3 (MCP-3) were only measured in randomized participants.
Time Frame Baseline
Hide Outcome Measure Data
Hide Analysis Population Description
The soluble protein analysis set included all participants in the safety analysis set who had a Baseline soluble protein assessment. Safety analysis population included all randomized participants who received at least 1 dose of study drug with treatment assignments designated according to actual study treatment received.
Arm/Group Title Axitinib Placebo
Hide Arm/Group Description:
Participants in this group received axitinib + best supportive care. Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the randomized portion at a starting axitinib dose of 5 mg BID orally. Participants with Child-Pugh Class B disease (score 7) were to begin enrollment into the randomized portion of the study following determination of the recommended axitinib starting dose in the non randomized portion. Study treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles).
Participants in this group received placebo + best supportive care. Treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). The starting dose of placebo for participants with Child Pugh Class A disease (score 5 or 6) was chosen as 5 mg BID. Participants with Child-Pugh Class B, score 7 received placebo that was determined from the non-randomized portion of the study until the recommended starting dose was determined, participants with Child Pugh Class B, score 7, were not permitted to enter the randomized portion of the study.
Overall Number of Participants Analyzed 120 61
Mean (Standard Deviation)
Unit of Measure: picograms per milliliter (pg/mL)
IL-6 50.67  (102.86) 50.72  (106.74)
E-Selectin 52313.94  (32603.18) 55430.76  (26723.43)
IL-8 33.35  (47.72) 27.23  (44.46)
HGF 478.84  (712.43) 406.06  (376.04)
MMP-2 355715.66  (137663.04) 350979.72  (146323.29)
SCF 1352.75  (1534.41) 1439.71  (2260.89)
Ang-2 662.40  (623.87) 577.82  (354.42)
VEGF-A 102.56  (128.09) 173.59  (472.19)
VEGF-C NA [1]   (NA) NA [2]   (NA)
sVEGFR2 17675.76  (7218.95) 18273.65  (6836.16)
sVEGFR3 287429.28  (117583.24) 290338.69  (97830.36)
SDF1 1190.08  (823.03) 1150.10  (681.04)
NGAL 134861.80  (152492.96) 141383.00  (121747.35)
MIF 33057.15  (28256.00) 32302.99  (21485.01)
c-MET ELISA 1664.96  (834.36) 1641.08  (704.38)
RANTES 26412.12  (38682.81) 26917.76  (27094.12)
MCP-3 NA [2]   (NA) NA [2]   (NA)
[1]
Not available as the % < LLQ (lower limit of quantification) was greater than 75%.
[2]
Not available as the % < LLQ was greater than 75%.
14.Secondary Outcome
Title Percentage of Participants With Specific Micro-Ribonucleic Acid (miRNA) Transcript Present in Circulation in Randomized Portion
Hide Description A 5 millilitres (mL) whole blood sample was collected from all randomized participants to evaluate the miRNA transcripts.
Time Frame Baseline
Hide Outcome Measure Data
Hide Analysis Population Description
The miRNA analysis set included all participants in the safety analysis set who had a baseline miRNA assessment. Safety analysis population included all randomized participants who received at least 1 dose of study drug with treatment assignments designated according to actual study treatment received.
Arm/Group Title Axitinib Placebo
Hide Arm/Group Description:
Participants in this group received axitinib + best supportive care. Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the randomized portion at a starting axitinib dose of 5 mg BID orally. Participants with Child-Pugh Class B disease (score 7) were to begin enrollment into the randomized portion of the study following determination of the recommended axitinib starting dose in the non randomized portion. Study treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles).
Participants in this group received placebo + best supportive care. Treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). The starting dose of placebo for participants with Child Pugh Class A disease (score 5 or 6) was chosen as 5 mg BID. Participants with Child-Pugh Class B, score 7 received placebo that was determined from the non-randomized portion of the study until the recommended starting dose was determined, participants with Child Pugh Class B, score 7, were not permitted to enter the randomized portion of the study.
Overall Number of Participants Analyzed 111 59
Measure Type: Number
Unit of Measure: percentage of participants
hsa-let-7a-5p 100.0 100.0
hsa-let-7b-5p 100.0 100.0
hsa-let-7c 100.0 100.0
hsa-let-7d-5p 100.0 100.0
hsa-let-7f-5p 100.0 100.0
hsa-let-7g-5p 100.0 100.0
hsa-let-7i-5p 100.0 100.0
hsa-miR-103a-3p 100.0 100.0
hsa-miR-106b-5p 100.0 100.0
hsa-miR-107 100.0 100.0
hsa-miR-1202 100.0 100.0
hsa-miR-1207-5p 100.0 100.0
hsa-miR-1225-5p 100.0 100.0
hsa-miR-1234-5p 100.0 100.0
hsa-miR-1246 100.0 100.0
hsa-miR-125b-5p 100.0 100.0
hsa-miR-126-3p 100.0 100.0
hsa-miR-1260a 100.0 100.0
hsa-miR-1260b 100.0 100.0
hsa-miR-1268a 100.0 100.0
hsa-miR-1273g-3p 100.0 100.0
hsa-miR-1275 100.0 100.0
hsa-miR-128 100.0 100.0
hsa-miR-130a-3p 100.0 100.0
hsa-miR-130b-3p 100.0 100.0
hsa-miR-140-3p 100.0 100.0
hsa-miR-142-3p 100.0 100.0
hsa-miR-145-5p 100.0 100.0
hsa-miR-148a-3p 100.0 100.0
hsa-miR-148b-3p 100.0 100.0
hsa-miR-150-5p 100.0 100.0
hsa-miR-151a-3p 100.0 100.0
hsa-miR-151a-5p 100.0 100.0
hsa-miR-151b 100.0 100.0
hsa-miR-1587 100.0 100.0
hsa-miR-15a-5p 100.0 100.0
hsa-miR-15b-5p 100.0 100.0
hsa-miR-16-5p 100.0 100.0
hsa-miR-17-5p 100.0 100.0
hsa-miR-181a-5p 100.0 100.0
hsa-miR-182-5p 100.0 100.0
hsa-miR-183-5p 100.0 100.0
hsa-miR-185-5p 100.0 100.0
hsa-miR-186-5p 100.0 100.0
hsa-miR-191-5p 100.0 100.0
hsa-miR-1914-3p 100.0 100.0
hsa-miR-1915-3p 100.0 100.0
hsa-miR-192-5p 100.0 100.0
hsa-miR-194-5p 100.0 100.0
hsa-miR-197-3p 100.0 100.0
hsa-miR-197-5p 100.0 100.0
hsa-miR-19a-3p 100.0 100.0
hsa-miR-19b-3p 100.0 100.0
hsa-miR-20a-5p 100.0 100.0
hsa-miR-20b-5p 100.0 100.0
hsa-miR-21-5p 100.0 100.0
hsa-miR-210 100.0 100.0
hsa-miR-215 100.0 100.0
hsa-miR-22-3p 100.0 100.0
hsa-miR-222-3p 100.0 100.0
hsa-miR-223-3p 100.0 100.0
hsa-miR-23a-3p 100.0 100.0
hsa-miR-23b-3p 100.0 100.0
hsa-miR-24-3p 100.0 100.0
hsa-miR-25-3p 100.0 100.0
hsa-miR-26a-5p 100.0 100.0
hsa-miR-26b-5p 100.0 100.0
hsa-miR-2861 100.0 100.0
hsa-miR-29a-3p 100.0 100.0
hsa-miR-29b-3p 100.0 100.0
hsa-miR-29c-3p 100.0 100.0
hsa-miR-29c-5p 100.0 100.0
hsa-miR-30b-5p 100.0 100.0
hsa-miR-30c-5p 100.0 100.0
hsa-miR-30d-5p 100.0 100.0
hsa-miR-30e-5p 100.0 100.0
hsa-miR-3135b 100.0 100.0
hsa-miR-3162-5p 100.0 100.0
hsa-miR-3180-3p 100.0 100.0
hsa-miR-3195 100.0 100.0
hsa-miR-320a 100.0 100.0
hsa-miR-320b 100.0 100.0
hsa-miR-320c 100.0 100.0
hsa-miR-320d 100.0 100.0
hsa-miR-320e 100.0 100.0
hsa-miR-324-3p 100.0 100.0
hsa-miR-324-5p 100.0 100.0
hsa-miR-331-3p 100.0 100.0
hsa-miR-339-5p 100.0 100.0
hsa-miR-342-3p 100.0 100.0
hsa-miR-361-3p 100.0 100.0
hsa-miR-361-5p 100.0 100.0
hsa-miR-362-5p 100.0 100.0
hsa-miR-363-3p 100.0 100.0
hsa-miR-3651 100.0 100.0
hsa-miR-3656 100.0 100.0
hsa-miR-365a-3p 100.0 100.0
hsa-miR-3665 100.0 100.0
hsa-miR-3676-5p 100.0 100.0
hsa-miR-374b-5p 100.0 100.0
hsa-miR-378a-3p 100.0 100.0
hsa-miR-378i 100.0 100.0
hsa-miR-3940-5p 100.0 100.0
hsa-miR-3960 100.0 100.0
hsa-miR-423-3p 100.0 100.0
hsa-miR-425-5p 100.0 100.0
hsa-miR-4281 100.0 100.0
hsa-miR-4284 100.0 100.0
hsa-miR-4286 100.0 100.0
hsa-miR-4299 100.0 100.0
hsa-miR-4306 100.0 100.0
hsa-miR-4318 100.0 100.0
hsa-miR-4323 100.0 100.0
hsa-miR-4428 100.0 100.0
hsa-miR-4442 100.0 100.0
hsa-miR-4443 100.0 100.0
hsa-miR-4454 100.0 100.0
hsa-miR-4459 100.0 100.0
hsa-miR-4466 100.0 100.0
hsa-miR-4497 100.0 100.0
hsa-miR-4505 100.0 100.0
hsa-miR-4507 100.0 100.0
hsa-miR-4516 100.0 100.0
hsa-miR-451a 100.0 100.0
hsa-miR-4530 100.0 100.0
hsa-miR-4687-3p 100.0 100.0
hsa-miR-4713-3p 100.0 100.0
hsa-miR-4721 100.0 100.0
hsa-miR-4728-5p 100.0 100.0
hsa-miR-4732-3p 100.0 100.0
hsa-miR-4739 100.0 100.0
hsa-miR-4763-3p 100.0 100.0
hsa-miR-4787-5p 100.0 100.0
hsa-miR-4788 100.0 100.0
hsa-miR-484 100.0 100.0
hsa-miR-486-5p 100.0 100.0
hsa-miR-494 100.0 100.0
hsa-miR-5001-5p 100.0 100.0
hsa-miR-500a-3p 100.0 100.0
hsa-miR-500a-5p 100.0 100.0
hsa-miR-501-3p 100.0 100.0
hsa-miR-501-5p 100.0 100.0
hsa-miR-502-3p 100.0 100.0
hsa-miR-505-5p 100.0 100.0
hsa-miR-5100 100.0 100.0
hsa-miR-532-3p 100.0 100.0
hsa-miR-532-5p 100.0 100.0
hsa-miR-550a-3-5p 100.0 100.0
hsa-miR-550a-3p 100.0 100.0
hsa-miR-5739 100.0 100.0
hsa-miR-574-3p 100.0 100.0
hsa-miR-574-5p 100.0 100.0
hsa-miR-5787 100.0 100.0
hsa-miR-584-5p 100.0 100.0
hsa-miR-6085 100.0 100.0
hsa-miR-6087 100.0 100.0
hsa-miR-6088 100.0 100.0
hsa-miR-6089 100.0 100.0
hsa-miR-6090 100.0 100.0
hsa-miR-6125 100.0 100.0
hsa-miR-6127 100.0 100.0
hsa-miR-625-5p 100.0 100.0
hsa-miR-638 100.0 100.0
hsa-miR-642a-3p 100.0 100.0
hsa-miR-642b-3p 100.0 100.0
hsa-miR-652-3p 100.0 100.0
hsa-miR-660-5p 100.0 100.0
hsa-miR-664a-3p 100.0 100.0
hsa-miR-664b-3p 100.0 100.0
hsa-miR-6717-5p 100.0 100.0
hsa-miR-6724-5p 100.0 100.0
hsa-miR-7-5p 100.0 100.0
hsa-miR-762 100.0 100.0
hsa-miR-766-3p 100.0 100.0
hsa-miR-92a-3p 100.0 100.0
hsa-miR-93-3p 100.0 100.0
hsa-miR-93-5p 100.0 100.0
hsa-miR-937-5p 100.0 100.0
hsa-miR-940 100.0 100.0
hsa-miR-1228-3p 99.1 100.0
hsa-miR-1268b 99.1 100.0
hsa-miR-142-5p 100.0 98.3
hsa-miR-27a-3p 99.1 100.0
hsa-miR-296-5p 99.1 100.0
hsa-miR-3196 99.1 100.0
hsa-miR-3198 99.1 100.0
hsa-miR-342-5p 100.0 98.3
hsa-miR-3653 100.0 98.3
hsa-miR-4465 99.1 100.0
hsa-miR-4515 99.1 100.0
hsa-miR-4653-3p 99.1 100.0
hsa-miR-4665-3p 99.1 100.0
hsa-miR-4746-3p 99.1 100.0
hsa-miR-505-3p 100.0 98.3
hsa-miR-6073 99.1 100.0
hsa-miR-6126 99.1 100.0
hsa-miR-6132 99.1 100.0
hsa-miR-6165 99.1 100.0
hsa-miR-744-5p 100.0 98.3
hsa-miR-874 99.1 100.0
hsa-miR-942 100.0 98.3
hsa-miR-96-5p 99.1 100.0
hsa-miR-1238-3p 98.2 100.0
hsa-miR-1285-3p 99.1 98.3
hsa-miR-1305 98.2 100.0
hsa-miR-146a-5p 98.2 100.0
hsa-miR-15b-3p 99.1 98.3
hsa-miR-17-3p 98.2 100.0
hsa-miR-195-5p 99.1 98.3
hsa-miR-199a-5p 99.1 98.3
hsa-miR-28-5p 99.1 98.3
hsa-miR-30a-5p 99.1 98.3
hsa-miR-340-3p 99.1 98.3
hsa-miR-3679-5p 99.1 98.3
hsa-miR-374a-5p 99.1 98.3
hsa-miR-378a-5p 99.1 98.3
hsa-miR-4433-5p 98.2 100.0
hsa-miR-454-3p 99.1 98.3
hsa-miR-4685-5p 99.1 98.3
hsa-miR-575 98.2 100.0
hsa-miR-6068 98.2 100.0
hsa-miR-6124 98.2 100.0
hsa-miR-6131 98.2 100.0
hsa-miR-939-5p 98.2 100.0
hsa-miR-1234-3p 99.1 96.6
hsa-miR-1249 98.2 98.3
hsa-miR-132-3p 99.1 96.6
hsa-miR-30e-3p 98.2 98.3
hsa-miR-326 99.1 96.6
hsa-miR-374c-5p 98.2 98.3
hsa-miR-4270 97.3 100.0
hsa-miR-4672 97.3 100.0
hsa-miR-4741 98.2 98.3
hsa-miR-6515-3p 97.3 100.0
hsa-miR-371b-5p 97.3 98.3
hsa-miR-4485 96.4 100.0
hsa-miR-4513 98.2 96.6
hsa-miR-454-5p 98.2 96.6
hsa-miR-4716-3p 96.4 100.0
hsa-miR-5006-5p 97.3 98.3
hsa-miR-6069 98.2 96.6
hsa-miR-101-3p 97.3 96.6
hsa-miR-155-5p 97.3 96.6
hsa-miR-16-2-3p 98.2 94.9
hsa-miR-27b-3p 98.2 94.9
hsa-miR-328 98.2 94.9
hsa-miR-4486 96.4 98.3
hsa-miR-513a-5p 96.4 98.3
hsa-miR-92b-3p 98.2 94.9
hsa-miR-98-5p 98.2 94.9
hsa-miR-18b-5p 96.4 96.6
hsa-miR-191-3p 97.3 94.9
hsa-miR-3200-5p 97.3 94.9
hsa-miR-4313 97.3 94.9
hsa-miR-4532 96.4 96.6
hsa-miR-4787-3p 97.3 94.9
hsa-miR-513b 95.5 98.3
hsa-miR-550a-5p 97.3 94.9
hsa-miR-5581-5p 94.6 100.0
hsa-miR-629-3p 97.3 94.9
hsa-miR-629-5p 94.6 100.0
hsa-miR-7-1-3p 98.2 93.2
hsa-miR-125a-3p 94.6 98.3
hsa-miR-1281 97.3 93.2
hsa-miR-140-5p 95.5 96.6
hsa-miR-144-5p 96.4 94.9
hsa-let-7b-3p 96.4 93.2
hsa-let-7f-1-3p 95.5 94.9
hsa-miR-125a-5p 96.4 93.2
hsa-miR-183-3p 96.4 93.2
hsa-miR-3162-3p 97.3 91.5
hsa-miR-33b-3p 97.3 91.5
hsa-miR-4669 94.6 96.6
hsa-miR-502-5p 96.4 93.2
hsa-miR-1304-3p 97.3 89.8
hsa-miR-1306-5p 95.5 93.2
hsa-miR-221-3p 93.7 96.6
hsa-miR-4649-3p 96.4 91.5
hsa-miR-4690-5p 94.6 94.9
hsa-miR-627 95.5 93.2
hsa-miR-99a-5p 96.4 91.5
hsa-miR-18a-5p 94.6 93.2
hsa-miR-211-3p 94.6 93.2
hsa-miR-4430 95.5 91.5
hsa-miR-6508-5p 95.5 91.5
hsa-miR-933 95.5 91.5
hsa-miR-339-3p 94.6 91.5
hsa-miR-624-5p 95.5 89.8
hsa-miR-425-3p 95.5 88.1
hsa-miR-5194 91.9 93.2
hsa-miR-6511b-3p 92.8 91.5
hsa-let-7d-3p 92.8 89.8
hsa-miR-129-2-3p 92.8 89.8
hsa-miR-1825 92.8 89.8
hsa-miR-362-3p 93.7 88.1
hsa-miR-665 91.0 93.2
hsa-miR-149-5p 92.8 88.1
hsa-miR-3620-5p 91.0 91.5
hsa-miR-4478 90.1 91.5
hsa-miR-4484 92.8 86.4
hsa-miR-4656 90.1 91.5
hsa-miR-602 91.9 88.1
hsa-miR-1233-1-5p 89.2 91.5
hsa-miR-3125 89.2 91.5
hsa-miR-4725-5p 91.0 88.1
hsa-miR-4732-5p 91.0 88.1
hsa-miR-146b-5p 92.8 83.1
hsa-miR-4659a-3p 91.0 86.4
hsa-miR-6510-5p 88.3 91.5
hsa-miR-1225-3p 91.0 84.7
hsa-miR-1539 90.1 86.4
hsa-miR-188-5p 88.3 89.8
hsa-miR-4758-3p 91.0 84.7
hsa-miR-550b-2-5p 91.9 83.1
hsa-miR-144-3p 89.2 86.4
hsa-miR-4310 89.2 84.7
hsa-miR-4749-3p 89.2 84.7
hsa-miR-1229-5p 87.4 86.4
hsa-miR-1288 86.5 88.1
hsa-miR-3156-5p 84.7 91.5
hsa-miR-2116-3p 89.2 81.4
hsa-miR-4664-3p 87.4 84.7
hsa-miR-23c 87.4 83.1
hsa-miR-3652 85.6 86.4
hsa-miR-424-5p 88.3 81.4
hsa-miR-4745-5p 85.6 86.4
hsa-miR-1973 83.8 88.1
hsa-miR-4291 84.7 86.4
hsa-miR-3200-3p 86.5 81.4
hsa-miR-4436b-5p 84.7 84.7
hsa-miR-6512-5p 82.9 88.1
hsa-miR-3613-3p 86.5 78.0
hsa-miR-4793-5p 81.1 88.1
hsa-miR-628-3p 83.8 83.1
hsa-miR-1181 82.9 83.1
hsa-miR-3646 82.0 84.7
hsa-miR-4317 82.9 83.1
hsa-miR-5684 83.8 81.4
hsa-miR-1227-5p 81.1 84.7
hsa-miR-3180-5p 84.7 78.0
hsa-miR-4665-5p 82.9 81.4
hsa-miR-129-1-3p 82.0 81.4
hsa-miR-4652-3p 82.9 79.7
hsa-miR-500b 82.0 79.7
hsa-miR-181b-5p 83.8 74.6
hsa-miR-3676-3p 82.9 76.3
hsa-miR-671-5p 77.5 86.4
hsa-miR-1185-1-3p 78.4 83.1
hsa-miR-378d 78.4 83.1
hsa-miR-1271-5p 81.1 76.3
hsa-miR-4433-3p 78.4 81.4
hsa-miR-564 81.1 76.3
hsa-miR-6723-5p 81.1 76.3
hsa-miR-100-5p 82.9 71.2
hsa-miR-135a-3p 77.5 81.4
hsa-miR-181a-2-3p 80.2 76.3
hsa-miR-4666b 78.4 79.7
hsa-miR-98-3p 79.3 76.3
hsa-miR-3940-3p 77.5 74.6
hsa-miR-513c-5p 74.8 79.7
hsa-miR-634 79.3 71.2
hsa-miR-4769-3p 77.5 72.9
hsa-miR-6507-3p 76.6 72.9
hsa-miR-3907 72.1 79.7
hsa-miR-4634 73.0 78.0
hsa-miR-563 73.9 74.6
hsa-miR-892b 73.9 74.6
hsa-miR-103a-2-5p 74.8 71.2
hsa-miR-2392 73.9 72.9
hsa-miR-3127-5p 72.1 76.3
hsa-miR-338-5p 73.0 74.6
hsa-miR-3614-5p 73.9 72.9
hsa-miR-4499 70.3 79.7
hsa-miR-3667-5p 74.8 69.5
hsa-miR-1290 68.5 78.0
hsa-miR-130b-5p 75.7 62.7
hsa-miR-4449 73.0 67.8
hsa-miR-4695-5p 70.3 67.8
hsa-miR-4271 67.6 71.2
hsa-miR-4651 69.4 67.8
hsa-miR-340-5p 63.1 74.6
hsa-miR-133b 67.6 61.0
hsa-miR-199b-5p 70.3 55.9
hsa-miR-200c-3p 67.6 61.0
hsa-miR-4257 63.1 69.5
hsa-miR-150-3p 62.2 69.5
hsa-miR-30c-1-3p 68.5 57.6
hsa-miR-139-3p 64.9 62.7
hsa-miR-625-3p 62.2 67.8
hsa-miR-106b-3p 67.6 54.2
hsa-miR-409-3p 63.1 62.7
hsa-miR-1237-3p 63.1 61.0
hsa-miR-5571-5p 66.7 54.2
hsa-miR-652-5p 63.1 61.0
hsa-miR-196b-5p 61.3 62.7
hsa-miR-22-5p 64.9 55.9
hsa-miR-338-3p 64.0 55.9
hsa-miR-26b-3p 62.2 55.9
hsa-miR-4261 55.9 67.8
hsa-miR-345-5p 60.4 57.6
hsa-miR-10a-5p 58.6 59.3
hsa-miR-3176 56.8 62.7
hsa-miR-1224-5p 56.8 61.0
hsa-miR-4462 55.9 62.7
hsa-miR-4728-3p 58.6 57.6
hsa-miR-193a-5p 59.5 54.2
hsa-miR-664b-5p 55.9 61.0
hsa-miR-3141 53.2 64.4
hsa-miR-6075 55.9 59.3
hsa-miR-6086 55.0 61.0
hsa-miR-99b-5p 55.9 59.3
hsa-miR-1307-3p 58.6 52.5
hsa-miR-148b-5p 56.8 55.9
hsa-miR-15a-3p 59.5 50.8
hsa-miR-6513-3p 61.3 47.5
hsa-miR-590-5p 54.1 57.6
hsa-miR-199a-3p 52.3 59.3
hsa-miR-301a-3p 55.0 52.5
hsa-miR-4698 51.4 59.3
hsa-miR-491-5p 56.8 49.2
hsa-miR-4701-5p 53.2 54.2
hsa-miR-572 53.2 54.2
hsa-let-7e-5p 52.3 54.2
hsa-miR-134 52.3 54.2
hsa-miR-335-5p 51.4 54.2
hsa-miR-4646-3p 54.1 49.2
hsa-miR-4463 51.4 52.5
hsa-miR-5690 56.8 39.0
hsa-miR-1972 46.8 50.8
hsa-miR-769-5p 48.6 47.5
hsa-miR-126-5p 43.2 55.9
hsa-miR-192-3p 52.3 39.0
hsa-miR-4800-5p 42.3 52.5
hsa-miR-212-3p 42.3 50.8
hsa-miR-5010-3p 43.2 49.2
hsa-miR-641 48.6 39.0
hsa-miR-3648 40.5 50.8
hsa-miR-548ai 45.9 40.7
hsa-miR-3663-3p 42.3 44.1
hsa-miR-4298 38.7 49.2
hsa-miR-4707-3p 41.4 44.1
hsa-miR-1273e 38.7 47.5
hsa-miR-487b 36.9 49.2
hsa-miR-1227-3p 40.5 40.7
hsa-miR-18a-3p 43.2 35.6
hsa-miR-769-3p 40.5 39.0
hsa-miR-598 39.6 39.0
hsa-miR-1273f 38.7 37.3
hsa-miR-663a 38.7 37.3
hsa-miR-2110 36.9 39.0
hsa-miR-371a-5p 34.2 42.4
hsa-miR-483-3p 36.0 39.0
hsa-miR-5195-3p 37.8 35.6
hsa-miR-654-3p 35.1 35.6
hsa-miR-877-3p 34.2 37.3
hsa-miR-3190-5p 34.2 35.6
hsa-miR-4697-5p 34.2 35.6
hsa-miR-617 36.0 32.2
hsa-miR-4324 35.1 30.5
hsa-miR-4534 31.5 35.6
hsa-miR-4633-5p 28.8 39.0
hsa-miR-4538 27.9 39.0
hsa-miR-664a-5p 29.7 35.6
hsa-miR-4312 26.1 37.3
hsa-miR-6076 25.2 35.6
hsa-miR-5585-3p 28.8 27.1
hsa-miR-125b-1-3p 25.2 32.2
hsa-miR-4632-5p 27.0 28.8
hsa-miR-139-5p 27.9 25.4
hsa-miR-4767 33.3 15.3
hsa-miR-34a-5p 27.9 22.0
hsa-miR-4455 25.2 27.1
hsa-miR-330-3p 28.8 18.6
hsa-miR-1180 25.2 23.7
hsa-miR-193b-3p 28.8 16.9
hsa-miR-4784 20.7 30.5
hsa-miR-4667-5p 23.4 23.7
hsa-miR-660-3p 23.4 23.7
hsa-miR-4731-3p 22.5 23.7
hsa-miR-503-5p 24.3 20.3
hsa-miR-378g 18.0 27.1
hsa-miR-4481 19.8 23.7
hsa-miR-138-2-3p 18.9 23.7
hsa-miR-1469 20.7 20.3
hsa-miR-4327 21.6 18.6
hsa-miR-1236-5p 17.1 23.7
hsa-miR-152 18.0 22.0
hsa-miR-21-3p 18.9 20.3
hsa-miR-4697-3p 16.2 25.4
hsa-miR-548aa 17.1 23.7
hsa-miR-636 19.8 18.6
hsa-miR-767-3p 18.0 22.0
hsa-miR-4689 23.4 8.5
hsa-miR-3679-3p 19.8 13.6
hsa-miR-4326 15.3 22.0
hsa-miR-2276 17.1 16.9
hsa-miR-3137 17.1 16.9
hsa-miR-4734 16.2 18.6
hsa-miR-181c-5p 18.0 13.6
hsa-miR-921 17.1 15.3
hsa-miR-3688-3p 15.3 16.9
hsa-miR-4274 15.3 16.9
hsa-miR-4758-5p 16.2 13.6
hsa-miR-5010-5p 15.3 15.3
hsa-miR-4488 13.5 16.9
hsa-miR-483-5p 14.4 15.3
hsa-miR-542-5p 15.3 13.6
hsa-miR-623 11.7 20.3
hsa-miR-650 9.9 23.7
hsa-miR-3188 11.7 18.6
hsa-miR-378b 10.8 20.3
hsa-miR-576-5p 12.6 16.9
hsa-miR-20a-3p 15.3 10.2
hsa-miR-4487 15.3 10.2
hsa-miR-1976 12.6 13.6
hsa-miR-3605-3p 12.6 13.6
hsa-miR-4647 9.9 18.6
hsa-miR-4700-3p 11.7 15.3
hsa-miR-6503-3p 12.6 13.6
hsa-miR-3615 10.8 13.6
hsa-miR-424-3p 10.8 13.6
hsa-miR-4636 11.7 11.9
hsa-miR-4646-5p 9.0 16.9
hsa-miR-3610 12.6 8.5
hsa-miR-557 9.9 13.6
hsa-miR-718 14.4 5.1
hsa-miR-193b-5p 9.0 13.6
hsa-miR-3692-5p 12.6 6.8
hsa-miR-509-3-5p 11.7 8.5
hsa-miR-1470 10.8 8.5
hsa-miR-28-3p 8.1 13.6
hsa-miR-378f 10.8 8.5
hsa-miR-4252 6.3 16.9
hsa-miR-4417 11.7 6.8
hsa-miR-4498 10.8 8.5
hsa-miR-491-3p 8.1 13.6
hsa-miR-495-3p 7.2 15.3
hsa-miR-5096 12.6 5.1
hsa-miR-1229-3p 6.3 15.3
hsa-miR-299-5p 6.3 15.3
hsa-miR-3138 6.3 15.3
hsa-miR-335-3p 8.1 11.9
hsa-miR-3682-3p 8.1 11.9
hsa-miR-485-3p 8.1 11.9
hsa-miR-630 7.2 13.6
hsa-miR-936 9.0 10.2
hsa-miR-101-5p 10.8 5.1
hsa-miR-122-5p 9.9 6.8
hsa-miR-4446-3p 5.4 15.3
hsa-miR-4518 8.1 10.2
hsa-miR-4640-3p 6.3 13.6
hsa-miR-5189 8.1 10.2
hsa-miR-6129 8.1 10.2
hsa-miR-1471 8.1 8.5
hsa-miR-29b-2-5p 8.1 8.5
hsa-miR-5003-5p 5.4 13.6
hsa-miR-1273c 6.3 10.2
hsa-miR-190a 9.0 5.1
hsa-miR-3675-3p 8.1 6.8
hsa-miR-6511b-5p 5.4 11.9
hsa-miR-1291 4.5 11.9
hsa-miR-3934-5p 4.5 11.9
hsa-miR-4737 7.2 6.8
hsa-miR-486-3p 6.3 8.5
hsa-miR-5580-3p 2.7 15.3
hsa-miR-671-3p 7.2 6.8
hsa-miR-154-5p 6.3 6.8
hsa-miR-3158-5p 7.2 5.1
hsa-miR-337-3p 3.6 11.9
hsa-miR-363-5p 4.5 10.2
hsa-miR-376a-3p 3.6 11.9
hsa-miR-5190 3.6 11.9
hsa-miR-5701 6.3 6.8
hsa-miR-770-5p 3.6 11.9
hsa-miR-1226-5p 3.6 10.2
hsa-miR-1267 6.3 5.1
hsa-miR-1306-3p 6.3 5.1
hsa-miR-3154 4.5 8.5
hsa-miR-329 3.6 10.2
hsa-miR-4659b-3p 7.2 3.4
hsa-miR-6134 3.6 10.2
hsa-miR-181a-3p 4.5 6.8
hsa-miR-1827 5.4 5.1
hsa-miR-3926 2.7 10.2
hsa-miR-662 4.5 6.8
hsa-miR-127-3p 4.5 5.1
hsa-miR-148a-5p 3.6 6.8
hsa-miR-18b-3p 3.6 6.8
hsa-miR-202-3p 2.7 8.5
hsa-miR-4325 2.7 8.5
hsa-miR-4673 5.4 3.4
hsa-miR-4730 6.3 1.7
hsa-miR-489 4.5 5.1
hsa-miR-584-3p 4.5 5.1
hsa-miR-6720-3p 1.8 10.2
hsa-let-7i-3p 5.4 1.7
hsa-miR-1307-5p 3.6 5.1
hsa-miR-204-5p 4.5 3.4
hsa-miR-218-5p 4.5 3.4
hsa-miR-378e 3.6 5.1
hsa-miR-3911 2.7 6.8
hsa-miR-543 3.6 5.1
hsa-miR-5703 3.6 5.1
hsa-miR-589-3p 3.6 5.1
hsa-miR-885-5p 1.8 8.5
hsa-let-7g-3p 3.6 3.4
hsa-miR-1185-2-3p 4.5 1.7
hsa-miR-1238-5p 3.6 3.4
hsa-miR-19b-1-5p 3.6 3.4
hsa-miR-3130-5p 2.7 5.1
hsa-miR-3163 3.6 3.4
hsa-miR-377-3p 2.7 5.1
hsa-miR-421 2.7 5.1
hsa-miR-4419a 2.7 5.1
hsa-miR-4425 3.6 3.4
hsa-miR-4470 3.6 3.4
hsa-miR-4539 2.7 5.1
hsa-miR-516a-5p 3.6 3.4
hsa-miR-610 4.5 1.7
hsa-miR-628-5p 3.6 3.4
hsa-miR-99b-3p 2.7 5.1
hsa-let-7f-2-3p 2.7 3.4
hsa-miR-193a-3p 0.9 6.8
hsa-miR-195-3p 2.7 3.4
hsa-miR-221-5p 3.6 1.7
hsa-miR-223-5p 4.5 0.0
hsa-miR-23a-5p 1.8 5.1
hsa-miR-25-5p 1.8 5.1
hsa-miR-3616-3p 0.9 6.8
hsa-miR-376c-3p 1.8 5.1
hsa-miR-4701-3p 2.7 3.4
hsa-miR-4743-5p 1.8 5.1
hsa-miR-5008-5p 1.8 5.1
hsa-miR-570-3p 2.7 3.4
hsa-miR-595 1.8 5.1
hsa-miR-6716-3p 3.6 1.7
hsa-miR-887 2.7 3.4
hsa-miR-1299 0.9 5.1
hsa-miR-133a 2.7 1.7
hsa-miR-198 1.8 3.4
hsa-miR-3622b-5p 0.9 5.1
hsa-miR-373-5p 3.6 0.0
hsa-miR-3917 0.9 5.1
hsa-miR-409-5p 1.8 3.4
hsa-miR-4440 2.7 1.7
hsa-miR-4514 0.9 5.1
hsa-miR-4535 0.9 5.1
hsa-miR-4668-5p 0.9 5.1
hsa-miR-4776-5p 0.9 5.1
hsa-miR-4793-3p 2.7 1.7
hsa-miR-542-3p 0.9 5.1
hsa-miR-548am-5p 1.8 3.4
hsa-miR-548q 1.8 3.4
hsa-miR-582-5p 2.7 1.7
hsa-miR-654-5p 1.8 3.4
hsa-miR-758-3p 2.7 1.7
hsa-miR-760 0.0 6.8
hsa-miR-765 1.8 3.4
hsa-miR-875-5p 1.8 3.4
hsa-miR-106a-3p 2.7 0.0
hsa-miR-1236-3p 0.0 5.1
hsa-miR-1255b-5p 1.8 1.7
hsa-miR-181c-3p 2.7 0.0
hsa-miR-26a-2-3p 0.9 3.4
hsa-miR-298 0.9 3.4
hsa-miR-3194-5p 0.9 3.4
hsa-miR-3620-3p 1.8 1.7
hsa-miR-374a-3p 1.8 1.7
hsa-miR-411-3p 1.8 1.7
hsa-miR-4475 0.9 3.4
hsa-miR-4476 0.9 3.4
hsa-miR-4716-5p 1.8 1.7
hsa-miR-4762-3p 1.8 1.7
hsa-miR-544a 1.8 1.7
hsa-miR-548d-5p 1.8 1.7
hsa-miR-561-3p 1.8 1.7
hsa-miR-5695 2.7 0.0
hsa-miR-580 1.8 1.7
hsa-miR-612 1.8 1.7
hsa-miR-622 0.9 3.4
hsa-miR-670 1.8 1.7
hsa-miR-744-3p 1.8 1.7
hsa-let-7a-3p 0.9 1.7
hsa-miR-1255a 0.9 1.7
hsa-miR-1270 0.9 1.7
hsa-miR-185-3p 0.0 3.4
hsa-miR-186-3p 0.0 3.4
hsa-miR-187-5p 0.9 1.7
hsa-miR-194-3p 1.8 0.0
hsa-miR-200b-5p 0.9 1.7
hsa-miR-2052 0.0 3.4
hsa-miR-224-5p 0.9 1.7
hsa-miR-2964a-5p 0.9 1.7
hsa-miR-29b-1-5p 0.9 1.7
hsa-miR-30d-3p 0.0 3.4
hsa-miR-3150b-5p 1.8 0.0
hsa-miR-3184-3p 0.9 1.7
hsa-miR-32-3p 0.9 1.7
hsa-miR-323a-3p 1.8 0.0
hsa-miR-3663-5p 1.8 0.0
hsa-miR-370 0.9 1.7
hsa-miR-376a-5p 0.9 1.7
hsa-miR-381-3p 0.9 1.7
hsa-miR-3924 0.0 3.4
hsa-miR-3945 0.9 1.7
hsa-miR-422a 1.8 0.0
hsa-miR-4289 0.9 1.7
hsa-miR-432-3p 0.0 3.4
hsa-miR-4468 0.9 1.7
hsa-miR-452-3p 0.9 1.7
hsa-miR-452-5p 0.0 3.4
hsa-miR-4714-5p 0.9 1.7
hsa-miR-504 1.8 0.0
hsa-miR-5088 0.0 3.4
hsa-miR-518b 0.9 1.7
hsa-miR-545-3p 0.9 1.7
hsa-miR-545-5p 0.9 1.7
hsa-miR-548at-5p 0.9 1.7
hsa-miR-556-3p 0.9 1.7
hsa-miR-559 0.0 3.4
hsa-miR-5686 0.9 1.7
hsa-miR-5692a 0.0 3.4
hsa-miR-586 0.9 1.7
hsa-miR-590-3p 1.8 0.0
hsa-miR-601 0.9 1.7
hsa-miR-607 0.9 1.7
hsa-miR-619 0.0 3.4
hsa-miR-624-3p 1.8 0.0
hsa-miR-642a-5p 0.9 1.7
hsa-miR-645 0.9 1.7
hsa-miR-668 0.9 1.7
hsa-miR-6722-3p 1.8 0.0
hsa-miR-675-5p 0.9 1.7
hsa-miR-888-3p 0.9 1.7
hsa-miR-937-3p 0.9 1.7
hsa-miR-939-3p 0.9 1.7
hsa-miR-10b-3p 0.0 1.7
hsa-miR-10b-5p 0.0 1.7
hsa-miR-1183 0.0 1.7
hsa-miR-1208 0.0 1.7
hsa-miR-1226-3p 0.0 1.7
hsa-miR-1228-5p 0.0 1.7
hsa-miR-124-3p 0.9 0.0
hsa-miR-124-5p 0.0 1.7
hsa-miR-1247-3p 0.9 0.0
hsa-miR-1261 0.0 1.7
hsa-miR-1269a 0.0 1.7
hsa-miR-1273d 0.9 0.0
hsa-miR-1285-5p 0.0 1.7
hsa-miR-1287 0.0 1.7
hsa-miR-1296 0.0 1.7
hsa-miR-143-3p 0.9 0.0
hsa-miR-1538 0.0 1.7
hsa-miR-16-1-3p 0.9 0.0
hsa-miR-184 0.9 0.0
hsa-miR-188-3p 0.9 0.0
hsa-miR-1909-5p 0.0 1.7
hsa-miR-1910 0.0 1.7
hsa-miR-196a-3p 0.9 0.0
hsa-miR-19a-5p 0.0 1.7
hsa-miR-19b-2-5p 0.9 0.0
hsa-miR-205-5p 0.9 0.0
hsa-miR-206 0.0 1.7
hsa-miR-20b-3p 0.9 0.0
hsa-miR-2115-5p 0.9 0.0
hsa-miR-218-1-3p 0.0 1.7
hsa-miR-218-2-3p 0.9 0.0
hsa-miR-2277-3p 0.0 1.7
hsa-miR-2681-3p 0.9 0.0
hsa-miR-26a-1-3p 0.9 0.0
hsa-miR-27b-5p 0.0 1.7
hsa-miR-297 0.0 1.7
hsa-miR-29a-5p 0.0 1.7
hsa-miR-300 0.9 0.0
hsa-miR-301b 0.9 0.0
hsa-miR-302b-3p 0.0 1.7
hsa-miR-30a-3p 0.9 0.0
hsa-miR-3132 0.0 1.7
hsa-miR-3149 0.0 1.7
hsa-miR-3157-5p 0.0 1.7
hsa-miR-3161 0.0 1.7
hsa-miR-32-5p 0.9 0.0
hsa-miR-330-5p 0.9 0.0
hsa-miR-33a-3p 0.9 0.0
hsa-miR-33b-5p 0.0 1.7
hsa-miR-34c-3p 0.0 1.7
hsa-miR-3591-3p 0.0 1.7
hsa-miR-3607-3p 0.9 0.0
hsa-miR-3654 0.0 1.7
hsa-miR-3666 0.0 1.7
hsa-miR-367-5p 0.9 0.0
hsa-miR-374b-3p 0.9 0.0
hsa-miR-379-3p 0.9 0.0
hsa-miR-380-5p 0.9 0.0
hsa-miR-3935 0.0 1.7
hsa-miR-3937 0.0 1.7
hsa-miR-3942-3p 0.9 0.0
hsa-miR-3976 0.0 1.7
hsa-miR-410 0.0 1.7
hsa-miR-4259 0.0 1.7
hsa-miR-4272 0.0 1.7
hsa-miR-4290 0.0 1.7
hsa-miR-4294 0.0 1.7
hsa-miR-431-5p 0.0 1.7
hsa-miR-4420 0.9 0.0
hsa-miR-4422 0.0 1.7
hsa-miR-4489 0.0 1.7
hsa-miR-4500 0.9 0.0
hsa-miR-450a-5p 0.9 0.0
hsa-miR-450b-3p 0.0 1.7
hsa-miR-451b 0.9 0.0
hsa-miR-4520b-3p 0.0 1.7
hsa-miR-4639-3p 0.9 0.0
hsa-miR-4648 0.0 1.7
hsa-miR-4657 0.0 1.7
hsa-miR-4677-3p 0.9 0.0
hsa-miR-4677-5p 0.9 0.0
hsa-miR-4685-3p 0.9 0.0
hsa-miR-4694-3p 0.0 1.7
hsa-miR-4695-3p 0.0 1.7
hsa-miR-4707-5p 0.0 1.7
hsa-miR-4710 0.0 1.7
hsa-miR-4723-3p 0.9 0.0
hsa-miR-4726-5p 0.0 1.7
hsa-miR-4733-3p 0.0 1.7
hsa-miR-4733-5p 0.9 0.0
hsa-miR-4736 0.0 1.7
hsa-miR-4740-5p 0.0 1.7
hsa-miR-4755-3p 0.0 1.7
hsa-miR-4762-5p 0.0 1.7
hsa-miR-4763-5p 0.0 1.7
hsa-miR-4785 0.0 1.7
hsa-miR-4792 0.9 0.0
hsa-miR-4800-3p 0.9 0.0
hsa-miR-493-5p 0.0 1.7
hsa-miR-5007-3p 0.9 0.0
hsa-miR-5011-5p 0.9 0.0
hsa-miR-5087 0.0 1.7
hsa-miR-5093 0.0 1.7
hsa-miR-513a-3p 0.0 1.7
hsa-miR-513c-3p 0.0 1.7
hsa-miR-517c-3p 0.0 1.7
hsa-miR-518a-5p 0.0 1.7
hsa-miR-5196-3p 0.9 0.0
hsa-miR-520c-3p 0.9 0.0
hsa-miR-541-3p 0.0 1.7
hsa-miR-548a-3p 0.9 0.0
hsa-miR-548ap-3p 0.9 0.0
hsa-miR-548d-3p 0.9 0.0
hsa-miR-548e 0.9 0.0
hsa-miR-552 0.9 0.0
hsa-miR-558 0.0 1.7
hsa-miR-5591-3p 0.0 1.7
hsa-miR-5681b 0.9 0.0
hsa-miR-5692b 0.9 0.0
hsa-miR-5692c 0.9 0.0
hsa-miR-571 0.0 1.7
hsa-miR-588 0.9 0.0
hsa-miR-589-5p 0.9 0.0
hsa-miR-593-3p 0.9 0.0
hsa-miR-597 0.0 1.7
hsa-miR-609 0.9 0.0
hsa-miR-615-3p 0.0 1.7
hsa-miR-615-5p 0.0 1.7
hsa-miR-616-5p 0.9 0.0
hsa-miR-618 0.0 1.7
hsa-miR-621 0.9 0.0
hsa-miR-631 0.0 1.7
hsa-miR-633 0.0 1.7
hsa-miR-637 0.0 1.7
hsa-miR-639 0.9 0.0
hsa-miR-642b-5p 0.9 0.0
hsa-miR-646 0.9 0.0
hsa-miR-6509-3p 0.9 0.0
hsa-miR-651 0.9 0.0
hsa-miR-6511a-3p 0.0 1.7
hsa-miR-657 0.9 0.0
hsa-miR-6722-5p 0.0 1.7
hsa-miR-708-5p 0.9 0.0
hsa-miR-767-5p 0.9 0.0
hsa-miR-875-3p 0.0 1.7
hsa-miR-876-5p 0.9 0.0
hsa-miR-877-5p 0.9 0.0
hsa-miR-891a 0.9 0.0
hsa-miR-920 0.9 0.0
hsa-miR-922 0.9 0.0
hsa-miR-924 0.0 1.7
hsa-miR-92a-2-5p 0.9 0.0
hsa-miR-935 0.9 0.0
hsa-miR-938 0.0 1.7
hsa-miR-943 0.9 0.0
hsa-miR-423-5p 100.0 100.0
15.Secondary Outcome
Title Functional Assessment of Cancer Therapy - Hepatobiliary Questionnaire (FACT-Hep) in Randomized Portion: Overall Between-Treatment Comparison Based on the Repeated Measures Mixed Effects Model
Hide Description FACT-Hep consists of 27-item FACT-G, and 18-item Hepatobiliary Subscale. FACT-Hep questionnaire uses 5-point Likert rating scale, range '0'-not at all to '4'. FACT-Hep total score ranges from 0 to 180, where highest score represents maximum achievable quality of life. Domains of FACT-G include Physical Well-Being (PWB), Social/Family Well-Being (SWB), Emotional Well-Being (EWB) and Functional Well-Being (FWB). Hepatobiliary disease specific items include: swelling or cramps, losing weight, gastrointestinal (GI)-related questions, lack of energy, side effects, pain, fatigue, usual activities, jaundice, fevers, itching, taste of food and chills. Eight of the items (pain, back pain, stomach pain/discomfort, lack of energy, fatigue, nausea, weight loss and jaundice) make up FACT-Hepatobiliary Symptom Index (FHSI-8), and are considered to be symptoms specific to hepatobiliary cancer. Table below included mixed effect model estimated average based on all observed values/time points.
Time Frame Cycle 1 Day 1 pre-dose and before any other clinical assessments, every 4 weeks thereafter while on study, at end of study treatment/withdrawal, and follow-up and at Day 28 after last dose date
Hide Outcome Measure Data
Hide Analysis Population Description
FAS included all randomized participants, and participants were classified according to the randomized treatment arm regardless of what treatment, if any, was received.
Arm/Group Title Axitinib Placebo
Hide Arm/Group Description:
Participants in this group received axitinib + best supportive care. Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the randomized portion at a starting axitinib dose of 5 mg BID orally. Participants with Child-Pugh Class B disease (score 7) were to begin enrollment into the randomized portion of the study following determination of the recommended axitinib starting dose in the non randomized portion. Study treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles).
Participants in this group received placebo + best supportive care. Treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). The starting dose of placebo for participants with Child Pugh Class A disease (score 5 or 6) was chosen as 5 mg BID. Participants with Child-Pugh Class B, score 7 received placebo that was determined from the non-randomized portion of the study until the recommended starting dose was determined, participants with Child Pugh Class B, score 7, were not permitted to enter the randomized portion of the study.
Overall Number of Participants Analyzed 134 68
Least Squares Mean (95% Confidence Interval)
Unit of Measure: units on a scale
123.33
(120.17 to 126.50)
135.22
(129.17 to 141.27)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Axitinib, Placebo
Comments Analysis based on repeated measures mixed-effects model with an intercept term, treatment, time, treatment-by-time, and baseline as covariate.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0006
Comments No adjustment made for multiple comparisons.
Method Longitudinal mixed effect analysis
Comments [Not Specified]
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -11.89
Confidence Interval (2-Sided) 95%
-18.70 to -5.08
Estimation Comments [Not Specified]
16.Secondary Outcome
Title Functional Assessment of Cancer Therapy - General (FACT-G) in Randomized Portion: Overall Between-Treatment Comparison Based on the Repeated Measures Mixed Effects Model
Hide Description FACT-G is core questionnaire of Functional Assessment of Chronic Illness Therapy (FACIT) measurement system to evaluate QoL in cancer population. FACT-G consisted of 27 questions grouped in 4 domains of general Health-Related QoL (HRQoL): PWB, SWB, EWB and FWB; each ranging from 0 (not at all) to 4 (very much). FACT-G ranged between 0 and 108. Since questions could be reversed coded, as appropriate, before calculating FACT-G, 0 and 108 could be considered worst and best health states. The below table included the model estimated average based on all the observed values/time points. The mixed effect model was used.
Time Frame Cycle 1 Day 1 pre-dose and before any other clinical assessments, every 4 weeks thereafter while on study, at end of study treatment/withdrawal, and follow-up and at Day 28 after last dose date
Hide Outcome Measure Data
Hide Analysis Population Description
FAS included all randomized participants, and participants were classified according to the randomized treatment arm regardless of what treatment, if any, was received.
Arm/Group Title Axitinib Placebo
Hide Arm/Group Description:
Participants in this group received axitinib + best supportive care. Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the randomized portion at a starting axitinib dose of 5 mg BID orally. Participants with Child-Pugh Class B disease (score 7) were to begin enrollment into the randomized portion of the study following determination of the recommended axitinib starting dose in the non randomized portion. Study treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles).
Participants in this group received placebo + best supportive care. Treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). The starting dose of placebo for participants with Child Pugh Class A disease (score 5 or 6) was chosen as 5 mg BID. Participants with Child-Pugh Class B, score 7 received placebo that was determined from the non-randomized portion of the study until the recommended starting dose was determined, participants with Child Pugh Class B, score 7, were not permitted to enter the randomized portion of the study.
Overall Number of Participants Analyzed 134 68
Least Squares Mean (95% Confidence Interval)
Unit of Measure: units on a scale
71.20
(69.00 to 73.41)
78.81
(74.68 to 82.93)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Axitinib, Placebo
Comments Analysis based on repeated measures mixed-effects model with an intercept term, treatment, time, treatment-by-time, and baseline as covariate.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0014
Comments No adjustment made for multiple comparisons.
Method Longitudinal mixed effect analysis
Comments [Not Specified]
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -7.60
Confidence Interval (2-Sided) 95%
-12.27 to -2.94
Estimation Comments [Not Specified]
17.Secondary Outcome
Title Functional Assessment of Cancer Therapy (FACT)-Hepatobiliary Symptom Index-8 (FHSI-8) in Randomized Portion: Overall Between-Treatment Comparison Based on the Repeated Measures Mixed Effects Model
Hide Description The FACT-Hep includes the FACT-G and a hepatobiliary module. The hepatobiliary disease specific items include: swelling or cramps, losing weight, GI related questions, lack of energy, side effects, pain, fatigue, usual activities, jaundice, fevers, itching, taste of food and chills. Eight of the items (pain, back pain, stomach pain/discomfort, lack of energy, fatigue, nausea, weight loss, and jaundice) make up the FHSI-8, and are considered to be symptoms specific to hepatobiliary cancer. FHSI-8 total score ranges from 0 to 32 where "0" is a severely symptomatic participant and the highest score indicates an asymptomatic participant. The below table included the model estimated average based on all the observed values/time points. The mixed effect model was used.
Time Frame Cycle 1 Day 1 pre-dose and before any other clinical assessments, every 4 weeks thereafter while on study, at end of study treatment/withdrawal, and follow-up and at Day 28 after last dose date
Hide Outcome Measure Data
Hide Analysis Population Description
FAS included all randomized participants, and participants were classified according to the randomized treatment arm regardless of what treatment, if any, was received.
Arm/Group Title Axitinib Placebo
Hide Arm/Group Description:
Participants in this group received axitinib + best supportive care. Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the randomized portion at a starting axitinib dose of 5 mg BID orally. Participants with Child-Pugh Class B disease (score 7) were to begin enrollment into the randomized portion of the study following determination of the recommended axitinib starting dose in the non randomized portion. Study treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles).
Participants in this group received placebo + best supportive care. Treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). The starting dose of placebo for participants with Child Pugh Class A disease (score 5 or 6) was chosen as 5 mg BID. Participants with Child-Pugh Class B, score 7 received placebo that was determined from the non-randomized portion of the study until the recommended starting dose was determined, participants with Child Pugh Class B, score 7, were not permitted to enter the randomized portion of the study.
Overall Number of Participants Analyzed 134 68
Least Squares Mean (95% Confidence Interval)
Unit of Measure: units on a scale
23.42
(22.77 to 24.07)
26.69
(25.35 to 28.03)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Axitinib, Placebo
Comments Analysis based on repeated measures mixed-effects model with an intercept term, treatment, time, treatment-by-time, and baseline as covariate.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <0.0001
Comments No adjustment made for multiple comparisons.
Method Longitudinal mixed effect analysis
Comments [Not Specified]
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -3.27
Confidence Interval (2-Sided) 95%
-4.76 to -1.78
Estimation Comments [Not Specified]
18.Secondary Outcome
Title Functional Assessment of Cancer Therapy-G (FACT-G) Subscales in Randomized Portion: Overall Between-Treatment Comparison Based on the Repeated Measures Mixed Effects Model
Hide Description FACT-G is core questionnaire of Functional Assessment of Chronic Illness Therapy (FACIT) measurement system to evaluate QoL in cancer population. FACT-G consisted of 27 questions grouped in 4 domains of general HRQoL: PWB, SWB, EWB and FWB. Each of the individual subscale, except EWB has 7 items and each integer scored 0 to 4 making a maximum possible score of 28 (range 0 to 28). EWB has 6 items and each integer scored 0 to 4 making a maximum possible score of 24 (range 0 to 24). For all the 4 scales, higher values correspond to better health. The below table included the model estimated average based on all the observed values/time points. The mixed effect model was used.
Time Frame Cycle 1 Day 1 pre-dose and before any other clinical assessments, every 4 weeks thereafter while on study, at end of study treatment/withdrawal, and follow-up and at Day 28 after last dose date
Hide Outcome Measure Data
Hide Analysis Population Description
FAS included all randomized participants, and participants were classified according to the randomized treatment arm regardless of what treatment, if any, was received.
Arm/Group Title Axitinib Placebo
Hide Arm/Group Description:
Participants in this group received axitinib + best supportive care. Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the randomized portion at a starting axitinib dose of 5 mg BID orally. Participants with Child-Pugh Class B disease (score 7) were to begin enrollment into the randomized portion of the study following determination of the recommended axitinib starting dose in the non randomized portion. Study treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles).
Participants in this group received placebo + best supportive care. Treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). The starting dose of placebo for participants with Child Pugh Class A disease (score 5 or 6) was chosen as 5 mg BID. Participants with Child-Pugh Class B, score 7 received placebo that was determined from the non-randomized portion of the study until the recommended starting dose was determined, participants with Child Pugh Class B, score 7, were not permitted to enter the randomized portion of the study.
Overall Number of Participants Analyzed 134 68
Least Squares Mean (95% Confidence Interval)
Unit of Measure: units on a scale
PWB
19.39
(18.72 to 20.07)
23.13
(21.76 to 24.50)
SWB
18.94
(18.05 to 19.83)
20.21
(18.66 to 21.77)
EWB
17.23
(16.63 to 17.84)
17.71
(16.54 to 18.89)
FWB
15.76
(14.88 to 16.65)
17.83
(16.19 to 19.47)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Axitinib, Placebo
Comments Analysis presented above is for FACT-G PWB. Analysis based on repeated measures mixed-effects model with an intercept term, treatment, time, treatment-by-time, and baseline as covariate.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <0.0001
Comments No adjustment made for multiple comparisons.
Method Longitudinal mixed effect analysis
Comments [Not Specified]
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -3.74
Confidence Interval (2-Sided) 95%
-5.26 to -2.21
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Axitinib, Placebo
Comments Analysis presented above is for FACT-G SWB. Analysis based on repeated measures mixed-effects model with an intercept term, treatment, time, treatment-by-time, and baseline as covariate.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.1642
Comments No adjustment made for multiple comparisons.
Method Longitudinal mixed effect analysis
Comments [Not Specified]
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -1.27
Confidence Interval (2-Sided) 95%
-3.07 to 0.52
Estimation Comments [Not Specified]
Hide Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Axitinib, Placebo
Comments Analysis presented above is for FACT-G EWB. Analysis based on repeated measures mixed-effects model with an intercept term, treatment, time, treatment-by-time, and baseline as covariate.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.4759
Comments No adjustment made for multiple comparisons.
Method Longitudinal mixed effect analysis
Comments [Not Specified]
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.48
Confidence Interval (2-Sided) 95%
-1.80 to 0.84
Estimation Comments [Not Specified]
Hide Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Axitinib, Placebo
Comments Analysis presented above is for FACT-G FWB. Analysis based on repeated measures mixed-effects model with an intercept term, treatment, time, treatment-by-time, and baseline as covariate.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0288
Comments No adjustment made for multiple comparisons.
Method Longitudinal mixed effect analysis
Comments [Not Specified]
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -2.07
Confidence Interval (2-Sided) 95%
-3.92 to -0.21
Estimation Comments [Not Specified]
19.Secondary Outcome
Title Functional Assessment of Cancer Therapy - Hepatobiliary Cancer Subscale (FACT Hep-CS18) Questionnaire in Randomized Portion: Overall Between-Treatment Comparison Based on the Repeated Measures Mixed Effects Model
Hide Description This subscale consists of 18 items rated on a scale from '0' - not at all to '4' - very much regarding how much each item was present in the last 7 days. FACT-Hep-CS18 total score ranges from 0 to 72. The higher score reflects better QoL or fewer symptoms. The 18 items of this scale are associated with hepatocellular carcinoma. The below table included the model estimated average based on all the observed values/time points. The mixed effect model was used.
Time Frame Cycle 1 Day 1 pre-dose and before any other clinical assessments, every 4 weeks thereafter while on study, at end of study treatment/withdrawal, and follow-up and at Day 28 after last dose date
Hide Outcome Measure Data
Hide Analysis Population Description
FAS included all randomized participants, and participants were classified according to the randomized treatment arm regardless of what treatment, if any, was received.
Arm/Group Title Axitinib Placebo
Hide Arm/Group Description:
Participants in this group received axitinib + best supportive care. Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the randomized portion at a starting axitinib dose of 5 mg BID orally. Participants with Child-Pugh Class B disease (score 7) were to begin enrollment into the randomized portion of the study following determination of the recommended axitinib starting dose in the non randomized portion. Study treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles).
Participants in this group received placebo + best supportive care. Treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). The starting dose of placebo for participants with Child Pugh Class A disease (score 5 or 6) was chosen as 5 mg BID. Participants with Child-Pugh Class B, score 7 received placebo that was determined from the non-randomized portion of the study until the recommended starting dose was determined, participants with Child Pugh Class B, score 7, were not permitted to enter the randomized portion of the study.
Overall Number of Participants Analyzed 134 68
Least Squares Mean (95% Confidence Interval)
Unit of Measure: units on a scale
51.78
(50.46 to 53.10)
56.74
(54.08 to 59.39)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Axitinib, Placebo
Comments Analysis based on repeated measures mixed-effects model with an intercept term, treatment, time, treatment-by-time, and baseline as covariate.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0011
Comments No adjustment made for multiple comparisons.
Method Longitudinal mixed effect analysis
Comments [Not Specified]
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -4.96
Confidence Interval (2-Sided) 95%
-7.93 to -1.99
Estimation Comments [Not Specified]
20.Secondary Outcome
Title Functional Assessment of Cancer Therapy - Hepatobiliary Cancer Trial Outcome Index (FACT Hep-TOI) Questionnaire in Randomized Portion: Overall Between-Treatment Comparison Based on the Repeated Measures Mixed Effects Model
Hide Description The trial outcome index is defined to be the sum (PWB+FWB+HepCS), making it 32 items altogether. Each ranges from '0' - not at all to '4' - very much regarding how much each item was present in the last 7 days. FACT Hep -TOI total score ranges from 0 to 128, where the highest score represents a maximum achievable quality of life. The below table included the model estimated average based on all the observed values/time points. The mixed effect model was used.
Time Frame Cycle 1 Day 1 pre-dose and before any other clinical assessments, every 4 weeks thereafter while on study, at end of study treatment/withdrawal, and follow-up and at Day 28 after last dose date
Hide Outcome Measure Data
Hide Analysis Population Description
FAS included all randomized participants, and participants were classified according to the randomized treatment arm regardless of what treatment, if any, was received.
Arm/Group Title Axitinib Placebo
Hide Arm/Group Description:
Participants in this group received axitinib + best supportive care. Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the randomized portion at a starting axitinib dose of 5 mg BID orally. Participants with Child-Pugh Class B disease (score 7) were to begin enrollment into the randomized portion of the study following determination of the recommended axitinib starting dose in the non randomized portion. Study treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles).
Participants in this group received placebo + best supportive care. Treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). The starting dose of placebo for participants with Child Pugh Class A disease (score 5 or 6) was chosen as 5 mg BID. Participants with Child-Pugh Class B, score 7 received placebo that was determined from the non-randomized portion of the study until the recommended starting dose was determined, participants with Child Pugh Class B, score 7, were not permitted to enter the randomized portion of the study.
Overall Number of Participants Analyzed 134 68
Least Squares Mean (95% Confidence Interval)
Unit of Measure: units on a scale
87.28
(84.98 to 89.58)
97.73
(93.24 to 102.23)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Axitinib, Placebo
Comments Analysis based on repeated measures mixed-effects model with an intercept term, treatment, time, treatment-by-time, and baseline as covariate.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <0.0001
Comments No adjustment made for multiple comparisons.
Method Longitudinal mixed effect analysis
Comments [Not Specified]
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -10.45
Confidence Interval (2-Sided) 95%
-15.49 to -5.42
Estimation Comments [Not Specified]
21.Secondary Outcome
Title Time to Deterioration (TTD) Based on the Composite Endpoint in Randomized Portion: Overall Between-Treatment Comparison Based on the Repeated Measures Mixed Effects Model
Hide Description TTD analysis was performed for FHSI-8. Time to deterioration was defined as the time between date of randomization and date of the event.
Time Frame From randomization to death or tumor progression or FHSI-8 mean score decrease >=3 points, whichever comes first
Hide Outcome Measure Data
Hide Analysis Population Description
FAS included all randomized participants, and participants were classified according to the randomized treatment arm regardless of what treatment, if any, was received.
Arm/Group Title Axitinib Placebo
Hide Arm/Group Description:
Participants in this group received axitinib + best supportive care. Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the randomized portion at a starting axitinib dose of 5 mg BID orally. Participants with Child-Pugh Class B disease (score 7) were to begin enrollment into the randomized portion of the study following determination of the recommended axitinib starting dose in the non randomized portion. Study treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles).
Participants in this group received placebo + best supportive care. Treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). The starting dose of placebo for participants with Child Pugh Class A disease (score 5 or 6) was chosen as 5 mg BID. Participants with Child-Pugh Class B, score 7 received placebo that was determined from the non-randomized portion of the study until the recommended starting dose was determined, participants with Child Pugh Class B, score 7, were not permitted to enter the randomized portion of the study.
Overall Number of Participants Analyzed 134 68
Median (95% Confidence Interval)
Unit of Measure: months
1.9
(1.8 to 1.9)
1.9
(1.8 to 2.7)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Axitinib, Placebo
Comments [Not Specified]
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.9182
Comments The p-value is from a 1-sided log-rank test.
Method 1-sided, unstratified log-rank test
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.252
Confidence Interval (2-Sided) 95%
0.923 to 1.698
Estimation Comments Assuming proportional hazards, a hazard ratio <1 indicates reduction in hazard rate to favor Axitinib, hazard ratio >1 indicates reduction to favor Placebo.
22.Secondary Outcome
Title EuroQoL (EQ-5D)- Health State Profile Utility Score in Randomized Portion: Overall Between-Treatment Comparison Based on the Repeated Measures Mixed Effects Model
Hide Description EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state. Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range -0.594 to 1.000; higher score indicates a better health state. The below table included the model estimated average based on all the observed values/time points. The mixed effect model was used.
Time Frame Cycle 1 Day 1 pre-dose and before any other clinical assessments, every 4 weeks thereafter while on study, at end of study treatment/withdrawal, and follow-up and at Day 28 after last dose date
Hide Outcome Measure Data
Hide Analysis Population Description
FAS included all randomized participants, and participants were classified according to the randomized treatment arm regardless of what treatment, if any, was received.
Arm/Group Title Axitinib Placebo
Hide Arm/Group Description:
Participants in this group received axitinib + best supportive care. Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the randomized portion at a starting axitinib dose of 5 mg BID orally. Participants with Child-Pugh Class B disease (score 7) were to begin enrollment into the randomized portion of the study following determination of the recommended axitinib starting dose in the non randomized portion. Study treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles).
Participants in this group received placebo + best supportive care. Treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). The starting dose of placebo for participants with Child Pugh Class A disease (score 5 or 6) was chosen as 5 mg BID. Participants with Child-Pugh Class B, score 7 received placebo that was determined from the non-randomized portion of the study until the recommended starting dose was determined, participants with Child Pugh Class B, score 7, were not permitted to enter the randomized portion of the study.
Overall Number of Participants Analyzed 134 68
Least Squares Mean (95% Confidence Interval)
Unit of Measure: units on a scale
0.67
(0.63 to 0.70)
0.79
(0.72 to 0.86)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Axitinib, Placebo
Comments Analysis based on repeated measures mixed-effects model with an intercept term, treatment, time, treatment-by-time, and baseline as covariate.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0024
Comments [Not Specified]
Method Longitudinal mixed effect analysis
Comments [Not Specified]
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.12
Confidence Interval (2-Sided) 95%
-0.20 to -0.04
Estimation Comments [Not Specified]
23.Secondary Outcome
Title EuroQoL Visual Analogue Scale (EQ-VAS) in Randomized Portion: Overall Between-Treatment Comparison Based on the Repeated Measures Mixed Effects Model
Hide Description EQ-5D VAS in rates the participant's overall health status using values from 0 (worst imaginable) to 100 (best imaginable). The below table included the model estimated average based on all the observed values/time points. The mixed effect model was used.
Time Frame Cycle 1 Day 1 pre-dose and before any other clinical assessments, every 4 weeks thereafter while on study, at end of study treatment/withdrawal, and follow-up and at Day 28 after last dose date
Hide Outcome Measure Data
Hide Analysis Population Description
FAS included all randomized participants, and participants were classified according to the randomized treatment arm regardless of what treatment, if any, was received.
Arm/Group Title Axitinib Placebo
Hide Arm/Group Description:
Participants in this group received axitinib + best supportive care. Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the randomized portion at a starting axitinib dose of 5 mg BID orally. Participants with Child-Pugh Class B disease (score 7) were to begin enrollment into the randomized portion of the study following determination of the recommended axitinib starting dose in the non randomized portion. Study treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles).
Participants in this group received placebo + best supportive care. Treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). The starting dose of placebo for participants with Child Pugh Class A disease (score 5 or 6) was chosen as 5 mg BID. Participants with Child-Pugh Class B, score 7 received placebo that was determined from the non-randomized portion of the study until the recommended starting dose was determined, participants with Child Pugh Class B, score 7, were not permitted to enter the randomized portion of the study.
Overall Number of Participants Analyzed 134 68
Least Squares Mean (95% Confidence Interval)
Unit of Measure: units on a scale
68.67
(66.11 to 71.23)
75.70
(70.40 to 81.00)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Axitinib, Placebo
Comments Analysis based on repeated measures mixed-effects model with an intercept term, treatment, time, treatment-by-time, and baseline as covariate.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0193
Comments [Not Specified]
Method Longitudinal mixed effect analysis
Comments [Not Specified]
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -7.03
Confidence Interval (2-Sided) 95%
-12.91 to -1.15
Estimation Comments [Not Specified]
24.Secondary Outcome
Title Number of Participants With Dose-Limiting Toxicities (DLTs) in Non-Randomized Portion
Hide Description Number of Child-Pugh Class B (score 7) participants with DLT was evaluated during Cycle 1 of treatment in the non-randomized portion of the study.
Time Frame Cycle 1 (4 weeks)
Hide Outcome Measure Data
Hide Analysis Population Description
Participants with Child-Pugh Class B, score 7 are only included in this analysis.
Arm/Group Title Child-Pugh Class A Child-Pugh Class B
Hide Arm/Group Description:
Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the non-randomized portion at selected sites only at a starting axitinib dose of 5 mg BID.
Participants with Child-Pugh Class B disease (score 7) at selected sites were initially enrolled only into the non-randomized portion of this study to determine the recommended starting dose of axitinib for this population. The initial starting dose for this group was 2 mg BID.
Overall Number of Participants Analyzed 0 7
Measure Type: Number
Unit of Measure: participants
2
25.Secondary Outcome
Title Number of Participants With Treatment-Emergent Adverse Events (AEs) in Non-Randomized Portion
Hide Description An AE was an untoward medical occurrence in a participant who received study treatment without regard to possibility of causal relationship. Serious adverse event (SAE) was an AE resulting in any of the following outcomes: death, initial or prolonged inpatient hospitalization, life-threatening experience, persistent or significant disability/incapacity, congenital anomaly. Treatment-emergent AEs were those with initial onset or that worsen in severity after the first dose of study medication. The grade of an AE was determined according to Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0.
Time Frame Up to 28 days after last dose of study drug (up to 6 years)
Hide Outcome Measure Data
Hide Analysis Population Description
The safety analysis population included participants who received at least 1 dose of study medication with treatment assignments designated according to actual study treatment received.
Arm/Group Title Child-Pugh Class A Child-Pugh Class B
Hide Arm/Group Description:
Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the non-randomized portion at selected sites only at a starting axitinib dose of 5 mg BID.
Participants with Child-Pugh Class B disease (score 7) at selected sites were initially enrolled only into the non-randomized portion of this study to determine the recommended starting dose of axitinib for this population. The initial starting dose for this group was 2 mg BID.
Overall Number of Participants Analyzed 15 7
Measure Type: Number
Unit of Measure: participants
Participants with AEs 15 7
Participants with SAEs 10 3
Participants >=Grade 3 AEs 13 5
Participants Grade 5 AEs 4 1
26.Secondary Outcome
Title Number of Participants With Treatment-Related Adverse Events (AEs) in Non-Randomized Portion
Hide Description Treatment-related AE was any untoward medical occurrence in a participant with causal relationship to the study drug. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. The grade of an AE was determined according to CTCAE Version 3.0.
Time Frame Up to 28 days after last dose of study drug (up to 6 years)
Hide Outcome Measure Data
Hide Analysis Population Description
The safety analysis population included participants who received at least 1 dose of study medication with treatment assignments designated according to actual study treatment received.
Arm/Group Title Child-Pugh Class A Child-Pugh Class B
Hide Arm/Group Description:
Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the non-randomized portion at selected sites only at a starting axitinib dose of 5 mg BID.
Participants with Child-Pugh Class B disease (score 7) at selected sites were initially enrolled only into the non-randomized portion of this study to determine the recommended starting dose of axitinib for this population. The initial starting dose for this group was 2 mg BID.
Overall Number of Participants Analyzed 15 7
Measure Type: Number
Unit of Measure: participants
Participants with AEs 14 6
Participants with SAEs 2 2
Participants ≥Grade 3 AEs 9 4
Participants Grade 5 AEs 0 0
27.Secondary Outcome
Title Number of Participants With Treatment-Emergent Adverse Events (AEs) in Randomized Portion
Hide Description An AE was an untoward medical occurrence in a participant who received study treatment without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes: death, initial or prolonged inpatient hospitalization, life-threatening experience, persistent or significant disability/incapacity, congenital anomaly. Treatment-emergent AEs were those with initial onset or that worsen in severity after the first dose of study medication. The grade of an AE was determined according to CTCAE Version 3.0.
Time Frame Up to 28 days after last dose of study drug (up to 6 years)
Hide Outcome Measure Data
Hide Analysis Population Description
The safety analysis population included all randomized participants who received at least 1 dose of study medication with treatment assignments designated according to actual study treatment received.
Arm/Group Title Axitinib Placebo
Hide Arm/Group Description:
Participants in this group received axitinib + best supportive care. Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the randomized portion at a starting axitinib dose of 5 mg BID orally. Participants with Child-Pugh Class B disease (score 7) were to begin enrollment into the randomized portion of the study following determination of the recommended axitinib starting dose in the non randomized portion. Study treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles).
Participants in this group received placebo + best supportive care. Treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). The starting dose of placebo for participants with Child Pugh Class A disease (score 5 or 6) was chosen as 5 mg BID. Participants with Child-Pugh Class B, score 7 received placebo that was determined from the non-randomized portion of the study until the recommended starting dose was determined, participants with Child Pugh Class B, score 7, were not permitted to enter the randomized portion of the study.
Overall Number of Participants Analyzed 133 68
Measure Type: Number
Unit of Measure: participants
Participants with AEs 131 63
Participants with SAEs 62 16
Participants with Grade >=3 AEs 109 26
Participants with Grade 5 AEs 16 8
28.Secondary Outcome
Title Number of Participants With Treatment-Related Adverse Events (AEs) in Randomized Portion
Hide Description Treatment-related AE was any untoward medical occurrence in a participant with causal relationship to the study drug. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. The grade of an AE was determined according to CTCAE Version 3.0.
Time Frame Up to 28 days after last dose of study drug (up to 6 years)
Hide Outcome Measure Data
Hide Analysis Population Description
The safety analysis population included all randomized participants who received at least 1 dose of study medication with treatment assignments designated according to actual study treatment received.
Arm/Group Title Axitinib Placebo
Hide Arm/Group Description:
Participants in this group received axitinib + best supportive care. Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the randomized portion at a starting axitinib dose of 5 mg BID orally. Participants with Child-Pugh Class B disease (score 7) were to begin enrollment into the randomized portion of the study following determination of the recommended axitinib starting dose in the non randomized portion. Study treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles).
Participants in this group received placebo + best supportive care. Treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). The starting dose of placebo for participants with Child Pugh Class A disease (score 5 or 6) was chosen as 5 mg BID. Participants with Child-Pugh Class B, score 7 received placebo that was determined from the non-randomized portion of the study until the recommended starting dose was determined, participants with Child Pugh Class B, score 7, were not permitted to enter the randomized portion of the study.
Overall Number of Participants Analyzed 133 68
Measure Type: Number
Unit of Measure: participants
Participants with AEs 128 40
Participants with SAEs 24 1
Participants with Grade >=3 AEs 90 12
Participants with Grade 5 AEs 1 0
Time Frame Baseline up to follow-up visit (up to 6 years)
Adverse Event Reporting Description The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as nonserious in another participant, or one participant may have experienced both a serious and nonserious event during the study.
 
Arm/Group Title Child-Pugh Class A Child-Pugh Class B Axitinib Placebo
Hide Arm/Group Description Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the non-randomized portion at selected sites only at a starting axitinib dose of 5 mg BID. Participants with Child-Pugh Class B disease (score 7) at selected sites were initially enrolled only into the non randomized portion of this study to determine the recommended starting dose of axitinib for this population. Participants in this group received axitinib + best supportive care. Participants with Child-Pugh Class A disease (score 5 or 6) were enrolled into the randomized portion at a starting axitinib dose of 5 mg BID orally. Participants with Child-Pugh Class B disease (score 7) were to begin enrollment into the randomized portion of the study following determination of the recommended axitinib starting dose in the non randomized portion. Study treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). Participants in this group received placebo + best supportive care. Treatment was administered in cycles of 4 weeks in duration (up to a maximum of 55 cycles). The starting dose of placebo for participants with Child Pugh Class A disease (score 5 or 6) was chosen as 5 mg BID. Participants with Child-Pugh Class B, score 7 received placebo that was determined from the non-randomized portion of the study until the recommended starting dose was determined, participants with Child Pugh Class B, score 7, were not permitted to enter the randomized portion of the study.
All-Cause Mortality
Child-Pugh Class A Child-Pugh Class B Axitinib Placebo
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   --/--   --/--   --/--   --/-- 
Hide Serious Adverse Events
Child-Pugh Class A Child-Pugh Class B Axitinib Placebo
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   10/15 (66.67%)   3/7 (42.86%)   62/133 (46.62%)   16/68 (23.53%) 
Blood and lymphatic system disorders         
Anaemia * 1  0/15 (0.00%)  0/7 (0.00%)  0/133 (0.00%)  1/68 (1.47%) 
Febrile neutropenia * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Cardiac disorders         
Acute myocardial infarction * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Bradycardia * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Ventricular tachycardia * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Eye disorders         
Cataract * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Retinal vein occlusion * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Gastrointestinal disorders         
Abdominal pain * 1  1/15 (6.67%)  0/7 (0.00%)  3/133 (2.26%)  2/68 (2.94%) 
Ascites * 1  0/15 (0.00%)  0/7 (0.00%)  0/133 (0.00%)  2/68 (2.94%) 
Colitis * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Diarrhoea * 1  0/15 (0.00%)  0/7 (0.00%)  7/133 (5.26%)  0/68 (0.00%) 
Enterocolitis haemorrhagic * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Gastric ulcer * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Gastrointestinal disorder * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Gastrointestinal haemorrhage * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Haematochezia * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Rectal haemorrhage * 1  0/15 (0.00%)  0/7 (0.00%)  0/133 (0.00%)  1/68 (1.47%) 
Varices oesophageal * 1  0/15 (0.00%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Upper gastrointestinal haemorrhage * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  1/68 (1.47%) 
General disorders         
Asthenia * 1  0/15 (0.00%)  0/7 (0.00%)  4/133 (3.01%)  0/68 (0.00%) 
Disease progression * 1  3/15 (20.00%)  0/7 (0.00%)  8/133 (6.02%)  4/68 (5.88%) 
General physical health deterioration * 1  0/15 (0.00%)  0/7 (0.00%)  3/133 (2.26%)  0/68 (0.00%) 
Inflammation * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Oedema peripheral * 1  0/15 (0.00%)  0/7 (0.00%)  0/133 (0.00%)  1/68 (1.47%) 
Pyrexia * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  1/68 (1.47%) 
Fatigue * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Hepatobiliary disorders         
Bile duct stenosis * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Cholangitis * 1  0/15 (0.00%)  0/7 (0.00%)  4/133 (3.01%)  0/68 (0.00%) 
Cholecystitis acute * 1  2/15 (13.33%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Hepatic failure * 1  0/15 (0.00%)  0/7 (0.00%)  2/133 (1.50%)  0/68 (0.00%) 
Hepatic function abnormal * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  1/68 (1.47%) 
Hepatorenal syndrome * 1  0/15 (0.00%)  0/7 (0.00%)  0/133 (0.00%)  1/68 (1.47%) 
Jaundice cholestatic * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Bile duct stone * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Infections and infestations         
Abscess rupture * 1  0/15 (0.00%)  0/7 (0.00%)  0/133 (0.00%)  1/68 (1.47%) 
Appendicitis * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Gastroenteritis * 1  0/15 (0.00%)  0/7 (0.00%)  2/133 (1.50%)  0/68 (0.00%) 
Otitis media * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Ovarian abscess * 1  0/15 (0.00%)  0/7 (0.00%)  0/133 (0.00%)  1/68 (1.47%) 
Peritonitis bacterial * 1  0/15 (0.00%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Pneumonia * 1  1/15 (6.67%)  0/7 (0.00%)  1/133 (0.75%)  1/68 (1.47%) 
Sepsis * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Upper respiratory tract infection * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  1/68 (1.47%) 
Urinary tract infection * 1  0/15 (0.00%)  0/7 (0.00%)  3/133 (2.26%)  0/68 (0.00%) 
Injury, poisoning and procedural complications         
Femur fracture * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Humerus fracture * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Road traffic accident * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Investigations         
Alanine aminotransferase increased * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Aspartate aminotransferase increased * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Metabolism and nutrition disorders         
Cachexia * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Decreased appetite * 1  1/15 (6.67%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Dehydration * 1  0/15 (0.00%)  0/7 (0.00%)  3/133 (2.26%)  0/68 (0.00%) 
Electrolyte imbalance * 1  0/15 (0.00%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Hyperkalaemia * 1  0/15 (0.00%)  0/7 (0.00%)  2/133 (1.50%)  0/68 (0.00%) 
Hyponatraemia * 1  0/15 (0.00%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Hypovolaemia * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Musculoskeletal and connective tissue disorders         
Muscular weakness * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Necrotising myositis * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Osteoporotic fracture * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Neoplasms benign, malignant and unspecified (incl cysts and polyps)         
Hepatocellular carcinoma * 1  0/15 (0.00%)  1/7 (14.29%)  1/133 (0.75%)  0/68 (0.00%) 
Malignant neoplasm progression * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Tumour rupture * 1  0/15 (0.00%)  0/7 (0.00%)  0/133 (0.00%)  1/68 (1.47%) 
Nervous system disorders         
Brain stem infarction * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Cerebral infarction * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Coma hepatic * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Dizziness * 1  0/15 (0.00%)  0/7 (0.00%)  0/133 (0.00%)  1/68 (1.47%) 
Encephalopathy * 1  0/15 (0.00%)  1/7 (14.29%)  2/133 (1.50%)  0/68 (0.00%) 
Epilepsy * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Hepatic encephalopathy * 1  0/15 (0.00%)  0/7 (0.00%)  4/133 (3.01%)  1/68 (1.47%) 
Ischaemic stroke * 1  0/15 (0.00%)  0/7 (0.00%)  0/133 (0.00%)  1/68 (1.47%) 
Quadriparesis * 1  0/15 (0.00%)  0/7 (0.00%)  0/133 (0.00%)  1/68 (1.47%) 
Psychiatric disorders         
Completed suicide * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Dysthymic disorder * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Renal and urinary disorders         
Renal failure * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  1/68 (1.47%) 
Renal impairment * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Ureteric obstruction * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Respiratory, thoracic and mediastinal disorders         
Bronchospasm * 1  0/15 (0.00%)  0/7 (0.00%)  0/133 (0.00%)  1/68 (1.47%) 
Dyspnoea * 1  1/15 (6.67%)  0/7 (0.00%)  3/133 (2.26%)  0/68 (0.00%) 
Epistaxis * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Lung disorder * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Obstructive airways disorder * 1  0/15 (0.00%)  0/7 (0.00%)  0/133 (0.00%)  1/68 (1.47%) 
Pulmonary alveolar haemorrhage * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Respiratory failure * 1  0/15 (0.00%)  0/7 (0.00%)  2/133 (1.50%)  0/68 (0.00%) 
Skin and subcutaneous tissue disorders         
Drug eruption * 1  0/15 (0.00%)  0/7 (0.00%)  1/133 (0.75%)  0/68 (0.00%) 
Vascular disorders         
Hypertension * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Hypotension * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
*
Indicates events were collected by non-systematic assessment
1
Term from vocabulary, MedDRA (v17.0)
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 5%
Child-Pugh Class A Child-Pugh Class B Axitinib Placebo
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   15/15 (100.00%)   7/7 (100.00%)   130/133 (97.74%)   55/68 (80.88%) 
Blood and lymphatic system disorders         
Anaemia * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Thrombocytopenia * 1  0/15 (0.00%)  0/7 (0.00%)  8/133 (6.02%)  0/68 (0.00%) 
Cardiac disorders         
Atrial fibrillation * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Congenital, familial and genetic disorders         
Hydrocele * 1  0/15 (0.00%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Ear and labyrinth disorders         
Ear disorder * 1  1/15 (6.67%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Endocrine disorders         
Hypothyroidism * 1  4/15 (26.67%)  0/7 (0.00%)  33/133 (24.81%)  0/68 (0.00%) 
Eye disorders         
Ocular surface disease * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Gastrointestinal disorders         
Abdominal distension * 1  2/15 (13.33%)  0/7 (0.00%)  5/133 (3.76%)  7/68 (10.29%) 
Abdominal pain * 1  6/15 (40.00%)  1/7 (14.29%)  45/133 (33.83%)  12/68 (17.65%) 
Abdominal pain upper * 1  2/15 (13.33%)  1/7 (14.29%)  17/133 (12.78%)  3/68 (4.41%) 
Anal inflammation * 1  2/15 (13.33%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Ascites * 1  1/15 (6.67%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Constipation * 1  5/15 (33.33%)  2/7 (28.57%)  21/133 (15.79%)  8/68 (11.76%) 
Diarrhoea * 1  9/15 (60.00%)  1/7 (14.29%)  71/133 (53.38%)  8/68 (11.76%) 
Dry mouth * 1  1/15 (6.67%)  0/7 (0.00%)  7/133 (5.26%)  2/68 (2.94%) 
Dyspepsia * 1  5/15 (33.33%)  2/7 (28.57%)  10/133 (7.52%)  6/68 (8.82%) 
Enterocolitis * 1  0/15 (0.00%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Gastritis erosive * 1  0/15 (0.00%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Glossitis * 1  0/15 (0.00%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Nausea * 1  5/15 (33.33%)  3/7 (42.86%)  35/133 (26.32%)  7/68 (10.29%) 
Stomatitis * 1  3/15 (20.00%)  0/7 (0.00%)  19/133 (14.29%)  0/68 (0.00%) 
Varices oesophageal * 1  0/15 (0.00%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Vomiting * 1  3/15 (20.00%)  0/7 (0.00%)  26/133 (19.55%)  7/68 (10.29%) 
General disorders         
Asthenia * 1  0/15 (0.00%)  2/7 (28.57%)  27/133 (20.30%)  3/68 (4.41%) 
Chest discomfort * 1  2/15 (13.33%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Chest pain * 1  2/15 (13.33%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Chills * 1  1/15 (6.67%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Face oedema * 1  2/15 (13.33%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Fatigue * 1  12/15 (80.00%)  2/7 (28.57%)  46/133 (34.59%)  18/68 (26.47%) 
Influenza like illness * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Malaise * 1  0/15 (0.00%)  2/7 (28.57%)  13/133 (9.77%)  1/68 (1.47%) 
Mucosal inflammation * 1  1/15 (6.67%)  0/7 (0.00%)  8/133 (6.02%)  0/68 (0.00%) 
Oedema * 1  1/15 (6.67%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Oedema peripheral * 1  4/15 (26.67%)  1/7 (14.29%)  14/133 (10.53%)  10/68 (14.71%) 
Pain * 1  5/15 (33.33%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Pyrexia * 1  3/15 (20.00%)  1/7 (14.29%)  16/133 (12.03%)  3/68 (4.41%) 
Catheter site pain * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Hepatobiliary disorders         
Hyperbilirubinaemia * 1  0/15 (0.00%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Infections and infestations         
Bronchitis * 1  0/15 (0.00%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Cystitis * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Nasopharyngitis * 1  0/15 (0.00%)  1/7 (14.29%)  9/133 (6.77%)  8/68 (11.76%) 
Pneumonia * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Injury, poisoning and procedural complications         
Contusion * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Fall * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Laceration * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Procedural pain * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Investigations         
Alanine aminotransferase increased * 1  2/15 (13.33%)  0/7 (0.00%)  8/133 (6.02%)  2/68 (2.94%) 
Alpha 1 foetoprotein increased * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Ammonia increased * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Aspartate aminotransferase increased * 1  4/15 (26.67%)  0/7 (0.00%)  10/133 (7.52%)  4/68 (5.88%) 
Blood alkaline phosphatase increased * 1  2/15 (13.33%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Blood bilirubin increased * 1  1/15 (6.67%)  0/7 (0.00%)  7/133 (5.26%)  0/68 (0.00%) 
Blood creatinine increased * 1  0/15 (0.00%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Blood thyroid stimulating hormone increased * 1  1/15 (6.67%)  0/7 (0.00%)  9/133 (6.77%)  0/68 (0.00%) 
Gamma-glutamyltransferase increased * 1  3/15 (20.00%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Neutrophil count decreased * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Platelet count decreased * 1  2/15 (13.33%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Weight decreased * 1  5/15 (33.33%)  3/7 (42.86%)  36/133 (27.07%)  2/68 (2.94%) 
Metabolism and nutrition disorders         
Decreased appetite * 1  6/15 (40.00%)  5/7 (71.43%)  62/133 (46.62%)  14/68 (20.59%) 
Dehydration * 1  0/15 (0.00%)  0/7 (0.00%)  9/133 (6.77%)  0/68 (0.00%) 
Hypercalcaemia * 1  0/15 (0.00%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Hyperkalaemia * 1  0/15 (0.00%)  1/7 (14.29%)  9/133 (6.77%)  2/68 (2.94%) 
Hypoalbuminaemia * 1  4/15 (26.67%)  2/7 (28.57%)  8/133 (6.02%)  1/68 (1.47%) 
Hypocalcaemia * 1  1/15 (6.67%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Hypokalaemia * 1  0/15 (0.00%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Hyponatraemia * 1  1/15 (6.67%)  3/7 (42.86%)  8/133 (6.02%)  3/68 (4.41%) 
Hypophosphataemia * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Musculoskeletal and connective tissue disorders         
Arthralgia * 1  2/15 (13.33%)  0/7 (0.00%)  7/133 (5.26%)  1/68 (1.47%) 
Arthropathy * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Back pain * 1  4/15 (26.67%)  1/7 (14.29%)  11/133 (8.27%)  11/68 (16.18%) 
Bone pain * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Flank pain * 1  4/15 (26.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Muscle spasms * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Muscular weakness * 1  0/15 (0.00%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Musculoskeletal pain * 1  2/15 (13.33%)  0/7 (0.00%)  8/133 (6.02%)  4/68 (5.88%) 
Musculoskeletal chest pain * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Musculoskeletal discomfort * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Musculoskeletal stiffness * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Myalgia * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Neck pain * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Pain in extremity * 1  2/15 (13.33%)  0/7 (0.00%)  7/133 (5.26%)  1/68 (1.47%) 
Neoplasms benign, malignant and unspecified (incl cysts and polyps)         
Tumour associated fever * 1  0/15 (0.00%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Nervous system disorders         
Dysgeusia * 1  0/15 (0.00%)  0/7 (0.00%)  9/133 (6.77%)  0/68 (0.00%) 
Dizziness * 1  6/15 (40.00%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Headache * 1  5/15 (33.33%)  2/7 (28.57%)  21/133 (15.79%)  3/68 (4.41%) 
Hepatic encephalopathy * 1  0/15 (0.00%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Neuropathy peripheral * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Peripheral sensory neuropathy * 1  2/15 (13.33%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Tremor * 1  0/15 (0.00%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Psychiatric disorders         
Agitation * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Confusional state * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Depression * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Insomnia * 1  2/15 (13.33%)  1/7 (14.29%)  12/133 (9.02%)  3/68 (4.41%) 
Irritability * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Renal and urinary disorders         
Chromaturia * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Dysuria * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Pollakiuria * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Proteinuria * 1  4/15 (26.67%)  1/7 (14.29%)  27/133 (20.30%)  1/68 (1.47%) 
Respiratory, thoracic and mediastinal disorders         
Cough * 1  3/15 (20.00%)  0/7 (0.00%)  16/133 (12.03%)  6/68 (8.82%) 
Dysphonia * 1  6/15 (40.00%)  3/7 (42.86%)  33/133 (24.81%)  0/68 (0.00%) 
Dyspnoea * 1  3/15 (20.00%)  1/7 (14.29%)  13/133 (9.77%)  6/68 (8.82%) 
Epistaxis * 1  1/15 (6.67%)  0/7 (0.00%)  10/133 (7.52%)  2/68 (2.94%) 
Haemoptysis * 1  1/15 (6.67%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Interstitial lung disease * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Nasal congestion * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Nasal inflammation * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Oropharyngeal pain * 1  2/15 (13.33%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Productive cough * 1  0/15 (0.00%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Upper respiratory tract inflammation * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Skin and subcutaneous tissue disorders         
Alopecia * 1  0/15 (0.00%)  0/7 (0.00%)  6/133 (4.51%)  7/68 (10.29%) 
Blister * 1  2/15 (13.33%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Dry skin * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Facial wasting * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Nail disorder * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Night sweats * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Palmar-plantar erythrodysaesthesia syndrome * 1  8/15 (53.33%)  2/7 (28.57%)  45/133 (33.83%)  4/68 (5.88%) 
Petechiae * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
Pruritus * 1  0/15 (0.00%)  1/7 (14.29%)  11/133 (8.27%)  8/68 (11.76%) 
Rash * 1  2/15 (13.33%)  2/7 (28.57%)  23/133 (17.29%)  2/68 (2.94%) 
Skin ulcer * 1  0/15 (0.00%)  1/7 (14.29%)  0/133 (0.00%)  0/68 (0.00%) 
Vascular disorders         
Hypertension * 1  7/15 (46.67%)  3/7 (42.86%)  72/133 (54.14%)  9/68 (13.24%) 
Hypotension * 1  1/15 (6.67%)  0/7 (0.00%)  0/133 (0.00%)  0/68 (0.00%) 
*
Indicates events were collected by non-systematic assessment
1
Term from vocabulary, MedDRA (v17.0)
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Pfizer ClinicalTrials.gov Call Center
Organization: Pfizer, Inc.
Phone: 1-800-718-1021
EMail: ClinicalTrials.gov_Inquiries@pfizer.com
Layout table for additonal information
Responsible Party: Pfizer
ClinicalTrials.gov Identifier: NCT01210495    
Other Study ID Numbers: A4061058
2010-021590-37 ( EudraCT Number )
First Submitted: September 22, 2010
First Posted: September 28, 2010
Results First Submitted: March 3, 2015
Results First Posted: May 27, 2015
Last Update Posted: January 9, 2019