Skip to main content
OpenTrials
Completed

NCT Number: NCT00941863

Study to Determine the Safety, Maximum Tolerated Dose, Pharmacokinetics of Sorafenib (BAY43-9006)

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.

Completed

Looking for future studies?

Notify Me

Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Philadelphia, Pennsylvania, United States

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Sorafenib 100 mg (50-mg tablet)

Drug

Sorafenib (Nexavar, BAY43-9006) 100 mg twice daily (50-mg tablet)

Sorafenib 200 mg (50-mg tablet)

Drug

Sorafenib (Nexavar, BAY43-9006) 200 mg twice daily (50-mg tablet)

Sorafenib 400 mg (50-mg tablet)

Drug

Sorafenib (Nexavar, BAY43-9006) 400 mg twice daily (50-mg tablet)

Sorafenib 400 mg (200-mg tablet)

Drug

Sorafenib (Nexavar, BAY43-9006) 400 mg twice daily (200-mg tablet)

Sorafenib 400 mg (Expansion)

Drug

Sorafenib (Nexavar, BAY43-9006) 400 mg twice daily (200-mg tablet) expansion

Primary outcomes

  1. Maximum Tolerated Dose (MTD) of Sorafenib in Combination With Paclitaxel and Carboplatin

    Time frame: 21 days

    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.

  2. Participants With Hematological and Biochemical Toxicities

    Time frame: Start of treatment until death or within 14 days last study drug intake

    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.

Secondary outcomes

  1. Tumor Response

    Time frame: From start of treatment until progression or death occurs assessed every 6 weeks.

    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.

  2. Area Under the Curve From Time 0 to 12 Hours Post-dose (AUC 0-12) Start From Day 2 of Cycle 1

    Time frame: At day 2 in study

    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.

  3. Maximum Concentration (CMAX) Start From Day 2 of Cycle 1

    Time frame: At day 2 in study

    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.

  4. Time of Maximum Concentration (TMAX) Start From Day 2 of Cycle 1

    Time frame: At day 2 in study

    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.

Other outcomes

  1. Serious Adverse Events

    Time frame: From start of treatment until 18 Sep 2008, up to 6 years

    The responses reported in these participants were from start of treatment until 18 Sep 2008.

  2. Other Adverse Events

    Time frame: From start of treatment until 18 Sep 2008, up to 6 years

    Frequency Threshold for reporting Other Adverse Events: 5%. The responses reported in these participants were from start of treatment until 18 Sep 2008.

Sponsors and collaborators

Lead sponsor

Bayer

Industry

Collaborators

  • Amgen

Registry information

Official study 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

Important dates

Study start
2002
Primary completion
2005
Study completion
2008
First posted
Jul 20, 2009
Registry last updated
Mar 22, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.