- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00126568
Sorafenib in Treating Patients With Advanced Anaplastic Thyroid Cancer
Phase II Trial of BAY 43-9006 in Patients With Advanced Anaplastic Carcinoma of the Thyroid
Study Overview
Status
Intervention / Treatment
Detailed Description
OBJECTIVES:
I. Determine whether the objective response rate is ≥ 20% in patients with advanced anaplastic thyroid cancer treated with sorafenib.
II. Determine the survival of patients treated with this drug. III. Determine the safety profile of this drug in these patients. IV. Determine the pharmacokinetic predictors of response to this drug in these patients.
OUTLINE: This is a multicenter study.
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 for survival.
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
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Ohio
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Cleveland, Ohio, United States, 44106
- Case Western Reserve University
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Criteria:
- Progressive disease after prior cytotoxic chemotherapy (i.e., chemotherapy alone or combined with radiotherapy)
- No symptomatic bulky disease that would impair the airway or impede swallowing (for patients with ECOG performance status 2)
- No known brain metastases
Measurable or evaluable disease
- Measurable disease, defined as ≥ 1 unidimensionally measurable lesion >= 20 mm by conventional techniques OR >= 10 mm by spiral CT scan
- Measurable disease not in a previously irradiated field
- Patients with evidence of abnormal cardiac conduction (e.g., bundle branch block or heart block) are eligible provided disease has been stable for the past 6 months
Performance status:
- ECOG 0-2 OR Karnofsky 50-100%
- Life expectancy more than 8 weeks
- Absolute neutrophil count >= 1,250/mm3
- Platelet count >= 100,000/mm3
- No evidence of bleeding diathesis
- Bilirubin =< 1.5 times upper limit of normal (ULN)
- PTT =< 1.5 times ULN
- Creatinine =< 1.5 times ULN
- No myocardial infarction within the past 6 months
- No New York Heart Association class III or IV cardiac disease
- No symptomatic congestive heart failure
- No unstable angina pectoris
- No uncontrolled hypertension (i.e., systolic blood pressure (BP) > 150 mm Hg OR diastolic BP > 100 mm Hg)
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- Able to swallow oral medication
- No history of allergic reactions attributed to compounds of similar chemical or biological composition to sorafenib
- No ongoing or active infection
- No psychiatric illness or social situation that would preclude study compliance
- No other invasive malignancy within the past 5 years except nonmelanoma skin cancer
- No other uncontrolled illness
- No more than 2 prior systemic cytotoxic chemotherapy regimens (combined modality systemic cytoxic chemotherapy is considered 1 prior cytotoxic regimen)
- At least 7 days since prior chemotherapy and recovered
- At least 7 days since prior radiotherapy and recovered
- No prior sorafenib or other inhibitors of MAP kinase signaling intermediates
- No prior cancer treatment that would preclude study participation
- No concurrent combination antiretroviral therapy for HIV-positive patients
- No other concurrent investigational agents
- No concurrent cytochrome P450 enzyme-inducing antiepileptic drugs (e.g., phenytoin, carbamazepine, or phenobarbital)
- No concurrent Hypericum perforatum (St. John's wort) or rifampin
- No concurrent therapeutic anticoagulation (concurrent prophylactic anticoagulation (i.e., low-dose warfarin) for venous or arterial access devices allowed provided requirements for INR and PTT are met)
- No other concurrent anticancer therapy
Histologically confirmed anaplastic* thyroid cancer
- Not amenable to definitive curative surgery or radiotherapy [Note: *Papillary, follicular, or other histologies that are mixed or identified in a diagnostic tissue sample are allowed provided a high-grade undifferentiated anaplastic component is present ]
- No cardiac arrhythmia
- AST and ALT =< 3.5 times ULN
- INR < 2.0
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Treatment (sorafenib tosylate)
Patients receive oral sorafenib twice daily on days 1-28.
Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
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Given orally
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Patients With Response to Treatment Measured by RECIST Criteria
Time Frame: at 6 months after treatment
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Response evaluated using the Response Evaluation Criteria in Solid Tumors (RECIST) Committee.
The patient's best response depends on the achievement of measurement and confirmation criteria of Complete Response (CR), Stable Disease (SD), Partial Response (PR) or Progressive Disease (PD).
Measurable lesions are defined as those that can be accurately measured in at least one dimension (longest diameter to be recorded) as >20 mm with conventional techniques (CT, MRI, x-ray) or as >10 mm with spiral CT scan.
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at 6 months after treatment
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Progression Free Survival Was Measured From the Date of Outset of Treatment to the Date of Disease Progression.
Time Frame: 27 months
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27 months
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Overall Survival Was Measured From the Date of Outset of Treatment to the Date of Death.
Time Frame: 27 months
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27 months
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Number of Participants That Experienced Adverse Events to Characterize the Safety Profile of BAY 43-9006
Time Frame: 27 months
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The safety and toxicity profile of BAY 43-9006 as measured by toxicity grades of adverse events.
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27 months
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Panayiotis Savvides, Case Western Reserve University
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms by Site
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Endocrine System Diseases
- Endocrine Gland Neoplasms
- Head and Neck Neoplasms
- Thyroid Diseases
- Thyroid Neoplasms
- Thyroid Carcinoma, Anaplastic
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antineoplastic Agents
- Protein Kinase Inhibitors
- Sorafenib
Other Study ID Numbers
- NCI-2009-00118 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
- U01CA062502 (U.S. NIH Grant/Contract)
- CASE 5304 (Other Identifier: Case Western Reserve University)
- CDR0000437789
- 7037 (Other Identifier: CTEP)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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