Carcinoma, Renal CellPhase 2NCT00117637
BAY43-9006 (Sorafenib) Versus Interferon Alpha-2a in Patients With Unresectable and/or Metastatic Renal Cell Carcinoma
A Phase 2 study testing Sorafenib (Nexavar, BAY43-9006) and Interferon in people with Carcinoma, Renal Cell, run by Bayer at 42 sites in 7 countries.
Trial summary
The purpose of the study is to: Find out if patients receiving BAY43-9006 will live longer without tumor progression than those receiving standard therapy with interferon alpha-2a Find out if a higher dose of BAY43-9006 can inhibit tumor progression in patients who progressed during standard dose treatment with… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma, Renal Cell
- What is being tested?
- Sorafenib (Nexavar, BAY43-9006) and Interferon
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 189 participants
- Where
- 42 sitesin 7 countries
- Study dates
- Jun 2005to Mar 2009
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients who give written informed consent prior to any study specific screening procedures with the understanding that the patient has the right to withdraw from the study at any time, without prejudice
- Male or female patients >= 18 years of age
- Patients who have a life expectancy of at least 12 weeks
- Patients, who suffer from unresectable and/or metastatic, measurable predominantly clear cell RCC (Renal Cell Carcinoma) histologically or cytologically documented
- Patients must have undergone prior (at the time of primary diagnosis) complete surgical excision of primary RCC tumor
- Patients must have had no prior systemic therapy for advanced RCC. Prior systemic therapy is defined as any treatment with a chemotherapy agent (or regimen), an immunotherapy agent (or regimen) or an investigational treatment agent (or regimen) against the renal cell carcinoma. Megestrol acetate or medroxyprogesterone will constitute as a prior systemic therapy
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- Patients who have at least one uni-dimensional measurable lesion by CT (Computed tomography)-scan or MRI (Magnetic resonance imaging) according to Response Evaluation Criteria in Solid Tumors (RECIST)
- Patients who have an Eastern Co-operative Oncology Group (ECOG) performance status of 0 or 1
- Adequate bone marrow, liver , and renal function as assessed by the following laboratory requirements to be conducted within 7 days prior to screening
- Hemoglobin >9.0 g/l
- Absolute neutrophil count ( ANC)>1,500/mm3
- Platelets> or = 100,000/ul
- Total bilirubin < 1.5 x the upper limit of normal
- ALT (Alanine aminotransferase) and AST (Aspartate aminotransferase) < 2.5 x upper limit of normal (< 5 x upper limit of normal for patients with liver involvement of their cancer)
- Amylase and lipase < 1.5 x the upper limit of normal
- Serum creatinine < 2.0 x the upper limit of normal
- PT (Prothrombin Time) or INR (International Normalized Ratio) and PTT (Partial Thromboplastin Time) < 1.5 x upper limit of normal (patients who receive anti-coagulation treatment with an agent such as warfarin or heparin will be allowed to participate. For patients on warfarin, close monitoring of at least weekly evaluations will be performed until INR is stable based on a measurement at pre dose, as defined by the local standard of care)
Who cannot join
- Previous or concurrent cancer that is distinct in primary site or histology from the cancer being evaluated in this study EXCEPT cervical carcinoma in situ, treated basal cell carcinoma, superficial bladder tumors (Ta [Noninvasive papillary carcinoma], Tis [Carcinoma in situ: "flat tumor"]\&T1 [Tumor invades subepithelial connective tissue]) or any cancer curatively treated > 5 years prior to study entry
- Complete renal shut-down requiring hemo- or peritoneal dialysis
- History of cardiac disease : congestive heart failure > NYHA (New York Heart Association) class 2: active cardiovascular disease( MI (Distant metastasis) more than 6 months prior to study entry is allowed); cardiac arrhythmia requiring anti-arrythmic therapy (beta blockers or digoxin are permitted) or uncontrolled hypertension
- Active clinically serious bacterial or fungal infections (>= grade 2 NCI-CTCAE (National Cancer Institute-Common Terminology Criteria for Adverse Events), Version 3)
- Known history of human immunodeficiency virus (HIV) infection or chronic hepatitis B or C
- 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 this brain tumour site 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 one month prior to and following screening radiographic studies (head CT or MRI at screening always required)
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- Patients with seizure disorder requiring medication (such as steroid anti-epileptics)
- History of organ allograft
- Substance abuse, medical, psychological or social conditions that may interfere with the patient's participation in the study or evaluation of the study results
- Known or suspected allergy to the investigational agent or any agent given in association with this trial
- Any condition that is unstable or which could jeopardise the safety of the patient and his/her compliance in the study
- 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
Trial locations and contacts
42 sites in 7 countries.
42 sites in 7 countries
United States9 sites
Study site
Aurora, Colorado, 80010
Study site
Chicago, Illinois, 60637
Study site
Cleveland, Ohio, 44195-0002
Study site
Dallas, Texas, 75246
Study site
Frederick, Maryland, 21701
Study site
Las Vegas, Nevada, 89135
Study site
Portland, Oregon, 97239
Study site
Sacramento, California, 95817
Study site
Seattle, Washington, 98101
France8 sites
Study site
Bordeaux, 33000
Study site
Lille, 59020
Study site
Lyon, 69008
Study site
Marseille, 13273
Study site
Nantes, 44805
Study site
Paris, 75908
Study site
Toulouse, 31052
Study site
Villejuif, 94805
Germany7 sites
Study site
Berlin, State of Berlin, 12203
Study site
Düsseldorf, North Rhine-Westphalia, 40225
Study site
Frankfurt am Main, Hesse, 60488
Study site
Hamburg, Free and Hanseatic City of Hamburg, 20246
Study site
Mainz, Rhineland-Palatinate, 55131
Study site
München, Bavaria, 81377
Study site
Ulm, Baden-Wurttemberg, 89075
Poland7 sites
Study site
Gdansk, 80-210
Study site
Krakow, 31-115
Study site
Poznan, 61-878
Study site
Szczecin, 70-111
Study site
Warsaw, 02-781
Study site
Warsaw, 04-141
Study site
Wroclaw, 50-043
Russia5 sites
Study site
Kazan', 420029
Study site
Kirov, 610021
Study site
Moscow, 115478
Study site
Moscow, 125284
Study site
Saint Petersburg, 197758
Ukraine4 sites
Study site
Donetsk, 83092
Study site
Kharkiv, 61024
Study site
Kiev, 115
Study site
Lviv, 79031
United Kingdom2 sites
Study site
London, London, SW3 6JJ
Study site
Sutton, Surrey, SM2 5PT
About this study
Official title: A Randomised, Open-label, Multi-centre Phase II Study of BAY43-9006 (Sorafenib) Versus Standard Treatment With Interferon Alpha-2a in Patients With Unresectable and/or Metastatic Renal Cell Carcinoma.
The purpose of the study is to:
- Find out if patients receiving BAY43-9006 will live longer without tumor progression than those receiving standard therapy with interferon alpha-2a
- Find out if a higher dose of BAY43-9006 can inhibit tumor progression in patients who progressed during standard dose treatment with BAY43-9006, and for how long these patients live without progression
- Find out how long patients live without progression who receive BAY43-9006 after failing to respond to standard therapy with interferon alpha-2a
- Find out in how many percent of patients BAY43-9006 prevents the growth of or shrinks kidney tumors and/or their metastases depending on treatment and dosage
- Find out if BAY43-9006 has any effect on the quality of life of patients with kidney cancer
- Find out the level of BAY43-9006 in the blood once per month and any changes in this level
- Find out whether BAY43-9006 effects are associated with specific biomarkers
Read the detailed description
Analyses on Biomarkers were exploratory and assessed as tertiary objective of the trial.
- Conditions
- Carcinoma, Renal Cell
- Being tested
- Sorafenib (Nexavar, BAY43-9006), Interferon
- Keywords
- Renal Cell Cancer, RCC, Cancer
- Medical subject headings
- Carcinoma, Renal Cell, Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Sorafenib (Nexavar, BAY43-9006)Drug
Multi kinase inhibitor
InterferonDrug
Interferon
| Study group | Role | What they receive |
|---|---|---|
| First Sorafenib (Nexavar, BAY43-9006) 400 mg then 600 mg | Experimental | Subjects received 2 tablets of Sorafenib (200 mg tablets) twice daily (bid) (ie 12-hourly) orally until progression (= first intervention period, 5.7 months [median] ) and 3 tablets of Sorafenib twice daily (ie 12-hourly) orally until the following progression (= second intervention period, 3.6 months [median]) on a continuous basis. Receives: Drug: Sorafenib (Nexavar, BAY43-9006) |
| First Interferon then Sorafenib (Nexavar, BAY43-9006) 400 mg | Active comparator | Interferon (IFN) α-2a was administered at a dose of 9 million international units(MIU) subcutaneously three times a week until progression (= first intervention period, 5.6 months [median]). Subjects initially started with a single dose of 3 MIU IFN and increased the dose as rapidly as possible to 9 MIU IFN three times a week within 1 or 2 weeks in first intervention period.After first progression, subjects received 2 tablets of Sorafenib (200 mg tablets) twice daily (BID) (ie 12-hourly) until the next progression (=second intervention period, 5.3 months [median]). Receives: Drug: Interferon |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival (PFS) Based on Independent Radiological Review for the First Intervention Period
Progression-free Survival (PFS) was defined as the time from date of randomization to disease progression (radiological or clinical or death due to any cause, whichever occurs first). Subjects without progression or death at the time of analysis were censored at their last date of tumor evaluation
Measured: From randomization of the first subject until 15 months later, assessed every 8 weeks
Secondary outcomes (33)
Progression-free Survival (PFS) Based on Investigator Assessment for the First Intervention Period
Progression-free Survival (PFS) was defined as the time from date of randomization to disease progression (radiological or clinical or death due to any cause, whichever occurs first). Subjects without progression or death at the time of analysis were censored at their last date of tumor evaluation
Measured: From randomization of the first subject until 3 years and 9 months later, assessed every 8 weeks
Disease Control (DC) According to Independent Central Review for the First Intervention Period
Disease Control (DC) was defined as the total number of subjects whose best response was not Progressive Disease (PD) according to Response Evaluation Criteria in Solid Tumors (RECIST) (= total number of Complete Response (CR) + total number of Partial Response (PR) + total number of Stable Disease (SD); CR, PR, or SD had to be maintained for at least 28 days from the first demonstration of that rating). CR: disappearance of tumor lesions (TL); PR: a decrease of at least 30% in the sum of TL sizes; SD: steady state of disease; PD: an increase of at least 20% in the sum of TL sizes.
Measured: From randomization of the first subject until 15 months later, assessed every 8 weeks
Disease Control (DC) According to the Investigator Assessment for the First Intervention Period
Disease Control (DC) was defined as the total number of subjects whose best response was not Progressive Disease (PD) according to Response Evaluation Criteria in Solid Tumors (RECIST) (= total number of Complete Response (CR) + total number of Partial Response (PR) + total number of Stable Disease (SD); CR, PR, or SD had to be maintained for at least 28 days from the first demonstration of that rating). CR: disappearance of tumor lesions (TL); PR: a decrease of at least 30% in the sum of TL sizes; SD: steady state of disease; PD: an increase of at least 20% in the sum of TL sizes.
Measured: From randomization of the first subject until 3 years and 9 months later, assessed every 8 weeks
Disease Control (DC) According to the Investigator Assessment for the Second Intervention Period
Disease Control (DC) was defined as the total number of subjects whose best response was not Progressive Disease (PD) according to Response Evaluation Criteria in Solid Tumors (RECIST) (= total number of Complete Response (CR) + total number of Partial Response (PR) + total number of Stable Disease (SD); CR, PR, or SD had to be maintained for at least 28 days from the first demonstration of that rating). CR: disappearance of tumor lesions (TL); PR: a decrease of at least 30% in the sum of TL sizes; SD: steady state of disease; PD: an increase of at least 20% in the sum of TL sizes.
Measured: From randomization of the first subject until 3 years and 9 months later, assessed every 8 weeks
Analysis of the Quality of Life by Use of the Respiratory Domain of the Functional Assessment of Cancer Therapy-Kidney Symptom Index (FKSI) After Intervention for the First Intervention Period
The FKSI questionnaire comprises 15 questions dispatched within 4 domains (respiratory, pain, general symptoms and overall Quality of Life (QoL)) plus 2 individual items. Each question was answered on a five point scale from 0 (not at all) to 4 (very much) indicating the severity of symptoms. The total score range was from 0 to 60 with higher scores indicating subjects reported fewer kidney cancer related symptoms and concerns. The respiratory domain of the FKSI comprises 2 questions:" I have been short in breath" and "I have been coughing"; its score ranges from 0 to 8.
Measured: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Quality of Life by Use of the Respiratory Domain of the Functional Assessment of Cancer Therapy-Kidney Symptom Index (FKSI) for the Second Intervention Period
The FKSI questionnaire comprises 15 questions dispatched within 4 domains (respiratory, pain, general symptoms and overall Quality of Life (QoL)) plus 2 individual items. Each question was answered on a five point scale from 0 (not at all) to 4 (very much) indicating the severity of symptoms. The total score range was from 0 to 60 with higher scores indicating subjects reported fewer kidney cancer related symptoms and concerns. The respiratory domain of the FKSI comprises 2 questions:" I have been short in breath" and "I have been coughing"; its score ranges from 0 to 8.
Measured: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Quality of Life by Use of Total Score of the Functional Assessment of Cancer Therapy-Kidney Symptom Index (FKSI) for the First Intervention Period
The FKSI questionnaire comprises 15 questions dispatched within 4 domains (respiratory, pain, general symptoms and overall Quality of Life (QoL)) plus 2 individual items. Each question was answered on a five point scale from 0 (not at all) to 4 (very much) indicating the severity of symptoms. The total score range was from 0 to 60 with higher scores indicating subjects reported fewer kidney cancer related symptoms and concerns.
Measured: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Quality of Life by Use of Total Score of the Functional Assessment of Cancer Therapy-Kidney Symptom Index (FKSI) for the Second Intervention Period
The FKSI questionnaire comprises 15 questions dispatched within 4 domains (respiratory, pain, general symptoms and overall Quality of Life (QoL)) plus 2 individual items. Each question was answered on a five point scale from 0 (not at all) to 4 (very much) indicating the severity of symptoms. The total score range was from 0 to 60 with higher scores indicating subjects reported fewer kidney cancer related symptoms and concerns.
Measured: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Quality of Life (QoL) by Use of Functional Assessment of Cancer Therapy-Biologic-response Modifiers (FACT-BRM) for the First Intervention Period
The FACT-BRM comprises 40 questions within 6 domains (physical well being, social/family well being, emotional well being, additional concern: physical, and additional concern: emotional). Each question was answered on a five point scale from 0 (not at all) to 4 (very much). The total score range is from 0 to 160 with higher scores indicating better QoL.
Measured: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Quality of Life (QoL) by Use of Functional Assessment of Cancer Therapy-Biologic-response Modifiers (FACT-BRM) for the Second Intervention Period
The FACT-BRM comprises 40 questions within 6 domains (physical well being, social/family well being, emotional well being, additional concern: physical, and additional concern: emotional). Each question was answered on a five point scale from 0 (not at all) to 4 (very much). The total score range is from 0 to 160 with higher scores indicating better QoL.
Measured: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Treatment Tolerability (Effectiveness) by Use of Treatment Satisfaction Questionnaire for Medication (TSQM) for the First Intervention Period
The TSQM comprises 14 questions dispatched within 4 domains (effectiveness, side effects, convenience, and global satisfaction). Each question was answered on either a 5-point or 7-point scale. Each domain score can vary from 0 to 100 with higher scores indicating subject reported higher effectiveness of treatment, less bothered by side-effects, more convenient use of medication and overall greater satisfaction with the treatment. No total score is calculated.
Measured: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Treatment Tolerability (Side Effects) by Use of Treatment Satisfaction Questionnaire for Medication (TSQM) for the First Intervention Period
The TSQM comprises 14 questions dispatched within 4 domains (effectiveness, side effects, convenience, and global satisfaction). Each question was answered on either a 5-point or 7-point scale. Each domain score can vary from 0 to 100 with higher scores indicating subject reported higher effectiveness of treatment, less bothered by side-effects, more convenient use of medication and overall greater satisfaction with the treatment. No total score is calculated.
Measured: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Treatment Tolerability (Convenience) by Use of Treatment Satisfaction Questionnaire for Medication (TSQM) for the First Intervention Period
The TSQM comprises 14 questions dispatched within 4 domains (effectiveness, side effects, convenience, and global satisfaction). Each question was answered on either a 5-point or 7-point scale. Each domain score can vary from 0 to 100 with higher scores indicating subject reported higher effectiveness of treatment, less bothered by side-effects, more convenient use of medication and overall greater satisfaction with the treatment. No total score is calculated.
Measured: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Treatment Tolerability (Global Satisfaction) by Use of Treatment Satisfaction Questionnaire for Medication (TSQM) for the First Intervention Period
The TSQM comprises 14 questions dispatched within 4 domains (effectiveness, side effects, convenience, and global satisfaction). Each question was answered on either a 5-point or 7-point scale. Each domain score can vary from 0 to 100 with higher scores indicating subject reported higher effectiveness of treatment, less bothered by side-effects, more convenient use of medication and overall greater satisfaction with the treatment. No total score is calculated.
Measured: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Treatment Tolerability (Effectiveness) by Use of Treatment Satisfaction Questionnaire for Medication (TSQM) for the Second Intervention Period
The TSQM comprises 14 questions dispatched within 4 domains (effectiveness, side effects, convenience, and global satisfaction). Each question was answered on either a 5-point or 7-point scale. Each domain score can vary from 0 to 100 with higher scores indicating subject reported higher effectiveness of treatment, less bothered by side-effects, more convenient use of medication and overall greater satisfaction with the treatment. No total score is calculated.
Measured: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Treatment Tolerability (Side Effects) by Use of Treatment Satisfaction Questionnaire for Medication (TSQM) for the Second Intervention Period
The TSQM comprises 14 questions dispatched within 4 domains (effectiveness, side effects, convenience, and global satisfaction). Each question was answered on either a 5-point or 7-point scale. Each domain score can vary from 0 to 100 with higher scores indicating subject reported higher effectiveness of treatment, less bothered by side-effects, more convenient use of medication and overall greater satisfaction with the treatment. No total score is calculated.
Measured: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Treatment Tolerability (Convenience) by Use of Treatment Satisfaction Questionnaire for Medication (TSQM) for the Second Intervention Period
The TSQM comprises 14 questions dispatched within 4 domains (effectiveness, side effects, convenience, and global satisfaction). Each question was answered on either a 5-point or 7-point scale. Each domain score can vary from 0 to 100 with higher scores indicating subject reported higher effectiveness of treatment, less bothered by side-effects, more convenient use of medication and overall greater satisfaction with the treatment. No total score is calculated.
Measured: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Treatment Tolerability (Global Satisfaction) by Use of Treatment Satisfaction Questionnaire for Medication (TSQM) for the Second Intervention Period
The TSQM comprises 14 questions dispatched within 4 domains (effectiveness, side effects, convenience, and global satisfaction). Each question was answered on either a 5-point or 7-point scale. Each domain score can vary from 0 to 100 with higher scores indicating subject reported higher effectiveness of treatment, less bothered by side-effects, more convenient use of medication and overall greater satisfaction with the treatment. No total score is calculated.
Measured: From randomization of the first subject until 15 months later, assessed every 8 weeks
Tumor Response According to the Independent Radiological Review for the First Intervention Period
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.
Measured: From randomization of the first subject until 15 months later, assessed every 8 weeks
Tumor Response According to the Investigator Assessment for the First Intervention Period
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
Measured: From randomization of the first subject until 3 years and 9 months later, assessed every 8 weeks
Tumor Response According to the Investigator Assessment for the Second Intervention Period
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
Measured: From randomization of the first subject until 3 years and 9 months later, assessed every 8 weeks
Progression Free Survival According to the Investigator Assessment (Second Intervention Period)
Progression-free Survival (PFS) was defined as the time from date of randomization to disease progression (radiological or clinical or death due to any cause, whichever occurs first). Subjects without progression or death at the time of analysis were censored at their last date of tumor evaluation
Measured: From randomization of the first subject until 3 years and 9 months later, assessed every 8 weeks
Overall Survival (OS)
Overall Survival was defined as the time from date of randomization to death due to any cause. Subjects still alive at the time of analysis were censored at their last date of last contact
Measured: From randomization of the first subject until 3 years and 9 months later, assessed every 8 weeks
Slope - Change in Trough Concentration/Cycle
Plasma samples were collected prior to dosing every 4 weeks after the patient reached steady-state (at least 10 days at 400 mg BID (bis in die, twice daily)) to assess any potential trends in trough concentration over time.
Measured: From start of treatment of the first subject until 15 months later assessed every 4 weeks.
Average of All Trough Plasma Concentrations
Plasma samples were collected prior to dosing every 4 weeks after the patient reached steady-state (at least 10 days at 400 mg BID).
Measured: From start of treatment of the first subject until 15 months later assessed every 4 weeks.
Duration of Response According to the Independent Radiological Review for the First Intervention Period
Duration of Response was defined as the time from date of first response (Complete Response (CR) or Partial Response (PR)) to the date when Progressive Disease (PD) is first documented or to the date of death, whichever occurs first. Subjects still having CR or PR at the time of analysis were censored at their last date of last contact
Measured: From randomization of the first subject until 15 months later, assessed every 8 weeks
Duration of Response According to the Investigator Assessment for the First Intervention Period
Duration of Response was defined as the time from date of first response (Complete Response (CR) or Partial Response (PR)) to the date when Progressive Disease (PD) is first documented or to the date of death, whichever occurs first. Subjects still having CR or PR at the time of analysis were censored at their last date of last contact
Measured: From randomization of the first subject until 3 years and 9 months later, assessed every 8 weeks
Duration of Response According to the Investigator Assessment for the Second Intervention Period
Duration of Response was defined as the time from date of first response (Complete Response (CR) or Partial Response (PR)) to the date when Progressive Disease (PD) is first documented or to the date of death, whichever occurs first. Subjects still having CR or PR at the time of analysis were censored at their last date of last contact
Measured: From randomization of the first subject until 3 years and 9 months later, assessed every 8 weeks
Time to Response According to the Independent Radiological Review for the First Intervention Period
Time to Response (TTR) for subjects who achieved a response (Complete Response (CR) or Partial Response (PR) with confirmation was defined as the time from date of randomization to the earliest date that the response was first documented
Measured: From randomization of the first subject until 15 months later, assessed every 8 weeks
Time to Response According to the Investigator Assessment for the First Intervention Period
Time to Response (TTR) for subjects who achieved a response (Complete Response (CR) or Partial Response (PR) with confirmation was defined as the time from date of randomization to the earliest date that the response was first documented
Measured: From randomization of the first subject until 3 years and 9 months later, assessed every 4 weeks
Time to Response According to the Investigator Assessment for the Second Intervention Period
Time to Response (TTR) for subjects who achieved a response (Complete Response (CR) or Partial Response (PR) with confirmation) was defined as the time from date of randomization to the earliest date that the response was first documented
Measured: From randomization of the first subject until 3 years and 9 months later, assessed every 4 weeks
Analysis of the Eastern Co-operative Oncology Group (ECOG) Status at the End of the First Intervention Period
Eastern Cooperative Oncology Group (ECOG) Performance Status is a scale that measures how cancer affects the daily life of a patient on an ordinal scale from grade 0 (best) to grade 5 (worst).
Measured: From randomization of the first subject until 3 years and 9 months later, assessed every 4 weeks
Analysis of the Eastern Co-operative Oncology Group (ECOG) Status at the End of the Second Intervention Period
Eastern Cooperative Oncology Group (ECOG) Performance Status is a scale that measures how cancer affects the daily life of a patient on an ordinal scale from grade 0 (best) to grade 5 (worst).
Measured: From randomization of the first subject until 3 years and 9 months later, assessed every 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Jul 2005 (estimated)
- Study startJun 2005
- Primary completionSep 2006
- Study completionMar 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Carcinoma, Renal CellStudies of the same condition, open and under way.
- More trials run by BayerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 189 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bayer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bayer Study Director, Study director, Bayer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00117637
- Sponsor's protocol ID
- 11848
- Other IDs
- 2005-000544-86, 2005
- Status last verified
- Oct 2014
- First submitted
- 30 Jun 2005
- Last updated
- 31 Oct 2014
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Escudier B, Szczylik C, Hutson TE, Demkow T, Staehler M, Rolland F, Negrier S, Laferriere N, Scheuring UJ, Cella D, Shah S, Bukowski RM. Randomized phase II trial of first-line treatment with sorafenib versus interferon Alfa-2a in patients with metastatic renal cell carcinoma. J Clin Oncol. 2009 Mar 10;27(8):1280-9. doi: 10.1200/JCO.2008.19.3342. Epub 2009 Jan 26.
PubMed 19171708Aldin A, Besiroglu B, Adams A, Monsef I, Piechotta V, Tomlinson E, Hornbach C, Dressen N, Goldkuhle M, Maisch P, Dahm P, Heidenreich A, Skoetz N. First-line therapy for adults with advanced renal cell carcinoma: a systematic review and network meta-analysis. Cochrane Database Syst Rev. 2023 May 4;5(5):CD013798. doi: 10.1002/14651858.CD013798.pub2.
PubMed 37146227
Study at a glance
From the registry record, last updated by the sponsor on 31 Oct 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomised, Open-label, Multi-centre Phase II Study of BAY43-9006 (Sorafenib) Versus Standard Treatment With Interferon Alpha-2a in Patients With Unresectable and/or Metastatic Renal Cell Carcinoma.
- ClinicalTrials.gov ID
- NCT00117637
- Acronym / sponsor ID
- 11848
- Conditions
- Carcinoma, Renal Cell
- Keywords
- Renal Cell Cancer, RCC, Cancer
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 189 participants (actual)
- Lead sponsor
- BayerIndustry (pharma, biotech, devices)
- Study start
- Jun 2005
- Primary completion
- Sep 2006 (actual)
- Study completion
- Mar 2009 (actual)
- First posted
- 8 Jul 2005 (estimated)
- Results
- Posted 15 Dec 2010
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study is to:
- Find out if patients receiving BAY43-9006 will live longer without tumor progression than those receiving standard therapy with interferon alpha-2a
- Find out if a higher dose of BAY43-9006 can inhibit tumor progression in patients who progressed during standard dose treatment with BAY43-9006, and for how long these patients live without progression
- Find out how long patients live without progression who receive BAY43-9006 after failing to respond to standard therapy with interferon alpha-2a
- Find out in how many percent of patients BAY43-9006 prevents the growth of or shrinks kidney tumors and/or their metastases depending on treatment and dosage
- Find out if BAY43-9006 has any effect on the quality of life of patients with kidney cancer
- Find out the level of BAY43-9006 in the blood once per month and any changes in this level
- Find out whether BAY43-9006 effects are associated with specific biomarkers
Detailed description
Analyses on Biomarkers were exploratory and assessed as tertiary objective of the trial.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| First Sorafenib (Nexavar, BAY43-9006) 400 mg then 600 mg | Experimental | Drug: Sorafenib (Nexavar, BAY43-9006)Subjects received 2 tablets of Sorafenib (200 mg tablets) twice daily (bid) (ie 12-hourly) orally until progression (= first intervention period, 5.7 months [median] ) and 3 tablets of Sorafenib twice daily (ie 12-hourly) orally until the following progression (= second intervention period, 3.6 months [median]) on a continuous basis. |
| First Interferon then Sorafenib (Nexavar, BAY43-9006) 400 mg | Active comparator | Drug: InterferonInterferon (IFN) α-2a was administered at a dose of 9 million international units(MIU) subcutaneously three times a week until progression (= first intervention period, 5.6 months [median]). Subjects initially started with a single dose of 3 MIU IFN and increased the dose as rapidly as possible to 9 MIU IFN three times a week within 1 or 2 weeks in first intervention period.After first progression, subjects received 2 tablets of Sorafenib (200 mg tablets) twice daily (BID) (ie 12-hourly) until the next progression (=second intervention period, 5.3 months [median]). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (17 listed)
- Patients who give written informed consent prior to any study specific screening procedures with the understanding that the patient has the right to withdraw from the study at any time, without prejudice
- Male or female patients >= 18 years of age
- Patients who have a life expectancy of at least 12 weeks
- Patients, who suffer from unresectable and/or metastatic, measurable predominantly clear cell RCC (Renal Cell Carcinoma) histologically or cytologically documented
- Patients must have undergone prior (at the time of primary diagnosis) complete surgical excision of primary RCC tumor
Key exclusion criteria (12 listed)
- Previous or concurrent cancer that is distinct in primary site or histology from the cancer being evaluated in this study EXCEPT cervical carcinoma in situ, treated basal cell carcinoma, superficial bladder tumors (Ta [Noninvasive papillary carcinoma], Tis [Carcinoma in situ: "flat tumor"]\&T1 [Tumor invades subepithelial connective tissue]) or any cancer curatively treated > 5 years prior to study entry
- Complete renal shut-down requiring hemo- or peritoneal dialysis
- History of cardiac disease : congestive heart failure > NYHA (New York Heart Association) class 2: active cardiovascular disease( MI (Distant metastasis) more than 6 months prior to study entry is allowed); cardiac arrhythmia requiring anti-arrythmic therapy (beta blockers or digoxin are permitted) or uncontrolled hypertension
- Active clinically serious bacterial or fungal infections (>= grade 2 NCI-CTCAE (National Cancer Institute-Common Terminology Criteria for Adverse Events), Version 3)
- Known history of human immunodeficiency virus (HIV) infection or chronic hepatitis B or C
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Sorafenib (Nexavar, BAY43-9006)Multi kinase inhibitor | Drug | First Sorafenib (Nexavar, BAY43-9006) 400 mg then 600 mg |
| InterferonInterferon | Drug | First Interferon then Sorafenib (Nexavar, BAY43-9006) 400 mg |
Primary outcome
Progression-free Survival (PFS) Based on Independent Radiological Review for the First Intervention Period
Time frame: From randomization of the first subject until 15 months later, assessed every 8 weeks
Progression-free Survival (PFS) was defined as the time from date of randomization to disease progression (radiological or clinical or death due to any cause, whichever occurs first). Subjects without progression or death at the time of analysis were censored at their last date of tumor evaluation
33 secondary outcomes
Progression-free Survival (PFS) Based on Investigator Assessment for the First Intervention Period
Time frame: From randomization of the first subject until 3 years and 9 months later, assessed every 8 weeks
Disease Control (DC) According to Independent Central Review for the First Intervention Period
Time frame: From randomization of the first subject until 15 months later, assessed every 8 weeks
Disease Control (DC) According to the Investigator Assessment for the First Intervention Period
Time frame: From randomization of the first subject until 3 years and 9 months later, assessed every 8 weeks
Disease Control (DC) According to the Investigator Assessment for the Second Intervention Period
Time frame: From randomization of the first subject until 3 years and 9 months later, assessed every 8 weeks
Analysis of the Quality of Life by Use of the Respiratory Domain of the Functional Assessment of Cancer Therapy-Kidney Symptom Index (FKSI) After Intervention for the First Intervention Period
Time frame: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Quality of Life by Use of the Respiratory Domain of the Functional Assessment of Cancer Therapy-Kidney Symptom Index (FKSI) for the Second Intervention Period
Time frame: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Quality of Life by Use of Total Score of the Functional Assessment of Cancer Therapy-Kidney Symptom Index (FKSI) for the First Intervention Period
Time frame: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Quality of Life by Use of Total Score of the Functional Assessment of Cancer Therapy-Kidney Symptom Index (FKSI) for the Second Intervention Period
Time frame: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Quality of Life (QoL) by Use of Functional Assessment of Cancer Therapy-Biologic-response Modifiers (FACT-BRM) for the First Intervention Period
Time frame: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Quality of Life (QoL) by Use of Functional Assessment of Cancer Therapy-Biologic-response Modifiers (FACT-BRM) for the Second Intervention Period
Time frame: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Treatment Tolerability (Effectiveness) by Use of Treatment Satisfaction Questionnaire for Medication (TSQM) for the First Intervention Period
Time frame: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Treatment Tolerability (Side Effects) by Use of Treatment Satisfaction Questionnaire for Medication (TSQM) for the First Intervention Period
Time frame: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Treatment Tolerability (Convenience) by Use of Treatment Satisfaction Questionnaire for Medication (TSQM) for the First Intervention Period
Time frame: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Treatment Tolerability (Global Satisfaction) by Use of Treatment Satisfaction Questionnaire for Medication (TSQM) for the First Intervention Period
Time frame: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Treatment Tolerability (Effectiveness) by Use of Treatment Satisfaction Questionnaire for Medication (TSQM) for the Second Intervention Period
Time frame: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Treatment Tolerability (Side Effects) by Use of Treatment Satisfaction Questionnaire for Medication (TSQM) for the Second Intervention Period
Time frame: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Treatment Tolerability (Convenience) by Use of Treatment Satisfaction Questionnaire for Medication (TSQM) for the Second Intervention Period
Time frame: From randomization of the first subject until 15 months later, assessed every 8 weeks
Analysis of the Treatment Tolerability (Global Satisfaction) by Use of Treatment Satisfaction Questionnaire for Medication (TSQM) for the Second Intervention Period
Time frame: From randomization of the first subject until 15 months later, assessed every 8 weeks
Tumor Response According to the Independent Radiological Review for the First Intervention Period
Time frame: From randomization of the first subject until 15 months later, assessed every 8 weeks
Tumor Response According to the Investigator Assessment for the First Intervention Period
Time frame: From randomization of the first subject until 3 years and 9 months later, assessed every 8 weeks
Tumor Response According to the Investigator Assessment for the Second Intervention Period
Time frame: From randomization of the first subject until 3 years and 9 months later, assessed every 8 weeks
Progression Free Survival According to the Investigator Assessment (Second Intervention Period)
Time frame: From randomization of the first subject until 3 years and 9 months later, assessed every 8 weeks
Overall Survival (OS)
Time frame: From randomization of the first subject until 3 years and 9 months later, assessed every 8 weeks
Slope - Change in Trough Concentration/Cycle
Time frame: From start of treatment of the first subject until 15 months later assessed every 4 weeks.
Average of All Trough Plasma Concentrations
Time frame: From start of treatment of the first subject until 15 months later assessed every 4 weeks.
Duration of Response According to the Independent Radiological Review for the First Intervention Period
Time frame: From randomization of the first subject until 15 months later, assessed every 8 weeks
Duration of Response According to the Investigator Assessment for the First Intervention Period
Time frame: From randomization of the first subject until 3 years and 9 months later, assessed every 8 weeks
Duration of Response According to the Investigator Assessment for the Second Intervention Period
Time frame: From randomization of the first subject until 3 years and 9 months later, assessed every 8 weeks
Time to Response According to the Independent Radiological Review for the First Intervention Period
Time frame: From randomization of the first subject until 15 months later, assessed every 8 weeks
Time to Response According to the Investigator Assessment for the First Intervention Period
Time frame: From randomization of the first subject until 3 years and 9 months later, assessed every 4 weeks
Time to Response According to the Investigator Assessment for the Second Intervention Period
Time frame: From randomization of the first subject until 3 years and 9 months later, assessed every 4 weeks
Analysis of the Eastern Co-operative Oncology Group (ECOG) Status at the End of the First Intervention Period
Time frame: From randomization of the first subject until 3 years and 9 months later, assessed every 4 weeks
Analysis of the Eastern Co-operative Oncology Group (ECOG) Status at the End of the Second Intervention Period
Time frame: From randomization of the first subject until 3 years and 9 months later, assessed every 4 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Oct 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 19171708Escudier B, Szczylik C, Hutson TE, Demkow T, Staehler M, Rolland F, Negrier S, Laferriere N, Scheuring UJ, Cella D, Shah S, Bukowski RM. Randomized phase II trial of first-line treatment with sorafenib versus interferon Alfa-2a in patients with metastatic renal cell carcinoma. J Clin Oncol. 2009 Mar 10;27(8):1280-9. doi: 10.1200/JCO.2008.19.3342. Epub 2009 Jan 26.
- Derived from this study: PubMed 37146227Aldin A, Besiroglu B, Adams A, Monsef I, Piechotta V, Tomlinson E, Hornbach C, Dressen N, Goldkuhle M, Maisch P, Dahm P, Heidenreich A, Skoetz N. First-line therapy for adults with advanced renal cell carcinoma: a systematic review and network meta-analysis. Cochrane Database Syst Rev. 2023 May 4;5(5):CD013798. doi: 10.1002/14651858.CD013798.pub2.
- Click here to find information about studies related to Bayer Healthcare products conducted in EuropeLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bayer Study Director study director
Bayer
42 sites in 7 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Sorafenib (Nexavar, BAY43-9006) and Interferon in people with Carcinoma, Renal Cell, run by Bayer at 42 sites in 7 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 17 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 31 Oct 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 42 sites in United States, France, Germany, Poland, Russia and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 15 Dec 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-free Survival (PFS) Based on Independent Radiological Review for the First Intervention Period (time frame: From randomization of the first subject until 15 months later, assessed every 8 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00117637, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Oct 2014.