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The purpose of the study is
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sorafenib (Nexavar, BAY43-9006) | Experimental | Sorafenib was administered orally at a dose of 400 mg (2 x 200 mg tablets) bid (twice daily); 2 dose reductions to predefined levels of 400 mg (2 x 200 mg tablets) once daily (od) and 400 mg (2 x 200 mg tablets) every 2 days were permitted for treatment-emergent adverse events related to study treatment. |
|
| Placebo | Placebo Comparator | Placebo tablets matching in appearance were orally administered bid (twice daily). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sorafenib (Nexavar, BAY43-9006) | Drug | multikinase inhibitor; Sorafenib 400 mg (orally) twice daily |
|
| Measure | Description | Time Frame |
|---|---|---|
| Overall Survival | Overall Survival (OS) was defined as the time from date of randomization to death due to any cause. Subjects still alive at the time of analysis were censored at their last date of last contact. | From randomization of the first subject until the data cut-off date approximately 23 months after start of randomization |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Symptomatic Progression (TTSP) | Time to Symptomatic Progression (TTSP) was defined as the time from date of randomization to symptomatic progression. Subjects without symptomatic progression at the time of analysis were censored at their last date of tumor evaluation. | From randomization of the first subject until the data cut-off date approximately 23 months after start of randomization |
Not provided
Inclusion Criteria:
Ages eligible for study: 18 years and above, Genders eligible for study: both
Patients who have a life expectancy of at least 12 weeks
Patients with advanced Hepatocellular carcinoma (HCC) (unresectable, and/or metastatic) which has been histologically or cytologically documented
Patients must have at least one tumor lesion that meets both of the following criteria
Patients who have received local therapy, such as surgery, radiation therapy, hepatic arterial embolization, chemoembolization, radiofrequency ablation, percutaneous ethanol injection or cryoablation are eligible. Previously treated lesions will not be selected as target lesions. Local therapy must be completed at least 4 weeks prior to the baseline scan
Patients who have an Eastern Co-operative Oncology Group (ECOG) Performance Status of 0, 1, or 2
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bayer Study Director | Bayer | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hefei | Anhui | 230022 | China | |||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19095497 | Result | Cheng AL, Kang YK, Chen Z, Tsao CJ, Qin S, Kim JS, Luo R, Feng J, Ye S, Yang TS, Xu J, Sun Y, Liang H, Liu J, Wang J, Tak WY, Pan H, Burock K, Zou J, Voliotis D, Guan Z. Efficacy and safety of sorafenib in patients in the Asia-Pacific region with advanced hepatocellular carcinoma: a phase III randomised, double-blind, placebo-controlled trial. Lancet Oncol. 2009 Jan;10(1):25-34. doi: 10.1016/S1470-2045(08)70285-7. Epub 2008 Dec 16. | |
| 22240282 |
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271 subjects were enrolled in a 28-day screening period; 226 subjects were randomized either to Sorafenib or placebo (2:1 ratio) (intent-to-treat [ITT] population: for efficacy analysis); 224 subjects received at least one dose of study drug (safety population: for safety analysis). Majority of screen failures did not meet the inclusion criteria.
Subjects with advanced hepatocellular carcinoma were enrolled from 12 Oct 2005 to 26 Jan 2007 at 23 centers in China (15 centers), Taiwan (5 centers), and Korea (3 centers).
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | A1) Sorafenib (Nexavar, BAY43-9006) - no Open Label Phase | Participants randomized to Sorafenib treatment until unblinding (August 19, 2007), Sorafenib administered orally at a dose of 400 mg (2 x 200 mg tablets) twice daily (bid); 2 dose reductions to predefined levels of 400 mg (2 x 200 mg tablets) once daily and 400 mg (2 x 200 mg tablets) every 2 days were permitted for treatment-emergent adverse events related to study treatment. Note: Safety Data of participants in the arm presented here are part of the data reported in Reporting Group (RG) 1. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Double Blind Treatment |
|
Not provided
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| Placebo | Drug | Matching placebo (orally) twice daily |
|
| Time to Progression (TTP) | Time to progression (TTP) was defined as the time from date of randomization to radiologically documented disease progression. Subjects without progression at the time of analysis were censored at their last date of tumor evaluation。 | From randomization of the first subject until the data cut-off date approximately 23 months after start of randomization |
| Disease Control | Disease Control (DC) was defined as the total number of subjects whose best response was not Progressive Disease (PD: an increase in the sum of tumor lesions sizes) according to Response Evaluation Criteria in Solid Tumors (RECIST) (= total number of Complete Response (CR: disappearance of tumor lesions) + total number of Partial Response (PR: a decrease of at least 30% in the sum of tumor lesion sizes) + total number of Stable Disease (SD: steady state of disease); CR, PR, or SD had to be maintained for at least 28 days from the first demonstration of that rating). | From randomization of the first subject until the data cut-off date approximately 23 months after start of randomization |
| Change in Functional Assessment of Cancer Therapy (FACT) Hepatobiliary Symptom Index-8 (FHSI-8) Score From Baseline to Cycle 1 and Cycle 3 | The FHSI-8 questionnaire was completed at baseline and every 3 weeks during treatment and at the end of treatment visit only for subjects who withdrew for reasons other than symptomatic progression. Patient reported outcome was measured using the FHSI-8 score changes from baseline throughout the study period. FHSI-8 assesses hepatobiliary cancer symptoms with total score ranges from 0 to 32 (0 = the best quality of life; 32 = the worst quality of life with severe symptoms).. | Baseline up to Cycle 1 and Cycle 3. From randomization of the first subject until the data cut-off date approximately 23 months after start of randomization |
| Change in Functional Assessment of Cancer Therapy-Hepatobiliary (FACT-Hep) Score From Baseline to Cycle 3 and End of Treatment | The FACT-Hep questionnaire was also completed to assess patient reported outcome. The FACT-Hep assesses hepatobiliary cancer-related quality of life. FACT-Hep total score ranges from 0 to 180 (0=All questions answered "Not at all"; 180=All questions answered "Very much"). | Baseline up to Cycle 3 and end of treatment. From randomization of the first subject until the data cut-off date approximately 23 months after start of randomization |
| Number of Participants With Different Tumor Response | Tumor Response (= Best Overall Response) of a subject was defined as the best tumor response (confirmed Complete Response (CR: disappearance of tumor lesions), confirmed* Partial Response (PR: a decrease of at least 30% in the sum of tumor lesion sizes), Stable Disease (SD: steady state of disease), or Progressive Disease (PD: an increase in the sum of tumor lesions sizes)) observed during trial period assessed according to the Response Evaluation Criteria in Solid Tumors (RECIST) criteria. | From randomization/start of treatment of the first subject until approximately 23 months after randomization when the subjects on placebo were offered the option to crossover to sorafenib treatment |
| Duration of Response | Duration of Response was defined as the time from date of first response (Complete Response (CR) or Partial Response (PR)) to the date when Progressive Disease (PD) is first documented, or to the date of death, whichever occurs first. Subjects still having CR or PR at the time of analysis were censored at their last tumor assessment. | From randomization of the first subject until the data cut-off date approximately 23 months after start of randomization |
| Time to Response | Time to Response (TTR) for subjects who achieved a response (Complete Response (CR) or Partial Response (PR) ) was defined as the time from date of randomization to the earliest date that the response was first documented. | From randomization of the first subject until the data cut-off date approximately 23 months after start of randomization |
| Area Under the Curve From Time 0 to 12 Hours Post-dose (AUC 0-12) After 21 Days of Sorafenib Treatment | The AUC is a measure of systemic drug exposure, which is obtained by collecting a series of blood samples and measuring the concentrations of drug in each sample. A plot of concentration vs time after dosing is created, and the area under this curve is calculated by standard methods (eg, trapezoidal rule) to provide a measure of how much drug was in the bloodstream following dosing. | PK assessments made at following times: pre-dose, 1 h, 2h, 4h, 8h,and 12h after at least 21 consecutive doses during Cycle 1 |
| Normalized Area Under the Curve (AUC Norm) After 21 Days of Sorafenib Treatment | The AUC is a measure of systemic drug exposure, which is obtained by collecting a series of blood samples and measuring the concentrations of drug in each sample. A plot of concentration vs time after dosing is created, and the area under this curve is calculated by standard methods (eg, trapezoidal rule) to provide a measure of how much drug was in the bloodstream following dosing. | PK assessments made at following times: pre-dose, 1 h, 2h, 4h, 8h,and 12h after at least 21 consecutive doses during Cycle 1 |
| Maximum Concentration (Cmax) After 21 Days of Sorafenib Treatment | Cmax refers to the highest plasma concentration of drug reached after dosing. It is obtained by collecting a series of blood samples after dosing, and analyzing them for drug content by a sensitive and specific analytical method. The highest measured concentration is referred to as the Cmax. | PK assessments made at following times: pre-dose, 1 h, 2h, 4h, 8h,and 12h after at least 21 consecutive doses during Cycle 1 |
| Normalized Maximum Concentration (Cmaxnorm) After 21 Days of Sorafenib Treatment | Cmaxnorm refers to the maximum plasma concentration of Sorafenib corrected for dose and body weight (Cmaxnorm = Cmax/(mg/kg)). | PK assessments made at following times: pre-dose, 1 h, 2h, 4h, 8h,and 12h after at least 21 consecutive doses during Cycle 1 |
| Time of Maximum Concentration (Tmax) After 21 Days of Sorafenib Treatment | Tmax refers to the time after dosing when a drug attains its maximum concentration in the blood. It is obtained by collecting a series of blood samples at various times after dosing, and measuring them for drug content. The time corresponding to the highest measurable concentration (Cmax) is referred to as Tmax. | PK assessments made at following times: pre-dose, 1 h, 2h, 4h, 8h,and 12h after at least 21 consecutive doses during Cycle 1 |
| Guangzhou |
| Guangdong |
| 510060 |
| China |
| Guangzhou | Guangdong | 510515 | China |
| Wuhan | Hubei | 430030 | China |
| Nanjing | Jiangsu | 210003 | China |
| Nanjing | Jiangsu | 210009 | China |
| Dalian | Liaoning | 116011 | China |
| Dalian | Liaoning | 116027 | China |
| Hangzhou | Zhejiang | 310016 | China |
| Beijing | 100021 | China |
| Beijing | 100039 | China |
| Chongqing | 400038 | China |
| Shanghai | 200003 | China |
| Shanghai | 200032 | China |
| Tianjin | China |
| Seoul | Seoul Teugbyeolsi | 152-703 | South Korea |
| Daegu | 702-701 | South Korea |
| Seoul | 138-736 | South Korea |
| Changhua | 500 | Taiwan |
| Tainan | 736 | Taiwan |
| Taipei | 10016 | Taiwan |
| Taipei | 251 | Taiwan |
| Taoyuan | 333 | Taiwan |
| Result |
| Cheng AL, Guan Z, Chen Z, Tsao CJ, Qin S, Kim JS, Yang TS, Tak WY, Pan H, Yu S, Xu J, Fang F, Zou J, Lentini G, Voliotis D, Kang YK. Efficacy and safety of sorafenib in patients with advanced hepatocellular carcinoma according to baseline status: subset analyses of the phase III Sorafenib Asia-Pacific trial. Eur J Cancer. 2012 Jul;48(10):1452-65. doi: 10.1016/j.ejca.2011.12.006. Epub 2012 Jan 10. |
| 28687477 | Derived | Bruix J, Cheng AL, Meinhardt G, Nakajima K, De Sanctis Y, Llovet J. Prognostic factors and predictors of sorafenib benefit in patients with hepatocellular carcinoma: Analysis of two phase III studies. J Hepatol. 2017 Nov;67(5):999-1008. doi: 10.1016/j.jhep.2017.06.026. Epub 2017 Jul 4. |
| FG001 | A2) Sorafenib (Nexavar, BAY43-9006) - With Open Label Phase | Participants randomized to Sorafenib treatment from until unblinding (August 19, 2007) until end of trial (July 27, 2009), Sorafenib administered orally at a dose of 400 mg (2 x 200 mg tablets) twice daily (bid); 2 dose reductions to predefined levels of 400 mg (2 x 200 mg tablets) once daily and 400 mg (2 x 200 mg tablets) every 2 days were permitted for treatment-emergent adverse events related to study treatment. Note: Safety Data of participants in the arm presented here are part of the data reported in Reporting Group (RG) 1. |
| FG002 | B1) Placebo - no Open Label Phase | Participants randomized to Sorafenib-matching Placebo until unblinding (August 19, 2007), Placebo tablets matching in appearance were orally administered twice daily (bid). Note: Safety Data of participants in the arm presented here are part of the data reported in Reporting Group (RG) 2. |
| FG003 | B2) Placebo First - Then Open Label Sorafenib Treatment Phase | Participants switched to Open-label Sorafenib treatment from Placebo after unblinding (August 19, 2007), Sorafenib administered orally at a dose of 400 mg (2 x 200 mg tablets) twice daily (bid); 2 dose reductions to predefined levels of 400 mg (2 x 200 mg tablets) once daily and 400 mg (2 x 200 mg tablets) every 2 days were permitted for treatment-emergent adverse events related to study treatment. Note: Safety Data of participants in the arm presented here are the data reported in Reporting Group (RG) 3. |
| Received Treatment |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
| Follow-up and/or Open Label Sorafenib |
|
|
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Sorafenib (Nexavar, BAY43-9006) | Sorafenib was administered orally at a dose of 400 mg (2 x 200 mg tablets) bid (twice daily); 2 dose reductions to predefined levels of 400 mg (2 x 200 mg tablets) once daily (od) and 400 mg (2 x 200 mg tablets) every 2 days were permitted for treatment-emergent adverse events related to study treatment. |
| BG001 | Placebo | Placebo tablets matching in appearance were orally administered bid (twice daily). |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Median | Full Range | Years |
| |||||||||||||||
| Age, Customized | Number | Participants |
| ||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Baseline Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) | Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) is a scale (range 0 [fully active] to 5 [dead]) that measures how cancer affects a patient. Subjects entering this study were to have an ECOG score of 0, 1 (restricted in physically strenuous activity but ambulatory), or 2 (capable of all self care but cannot carry out work activities. | Number | Participants |
| |||||||||||||||
| Tumor burden | Tumor burden refers to the number of cancer cells, the size of a tumor, or the amount of cancer in the body, and is called the tumor load. Randomization was stratified by "tumor burden" assessment ie, the presence of either macroscopic vascular invasion as determined by radiological assessment and/or extra hepatic spread versus none. | Number | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Overall Survival | Overall Survival (OS) was defined as the time from date of randomization to death due to any cause. Subjects still alive at the time of analysis were censored at their last date of last contact. | In this study the overall survival was measured for the ITT population from the date of randomization until the date of death due to any cause. For patients alive or lost to follow-up at the time of analysis, time to death was to be censored at their last date of follow-up, or at the data cut-off of 09 Aug 2007 (23 months after randomization). | Posted | Median | 95% Confidence Interval | days | From randomization of the first subject until the data cut-off date approximately 23 months after start of randomization |
|
|
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| Secondary | Time to Symptomatic Progression (TTSP) | Time to Symptomatic Progression (TTSP) was defined as the time from date of randomization to symptomatic progression. Subjects without symptomatic progression at the time of analysis were censored at their last date of tumor evaluation. | Time to Symptomatic Progression was measured for the ITT population (all randomized subjects) up to the data cut-off date of of 09 Aug 2007 (23 months after randomization) | Posted | Median | 95% Confidence Interval | days | From randomization of the first subject until the data cut-off date approximately 23 months after start of randomization |
|
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| Secondary | Time to Progression (TTP) | Time to progression (TTP) was defined as the time from date of randomization to radiologically documented disease progression. Subjects without progression at the time of analysis were censored at their last date of tumor evaluation。 | Time to progression was measured for the ITT population (all randomized subjects) up to the data cut-off date of 09 Aug 2007 (23 months after randomization). | Posted | Median | 95% Confidence Interval | days | From randomization of the first subject until the data cut-off date approximately 23 months after start of randomization |
|
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| Secondary | Disease Control | Disease Control (DC) was defined as the total number of subjects whose best response was not Progressive Disease (PD: an increase in the sum of tumor lesions sizes) according to Response Evaluation Criteria in Solid Tumors (RECIST) (= total number of Complete Response (CR: disappearance of tumor lesions) + total number of Partial Response (PR: a decrease of at least 30% in the sum of tumor lesion sizes) + total number of Stable Disease (SD: steady state of disease); CR, PR, or SD had to be maintained for at least 28 days from the first demonstration of that rating). | Disease control rate was measured for the ITT population (all randomized subjects) | Posted | Number | participants | From randomization of the first subject until the data cut-off date approximately 23 months after start of randomization |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change in Functional Assessment of Cancer Therapy (FACT) Hepatobiliary Symptom Index-8 (FHSI-8) Score From Baseline to Cycle 1 and Cycle 3 | The FHSI-8 questionnaire was completed at baseline and every 3 weeks during treatment and at the end of treatment visit only for subjects who withdrew for reasons other than symptomatic progression. Patient reported outcome was measured using the FHSI-8 score changes from baseline throughout the study period. FHSI-8 assesses hepatobiliary cancer symptoms with total score ranges from 0 to 32 (0 = the best quality of life; 32 = the worst quality of life with severe symptoms).. | FHSI-8 score changes from baseline by visit were assessed for the ITT population. | Posted | Mean | Standard Deviation | scores on a scale | Baseline up to Cycle 1 and Cycle 3. From randomization of the first subject until the data cut-off date approximately 23 months after start of randomization |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change in Functional Assessment of Cancer Therapy-Hepatobiliary (FACT-Hep) Score From Baseline to Cycle 3 and End of Treatment | The FACT-Hep questionnaire was also completed to assess patient reported outcome. The FACT-Hep assesses hepatobiliary cancer-related quality of life. FACT-Hep total score ranges from 0 to 180 (0=All questions answered "Not at all"; 180=All questions answered "Very much"). | FACT-Hep score changes from baseline by visit were assessed for the ITT population. | Posted | Mean | Standard Deviation | scores on a scale | Baseline up to Cycle 3 and end of treatment. From randomization of the first subject until the data cut-off date approximately 23 months after start of randomization |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Participants With Different Tumor Response | Tumor Response (= Best Overall Response) of a subject was defined as the best tumor response (confirmed Complete Response (CR: disappearance of tumor lesions), confirmed* Partial Response (PR: a decrease of at least 30% in the sum of tumor lesion sizes), Stable Disease (SD: steady state of disease), or Progressive Disease (PD: an increase in the sum of tumor lesions sizes)) observed during trial period assessed according to the Response Evaluation Criteria in Solid Tumors (RECIST) criteria. | The tumor response was measured for the ITT population. | Posted | Number | participants | From randomization/start of treatment of the first subject until approximately 23 months after randomization when the subjects on placebo were offered the option to crossover to sorafenib treatment |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Duration of Response | Duration of Response was defined as the time from date of first response (Complete Response (CR) or Partial Response (PR)) to the date when Progressive Disease (PD) is first documented, or to the date of death, whichever occurs first. Subjects still having CR or PR at the time of analysis were censored at their last tumor assessment. | The duration of response was measured for the ITT population. | Posted | Median | Full Range | days | From randomization of the first subject until the data cut-off date approximately 23 months after start of randomization |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Time to Response | Time to Response (TTR) for subjects who achieved a response (Complete Response (CR) or Partial Response (PR) ) was defined as the time from date of randomization to the earliest date that the response was first documented. | The time to response was measured for the ITT population. | Posted | Median | Full Range | days | From randomization of the first subject until the data cut-off date approximately 23 months after start of randomization |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Area Under the Curve From Time 0 to 12 Hours Post-dose (AUC 0-12) After 21 Days of Sorafenib Treatment | The AUC is a measure of systemic drug exposure, which is obtained by collecting a series of blood samples and measuring the concentrations of drug in each sample. A plot of concentration vs time after dosing is created, and the area under this curve is calculated by standard methods (eg, trapezoidal rule) to provide a measure of how much drug was in the bloodstream following dosing. | The stated goal in the protocol was to obtain PK data from approximately 39 patients. As this was only descriptive information, the sample size was not critical. All patients who provided PK data were included in the analysis. | Posted | Geometric Mean | Full Range | mg*h/L | PK assessments made at following times: pre-dose, 1 h, 2h, 4h, 8h,and 12h after at least 21 consecutive doses during Cycle 1 |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Normalized Area Under the Curve (AUC Norm) After 21 Days of Sorafenib Treatment | The AUC is a measure of systemic drug exposure, which is obtained by collecting a series of blood samples and measuring the concentrations of drug in each sample. A plot of concentration vs time after dosing is created, and the area under this curve is calculated by standard methods (eg, trapezoidal rule) to provide a measure of how much drug was in the bloodstream following dosing. | The stated goal in the protocol was to obtain PK data from approximately 39 patients. As this was only descriptive information, the sample size was not critical. All patients who provided PK data were included in the analysis. | Posted | Geometric Mean | Full Range | g*h/L | PK assessments made at following times: pre-dose, 1 h, 2h, 4h, 8h,and 12h after at least 21 consecutive doses during Cycle 1 |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Maximum Concentration (Cmax) After 21 Days of Sorafenib Treatment | Cmax refers to the highest plasma concentration of drug reached after dosing. It is obtained by collecting a series of blood samples after dosing, and analyzing them for drug content by a sensitive and specific analytical method. The highest measured concentration is referred to as the Cmax. | The stated goal in the protocol was to obtain PK data from approximately 39 patients. As this was only descriptive information, the sample size was not critical. All patients who provided PK data were included in the analysis. | Posted | Geometric Mean | Full Range | mg/L | PK assessments made at following times: pre-dose, 1 h, 2h, 4h, 8h,and 12h after at least 21 consecutive doses during Cycle 1 |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Normalized Maximum Concentration (Cmaxnorm) After 21 Days of Sorafenib Treatment | Cmaxnorm refers to the maximum plasma concentration of Sorafenib corrected for dose and body weight (Cmaxnorm = Cmax/(mg/kg)). | The stated goal in the protocol was to obtain PK data from approximately 39 patients. As this was only descriptive information, the sample size was not critical. All patients who provided PK data were included in the analysis. | Posted | Geometric Mean | Full Range | g/mL | PK assessments made at following times: pre-dose, 1 h, 2h, 4h, 8h,and 12h after at least 21 consecutive doses during Cycle 1 |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Time of Maximum Concentration (Tmax) After 21 Days of Sorafenib Treatment | Tmax refers to the time after dosing when a drug attains its maximum concentration in the blood. It is obtained by collecting a series of blood samples at various times after dosing, and measuring them for drug content. The time corresponding to the highest measurable concentration (Cmax) is referred to as Tmax. | The stated goal in the protocol was to obtain PK data from approximately 39 patients. As this was only descriptive information, the sample size was not critical. All patients who provided PK data were included in the analysis. | Posted | Median | Full Range | hours | PK assessments made at following times: pre-dose, 1 h, 2h, 4h, 8h,and 12h after at least 21 consecutive doses during Cycle 1 |
|
Reporting Group (RG) 1 + 2: Data from start of treatment until end of this trial (July 27, 2009); RG 3: Data after unblinding (August 19, 2007) until end of this trial (July 27, 2009).
Acronyms in Adverse Event section: Gastrointestinal (GI), Common Terminology Criteria for Adverse Events (CTCAE), not otherwise specified (NOS), absolute neutrophil count (ANC), Central nervous system (CNS), Partial thromboplastin time (PTT), Alanine transaminase (ALT), Aspartate transaminase (AST), Gamma glutamyl transpeptidase (GGT).
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Sorafenib, All (Double-Blind and Open Label Phase) | Reporting Group 1 (RG 1): All participants randomized to Sorafenib treatment (data from start of treatment until end of trial [July 27, 2009]). Sorafenib administered orally at a dose of 400 mg (2 x 200 mg tablets) twice daily (bid); 2 dose reductions to predefined levels of 400 mg (2 x 200 mg tablets) once daily and 400 mg (2 x 200 mg tablets) every 2 days were permitted for treatment-emergent adverse events related to study treatment. | 76 | 149 | 144 | 149 | ||
| EG001 | Placebo, All (Double-Blind and Open Label Phase) | Reporting Group 2 (RG 2): All participants randomized to Sorafenib-matching Placebo (data from start of treatment until end of trial [July 27, 2009]). Treatment for Double-Blind phase (before unblinding [August 19, 2007]): Placebo tablets matching in appearance were orally administered twice daily (bid); Treatment for Open Label phase (after unblinding [August 19, 2007]): Sorafenib administered orally at a dose of 400 mg (2 x 200 mg tablets) twice daily (bid); 2 dose reductions to predefined levels of 400 mg (2 x 200 mg tablets) once daily and 400 mg (2 x 200 mg tablets) every 2 days were permitted for treatment-emergent adverse events related to study treatment. | 34 | 75 | 65 | 75 | ||
| EG002 | Placebo, Open Label Only (Participants Switched to Sorafenib) | Reporting Group 3 (RG 3): Participants switched to Open-label Sorafenib treatment from Placebo ( Data after unblinding [August 19, 2007] until end of this trial [July 27, 2009]). Sorafenib administered orally at a dose of 400 mg (2 x 200 mg tablets) twice daily (bid); 2 dose reductions to predefined levels of 400 mg (2 x 200 mg tablets) once daily and 400 mg (2 x 200 mg tablets) every 2 days were permitted for treatment-emergent adverse events related to study treatment. | 3 | 6 | 4 | 6 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Hypertension | Cardiac disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Cardiac General - Other | Cardiac disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Death Not Associated With CTCAE Term, Disease Progression NOS | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Death Not Associated With CTCAE Term, Multi - Organ Failure | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Death Not Associated With CTCAE Term, Sudden Death | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Fever | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Fatigue | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Constitutional Symptoms - Other | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Rigors / Chills | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Anorexia | Gastrointestinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Ascites | Gastrointestinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Colitis | Gastrointestinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Diarrhea | Gastrointestinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Distension | Gastrointestinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Dysphagia | Gastrointestinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Mucositis (Functional/Symptomatic), Oral Cavity | Gastrointestinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Ileus | Gastrointestinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| GI - Other | Gastrointestinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Stricture, GI, Biliary Tree | Gastrointestinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| CNS Hemorrhage | Vascular disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hemorrhage, GI, Abdomen NOS | Vascular disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hemorrhage, GI, Anus | Vascular disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hemorrhage, GI, Varices (Esophageal) | Vascular disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hemorrhage, GI, Stomach | Vascular disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hemorrhage, GI, Liver | Vascular disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hemorrhage, GI, Upper GI NOS | Vascular disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hemorrhage - Other | Vascular disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hemorrhage Pulmonary, Nose | Vascular disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hemorrhage Pulmonary, Respiratory Tract NOS | Vascular disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Liver Dysfunction | Hepatobiliary disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hepatobiliary - Other | Hepatobiliary disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Febrile Neutropenia | Infections and infestations | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Infection - Other | Infections and infestations | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Infection With Unknown ANC, Biliary Tree | Infections and infestations | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Infection With Unknown ANC, Lung (Pneumonia) | Infections and infestations | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Infection With Unknown ANC, Wound | Infections and infestations | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Edema: Limb | Blood and lymphatic system disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Fracture | Musculoskeletal and connective tissue disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Bilirubin (Hyperbilirubinemia) | Metabolism and nutrition disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hypoglycemia | Metabolism and nutrition disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hypokalemia | Metabolism and nutrition disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Metabolic / Lab - Other | Metabolism and nutrition disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| CNS Ischemia | Nervous system disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Encephalopathy | Nervous system disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Neuropathy: Motor | Nervous system disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Neurology - Other | Nervous system disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Seizure | Nervous system disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Syncope (Fainting) | Nervous system disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pain, Back | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pain, Chest Wall | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pain, Tumor Pain | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pain, Abdomen NOS | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pain, Bone | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pain, Other | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pain, Pelvis | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Aspiration | Respiratory, thoracic and mediastinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pulmonary - Other | Respiratory, thoracic and mediastinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pneumothorax | Respiratory, thoracic and mediastinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Dyspnea (Shortness of Breath) | Respiratory, thoracic and mediastinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Renal Failure | Renal and urinary disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Renal - Other | Renal and urinary disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hand-Foot Skin Reaction | Skin and subcutaneous tissue disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Secondary Malignancy (Possibly Related to Cancer Treatment) | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Thrombosis/Thrombus/Embolism | Vascular disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Allergic Reaction | Immune system disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Tinnitus | Ear and labyrinth disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Blood - Other | Blood and lymphatic system disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hemoglobin | Blood and lymphatic system disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Leukocytes | Blood and lymphatic system disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Platelets | Blood and lymphatic system disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hypertension | Cardiac disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| PTT | Blood and lymphatic system disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Fatigue | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Fever | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Insomnia | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Weight Loss | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Alopecia | Skin and subcutaneous tissue disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Dermatology - Other | Skin and subcutaneous tissue disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hand - Foot Skin Reaction | Skin and subcutaneous tissue disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Rash / Desquamation | Skin and subcutaneous tissue disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hypothyroidism | Endocrine disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Anorexia | Gastrointestinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Ascites | Gastrointestinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Diarrhea | Gastrointestinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Distension | Gastrointestinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| GI - Other | Gastrointestinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Mucositis (Clinical Exam), Oral Cavity | Gastrointestinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hemorrhage Pulmonary, Respiratory Tract NOS | Vascular disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hepatobiliary - Other | Hepatobiliary disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Infection - Other | Infections and infestations | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Edema: Limb | Blood and lymphatic system disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Alkaline Phosphatase | Metabolism and nutrition disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| ALT | Metabolism and nutrition disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Amylase | Metabolism and nutrition disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| AST | Metabolism and nutrition disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Bilirubin (Hyperbilirubinemia) | Metabolism and nutrition disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Creatinine | Metabolism and nutrition disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| GGT | Metabolism and nutrition disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hyperglycemia | Metabolism and nutrition disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hyperkalemia | Metabolism and nutrition disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hyperuricemia | Metabolism and nutrition disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hypoalbuminemia | Metabolism and nutrition disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hypocalcemia | Metabolism and nutrition disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hypokalemia | Metabolism and nutrition disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hyponatremia | Metabolism and nutrition disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Hypophosphatemia | Metabolism and nutrition disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Lipase | Metabolism and nutrition disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Metabolic / Lab - Other | Metabolism and nutrition disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Dizziness | Nervous system disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Memory Impairment | Nervous system disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Cataract | Eye disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Optic Disc Edema | Eye disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pain, Abdomen NOS | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pain, Back | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pain, Chest Wall | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pain, Chest/Thorax NOS | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pain, Dental/Teeth/Peridontal | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pain, Head/Headache | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pain, Joint | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pain, Liver | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pain, Muscle | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pain, Other | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pain, Stomach | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pain, Throat/Pharynx/Larynx | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Dyspnea (Shortness of Breath) | Respiratory, thoracic and mediastinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pulmonary - Other | Respiratory, thoracic and mediastinal disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Flu - Like Syndrome | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
| |
| Pain, Bone | General disorders | NCI-CTCAE v. 3.0 | Non-systematic Assessment |
|
On review of unblinded data, up to 19 Mar. 2007, the independent Data Monitoring Committee concluded the efficacy results can be considered positive, recommended subjects under placebo to cross over to Sorafenib; study continued to extension phase.
The Investigator must send a draft manuscript to be submitted for publication or to be presented or abstract to Bayer at least 60 days in advance of submission in order to obtain approval prior to submission of the final version for publication or presentation. In case of a difference of opinion between Bayer and the Investigator(s), the contents of the publication will be discussed in order to find a solution, which satisfies both parties.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Therapeutic Area Head | BAYER | <not disclosed> | clinical-trials-contact@bayerhealthcare.com |
| ID | Term |
|---|---|
| D006528 | Carcinoma, Hepatocellular |
| ID | Term |
|---|---|
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008113 | Liver Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D004066 | Digestive System Diseases |
| D008107 | Liver Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D000077157 | Sorafenib |
| ID | Term |
|---|---|
| D010671 | Phenylurea Compounds |
| D014508 | Urea |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009536 | Niacinamide |
| D009539 | Nicotinic Acids |
| D000147 | Acids, Heterocyclic |
| D006571 | Heterocyclic Compounds |
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
Not provided
Not provided
| Death |
|
| Lost to Follow-up |
|
| Withdrawal by Subject |
|
| Progression by clinical judgement |
|
| Radiological and clinical progression |
|
| Switch to commercial drug |
|
| Progression measurement proven |
|
| >=65 years |
|
| Male |
|
| 1 |
|
| 2 |
|
| Present |
|
log rank test stratified by country, tumor burden, and ECOG.
| 0.003464 |
| Hazard Ratio (HR) |
| 0.6208 |
| 95 |
| 0.4498 |
| 0.8568 |
Hazard ratio is for Sorafenib vs placebo |
| No |
| Superiority or Other |
|
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