Sorafenib Dose Escalation in Renal Cell Carcinoma

NCT ID: NCT00618982

Last Updated: 2015-12-24

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

83 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-02-29

Study Completion Date

2011-01-31

Brief Summary

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Sorafenib is a new drug, which is approved under the brand name Nexavar for the treatment of advanced kidney cancer. It is also currently being tested in various other cancers. Sorafenib works by stopping the development of new cancer cells and new blood vessels. By stopping the growth of new blood vessels around a tumor, it is believed that sorafenib prevents the growth of kidney cancer tumors.

This is an "open-label" study which means that the patient, the doctor and Bayer Healthcare will know what tablets the patient is taking. All patients in this study will receive sorafenib tablets. Sorafenib is taken orally as a tablet (two tablets are taken twice a day). Treatment with sorafenib will continue until the patient's tumor grows larger or spreads further or if the patient has intolerable side effects. The dose of sorafenib that the patient will receive in the study will increase at certain points during the patient's treatment, as long as the patient is not experiencing side effects and the patient's tumor has not grown.

Detailed Description

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Issues on Outcome Measure "Safety and tolerability" will be addressed in the Adverse Events section.

Conditions

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Carcinoma, Renal Cell

Keywords

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Kidney cancer, Sorafenib, Dose escalation, No previous treatment

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Sorafenib (Nexavar, BAY43-9006)

Intrapatient dose escalation of sorafenib from 400 mg orally twice daily (bid) for the first cycle, 600 mg bid for the second cycle and 800 mg bid until disease progression, unacceptable toxicity or withdrawal of consent. Dose reductions due to toxicities were allowed.

Group Type EXPERIMENTAL

Sorafenib (Nexavar, BAY43-9006)

Intervention Type DRUG

The initial dose of sorafenib will be 400 mg bid administered orally, on a continuous basis. A treatment cycle is considered to be 28 days. Intrapatient dose escalation will occur according to the following schedule, providing no grade 3 or 4 toxicities are observed (except for alopecia, nausea and vomiting); Day 1-28 400 mg bid, Day 29-56 600 mg bid, Day 57 onwards 800 mg bid. Subjects will continue on treatment until progression, unacceptable toxicity, subject withdraws consent or the decision is taken to stop the study following the analysis of response rates.

Interventions

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Sorafenib (Nexavar, BAY43-9006)

The initial dose of sorafenib will be 400 mg bid administered orally, on a continuous basis. A treatment cycle is considered to be 28 days. Intrapatient dose escalation will occur according to the following schedule, providing no grade 3 or 4 toxicities are observed (except for alopecia, nausea and vomiting); Day 1-28 400 mg bid, Day 29-56 600 mg bid, Day 57 onwards 800 mg bid. Subjects will continue on treatment until progression, unacceptable toxicity, subject withdraws consent or the decision is taken to stop the study following the analysis of response rates.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age \> 18 years.
* Metastatic clear cell RCC (renal cell carcinoma)
* Subjects with at least one uni-dimensional measurable lesion.
* Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
* Memorial Sloan Kettering Cancer Center (MSKCC) good or intermediate category
* Life expectancy of at least 12 weeks.
* Adequate bone marrow, liver and renal function as assessed by the following laboratory requirements to be conducted within 7 days prior to treatment
* Signed informed consent must be obtained prior to any study specific procedures.
* Subjects must have received no prior systemic anticancer therapy for the treatment of their renal cell carcinoma
* Prior total nephrectomy

Exclusion Criteria

* History of cardiac disease
* History of human immunodeficiency virus (HIV) infection or chronic hepatitis B or C
* Active clinically serious infections (\> grade 2 National Cancer Institute-Common Terminology Criteria for Adverse Events \[NCI-CTCAE\] version 3.0)
* Symptomatic metastatic brain or meningeal tumors unless the subject is \> 6 months from definitive therapy, has a negative imaging study within 4 weeks of study entry and is clinically stable with respect to the tumor at the time of study entry.
* Subjects with evidence or history of bleeding diathesis
* Deep vein thrombosis and/or pulmonary embolus within 12 months of the start of treatment.
* Delayed healing of wounds, ulcers or bone fractures
* Subjects with pre-existing thyroid abnormality whose thyroid function cannot be maintained within the normal range by medication
* Subjects undergoing renal dialysis
* Pregnant or breast-feeding subjects. Women of childbearing potential must have a negative serum pregnancy test performed within 7 days prior to the start of treatment. Both men and women enrolled in this trial must use adequate barrier birth control measures during the course of the trial and three months after the completion of trial.
* Prior adjuvant sorafenib is excluded.
* Radiotherapy during study or within 3 weeks of start of study drug
* Major surgery within 4 weeks of start of study
* Investigational drug therapy outside of this trial during or within 4 weeks of study entry
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bayer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bayer Study Director

Role: STUDY_DIRECTOR

Bayer

Locations

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Bordeaux, , France

Site Status

La Roche-sur-Yon, , France

Site Status

Marseille, , France

Site Status

Nantes, , France

Site Status

Paris, , France

Site Status

Tours, , France

Site Status

Tübingen, Baden-Wurttemberg, Germany

Site Status

Marburg, Hesse, Germany

Site Status

Hanover, Lower Saxony, Germany

Site Status

Mainz, Rhineland-Palatinate, Germany

Site Status

Jena, Thuringia, Germany

Site Status

Aviano, Pordenone, Italy

Site Status

Milan, , Italy

Site Status

Pavia, , Italy

Site Status

Olsztyn, , Poland

Site Status

Warsaw, , Poland

Site Status

Warsaw, , Poland

Site Status

Wroclaw, , Poland

Site Status

London, London, United Kingdom

Site Status

Greater Manchester, Manchester, United Kingdom

Site Status

Cardiff, South Glamorgan, United Kingdom

Site Status

Glasgow, , United Kingdom

Site Status

Countries

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France Germany Italy Poland United Kingdom

Related Links

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http://www.clinicaltrialsregister.eu

Click here and search for Bayer product information provided by EMA

Other Identifiers

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2007-004875-21

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

12913

Identifier Type: -

Identifier Source: org_study_id