Nexavar® Versus Placebo in Locally Advanced/Metastatic RAI-Refractory Differentiated Thyroid Cancer

NCT ID: NCT00984282

Last Updated: 2018-09-13

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

PHASE3

Total Enrollment

417 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-10-15

Study Completion Date

2017-08-30

Brief Summary

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Trial of sorafenib versus placebo in the treatment of locally advanced or metastatic differentiated thyroid cancer refractory to radioiodine

Detailed Description

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Eligible subjects were randomized 1:1 to sorafenib 800 mg daily or matching placebo. Progression was assessed every 8 weeks by modified RECIST criteria. Subjects had the option to unblind study treatment after progression and to receive open label sorafenib regardless of initial treatment assignment. Following discontinuation of study treatment, subjects were followed for survival every 3 months in long-term follow-up. Subjects who terminated study treatment (either double only or double blind and open label) for reasons other than death, lost to follow-up or consent withdrawn entered long-term follow up

Conditions

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Thyroid Neoplasms

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Sorafenib (Nexavar, BAY43-9006)

Participants received 2 tablets of Sorafenib (2×200 mg) orally twice daily (12 hours apart without food), 28 days comprise a cycle

Group Type EXPERIMENTAL

Sorafenib (Nexavar, BAY43-9006)

Intervention Type DRUG

Sorafenib 400 mg will be administered orally, twice daily (approximately every 12 hours).

Placebo

Participants received 2 tablets of Sorafenib-matching placebo orally twice daily (12 hours apart without food), 28 days comprise a cycle

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo (2 tablets) will be administered orally, twice daily (approximately every 12 hours).

Interventions

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Sorafenib (Nexavar, BAY43-9006)

Sorafenib 400 mg will be administered orally, twice daily (approximately every 12 hours).

Intervention Type DRUG

Placebo

Placebo (2 tablets) will be administered orally, twice daily (approximately every 12 hours).

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Locally advanced or metastatic differentiated thyroid cancer (papillary, follicular and Hurthle cell)
* Poorly differentiated and other thyroid variants (e.g. insular, tall cell, etc.) are eligible provided that the histology has no medullary differentiation nor anaplastic features
* Progression within 14 months (RECIST \[Response Evaluation Criteria in Solid Tumors\] should be used as a basis for the assessment of disease progression)
* RAI (radioactive iodine) refractory

Exclusion Criteria

* Histologic subtypes of thyroid cancer other than differentiated (i.e. like anaplastic and medullary carcinoma, lymphoma or sarcoma)
* Prior anti-cancer treatment with tyrosine kinase inhibitors, monoclonal antibodies (licensed or investigational) that target VEGF (vascular endothelial growth factor) or VEGF Receptors or other targeted agents
* Prior anti-cancer treatment for thyroid cancer with use of chemotherapy (low dose chemotherapy for radiosensitization is allowed) or Thalidomide or any of its derivatives
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Amgen

INDUSTRY

Sponsor Role collaborator

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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Los Angeles, California, United States

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Stanford, California, United States

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New Haven, Connecticut, United States

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Atlanta, Georgia, United States

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Boston, Massachusetts, United States

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Ann Arbor, Michigan, United States

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St Louis, Missouri, United States

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Albuquerque, New Mexico, United States

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New York, New York, United States

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Philadelphia, Pennsylvania, United States

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Pittsburgh, Pennsylvania, United States

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Houston, Texas, United States

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Seattle, Washington, United States

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Vienna, , Austria

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Bruxelles - Brussel, , Belgium

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Sofia, , Bulgaria

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Guangzhou, Guangdong, China

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Beijing, , China

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Beijing, , China

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Chengdu, , China

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Hangzhou, , China

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Shanghai, , China

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Shanghai, , China

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Tianjin, , China

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Odense C, , Denmark

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Angers, , France

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Bordeaux, , France

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Caen, , France

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Lille, , France

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Lyon, , France

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Marseille, , France

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Paris, , France

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Villejuif, , France

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Erlangen, Bavaria, Germany

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München, Bavaria, Germany

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Würzburg, Bavaria, Germany

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Cologne, North Rhine-Westphalia, Germany

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Essen, North Rhine-Westphalia, Germany

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Leipzig, Saxony, Germany

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Napoli, Campania, Italy

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Genoa, Liguria, Italy

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Milan, Lombardy, Italy

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Milan, Lombardy, Italy

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Milan, Lombardy, Italy

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Catania, Sicily, Italy

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Pisa, Tuscany, Italy

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Siena, Tuscany, Italy

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Perugia, Umbria, Italy

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Nagoya, Aichi-ken, Japan

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Nagoya, Aichi-ken, Japan

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Kashiwa, Chiba, Japan

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Koto-ku, Tokyo, Japan

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Groningen, , Netherlands

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Leiden, , Netherlands

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Gliwice, , Poland

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Poznan, , Poland

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Warsaw, , Poland

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Warsaw, , Poland

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Obninsk, , Russia

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Riyadh, , Saudi Arabia

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Asan Medical Center

Seoul, Seoul Teugbyeolsi, South Korea

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Daejeon, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Majadahonda, Madrid, Spain

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Barcelona, , Spain

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Gothenburg, , Sweden

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Linköping, , Sweden

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Lund, , Sweden

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Stockholm, , Sweden

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Aberdeen, Aberdeenshire, United Kingdom

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Cardiff, , United Kingdom

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Glasgow, , United Kingdom

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Leeds, , United Kingdom

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London, , United Kingdom

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London, , United Kingdom

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Manchester, , United Kingdom

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Newcastle upon Tyne, , United Kingdom

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Sutton, , United Kingdom

Site Status

Countries

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United States Austria Belgium Bulgaria China Denmark France Germany Italy Japan Netherlands Poland Russia Saudi Arabia South Korea Spain Sweden United Kingdom

References

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Worden F, Fassnacht M, Shi Y, Hadjieva T, Bonichon F, Gao M, Fugazzola L, Ando Y, Hasegawa Y, Park DJ, Shong YK, Smit JW, Chung J, Kappeler C, Meinhardt G, Schlumberger M, Brose MS. Safety and tolerability of sorafenib in patients with radioiodine-refractory thyroid cancer. Endocr Relat Cancer. 2015 Dec;22(6):877-87. doi: 10.1530/ERC-15-0252.

Reference Type RESULT
PMID: 26370187 (View on PubMed)

Brose MS, Nutting CM, Jarzab B, Elisei R, Siena S, Bastholt L, de la Fouchardiere C, Pacini F, Paschke R, Shong YK, Sherman SI, Smit JW, Chung J, Kappeler C, Pena C, Molnar I, Schlumberger MJ; DECISION investigators. Sorafenib in radioactive iodine-refractory, locally advanced or metastatic differentiated thyroid cancer: a randomised, double-blind, phase 3 trial. Lancet. 2014 Jul 26;384(9940):319-28. doi: 10.1016/S0140-6736(14)60421-9. Epub 2014 Apr 24.

Reference Type RESULT
PMID: 24768112 (View on PubMed)

Brose MS, Nutting CM, Sherman SI, Shong YK, Smit JW, Reike G, Chung J, Kalmus J, Kappeler C, Schlumberger M. Rationale and design of decision: a double-blind, randomized, placebo-controlled phase III trial evaluating the efficacy and safety of sorafenib in patients with locally advanced or metastatic radioactive iodine (RAI)-refractory, differentiated thyroid cancer. BMC Cancer. 2011 Aug 11;11:349. doi: 10.1186/1471-2407-11-349.

Reference Type RESULT
PMID: 21834960 (View on PubMed)

Brose MS, Schlumbeger M, Jeffers M, Kappeler C, Meinhardt G, Pena CEA. Analysis of Biomarkers and Association With Clinical Outcomes in Patients With Differentiated Thyroid Cancer: Subanalysis of the Sorafenib Phase III DECISION Trial. Clin Cancer Res. 2019 Dec 15;25(24):7370-7380. doi: 10.1158/1078-0432.CCR-18-3439. Epub 2019 Sep 26.

Reference Type DERIVED
PMID: 31558473 (View on PubMed)

Capdevila J, Matos I, Mancuso FM, Iglesias C, Nuciforo P, Zafon C, Palmer HG, Ogbah Z, Muinos L, Hernando J, Villacampa G, Pena CE, Tabernero J, Brose MS, Schlumberger M, Vivancos A. Identification of Expression Profiles Defining Distinct Prognostic Subsets of Radioactive-Iodine Refractory Differentiated Thyroid Cancer from the DECISION Trial. Mol Cancer Ther. 2020 Jan;19(1):312-317. doi: 10.1158/1535-7163.MCT-19-0211. Epub 2019 Sep 20.

Reference Type DERIVED
PMID: 31540966 (View on PubMed)

Related Links

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http://www.clinicaltrialsregister.eu/

Click here to find information about studies related to Bayer Healthcare products conducted in Europe

Other Identifiers

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2009-012007-25

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

14295

Identifier Type: -

Identifier Source: org_study_id

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