- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00786110
Sorafenib Plus Paclitaxel in Adreno-Cortical-Cancer Patients (PAXO)
Sorafenib Plus Paclitaxel Metronomic Chemotherapy in Adreno-Cortical-Carcinoma Patients Progressing After 1st or 2nd Line Cytotoxic Chemotherapy
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The study is designed as a Phase II, prospective, non randomized, open-label, single arm, multicenter trial, in which patients with locally advanced or metastatic ACC not amenable to complete surgical resection.
STUDY OBJECTIVES
The aim of this phase II trial is to evaluate the clinical benefit and toxicity of the combination of Sorafenib plus metronomic chemotherapy in patients with locally advanced or metastatic ACC who progressed after first or second line chemotherapy.
Primary objective
To assess the clinical benefit as measured by a non progressing rate after 4 months of the combination of Sorafenib plus weekly Paclitaxel in patients with locally advanced or metastatic ACC who progressed after first or second line chemotherapy.
Secondary objectives
- Assessment of Objective (Complete and Partial) Response Rates
- Assessment of Duration of Response
- Assessment of Hormonal Response
- Assessment of Progression-Free Survival
- Assessment of Overall Survival
- Assessment of the relationship between specific "biomarkers" and cancer- and treatment-related outcomes
- Assessment of Quality of Life by EORTC QLQ-C30
- Assessment of Toxicity
ENDPOINTS
The first disease assessment will be performed after 8-weeks, subsequent assessments will be performed every 12 weeks until end of the study.
Primary endpoint
- Progression-Free Survival rate ≥ 40% after 4 months
Secondary endpoints
- Response rate evaluation will be performed according to the RECIST criteria. The same methods of measurement and the same technique should be used to characterize each identified and reported lesion at baseline and during study.
TREATMENT SCHEME Treatment scheme consisted of oral Sorafenib 400 mg p.o. bid plus intravenous Paclitaxel 60 mg/mq/weekly i.v., until disease progression.
Study Type
Enrollment (Anticipated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Fulvia Daffara
- Phone Number: Ext. 992 +390119026
- Email: fulviaclaudia@libero.it
Study Contact Backup
- Name: Sperone Sperone
- Phone Number: Ext. 017 +390119026
- Email: paola.sperone@email.it
Study Locations
-
-
-
Orbassano, Italy
- Recruiting
- Department of Clinical and Biological Sciences, University of Turin
-
Principal Investigator:
- Alfredo Berruti
-
Contact:
- Paola Perotti
- Phone Number: Ext. 017 : +390119026
-
Padova, Italy
- Not yet recruiting
- Azienda Ospedaliera di Padova
-
Contact:
- Franco Mantero
-
Sub-Investigator:
- Franco Mantero
-
Palermo, Italy
- Not yet recruiting
- Azienda Ospedaliera Università di Palermo
-
Sub-Investigator:
- Vittorio Gebbia
-
Roma, Italy
- Not yet recruiting
- Policlinico Universitario Campus Biomedico- Roma
-
Sub-Investigator:
- Daniele Santini
-
Rozzano, Italy
- Not yet recruiting
- Ist. Clin.Humanitas
-
Contact:
- Carlo Carnaghi
-
Sub-Investigator:
- Carlo Carnaghi
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Histologically confirmed diagnosis of ACC
- Locally advanced or metastatic disease not amenable to radical surgery resection
- Radiologically monitorable disease
- Progressing disease after one or two cytotoxic chemotherapy regimens (including a platin-based protocol)
- ECOG performance status 0-2
- Life expectancy ≥ 3 months
- Subjects with at least one uni-dimensional(for RECIST) or bi-dimensional(for WHO) measurable lesion. Lesions must be measured by CT-scan or MRI
- Age ≥ 18 years
- Adequate bone marrow reserve (neutrophils ≥ 1500/mm³ and platelets ≥ 80.000/mm³)
- Hemoglobin > 9.0 g/dl
- Total bilirubin < 1.5 times the upper limit of normal
- PT-INR/PTT < 1.5 x upper limit of normal [Patients who are being therapeutically anticoagulated with an agent such as coumadin or heparin will be allowed to participate provided that no prior evidence of underlying abnormality in these parameters exists.]
- Serum creatinine < 1.5 x upper limit of normal
- Effective contraception in pre-menopausal female and male patients
- Patient´s written informed consent
- Ability to comply with the protocol procedures
Exclusion criteria:
- History of prior malignancy, except for cured non-melanoma skin cancer, cured in situ cervical carcinoma, or other treated malignancies with no evidence of disease for at least three years.
- History of HIV infection or chronic hepatitis B or C (This criteria should be modified to allow Hepatitis B or C in protocols looking at HCC patient population)
- Active clinically serious infections (> grade 2 NCI-CTC version 3.0)
- Symptomatic metastatic brain or meningeal tumors (unless the patient is > 6 months from definitive therapy, has a negative imaging study within 4 weeks of study entry and is clinically stable with respect to the tumor at the time of study entry)
- Patients with seizure disorder requiring medication (such as steroids or anti-epileptics)
- History of organ allograft The organ allograft may be allowed as protocol specific
- Severe renal (serum creatinine > 2.5 x ULN) or hepatic insufficiency (ALT / - AST > 2.5 x ULN or ALT/AST >5 x ULN if liver function abnormalities are due to the underlying malignancy and/or total serum bilirubin > 2.5 x ULN)
- Concomitant Rifampicin
- Concomitant St. John's Wort (Hypericum perforatum)
- Warfarin is allowed; however, close monitoring of Prothrombin Time (PT) is recommended
- Decompensated heart failure (ejection fraction <45%), myocardial infarction or revascularization procedure during the last 6 months, unstable angina pectoris, uncontrolled cardiac arrhythmia
- Hypertension that cannot be controlled by medications (>160/100 mmHg despite optimal medical therapy)
- Patients with recent or active bleeding diathesis
- Pregnant or breast-feeding patients. Women of childbearing potential must have a negative pregnancy test performed within 7 days of the start of treatment.
- Both men and women enrolled in this trial must use adequate barrier birth control measures during the course of the trial and three months after the completion of trial
- Previous treatment with Sorafenib or other anticancer chemotherapy or immunotherapy during the study or within 4 weeks of study entry
- Radiotherapy during study or within 3 weeks of start of study drug. (Palliative radiotherapy will be allowed).
- Major surgery within 4 weeks of start of study
- Autologous bone marrow transplant or stem cell rescue within 4 months of study
- Use of biologic response modifiers, such as G-CSF, within 3 week of study entry. [G-CSF and other hematopoietic growth factors may be used in the management of acute toxicity such as febrile neutropenia when clinically indicated or at the discretion of the investigator, however they may not be substituted for a required dose reduction.] [Patients taking chronic erythropoietin are permitted provided no dose adjustment is undertaken within 2 months prior to the study or during the study]
- Current treatment with another investigational drug
- Any other severe acute or chronic medical or psychiatric condition, or laboratory abnormality that would impart, in the judgment of the investigator, excess risk associated with study participation or study drug administration, or which, in the judgment of the investigator, would make the patient inappropriate for entry into this study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: 1 arm only
One arm only with Sorafenib plus Paclitaxel Patients enrolled will undergo strict follow-up Intervention: Sorafenib plus Paclitaxel |
Treatment scheme consisted of oral Sorafenib 400 mg p.o. bid until disease progression.
Intravenous Paclitaxel 60 mg/mq/weekly i.v., until disease progression.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Disease free survival
Time Frame: 4 months
|
4 months
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Overall survival
Time Frame: 4 months
|
4 months
|
Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Alfredo Berruti MD, Internal Medicine, Department of Clinical and Biological Sciences, University of Turin, Italy
- Study Director: Eric Baudin, Oncologie Endocrinienne et Médecine Nucléaire, Institut Gustave Roussy, Villejuif, France.
- Principal Investigator: Massimo Terzolo, MD, Internal Medicine, Department of Clinical and Biological Sciences, University of Turin, Italy
- Study Director: Sophie Leboulleux, Service de Médecine Nucléaire et de Cancérologie Endocrinienne, Institut Gustave-
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms by Site
- Adenocarcinoma
- Neoplasms, Glandular and Epithelial
- Endocrine System Diseases
- Endocrine Gland Neoplasms
- Adrenal Gland Diseases
- Adrenal Cortex Neoplasms
- Adrenal Gland Neoplasms
- Adrenal Cortex Diseases
- Carcinoma
- Adrenocortical Carcinoma
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antineoplastic Agents
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Antineoplastic Agents, Phytogenic
- Protein Kinase Inhibitors
- Paclitaxel
- Sorafenib
Other Study ID Numbers
- EudraCT 2008-000759-91
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.
Clinical Trials on Adrenocortical Carcinoma
-
National Cancer Institute (NCI)TerminatedRecurrent Adrenocortical Carcinoma | Stage III Adrenocortical Carcinoma | Stage IV Adrenocortical CarcinomaUnited States
-
National Cancer Institute (NCI)CompletedRecurrent Adrenocortical Carcinoma | Stage III Adrenocortical Carcinoma | Stage IV Adrenocortical CarcinomaUnited States
-
Dartmouth-Hitchcock Medical CenterM.D. Anderson Cancer Center; Dana-Farber Cancer Institute; AstraZeneca; Kentuckiana...CompletedNonresectable Adrenocortical CarcinomaUnited States
-
Latin American Cooperative Oncology GroupNot yet recruitingCarcinoma Adrenal | Carcinoma, Adrenocortical RecurrentBrazil
-
Memorial Sloan Kettering Cancer CenterRecruitingAdrenocortical Carcinoma | ACC | Metastatic Adrenocortical CarcinomaUnited States
-
Children's Oncology GroupNational Cancer Institute (NCI)CompletedAdrenocortical Carcinoma
-
Burzynski Research InstituteTerminatedStage IV Adrenocortical CarcinomaUnited States
-
National Cancer Institute (NCI)CompletedAdrenal Cortex NeoplasmsUnited States
-
National Cancer Institute (NCI)RecruitingNeuroendocrine Tumors | Carcinoma, Neuroendocrine | Neuroendocrine Carcinomas | Carcinoma, Adrenal Cortical | Carcinoma, AdrenocorticalUnited States
-
National Cancer Institute (NCI)PfizerCompletedAdrenal Cortex NeoplasmsUnited States
Clinical Trials on Sorafenib
-
BayerAmgenCompleted
-
Ohio State University Comprehensive Cancer CenterBayerTerminated
-
Technical University of MunichCompleted
-
Ottawa Hospital Research InstituteBayerCompletedMetastatic Colorectal CancerCanada
-
British Columbia Cancer AgencyWithdrawnLocally Advanced Squamous Cell Carcinomas of the Head and Neck (SCCHN)Canada
-
Yiviva Inc.RecruitingAdvanced Hepatocellular CarcinomaUnited States, Taiwan, China, Hong Kong
-
National Cancer Institute (NCI)CompletedNon-Small-Cell Lung CarcinomaUnited States
-
Accelerated Community Oncology Research NetworkBayerTerminatedRenal Cell CarcinomaUnited States
-
China Medical University HospitalUnknown
-
Cancer Institute and Hospital, Chinese Academy...CompletedHepatocellular Carcinoma, Radiotherapy, SorafenibChina