Sorafenib and Erlotinib in Treating Patients With Stage IIIB or Stage IV Non-Small Cell Lung Cancer That Has Not Responded to Chemotherapy

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00801385
Recruitment Status : Unknown
Verified August 2009 by National Cancer Institute (NCI).
Recruitment status was:  Recruiting
First Posted : December 3, 2008
Last Update Posted : August 25, 2009
Information provided by:
National Cancer Institute (NCI)

Brief Summary:

RATIONALE: Sorafenib and erlotinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Sorafenib may also stop the growth of non-small cell lung cancer by blocking blood flow to the tumor. Giving sorafenib together with erlotinib may kill more tumor cells.

PURPOSE: This phase II trial is studying how well giving sorafenib together with erlotinib works in treating patients with stage IIIB or stage IV non-small cell lung cancer that has not responded to chemotherapy.

Condition or disease Intervention/treatment Phase
Lung Cancer Drug: erlotinib hydrochloride Drug: sorafenib tosylate Genetic: DNA analysis Genetic: mutation analysis Genetic: polymerase chain reaction Genetic: protein analysis Genetic: protein expression analysis Other: immunohistochemistry staining method Other: laboratory biomarker analysis Phase 2

Detailed Description:



  • To assess the response rate of sorafenib tosylate in combination with erlotinib hydrochloride in patients with stage IIIB-IV non-small cell lung cancer refractory to 1 or 2 prior chemotherapy regimens.


  • To assess the response duration in patients treated with this regimen.
  • To assess the disease control rate in patients treated with this regimen.
  • To assess the progression-free survival of patients treated with this regimen.
  • To assess the overall survival of patients treated with this regimen.
  • To assess the safety and tolerability of this regimen in these patients.
  • To analyze biomarkers, including evaluation of EGFR expression, mutational analysis of EGFR and K-ras, and immunohistochemical analysis of EGFR downstream pathway (phospho-EGFR, phospho-AKT, phospho-Erk, phospho-STAT3).

OUTLINE: This is a multicenter study.

Patients receive oral erlotinib hydrochloride once daily and oral sorafenib tosylate twice daily on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.

Tissue samples are analyzed at the nucleic acid level for EGFR mutation (exon 18-21) and K-ras mutation (exon 2), DNA mutations via PCR, presence of EGFR protein by IHC, and downstream effectors of EGFR activation by IHC.

After completion of study therapy, patients are followed periodically.

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 47 participants
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Multicenter, Open-label, Phase II Study of Sorafenib in Combination With Erlotinib in Non-small Cell Lung Cancer (NSCLC) Refractory to One or Two Prior Chemotherapy Regimens
Study Start Date : September 2008
Estimated Primary Completion Date : June 2009

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Lung Cancer
U.S. FDA Resources

Primary Outcome Measures :
  1. Tumor response based on RECIST criteria

Secondary Outcome Measures :
  1. Response duration in patients with confirmed objective response
  2. Disease control rate
  3. Overall survival
  4. Progression-free survival
  5. Biomarker analysis

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No


  • Histologically or cytologically confirmed non-small cell lung cancer

    • Advanced (stage IIIB-IV) or recurrent disease
  • Must have failed 1 or 2 prior chemotherapy regimens, including platinum-containing regimen
  • At least 1 unidimensionally measurable lesion > 10 mm by spiral CT scan or > 20 mm by conventional CT scan

    • Previously irradiated lesions cannot be included as sites of measurable disease unless clear tumor progression has been documented in the lesions since the end of radiotherapy
  • No known or suspected brain metastases

    • Patients with clinical signs or symptoms that are suspicious of brain metastasis must have a pre-treatment CT scan or MRI of the brain
    • Patients with prior brain metastases are eligible provided they have completed their treatment for brain metastases, no longer require corticosteroids, and are asymptomatic


  • ECOG performance status 0-2
  • WBC 4,000-12,000/μL
  • Neutrophil ≥ 1,500/μL
  • Platelet count ≥ 100,000/μL
  • Hemoglobin ≥ 9.0 g/dL
  • Total bilirubin ≤ 1.5 times upper limit of normal (ULN)
  • AST and ALT ≤ 2.0 times ULN
  • Alkaline phosphatase ≤ 2.0 times ULN
  • Serum creatinine ≤ 1.5 times ULN
  • Not pregnant or nursing
  • No active clinically serious infections
  • No prior 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 and T1), or any cancer curatively treated > 5 years before study
  • Able to swallow oral medications
  • No substance abuse or medical, psychological, or social conditions that may interfere with participation in the study or evaluation of the study results


  • See Disease Characteristics
  • Recovered from all prior therapy
  • No prior anti-EGFR targeted therapy
  • At least 4 weeks since prior surgery
  • At least 4 weeks since prior and no concurrent radiotherapy

    • No prior radiotherapy to the whole pelvis or chest or to ≥ 25% of the bone marrow
  • No other concurrent anticancer agents (e.g., chemotherapy or immunotherapy agents) which might affect evaluation of study treatment

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00801385

Korea, Republic of
Yonsei Cancer Center at Yonsei University Medical Center Recruiting
Seoul, Korea, Republic of, 120-752
Contact: Joo-Hang Kim, MD    82-2-2228-8131   
Sponsors and Collaborators
Yonsei University
Principal Investigator: Joo-Hang Kim, MD Yonsei University

Publications automatically indexed to this study by Identifier (NCT Number): Identifier: NCT00801385     History of Changes
Other Study ID Numbers: CDR0000618003
First Posted: December 3, 2008    Key Record Dates
Last Update Posted: August 25, 2009
Last Verified: August 2009

Keywords provided by National Cancer Institute (NCI):
recurrent non-small cell lung cancer
stage IIIB non-small cell lung cancer
stage IV non-small cell lung cancer

Additional relevant MeSH terms:
Lung Neoplasms
Carcinoma, Non-Small-Cell Lung
Respiratory Tract Neoplasms
Thoracic Neoplasms
Neoplasms by Site
Lung Diseases
Respiratory Tract Diseases
Carcinoma, Bronchogenic
Bronchial Neoplasms
Erlotinib Hydrochloride
Antineoplastic Agents
Protein Kinase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action