check_circleStudy Completed

Carcinoma, Renal Cell

Phase III study of sorafenib in patients with Renal Cell Carcinoma (RCC)

Trial purpose

A multicenter uncontrolled study of sorafenib in patients with unresectable and/or metastatic renal cell carcinoma (RCC) to assess the pharmacokinetic profile, safety and tolerability, and efficacy.

Key Participants Requirements

Sex

Both

Age

18 Years
  • - Patients who have a life expectancy of at least 12 weeks
    - Patients, who suffer from unresectable and/or metastatic, measurable RCC histologically or cytologically documented. Patients with rare subtypes of RCC such as pure papillary cell tumor, mixed tumor containing predominantly sarcomatoid cells, Bellini carcinoma, medullary carcinoma, or chromophobe oncocytic tumors are excluded from study participation.
    - Patients who have received not more than one prior systemic therapy for advanced disease which was completed at least 30 days prior to the first dose of study medication.
    - Patients who have at least one uni-dimensional measurable lesion by Computed Tomography (CT)-scan or Magnetic Resonance Imaging (MRI) according to Response Evaluation Criteria in Solid Tumours (RECIST)
    - Patients with "Intermediate" or "low" risk per the Motzer score
    - Patients who have an Eastern Co-operative Oncology Group (ECOG) performance status of 0 or 1
    - Adequate bone marrow, liver and renal function at screening as assessed by the following:
    - Total bilirubin < 1.5 x the upper limit of normal.
    - Alanine aminotransferase (ALT) and Aspartate aminotransferase (AST) < 2.5 x upper limit of normal (< 5 x upper limit of normal for patients with liver involvement of their cancer).
    - Amylase and lipase < 1.5 x the upper limit of normal.
     -- Serum creatinine < 2.0 x the upper limit of normal.
     -- Prothrombin Time (PT) or International Normalized Ratio (INR) and Partial Thromboplastin Time (PTT) < 1.5 x upper limit of normal
  • - Previous or concurrent cancer that is distinct in primary sit or histology from the cancer being evaluated in this study EXCEPT cervical carcinoma in situ, adequately treated basal cell carcinoma, superficial bladder tumors [Ta (Noninvasive papillary carcinoma), Tis (Carcinoma in situ: "flat tumor") and T1 (Tumor invades subepithelial connective tissue)] or any cancer curatively treated > 3 years prior to study entry)
    - Patients who completed their prior systemic treatment regimen less than 30 days
    - Cardiac arrhythmias requiring anti-arrhythmic (excluding beta blockers or digoxin), symptomatic coronary artery disease or ischemia
    - Active clinically serious bacterial or fungal infections
    - Known history of human immunodeficiency virus (HIV) infection or chronic hepatitis B or C requiring current interferon treatment
    - Symptomatic metastatic brain or meningeal tumors unless the patient is > 6 months from definitive therapy, has a negative imaging studies within 4 weeks of study entry and is clinically stable with respect to the tumor at the time of study entry.
    - Patients with evidence or history of bleeding diathesis.
    - Patients with seizure disorder requiring medication
    - History of organ allograft
    - Substance abuse, medical, psychological or social conditions that may interfere with the patient's participation in the study or evaluation of the study results
    - Pregnant or breast-feeding patients.
    Excluded concomitant medications:
     --Concurrent anti-cancer chemotherapy, immunotherapy, or hormonal therapy except Bisphosphonates
     --Radiotherapy during study or within 3 weeks of start of study drug.
     --Biological response modifiers, such as Granulocyte-Colony Stimulating Factor (G-CFS) or Granulocyte macrophage colony-stimulating factor (GM-CFS), within 3 weeks prior to study entry or during study
     --Significant surgery within 4 weeks prior to start of study drug
     --Autologous bone marrow transplant or stem cell rescue within 4 months of study
     --Investigational drug therapy during or within 4 weeks prior to first drug administration and during the study
     --St John's Wort
     --Xiao Chai Hu Tang
     --Prior and concomitant use of Bevacizumab, and all other drugs (investigational or licensed) that target Vascular Endothelial Growth Factor (VEGF)/VEGF-Receptors, Raf-kinase inhibitors (RKI), Methyl Ethyl Ketone (MEK) or Farnesyl transferase inhibitors

Trial summary

Enrollment Goal
39
Trial Dates
December 2005 - May 2008
Phase
Phase 3
Could I Receive a placebo
No
Products
Nexavar (Sorafenib, BAY43-9006)
Accepts Healthy Volunteer
No

Where to participate

StatusInstitutionLocation
Completed
Renji Hosp. Shanghai Jiao Tong Univ. School of MedicineShanghai, 200127, China
Terminated
Fudan University Shanghai Cancer CenterShanghai, 200032, China
Completed
National Taiwan University HospitalTaipei, 10002, Taiwan
Completed
Chang-Guang Memorial HospitalTaoyuan, 333, Taiwan
Completed
Cancer Hospital, Chinese Academy of Medical SciencesBeijing, 100021, China
Completed
PLA 81 HospitalNanjing, 210003, China
Completed
Fudan University Shanghai Cancer CenterShanghai, 200032, China
Completed
Veterans General HospitalTaipei, 112, Taiwan
Completed
National Cheng Kung University HospitalTainan, 70428, Taiwan

Primary Outcome

  • Pharmacokinetics Measured as Area Under Curve (AUC[0-12h])
    date_rangeTime Frame:
    12 hours after at least 21 days of uninterrupted dosing
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    Safety Issue:
    No
  • Pharmacokinetics Measured as Concentration (Cmax at Tmax and Cmin at Tmin)
    date_rangeTime Frame:
    12 hours after at least 21 days of uninterrupted dosing
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    Safety Issue:
    No
  • Pharmacokinetics Measured as Concentration (Cmax Normalized at Tmax and Cmin Normalized at Tmin)
    date_rangeTime Frame:
    12 hours after at least 21 days of uninterrupted dosing
    enhanced_encryption
    Safety Issue:
    No

Secondary Outcome

  • Progression Free Survival (PFS)
    date_rangeTime Frame:
    Number of days from date of first dose of study drug to date first observed disease progression or death (whichever was earlier) was documented up to 17.25 months
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    Safety Issue:
    No
  • Overall Survival (OS)
    date_rangeTime Frame:
    Time from start of therapy to death up to 17.25 months
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    Safety Issue:
    No
  • Time to Progression (TTP)
    date_rangeTime Frame:
    Time from start of study medication to clinical or radiological disease progression which ever occurs first up to 17.25 months
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    Safety Issue:
    No
  • Disease Control (DC)
    date_rangeTime Frame:
    From start to end of study medication up to 17.25 months
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    Safety Issue:
    No
  • Overall Best Response
    date_rangeTime Frame:
    Best response observed from start to end of study medication up to 17.25 months
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    Safety Issue:
    No
  • Overall Response Duration
    date_rangeTime Frame:
    From PR or CR to progression or death up to 17.25 months
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    Safety Issue:
    No
  • Time to Objective Response
    date_rangeTime Frame:
    Time from start of study medication to first documented PR or CR up to 17.25 months
    enhanced_encryption
    Safety Issue:
    No

Trial design

A multicenter uncontrolled study of sorafenib in patients with unresectable and/or metastatic renal cell carcinoma
Trial Type
Interventional
Intervention Type
Drug
Trial Purpose
Treatment
Allocation
Non-randomized
Blinding
Open Label
Assignment
Single Group Assignment
Trial Arms
1