Phase II Trial of BAY-9006 (NSC #724772) in Advanced Soft Tissue Sarcomas
Phase II Trial of BAY-9006 (NSC #724772) in Advanced Soft Tissue Sarcomas
RATIONALE: Sorafenib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor.
PURPOSE: This phase II trial is studying how well sorafenib works in treating patients with advanced soft tissue sarcomas.
OBJECTIVES:
OTHER OBJECTIVES (if funding permits):
OUTLINE: This is a multicenter study. Patients are stratified according to histology (leiomyosarcoma vs liposarcoma vs angiosarcoma, hemangiosarcoma, or hemangiopericytoma).
Patients receive oral sorafenib twice daily on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed every 8 weeks until disease progression and then every 6 months for 2 years and annually for up to 3 years.
PROJECTED ACCRUAL: A total of 45-75 patients (15-25 per stratum) will be accrued for this study within 15-38 months.
DISEASE CHARACTERISTICS:
Histologically confirmed soft tissue sarcoma of 1 of the following histologies:
Must have evidence of unresectable residual disease, metastatic disease, or recurrent disease by radiography
Measurable disease by x-ray, scans, or physical examination
Archived paraffin-embedded tumor sections available
No known brain metastases
PATIENT CHARACTERISTICS:
Age
Performance status
Life expectancy
Hematopoietic
Hepatic
Renal
Cardiovascular
Other
PRIOR CONCURRENT THERAPY:
Biologic therapy
Chemotherapy
Endocrine therapy
Radiotherapy
At least 28 days since prior radiotherapy and recovered
Surgery
Other
No prior sorafenib
No prior inhibitor of VEGFR or MAPK pathway
No concurrent combination antiretroviral therapy for HIV-positive patients
No other concurrent investigational agents
No concurrent therapeutic anticoagulation
No concurrent administration of any of the following medications:
Rifampin
Hypericum perforatum (St. John's wort)
Cytochrome P450 enzyme-inducing antiepileptic drugs, including any of the following:
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