Trial Condition(s):

Carcinoma, Non-Small-Cell Lung

A Phase III Randomized, Double-blind, Placebo Controlled Trial Comparing the Efficacy of Gemcitabine, Cisplatin and Sorafenib to Gemcitabine, Cisplatin and Placebo in First-Line Treatment of Patients with Stage IIIb with Effusion and Stage IV Non-Small Cell Lung Cancer (NSCLC) (NEXUS)

Bayer Identifier:

12006

ClinicalTrials.gov Identifier:

NCT00449033

EudraCT Number:

2006-002688-26

EU CT Number:

Not Available

Study Completed

Trial Purpose

Evaluation of gemcitabine and cisplatin in combination with either sorafenib or placebo for the treatment of patients with advanced Non-Small Cell Lung Cancer (NSCLC)

Inclusion Criteria
- Age > 18 years old 
 - Stage IIIB (with cytologically confirmed malignant  pleural or pericardial effusion) or Stage IV histological or cytological confirmation of NSCLC of non-squamous cell carcinoma subtype. (thoracentesis or pericardiocentesis is not necessary if a biopsy of the original tumor is available to confirm diagnosis of NSCLC).
 - Patients with at least one measurable lesion. Lesions must be measured by CT-scan or MRI (Magnetic resonance imaging) according to Response Evaluation Criteria in Solid Tumors (RECIST, see Appendix 10.3)
 - 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 start of first dose:
 - Hemoglobin >/= 9.0 g/dl (>/= 5.6 mmol/l) 
 - Absolute neutrophil count (ANC) >/= 1,500/mm3
 - Platelet count >/= 100,000/µl
 - Total bilirubin </= 1.5 x upper limit of normal
 - Alanine transaminase (ALT) and Aspartate transaminase (AST) </= 2.5 x upper limit of normal (</= 5 x upper limit of normal for patients with liver involvement of their cancer)
 - Alkaline Phosphatase </= 4 x upper limit of normal
 - PT-INR (Prothrombin Time - International Normalized Ratio) (international normalized ratio of PT) /PTT (Partial Thromboplastin Time) < 1.5 x upper limit of normal 
 - Serum Creatinine </= 1.5 times the upper limit of normal and Serum Creatinine Clearance >/= 70ml/min
 - Ability to understand and the willingness to sign a written informed consent. A signed informed consent must be obtained prior to performing any study specific procedures.
 - Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
Exclusion Criteria
- Excluded medical conditions:
 -- Cardiac disease: Congestive heart failure > class II NYHA (New York Heart Association).  Patients must not have unstable angina (anginal symptoms at rest) or active coronary artery disease (CAD), or myocardial infarction within the past 6 months 
 -- Cardiac arrhythmias requiring anti-arrhythmic therapy 
 -- Uncontrolled hypertension defined as systolic blood pressure > 150 mmHg or diastolic pressure > 90 mmHg, despite optimal medical management.
 -- History of HIV (Human immunodeficiency virus) infection or chronic hepatitis B or C
 -- Active clinically serious infections (> grade 2 NCI-CTCAE (National Cancer Institute Common Terminology Criteria for Adverse Events) version 3.0)
 -- Patients with seizure disorder requiring medication (such as steroids or anti-epileptics)
 -- Known brain metastasis.  Patients with neurological symptoms should undergo a CT scan/MRI of the brain to exclude brain metastasis.
 -- History of organ allograft 
 -- Patients with evidence or history of bleeding diathesis or coagulopathy
 -- Patients undergoing renal dialysis
 -- Cancer other than NSCLC within 5 years prior to start of study treatment EXCEPT cervical carcinoma in situ, treated basal cell carcinoma, or superficial bladder tumors [Ta (Noninvasive tumor), Tis (Carcinoma in situ) & T1 (Tumor invades lamina propria)]
 -- Uncontrolled hypertension defined as systolic blood pressure > 150 mmHg or diastolic pressure > 90 mmHg, despite optimal medical management.
 -- Thrombotic or embolic events such as cerebrovascular accident including transient ischemic attacks within the past 6 months
 -- Pulmonary hemorrhage/bleeding event > Common Terminology Criteria for Adverse Events (CTCAE) Grade 2 within 4 weeks of first dose of study drug
 -- Any other hemorrhage/bleeding event > CTCAE Grade 3 within 4 weeks of first dose of study drug
 -- Serious, non-healing wound, ulcer, or bone fracture
 -- Uncorrected dehydration 
 -- Pregnant or breast-feeding patients.  Women of childbearing potential must have a negative pregnancy test performed within 7 days of the start of treatment.  Both men and women enrolled in this trial must use adequate birth control measures during the course of the trial.  The definition of effective contraception will be based on the judgment of the principal investigator or a designated associate.
 -- Substance abuse, medical, psychological or social conditions that may interfere with the patient’s participation in the study or evaluation of the study results
 -- Known or suspected allergy to the investigational agent or any agent given in association with this trial
 -- Any condition that is unstable or could jeopardize the safety of the patient and their compliance in the study
 -- Patients unable to swallow oral medications 
 -- Any malabsorption condition 
 -- Patients with a hearing impairment (FOR GERMANY ONLY)
 -- NSCLC patients with squamous cell carcinoma diagnosis documented either by cytology or biopsy.

 - Excluded therapies and medications, previous and concomitant:
 -- Any prior systemic anticancer therapy including cytotoxic therapy, targeted agents, experimental therapy, adjuvant, or neo-adjuvant therapy for NSCLC
 -- Concomitant use of nephrotoxic drugs, ototoxic drugs, anticonvulsant, anti-gout treatment
 -- Radiotherapy during study or within 3 weeks of start of study drug.  (Palliative radiotherapy will be allowed as described in the Prior and Concomitant Therapy section)
 -- Radiotherapy during study or within 4 weeks of start of study drug.  (Palliative radiotherapy will be allowed as described in the Prior and Concomitant Therapy section) (FOR FRANCE ONLY)
 -- Major surgery, open biopsy or significant traumatic injury within 4 weeks of first dose of study drug (bronchoscopy is allowed)
 -- Granulocyte colony stimulating factor (GCSF) or Granulocyte macrophage colony stimulating factor (GMCSF), within 3 weeks of study entry (these growth factors may be used during the study thereafter).

Trial Summary

Enrollment Goal
904
Trial Dates
black-arrow
Phase
3
Could I receive a placebo?
Yes
Products
Nexavar (Sorafenib, BAY43-9006)
Accepts Healthy Volunteers
No

Where to Participate

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Locations
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Asklepios Fachkliniken München Gauting

Gauting, Germany, 82131

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Thoraxklinik-Heidelberg gGmbH

Heidelberg, Germany, 69126

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Klinik Löwenstein gGmbH

Löwenstein, Germany, 74245

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Kliniken der Stadt Köln - Städt. Krankenhaus Köln-Merheim

Köln, Germany, 51109

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St. Vincentius-Kliniken gAG

Karlsruhe, Germany, 76137

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Universitätsklinikum Essen

Essen, Germany, 45122

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Asklepios Klinik Harburg

Hamburg, Germany, 21075

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Krankenhaus Hofheim am Taunus

Hofheim , Germany, 65719

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Addenbrookes Hospital

Cambridge, United Kingdom, CB2 0QQ

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New Cross Hospital

Wolverhampton, United Kingdom, WV10 0QP

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Centre René Gauducheau - Nantes

NANTES, France, 44805

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Clinique Sainte Marguerite - Hyères

HYERES, France, 83400

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Hôpital Sainte Marguerite - Marseille

MARSEILLE, France, 13275

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Krankenhaus Grosshansdorf

Großhansdorf, Germany, 22927

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St. Markus-Krankenhaus

Frankfurt, Germany, 60431

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Zentralklinik Bad Berka GmbH

Bad Berka, Germany, 99437

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Städtisches Klinikum "St. Georg" Leipzig

Leipzig, Germany, 04207

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Aberdeen Royal Infirmary

Aberdeen, United Kingdom, AB25 2ZN

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Guy's Hospital

London, United Kingdom, SE1 9RT

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Leicester Royal Infirmary

Leicester, United Kingdom, LE1 5WW

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Royal Marsden NHS Trust (Surrey)

Sutton, United Kingdom, SM2 5PT

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Queen Elizabeth Hospital

Birmingham, United Kingdom, B15 2TH

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Royal Marsden Hospital (London)

London, United Kingdom, SW3 6JJ

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Centre Hospitalier Lyon Sud - Pierre Bénite

PIERRE BENITE, France, 69495

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Centre Hospitalier Universitaire - Grenoble

GRENOBLE, France, 38043

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Hôpital Bretonneau - Tours

TOURS, France, 37044

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Nouvel Hopital CIVIL-CHU Strasbourg

Strasbourg, France, 67901

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IRCCS Istituto Clinico Humanitas

Rozzano, Italy, 20089

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ARNAS Garibaldi

Catania, Italy, 95122

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A.O.U. di Bologna

Bologna, Italy, 40138

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IRCCS Fondazione San Raffaele

Milano, Italy, 20132

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Hospital Universitario 12 de Octubre

Madrid, Spain, 28041

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Hospital de la Santa Creu i de Sant Pau

Barcelona, Spain, 08025

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Hospital Arnau de Vilanova de Valencia

Valencia, Spain, 46015

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Hospital Universitario Virgen del Rocío

Sevilla, Spain, 41013

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Complejo Hospitalario Universitario A Coruña

A Coruña, Spain, 15006

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UZ Leuven Gasthuisberg

LEUVEN, Belgium, 3000

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AZ Klina

BRASSCHAAT, Belgium, 2930

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Clinique Sainte-Elisabeth

NAMUR, Belgium, 5000

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CHU de Liège

LIEGE, Belgium, 4000

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Jeroen Bosch Ziekenhuis

DEN BOSCH, Netherlands, 5211 RW

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Hopital Européen Georges Pompidou - Paris

PARIS CEDEX 15, France, 75908

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Clinique du Mail - Grenoble

GRENOBLE, France, 38100

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Centre de Radiologie Oncologie Médicale - Nimes

NIMES CEDEX 2, France, 30907

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Clinique Victor Hugo - Le Mans

LE MANS CEDEX 2, France, 72015

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Centre Catalan d'Oncologie

PERPIGNAN, France, 66000

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Clinique Paulmy - Bayonne

BAYONNE, France, 64100

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A.O. San Camillo-Forlanini

Roma, Italy, 00152

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AUSL 06 Livorno - Toscana

Livorno, Italy, 57124

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A.O.U. Integrata Verona

Verona, Italy, 37134

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ASL Sassari - Sardegna

Sassari, Italy, 07100

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A.O.U. Careggi

Firenze, Italy, 50134

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AULSS 12 Veneziana - Veneto

Venezia, Italy, 30122

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A.O. San Gerardo di Monza

Monza, Italy, 20052

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IRCCS Centro di Riferimento Oncologico - CRO

Aviano, Italy, 33081

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Hospital General Universitario de Valencia

Valencia, Spain, 46014

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Consorci Sanitari de Terrassa

Terrassa, Spain, 08227

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Ziekenhuis Gelderse Vallei

Ede, Netherlands, 6716 RP

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Atrium Medisch Centrum Parkstad

HEERLEN, Netherlands, 6419 PC

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Antiguo Hospital Civil de Guadalajara "Fray Antonio Alcalde"

Guadalajara, Mexico, 44280

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Hospital Universitario "José Eleuterio González"

Monterrey, Mexico, 64460

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Instituto Nacional de Cancerología

México, Mexico, 14080

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Universitätsklinikum Innsbruck

Innsbruck, Austria, 6020

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Krankenhaus Hietzing

Wien, Austria, 1130

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SMZ Baumgartner Höhe Otto Wagner Spital

Wien, Austria, 1140

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Orszagos Koranyi TBC es Pulmonologiai Intezet

Budapest, Hungary, 1121

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Fovarosi Onkormanyzat Szent Janos Korhaza es Eszak-Budai

Budapest, Hungary, 1125

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Sotiria General State Hospital of Chest Diseases

Athens, Greece, 11527

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Sotiria General State Hospital of Chest Diseases

Athens, Greece, 11527

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Santa Casa de Misericórdia da Bahia Hospital Santa Izabel

Salvador, Brazil, 40050410

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Hospital Lifecenter

Belo Horizonte, Brazil, 30110-090

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Hospital Virgen de la Victoria

Málaga, Spain, 29010

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Hospital Regional Carlos Haya

Málaga, Spain, 29010

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Hospital de Cruces

Cruces/Barakaldo, Spain, 48903

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Hospital Clínico Universitario de Valencia

Valencia, Spain, 46010

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Hospital Clínico Universitario San Carlos

Madrid, Spain, 28040

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Royal Victoria Hospital

Montreal, Canada, H3A 1A1

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UZ Antwerpen

EDEGEM, Belgium, 2650

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CU Saint-Luc/UZ St-Luc

BRUXELLES - BRUSSEL, Belgium, 1200

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Ziekenhuis St. Jansdal

HARDERWIJK, Netherlands, 3844 DG

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St. Antonius Ziekenhuis

NIEUWEGEIN, Netherlands, 3435 CM

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Meir Medical Center

Kfar Saba, Israel, 4428164

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Chaim Sheba Medical Center

Tel Hashomer, Israel, 5262000

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Kaplan Medical Center

Rehovot, Israel, 7610001

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Barzilai Medical Center

Ashkelon, Israel, 7830604

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Edith Wolfson Medical Center

Holon, Israel, 58100

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Hospital Amaral Carvalho

Jaú, Brazil, 17210-120

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Hospital Universitário de Brasília

Brasília, Brazil, 70840 901

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Instituto Nacional do Cancer

Rio de Janeiro, Brazil, 20231 050

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Santo Andre Diagnostico e Terapeutica

Santo Andre, Brazil, 09090-780

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Hospital Israelita Albert Einstein

São Paulo, Brazil, 05651-901

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Centro Goiano de Oncologia

Goiânia, Brazil, 74075040

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Oncovida/Centro Médico Iguatemi

Salvador, Brazil, 41820 021

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Hospital das Clínicas da Faculdade de Medicina da USP

São Paulo, Brazil, 05403-010

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Shanghai Chest Hospital, Shanghai Jiaotong University

Shanghai, China, 200030

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Cancer Hospital, Chinese Academy of Medical Sciences

Beijing, China, 100021

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Tongji Hosp. of Huazhong Univ. of Science & Technology

Wuhan, China, 430030

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Shanghai Pulmonary Hospital, Tongji University

Shanghai, China, 200433

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Universitätsspital Basel

Basel, Switzerland, 4031

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Hôpital Cantonal Universitaire de Genève

Genéve, Switzerland, 1205

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Krankenhaus der Elisabethinen Linz

Linz, Austria, 4010

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Csongrad Megyei Onkormanyzat Mellkasi Betegsegek Szakkorhaza

Deszk, Hungary, 6772

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Matrai State Hospital

Matrahaza, Hungary, 3233

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Fejer megyei Szent Gyorgy Korhaz

Szekesfehervar , Hungary, 8000

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Pest County Lung Institute

Torokbalint, Hungary, 2045

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University General Hospital of Heraklion

Heraklion, Greece, 711 10

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Faculdade de Medicina do ABC

Santo André, Brazil, 09060-870

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Hospital Sao Lucas da Pontificia Universidade Catolica do RS

Porto Alegre, Brazil, 90610-000

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Irmandade da Santa Casa de Misericordia - Sao Paulo

São Paulo, Brazil, 01221020

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Irmandade Santa Casa de Misericordia de Porto Alegre

Porto Alegre, Brazil, 90050 170

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Conjunto Hospitalar de Sorocaba

Sorocaba, Brazil, 18030-510

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Office of Dr. Agnaldo Anelli

São Paulo, Brazil, 01331020

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Nucleo de Oncologia de Salvador

Salvador, Brazil, 40170-070

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Hosp. Araujo Jorge da Associação de Combate ao Câncer

Goiania, Brazil, 74605-070

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Tampereen yliopistollinen sairaala, keskussairaala

Tampere, Finland, FIN-33521

Locations

TYKS/Paimion Sairaala

Preitilä, Finland, 21540

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Sun Yat-sen University Cancer Center

Guangzhou, China, 510060

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PLA 81 Hospital

Nanjing, China, 210002

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Sir Run Run Shaw Hospital

Hangzhou, China, 310016

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Zhejiang Cancer Hospital

Hangzhou, China, 310022

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Inselspital Bern

Bern, Switzerland, 3010

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HUS, Meilahden sairaala

HUS, Finland, 00029

Locations

Bank of Cyprus Oncology Centre

Nicosia, Cyprus, 2006

Trial Design