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Efficacy and Safety Study of Sorafenib to Treat Advanced Medullary Thyroid Carcinoma (SUMMIT)

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: NCT01736878
Recruitment Status : Withdrawn (Study was withdrawn due to unanticipated hassle in patient recruitment.)
First Posted : November 29, 2012
Last Update Posted : May 17, 2013
Information provided by (Responsible Party):
Eanm Research Ltd

Brief Summary:
The purpose of his study is to evaluate the efficacy and safety of Sorafenib versus placebo in subjects with locally advanced medullary thyroid cancer (MTC). The primary study objective is to compare the Progression-free Survival (PFS) of the Sorafenib treatment group with the placebo treatment group in patients with advanced MTC.

Condition or disease Intervention/treatment Phase
Medullary Thyroid Carcinoma Drug: Sorafenib Phase 2

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 0 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Randomized Double-blind Placebo Controlled Phase II Study to Evaluate the Efficacy and Safety of Sorafenib Treatment in Patients With Advanced (Recurrent, Persistent and/or Metastasizing) Medullary Thyroid Carcinoma
Study Start Date : October 2012
Actual Primary Completion Date : April 2013
Actual Study Completion Date : April 2013

Arm Intervention/treatment
Experimental: Sorafenib tablets
Oral administration of Sorafenib tablets, 400 mg bid, until disease progression or unacceptable toxicity
Drug: Sorafenib
Placebo Comparator: Placebo tablets
Oral administration of Placebo tablets until disease progression, afterwards continuation with Sorafenib at the discretion of the investigator
Drug: Sorafenib

Primary Outcome Measures :
  1. Progression Free Survival (PFS) [ Time Frame: from the date of randomisation until the date of radiological or biochemical progression or death. An average of 9 months is assumed. ]
    The proportion of patients with PFS in the Sorafenib group and the Placebo group will be compared by log rank test and Kaplan-Meier plot.

Secondary Outcome Measures :
  1. Time to Progression (TPP) [ Time Frame: from the date of randomisation until the date of confirmed radiological or biochemical progression. An average of 9 months is assumed. ]
    The average TTP in the Sorafenib group and the Placebo group will be compared.

Other Outcome Measures:
  1. Overall Survival (OS) [ Time Frame: from the date of randomisation until the date of death due to any cause. Final assessment at the end of study after approximately 36 months. ]
    The proportion of surviving patients in the Sorafenib group and the Placebo group will be compared.

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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

Inclusion Criteria:

  • Inpatient or outpatient ≥ 18 years of age
  • Histologically confirmed medullary thyroid carcinoma
  • Recurrent or persistent local disease and/or distant metastases
  • No more than one prior line of systemic therapy
  • Best available supportive care to control (endocrine) symptoms
  • At least one defined lesion in CT or MRI evaluable for Response Evaluation Criteria in Solid Tumors (RECIST v1.1), or at least one defined lesion in CT or MRI not evaluable by RECIST in combination with elevated tumour markers
  • Progression within previous 12 months
  • Hb > 8g/dl, white blood cells (WBC) >3.000 cells/mm³ (ANC > 1.500 cells/mm³), platelets > 100.000 cells/mm³, bilirubin < 2mg/dl, alanine aminotransferase (ALT) and aspartate aminotransferase (AST) < 2.5 x upper limit of normal (ULN)
  • Performance status: WHO ≤ 2; Karnofsky index ≥ 50%
  • Sufficient renal function (creatinin <1.5 mg/dl and creatinin clearance > 30ml/min)
  • International normalized ratio (INR) and partial thromboplastin time (PTT) < 1.5 x ULN
  • No acute infections
  • Staging studies (MRT or CT and Calcitonin or CEA) completed within four weeks of protocol randomisation
  • Women of childbearing potential with negative serum pregnancy test
  • Women and men of childbearing potential using adequate contraception
  • Signed and dated written informed consent

Exclusion Criteria:

  • Unresolved toxicity (i.e. neurotoxicity) attributed to any prior therapy higher than National Cancer Institute-Common Toxicity Criteria for Adverse Effects (NCI-CTCAE version 4) Grade 2 (excluding cases of alopecia)
  • Patients with history of allergic or hypersensitivity reaction to study drug or placebo or their excipients
  • Current participation in another investigational trial
  • Patients with significant cardiovascular disease
  • Cardiac ventricular arrhythmias requiring anti-arrhythmic therapy other than beta-blockers or digoxin
  • Congenital long corrected QT interval (QTc) syndrome, history of drug induced QTc prolongation, or QTc interval unmeasurable or more than 450 ms
  • Abnormal serum electrolytes such as potassium, magnesium and calcium
  • Uncontrolled hypertension, despite optimal management
  • Major surgery, open biopsy, or significant traumatic injury within 30 days prior to randomization
  • Non-healing wound, ulcer, or bone fracture
  • Evidence or history of bleeding diathesis or coagulopathy disorder
  • Hemorrhage/bleeding event ≥ Grade 3
  • Thrombotic or embolic events including transient ischemic attacks within the past 6 months
  • Subjects with symptomatic brain metastases or Subjects with brain metastases under corticosteroid treatment
  • Pregnant or breast-feeding patients
  • Patients with uncontrolled infections
  • Known HIV infection or infection with hepatitis B or C
  • Immunosuppression
  • Subjects with seizure disorder requiring medication • Subjects undergoing renal dialysis
  • Substance abuse, medical, psychological or social conditions that may interfere with the subject's participation in the study or evaluation of the study results
  • Any malabsorption condition

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): NCT01736878

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University Hospital Ulm, Clinic for Nuclear Medicine
Ulm, Baden-Wuerttemberg, Germany, D-89081
Sponsors and Collaborators
Eanm Research Ltd
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Responsible Party: Eanm Research Ltd Identifier: NCT01736878    
Other Study ID Numbers: EARL-2
2011-006250-90 ( EudraCT Number )
First Posted: November 29, 2012    Key Record Dates
Last Update Posted: May 17, 2013
Last Verified: May 2013
Keywords provided by Eanm Research Ltd:
Medullary Thyroid Carcinoma
Additional relevant MeSH terms:
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Thyroid Neoplasms
Carcinoma, Neuroendocrine
Thyroid Diseases
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Endocrine System Diseases
Endocrine Gland Neoplasms
Neoplasms by Site
Head and Neck Neoplasms
Neuroendocrine Tumors
Neuroectodermal Tumors
Neoplasms, Germ Cell and Embryonal
Neoplasms, Nerve Tissue
Antineoplastic Agents
Protein Kinase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action