Stage IV Bladder Cancer Clinical Trial
Official title:
A Phase II Study of BAY 43-9006 in Advanced or Metastatic Urothelial Cancer (Transitional Cell Cancer of the Bladder, Ureter and Renal Pelvis)
This phase II trial is studying how well sorafenib works in treating patients with advanced or metastatic cancer of the urinary tract. Sorafenib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor.
PRIMARY OBJECTIVES:
I. To assess the efficacy (response rate and stable disease rate) of Bay 439006 given to
patients with advanced or metastatic urothelial cancer.
II. To assess the toxicity, time to progression and response duration of Bay 439006 given to
patients with advanced or metastatic urothelial cancer.
III. To measure Ras mutational status and EGFR/HER2 on archival specimens. To determine
baseline and post-treatment levels of pERK, pAKT, VEGFR2, CD31, Ki-67/MIB-1, and cleaved
caspase 3 and to explore the relationship between these correlative endpoints and clinical
outcome.
OUTLINE: This is a nonrandomized, open-label, multicenter study.
Patients receive oral sorafenib twice daily on days 1-28. Courses repeat every 28 days in the
absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed within 3 weeks and then every 3
months thereafter.
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