Trial Outcomes & Findings for Sorafenib and Letrozole, Anastrozole, or Exemestane in Treating Postmenopausal Women With Estrogen Receptor-Positive and/or Progesterone Receptor-Positive Metastatic Breast Cancer (NCT NCT00573755)

NCT ID: NCT00573755

Last Updated: 2016-02-05

Results Overview

Progression-free survival was defined as the time from randomization to the earliest date of documentation of disease progression or death due to any cause. In the case of a participant started treatment and then never return for any evaluations, the participant was censored for progression 1 day post-randomization.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

4 participants

Primary outcome timeframe

Time from randomization to disease progression or death (up to 5 years)

Results posted on

2016-02-05

Participant Flow

Four (4) participants were recruited at Mayo Clinic between January 2008 and August 2008. This trial was terminated early due to lack of participant accrual.

Participant milestones

Participant milestones
Measure
Sorafenib Plus Aromatase Inhibitor
Patients receive oral sorafenib tosylate twice daily and oral letrozole, anastrozole, or exemestane once daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Placebo Plus Aromatase Inhibitor
Patients receive oral placebo twice daily and oral letrozole, anastrozole, or exemestane once daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Overall Study
STARTED
2
2
Overall Study
COMPLETED
1
2
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Sorafenib Plus Aromatase Inhibitor
Patients receive oral sorafenib tosylate twice daily and oral letrozole, anastrozole, or exemestane once daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Placebo Plus Aromatase Inhibitor
Patients receive oral placebo twice daily and oral letrozole, anastrozole, or exemestane once daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Overall Study
Still receiving treatment
1
0

Baseline Characteristics

Sorafenib and Letrozole, Anastrozole, or Exemestane in Treating Postmenopausal Women With Estrogen Receptor-Positive and/or Progesterone Receptor-Positive Metastatic Breast Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sorafenib Plus Aromatase Inhibitor
n=2 Participants
Patients receive oral sorafenib tosylate twice daily and oral letrozole, anastrozole, or exemestane once daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Placebo Plus Aromatase Inhibitor
n=2 Participants
Patients receive oral placebo twice daily and oral letrozole, anastrozole, or exemestane once daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Total
n=4 Participants
Total of all reporting groups
Age, Continuous
68.0 years
STANDARD_DEVIATION 9.9 • n=5 Participants
54.5 years
STANDARD_DEVIATION 4.9 • n=7 Participants
61.3 years
STANDARD_DEVIATION 10.1 • n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
2 participants
n=5 Participants
2 participants
n=7 Participants
4 participants
n=5 Participants

PRIMARY outcome

Timeframe: Time from randomization to disease progression or death (up to 5 years)

Population: All participants who have met the eligibility criteria, signed a consent form and were randomized to one of the two treatment groups were evaluable for the primary endpoint.

Progression-free survival was defined as the time from randomization to the earliest date of documentation of disease progression or death due to any cause. In the case of a participant started treatment and then never return for any evaluations, the participant was censored for progression 1 day post-randomization.

Outcome measures

Outcome measures
Measure
Sorafenib Plus Aromatase Inhibitor
n=2 Participants
Patients receive oral sorafenib tosylate twice daily and oral letrozole, anastrozole, or exemestane once daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Placebo Plus Aromatase Inhibitor
n=2 Participants
Patients receive oral placebo twice daily and oral letrozole, anastrozole, or exemestane once daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Progression-free Survival
NA months
There is not enough events reported to compute median and 95% Confidence Interval (CI).
NA months
One participant had a progression at 12.5 months. There is not enough events reported to compute median and 95% CI.

SECONDARY outcome

Timeframe: Time from randomization to death (up to 5 years)

Population: The number of patients enrolled in the study does not allow for meaningful analysis for this outcome. All patients were alive at the time of their last treatment follow up.

Survival time was defined as the time from randomization to death due to any cause.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Time from randomization to treatment failure (up to 5 years)

Population: The number of patients enrolled in the study does not allow for meaningful analysis for this outcome.

Time to treatment failure was defined as the time from the date of the randomization to the date at which the patient was removed from treatment due to progression, adverse events, or refusal.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 5 years

Population: The number of patients enrolled in the study does not allow for meaningful analysis for this outcome.

A confirm response was defined as either a complete response (CR) or partial response (PR) noted as the objective status on 2 consecutive evaluation at least 4 weeks apart. The confirmed response rate was estimated within each treatment group by the number of confirmed responses divided by the total number of participants randomized.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 5 years

Population: The number of patients enrolled in the study does not allow for meaningful analysis for this outcome.

Duration of response was defined for all patients who have achieved a confirmed response as the date at which the patient's earliest best objective status was first noted to be either a CR or PR to the earliest date progression was documented.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Time from randomization to end of treatment

Number of participants that experienced adverse events (grade 3 and above) as measured by NCI Common Terminology Criteria for Adverse Events (CTCAE) v3.0. Adverse events were assessed every week during first 6 weeks of therapy, every 4 weeks on months 1 to 6, every 12 weeks on months 7 and beyond and at the end of treatment.

Outcome measures

Outcome measures
Measure
Sorafenib Plus Aromatase Inhibitor
n=2 Participants
Patients receive oral sorafenib tosylate twice daily and oral letrozole, anastrozole, or exemestane once daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Placebo Plus Aromatase Inhibitor
n=2 Participants
Patients receive oral placebo twice daily and oral letrozole, anastrozole, or exemestane once daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Adverse Event
Fatigue
1 participants
0 participants
Adverse Event
Hemoglobin decreased
1 participants
0 participants
Adverse Event
Mucositis oral
1 participants
0 participants
Adverse Event
Muscle weakness
1 participants
0 participants
Adverse Event
Platelet count decreased
1 participants
0 participants
Adverse Event
Serum potassium increased
1 participants
0 participants
Adverse Event
Thrombotic microangiopathy
1 participants
0 participants
Adverse Event
Serum sodium decreased
1 participants
0 participants
Adverse Event
Mucositis oral (clin exam)
1 participants
0 participants

Adverse Events

Sorafenib Plus Aromatase Inhibitor

Serious events: 1 serious events
Other events: 2 other events
Deaths: 0 deaths

Placebo Plus Aromatase Inhibitor

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Sorafenib Plus Aromatase Inhibitor
n=2 participants at risk
Patients receive oral sorafenib tosylate twice daily and oral letrozole, anastrozole, or exemestane once daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Placebo Plus Aromatase Inhibitor
n=2 participants at risk
Patients receive oral placebo twice daily and oral letrozole, anastrozole, or exemestane once daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Blood and lymphatic system disorders
Hemoglobin decreased
50.0%
1/2 • Number of events 1
0.00%
0/2
Blood and lymphatic system disorders
Thrombotic microangiopathy
50.0%
1/2 • Number of events 1
0.00%
0/2
Gastrointestinal disorders
Ear, nose and throat examination abnormal
50.0%
1/2 • Number of events 1
0.00%
0/2
Gastrointestinal disorders
Mucositis oral
50.0%
1/2 • Number of events 1
0.00%
0/2
General disorders
Fatigue
50.0%
1/2 • Number of events 1
0.00%
0/2
Investigations
Platelet count decreased
50.0%
1/2 • Number of events 1
0.00%
0/2
Metabolism and nutrition disorders
Serum potassium increased
50.0%
1/2 • Number of events 1
0.00%
0/2
Metabolism and nutrition disorders
Serum sodium decreased
50.0%
1/2 • Number of events 1
0.00%
0/2
Musculoskeletal and connective tissue disorders
Muscle weakness
50.0%
1/2 • Number of events 1
0.00%
0/2

Other adverse events

Other adverse events
Measure
Sorafenib Plus Aromatase Inhibitor
n=2 participants at risk
Patients receive oral sorafenib tosylate twice daily and oral letrozole, anastrozole, or exemestane once daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Placebo Plus Aromatase Inhibitor
n=2 participants at risk
Patients receive oral placebo twice daily and oral letrozole, anastrozole, or exemestane once daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Blood and lymphatic system disorders
Hemoglobin decreased
50.0%
1/2 • Number of events 1
50.0%
1/2 • Number of events 6
Endocrine disorders
Hypothyroidism
50.0%
1/2 • Number of events 2
0.00%
0/2
Gastrointestinal disorders
Diarrhea
50.0%
1/2 • Number of events 4
0.00%
0/2
Gastrointestinal disorders
Ear, nose and throat examination abnormal
50.0%
1/2 • Number of events 1
0.00%
0/2
General disorders
Edema limbs
50.0%
1/2 • Number of events 2
0.00%
0/2
General disorders
Fatigue
100.0%
2/2 • Number of events 17
50.0%
1/2 • Number of events 2
Investigations
Platelet count decreased
50.0%
1/2 • Number of events 1
50.0%
1/2 • Number of events 1
Investigations
Weight loss
50.0%
1/2 • Number of events 1
50.0%
1/2 • Number of events 1
Renal and urinary disorders
Protein urine positive
50.0%
1/2 • Number of events 1
0.00%
0/2
Skin and subcutaneous tissue disorders
Alopecia
50.0%
1/2 • Number of events 21
0.00%
0/2
Skin and subcutaneous tissue disorders
Hand-and-foot syndrome
50.0%
1/2 • Number of events 4
0.00%
0/2
Skin and subcutaneous tissue disorders
Pruritus
50.0%
1/2 • Number of events 1
0.00%
0/2
Skin and subcutaneous tissue disorders
Rash desquamating
50.0%
1/2 • Number of events 2
50.0%
1/2 • Number of events 2
Vascular disorders
Hypertension
50.0%
1/2 • Number of events 10
0.00%
0/2

Additional Information

Dr. Vivek Roy

Mayo Clinic

Phone: 507-284-1159

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place