Lung Cancer Clinical Trial
A 3rd/4th Line Placebo-controlled Trial of Sorafenib in Patients With Predominantly Non Squamous Non-Small Cell Lung Cancer (NSCLC).
Summary
The purpose of the study is to see if sorafenib plus best supportive care (i.e. in addition to the non-cancer treatments patients would normally receive) is an effective treatment for lung cancer compared to best supportive care alone. The safety and tolerability of the two treatment groups will also be compared. The goal of the study is to test the ability of sorafenib to improve survival compared to best supportive care alone.
Full Description
Acronyms used in Adverse Events section: Disseminated intravascular coagulation (DIC), International normalized ratio (INR), Atrioventricular (AV), Gastrointestinal (GI), Not otherwise specified (NOS), Common Terminology Criteria for Adverse Events (CTCAE), Absolute neutrophil count (ANC), Central nervous system (CNS), Acute respiratory distress syndrome (ARDS), Alanine aminotransferase (ALT), Aspartate aminotransferase (AST).
Eligibility Criteria
Inclusion Criteria:
Ability to understand and willingness to sign a written Informed Consent
Advanced relapsed or refractory predominantly non squamous NSCLC. The diagnosis must have been confirmed cyto-/ histologically
Patients must have measurable or non-measurable disease
At least two but not more than three prior standard treatment regimens for NSCLC
Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
Male or female subjects >/= 18 years of age (>/=20 for Japan) at the time of Informed Consent
Life expectancy of at least 12 weeks
Ability to swallow oral medication
Both men and women using adequate barrier birth control measures during the course of the trial and 4 weeks after the completion of trial
Adequate bone marrow, liver and renal function as assessed by the following laboratory requirements to be conducted within 7 days prior to start of the study drug:
Haemoglobin > 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
Alanine aminotransferase (ALT) < 2.5 x upper limit of normal (= 5 x upper limit of normal in patients with liver metastases) Aspartate aminotransferase (AST) < 2.5 x upper limit of normal (= 5 x upper limit of normal in patients with liver metastases)
Alkaline phosphatase < 4 x upper limit of normal (= 5 x upper limit of normal in patients with liver metastases)
Prothrombin Time (PT)-International Normalized Ratio (INR) or Partial Thromboplastin Time (PTT) < 1.5 x upper limit of normal
Serum creatinine < 1.5 x upper limit of normal
Calculated creatinine clearance of >/= 50 mL/min
Exclusion Criteria:
NSCLC patients with predominantly squamous cell carcinoma histology
Excluded medical conditions:
History of cardiac disease: Congestive heart failure, Active coronary artery disease (CAD), Cardiac arrhythmias (>Grade 2 NCI-CTCAE [National Cancer Institute-Common Terminology Criteria for Adverse Events] vers. 3.0)
Uncontrolled hypertension despite two anti-hypertensive medications
History of Human immunodeficiency virus (HIV) infection or chronic hepatitis B or C
History of organ allograft
Active clinically serious infections (> grade 2 NCI-CTCAE vers. 3.0)
Patients with seizure disorder requiring medication
Patients with evidence or history of bleeding diathesis or coagulopathy
Patients undergoing renal dialysis
Pulmonary hemorrhage/ bleeding event >/= CTCAE grade 2 within four weeks prior to the first dose of the study drug
Any other hemorrhage/ bleeding event >/= CTCAE grade 3 within four weeks prior to the first dose of the study drug
Thrombotic or embolic venous or arterial events such as cerebrovascular accident
Pregnant or breast-feeding women.
Any condition which could affect the absorption or pharmacokinetics of the study drug
Prior treatment with other Vascular Endothelial Growth Factor (VEGF) (R) inhibitors, including compounds that impact vascularity (i.e. sunitinib, thalidomide, vandetanib, vascular disrupting agents [VDA], VEGF-trap and other experimental agents of this class). Only bevacizumab (Avastin) is permitted.
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There are 165 Locations for this study
Fayetteville Arkansas, 72703, United States
Stanford California, 94305, United States
Philadelphia Pennsylvania, 19107, United States
Ramos MejÃa Buenos Aires, B1704, Argentina
Buenos Aires Ciudad Auton. de Buenos Aires, C1430, Argentina
Rosario Santa Fe, 2000, Argentina
Rosario Santa Fe, S2000, Argentina
Córdoba , 5000, Argentina
Córdoba , X5016, Argentina
Santa Fé , S3000, Argentina
Graz , 8036, Austria
Linz , 4010, Austria
Wien , 1090, Austria
Antwerpen , 2020, Belgium
Bruxelles - Brussel , 1200, Belgium
Charleroi , 6000, Belgium
Genk , 3600, Belgium
Brasilia Distrito Federal, 70680, Brazil
Belo Horizonte Minas Gerais, 30150, Brazil
Porto Alegre Rio Grande do Sul, 90050, Brazil
Porto Alegre Rio Grande do Sul, 90610, Brazil
Santo André Sao Paulo, 09020, Brazil
São José dos Campos Sao Paulo, 12245, Brazil
São Paulo Sao Paulo, 05651, Brazil
Sao Paulo , 01224, Brazil
Plovdiv , , Bulgaria
Sofia , 1784, Bulgaria
Sofia , , Bulgaria
Varna , 9002, Bulgaria
Varna , 9010, Bulgaria
Montreal Quebec, H2W 1, Canada
Santiago , 838-0, Chile
Santiago , 838-0, Chile
Guangzhou Guangdong, 51006, China
Nanjing Jiangsu, 21000, China
Chengdu Sichuan, 61004, China
Hangzhou Zhejiang, 31001, China
Hangzhou Zhejiang, 31002, China
Beijing , 10002, China
Beijing , 10007, China
Beijing , 10014, China
Beijing , 10085, China
Guangzhou , 51008, China
Shanghai , 20003, China
Shanghai , 20043, China
Caen , 14073, France
Dijon , 21000, France
La Roche Sur Yon Cedex , 85025, France
La Tronche , 38700, France
Lille , 59020, France
Lyon Cedex , 69317, France
Saint Herblain , 44805, France
Tours , 37044, France
Heidelberg Baden-Württemberg, 69126, Germany
Karlsruhe Baden-Württemberg, 76137, Germany
Mannheim Baden-Württemberg, 68167, Germany
Ulm Baden-Württemberg, 89091, Germany
Gauting Bayern, 82131, Germany
München Bayern, 80336, Germany
Kassel Hessen, 34125, Germany
Köln Nordrhein-Westfalen, 51109, Germany
Großhansdorf Schleswig-Holstein, 22927, Germany
Bad Berka Thüringen, 99437, Germany
Hamburg , 21075, Germany
Athens , 11527, Greece
Heraklion , 711 1, Greece
Thessaloniki , 570 1, Greece
Shatin N.T, , Hong Kong
Hongkong , , Hong Kong
Kowloon , , Hong Kong
Budapest , 1125, Hungary
Budapest , 1529, Hungary
Edeleny , 3780, Hungary
Farkasgyepu , 8582, Hungary
Torokbalint , 2045, Hungary
Zalaegerszeg , 8900, Hungary
Mumbai Maharashtra, 42200, India
Pune Maharashtra, 41100, India
Kerala , 68230, India
Bandung , 40161, Indonesia
Jakarta , 11420, Indonesia
Holon , , Israel
Jerusalem , 91120, Israel
Jerusalem , 93722, Israel
Kfar Saba , 44281, Israel
Petach Tikva , 49414, Israel
Zrifin , 60930, Israel
Rozzano Milano, 20089, Italy
Monza Monza-Brianza, 20052, Italy
Orbassano Torino, 10043, Italy
Avellino , 83100, Italy
Genova , 16132, Italy
Livorno , 57124, Italy
Parma , 43100, Italy
Perugia , 06156, Italy
Roma , 00151, Italy
Nagoya Aichi, 464-8, Japan
Kashiwa Chiba, 277-8, Japan
Akashi Hyogo, 673-8, Japan
Osakasayama Osaka, 589-8, Japan
Sakai Osaka, 591-8, Japan
Itabashi-ku Tokyo, 173-8, Japan
Koto-ku Tokyo, 135-8, Japan
Fukuoka , 811-1, Japan
Seoul Seoul Teugbyeolsi, 110-7, Korea, Republic of
Seoul , 135-7, Korea, Republic of
Seoul , 136-7, Korea, Republic of
Seoul , 137-7, Korea, Republic of
Seoul , 138-7, Korea, Republic of
Amsterdam , 1081H, Netherlands
Harderwijk , 3844 , Netherlands
Heerlen , 6419 , Netherlands
Helmond , 5707 , Netherlands
Nieuwegein , 3435 , Netherlands
Zwolle , 8025 , Netherlands
Lahore Punjab, 54000, Pakistan
Karachi Sindh, 74700, Pakistan
Callao , CALLA, Peru
Lima , LIMA , Peru
Lima , LIMA , Peru
Lima , LIMA , Peru
Lima , LIMA , Peru
San Borja , , Peru
Cebu City , 6000, Philippines
Manila , 1000, Philippines
Metro Manila , 1000, Philippines
Quezon City , 1104, Philippines
Kielce , 25-31, Poland
Krakow , 31-11, Poland
Olsztyn , 10-35, Poland
Rzeszow , 35-02, Poland
Szczecin , 70-89, Poland
Warszawa , 01-13, Poland
Kazan , 42002, Russian Federation
Moscow , 105 0, Russian Federation
Moscow , 11547, Russian Federation
Moscow , 12912, Russian Federation
St. Petersburg , 19825, Russian Federation
Yaroslavl , 15005, Russian Federation
Singapore , 11922, Singapore
Singapore , 30843, Singapore
Port Elizabeth Eastern Cape, 6045, South Africa
Johannesburg Gauteng, 2196, South Africa
Prietoria Gauteng, 0084, South Africa
Durban Kwazulu-Natal, 4126, South Africa
Cape Town Western Cape, 7500, South Africa
Cruces/Barakaldo Bilbao, 48903, Spain
Orense Ourense, 32005, Spain
Barcelona , 08025, Spain
Barcelona , 08036, Spain
Lleida , 25198, Spain
Lugo , 27003, Spain
Madrid , 28040, Spain
Málaga , 29010, Spain
Sevilla , 41013, Spain
Zamora , 49021, Spain
Falun , 791 8, Sweden
Göteborg , 413 4, Sweden
Linköping , 581 8, Sweden
Lund , 221 8, Sweden
Stockholm , 171 7, Sweden
Kaohsiung , 80756, Taiwan
Taichung , 404, Taiwan
Taichung , 40705, Taiwan
Taipei , 10016, Taiwan
Taoyuan , 333, Taiwan
Bangkok , 10700, Thailand
Chiang Mai , 50200, Thailand
Songkhla , 90110, Thailand
Ankara , , Turkey
Instanbul , 34662, Turkey
Istanbul , , Turkey
Izmir , , Turkey
Kocaeli , 41400, Turkey
Bristol Avon, BS10 , United Kingdom
Cambridge Cambridgeshire, CB2 0, United Kingdom
Greater Manchester Manchester, M20 4, United Kingdom
Sutton Surrey, SM2 5, United Kingdom
Leeds West Yorkshire, LS9 7, United Kingdom
Aberdeen , AB25 , United Kingdom
London , NW3 2, United Kingdom
London , SW3 6, United Kingdom
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