Carcinoma, Non-Small Cell Lung
Conditions
Keywords
Non-Small Cell Lung Cancer, NSCLC
Brief summary
A randomized controlled trial comparing safety and efficacy of carboplatin and paclitaxel plus or minus sorafenib in chemonaive patients with stage III-IV non-small cell lung cancer.
Interventions
Chemotherapy Phase up to 6 cycles: Sorafenib (Nexavar, BAY43-9006), \[400 mg orally, twice daily\] on Study Days 2-19 and paclitaxel (P) (200 mg/m2, intravenous (IV)) and carboplatin (C) (area under the curve (AUC) =6 mg/ml\*min-1, IV) on Study Day 1. The cycle duration 21 days. Maintenance Phase: Sorafenib 400 mg orally twice daily was administered on Days 1-21 of each 21-day cycle.
Chemotherapy Phase up to 6 cycles: Sorafenib Placebo (2 tablets orally twice daily\] on Study Days 2-19 and paclitaxel (200 mg/m2, intravenous (IV)) and carboplatin (area under the curve (AUC) =6 mg/ml\*min-1, IV) on Study Day 1. The cycle duration 21 days. Maintenance Phase: Sorafenib Placebo 2 tablets orally twice daily was administered on Days 1-21 of each 21-day cycle.
Sponsors
Study design
Eligibility
Inclusion criteria
* Stage IIIB (with effusion) or Stage IV NSCLC any histology * No prior chemotherapy * Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 * Greater than or equal to 18 years of age * Life expectancy at least 12 weeks * Adequate bone marrow, liver and renal function
Exclusion criteria
* Prior systemic anti cancer therapy * Known brain metastasis. Patients with neurological symptoms should undergo at computed tomography (CT) scan/magnetic resonance imaging (MRI) of the brain to exclude brain metastasis * Pulmonary hemorrhage/bleeding event \> Common Terminology Criteria for Adverse Events (CTCAE) Grade 2 within 4 weeks of first dose of study drug * Thrombotic or embolic events including Transient ischemic attack (TIA) within the past 6 months * Uncontrolled hypertension * Any other hemorrhage/bleeding event \> CTCAE Grade 3 within 4 weeks of first dose of study drug * Major surgery within 4 weeks * Evidence or history of bleeding diathesis or coagulopathy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall Survival (OS) in Patients Treated With Carboplatin, Paclitaxel and Sorafenib to OS in Patients Treated With Carboplatin, Paclitaxel and Placebo | Outcome measure was assessed every 3 weeks starting from randomization, during treatment period and every 3 months during follow-up period until death was recorded or up to data cutoff (1Oct2007) used for planned formal interim analysis | Overall survival determined as the time (days) from the date of randomization at start of study to the date of death, due to any cause. Outcome measure was assessed regularly, i.e. every 3 weeks during study treatment and every 3 months during post-treatment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Progression Free Survival (PFS) | Tumor measurements and assessments based on RECIST criteria were performed every 6 weeks for the first 18 weeks of therapy ( week 6, 12, and 18) and every 12 weeks thereafter up to data cutoff (1Oct2007) used for planned formal interim analysis | PFS determined as time (days) from the date of randomization at start of study to disease progression (radiological or clinical) or death due to any cause, if death occurs before progression. |
| Overall Best Response | Tumor measurements and assessments based on RECIST criteria were performed every 6 weeks for the first 18 weeks of therapy ( week 6, 12, and 18) and every 12 weeks thereafter up to data cutoff (1Oct2007) used for planned formal interim analysis | Best overall tumor response for the ITT population was determined according to Response Evaluation Criteria in Solid Tumors (RECIST). Categories: complete response (CR, tumor disappears), partial response (PR, sum of lesion sizes decreased), stable disease (SD, steady state of disease), progressive disease (PD, sum of lesion sizes increased). |
| Duration of Response | Tumor measurements and assessments based on RECIST criteria were performed every 6 weeks for the first 18 weeks of therapy ( week 6, 12, and 18) and every 12 weeks thereafter up to data cutoff (1Oct2007) used for planned formal interim analysis | Duration of response (PR or better) is defined as the time from the first documented objective response of PR or CR, whichever is noted earlier, to disease progression or death (if death occurs before progression is documented). |
| Patient Reported Outcome as Assessed by FACT-L Score. Change From Baseline in Total FACT-L at Cycles 3,5,7,9 and End of Treatment (EOT) | Outcome measure was assessed on Day 1 of Cycle 1 and Day 1 of every other cycle (i.e. Cycle 3, 5, 7 etc.) during treatment and at end of treatment visit or up to data cutoff (10ct2007) used for planned formal interim analysis | Functional Assessment of Cancer Therapy - Lung cancer subscore (FACT-L). Patient reported outcome as assessed by FACT-L score. FACT-L questionnaire comprises statements about physical, social / family, emotional and functional well-being as well as additional concerns which have to be rated by the patients (0=not at all to 4=very much). Cycle duration defined as 21 days. Change from baseline in Total FACT-L on day 1 of cycles 3,5,7,9 (weeks 7,13,19 and 25) and end of treatment (EOT); cycle 1, day 1 used as baseline. EOT is determined by patient's last visit after treatment discontinuation. |
| Patient Reported Outcome as Assessed by LCS Subscale Score. Change From Baseline in LCS Subscale at Cycles 2 Through 9 and at End of Treatment (EOT) | Outcome measure was assessed on Day 1 of Cycle 1 and Day 1 of every cycle (i.e. Cycle 2, 3, 4, 5 etc.) during treatment and at end of treatment visit or up to data cutoff (10ct2007) used for planned formal interim analysis | Lung Cancer Symptoms (LCS) subscale ranges from 0 (severe debilitation) to 28 (asymptomatic). Cycle duration defined as 21 days. Change from baseline in LCS Subscale on day 1 of cycles 2 through 9 (weeks 4,7,10,13,16,19,22 and 25) and end of treatment (EOT); cycle 1, day 1 used as baseline. EOT is determined by patient's last visit after treatment discontinuation. |
Countries
Argentina, Australia, Belgium, Brazil, Canada, Chile, France, Germany, Hong Kong, Hungary, Italy, Netherlands, Poland, Puerto Rico, Russia, South Korea, Spain, Sweden, Taiwan, United Kingdom, United States
Participant flow
Recruitment details
This study was conducted at 150 centers across 20 countries, which enrolled and randomized at least one subject. From a total of 1043 subjects who were screened, 926 subjects were randomized between 15 February 2006 and 9 May 2007 in 20 countries.
Pre-assignment details
Of the 926 subjects who were randomized, 922 received at least one dose of study drug. All 926 subjects were included in the ITT population (intent-to-treat; defined as all randomized patients), all but four subjects did receive study drug. They were not included in the safety population.
Participants by arm
| Arm | Count |
|---|---|
| Sorafenib + C/P Chemotherapy Phase up to 6 cycles: Sorafenib (Nexavar, BAY43-9006), \[400 mg orally, twice daily\] on Study Days 2-19 and paclitaxel (P) (200 mg/m2, intravenous (IV)) and carboplatin (C) (area under the curve (AUC) =6 mg/ml\*min-1, IV) on Study Day 1. The cycle duration 21 days. Maintenance Phase: Sorafenib 400 mg orally twice daily was administered on Days 1-21 of each 21-day cycle. | 464 |
| Placebo + C/P Chemotherapy Phase up to 6 cycles: Sorafenib Placebo (2 tablets orally twice daily\] on Study Days 2-19 and paclitaxel (200 mg/m2, intravenous (IV)) and carboplatin (area under the curve (AUC) =6 mg/ml\*min-1, IV) on Study Day 1. The cycle duration 21 days. Maintenance Phase: Sorafenib Placebo 2 tablets orally twice daily was administered on Days 1-21 of each 21-day cycle. | 462 |
| Total | 926 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Follow-up | Death | 141 | 163 |
| Follow-up | Lost to Follow-up | 11 | 7 |
| Follow-up | Withdrawal by Subject | 26 | 25 |
| Treatment | Adverse Event | 134 | 82 |
| Treatment | Death | 20 | 7 |
| Treatment | Disease progression | 171 | 238 |
| Treatment | Lack of Efficacy | 1 | 1 |
| Treatment | Lost to Follow-up | 3 | 2 |
| Treatment | Non-compliant with study medication | 3 | 4 |
| Treatment | Physician Decision | 4 | 5 |
| Treatment | Protocol Violation | 11 | 11 |
| Treatment | Random code broken (subject died) | 0 | 1 |
| Treatment | Withdrawal by Subject | 26 | 23 |
Baseline characteristics
| Characteristic | Placebo + C/P | Total | Sorafenib + C/P |
|---|---|---|---|
| Age, Continuous | 63 years | 62 years | 62 years |
| ECOG (Eastern Cooperative Oncology Group) Performance Status 0 | 188 Participants | 378 Participants | 190 Participants |
| ECOG (Eastern Cooperative Oncology Group) Performance Status 1 | 274 Participants | 548 Participants | 274 Participants |
| Geographic region core | 323 Participants | 648 Participants | 325 Participants |
| Geographic region non-core | 139 Participants | 278 Participants | 139 Participants |
| NSCLC Classification Adenocarcinoma NSCLC | 271 Participants | 534 Participants | 263 Participants |
| NSCLC Classification Bronchoalveolar | 5 Participants | 11 Participants | 6 Participants |
| NSCLC Classification Large cell carcinoma | 30 Participants | 53 Participants | 23 Participants |
| NSCLC Classification Low differentiated carcinoma (neuro-endocrine) | 0 Participants | 1 Participants | 1 Participants |
| NSCLC Classification Neuro-Endocrine carcinoma | 1 Participants | 1 Participants | 0 Participants |
| NSCLC Classification Non-Microcellulare carcinoma | 1 Participants | 1 Participants | 0 Participants |
| NSCLC Classification Non-Small cell lung cancer carcinoma | 10 Participants | 20 Participants | 10 Participants |
| NSCLC Classification Poorly differentiated non-small cell carcinoma | 3 Participants | 7 Participants | 4 Participants |
| NSCLC Classification Squamous cell carcinoma | 114 Participants | 223 Participants | 109 Participants |
| NSCLC Classification Undifferentiated carcinoma | 26 Participants | 72 Participants | 46 Participants |
| NSCLC Classification Unknown or unspecified histology | 1 Participants | 3 Participants | 2 Participants |
| Sex: Female, Male Female | 174 Participants | 345 Participants | 171 Participants |
| Sex: Female, Male Male | 288 Participants | 581 Participants | 293 Participants |
| Stage at Study Entry Stage III B | 47 Participants | 91 Participants | 44 Participants |
| Stage at Study Entry Stage IV | 415 Participants | 835 Participants | 420 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 454 / 463 | 450 / 459 |
| serious Total, serious adverse events | 272 / 463 | 195 / 459 |
Outcome results
Overall Survival (OS) in Patients Treated With Carboplatin, Paclitaxel and Sorafenib to OS in Patients Treated With Carboplatin, Paclitaxel and Placebo
Overall survival determined as the time (days) from the date of randomization at start of study to the date of death, due to any cause. Outcome measure was assessed regularly, i.e. every 3 weeks during study treatment and every 3 months during post-treatment.
Time frame: Outcome measure was assessed every 3 weeks starting from randomization, during treatment period and every 3 months during follow-up period until death was recorded or up to data cutoff (1Oct2007) used for planned formal interim analysis
Population: Evaluations of OS based on the ITT population. Subjects alive at the time of analysis were censored at their last date of follow-up (last visit or contact or at the data cut-off date). In the case of an incomplete date, if the day is missing, day 15 (the middle of the month) will be used.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Sorafenib + C/P | Overall Survival (OS) in Patients Treated With Carboplatin, Paclitaxel and Sorafenib to OS in Patients Treated With Carboplatin, Paclitaxel and Placebo | 324 days |
| Placebo + C/P | Overall Survival (OS) in Patients Treated With Carboplatin, Paclitaxel and Sorafenib to OS in Patients Treated With Carboplatin, Paclitaxel and Placebo | 322 days |
Duration of Response
Duration of response (PR or better) is defined as the time from the first documented objective response of PR or CR, whichever is noted earlier, to disease progression or death (if death occurs before progression is documented).
Time frame: Tumor measurements and assessments based on RECIST criteria were performed every 6 weeks for the first 18 weeks of therapy ( week 6, 12, and 18) and every 12 weeks thereafter up to data cutoff (1Oct2007) used for planned formal interim analysis
Population: Evaluations of duration of response based on the ITT population.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Sorafenib + C/P | Duration of Response | 168 days |
| Placebo + C/P | Duration of Response | 134 days |
Overall Best Response
Best overall tumor response for the ITT population was determined according to Response Evaluation Criteria in Solid Tumors (RECIST). Categories: complete response (CR, tumor disappears), partial response (PR, sum of lesion sizes decreased), stable disease (SD, steady state of disease), progressive disease (PD, sum of lesion sizes increased).
Time frame: Tumor measurements and assessments based on RECIST criteria were performed every 6 weeks for the first 18 weeks of therapy ( week 6, 12, and 18) and every 12 weeks thereafter up to data cutoff (1Oct2007) used for planned formal interim analysis
Population: Evaluations of overall best response rate based on the ITT population.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Sorafenib + C/P | Overall Best Response | Stable Disease (SD) | 45.9 percentage of participants |
| Sorafenib + C/P | Overall Best Response | Partial Response (PR) | 27.4 percentage of participants |
| Sorafenib + C/P | Overall Best Response | Progressive Disease (PD) | 9.9 percentage of participants |
| Sorafenib + C/P | Overall Best Response | Not evaluated | 16.8 percentage of participants |
| Sorafenib + C/P | Overall Best Response | Disease control | 49.8 percentage of participants |
| Sorafenib + C/P | Overall Best Response | Complete Response (CR) | 0.0 percentage of participants |
| Placebo + C/P | Overall Best Response | Disease control | 56.3 percentage of participants |
| Placebo + C/P | Overall Best Response | Not evaluated | 10.6 percentage of participants |
| Placebo + C/P | Overall Best Response | Complete Response (CR) | 1.1 percentage of participants |
| Placebo + C/P | Overall Best Response | Partial Response (PR) | 22.9 percentage of participants |
| Placebo + C/P | Overall Best Response | Stable Disease (SD) | 47.8 percentage of participants |
| Placebo + C/P | Overall Best Response | Progressive Disease (PD) | 17.5 percentage of participants |
Patient Reported Outcome as Assessed by FACT-L Score. Change From Baseline in Total FACT-L at Cycles 3,5,7,9 and End of Treatment (EOT)
Functional Assessment of Cancer Therapy - Lung cancer subscore (FACT-L). Patient reported outcome as assessed by FACT-L score. FACT-L questionnaire comprises statements about physical, social / family, emotional and functional well-being as well as additional concerns which have to be rated by the patients (0=not at all to 4=very much). Cycle duration defined as 21 days. Change from baseline in Total FACT-L on day 1 of cycles 3,5,7,9 (weeks 7,13,19 and 25) and end of treatment (EOT); cycle 1, day 1 used as baseline. EOT is determined by patient's last visit after treatment discontinuation.
Time frame: Outcome measure was assessed on Day 1 of Cycle 1 and Day 1 of every other cycle (i.e. Cycle 3, 5, 7 etc.) during treatment and at end of treatment visit or up to data cutoff (10ct2007) used for planned formal interim analysis
Population: Evaluations of Total FACT-L based on the ITT population.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Sorafenib + C/P | Patient Reported Outcome as Assessed by FACT-L Score. Change From Baseline in Total FACT-L at Cycles 3,5,7,9 and End of Treatment (EOT) | Cycle 5, Day 1 | -1.4 Scores on a scale | Standard Deviation 10.5 |
| Sorafenib + C/P | Patient Reported Outcome as Assessed by FACT-L Score. Change From Baseline in Total FACT-L at Cycles 3,5,7,9 and End of Treatment (EOT) | Cycle 9, Day 1 | -1.2 Scores on a scale | Standard Deviation 8 |
| Sorafenib + C/P | Patient Reported Outcome as Assessed by FACT-L Score. Change From Baseline in Total FACT-L at Cycles 3,5,7,9 and End of Treatment (EOT) | Cycle 7, Day 1 | -0.8 Scores on a scale | Standard Deviation 8.1 |
| Sorafenib + C/P | Patient Reported Outcome as Assessed by FACT-L Score. Change From Baseline in Total FACT-L at Cycles 3,5,7,9 and End of Treatment (EOT) | End of treatment (EOT) | -3.1 Scores on a scale | Standard Deviation 10.6 |
| Sorafenib + C/P | Patient Reported Outcome as Assessed by FACT-L Score. Change From Baseline in Total FACT-L at Cycles 3,5,7,9 and End of Treatment (EOT) | Cycle 3, Day 1 | 0.0 Scores on a scale | Standard Deviation 8 |
| Placebo + C/P | Patient Reported Outcome as Assessed by FACT-L Score. Change From Baseline in Total FACT-L at Cycles 3,5,7,9 and End of Treatment (EOT) | End of treatment (EOT) | -2.7 Scores on a scale | Standard Deviation 10.5 |
| Placebo + C/P | Patient Reported Outcome as Assessed by FACT-L Score. Change From Baseline in Total FACT-L at Cycles 3,5,7,9 and End of Treatment (EOT) | Cycle 3, Day 1 | 0.1 Scores on a scale | Standard Deviation 9.7 |
| Placebo + C/P | Patient Reported Outcome as Assessed by FACT-L Score. Change From Baseline in Total FACT-L at Cycles 3,5,7,9 and End of Treatment (EOT) | Cycle 5, Day 1 | -1.3 Scores on a scale | Standard Deviation 9.8 |
| Placebo + C/P | Patient Reported Outcome as Assessed by FACT-L Score. Change From Baseline in Total FACT-L at Cycles 3,5,7,9 and End of Treatment (EOT) | Cycle 7, Day 1 | -0.5 Scores on a scale | Standard Deviation 9.4 |
| Placebo + C/P | Patient Reported Outcome as Assessed by FACT-L Score. Change From Baseline in Total FACT-L at Cycles 3,5,7,9 and End of Treatment (EOT) | Cycle 9, Day 1 | -0.6 Scores on a scale | Standard Deviation 10.6 |
Patient Reported Outcome as Assessed by LCS Subscale Score. Change From Baseline in LCS Subscale at Cycles 2 Through 9 and at End of Treatment (EOT)
Lung Cancer Symptoms (LCS) subscale ranges from 0 (severe debilitation) to 28 (asymptomatic). Cycle duration defined as 21 days. Change from baseline in LCS Subscale on day 1 of cycles 2 through 9 (weeks 4,7,10,13,16,19,22 and 25) and end of treatment (EOT); cycle 1, day 1 used as baseline. EOT is determined by patient's last visit after treatment discontinuation.
Time frame: Outcome measure was assessed on Day 1 of Cycle 1 and Day 1 of every cycle (i.e. Cycle 2, 3, 4, 5 etc.) during treatment and at end of treatment visit or up to data cutoff (10ct2007) used for planned formal interim analysis
Population: Evaluations of LCS Subscale based on the ITT population.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Sorafenib + C/P | Patient Reported Outcome as Assessed by LCS Subscale Score. Change From Baseline in LCS Subscale at Cycles 2 Through 9 and at End of Treatment (EOT) | Cycle 3, Day 1 | -0.4 Scores on a scale | Standard Deviation 2.9 |
| Sorafenib + C/P | Patient Reported Outcome as Assessed by LCS Subscale Score. Change From Baseline in LCS Subscale at Cycles 2 Through 9 and at End of Treatment (EOT) | Cycle 7, Day 1 | -0.8 Scores on a scale | Standard Deviation 3.1 |
| Sorafenib + C/P | Patient Reported Outcome as Assessed by LCS Subscale Score. Change From Baseline in LCS Subscale at Cycles 2 Through 9 and at End of Treatment (EOT) | Cycle 5, Day 1 | -0.6 Scores on a scale | Standard Deviation 2.9 |
| Sorafenib + C/P | Patient Reported Outcome as Assessed by LCS Subscale Score. Change From Baseline in LCS Subscale at Cycles 2 Through 9 and at End of Treatment (EOT) | Cycle 8, Day 1 | -1.2 Scores on a scale | Standard Deviation 3.2 |
| Sorafenib + C/P | Patient Reported Outcome as Assessed by LCS Subscale Score. Change From Baseline in LCS Subscale at Cycles 2 Through 9 and at End of Treatment (EOT) | Cycle 4, Day 1 | -0.6 Scores on a scale | Standard Deviation 2.9 |
| Sorafenib + C/P | Patient Reported Outcome as Assessed by LCS Subscale Score. Change From Baseline in LCS Subscale at Cycles 2 Through 9 and at End of Treatment (EOT) | Cycle 9, Day 1 | -0.9 Scores on a scale | Standard Deviation 3.1 |
| Sorafenib + C/P | Patient Reported Outcome as Assessed by LCS Subscale Score. Change From Baseline in LCS Subscale at Cycles 2 Through 9 and at End of Treatment (EOT) | Cycle 6, Day 1 | -0.8 Scores on a scale | Standard Deviation 2.9 |
| Sorafenib + C/P | Patient Reported Outcome as Assessed by LCS Subscale Score. Change From Baseline in LCS Subscale at Cycles 2 Through 9 and at End of Treatment (EOT) | End of treatment (EOT) | -0.9 Scores on a scale | Standard Deviation 3.2 |
| Sorafenib + C/P | Patient Reported Outcome as Assessed by LCS Subscale Score. Change From Baseline in LCS Subscale at Cycles 2 Through 9 and at End of Treatment (EOT) | Cycle 2, Day 1 | 0.0 Scores on a scale | Standard Deviation 2.7 |
| Placebo + C/P | Patient Reported Outcome as Assessed by LCS Subscale Score. Change From Baseline in LCS Subscale at Cycles 2 Through 9 and at End of Treatment (EOT) | End of treatment (EOT) | -0.4 Scores on a scale | Standard Deviation 3 |
| Placebo + C/P | Patient Reported Outcome as Assessed by LCS Subscale Score. Change From Baseline in LCS Subscale at Cycles 2 Through 9 and at End of Treatment (EOT) | Cycle 2, Day 1 | -0.1 Scores on a scale | Standard Deviation 3.1 |
| Placebo + C/P | Patient Reported Outcome as Assessed by LCS Subscale Score. Change From Baseline in LCS Subscale at Cycles 2 Through 9 and at End of Treatment (EOT) | Cycle 3, Day 1 | -0.2 Scores on a scale | Standard Deviation 2.9 |
| Placebo + C/P | Patient Reported Outcome as Assessed by LCS Subscale Score. Change From Baseline in LCS Subscale at Cycles 2 Through 9 and at End of Treatment (EOT) | Cycle 4, Day 1 | -0.3 Scores on a scale | Standard Deviation 3 |
| Placebo + C/P | Patient Reported Outcome as Assessed by LCS Subscale Score. Change From Baseline in LCS Subscale at Cycles 2 Through 9 and at End of Treatment (EOT) | Cycle 5, Day 1 | -0.5 Scores on a scale | Standard Deviation 2.9 |
| Placebo + C/P | Patient Reported Outcome as Assessed by LCS Subscale Score. Change From Baseline in LCS Subscale at Cycles 2 Through 9 and at End of Treatment (EOT) | Cycle 6, Day 1 | -0.4 Scores on a scale | Standard Deviation 3.1 |
| Placebo + C/P | Patient Reported Outcome as Assessed by LCS Subscale Score. Change From Baseline in LCS Subscale at Cycles 2 Through 9 and at End of Treatment (EOT) | Cycle 7, Day 1 | -0.4 Scores on a scale | Standard Deviation 2.9 |
| Placebo + C/P | Patient Reported Outcome as Assessed by LCS Subscale Score. Change From Baseline in LCS Subscale at Cycles 2 Through 9 and at End of Treatment (EOT) | Cycle 8, Day 1 | -0.2 Scores on a scale | Standard Deviation 2.6 |
| Placebo + C/P | Patient Reported Outcome as Assessed by LCS Subscale Score. Change From Baseline in LCS Subscale at Cycles 2 Through 9 and at End of Treatment (EOT) | Cycle 9, Day 1 | -0.3 Scores on a scale | Standard Deviation 3.3 |
Progression Free Survival (PFS)
PFS determined as time (days) from the date of randomization at start of study to disease progression (radiological or clinical) or death due to any cause, if death occurs before progression.
Time frame: Tumor measurements and assessments based on RECIST criteria were performed every 6 weeks for the first 18 weeks of therapy ( week 6, 12, and 18) and every 12 weeks thereafter up to data cutoff (1Oct2007) used for planned formal interim analysis
Population: PFS (based on the ITT population) for subjects without disease progression/death at the time of analysis were censored at the last evaluation date. PFS for surviving subjects without post-baseline tumor assessments were censored at one day. In the case of an incomplete date (missing day), day 15 (the middle of the month) will be used.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Sorafenib + C/P | Progression Free Survival (PFS) | 139 days |
| Placebo + C/P | Progression Free Survival (PFS) | 163 days |