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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02307500
Other study ID # ONC-2014-001
Secondary ID
Status Completed
Phase Phase 2
First received
Last updated
Start date December 2014
Est. completion date August 2020

Study information

Verified date September 2022
Source Istituto Clinico Humanitas
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This is a single arm, single-stage, phase II trial to evaluate the activity of Regorafenib in patients with metastatic solid tumors (pancreatic cancer, ovarian cancer, melanoma, sarcoma, thymoma (type B2 - B3) and thymic carcinoma, who have progressed after standard therapy.


Description:

Each tumour will be assessed by itself. Regorafenib 40 mg tablets will be used in the study. Subjects will receive 160 mg regorafenib po every day (qd) for 3 weeks of every 4 week cycle (i.e., 3 weeks on, 1 week off). Subjects will continue on treatment until at least one of the following occurs (main criteria): - Progressive Disease (PD) by radiological assessments or clinical progression - Death - Unacceptable toxicity - Subject withdraws consent - Treating physician determines discontinuation of treatment is in the subject's best interest - Substantial non-compliance with the protocol


Recruitment information / eligibility

Status Completed
Enrollment 82
Est. completion date August 2020
Est. primary completion date December 2017
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: 1. Signed informed consent 2. Patients older then 18 years. 3. Locally advanced, recurrent or metastatic histologically confirmed malignancy refractory to available standard treatment, included Pancreatic cancer, Ovarian cancer, Melanoma, Sarcoma 4. At least one measurable lesion according to Response Evaluation Criteria In solid tumor 5. Eastern Cooperative Oncology Group Performance Status: 0-1 6. Life expectancy of at least 12 weeks 7. Adequate bone marrow, liver and renal function as assessed by the following laboratory : Hemoglobin > 9.0 g/dl Absolute neutrophil count > 1,500/mm3 Platelet count > 100,000/µl White blood cells >3.0 x 109/L Total bilirubin <1.5 times the upper limit of normal Alanine amino transferase and aspartate amino transferase <2.5 x upper limit of normal (<5 x upper limit of normal for patients with liver involvement) Serum creatinine <1.5 x upper limit of normal Alkaline phosphatase <2.5 x Upper Limit of Normal Prothrombin time / Partial prothrombin time <1.5 x Upper Limit of Normal Lipase = 1.5 x the Upper Limit of Normal 8. Able to swallow and retain oral medication. 9. Estimated creatinine clearance > 30ml/min as calculated using the Cockcroft-Gault equation 10. Resolution of any toxic effects of prior therapy to NCI Common Terminology Criteria for Adverse Event, Version 4.0, grade = 1 . 11. Women of childbearing potential and men must agree to use adequate contraception Exclusion Criteria: 1. Prior treatment with regorafenib. 2. Major surgical procedure, open biopsy, or significant traumatic injury within 28 days before start of study drug 3. Congestive heart failure >New York Heart Association class 2 4. Unstable angina), new-onset angina.Myocardial infarction less than 6 months before start of study drug 5. Myocardial infarction less than 6 months before start of study drug. 6. Cardiac arrhythmias requiring anti-arrhythmic therapy 7. Uncontrolled hypertension. 8. Pleural effusion or ascites that causes respiratory compromise 9. Ongoing infection > Grade 2 10. Known history of human immunodeficiency virus infection. 11. Active hepatitis B or C, or chronic hepatitis B or C requiring treatment with antiviral therapy. 12. Subjects with seizure disorder requiring medication. 13. History of organ allograft. Subjects with evidence or history of any bleeding diathesis, irrespective of severity. 14. Any hemorrhage or bleeding event > Common Toxicity Criteria for Adverse Effects Grade 3 15. Arterial or venous thrombotic or embolic events within the 6 months before start of study medication 16. Known history or symptomatic metastatic brain or meningeal tumors 17. Suggestive or consistent with central nervous system disease 18. Renal failure requiring hemo-or peritoneal dialysis. 19. Dehydration Common Toxicity Criteria for Adverse Effects v. 4.0 Grade >1. 20. Substance abuse, medical, psychological or social conditions that may interfere with the subject's participation in the study or evaluation of the study results. 21. Known hypersensitivity to any of the study drugs, study drug classes, or excipients in the formulation. 22. Any illness or medical conditions that are unstable or could jeopardize the safety of the subject and his/her compliance in the study. 23. Interstitial lung disease with ongoing signs and symptoms 24. Persistent proteinuria of CTCAE Grade 3 25. Any malabsorption condition. 26. Concomitant participation or participation within the last 30 days in another clinical trial 27. Systemic anticancer therapy including cytotoxic therapy, signal transduction inhibitors, immunotherapy, and hormonal therapy during this trial or within 4 weeks before starting to receive study medication.

Study Design


Intervention

Drug:
Regorafenib
oral therapy

Locations

Country Name City State
Italy Istituto Clinico Humanitas Rozzano Milan

Sponsors (1)

Lead Sponsor Collaborator
Istituto Clinico Humanitas

Country where clinical trial is conducted

Italy, 

References & Publications (27)

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Sawyers CL. Finding the next Gleevec: FLT3 targeted kinase inhibitor therapy for acute myeloid leukemia. Cancer Cell. 2002 Jun;1(5):413-5. Review. — View Citation

Shalaby F, Rossant J, Yamaguchi TP, Gertsenstein M, Wu XF, Breitman ML, Schuh AC. Failure of blood-island formation and vasculogenesis in Flk-1-deficient mice. Nature. 1995 Jul 6;376(6535):62-6. — View Citation

Szarvas T, Jäger T, Tötsch M, vom Dorp F, Kempkensteffen C, Kovalszky I, Romics I, Ergün S, Rübben H. Angiogenic switch of angiopietins-Tie2 system and its prognostic value in bladder cancer. Clin Cancer Res. 2008 Dec 15;14(24):8253-62. doi: 10.1158/1078-0432.CCR-08-0677. — View Citation

Turner N, Grose R. Fibroblast growth factor signalling: from development to cancer. Nat Rev Cancer. 2010 Feb;10(2):116-29. doi: 10.1038/nrc2780. Review. — View Citation

Wilhelm SM, Dumas J, Adnane L, Lynch M, Carter CA, Schütz G, Thierauch KH, Zopf D. Regorafenib (BAY 73-4506): a new oral multikinase inhibitor of angiogenic, stromal and oncogenic receptor tyrosine kinases with potent preclinical antitumor activity. Int J Cancer. 2011 Jul 1;129(1):245-55. doi: 10.1002/ijc.25864. Epub 2011 Apr 22. — View Citation

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* Note: There are 27 references in allClick here to view all references

Outcome

Type Measure Description Time frame Safety issue
Primary activity of regorafenib screening, in terms of 2-months progression free survival rate to evaluate activity of regorafenib, in terms of 2-months progression free survival rate 2 months
Secondary prognosis in terms of progression-free survival to explore the prognosis in terms of progression-free survival calculated from the first day of regorafenib treatment to the date of tumor progression or death, whichever occurs first. 36 months
Secondary overall survival (OS) to explore overall survival (OS) measured from the first day of regorafenib treatment until the date of death from any cause or the date of the last contact, at which the patients will be censored 36 months
Secondary safety profile of regorafenib according to NCI-CTC v.3 to assess the safety profile of regorafenib according to the National Cancer Institute Common Toxicity Criteria (NCI-CTC) version 3 3 months
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