Table 3.
Treatment Exposure and Dose Modification Based on Prior Sorafenib/Lenvatinib Treatment (Intent-to-Treat Population)
| Prior sorafenib only |
Prior lenvatinib only |
Prior lenvatinib and sorafenib |
||||
|---|---|---|---|---|---|---|
| Cabozantinib n = 63 | Placebo n = 33 | Cabozantinib n = 68 | Placebo n = 34 | Cabozantinib n = 39 | Placebo n = 21 | |
| Duration of exposure, median (range), months | 7.0 (0.9–18.8) | 3.0 (0.2–15.2) | 5.6 (0.2–16.3) | 2.5 (0.4–13.8) | 5.9 (0.6–16.0) | 2.1 (0.8–9.7) |
| Average daily dose, median (range), mg | 41.2 (9.5–60.0) | 60.0 (28.3–68.3) | 37.4 (10.0–60.0) | 58.4 (18.4–60.0) | 40.1 (20.2–60.0) | 60.0 (34.5–60.0) |
| Dose modifications due to AE, n (%) | 48 (76) | 6 (18) | 54 (79) | 13 (38) | 34 (87) | 5 (24) |
| Dose holds due to AE, n (%) | 40 (63) | 6 (18) | 51 (75) | 13 (38) | 29 (74) | 5 (24) |
| Duration, median (range), months | 0.9 (0.1–7.3) | 0.6 (0.4–2.1) | 1.1 (<0.1–4.7) | 0.5 (<0.1–1.2) | 0.6 (0.1–2.6) | 0.8 (<0.1–2.4) |
| Dose reduction due to AE, n (%) | 45 (71) | 1 (3) | 42 (62) | 2 (6) | 27 (69) | 0 |
| Reduction to 40 mg | 43 (68) | 1 (3) | 41 (60) | 1 (3) | 27 (69) | 0 |
| Reduction to 20 mg | 25 (40) | 0 | 19 (28) | 1 (3) | 12 (31) | 0 |
| Time to first dose level (40 mg) reduction due to AE, median (range), months | 2.5 (0.5–16.8) | 2.8 (2.8–2.8) | 2.0 (0.7–10.2) | 3.1 (1.2–5.0) | 1.6 (0.5–6.4) | NA |
| Time to second dose level (20 mg) reduction due to AE, median (range), months | 3.7 (0.9–15.5) | NA | 4.6 (1.8–12.2) | NA | 3.5 (1.0–14.0) | NA |
| Discontinuation due to a TEAE, n (%) | 10 (16) | 0 | 9 (13) | 1 (3) | 9 (23) | 2 (10) |
| Discontinuation due to a TRAE, n (%) | 3 (5) | 0 | 1 (1) | 0 | 6 (15) | 0 |
| Grade 5 TEAEs, n (%) | 4 (6) | 2 (6) | 7 (10) | 3 (9) | 3 (8) | 2 (10) |
| Grade 5 TRAEs, n (%) | 0 | 0 | 0 | 0 | 0 | 0 |
AE, adverse event; TEAE; treatment-emergent adverse event; TRAE, treatment-related adverse event.