Patients were randomized 2:1 to cabozantinib or matching placebo. Randomization was stratified by prior lenvatinib (yes or no) and age (≤65 or >65 years). Patients received a 60 mg tablet of cabozantinib or a matched placebo, which was self-administered orally once per day. All patients received best supportive care, and adverse events (AEs) were managed with dose modification (dose interruptions or reductions) and supportive care. Dose interruptions were allowed for up to 8 weeks or longer with sponsor approval. Dose reductions were from 60 to 40 mg daily and then to 20 mg daily. Patients were treated until disease progression by RECIST version 1.1 or unacceptable toxicity. Treatment beyond disease progression was allowed if patients experienced clinical benefit in the opinion of the investigator. Importantly, patients in the placebo arm who experienced disease progression per blinded independent radiology committee (BIRC) were permitted to crossover and receive open-label cabozantinib.
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