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NeoplasmsPhase 3STEPNCT00625378

Sorafenib Long Term Extension Program

A Phase 3 study testing Sorafenib (Nexavar, BAY43-9006) in people with Neoplasms, run by Bayer at 74 sites in 19 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary purpose of program was to enable patients, currently receiving sorafenib (Nexavar) in a Bayer/Onyx sponsored clinical trial, to continue sorafenib treatment after their respective study had met its primary endpoint and/or had reached the end as defined in the original protocol. Read more about this study

Who is it for?
Ages 16 years and older
Conditions the study is for
Neoplasms
What is being tested?
Sorafenib (Nexavar, BAY43-9006)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
206 participants
Where
74 sitesin 19 countries
Study dates
21 Dec 2007to 24 Sep 2021
Phase
Phase 3
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 16 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Patients, who are participating in a previous Bayer/Onyx sponsored study that has reached its endpoint (statistical and regulatory or study end), and who are, in the opinion of the Investigator, expected to continue to have an overall positive benefit/risk from continuing treatment.
  • Patients who have signed informed consent for this long term extension program.
  • Women of childbearing potential and men must agree to use adequate contraception prior to study entry and for the duration of study participation, including the 30 days period after last study drug dosing. The investigator should advise the patient how to achieve an adequate contraception.
  • Women of childbearing potential who have a negative pregnancy test within 7 days of the first dose of sorafenib in this long term extension program.
  • Patient is receiving sorafenib (Nexavar) as a monotherapy in their originating protocol. Patients who were being treated with sorafenib (Nexavar) in combination with other chemotherapies in the original study, but continued on single agent sorafenib (Nexavar) after discontinuation of the combination agent will be eligible.
  • Patient who are receiving concurrent combination with sorafenib (Nexavar) and TACE (transarterial chemoembolization) in their originating study will be eligible.
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  • Patients who are receiving concurrent combination with sorafenib (Nexavar) and capecitabine in their originating Study 12444 (RESILIENCE) will be eligible.
  • Patients who are receiving concurrent combination with sorafenib (Nexavar) and erlotinib in their originating study 12917 (SEARCH) were eligible.
  • Patients who have completed the End of Treatment assessments in their originating study. Every effort should be made to conduct the End of Treatment visit such that the patient does not have any interruption of sorafenib dosing.

Who cannot join

  • Any condition that is unstable or that could jeopardize the safety of the patient (please refer to the Investigator Brochure and product labeling safety sections).
  • History of cardiac disease: congestive heart failure > New York Heart Association (NYHA) Class 2 or uncontrolled hypertension.
  • Myocardial infarction (MI) within the last 3 months.
  • Symptomatic metastatic brain or meningeal tumors .
  • 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, Tis \&T1) or any cancer curatively treated > 5 years prior to study entry.
  • Patients with seizure disorder requiring medication (such as steroid anti-epileptics).
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  • Substance abuse, medical, psychological or social conditions that may interfere with the patient's participation in the study or evaluation of the study results.
  • Any condition which could jeopardise the safety of the patient and his/her compliance in the study.
  • Excluded therapies and medications, previous and concomitant:
  • Concurrent anti-cancer chemotherapy, except transarterial chemoembolization (TACE) and capecitabine
  • Concurrent immunotherapy (including monoclonal antibodies), during or within 30 days prior to start of study drug
  • Concurrent hormonal therapy, except for bisphosphonates,during or within 30 days prior to start of study drug
  • Concomitant Rifampicin and St John's Wort (Warfarin may be used only with very close monitoring)
  • Radiotherapy during study or within 3 weeks of start of study drug. [Palliative radiotherapy will be allowed]
  • Concomitant use of potent inhibitors of CYP3A4 including ketoconazole, itraconazole and ritonavir. Consumption of grapefruit juice should also be avoided.

Trial locations and contacts

74 sites in 19 countries.

74 sites in 19 countries

Italy10 sites
  • Study site

    Bologna, Emilia-Romagna, 40138

  • Study site

    Milan, Lombardy, 20089

  • Study site

    Milan, Lombardy, 20122

  • Study site

    Milan, Lombardy, 20133

  • Study site

    Pavia, Lombardy, 27100

  • Study site

    Perugia, Umbria, 06132

  • Study site

    Pisa, Tuscany, 56126

  • Study site

    Reggio Emilia, Emilia-Romagna, 42123

  • Study site

    Siena, Tuscany, 53100

  • Study site

    Turin, Piedmont, 10043

Other trials in Italy

Spain8 sites
  • Study site

    Alicante, 03010

  • Study site

    Barcelona, 08003

  • Study site

    Barcelona, 08035

  • Study site

    Barcelona, 08036

  • Study site

    Madrid, 28040

  • Study site

    Madrid, 28041

  • Study site

    Oviedo, Principality of Asturias, 33011

  • Study site

    Valencia, 46014

Other trials in Spain

Canada7 sites
  • Study site

    Calgary, Alberta, T2N 4N1

  • Study site

    Edmonton, Alberta, T6G 1Z2

  • Study site

    Montreal, Quebec, H3A 1A1

  • Study site

    Montreal, Quebec, H3G 1A4

  • Study site

    Montreal, Quebec, H3T 1E2

  • Study site

    Toronto, Ontario, M5G 2C4

  • Study site

    Toronto, Ontario, M5G 2M9

Other trials in Canada

United Kingdom7 sites
  • Study site

    Cardiff, South Glamorgan, CF14 2TL

  • Study site

    Glasgow, G12 0YN

  • Study site

    London, SE1 9RT

  • Study site

    London, SW3 6JJ

  • Study site

    Maidstone, Kent, ME16 9QQ

  • Study site

    Southampton, Hampshire, SO16 6YD

  • Study site

    Sutton, Surrey, SM2 5PT

Other trials in United Kingdom

Germany6 sites
  • Study site

    Berlin, 12200

  • Study site

    Essen, North Rhine-Westphalia, 45239

  • Study site

    Gauting, Bavaria, 82131

  • Study site

    Großhansdorf, Schleswig-Holstein, 22927

  • Study site

    Hamburg, 20246

  • Study site

    Regensburg, Bavaria, 93042

Other trials in Germany

Poland6 sites
  • Study site

    Gdansk, 80-219

  • Study site

    Poznan, 61-848

  • Study site

    Szczecin, 70-111

  • Study site

    Warsaw, 02-781

  • Study site

    Warsaw, 04-141

  • Study site

    Wroclaw, 50 - 556

Other trials in Poland

Taiwan6 sites
  • Study site

    Kaohsiung City, 833

  • Study site

    Taichung, 40447

  • Study site

    Tainan, 736

  • Study site

    Taipei, 10002

  • Study site

    Taipei, 106

  • Study site

    Taoyuan, 33305

Other trials in Taiwan

China5 sites
  • Study site

    Beijing, 100021

  • Study site

    Guangzhou, Guangdong, 510080

  • Study site

    Hangzhou, Zhejiang, 310022

  • Study site

    Shanghai, 200030

  • Study site

    Xi’an, Shanxi, 710032

Other trials in China

United States4 sites
  • Study site

    Los Angeles, California, 90025

  • Study site

    New Haven, Connecticut, 06511-5991

  • Study site

    Philadelphia, Pennsylvania, 19104

  • Study site

    San Antonio, Texas, 78229

Other trials in United States

South Korea4 sites
  • Study site

    Daegu, 700721

  • Study site

    Seoul, Seoul Teugbyeolsi, 03080

  • Study site

    Seoul, 03722

  • Study site

    Seoul, 06351

Other trials in South Korea

Belgium2 sites
  • Study site

    Bruxelles - Brussel, 1200

  • Study site

    Charleroi, 6000

Other trials in Belgium

Bulgaria2 sites
  • Study site

    Plovdiv, 4002

  • Study site

    Varna, 9010

Other trials in Bulgaria

Australia1 site
  • Study site

    Randwick, New South Wales, 2031

Other trials in Australia

Brazil1 site
  • Study site

    São Paulo, 01246-903

Other trials in Brazil

Colombia1 site
  • Study site

    Floridablanca, Santander Department

Other trials in Colombia

France1 site
  • Study site

    Bordeaux, 33000

Other trials in France

Hong Kong1 site
  • Study site

    Hong Kong

Other trials in Hong Kong

New Zealand1 site
  • Study site

    Auckland, 1023

Other trials in New Zealand

Ukraine1 site
  • Study site

    Kiev, 115

Other trials in Ukraine

About this study

The primary purpose of program was to enable patients, currently receiving sorafenib (Nexavar) in a Bayer/Onyx sponsored clinical trial, to continue sorafenib treatment after their respective study had met its primary endpoint and/or had reached the end as defined in the original protocol. Patients were able to continue treatment until (i) the treating physician felt the patient was no longer benefiting from the treatment or (ii) the treatment becomes commercially available and reimbursed for the respective indication as applicable in the country in which the patient lived and the patient could obtain suitable amounts of drug for treatment through standard mechanisms of commercial availability (ie, there should be no interruption in the patient's treatment schedule when switching to commercially available product) or (iii) the patient could join a Post-Trial-Access Program, another study or can receive sorafenib through any other mechanism (e.g. local access program) in accordance with local legal and compliance rules, with no cost to the patient with respect to sorafenib.

An additional objective was the assessment of the safety of Nexavar or Nexavar combination treatment.

Conditions
Neoplasms
Being tested
Sorafenib (Nexavar, BAY43-9006)
Keywords
Cancer, Sorafenib, Extension program
Medical subject headings
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

    At the same dose and schedule as in the participants' original clinical trials

Study groups in NCT00625378
Study groupRoleWhat they receive
Sorafenib (Nexavar, BAY43-9006)ExperimentalParticipants receive single-agent sorafenib at the same dose and schedule as in their original clinical trials.
Receives: Drug: Sorafenib (Nexavar, BAY43-9006)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Sorafenib Treatment Duration Within STEP

    Treatment duration was calculated in days as the date of the last dose of any study treatment minus date of the first dose of any study treatment plus one day.

    Measured: From the date of the first sorafenib dose until the date of the last sorafenib dose, with a mean duration of 25 months and max duraton of 153.8 months

  2. Number of Participants With New Treatment-emergent Adverse Events (TEAEs)

    An adverse event (AE) was any untoward medical occurrence in a participant or clinical investigation participant administered with a pharmaceutical product. The adverse event did not necessarily have to have a causal relationship with this treatment. A serious adverse event (SAE) was any untoward medical occurrence that at any dose: resulted in death; was life-threatening; required in-patient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability or incapacity; was a congenital anomaly or birth defect; was an important medical event. A new treatment-emergent adverse event (TEAE) was any AE that had a start date on or after ICF date in STEP and up to 30 days after the last sorafenib dose. A drug-related new TEAE was any new TEAE that had a causal relationship with the study treatment as assessed by the investigator.

    Measured: From signing the informed consent form (ICF) in STEP until 30 days after the last sorafenib dose, with a mean duration of 26 months

  3. Number of Participants With New TEAEs of CTCAE Grades 3 or Higher by Worst CTCAE Grade

    An adverse event (AE) was any untoward medical occurrence in a participant or clinical investigation participant administered with a pharmaceutical product. The AE did not necessarily have to have a causal relationship with this treatment. A new treatment-emergent adverse event (TEAE) was any AE that had a start date on or after ICF date in STEP and up to 30 days after the last sorafenib dose. The intensity or severity of AEs were graded using the National Cancer Institute-Common Terminology Criteria, Version 3.0 (NCI-CTC v. 3.0). The Common Terminology Criteria for AE (CTCAE) are a set of criteria for the standardized classification of adverse effects of drugs used in cancer therapy. It uses a range of grades from 1 to 5. Specific conditions and symptoms may have values or descriptive comment for each level, but the general guideline is: Grade 1 - mild; Grade 2 - moderate; Grade 3 - severe; Grade 4 - life-threatening; Grade 5 - death.

    Measured: From signing the ICF in STEP until 30 days after the last sorafenib dose, with a mean duration of 26 months

  4. Number of Participants With Study Drug-related New TEAEs of CTCAE Grades 3 or Higher by Worst CTCAE Grade

    An adverse event (AE) was any untoward medical occurrence in a participant or clinical investigation participant administered with a pharmaceutical product. The AE did not necessarily have to have a causal relationship with this treatment. A new treatment-emergent AE (TEAE) was any AE that had a start date on or after ICF date in STEP and up to 30 days after the last sorafenib dose. A drug-related new TEAE was a new TEAE that had a causal relationship with the study treatment as assessed by the investigator. The intensity or severity of AEs were graded using the National Cancer Institute-Common Terminology Criteria (CTC v3). The Common Terminology Criteria for AE (CTCAE) are a set of criteria for the standardized classification of adverse effects of drugs used in cancer therapy. It uses a range of grades from 1 to 5. The general guideline is: Grade 1 - mild; Grade 2 - moderate; Grade 3 - severe; Grade 4 - life-threatening; Grade 5 - death.

    Measured: From signing the ICF in STEP until 30 days after the last sorafenib dose, with a mean duration of 26 months

  5. Number of Participants With All Adverse Events

    An adverse event (AE) was any untoward medical occurrence in a participant or clinical investigation participant administered with a pharmaceutical product. The AE did not necessarily have to have a causal relationship with this treatment. A drug-related AE was any AE that had a causal relationship with the study treatment as assessed by the investigator. All AEs in STEP were the combination of AEs ongoing from feeder studies and new TEAEs.

    Measured: From signing the ICF in STEP until 30 days after the last sorafenib dose, with a mean duration of 26 months

  6. Number of Participants With All Adverse Events of CTCAE Grades 3 or Higher by Worst CTCAE Grade

    An adverse event (AE) was any untoward medical occurrence in a participant or clinical investigation participant administered with a pharmaceutical product. The AE did not necessarily have to have a causal relationship with this treatment. All AEs in STEP were the combination of AEs ongoing from feeder studies and new TEAEs. The intensity or severity of AEs were graded using the National Cancer Institute-Common Terminology Criteria, Version 3.0 (NCI-CTC v. 3.0). The Common Terminology Criteria for AE (CTCAE) are a set of criteria for the standardized classification of adverse effects of drugs used in cancer therapy. It uses a range of grades from 1 to 5. Specific conditions and symptoms may have values or descriptive comment for each level, but the general guideline is: Grade 1 - mild; Grade 2 - moderate; Grade 3 - severe; Grade 4 - life-threatening; Grade 5 - death.

    Measured: From signing the ICF in STEP until 30 days after the last sorafenib dose, with a mean duration of 26 months

  7. Number of Participants With Study Drug-related All Adverse Events of CTCAE Grades 3 or Higher by Worst CTCAE

    An adverse event (AE) was any untoward medical occurrence in a participant or clinical investigation participant administered with a pharmaceutical product. The AE did not necessarily have to have a causal relationship with this treatment. A drug-related AE was any AE that had a causal relationship with the study treatment as assessed by the investigator. All AEs in STEP was a combination of AEs ongoing from feeder studies and new TEAEs. The intensity or severity of AEs were graded using the National Cancer Institute-Common Terminology Criteria, Version 3.0 (NCI-CTC v. 3.0). The Common Terminology Criteria for AE (CTCAE) are a set of criteria for the standardized classification of adverse effects of drugs used in cancer therapy. It uses a range of grades from 1 to 5. Specific conditions and symptoms may have values or descriptive comment for each level, but the general guideline is: Grade 1 - mild; Grade 2 - moderate; Grade 3 - severe; Grade 4 - life-threatening; Grade 5 - death.

    Measured: From signing the ICF in STEP until 30 days after the last sorafenib dose, with a mean duration of 26 months

  8. Number of Deaths With Primary Cause of Death

    Primary cause of death included: any cause; progressive disease; toxicity due to study treatment (with at least one AE with outcome death); other (unspecified) or missing cause.

    Measured: From signing the ICF in STEP until completion or discontinuation of the study, with a mean duration of 26 months

  9. Number of Participants With Abnormal Hematological and Biochemical Laboratory Values by Worst CTCAE Grade

    Hematology and blood chemistry values were summarized according to their worst CTCAE grade, where applicable. Hematology and blood chemistry values were graded based on the applicable laboratory threshold values outlined in NCI CTCAE version 3.0. Participants with a specific laboratory value that were "not graded" are not included in the table. CTCAE grade was set to "not graded" if the reference ranges or other information necessary to derive grades were unavailable or result had a special character (such as > or < ). The Common Terminology Criteria for Adverse Events (CTCAE) are a set of criteria for the standardized classification of adverse effects of drugs used in cancer therapy. It uses a range of grades from 1 to 5. Specific conditions and symptoms may have values or descriptive comment for each level, but the general guideline is: Grade 1 - mild; Grade 2 - moderate; Grade 3 - severe; Grade 4 - life-threatening; Grade 5 - death.

    Measured: From signing the ICF in STEP until 30 days after the last sorafenib dose, with a mean duration of 26 months

  10. Number of Participants With ECOG Performance Status by 6-months Time Intervals

    Eastern cooperative oncology group (ECOG) performance status: 0 = Fully active, able to carry on all pre-disease performance without restriction; 1 = Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g. light house work, office work; 2 = Ambulatory and capable of all self-care but unable to carry out any work activities, up and about more than 50% of waking hours; 3 = Capable of only limited self-care, confined to bed or chair more than 50% of waking hours; 4 = Completely disabled, cannot carry on any self-care, totally confined to bed or chair; 5 = Dead

    Measured: Up to 156 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Feb 2008 (estimated)
  2. Study start21 Dec 2007
  3. Primary completion24 Sep 2021
  4. Study completion24 Sep 2021

Resources

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 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
206 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00625378
Sponsor's protocol ID
12311
Other IDs
2007-002604-17
Acronym
STEP
Status last verified
Aug 2022
First submitted
20 Feb 2008
Last updated
1 Sep 2022
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.clinicalstudydatarequest.com to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the Study sponsors section of the portal.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Sorafenib (Nexavar, BAY43-9006) in people with Neoplasms, run by Bayer at 74 sites in 19 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 9 inclusion and 15 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 1 Sep 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 74 sites in Italy, Spain, Canada, United Kingdom, Germany and 14 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 1 Sep 2022). 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?

Sorafenib Treatment Duration Within STEP (time frame: From the date of the first sorafenib dose until the date of the last sorafenib dose, with a mean duration of 25 months and max duraton of 153.8 months). The study lists 10 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 1 Sep 2022.

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