Comparison of Nexavar/Placebo as Maintenance Therapy for Patients With Advanced Ovarian or Primary Peritoneal Cancer
This study has been completed.
Sponsor:
Bayer
Information provided by:
Bayer
ClinicalTrials.gov Identifier:
NCT00791778
First received: November 14, 2008
Last updated: March 1, 2013
Last verified: March 2013
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Results First Received: November 1, 2012
| Study Type: | Interventional |
|---|---|
| Study Design: | Allocation: Randomized; Endpoint Classification: Safety/Efficacy Study; Intervention Model: Parallel Assignment; Masking: Double Blind (Subject, Investigator); Primary Purpose: Treatment |
| Condition: |
Ovarian Neoplasms |
| Interventions: |
Drug: Sorafenib (Nexavar, BAY43-9006) Drug: Placebo |
Participant Flow
Recruitment Details
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
|---|
| No text entered. |
Pre-Assignment Details
| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
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| No text entered. |
Reporting Groups
| Description | |
|---|---|
| Sorafenib (Nexavar, BAY43-9006) | Participants received 2 sorafenib tablets (200 mg each) per oral twice daily (bid) |
| Placebo | Participants received 2 matching placebo tablets per oral twice daily |
Participant Flow for 2 periods
Period 1: Double-blind Treatment
| Sorafenib (Nexavar, BAY43-9006) | Placebo | |
|---|---|---|
| STARTED | 123 | 123 |
| COMPLETED | 58 [1] | 103 [2] |
| NOT COMPLETED | 65 | 20 |
| Adverse Event | 46 | 8 |
| Physician Decision | 1 | 3 |
| Protocol Violation | 0 | 2 |
| Withdrawal by Subject | 17 | 7 |
| Non-compliant with study medication | 1 | 0 |
| [1] | includes: 40 subjects with progression, 18 subjects ongoing with treatment |
|---|---|
| [2] | includes: 71 subjects with progression, 32 subjects ongoing with treatment |
Period 2: Follow-up
| Sorafenib (Nexavar, BAY43-9006) | Placebo | |
|---|---|---|
| STARTED | 105 [1] | 91 [2] |
| COMPLETED | 85 [3] | 78 [3] |
| NOT COMPLETED | 20 | 13 |
| Withdrawal by Subject | 2 | 0 |
| Lost to Follow-up | 2 | 1 |
| Death | 16 | 12 |
| [1] | All randomized patients (excluding 18 ongoing on treatment) entered follow up period |
|---|---|
| [2] | All randomized patients (excluding 32 ongoing on treatment) entered follow up period |
| [3] | Ongoing with survival follow-up |
Baseline Characteristics
Reporting Groups
| Description | |
|---|---|
| Sorafenib (Nexavar, BAY43-9006) | Participants received 2 sorafenib tablets (200 mg each) per oral twice daily (bid) |
| Placebo | Participants received 2 matching placebo tablets per oral twice daily |
| Total | Total of all reporting groups |
Baseline Measures
| Sorafenib (Nexavar, BAY43-9006) | Placebo | Total | |
|---|---|---|---|
|
Number of Participants
[units: participants] |
123 | 123 | 246 |
|
Age
[units: Years] Mean ± Standard Deviation |
56.9 ± 10.4 | 54.4 ± 10.3 | 55.7 ± 10.4 |
|
Age, Customized
[units: Participants] |
|||
| < 65 years | 95 | 99 | 194 |
| ≥ 65 - < 75 years | 23 | 23 | 46 |
| ≥ 75 years | 5 | 1 | 6 |
|
Gender
[units: Participants] |
|||
| Female | 123 | 123 | 246 |
| Male | 0 | 0 | 0 |
|
Performance status, Eastern Cooperative Oncology Group (ECOG)
[1] [units: Participants] |
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| 0=Fully active without restriction | 89 | 92 | 181 |
| 1=Restricted in physically strenuous activity | 32 | 30 | 62 |
| 2=Ambulatory, capable of all selfcare | 1 | 0 | 1 |
| Missing | 1 | 1 | 2 |
|
Type of cancer
[2] [units: Participants] |
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| Ovarian cancer | 115 | 114 | 229 |
| Peritoneal cancer | 8 | 9 | 17 |
|
Previous Intra-peritoneal (IP) chemotherapy
[3] [units: Participants] |
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| Yes | 5 | 4 | 9 |
| No | 118 | 119 | 237 |
|
Surgical cytoreduction
[4] [units: Participants] |
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| Optimal | 105 | 105 | 210 |
| Suboptimal | 10 | 10 | 20 |
| Missing | 8 | 8 | 16 |
| [1] | 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). |
|---|---|
| [2] | Patients were to have either ovarian epithelial cancer or primary peritoneal cancer. Primary peritoneal carcinoma involves the extra-ovarian peritoneum significantly and the ovarian surface minimally or not at all. |
| [3] | The presence or absence of any IP chemotherapy before enrollment into the study. |
| [4] | The degree of residual disease following initial diagnosis and surgical debulkment: optimal surgical cytoreduction (any/each lesion remaining after surgery ≤1 cm) or suboptimal surgical cytoreduction (any/each lesion remaining after surgery >1cm) |
Outcome Measures
| 1. Primary: | Progression-free Survival (PFS), Based on Radiological or Pathologic Assessment [ Time Frame: From randomization of the first patient until 32.5 months later, assessed every 8 weeks ] |
| 2. Secondary: | Time to First Pathologic CA-125 (Cancer-associated Tumor Marker) Serum Level [ Time Frame: From randomization of the first patient until 32.5 months later, assessed every 8 weeks ] |
| 3. Secondary: | Overall Survival (OS) [ Time Frame: From randomization of the first patient until 32.5 months later ] |
| 4. Other Pre-specified: | Functional Assessment of Cancer Therapy (FACT)/National Comprehensive Cancer Network (NCCN) Ovarian Symptom Index (FOSI) Total Score at Cycle 1/Baseline [ Time Frame: At Cycle 1 (4 weeks per Cycle)/baseline ] |
| 5. Other Pre-specified: | FOSI Total Score at Cycle 3 [ Time Frame: At Cycle 3 (4 weeks per Cycle) ] |
| 6. Other Pre-specified: | Change From Baseline in FOSI Total Score at Cycle 3 [ Time Frame: Baseline and Cycle 3 (4 weeks per Cycle) ] |
| 7. Other Pre-specified: | FOSI Total Score at Cycle 5 [ Time Frame: At Cycle 5 (4 weeks per Cycle) ] |
| 8. Other Pre-specified: | Change From Baseline in FOSI Total Score at Cycle 5 [ Time Frame: Baseline and Cycle 5 (4 weeks per Cycle) ] |
| 9. Other Pre-specified: | FOSI Total Score at End of Treatment [ Time Frame: At End of treatment (up to Cycle 33, 4 weeks per Cycle) ] |
| 10. Other Pre-specified: | Change From Baseline in FOSI Total Score at End of Treatment [ Time Frame: Baseline and End of treatment (up to Cycle 33, 4 weeks per Cycle) ] |
| 11. Other Pre-specified: | EuroQol-5D (EQ-5D) Index Score at Cycle 1/Baseline [ Time Frame: At Cycle 1 (4 weeks per Cycle)/baseline ] |
| 12. Other Pre-specified: | EQ-5D Index Score at Cycle 3 [ Time Frame: At Cycle 3 (4 weeks per Cycle) ] |
| 13. Other Pre-specified: | Change From Baseline in EQ-5D Index Score at Cycle 3 [ Time Frame: Baseline and Cycle 3 (4 weeks per Cycle) ] |
| 14. Other Pre-specified: | EQ-5D Index Score at Cycle 5 [ Time Frame: At Cycle 5 (4 weeks per Cycle) ] |
| 15. Other Pre-specified: | Change From Baseline in EQ-5D Index Score at Cycle 5 [ Time Frame: Baseline and Cycle 5 (4 weeks per Cycle) ] |
| 16. Other Pre-specified: | EQ-5D Index Score at End of Treatment [ Time Frame: At End of treatment (up to Cycle 33, 4 weeks per Cycle) ] |
| 17. Other Pre-specified: | Change From Baseline in EQ-5D Index Score at End of Treatment [ Time Frame: Baseline and End of treatment (up to Cycle 33, 4 weeks per Cycle) ] |
| 18. Other Pre-specified: | EQ-5D Visual Analogue Scale (VAS) Score at Cycle 1/Baseline [ Time Frame: At Cycle 1 (4 weeks per Cycle)/baseline ] |
| 19. Other Pre-specified: | EQ-5D VAS Score at Cycle 3 [ Time Frame: At Cycle 3 (4 weeks per Cycle) ] |
| 20. Other Pre-specified: | Change From Baseline in EQ-5D VAS Score at Cycle 3 [ Time Frame: Baseline and Cycle 3 (4 weeks per Cycle) ] |
| 21. Other Pre-specified: | EQ-5D VAS Score at Cycle 5 [ Time Frame: At Cycle 5 (4 weeks per Cycle) ] |
| 22. Other Pre-specified: | Change From Baseline in EQ-5D VAS Score at Cycle 5 [ Time Frame: Baseline and Cycle 5 (4 weeks per Cycle) ] |
| 23. Other Pre-specified: | EQ-5D VAS Score at End of Treatment [ Time Frame: At End of treatment (up to Cycle 33, 4 weeks per Cycle) ] |
| 24. Other Pre-specified: | Change From Baseline in EQ-5D VAS Score at End of Treatment [ Time Frame: Baseline and End of treatment (up to Cycle 33, 4 weeks per Cycle) ] |
More Information
Certain Agreements:
Limitations and Caveats
Results Point of Contact:
No publications provided
| Principal Investigators are NOT employed by the organization sponsoring the study. | ||||||
| There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed. | ||||||
The agreement is:
|
Limitations and Caveats
| Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data |
|---|
| No text entered. |
Results Point of Contact:
Name/Title: Therapeutic Area Head
Organization: BAYER
e-mail: clinical-trials-contact@bayerhealthcare.com
Organization: BAYER
e-mail: clinical-trials-contact@bayerhealthcare.com
No publications provided
| Responsible Party: | Therapeutic Area Head, Bayer Healthcare Pharmaceuticals Inc. |
| ClinicalTrials.gov Identifier: | NCT00791778 History of Changes |
| Other Study ID Numbers: | 12007, 2008-004429-41 |
| Study First Received: | November 14, 2008 |
| Results First Received: | November 1, 2012 |
| Last Updated: | March 1, 2013 |
| Health Authority: | United States: Food and Drug Administration Belgium: Federal Agency for Medicinal Products and Health Products Canada: Health Canada Finland: Finnish Medicines Agency France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) Germany: Federal Institute for Drugs and Medical Devices Hong Kong: Department of Health Italy: Ministry of Health Japan: Ministry of Health, Labor and Welfare South Korea: Korea Food and Drug Administration (KFDA) Netherlands: The Central Committee on Research Involving Human Subjects (CCMO) Poland: Ministry of Health Singapore: Health Sciences Authority Spain: Ministry of Health |