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Sorafenib Tosylate in Treating Patients With Locally Advanced, Metastatic, or Locally Recurrent Thyroid Cancer

Phase II Study of BAY 43-9006 in Patients With Metastatic Thyroid Carcinoma

Status
Terminated
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00095693
Enrollment
25
Registered
2004-11-08
Start date
2004-10-31
Completion date
2011-12-31
Last updated
2014-01-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Anaplastic Thyroid Cancer, Insular Thyroid Cancer, Recurrent Thyroid Cancer, Stage III Follicular Thyroid Cancer, Stage III Papillary Thyroid Cancer, Stage IV Follicular Thyroid Cancer, Stage IV Papillary Thyroid Cancer

Brief summary

Phase II trial to study the effectiveness of sorafenib tosylate in treating patients who have locally advanced, metastatic, or locally recurrent thyroid cancer. Sorafenib tosylate may stop the growth of tumor cells by blocking the enzymes necessary for their growth and by stopping blood flow to the tumor.

Detailed description

PRIMARY OBJECTIVES: I. Determine objective response rate in patients with locally advanced, metastatic, or locally recurrent differentiated thyroid cancer treated with sorafenib (BAY 43-9006). SECONDARY OBJECTIVES: I. Determine the toxicity of this drug in these patients. II. Correlate thyroglobulin levels with tumor response in patients treated with this drug. III. Correlate fludeoxyglucose F 18 positron emission tomography results with tumor response in patients treated with this drug. IV. Correlate tumor permeability and vascularity, as determined by dynamic contrast-enhanced MRI, with tumor response in patients treated with this drug. V. Determine the pharmacodynamics of this drug in these patients. VI. Correlate the presence and type of B-raf, N-ras, or RET/PTC gene mutations with clinical response in patients treated with this drug. VII. Correlate the degree of Ras-MAPK signaling inhibition and vascular endothelial growth factor expression with clinical response in patients treated with this drug. OUTLINE: This is a multicenter study. Patients are stratified according to diagnosis (papillary thyroid cancer that is chemo-naïve vs all others). Patients receive oral sorafenib tosylate twice daily for up to 6 months in the absence of disease progression or unacceptable toxicity. Patients achieving complete remission (CR) receive 8 additional weeks of therapy beyond CR. Patients are followed within 2-4 weeks after completion of study treatment.

Interventions

DRUGsorafenib tosylate

Given PO

OTHERlaboratory biomarker analysis

Correlative studies

OTHERpharmacological study

Correlative studies

RADIATIONfludeoxyglucose F 18

Correlative studies

PROCEDUREpositron emission tomography

Correlative studies

PROCEDUREdynamic contrast-enhanced magnetic resonance imaging

Correlative studies

Sponsors

National Cancer Institute (NCI)
Lead SponsorNIH

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Histologically confirmed diagnosis of 1 of the following: * Papillary thyroid cancer (stratum I) * Papillary, follicular, Hurthle cell, insular, or anaplastic thyroid cancer (stratum II) * Mixed histology, poorly differentiated, or tall-cell variants allowed * Metastatic, locally advanced, or locally recurrent disease * At least 1 unidimensionally measurable lesion \>= 20 mm by conventional techniques OR \>= 10 mm by spiral CT scan * The following are considered non-measurable disease: * Tumors in a previously irradiated area * Bone lesions * Leptomeningeal disease * Ascites * Pleural/pericardial effusion * Lymphangitis cutis/pulmonis * Abdominal masses not confirmed and followed by imaging techniques * Cystic lesions * Archival tumor tissue block OR material collected before study entry available (stratum I) * Biopsy-accessible disease (stratum I) * Performance status - ECOG 0-1 * At least 6 months * WBC \>= 3,000/mm\^3 * Absolute neutrophil count \>= 1,500/mm\^3 * Platelet count \>= 100,000/mm\^3 * No bleeding diathesis * Bilirubin =\< 1.5 times upper limit of normal (ULN) * AST and ALT =\< 1.5 times ULN * Creatinine =\< 1.5 times ULN * No uncontrolled hypertension * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception * Willing to undergo 2 tumor biopsies during study participation (stratum I) * No history of allergic reaction attributed to compounds of similar chemical or biologic composition to sorafenib * No ongoing or active infection * No psychiatric illness or social situation that would preclude study compliance * No other uncontrolled illness * No other concurrent malignancy except nonmetastatic nonmelanoma skin cancer or carcinoma in situ of the cervix * No prior systemic chemotherapy for thyroid cancer (stratum I) * Prior systemic chemotherapy used to treat a second primary cancer with curative intent allowed provided the primary cancer was treated more than 5 years before study entry * No more than 3 prior systemic chemotherapy regimens for thyroid cancer (stratum II) * More than 6 weeks since prior systemic chemotherapy (stratum II) * No prior external beam radiotherapy to the sole site of measurable disease (except for patients with anaplastic thyroid cancer) * More than 6 weeks since prior external beam radiotherapy * More than 24 weeks since prior iodine I 131 * Recovered from all prior therapy * No prior sorafenib * More than 6 weeks since prior investigational tumor-specific therapy * Concurrent oral or IV bisphosphonates for bony metastases allowed at the discretion of the investigator * No other concurrent tumor-specific or investigational therapy * No concurrent combination antiretroviral therapy for HIV-positive patients * No concurrent therapeutic anticoagulation * Concurrent prophylactic anticoagulation (e.g., low-dose warfarin) for venous or arterial access devices allowed provided PT, INR, or PTT are normal

Design outcomes

Primary

MeasureTime frameDescription
Objective response rateUp to 4 weeksThe 95% confidence intervals should be provided.

Secondary

MeasureTime frame
Incidence of toxicityUp to 4 weeks

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026