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BAY43-9006 - Phase II in Advance Breast Cancer
This study has been completed.
Sponsored by: Bayer
Information provided by: Bayer
ClinicalTrials.gov Identifier: NCT00101400
  Purpose

The purpose of this study is to evaluate the anti-cancer activity and safety of BAY 43-9006 (sorafenib) in patients, who suffer from an advanced breast tumour, which has spread to other organs of body despite treatment that the patient has received so far.


Condition Intervention Phase
Cancer
Breast Cancer
Drug: Nexavar (Sorafenib, BAY43-9006)
Phase II

Genetics Home Reference related topics: breast cancer
MedlinePlus related topics: Breast Cancer Cancer
Drug Information available for: Sorafenib Sorafenib tosylate
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title: A Phase II Multicenter Uncontrolled Trial of BAY 43-9006 in Subjects With Metastatic Breast Cancer.

Further study details as provided by Bayer:

Primary Outcome Measures:
  • Best overall response rate, including CR and PR, of BAY 43-9006 as single agent in subjects with MBC as per Modified WHO Tumour Response Criteria [ Time Frame: Measured whenever it happens ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • The time to disease progression, time to response, duration of response and survival time, The rate of non-responders with SD for at least 16 weeks, The quantitative and qualitative toxicity of BAY 43-9006 in this subject population based on NCI-CTCAE [ Time Frame: Measured whenever it happens ] [ Designated as safety issue: Yes ]

Enrollment: 54
Study Start Date: February 2004
Study Completion Date: January 2008
Primary Completion Date: January 2006 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Arm 1: Experimental Drug: Nexavar (Sorafenib, BAY43-9006)
BAY 43-9006 400 mg b.i.d. daily

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Age > 18 years
  • Women with prior histologically documented diagnosis of breast cancer
  • Subjects with metastatic disease who have already received and failed at least one chemotherapy regimen for metastatic disease and, if ER/PgR +ve, have failed on at least adjuvant hormonal therapy
  • Subjects for whom trastuzumab treatment is not indicated, no longer effective or refused by the subjects
  • Four weeks since the last cytotoxic chemotherapy or clear evidence of progression on hormonal therapy
  • Subjects who have at least one measurable lesion by CT scan or MRI according to modified WHO Tumour Response Criteria
  • Subjects who have an Eastern Co-operative Oncology Group (ECOG) performance status of 0, 1 or 2
  • Adequate bone marrow, liver and renal function as assessed by the following laboratory evaluations:
  • Hemoglobin > 9.0 g/dl
  • Absolute neutrophil count (ANC) > 1,500/mm3
  • Platelet count = 100,000/µl
  • Total bilirubin =1.5 x the upper limit of normal.
  • ALT and AST = 2.5 x upper limit of normal (=5 x upper limit of normal for subjects with liver involvement of their cancer)
  • Amylase and lipase = 1.5 x the upper limit of normal
  • Serum creatinine = 3.0 x the upper limit of normal
  • PT or INR and PTT < 1.5 x upper limit of normal (subjects who receive anti-coagulation treatment with an agent such as warfarin or heparin will be allowed to participate provided that no evidence of underlying abnormality in these parameters exists)
  • Subjects who give written informed consent prior to any study specific screening procedures with the understanding that the subject has the right to withdraw from the study at any time, without prejudice
  • Life expectancy of at least 12 weeks
  • Signed informed consent must be obtained prior to any study specific procedures

Exclusion Criteria:

  • Previous malignancy (except for cervical carcinoma in situ, adequately treated basal cell carcinoma, or superficial bladder tumours [Ta, Tis and T1] or other malignancies curatively treated > 2 years prior to entry)
  • Congestive heart failure > NYHA Class II
  • Cardiac arrhythmia requiring anti-arrhythmic (excluding beta blockers or digoxin)
  • Active coronary artery disease or ischaemia
  • Active clinically serious bacterial or fungal infections (> grade 2 NCI-CTC, Version 3)
  • Known History of human immunodeficiency virus (HIV) infection or chronic hepatitis B or C
  • Metastatic brain or meningeal tumors unless the subject 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. Also the patient must not be undergoing acute steroid therapy or taper (chronic steroid therapy is acceptable provided that the dose is stable for 1 month prior to and following screening radiographic study)
  • Subjects with seizure disorders requiring medication (such as steroid or anti-epileptics)
  • History of organ allograft
  • Substance abuse, medical, psychological or social conditions that may interfere with the subject's participation in the study or evaluation of the study results
  • Known or suspected allergy to the investigational agent
  • Any condition that is unstable or which could jeopardize the safety of the subject and his/her compliance in the study. Pregnant or breast-feeding subjects. Women of childbearing potential must have a negative pregnancy test performed within seven days prior to the start of study drug. Women enrolled in this trial must use adequate barrier birth control measures during the course of the trial.

Excluded therapies include:

  • Anti -cancer chemotherapy, hormonal therapy or immunotherapy during the study or within 4 weeks of study entry. Mytomicin or nitroureas should not be given within 6 weeks of study entry
  • Significant surgery within 4 weeks prior to the start of study drug
  • Any bone marrow transplant or stem cell rescue within 4 months of the start of study drug
  • Radiotherapy during the study or within 3 weeks of the start of drug
  • Use of biologic response modifiers, such as G-CSF, within 3 weeks of study entry
  • Investigational drug therapy outside of this trial during or within 30 days prior to start of the study drug
  • Concomitant treatment with ketoconazole, itraconazole, ritonavir, or use of grapefruit juice
  • Prior use of Raf-kinase inhibitors (RKI), MEK or farnesyl transferase inhibitors
  • Concomitant treatment or use of St. John's Wort
  • Prior use of bevacizumab and all other drugs that target VEGF/VEGF receptors
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00101400

Locations
Germany, Baden-Württemberg
Stuttgart, Baden-Württemberg, Germany, 70199
Germany, Bayern
München, Bayern, Germany, 80637
Germany, Hessen
Frankfurt, Hessen, Germany, 60596
Italy
Parma, Italy, 43100
Milano, Italy, 20162
Bologna, Italy, 40138
Milano, Italy, 20133
Sponsors and Collaborators
Bayer
Investigators
Study Director: Bayer Study Director Bayer
  More Information

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Responsible Party: Bayer Spa ( Therapeutic Area Head )
Study ID Numbers: 100555
Study First Received: January 10, 2005
Last Updated: October 21, 2008
ClinicalTrials.gov Identifier: NCT00101400  
Health Authority: United States: Food and Drug Administration

Study placed in the following topic categories:
Skin Diseases
Breast Neoplasms
Sorafenib
Breast Diseases

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Site
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Therapeutic Uses
Enzyme Inhibitors
Protein Kinase Inhibitors
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 14, 2009