Recurrent MelanomaPhase 2NCT00281957
Sorafenib With Either Temsirolimus or Tipifarnib in Treating Patients With Stage IV Malignant Melanoma That Cannot Be Removed By Surgery
A Phase 2 study testing sorafenib tosylate, tipifarnib and temsirolimus in people with Recurrent Melanoma and Stage IV Melanoma, run by National Cancer Institute (NCI) at 173 sites in United States.
Trial summary
This randomized phase II trial is studying how well giving sorafenib together with either temsirolimus or tipifarnib works in treating patients with stage IV melanoma that cannot be removed by surgery. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Recurrent Melanoma, Stage IV Melanoma
- What is being tested?
- sorafenib tosylate, tipifarnib and temsirolimus
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 109 participants
- Where
- 173 sitesUnited States
- Study dates
- Aug 2007to Jan 2011
- 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
Criteria:
- Histologically confirmed malignant melanoma of cutaneous origin
- Patients with unknown primary allowed
- Stage IV disease
- Measurable disease by physical examination, CT scan, MRI or plain x-ray
- Unresectable disease
- Residual or recurrent disease after prior surgery for stage IV disease allowed
- Residual tumor at the site of incomplete resection may be included only as nonmeasurable disease
- Must have serum lactate dehydrogenase (LDH) levels measured
- Must have tissue specimens available
- Negative brain CT scan or MRI within the past 42 days
- Creatinine =< 1.5 times ULN
- Absolute neutrophil count >= 1,000/mm^3
- Platelet count >= 100,000/mm^3
- Hemoglobin >= 9.0 g/dL
- Fasting cholesterol =< 350 mg/dL (lipid-lowering agents allowed)
- Triglycerides =< 300 mg/dL (lipid-lowering agents allowed)
- No symptomatic sensory neuropathy >= grade 2
- No evidence of bleeding diathesis or coagulopathy
- No congestive heart failure
- No myocardial infarction within the past 2 months
- No New York Heart Association class III or IV heart disease
- No condition that impairs the ability to swallow pills (e.g., gastrointestinal tract disease resulting in an inability to take oral medication, requirement for IV alimentation, prior surgical procedure affecting absorption, or active peptic ulcer disease)
- No known allergy to imidazoles (e.g. clotrimazole, ketoconazole, miconazole, or econazole)
- No history of allergic reaction to compounds of similar chemical or biologic composition as tipifarnib
- No hypertension with systolic blood pressure (BP) > 140 mm Hg or diastolic BP > 90 mm Hg
- Patients with well-controlled hypertension allowed
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- No uncontrolled diabetes
- No uncontrolled diabetes
- No active uncontrolled infection
- No other severe or uncontrolled medical disease
- No psychologic or medical condition that would preclude study treatment or compliance
- No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer, adequately treated stage I or II cancer that is in complete remission, or carcinoma in situ of the cervix
- At least 90 days since prior adjuvant therapy, including cytotoxic agents
- At least 28 days since prior radiotherapy
- At least 28 days since prior surgery to remove the tumor
- No prior systemic therapy for stage IV melanoma
- No prior therapy with agents targeting farnesyl transferase, the MAP kinase pathway, or vascular endothelial growth factors (VEGF) or receptors (VEFGR), including drugs such as sorafenib, temsirolimus, or tipifarnib
- Concurrent lipid-lowering agents allowed
- Not requiring full-dose anticoagulation for recent thrombotic event
- No concurrent highly active antiretroviral therapy (HAART) in HIV-positive patients
- No concurrent use of any of the following: dilantin; carbamazepine; Phenobarbital; rifampin; hypericum perforatum (St. John's wort); ketoconazole; itraconazole; ritonavir; cyclosporine; phenytoin; grapefruit juice
- Bilirubin =< 1.5 times upper limit of normal (ULN)
- SGOT or SGPT =< 2.5 times ULN (5 times ULN if hepatic metastases)
- No history of brain metastases
- Zubrod performance status 0-1
Trial locations and contacts
173 sites in 1 country.
173 sites in 1 country
United States173 sites
McFarland Clinic PC-William R Bliss Cancer Center
Ames, Iowa, 50010
AnMed Health Hospital
Anderson, South Carolina, 29621
University of Michigan
Ann Arbor, Michigan, 48109
Hospital District Sixth of Harper County
Anthony, Kansas, 67003
Mission Hospital-Memorial Campus
Asheville, North Carolina, 28801
The Medical Center of Aurora
Aurora, Colorado, 80012
Rush - Copley Medical Center
Aurora, Illinois, 60504
Bronson Battle Creek
Battle Creek, Michigan, 49017
PeaceHealth Saint Joseph Medical Center
Bellingham, Washington, 98225
Constantinou, Costas L MD (UIA Investigator)
Bettendorf, Iowa, 52722
Spectrum Health Big Rapids Hospital
Big Rapids, Michigan, 49307
Montana Cancer Consortium CCOP
Billings, Montana, 59101
Northern Rockies Radiation Oncology Center
Billings, Montana, 59101
Saint Vincent Healthcare
Billings, Montana, 59101
Hematology-Oncology Centers of the Northern Rockies PC
Billings, Montana, 59102
Billings Clinic
Billings, Montana, 59107-7000
Boston Medical Center
Boston, Massachusetts, 02118
Boulder Community Hospital
Boulder, Colorado, 80301
Bozeman Deaconess Cancer Center
Bozeman, Montana, 59715
Bozeman Deaconess Hospital
Bozeman, Montana, 59715
Harrison HealthPartners Hematology and Oncology-Bremerton
Bremerton, Washington, 98310
Saint James Community Hospital and Cancer Treatment Center
Butte, Montana, 59701
Southeast Missouri Hospital
Cape Girardeau, Missouri, 63701
East Bay Radiation Oncology Center
Castro Valley, California, 94546
Eden Hospital Medical Center
Castro Valley, California, 94546
Valley Medical Oncology Consultants-Castro Valley
Castro Valley, California, 94546
Cancer Center of Kansas - Chanute
Chanute, Kansas, 66720
University of Cincinnati
Cincinnati, Ohio, 45267
Medical Oncology and Hematology Associates-West Des Moines
Clive, Iowa, 50325
Penrose-Saint Francis Healthcare
Colorado Springs, Colorado, 80907
Mary Imogene Bassett Hospital
Cooperstown, New York, 13326
Danville Regional Medical Center
Danville, Virginia, 24541
Genesis Medical Center - East Campus
Davenport, Iowa, 52803
Genesis Medical Center - West Campus
Davenport, Iowa, 52804
Decatur Memorial Hospital
Decatur, Illinois, 62526
Porter Adventist Hospital
Denver, Colorado, 80210
Exempla Saint Joseph Hospital
Denver, Colorado, 80218
Presbyterian - Saint Lukes Medical Center - Health One
Denver, Colorado, 80218
Rose Medical Center
Denver, Colorado, 80220
Colorado Cancer Research Program CCOP
Denver, Colorado, 80224-2522
Mercy Capitol
Des Moines, Iowa, 50307
Iowa Methodist Medical Center
Des Moines, Iowa, 50309
Iowa Oncology Research Association CCOP
Des Moines, Iowa, 50309
Medical Oncology and Hematology Associates-Des Moines
Des Moines, Iowa, 50309
Medical Oncology and Hematology Associates-Laurel
Des Moines, Iowa, 50314
Mercy Medical Center - Des Moines
Des Moines, Iowa, 50314
Iowa Lutheran Hospital
Des Moines, Iowa, 50316
Wayne State University/Karmanos Cancer Institute
Detroit, Michigan, 48201
Henry Ford Hospital
Detroit, Michigan, 48202
Cancer Center of Kansas - Dodge City
Dodge City, Kansas, 67801
Delaware County Memorial Hospital
Drexel Hill, Pennsylvania, 19026
Cancer Center of Kansas - El Dorado
El Dorado, Kansas, 67042
Swedish Medical Center
Englewood, Colorado, 80113
Cancer Center of Kansas - Fort Scott
Fort Scott, Kansas, 66701
Valley Medical Oncology Consultants-Fremont
Fremont, California, 94538
Northeast Georgia Medical Center
Gainesville, Georgia, 30501
Saint Mary's Hospital and Regional Medical Center
Grand Junction, Colorado, 81502
Grand Rapids Clinical Oncology Program
Grand Rapids, Michigan, 49503
Mercy Health Saint Mary's
Grand Rapids, Michigan, 49503
Spectrum Health at Butterworth Campus
Grand Rapids, Michigan, 49503
Berdeaux, Donald MD (UIA Investigator)
Great Falls, Montana, 59405
Great Falls Clinic
Great Falls, Montana, 59405
North Colorado Medical Center
Greeley, Colorado, 80631
Northern Montana Hospital
Havre, Montana, 59501
Hays Medical Center
Hays, Kansas, 67601
Saint Peter's Community Hospital
Helena, Montana, 59601
Holland Community Hospital
Holland, Michigan, 49423
Promise Regional Medical Center-Hutchinson
Hutchinson, Kansas, 65702
Cancer Center of Kansas-Independence
Independence, Kansas, 67301
Centerpoint Medical Center LLC
Independence, Missouri, 64057
Joliet Oncology-Hematology Associates Limited
Joliet, Illinois, 60435
Glacier Oncology PLLC
Kalispell, Montana, 59901
Kalispell Medical Oncology
Kalispell, Montana, 59901
Kalispell Regional Medical Center
Kalispell, Montana, 59901
Providence Medical Center
Kansas City, Kansas, 66112
University of Kansas Medical Center
Kansas City, Kansas, 66160
Radiation Oncology Practice Corporation South
Kansas City, Missouri, 64114
Radiation Oncology Practice Corporation - North
Kansas City, Missouri, 64154
Good Samaritan Hospital
Kearney, Nebraska, 68847
Columbia Basin Hematology and Oncology PLLC
Kennewick, Washington, 99336
Cancer Center of Kansas-Kingman
Kingman, Kansas, 67068
Saint Anthony Hospital
Lakewood, Colorado, 80228
University Medical Center of Southern Nevada
Las Vegas, Nevada, 89102
Nevada Cancer Research Foundation CCOP
Las Vegas, Nevada, 89106
Lawrence Memorial Hospital
Lawrence, Kansas, 66044
Cancer Centers of Central Florida PA
Leesburg, Florida, 34788
Nebraska Cancer Research Center
Lincoln, Nebraska, 68510
Meeker County Memorial Hospital
Litchfield, Minnesota, 55355
University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205
Sky Ridge Medical Center
Lone Tree, Colorado, 80124
Longmont United Hospital
Longmont, Colorado, 80501
University of Southern California/Norris Cancer Center
Los Angeles, California, 90033
McKee Medical Center
Loveland, Colorado, 80539
Dean Hematology and Oncology Clinic
Madison, Wisconsin, 53717
Mansfield General Hospital-MedCentral Health System
Mansfield, Ohio, 44903
Contra Costa Regional Medical Center
Martinez, California, 94553-3156
Loyola University Medical Center
Maywood, Illinois, 60153
Franciscan Saint Anthony Health-Michigan City
Michigan City, Indiana, 46360
Orange Regional Medical Center
Middletown, New York, 10940
Virginia Piper Cancer Institute
Minneapolis, Minnesota, 55407
Community Medical Hospital
Missoula, Montana, 59801
Montana Cancer Specialists
Missoula, Montana, 59802
Saint Patrick Hospital - Community Hospital
Missoula, Montana, 59802
Guardian Oncology and Center for Wellness
Missoula, Montana, 59804
Garneau, Stewart C MD (UIA Investigator)
Moline, Illinois, 61265
Porubcin, Michael MD (UIA Investigator)
Moline, Illinois, 61265
Sharis, Christine M MD (UIA Investigator)
Moline, Illinois, 61265
Stoffel, Thomas J MD (UIA Investigator)
Moline, Illinois, 61265
Louisiana State University Sciences Center- Monroe
Monroe, Louisiana, 71210
Skagit Valley Hospital
Mount Vernon, Washington, 98274
El Camino Hospital
Mountain View, California, 94040
Mercy Health Partners-Hackley Campus
Muskegon, Michigan, 49442
Mercy Health Mercy Campus
Muskegon, Michigan, 49444
Cancer Center of Kansas - Newton
Newton, Kansas, 67114
Southwest VA Regional Cancer Center
Norton, Virginia, 24273
Highland General Hospital
Oakland, California, 94602
Alta Bates Summit Medical Center - Summit Campus
Oakland, California, 94609
Bay Area Breast Surgeons Inc
Oakland, California, 94609
Bay Area Tumor Institute CCOP
Oakland, California, 94609
Larry G Strieff MD Medical Corporation
Oakland, California, 94609
Tom K Lee Inc
Oakland, California, 94609
Olathe Cancer Center
Olathe, Kansas, 66061
Radiation Oncology Practice Corporation Southwest
Overland Park, Kansas, 66210
Cancer Center of Kansas - Parsons
Parsons, Kansas, 67357
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, 19107
Valley Care Health System - Pleasanton
Pleasanton, California, 94588
Valley Medical Oncology Consultants
Pleasanton, California, 94588
Adventist Medical Center
Portland, Oregon, 97216
SWOG
Portland, Oregon, 97239
Cancer Center of Kansas - Pratt
Pratt, Kansas, 67124
Saint Mary Corwin Medical Center
Pueblo, Colorado, 81004
Sutter Roseville Medical Center
Roseville, California, 95661
Rutherford Hospital
Rutherfordton, North Carolina, 28139
Sutter General Hospital
Sacramento, California, 95816
Cancer Center of Kansas - Salina
Salina, Kansas, 67401
Huntsman Cancer Institute/University of Utah
Salt Lake City, Utah, 84112
Doctors Medical Center- JC Robinson Regional Cancer Center
San Pablo, California, 94806
Memorial Health University Medical Center
Savannah, Georgia, 31403
Harborview Medical Center
Seattle, Washington, 98104
Minor and James Medical PLLC
Seattle, Washington, 98104
Fred Hutchinson Cancer Research Center/University of Washington Cancer Consortium
Seattle, Washington, 98109
Group Health Cooperative-Seattle
Seattle, Washington, 98112
Swedish Medical Center-First Hill
Seattle, Washington, 98122-4307
The Polyclinic
Seattle, Washington, 98122
University of Washington Medical Center
Seattle, Washington, 98195
United General Hospital
Sedro-Woolley, Washington, 98284
Welch Cancer Center
Sheridan, Wyoming, 82801
Highland Clinic
Shreveport, Louisiana, 71105
Louisiana State University Health Sciences Center Shreveport
Shreveport, Louisiana, 71130
Siouxland Hematology Oncology Associates
Sioux City, Iowa, 51101
Mercy Medical Center-Sioux City
Sioux City, Iowa, 51104
Saint Luke's Regional Medical Center
Sioux City, Iowa, 51104
Spartanburg Regional Medical Center
Spartanburg, South Carolina, 29303
Upstate Carolina CCOP
Spartanburg, South Carolina, 29303
Cancer Care Northwest - Spokane South
Spokane, Washington, 99202
Memorial Medical Center
Springfield, Illinois, 62781-0001
North Suburban Medical Center
Thornton, Colorado, 80229
Stormont-Vail Regional Health Center
Topeka, Kansas, 66604
Saint Francis Hospital and Medical Center - Topeka
Topeka, Kansas, 66606
Munson Medical Center
Traverse City, Michigan, 49684
Carle Cancer Center
Urbana, Illinois, 61801
Carle Clinic-Urbana Main
Urbana, Illinois, 61801
South Georgia Medical Center
Valdosta, Georgia, 31603
Cancer Center of Kansas - Wellington
Wellington, Kansas, 67152
Wenatchee Valley Medical Center
Wenatchee, Washington, 98801
Exempla Lutheran Medical Center
Wheat Ridge, Colorado, 80033
Associates In Womens Health
Wichita, Kansas, 67208
Cancer Center of Kansas-Wichita Medical Arts Tower
Wichita, Kansas, 67208
Cancer Center of Kansas - Main Office
Wichita, Kansas, 67214
Via Christi Regional Medical Center
Wichita, Kansas, 67214
Wichita CCOP
Wichita, Kansas, 67214
Cancer Center of Kansas - Winfield
Winfield, Kansas, 67156
Metro Health Hospital
Wyoming, Michigan, 49519
About this study
Official title: A Randomized Phase II Trial of BAY 43-9006 (Sorafenib; NSC-724772) With Either CCI-779 (Temsirolimus; NSC-683864) or R115777 (Tipifarnib; NSC-702818) in Metastatic Melanoma
This randomized phase II trial is studying how well giving sorafenib together with either temsirolimus or tipifarnib works in treating patients with stage IV melanoma that cannot be removed by surgery. Sorafenib, temsirolimus, and tipifarnib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Sorafenib and tipifarnib may also stop the growth of tumor by blocking blood flow to the tumor. It is not yet known whether sorafenib is more effective when given together with temsirolimus or tipifarnib in treating patients with malignant melanoma.
Read the detailed description
PRIMARY OBJECTIVES:
- Compare the response rate (confirmed and unconfirmed and complete and partial) in patients with unresectable stage IV malignant melanoma treated with sorafenib in combination with either temsirolimus or tipifarnib.
II. Compare the 4-month progression-free survival rate of patients treated with these regimens.
III. Compare the safety and tolerability of these regimens, with an emphasis on long-term side effects and toxic effects, in these patients.
OUTLINE: This is a randomized, multicenter study. Patients are stratified according to metastatic (M) stage (M1a/b vs M1c). Patients are randomized to 1 of 2 treatment arms.
ARM I (reopened to accrual as of 8/15/2009): Patients receive oral sorafenib twice daily on days 1-28 and temsirolimus IV over 30 minutes on days 1, 8, 15, and 22.
ARM II (closed to accrual as of 8/15/2009): Patients receive oral sorafenib as in arm I and oral tipifarnib twice daily on days 1-21.
In both arms, courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed periodically for up to 3 years.
- Conditions
- Recurrent Melanoma, Stage IV Melanoma
- Being tested
- sorafenib tosylate, tipifarnib, temsirolimus
- Medical subject headings
- Melanoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
sorafenib tosylateDrug
Also called BAY 43-9006, BAY 43-9006 Tosylate Salt, BAY 54-9085, Nexavar
Given orally
tipifarnibDrug
Also called R115777, Zarnestra
Given orally
temsirolimusDrug
Also called CCI-779, cell cycle inhibitor 779, Torisel
Given IV
| Study group | Role | What they receive |
|---|---|---|
| Arm I (sorafenib, temsirolimus) | Experimental | Patients receive oral sorafenib twice daily on days 1-28 and temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. Receives: Drug: sorafenib tosylate; Drug: temsirolimus |
| Arm II (sorafenib, tipifarnib) | Experimental | Patients receive oral sorafenib as in arm I and oral tipifarnib twice daily on days 1-21 Receives: Drug: sorafenib tosylate; Drug: tipifarnib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Response Rate (Complete and Partial)
Complete response corresponds to complete disappearance of all measurable and non-measurable lesions with no new lesions. Partial response corresponds to greater than or equal to 30fi decrease of sum of longest diameter of all target measurable lesions with no new lesion and non unequivocal progression of non-measurable disease.
Measured: Every 8 weeks until progression
4-month Progression-free Survival
Progression was defined as one or more of the following: 20% increase in the sum of longest diameters of target measurable lesions over smallest sum observed, unequivocal progression of non-measurable disease, appearance of any new lesions, death due to disease without prior documentation of progression and without symptomatic deterioration.
Measured: 4 months after registration
Secondary outcomes (2)
One-year Overall Survival
Measured: One year after registration
Toxicity
Number of patients with Grade 3-5 adverse events that are related to study drug by given type of adverse event
Measured: Weekly during first cycle, every two weeks during the second cycle, and once a cycle further cycles (one cycle = 4 weeks).
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Jan 2006 (estimated)
- Study startAug 2007
- Primary completionDec 2010
- Study completionJan 2011
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.
- Other trials for Recurrent MelanomaStudies of the same condition, open and under way.
- More trials run by National Cancer Institute (NCI)The 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
- 109 participants (actual)
Sponsor and investigators
- Lead sponsor
- National Cancer Institute (NCI)
- Sponsor type
- US National Institutes of Health
- Responsible party
- Sponsor
- Investigators
- Kim Margolin, Principal investigator, SWOG Cancer Research Network
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00281957
- Sponsor's protocol ID
- NCI-2009-00774
- Other IDs
- NCI-2009-00774, S0438, CDR0000454925, S0438, S0438, U10CA032102
- Status last verified
- Apr 2013
- First submitted
- 24 Jan 2006
- Last updated
- 20 May 2014
- Results posted
- Yes, on ClinicalTrials.gov
Study at a glance
From the registry record, last updated by the sponsor on 20 May 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized Phase II Trial of BAY 43-9006 (Sorafenib; NSC-724772) With Either CCI-779 (Temsirolimus; NSC-683864) or R115777 (Tipifarnib; NSC-702818) in Metastatic Melanoma
- ClinicalTrials.gov ID
- NCT00281957
- Acronym / sponsor ID
- NCI-2009-00774
- Conditions
- Recurrent Melanoma, Stage IV Melanoma
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 109 participants (actual)
- Lead sponsor
- National Cancer Institute (NCI)US National Institutes of Health
- Study start
- Aug 2007
- Primary completion
- Dec 2010 (actual)
- Study completion
- Jan 2011 (actual)
- First posted
- 25 Jan 2006 (estimated)
- Results
- Posted 10 Jul 2012
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This randomized phase II trial is studying how well giving sorafenib together with either temsirolimus or tipifarnib works in treating patients with stage IV melanoma that cannot be removed by surgery. Sorafenib, temsirolimus, and tipifarnib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Sorafenib and tipifarnib may also stop the growth of tumor by blocking blood flow to the tumor. It is not yet known whether sorafenib is more effective when given together with temsirolimus or tipifarnib in treating patients with malignant melanoma.
Detailed description
PRIMARY OBJECTIVES:
- Compare the response rate (confirmed and unconfirmed and complete and partial) in patients with unresectable stage IV malignant melanoma treated with sorafenib in combination with either temsirolimus or tipifarnib.
II. Compare the 4-month progression-free survival rate of patients treated with these regimens.
III. Compare the safety and tolerability of these regimens, with an emphasis on long-term side effects and toxic effects, in these patients.
OUTLINE: This is a randomized, multicenter study. Patients are stratified according to metastatic (M) stage (M1a/b vs M1c). Patients are randomized to 1 of 2 treatment arms.
ARM I (reopened to accrual as of 8/15/2009): Patients receive oral sorafenib twice daily on days 1-28 and temsirolimus IV over 30 minutes on days 1, 8, 15, and 22.
ARM II (closed to accrual as of 8/15/2009): Patients receive oral sorafenib as in arm I and oral tipifarnib twice daily on days 1-21.
In both arms, courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed periodically for up to 3 years.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm I (sorafenib, temsirolimus) | Experimental | Drug: sorafenib tosylate, Drug: temsirolimusPatients receive oral sorafenib twice daily on days 1-28 and temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. |
| Arm II (sorafenib, tipifarnib) | Experimental | Drug: sorafenib tosylate, Drug: tipifarnibPatients receive oral sorafenib as in arm I and oral tipifarnib twice daily on days 1-21 |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
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 tosylateAlso: BAY 43-9006, BAY 43-9006 Tosylate Salt, BAY 54-9085, NexavarGiven orally | Drug | Arm I (sorafenib, temsirolimus), Arm II (sorafenib, tipifarnib) |
| tipifarnibAlso: R115777, ZarnestraGiven orally | Drug | Arm II (sorafenib, tipifarnib) |
| temsirolimusAlso: CCI-779, cell cycle inhibitor 779, ToriselGiven IV | Drug | Arm I (sorafenib, temsirolimus) |
Primary outcome
Response Rate (Complete and Partial)
Time frame: Every 8 weeks until progression
Complete response corresponds to complete disappearance of all measurable and non-measurable lesions with no new lesions. Partial response corresponds to greater than or equal to 30fi decrease of sum of longest diameter of all target measurable lesions with no new lesion and non unequivocal progression of non-measurable disease.
4-month Progression-free Survival
Time frame: 4 months after registration
Progression was defined as one or more of the following: 20% increase in the sum of longest diameters of target measurable lesions over smallest sum observed, unequivocal progression of non-measurable disease, appearance of any new lesions, death due to disease without prior documentation of progression and without symptomatic deterioration.
2 secondary outcomes
One-year Overall Survival
Time frame: One year after registration
Toxicity
Time frame: Weekly during first cycle, every two weeks during the second cycle, and once a cycle further cycles (one cycle = 4 weeks).
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 May 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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.
Kim Margolin principal investigator
SWOG Cancer Research Network
173 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing sorafenib tosylate, tipifarnib and temsirolimus in people with Recurrent Melanoma and Stage IV Melanoma, run by National Cancer Institute (NCI) at 173 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
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 20 May 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 173 sites in United States. 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 10 Jul 2012). 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?
Response Rate (Complete and Partial) (time frame: Every 8 weeks until progression). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 20 May 2014.