Recurrent Colon CancerPhase 2NCT00826540
Sorafenib and Bevacizumab in Treating Patients With Metastatic Colorectal Cancer
A Phase 2 study testing sorafenib tosylate and bevacizumab in people with Recurrent Colon Cancer and Recurrent Rectal Cancer, run by Alliance for Clinical Trials in Oncology at 211 sites in United States.
Trial summary
This phase II trial is studying how well giving sorafenib together with bevacizumab works in treating patients with metastatic colorectal cancer. Sorafenib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Recurrent Colon Cancer, Recurrent Rectal Cancer, Stage IV Colon Cancer
- What is being tested?
- sorafenib tosylate and bevacizumab
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 83 participants
- Where
- 211 sitesUnited States
- Study dates
- Sep 2009to Feb 2014
- 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
- Diagnosis of stage IV colorectal cancer (histologic proof is not required)
- Measurable disease
- Spiral CT scan required for both pre- and post-treatment tumor assessments of lesions measuring 1-2 cm
- Progressive disease during or within 6 months of most recent prior chemotherapy regimen (bevacizumab, fluoropyrimidine, oxaliplatin, or irinotecan-based treatment) OR considered ineligible for standard therapy
- Documentation of submission of tumor material for Kirsten Rat Sarcoma (KRAS) testing available
- Prior anti-epidermal growth factor receptor (EGFR) antibody therapy (e.g., cetuximab or panitumumab) required for patients with wild-type KRAS tumor
Show all 64Show fewer
- No known brain metastasis
- Patients with neurological symptoms must undergo a CT scan or MRI of the brain to exclude brain metastasis
- Eastern Cooperative Oncology Group (ECOG) performance status 0-1
- Life expectancy ≥ 6 months
- Hemoglobin ≥ 9.0 g/dL
- Absolute neutrophil count (ANC) ≥ 1,500/mm³
- Platelet count ≥ 100,000/mm³
- White blood cell count (WBC) ≥ 3,400/mm³
- International normalized ratio (INR) < 1.5 (≤ 3.0 if on anti-coagulation therapy [e.g., warfarin or heparin])
- Total bilirubin ≤ 1.5 times upper limit of normal (ULN)
- Aspartate aminotransferase (AST) ≤ 2.5 times ULN (≤ 5 times ULN if there is liver involvement)
- Alkaline phosphatase ≤ 3 times ULN
- Creatinine ≤ 1.5 times ULN
- Urine protein:creatinine ratio < 1 OR urine dipstick < 2+ OR urine protein < 1,000 mg by 24-hour urine collection
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception during and for ≥ 6 months after completion of study treatment (≥ 2 weeks after completion of treatment with sorafenib tosylate alone)
- Willing to provide mandatory blood samples for translational research studies
- Able to swallow whole pills
- No inadequately controlled hypertension (i.e., systolic BP > 150 mm Hg or diastolic BP > 100 mm Hg on anti-hypertensive medications)
- No prior hypertensive crisis or hypertensive encephalopathy
- No myocardial infarction or unstable angina within the past 6 months
- No congestive heart failure requiring use of ongoing maintenance therapy for life-threatening ventricular arrhythmias
- No thrombolic or embolic events (e.g., cerebrovascular accident, including transient ischemic attacks) within the past 6 months
- No hemorrhage or bleeding event > grade 3 within the past 4 weeks
- No evidence or history of bleeding diathesis or coagulopathy (in the absence of therapeutic anticoagulation)
- No greater than normal risk of bleeding
- No active or recent hemoptysis (≥ ½ teaspoon of bright red blood per episode) within the past 30 days
- No concurrent uncontrolled illness including, but not limited to, any of the following:
- Ongoing or active infection
- Symptomatic congestive heart failure
- Unstable angina pectoris
- Cardiac arrhythmia requiring anti-arrhythmic drugs
- Psychiatric illness or social situations that would limit compliance with study requirements
- No known HIV infection or chronic hepatitis B or C infection
- No serious, non-healing wound, active ulcer, or untreated bone fracture
- Patients with fractures secondary to metastatic disease are eligible after appropriate radiotherapy
- No significant traumatic injury within the past 4 weeks
- No known or suspected allergy or hypersensitivity to any component of bevacizumab, sorafenib tosylate, or their excipients or to any other agent given in the course of this study
- No malabsorption problem
- None of the following within the past 6 months:
- Significant vascular disease (e.g., aortic aneurysm or aortic dissection)
- Peripheral arterial thrombosis
- Symptomatic peripheral vascular disease
- Abdominal fistula
- Gastrointestinal perforation
- Intra-abdominal abscess
- No other active malignancy within the past 3 years except non melanoma skin cancer or carcinoma in situ of the cervix
- Prior malignancy allowed provided patient is not receiving other specific treatment for that malignancy (other than hormonal therapy)
- No other concurrent investigational agent for this cancer
- Prior radiotherapy allowed
- No prior sorafenib tosylate
- No prior discontinuation of bevacizumab due to adverse events
- More than 4 weeks since prior and no concurrent participation in any other experimental drug study
- More than 4 weeks since prior St. John's wort or rifampin
- More than 4 weeks since prior and no concurrent major surgical procedure or open biopsy
- More than 7 days since prior core biopsy or minor surgical procedure, including placement of a vascular access device
- No concurrent anticoagulant, except low-dose warfarin or heparin for deep venous thrombosis prophylaxis
Who cannot join
None listed.
Trial locations and contacts
211 sites in 1 country.
211 sites in 1 country
United States211 sites
Bixby Medical Center
Adrian, Michigan, 49221
Hickman Cancer Center
Adrian, Michigan, 49221
Saint Joseph Mercy Hospital
Ann Arbor, Michigan, 48106-0995
Michigan Cancer Research Consortium Community Clinical Oncology Program
Ann Arbor, Michigan, 48106
Hospital District Sixth of Harper County
Anthony, Kansas, 67003
The Medical Center of Aurora
Aurora, Colorado, 80012
Saint Francis Hospital and Health Centers
Beech Grove, Indiana, 46107
Sanford Clinic North-Bemidgi
Bemidji, Minnesota, 56601
Constantinou, Costas L MD (UIA Investigator)
Bettendorf, Iowa, 52722
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
Bismarck Cancer Center
Bismarck, North Dakota, 58501
Mid Dakota Clinic
Bismarck, North Dakota, 58501
Saint Alexius Medical Center
Bismarck, North Dakota, 58501
Sanford Bismarck Medical Center
Bismarck, North Dakota, 58501
Saint Joseph Medical Center
Bloomington, Illinois, 61701
Boulder Community Hospital
Boulder, Colorado, 80301
Toledo Clinic Cancer Centers-Bowling Green
Bowling Green, Ohio, 43402
Bozeman Deaconess Cancer Center
Bozeman, Montana, 59715
Fairview Ridges Hospital
Burnsville, Minnesota, 55337
Saint James Community Hospital and Cancer Treatment Center
Butte, Montana, 59701
Graham Hospital Association
Canton, Illinois, 61520
Memorial Hospital
Carthage, Illinois, 62321
Cedar Rapids Oncology Association
Cedar Rapids, Iowa, 52403
Mercy Hospital
Cedar Rapids, Iowa, 52403
Oncology Associates at Mercy Medical Center
Cedar Rapids, Iowa, 52403
Cancer Center of Kansas - Chanute
Chanute, Kansas, 66720
Medical Oncology and Hematology Associates-West Des Moines
Clive, Iowa, 50325
North Coast Cancer Care-Clyde
Clyde, Ohio, 43410
Penrose-Saint Francis Healthcare
Colorado Springs, Colorado, 80907
Mercy Hospital
Coon Rapids, Minnesota, 55433
Geisinger Medical Center
Danville, Pennsylvania, 17822-2001
Grandview Hospital
Dayton, Ohio, 45405
Good Samaritan Hospital - Dayton
Dayton, Ohio, 45406
Miami Valley Hospital
Dayton, Ohio, 45409
Samaritan North Health Center
Dayton, Ohio, 45415
Dayton CCOP
Dayton, Ohio, 45420
Oakwood Hospital
Dearborn, Michigan, 48124
Saint Anthony Central Hospital
Denver, Colorado, 80204
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
Des Moines, Iowa, 50314
Mercy Medical Center - Des Moines
Des Moines, Iowa, 50314
Iowa Lutheran Hospital
Des Moines, Iowa, 50316
Saint John Hospital and Medical Center
Detroit, Michigan, 48236
Cancer Center of Kansas - Dodge City
Dodge City, Kansas, 67801
Essentia Health Duluth Clinic CCOP
Duluth, Minnesota, 55805
Essentia Health Saint Mary's Medical Center
Duluth, Minnesota, 55805
Miller-Dwan Hospital
Duluth, Minnesota, 55805
Midelfort Clinic-Clairemont Campus
Eau Claire, Wisconsin, 54702
Mayo Clinic Health System Eau Claire Hospital - Luther Campus
Eau Claire, Wisconsin, 54703
Fairview-Southdale Hospital
Edina, Minnesota, 55435
Cancer Center of Kansas - El Dorado
El Dorado, Kansas, 67042
Elkhart General Hospital
Elkhart, Indiana, 46515
Hematology Oncology Center Incorporated
Elyria, Ohio, 44035
Swedish Medical Center
Englewood, Colorado, 80110
Green Bay Oncology - Escanaba
Escanaba, Michigan, 49431
Eureka Hospital
Eureka, Illinois, 61530
Sanford Clinic North-Fargo
Fargo, North Dakota, 58122
Sanford Medical Center-Fargo
Fargo, North Dakota, 58122
Blanchard Valley Hospital
Findlay, Ohio, 45840
Hurley Medical Center
Flint, Michigan, 48502
Genesys Regional Medical Center-West Flint Campus
Flint, Michigan, 48532
Cancer Center of Kansas - Fort Scott
Fort Scott, Kansas, 66701
Atrium Medical Center-Middletown Regional Hospital
Franklin, Ohio, 45005-1066
Fredericksburg Oncology Inc
Fredericksburg, Virginia, 22401
Unity Hospital
Fridley, Minnesota, 55432
Galesburg Clinic
Galesburg, Illinois, 61401
Galesburg Cottage Hospital
Galesburg, Illinois, 61401
Altru Cancer Center
Grand Forks, North Dakota, 58201
Saint Mary's Hospital and Regional Medical Center
Grand Junction, Colorado, 81502
Berdeaux, Donald MD (UIA Investigator)
Great Falls, Montana, 59405
Great Falls Clinic
Great Falls, Montana, 59405
North Colorado Medical Center
Greeley, Colorado, 80631
Green Bay Oncology at Saint Vincent Hospital
Green Bay, Wisconsin, 54301-3526
Saint Vincent Hospital
Green Bay, Wisconsin, 54301
Green Bay Oncology Limited at Saint Mary's Hospital
Green Bay, Wisconsin, 54303
Saint Mary's Hospital
Green Bay, Wisconsin, 54303
Wayne Hospital
Greenville, Ohio, 45331
Mason District Hospital
Havana, Illinois, 62644
Northern Montana Hospital
Havre, Montana, 59501
Geisinger Medical Center-Cancer Center Hazelton
Hazleton, Pennsylvania, 18201
Saint Peter's Community Hospital
Helena, Montana, 59601
Hutchinson Area Health Care
Hutchinson, Minnesota, 55350
Cancer Center of Kansas-Independence
Independence, Kansas, 67301
Green Bay Oncology - Iron Mountain
Iron Mountain, Michigan, 49801
Allegiance Health
Jackson, Michigan, 49201
Mayo Clinic in Florida
Jacksonville, Florida, 32224-9980
Glacier Oncology PLLC
Kalispell, Montana, 59901
Kalispell Medical Oncology
Kalispell, Montana, 59901
Kalispell Regional Medical Center
Kalispell, Montana, 59901
Kettering Medical Center
Kettering, Ohio, 45429
Cancer Center of Kansas-Kingman
Kingman, Kansas, 67068
Community Howard Regional Health
Kokomo, Indiana, 46904
Indiana University Health La Porte Hospital
La Porte, Indiana, 46350
Sparrow Hospital
Lansing, Michigan, 48912
Lawrence Memorial Hospital
Lawrence, Kansas, 66044
Lima Memorial Hospital
Lima, Ohio, 45804
Saint Mary Mercy Hospital
Livonia, Michigan, 48154
Sky Ridge Medical Center
Lone Tree, Colorado, 80124
Longmont United Hospital
Longmont, Colorado, 80501
McKee Medical Center
Loveland, Colorado, 80539
Mcdonough District Hospital
Macomb, Illinois, 61455
Holy Family Memorial Hospital
Manitowoc, Wisconsin, 54221
Immanuel-Saint Joseph Hospital-Mayo Health System
Mankato, Minnesota, 56002
Minnesota Oncology Hematology PA-Maplewood
Maplewood, Minnesota, 55109
Saint John's Hospital - Healtheast
Maplewood, Minnesota, 55109
Bay Area Medical Center
Marinette, Wisconsin, 54143
Mercy Medical Center - North Iowa
Mason City, Iowa, 50401
Toledo Clinic Cancer Centers-Maumee
Maumee, Ohio, 43537-1839
Saint Luke's Hospital
Maumee, Ohio, 43537
Toledo Radiation Oncology at Northwest Ohio Onocolgy Center
Maumee, Ohio, 43537
Abbott-Northwestern Hospital
Minneapolis, Minnesota, 55407
Virginia Piper Cancer Institute
Minneapolis, Minnesota, 55407
Hennepin County Medical Center
Minneapolis, Minnesota, 55415
Saint Joseph Regional Medical Center-Mishawaka
Mishawaka, Indiana, 46545-1470
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
Holy Family Medical Center
Monmouth, Illinois, 61462
Community Cancer Center of Monroe
Monroe, Michigan, 48162
Mercy Memorial Hospital
Monroe, Michigan, 48162
Cancer Center of Kansas - Newton
Newton, Kansas, 67114
Bromenn Regional Medical Center
Normal, Illinois, 61761
Community Cancer Center Foundation
Normal, Illinois, 61761
Green Bay Oncology - Oconto Falls
Oconto Falls, Wisconsin, 54154
Saint Charles Hospital
Oregon, Ohio, 43616
Toledo Clinic Cancer Centers-Oregon
Oregon, Ohio, 43616
Illinois CancerCare-Ottawa Clinic
Ottawa, Illinois, 61350
Ottawa Regional Hospital and Healthcare Center
Ottawa, Illinois, 61350
Cancer Center of Kansas - Parsons
Parsons, Kansas, 67357
Pekin Cancer Treatment Center
Pekin, Illinois, 61554
Pekin Hospital
Pekin, Illinois, 61554
Methodist Medical Center of Illinois
Peoria, Illinois, 61603
Proctor Hospital
Peoria, Illinois, 61614
Illinois CancerCare-Peoria
Peoria, Illinois, 61615
Illinois Oncology Research Association CCOP
Peoria, Illinois, 61615
OSF Saint Francis Medical Center
Peoria, Illinois, 61637
Illinois Valley Hospital
Peru, Illinois, 61354
Saint Joseph Mercy Oakland
Pontiac, Michigan, 48341-2985
Saint Joseph Mercy Port Huron
Port Huron, Michigan, 48060
Adventist Medical Center
Portland, Oregon, 97216
Cancer Center of Kansas - Pratt
Pratt, Kansas, 67124
Perry Memorial Hospital
Princeton, Illinois, 61356
Saint Mary Corwin Medical Center
Pueblo, Colorado, 81004
Reid Hospital and Health Care Services
Richmond, Indiana, 47374
North Memorial Medical Health Center
Robbinsdale, Minnesota, 55422
Mayo Clinic
Rochester, Minnesota, 55905
Saint Mary's of Michigan
Saginaw, Michigan, 48601
Lakeland Hospital
Saint Joseph, Michigan, 49085
Metro-Minnesota CCOP
Saint Louis Park, Minnesota, 55416
Park Nicollet Clinic - Saint Louis Park
Saint Louis Park, Minnesota, 55416
Regions Hospital
Saint Paul, Minnesota, 55101
United Hospital
Saint Paul, Minnesota, 55102
Cancer Center of Kansas - Salina
Salina, Kansas, 67401
North Coast Cancer Care
Sandusky, Ohio, 44870
Mayo Clinic in Arizona
Scottsdale, Arizona, 85259
Saint Francis Regional Medical Center
Shakopee, Minnesota, 55379
Welch Cancer Center
Sheridan, Wyoming, 82801
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
Memorial Hospital of South Bend
South Bend, Indiana, 46601
Northern Indiana Cancer Research Consortium
South Bend, Indiana, 46601
South Bend Clinic
South Bend, Indiana, 46617
Saint Margaret's Hospital
Spring Valley, Illinois, 61362
Saint John's Hospital
Springfield, Missouri, 65804
Missouri Baptist Medical Center
St Louis, Missouri, 63131
Center for Cancer Care and Research
St Louis, Missouri, 63141
Geisinger Medical Group
State College, Pennsylvania, 16801
Green Bay Oncology - Sturgeon Bay
Sturgeon Bay, Wisconsin, 54235
Flower Hospital
Sylvania, Ohio, 43560
North Suburban Medical Center
Thornton, Colorado, 80229
Mercy Hospital of Tiffin
Tiffin, Ohio, 44883
The Toledo Hospital/Toledo Children's Hospital
Toledo, Ohio, 43606
Saint Vincent Mercy Medical Center
Toledo, Ohio, 43608
University of Toledo
Toledo, Ohio, 43614
Toledo Community Hospital Oncology Program CCOP
Toledo, Ohio, 43617
Mercy Cancer Center at Saint Anne Mercy Hospital
Toledo, Ohio, 43623
Toledo Clinic Cancer Centers-Toledo
Toledo, Ohio, 43623
Upper Valley Medical Center
Troy, Ohio, 45373
Ridgeview Medical Center
Waconia, Minnesota, 55387
Saint John Macomb-Oakland Hospital
Warren, Michigan, 48093
Fulton County Health Center
Wauseon, Ohio, 43567
Cancer Center of Kansas - Wellington
Wellington, Kansas, 67152
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
Geisinger Wyoming Valley
Wilkes-Barre, Pennsylvania, 18711
Clinton Memorial Hospital
Wilmington, Ohio, 45177
Cancer Center of Kansas - Winfield
Winfield, Kansas, 67156
Minnesota Oncology and Hematology PA-Woodbury
Woodbury, Minnesota, 55125
Greene Memorial Hospital
Xenia, Ohio, 45385
About this study
Official title: Phase II Study of Sorafenib/Avastin® as Salvage Therapy in Patients With Metastatic Colorectal Cancer
This phase II trial is studying how well giving sorafenib together with bevacizumab works in treating patients with metastatic colorectal cancer. Sorafenib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Monoclonal antibodies, such as bevacizumab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Sorafenib and bevacizumab may also stop the growth of tumor cells by blocking blood flow to the tumor. Giving sorafenib together with bevacizumab may kill more tumor cells
Read the detailed description
PRIMARY OBJECTIVES:
- Evaluate proportion of patients who are progression-free at 3 months (in historic comparison with results for single-agent bevacizumab in ECOG 3200).
SECONDARY OBJECTIVES:
- Response rate (RR) II. Overall survival (OS) III. Safety IV. Feasibility
OUTLINE: This is a multicenter study.
Patients receive sorafenib tosylate orally twice daily on days 1-5 and 8-12 and bevacizumab IV over 30-90 minutes on day 1. Courses repeat every 14 days in the absence of disease progression or unacceptable toxicity. Blood samples are collected at baseline and then periodically during study treatment for laboratory biomarker and pharmacogenetic studies.
After completion of study treatment, patients are followed periodically for up to 2 years.
- Conditions
- Recurrent Colon Cancer, Recurrent Rectal Cancer, Stage IV Colon Cancer, Stage IV Rectal Cancer
- Being tested
- sorafenib tosylate, bevacizumab
- Medical subject headings
- Colonic Neoplasms, Rectal Neoplasms
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
bevacizumabBiological
Also called anti-VEGF humanized monoclonal antibody, anti-VEGF monoclonal antibody, Avastin, rhuMAb VEGF
Given IV
| Study group | Role | What they receive |
|---|---|---|
| Treatment (sorafenib tosylate and bevacizumab) | Experimental | Patients receive sorafenib tosylate orally twice daily on days 1-5 and 8-12 and bevacizumab IV over 30-90 minutes on day 1. Courses repeat every 14 days in the absence of disease progression or unacceptable toxicity. Blood samples are collected at baseline and then periodically during study treatment for laboratory biomarker and pharmacogenetic studies Receives: Drug: sorafenib tosylate; Biological: bevacizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival Rate
The primary endpoint of this trial is progression free survival at 3 months. All patients meeting the eligibility criteria who have signed a consent form and have begun treatment will be considered evaluable. Patients lost to follow-up before 3 months (e.g., progression, refusing further treatment, etc.) will be considered treatment failures. All eligible patients will be followed until death or a minimum of 3 years. The proportion of successes will be estimated by the number of successes divided by the total number of evaluable patients.
Progression is defined as at least a 20% increase in the sum of longest liameter of target lesions taking as reference the smallest sum longest diameter recorded since the treatment started or the appearance of one or more new lesions.
Measured: At 3 months
Secondary outcomes (3)
Response Rate
Number of patients reporting a partial response or complete response while on treatment
Measured: 2 years
Overall Survival
The distribution of overall survival will be estimated using Kaplan-Meier methodology.
Measured: 2 years
Feasibility of Study Treatment
Will be evaluated based on the number of patients who delayed treatment, omitted doses of treatment, or reduced treatment dose.
Measured: 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Jan 2009 (estimated)
- Study startSep 2009
- Primary completionJan 2010
- Study completionFeb 2014
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 (1)Papers the sponsor has linked to this study.
- Other trials for Recurrent Colon CancerStudies of the same condition, open and under way.
- More trials run by Alliance for Clinical Trials in OncologyThe 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 83 participants (actual)
Sponsor and investigators
- Lead sponsor
- Alliance for Clinical Trials in Oncology
- Sponsor type
- University, hospital or other
- Collaborators
- National Cancer Institute (NCI)
- Responsible party
- Sponsor
- Investigators
- Axel Grothey, MD, Study chair, North Central Cancer Treatment Group
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00826540
- Sponsor's protocol ID
- NCCTG-N054C
- Other IDs
- NCI-2009-01177, U10CA025224, CDR0000632342
- Status last verified
- Dec 2025
- First submitted
- 21 Jan 2009
- Last updated
- 20 Jan 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Xie H, Lafky JM, Morlan BW, Stella PJ, Dakhil SR, Gross GG, Loui WS, Hubbard JM, Alberts SR, Grothey A. Dual VEGF inhibition with sorafenib and bevacizumab as salvage therapy in metastatic colorectal cancer: results of the phase II North Central Cancer Treatment Group study N054C (Alliance). Ther Adv Med Oncol. 2020 Mar 6;12:1758835920910913. doi: 10.1177/1758835920910913. eCollection 2020.
PubMed 32201506
Study at a glance
From the registry record, last updated by the sponsor on 20 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase II Study of Sorafenib/Avastin® as Salvage Therapy in Patients With Metastatic Colorectal Cancer
- ClinicalTrials.gov ID
- NCT00826540
- Acronym / sponsor ID
- NCCTG-N054C
- Conditions
- Recurrent Colon Cancer, Recurrent Rectal Cancer, Stage IV Colon Cancer, Stage IV Rectal Cancer
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 83 participants (actual)
- Lead sponsor
- Alliance for Clinical Trials in OncologyUniversity, hospital or other
- Collaborators
- National Cancer Institute (NCI)
- Study start
- Sep 2009 (actual)
- Primary completion
- Jan 2010 (actual)
- Study completion
- Feb 2014 (actual)
- First posted
- 22 Jan 2009 (estimated)
- Results
- Posted 3 Mar 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This phase II trial is studying how well giving sorafenib together with bevacizumab works in treating patients with metastatic colorectal cancer. Sorafenib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Monoclonal antibodies, such as bevacizumab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Sorafenib and bevacizumab may also stop the growth of tumor cells by blocking blood flow to the tumor. Giving sorafenib together with bevacizumab may kill more tumor cells
Detailed description
PRIMARY OBJECTIVES:
- Evaluate proportion of patients who are progression-free at 3 months (in historic comparison with results for single-agent bevacizumab in ECOG 3200).
SECONDARY OBJECTIVES:
- Response rate (RR) II. Overall survival (OS) III. Safety IV. Feasibility
OUTLINE: This is a multicenter study.
Patients receive sorafenib tosylate orally twice daily on days 1-5 and 8-12 and bevacizumab IV over 30-90 minutes on day 1. Courses repeat every 14 days in the absence of disease progression or unacceptable toxicity. Blood samples are collected at baseline and then periodically during study treatment for laboratory biomarker and pharmacogenetic studies.
After completion of study treatment, patients are followed periodically for up to 2 years.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Treatment (sorafenib tosylate and bevacizumab) | Experimental | Drug: sorafenib tosylate, Biological: bevacizumabPatients receive sorafenib tosylate orally twice daily on days 1-5 and 8-12 and bevacizumab IV over 30-90 minutes on day 1. Courses repeat every 14 days in the absence of disease progression or unacceptable toxicity. Blood samples are collected at baseline and then periodically during study treatment for laboratory biomarker and pharmacogenetic studies |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (64 listed)
- Diagnosis of stage IV colorectal cancer (histologic proof is not required)
- Measurable disease
- Progressive disease during or within 6 months of most recent prior chemotherapy regimen (bevacizumab, fluoropyrimidine, oxaliplatin, or irinotecan-based treatment) OR considered ineligible for standard therapy
- Documentation of submission of tumor material for Kirsten Rat Sarcoma (KRAS) testing available
- Prior anti-epidermal growth factor receptor (EGFR) antibody therapy (e.g., cetuximab or panitumumab) required for patients with wild-type KRAS tumor
Key exclusion criteria (0 listed)
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 | Treatment (sorafenib tosylate and bevacizumab) |
| bevacizumabAlso: anti-VEGF humanized monoclonal antibody, anti-VEGF monoclonal antibody, Avastin, rhuMAb VEGFGiven IV | Biological | Treatment (sorafenib tosylate and bevacizumab) |
Primary outcome
Progression-free Survival Rate
Time frame: At 3 months
The primary endpoint of this trial is progression free survival at 3 months. All patients meeting the eligibility criteria who have signed a consent form and have begun treatment will be considered evaluable. Patients lost to follow-up before 3 months (e.g., progression, refusing further treatment, etc.) will be considered treatment failures. All eligible patients will be followed until death or a minimum of 3 years. The proportion of successes will be estimated by the number of successes divided by the total number of evaluable patients. Progression is defined as at least a 20% increase in the sum of longest liameter of target lesions taking as reference the smallest sum longest diameter recorded since the treatment started or the appearance of one or more new lesions.
3 secondary outcomes
Response Rate
Time frame: 2 years
Overall Survival
Time frame: 2 years
Feasibility of Study Treatment
Time frame: 2 years
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Jan 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 32201506Xie H, Lafky JM, Morlan BW, Stella PJ, Dakhil SR, Gross GG, Loui WS, Hubbard JM, Alberts SR, Grothey A. Dual VEGF inhibition with sorafenib and bevacizumab as salvage therapy in metastatic colorectal cancer: results of the phase II North Central Cancer Treatment Group study N054C (Alliance). Ther Adv Med Oncol. 2020 Mar 6;12:1758835920910913. doi: 10.1177/1758835920910913. eCollection 2020.
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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.
Axel Grothey, MD study chair
North Central Cancer Treatment Group
211 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 and bevacizumab in people with Recurrent Colon Cancer and Recurrent Rectal Cancer, run by Alliance for Clinical Trials in Oncology at 211 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?
The sponsor lists 64 inclusion and 0 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 20 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 211 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 3 Mar 2014). 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 Rate (time frame: At 3 months). 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 NCT00826540, which also lists 1 linked publication.
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 Jan 2026.