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Hormone-Resistant Prostate Cancer Phase 2 Time-to-Event Analysis NCT01519414

Tivantinib in Treating Patients With Metastatic Prostate Cancer: Complete Statistical Analysis

This randomized phase II trial compared tivantinib with placebo for progression-free survival in men with asymptomatic or minimally symptomatic metastatic castrate resistant prostate cancer. The registry record reports median progression-free survival, a log-rank analysis, selected response outcomes and adverse-event counts.

Trial start: 2012-01-11  ·  Enrollment: 78  ·  Sponsor: National Cancer Institute (NCI)
Scope of this record

This page provides an independent statistical analysis and educational interpretation of publicly reported results. ClinicalTrials.gov provides the official trial registry record. Numerical trial results on this page are restricted to the results posted in the ClinicalTrials.gov record; calculations added by Clinical Biostats are labelled as such.

1. Trial at a Glance

This page covers the registry results for Tivantinib in Treating Patients With Metastatic Prostate Cancer (NCT01519414), a randomized phase 2 study. The primary outcome is Progression-free Survival (PFS) Based on the RECIST Criteria.

78
Enrollment
Phase 2
2
Arms
In the primary outcome
n/a
Effect
No re-analysis shown
n/a
95% CI
See limitations
FeatureRegistry value
ClinicalTrials.gov identifierNCT01519414
PhasePhase 2
ConditionHormone-Resistant Prostate Cancer, Prostate Adenocarcinoma, Recurrent Prostate Carcinoma
AllocationRandomized
Design modelCrossover
MaskingDouble
Enrollment78
Arms in the primary outcome2
Lead sponsorNational Cancer Institute (NCI)
Results postedYes

2. Clinical Question

Population

Men with asymptomatic or minimally symptomatic metastatic castrate resistant prostate cancer. The registry record lists hormone-resistant prostate cancer, prostate adenocarcinoma, recurrent prostate carcinoma and stage IV prostate cancer among the conditions studied. The total enrollment was 78.

Intervention

Patients in the tivantinib arm received tivantinib by mouth twice daily on days 1-28. Courses repeated every 28 days in the absence of disease progression or unacceptable toxicity.

Comparator

Patients in the placebo arm received placebo by mouth twice daily on days 1-28, with courses repeating every 28 days in the absence of disease progression or unacceptable toxicity. Patients with disease progression could cross over to the tivantinib arm.

Primary question

How did progression-free survival, measured from study entry to documented progression and/or death, compare between the randomized tivantinib and placebo arms? The registry record describes a log-rank comparison of the progression-free survival distributions.

The trial was a randomized, double-blind, placebo-controlled phase II study. Its stated aim was to study how well tivantinib compared with placebo in treating metastatic prostate cancer. The registry record describes tivantinib as a drug that may stop tumor-cell growth by blocking some enzymes needed for cell growth; that description is a proposed rationale, not a result of the trial.

The primary outcome was progression-free survival based on RECIST criteria, assessed up to 6 months. The posted results give a median and 95% confidence interval for each original arm, along with a log-rank p-value. A median describes the point in the estimated survival distribution at which half the group has experienced the event; it does not describe every participant’s course or give an individual prognosis.

The registry record also describes a crossover from placebo to tivantinib after progression. This makes the original randomized comparison and the later crossover experience distinct: the crossover group is not another randomized placebo comparison. The record does not report details of how crossover data were handled in the primary analysis.

3. Trial Design

This was a randomized, double-blind, placebo-controlled phase II study with a crossover model. The registry record lists 78 participants enrolled. In the posted primary outcome results, 52 participants are included in the tivantinib arm and 26 in the placebo arm. A separate crossover group contains 12 participants. The registry record does not explain the relationship between the enrollment total and the analysis counts in greater detail.

The tivantinib and placebo regimens were given orally twice daily on days 1-28, with courses repeating every 28 days while there was no disease progression or unacceptable toxicity. Patients assigned to placebo could cross over to tivantinib after disease progression. The protocol’s detailed rules for that transition are not reported in the registry record.

Randomization is intended to create groups whose baseline characteristics are comparable on average, while double masking is intended to limit the influence of treatment knowledge on care and assessment. These are general features of trial design; the registry record does not provide enough detail to describe the randomization procedure, allocation concealment or masking procedures.

The primary outcome was progression-free survival based on RECIST criteria. The record defines its timeframe as study entry to documented progression and/or death, assessed up to 6 months. It describes Kaplan-Meier curves and log-rank tests for comparing the arms, with additional Cox proportional hazards analyses. The posted primary result includes medians with 95% confidence intervals and a log-rank p-value, but no hazard ratio is reported in the registry record.

The study began on 2012-01-11, reached primary completion on 2015-08-18 and is listed as completed. The record lists the National Cancer Institute (NCI) as sponsor. Details such as the sample-size justification, eligibility criteria beyond the population description, and the planned handling of participants who crossed over are not reported in the registry record.

4. Participant Flow and Accounting

The registry reports how participants moved through each stage of the study. All counts below are exactly as posted; missing counts are not inferred from other stages.

Pre Cross-over

StageArm I (Tivantinib)Arm II (Placebo)Crossover From Placebo to Tivantinib
STARTED52260
COMPLETED52260
NOT COMPLETED000

Post Cross-over

StageArm I (Tivantinib)Arm II (Placebo)Crossover From Placebo to Tivantinib
STARTED521412
COMPLETED521412
NOT COMPLETED000

5. Baseline Characteristics

The table reproduces the baseline characteristics posted in the registry, which describe the participants analysed at baseline and help show whether the randomized groups were comparable.

CharacteristicUnitArm I (Tivantinib)Arm II (Placebo)Total
Participants analysed522678
Age, Continuousyears67 (43 to 84)66.5 (48 to 85)67 (43 to 85)
Sex: Female, Male: FemaleParticipants000
Sex: Female, Male: MaleParticipants522678
Race (NIH/OMB): American Indian or Alaska NativeParticipants000
Race (NIH/OMB): AsianParticipants101
Race (NIH/OMB): Native Hawaiian or Other Pacific IslanderParticipants000
Race (NIH/OMB): Black or African AmericanParticipants268
Race (NIH/OMB): WhiteParticipants492069
Race (NIH/OMB): More than one raceParticipants000
Race (NIH/OMB): Unknown or Not ReportedParticipants000
Region of Enrollment: United Statespatients522678

6. Primary Endpoint

The registry lists the primary outcome as Progression-free Survival (PFS) Based on the RECIST Criteria, measured over Time from study entry to the date of documented progression and/or death, assessed up to 6 months.

ElementRegistry entry
Result typeMedian
Measure of spread95% Confidence Interval
Unitmonths
Endpoint classificationTime-to-Event Analysis

Progression-free survival (PFS) measures time from study entry until documented disease progression and/or death. In this trial, progression was based on RECIST criteria, and assessment was described as continuing up to 6 months. This endpoint combines two clinically important events into a time-to-event outcome: progression or death, whichever occurs first under the endpoint definition.

Time-to-event endpoints are useful when participants may experience the event at different times and when some may not have experienced it by the end of observation. General statistical explanation: Kaplan-Meier methods estimate the event-free distribution over time while accounting for participants whose follow-up ends before an event is recorded. A median is the time at which the estimated event-free distribution reaches its midpoint, when that midpoint can be estimated.

The posted medians are 5.5 months for tivantinib and 3.7 months for placebo. Their 95% confidence intervals are 3.2 to 8.0 months and 2.7 to 5.4 months, respectively. A confidence interval conveys uncertainty around an estimated quantity; it is not a range containing the outcome for every participant. The registry record reports a log-rank test to compare the complete PFS distributions, so the primary analysis is not simply a test of the two medians.

PFS does not describe symptoms, quality of life or every aspect of disease course. The registry record identifies other outcomes, including PSA-related measures and response, but those are distinct from the primary time-to-event endpoint.

7. Why No Re-analysis Is Shown

Reported as posted, not recalculated. Values missing or not estimable for a two-arm comparison (median time endpoint). A result is recalculated only when the posted data support a clean two-arm comparison, so no result is shown beyond what the sponsor posted.

8. Statistical Interpretation

Clinical Biostats interpretation

The posted primary results give median PFS of 5.5 months in the tivantinib arm and 3.7 months in the placebo arm. The corresponding 95% confidence intervals are 3.2 to 8.0 months and 2.7 to 5.4 months. These estimates describe the trial groups’ observed PFS distributions; they do not imply that every participant experienced progression or death at the median time.

The registry record reports a log-rank p-value of 0.02 for the comparison. This is evidence against the statistical null hypothesis of no difference between the PFS distributions, under the assumptions of the test. A p-value does not measure the size or clinical importance of an effect, and it is not the probability that the null hypothesis is true. It also does not establish that the observed difference will recur in another study.

The confidence intervals around the medians express uncertainty in each median estimate. Their overlap does not substitute for the log-rank comparison: the log-rank test uses event-time information across follow-up rather than comparing the two median estimates alone. No hazard ratio or confidence interval for a hazard ratio is reported in the registry record, so the relative instantaneous event rate cannot be described from the posted primary results.

Interpretation is also shaped by the trial’s size and structure. The posted PFS groups include 52 participants assigned to tivantinib and 26 assigned to placebo. The placebo arm could cross over after progression, and the record lists 12 participants in the crossover group. This means the post-progression experience is not simply an ongoing randomized comparison of the original assignments. The registry record does not report how the crossover was incorporated into analyses or how censoring and missing follow-up were handled.

The primary outcome is time to documented progression and/or death, assessed up to 6 months. The record does not report detailed results for each component separately, nor does it report the event counts or a full account of follow-up. Thus the posted medians and log-rank test characterize the primary endpoint as reported, but do not provide a complete account of the underlying event pattern.

The result is statistical evidence of a difference in the PFS distributions in this trial. It should be read alongside the uncertainty in the estimates, the phase II setting, the crossover design and the absence of a reported hazard ratio and analysis details. It does not by itself establish a treatment effect beyond the trial’s population and methods, and it is not medical advice.

9. Statistical Methods Explained

The registry record describes Kaplan-Meier estimation, a log-rank comparison and additional Cox proportional hazards analyses for PFS. Each method addresses time-to-event data, but they summarize different aspects of the event experience. The posted primary results give arm-specific medians and confidence intervals and report the log-rank p-value. They do not report a Cox-model estimate.

What does the Kaplan-Meier method estimate?

General statistical explanation: the Kaplan-Meier method estimates the probability of remaining free of the endpoint over follow-up. It updates that estimate at observed event times and accounts for participants who leave observation or reach the end of follow-up without a recorded event by censoring them at their last known time. Censoring is not the same as an event; it indicates that the participant’s later event status is not observed in the available follow-up.

The median PFS is read from the estimated survival curve at the point where the estimated event-free probability reaches its midpoint. It is a distribution summary, not an average and not a statement that all participants were followed for the same length of time. The record gives a 95% confidence interval for each arm’s median, communicating estimation uncertainty. The detailed number and timing of events, censoring patterns and method used to calculate the confidence intervals are not reported in the registry record.

What does the log-rank test compare?

General statistical explanation: the log-rank test compares the event-time distributions between groups across the observed follow-up. It uses information about when events occur and the group membership of participants at risk at those times. It is therefore not just a test of whether the two reported medians differ. Its usual interpretation relies on assumptions about how the groups and censoring operate over follow-up; detailed diagnostics or assumption checks are not reported in the registry record.

The posted log-rank p-value is 0.02. This quantifies how unusual data at least as incompatible with the null hypothesis would be under that hypothesis and the test’s assumptions. It is not an effect size or a probability that the null hypothesis is true. The registry record does not report the log-rank test statistic or a hazard ratio accompanying the test.

Why might a Cox model be used?

General statistical explanation: a Cox proportional hazards model can estimate a hazard ratio, comparing event rates between groups over follow-up, and can incorporate specified covariates. The proportional hazards assumption means the hazard ratio is treated as constant over time. The record says additional Cox analyses would be done, but no Cox estimate, covariate list, model diagnostics or adjusted result is reported in the registry record. It is therefore not possible to describe an adjusted hazard ratio from the posted results.

How should confidence intervals be read?

General statistical explanation: a confidence interval reflects uncertainty in an estimate under the method used to construct it. The 95% intervals for the medians are 3.2 to 8.0 months for tivantinib and 2.7 to 5.4 months for placebo. They show that the medians are estimated with uncertainty. They are not individual-level prediction intervals, and the interval for one arm should not be interpreted as a direct confidence interval for the difference between arms.

Because the outcome is a median time, a simple unadjusted recalculation of a between-arm effect from the posted summary statistics is not available. No recalculated PFS comparison is reported. The sponsor’s own log-rank analysis is therefore the reported inferential comparison for this endpoint.

What does crossover mean for interpretation?

General statistical explanation: when participants assigned to one group can receive the other intervention after a defined event, their later experience no longer represents continued exposure to their original assignment alone. An analysis based on initial randomization can retain the comparison of assignment strategies, while an analysis focused on treatment received after crossover asks a different question and may be affected by selection into crossover. The registry record gives a crossover group and says placebo participants with progression could cross over, but it does not report the primary analysis population, the handling of crossover or a separate adjusted crossover analysis.

The registry record’s described statistical approach names Kaplan-Meier, log-rank and Cox methods. Further details about analysis populations, missing data, censoring rules, stratification, covariate adjustment and planned sensitivity analyses are not reported in the registry record. These omissions limit the degree to which the posted result can be independently reconstructed from summary statistics.

10. Analyses Reported by the Sponsor

MethodEstimate95% CIP-value
Log Ranknot reported0.020

The registry record reports the sponsor’s PFS comparison as a log-rank test with p = 0.02. The described analysis plan also names Kaplan-Meier estimation and additional Cox proportional hazards analyses. The posted results include median PFS and 95% confidence intervals by arm, but do not include a hazard ratio, its confidence interval or a Cox-model result.

A recalculated, unadjusted PFS comparison cannot be obtained from the posted medians and confidence intervals alone. Time-to-event comparisons depend on event timing and censoring information that is not contained in those summary values. Accordingly, there is no independent recalculated PFS estimate to set against the reported log-rank result. The sponsor’s own analysis takes precedence for the primary comparison, and no discrepancy is flagged in the registry record.

The log-rank p-value supports a statistical difference between the PFS distributions under that analysis; it does not quantify the magnitude of the difference or establish its clinical importance. The absence of a posted hazard ratio means the relative event-rate estimate cannot be interpreted from the registry results. Details such as the analysis population, handling of crossover and missing follow-up are not reported in the registry record, so those aspects of the sponsor analysis cannot be independently assessed from the posted information.

11. Multiplicity, Missing Data and Analysis Populations

The registry record identifies PFS as the primary outcome and lists several secondary outcomes, including PSA measures, response and adverse events. It also reports 8 outcome measures and 1 analysis. The registry record does not report a multiplicity adjustment strategy, an order of testing, or whether any secondary outcomes were intended to support formal confirmatory claims.

General statistical explanation: when multiple outcomes or comparisons are tested, the chance of observing at least one low p-value by chance can increase. Procedures such as adjusting significance thresholds or organizing tests hierarchically can address that issue, but they require a prespecified plan. Without a reported plan, unadjusted secondary comparisons are best treated as exploratory and interpreted with caution. The registry record reports no inferential analyses for the posted response outcomes.

Details about missing outcome data, loss to follow-up, censoring rules and analysis populations are not reported in the registry record. For PFS, those details matter because a participant without a documented progression or death may be censored, and the timing and reasons for censoring can affect the estimated curve. The record does not provide enough information to assess the amount or pattern of missing follow-up.

The crossover design adds an additional analysis issue. Participants initially assigned to placebo could receive tivantinib after progression, and a crossover group is listed in the posted results. The registry record does not explain whether the primary comparison followed initial assignment, how crossover affected follow-up or whether any analysis adjusted for crossover. These details are necessary to distinguish the effect of assignment from the effect of treatment received after progression.

The detailed randomization method, baseline balance, sample-size justification, interim analyses, sensitivity analyses and statistical analysis population are also not reported in the registry record. Their absence does not invalidate the posted figures, but it limits assessment of the assumptions behind them and the extent to which the analysis followed a fully specified plan.

12. Safety Results

The registry reports serious adverse events as affected participants divided by participants at risk.

ArmParticipants with serious adverse eventsParticipants at riskPercentage
Arm I (Tivantinib)195236.5%
Arm II (Placebo)222684.6%
Crossover From Placebo to Tivantinib51241.7%
Participants with at least one serious adverse event
Serious adverse events by armArm I (Tivantinib)36.5%Arm II (Placebo)84.6%Crossover From Placebo to Tiv…41.7%% of participants with at least one serious adverse event

Deaths

ArmDeaths (participants affected of at risk)
Arm I (Tivantinib)7 of 52
Arm II (Placebo)4 of 26
Crossover From Placebo to Tivantinib0 of 12

Other (non-serious) adverse events

Participants with at least one non-serious event at or above the registry's 0% reporting threshold.

ArmParticipants affected of at risk
Arm I (Tivantinib)52 of 52
Arm II (Placebo)26 of 26
Crossover From Placebo to Tivantinib12 of 12

Most frequent serious adverse event terms

Event termOrgan systemArm I (Tivantinib)Arm II (Placebo)Crossover From Placebo to Tivantinib
Thromboembolic eventVascular disorders1 of 522 of 260 of 12
Death NOSGeneral disorders1 of 520 of 261 of 12
Edema limbsGeneral disorders1 of 520 of 261 of 12
FatigueGeneral disorders1 of 520 of 261 of 12
DehydrationMetabolism and nutrition disorders0 of 522 of 260 of 12
Generalized muscle weaknessMusculoskeletal and connective tissue disorders1 of 521 of 260 of 12
Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specifyNeoplasms benign, malignant and unspecified (incl cysts and polyps)1 of 521 of 260 of 12
ConfusionPsychiatric disorders0 of 522 of 260 of 12
HypoxiaRespiratory, thoracic and mediastinal disorders1 of 521 of 260 of 12
AnemiaBlood and lymphatic system disorders1 of 520 of 260 of 12

Most frequent non-serious adverse event terms

Event termOrgan systemArm I (Tivantinib)Arm II (Placebo)Crossover From Placebo to Tivantinib
FatigueGeneral disorders30 of 5211 of 267 of 12
AnemiaBlood and lymphatic system disorders23 of 5212 of 266 of 12
AnorexiaMetabolism and nutrition disorders17 of 525 of 266 of 12
Pain in extremityMusculoskeletal and connective tissue disorders13 of 5211 of 262 of 12
Back painMusculoskeletal and connective tissue disorders9 of 5213 of 263 of 12
ConstipationGastrointestinal disorders14 of 527 of 263 of 12
Lymphocyte count decreasedInvestigations11 of 526 of 264 of 12
Aspartate aminotransferase increasedInvestigations13 of 523 of 262 of 12
White blood cell decreasedInvestigations12 of 521 of 265 of 12
NauseaGastrointestinal disorders9 of 525 of 263 of 12

Serious events with the highest arm-level rate: death nos (8.3%), edema limbs (8.3%), fatigue (8.3%), urinary tract obstruction (8.3%), pleural effusion (8.3%).

Do not overextend the safety comparison. Serious-adverse-event counts are safety observations, not efficacy outcomes, and should not be combined with the primary result into a single benefit-risk number.

The registry record lists serious adverse events among 19 of 52 participants in the tivantinib arm and 22 of 26 in the placebo arm. For the crossover group, it lists 5 of 12 participants with serious adverse events. Deaths are listed for 7 participants in the tivantinib arm, 4 in the placebo arm and 0 in the crossover group. These are descriptive counts in the registry record; they do not establish that treatment caused an event or death.

The record also lists serious-event terms including Death NOS, edema limbs, fatigue, urinary tract obstruction, pleural effusion and dehydration. The displayed percentages for these terms range from 7.7% to 8.3%. The registry record does not provide enough detail to interpret these as comparative risks or to establish whether events were related to study treatment.

Safety comparisons require attention to group size, duration of exposure, event definitions, follow-up and crossover. Those details are not reported in full in the registry record. The crossover group should be kept separate from the original randomized arms, and serious adverse events should not be conflated with all adverse events. The record does not report the listed secondary outcome of grade 3, 4 or 5 adverse-event incidence with quantitative results.

13. What the Result Does, and Does Not, Mean

The primary result describes a difference in the reported PFS distributions between the randomized arms, with median PFS of 5.5 months for tivantinib and 3.7 months for placebo. The registry record reports a log-rank p-value of 0.02. This is a statistical comparison of time-to-event distributions in this trial, not a guarantee about an individual participant’s outcome.

The result does not establish the size of a relative treatment effect because a hazard ratio is not reported. Nor does the median comparison alone show how many participants had an event at any particular time, how the event rates changed over follow-up, or whether progression or death was the more frequent component. Those details are not reported in the registry record.

The estimates are uncertain, as reflected by their 95% confidence intervals. The trial’s crossover structure, the absence of detailed follow-up and analysis-population information, and the lack of a reported multiplicity approach for secondary outcomes also matter when interpreting the overall evidence. These limitations do not change the reported median values or p-value, but they constrain the additional conclusions that can be drawn from them.

The secondary outcomes are distinct measures and do not independently settle the primary question. Their interpretation is limited by sparse response observations, uncertainty and the absence of reported inferential analyses. Safety counts are descriptive and should not be interpreted as proof of causation or as a complete comparative safety assessment.

In short, the registry record reports a statistically significant log-rank comparison for PFS in this phase II trial. It does not establish a definitive effect in other populations or settings, and it does not answer every question about benefit, harms or longer-term outcomes. These results are statistical information, not medical advice.

14. Why This Trial Matters Statistically

This trial illustrates why time-to-event outcomes are not adequately summarized by a single number. The medians provide an accessible description of each arm, while the log-rank test compares event-time distributions over follow-up. The difference between those tasks is important: an inferential comparison uses more of the event-time pattern than a comparison of the two medians alone.

It also illustrates the importance of matching an analysis to the data structure. PFS includes progression and death, and follow-up may end without either event being observed. Kaplan-Meier methods are designed to describe such time-to-event data while accounting for censoring. But assessment of the resulting estimate also depends on event counts, censoring patterns and analysis rules, details that are not reported in the registry record.

The crossover design raises a further statistical distinction between initial randomized assignment and later treatment received. Placebo participants could cross over after progression, so the later experience of the crossover group is not equivalent to a new randomized comparison. Transparent reporting of how that transition is handled is important for interpreting any treatment contrast.

Finally, this record includes several distinct secondary outcomes, while the multiplicity strategy and detailed secondary analyses are not reported. That makes it useful to separate the primary inferential result from exploratory outcome patterns. The trial demonstrates how a reported p-value, confidence intervals, endpoint definitions, analysis methods and missing methodological details all contribute to a careful statistical reading.

15. Limitations

The posted PFS results are summary estimates rather than a full event-time analysis. Event counts, censoring patterns, follow-up distribution and detailed assessment timing are not reported in the registry record. A hazard ratio and its confidence interval are also absent, limiting interpretation of relative event rates and preventing comparison with a Cox-model estimate.

The record describes a placebo-to-tivantinib crossover after progression and lists a crossover group. It does not report how crossover was handled in the primary analysis, whether the analysis followed initial assignment, or whether analyses adjusted for treatment received. The crossover results should not be treated as another randomized arm.

The registry record does not report the analysis population, missing-data procedures, detailed randomization methods, baseline characteristics, sample-size justification, interim analyses, sensitivity analyses or multiplicity strategy. These gaps limit assessment of the analysis plan and the robustness of secondary findings. Numerical secondary results are available for selected response outcomes, but the record does not report sponsor inferential analyses for them. Quantitative results for PSA changes and the listed grade 3, 4 or 5 adverse-event incidence are not reported in the registry record.

The safety information is descriptive and does not establish causality. The registry record does not provide a complete account of exposure duration or enough comparative detail to interpret the serious adverse-event counts as a full safety assessment. Finally, the study is identified as phase II, and its reported results concern the enrolled trial population and the specified follow-up period; broader conclusions are not established by these registry results alone.

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19. Record Summary

NCT01519414 is a completed randomized, double-blind, placebo-controlled phase II study sponsored by the National Cancer Institute (NCI). It enrolled 78 men with asymptomatic or minimally symptomatic metastatic castrate resistant prostate cancer. The primary outcome was PFS based on RECIST criteria, measured from study entry to documented progression and/or death and assessed up to 6 months.

The registry record reports median PFS of 5.5 months for tivantinib and 3.7 months for placebo, with 95% confidence intervals of 3.2 to 8.0 months and 2.7 to 5.4 months, respectively. The reported log-rank p-value is 0.02. The record describes a placebo-to-tivantinib crossover after progression, but does not report detailed handling of crossover in the primary analysis.

Response outcomes and descriptive serious adverse-event information are also posted. Important details—including a hazard ratio, analysis population, missing-data methods and multiplicity strategy—are not reported in the registry record.

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