Study to Determine the Safety, Maximum Tolerated Dose, Ph... | NCT00941863 | Trialant
NCT00941863
Sponsor
Bayer
Status
Completed
Last Update Posted
Mar 22, 2016Estimated
Enrollment
158Actual
Phase
Phase 1
Conditions
Carcinoma
Interventions
Sorafenib 100 mg (50-mg tablet)
Sorafenib 200 mg (50-mg tablet)
Sorafenib 400 mg (50-mg tablet)
Sorafenib 400 mg (200-mg tablet)
Sorafenib 400 mg (Expansion)
Countries
United States
Protocol Section
Identification Module
NCT ID
NCT00941863
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
100375
Secondary IDs
Not provided
Brief Title
Study to Determine the Safety, Maximum Tolerated Dose, Pharmacokinetics of Sorafenib (BAY43-9006)
Official Title
Phase I Study to Determine the Safety, Maximum Tolerated Dose, PK of BAY43-9006 in Repeated Cycles of 18 Days On/3 Days Off in Combination With Paclitaxel and Carboplatin Chemotherapy in Patients With Advanced, Refractory Solid Tumors
Acronym
Not provided
Organization
BayerINDUSTRY
Status Module
Record Verification Date
Feb 2016
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Jul 2002
Primary Completion Date
May 2005Actual
Completion Date
Apr 2008Actual
First Submitted Date
Jun 12, 2009
First Submission Date that Met QC Criteria
Jul 16, 2009
First Posted Date
Jul 20, 2009Estimated
Results Waived
Not provided
Results First Submitted Date
Feb 3, 2010
Results First Submitted that Met QC Criteria
Sep 21, 2010
Results First Posted Date
Oct 8, 2010Estimated
Certification/Extension (aka Delayed Results) First Submitted Date
Not provided
Certification/Extension First Submitted that Passed QC Review
Not provided
Certification/Extension First Posted Date
Not provided
Last Update Submitted Date
Feb 24, 2016
Last Update Posted Date
Mar 22, 2016Estimated
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
BayerINDUSTRY
Collaborators
Name
Class
Amgen
INDUSTRY
Oversight Module
Has Data Monitoring Committee (DMC)
No
Is FDA Regulated Drug
Not provided
Is FDA Regulated Device
Not provided
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
The primary objective of the study was to define the safety profile and maximum tolerated dose (MTD) of sorafenib tablets in combination with carboplatin and paclitaxel chemotherapy in patients with advanced, refractory solid tumors.
The secondary objectives were evaluation of pharmacokinetics (PK) and tumor response of these patients being treated with sorafenib in combination with paclitaxel and carboplatin.
Detailed Description
Not provided
Conditions Module
Conditions
Carcinoma
Keywords
Sorafenib
Advanced Solid Tumors
Maximum tolerated dose
Carboplatin and paclitaxel chemotherapy combination
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 1
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
158Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Sorafenib 100 mg (50-mg tablet)
Experimental
Dose-escalation cohort 1: Sorafenib (Nexavar, BAY43-9006) 100 mg twice daily (50-mg tablet). Treatment were planned until primary completion date (PCD).
Drug: Sorafenib 100 mg (50-mg tablet)
Sorafenib 200 mg (50-mg tablet)
Experimental
Dose-escalation cohort 2: Sorafenib (Nexavar, BAY43-9006) 200 mg twice daily (50-mg tablet). Treatment were planned until primary completion date (PCD).
Drug: Sorafenib 200 mg (50-mg tablet)
Sorafenib 400 mg (50-mg tablet)
Experimental
Dose-escalation cohort 3: Sorafenib (Nexavar, BAY43-9006) 400 mg twice daily (50-mg tablet). Treatment were planned until primary completion date (PCD).
Drug: Sorafenib 400 mg (50-mg tablet)
Sorafenib 400 mg (200-mg tablet)
Experimental
Dose-escalation cohort 4: Sorafenib (Nexavar, BAY43-9006) 400 mg twice daily (200-mg tablet). Treatment were planned until primary completion date (PCD).
Drug: Sorafenib 400 mg (200-mg tablet)
Sorafenib 400 mg (Expansion)
Experimental
Dose-expansion cohort: Sorafenib (Nexavar, BAY43-9006) 400 mg twice daily (200-mg tablet) expansion. Treatment were planned until primary completion date (PCD). 25 of 119 participants from the Expansion Phase, were still on the treatment as of 31 May 2005. Of these, 6 subjects were continuing to receive sorafenib in combination with carboplatin and/or paclitaxel and 19 subjects were receiving single-agent sorafenib until 18 Sep 2008.
Maximum Tolerated Dose (MTD) of Sorafenib in Combination With Paclitaxel and Carboplatin
MTD was determined by testing increasing doses up to 400 mg twice daily (bid) on dose escalation cohorts 1 to 3 with 3 patients each. MTD reflects highest dose of drug that did not cause an unacceptable side effect (= Dose Limiting Toxicity (DLT) in more than 30% of patients; e.g., hematologic toxicities like Common Toxicity Criteria (CTC) Grade 4 Neutropenia in specific conditions, platelets < 25,000 cells/mL; specific non-hematologic/biochemical toxicities CTC Grade 3 or 4; additionally, any toxicity considered by the investigator severe enough was designated a DLT); CTC Version 2 were used.
21 days
Participants With Hematological and Biochemical Toxicities
Participants are considered at risk for toxicity if participants had a lab measurement for the toxicity >= National Cancer Institute Common Toxicity Criteria (NCI CTC) Grade 3 as defined by the NCI CTC version 2; SGOT: Serum Glutamic-Oxaloacetic Transaminase, SGPT: Serum Glutamic-Pyruvic Transaminase, AST: Aspartate Aminotransferase, ALT: Alanine Aminotransferase.
Start of treatment until death or within 14 days last study drug intake
Secondary Outcomes
Measure
Description
Time Frame
Tumor Response
Tumor Response (= Best Overall Response) of a subject was defined as the best tumor response (confirmed Complete Response (CR), confirmed Partial Response (PR), Stable Disease (SD), or Progressive Disease (PD)) observed during trial period assessed according to the Response Evaluation Criteria in Solid Tumors (RECIST) criteria. CR was defined as disappearance of tumor lesions, PR was defined as a decrease of at least 30% in the sum of tumor lesion sizes, SD was defined as steady state of disease, PD was defined as an increase of at least 20% in the sum of tumor lesions sizes.
Other Outcomes
Measure
Description
Time Frame
Serious Adverse Events
The responses reported in these participants were from start of treatment until 18 Sep 2008.
From start of treatment until 18 Sep 2008, up to 6 years
Other Adverse Events
Frequency Threshold for reporting Other Adverse Events: 5%. The responses reported in these participants were from start of treatment until 18 Sep 2008.
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Histologically confirmed solid tumors
Evaluable disease
Eastern Cooperative Oncology Group (ECOG) 0 or 1
Life expectancy minimum 12 weeks
Exclusion Criteria:
Congestive heart failure
Serious arrhythmias
Coronary artery disease (CAD) or ischemia
HIV (human immunodeficiency virus)
Hepatitis B or C
Serious active infection
Metastatic brain or meningeal tumors
Accepts Healthy Volunteers
No
Sex
All
Sex/Gender Based
Not provided
Sex/Gender Description
Not provided
Minimum Age
18 Years
Maximum Age
Not provided
Standard Ages
AdultOlder Adult
Study Population
Not provided
Sampling Method
Not provided
Contacts/Locations Module
Central Contacts
Not provided
Overall Officials
Name
Affiliation
Role
Bayer Study Director
Bayer
Study Director
Locations
Facility
Status
City
State
ZIP
Country
Contacts
Philadelphia
Pennsylvania
19104
United States
References Module
No data available
No data is available for this block.
IPD Sharing Statement Module
No data available
No data is available for this block.
Results Section
Participant Flow Module
Pre-assignment Details
Expansion in this context is an increase in the number of patients exposed to the recommended dose for this combination. The purpose of the increase was also to test efficacy signals in Metastatic Melanoma (MM).
Recruitment Details
The study was conducted at 3 centers in the US: the University of Wisconsin, the University of Pennsylvania, and Vanderbilt University. Enrollment began 01 Jul 2002.
From start of treatment until progression or death occurs assessed every 6 weeks.
Area Under the Curve From Time 0 to 12 Hours Post-dose (AUC 0-12) Start From Day 2 of Cycle 1
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.
At day 2 in study
Maximum Concentration (CMAX) Start From Day 2 of Cycle 1
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.
At day 2 in study
Time of Maximum Concentration (TMAX) Start From Day 2 of Cycle 1
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.
At day 2 in study
From start of treatment until 18 Sep 2008, up to 6 years
Tumor response was assessed using Response Evaluation Criteria in Solid Tumors (RECIST) criteria.
Number
participants
Title
Denominators
Categories
Colon
Title
Measurements
BG0001
BG0010
BG002
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
Maximum Tolerated Dose (MTD) of Sorafenib in Combination With Paclitaxel and Carboplatin
MTD was determined by testing increasing doses up to 400 mg twice daily (bid) on dose escalation cohorts 1 to 3 with 3 patients each. MTD reflects highest dose of drug that did not cause an unacceptable side effect (= Dose Limiting Toxicity (DLT) in more than 30% of patients; e.g., hematologic toxicities like Common Toxicity Criteria (CTC) Grade 4 Neutropenia in specific conditions, platelets < 25,000 cells/mL; specific non-hematologic/biochemical toxicities CTC Grade 3 or 4; additionally, any toxicity considered by the investigator severe enough was designated a DLT); CTC Version 2 were used.
All subjects who received at least 1 dose of any study drug treatment were included in the Intent-To-Treat/safety populations. Efficacy parameters of time to death, time to progression, and response rate (confirmed partial response [PR] plus complete response [CR]) were determined for this population.
All participants of escalation cohorts 1, 2, 3 and 4. (Sorafenib, dose escalation 100 mg bid [twice daily], 200 mg bid, 400 mg bid including 50 tablet and 200 tablet)
Units
Counts
Participants
OG00039
Title
Denominators
Categories
Title
Measurements
OG000400
Primary
Participants With Hematological and Biochemical Toxicities
Participants are considered at risk for toxicity if participants had a lab measurement for the toxicity >= National Cancer Institute Common Toxicity Criteria (NCI CTC) Grade 3 as defined by the NCI CTC version 2; SGOT: Serum Glutamic-Oxaloacetic Transaminase, SGPT: Serum Glutamic-Pyruvic Transaminase, AST: Aspartate Aminotransferase, ALT: Alanine Aminotransferase.
The Intent-To-Treat (ITT) population included subjects who received at least one dose of sorafenib or chemotherapy and had at least one post baseline assessment. Efficacy analyses were performed on the ITT population.
Posted
Number
Participants
Start of treatment until death or within 14 days last study drug intake
Tumor Response (= Best Overall Response) of a subject was defined as the best tumor response (confirmed Complete Response (CR), confirmed Partial Response (PR), Stable Disease (SD), or Progressive Disease (PD)) observed during trial period assessed according to the Response Evaluation Criteria in Solid Tumors (RECIST) criteria. CR was defined as disappearance of tumor lesions, PR was defined as a decrease of at least 30% in the sum of tumor lesion sizes, SD was defined as steady state of disease, PD was defined as an increase of at least 20% in the sum of tumor lesions sizes.
The Intent-To-Treat (ITT) population included subjects who received at least one dose of sorafenib or chemotherapy and had at least one post baseline assessment. Efficacy analyses were performed on the ITT population
Posted
Number
Participants
From start of treatment until progression or death occurs assessed every 6 weeks.
Area Under the Curve From Time 0 to 12 Hours Post-dose (AUC 0-12) Start From Day 2 of Cycle 1
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.
subjects with valid pharmacokinetics (PK) profiles
Posted
Geometric Mean
Standard Deviation
mg*h/L
At day 2 in study
ID
Title
Description
OG000
Sorafenib 400 mg (Excluding Expansion)
Dose-escalation cohorts 3 and 4
Units
Counts
Participants
OG000
Secondary
Maximum Concentration (CMAX) Start From Day 2 of Cycle 1
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.
subjects with valid PK profiles
Posted
Geometric Mean
Standard Deviation
mg/L
At day 2 in study
ID
Title
Description
OG000
Sorafenib 400 mg (Excluding Expansion)
Dose-escalation cohorts 3 and 4
Units
Counts
Participants
OG000
Secondary
Time of Maximum Concentration (TMAX) Start From Day 2 of Cycle 1
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.
subjects with valid PK profiles
Posted
Median
Full Range
hours
At day 2 in study
ID
Title
Description
OG000
Sorafenib 400 mg (Excluding Expansion)
Dose-escalation cohorts 3 and 4
Units
Counts
Participants
OG000
Other Pre-specified
Serious Adverse Events
The responses reported in these participants were from start of treatment until 18 Sep 2008.
25 of 119 participants from the Expansion Phase, were still on the treatment as of 31 May 2005. Of these, 6 subjects were continuing to receive sorafenib in combination with carboplatin and/or paclitaxel and 19 subjects were receiving single-agent sorafenib.
Posted
Number
Participants
From start of treatment until 18 Sep 2008, up to 6 years
ID
Title
Description
OG000
Sorafenib 400 mg (Expansion, Treatment Continued After PCD)
25 of 119 participants from the Expansion Phase, were still on the treatment as of 31 May 2005. Of these, 6 subjects were continuing to receive sorafenib in combination with carboplatin and/or paclitaxel and 19 subjects were receiving single-agent sorafenib. The responses reported in these participants were from start of treatment until 18 Sep 2008.
Units
Counts
Participants
OG000
Other Pre-specified
Other Adverse Events
Frequency Threshold for reporting Other Adverse Events: 5%. The responses reported in these participants were from start of treatment until 18 Sep 2008.
25 of 119 participants from the Expansion Phase, were still on the treatment as of 31 May 2005. Of these, 6 subjects were continuing to receive sorafenib in combination with carboplatin and/or paclitaxel and 19 subjects were receiving single-agent sorafenib.
Posted
Number
Participants
From start of treatment until 18 Sep 2008, up to 6 years
ID
Title
Description
OG000
Sorafenib 400 mg (Expansion, Treatment Continued After PCD)
25 of 119 participants from the Expansion Phase, were still on the treatment as of 31 May 2005. Of these, 6 subjects were continuing to receive sorafenib in combination with carboplatin and/or paclitaxel and 19 subjects were receiving single-agent sorafenib. The responses reported in these participants were from start of treatment until 18 Sep 2008.
Units
Counts
Participants
OG000
Time Frame
Time frame for expansion group is from start of treatment until April 2008, up to 6 years.
Sponsor recognizes right of principle investigator (PI) to publish results on completion of study, however, PI must provide draft of the communication to sponsor for approval 30 days prior to submission for publication. In case of difference of opinion between sponsor and PI, the parties will seek a solution satisfactory to both.
Sorafenib 400 mg (Expansion, Treatment Continued After PCD)
25 of 119 participants from the Expansion Phase, were still on the treatment as of 31 May 2005. Of these, 6 subjects were continuing to receive sorafenib in combination with carboplatin and/or paclitaxel and 19 subjects were receiving single-agent sorafenib. The responses reported in these participants were from start of treatment until 18 Sep 2008.
Sorafenib 400 mg (Expansion, Treatment Continued After PCD)
25 of 119 participants from the Expansion Phase, were still on the treatment as of 31 May 2005. Of these, 6 subjects were continuing to receive sorafenib in combination with carboplatin and/or paclitaxel and 19 subjects were receiving single-agent sorafenib. The responses reported in these participants were from start of treatment until 18 Sep 2008.