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A Randomized Controlled Trial Comparing Safety and Efficacy of Carboplatin and Paclitaxel Plus or Minus Sorafenib (BAY 43-9006) in Chemonaive Patients With Stage IIIB-IV Non-Small Cell Lung Cancer (NSCLC)

A Randomized Controlled Trial Comparing Safety and Efficacy of Carboplatin and Paclitaxel Plus or Minus Sorafenib (BAY 43-9006) in Chemonaive Patients With Stage IIIB-IV Non-Small Cell Lung Cancer (NSCLC)

Status
Terminated
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00300885
Enrollment
926
Registered
2006-03-10
Start date
2006-02-28
Completion date
2009-02-28
Last updated
2014-11-04

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

Conditions

Carcinoma, Non-Small Cell Lung

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

DRUGNexavar (Sorafenib, BAY43-9006) + carboplatin + paclitaxel

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

Bayer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE

Eligibility

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

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

MeasureTime frameDescription
Overall Survival (OS) in Patients Treated With Carboplatin, Paclitaxel and Sorafenib to OS in Patients Treated With Carboplatin, Paclitaxel and PlaceboOutcome 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 analysisOverall 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

MeasureTime frameDescription
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 analysisPFS 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 ResponseTumor 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 analysisBest 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 ResponseTumor 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 analysisDuration 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 analysisFunctional 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 analysisLung 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

ArmCount
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
Total926

Withdrawals & dropouts

PeriodReasonFG000FG001
Follow-upDeath141163
Follow-upLost to Follow-up117
Follow-upWithdrawal by Subject2625
TreatmentAdverse Event13482
TreatmentDeath207
TreatmentDisease progression171238
TreatmentLack of Efficacy11
TreatmentLost to Follow-up32
TreatmentNon-compliant with study medication34
TreatmentPhysician Decision45
TreatmentProtocol Violation1111
TreatmentRandom code broken (subject died)01
TreatmentWithdrawal by Subject2623

Baseline characteristics

CharacteristicPlacebo + C/PTotalSorafenib + C/P
Age, Continuous63 years62 years62 years
ECOG (Eastern Cooperative Oncology Group) Performance Status
0
188 Participants378 Participants190 Participants
ECOG (Eastern Cooperative Oncology Group) Performance Status
1
274 Participants548 Participants274 Participants
Geographic region
core
323 Participants648 Participants325 Participants
Geographic region
non-core
139 Participants278 Participants139 Participants
NSCLC Classification
Adenocarcinoma NSCLC
271 Participants534 Participants263 Participants
NSCLC Classification
Bronchoalveolar
5 Participants11 Participants6 Participants
NSCLC Classification
Large cell carcinoma
30 Participants53 Participants23 Participants
NSCLC Classification
Low differentiated carcinoma (neuro-endocrine)
0 Participants1 Participants1 Participants
NSCLC Classification
Neuro-Endocrine carcinoma
1 Participants1 Participants0 Participants
NSCLC Classification
Non-Microcellulare carcinoma
1 Participants1 Participants0 Participants
NSCLC Classification
Non-Small cell lung cancer carcinoma
10 Participants20 Participants10 Participants
NSCLC Classification
Poorly differentiated non-small cell carcinoma
3 Participants7 Participants4 Participants
NSCLC Classification
Squamous cell carcinoma
114 Participants223 Participants109 Participants
NSCLC Classification
Undifferentiated carcinoma
26 Participants72 Participants46 Participants
NSCLC Classification
Unknown or unspecified histology
1 Participants3 Participants2 Participants
Sex: Female, Male
Female
174 Participants345 Participants171 Participants
Sex: Female, Male
Male
288 Participants581 Participants293 Participants
Stage at Study Entry
Stage III B
47 Participants91 Participants44 Participants
Stage at Study Entry
Stage IV
415 Participants835 Participants420 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
454 / 463450 / 459
serious
Total, serious adverse events
272 / 463195 / 459

Outcome results

Primary

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.

ArmMeasureValue (MEDIAN)
Sorafenib + C/POverall Survival (OS) in Patients Treated With Carboplatin, Paclitaxel and Sorafenib to OS in Patients Treated With Carboplatin, Paclitaxel and Placebo324 days
Placebo + C/POverall Survival (OS) in Patients Treated With Carboplatin, Paclitaxel and Sorafenib to OS in Patients Treated With Carboplatin, Paclitaxel and Placebo322 days
Comparison: Sample size based on primary efficacy endpoint of OS. Clinically meaningful improvement defined as 30% improvement in median OS (i.e. HR of 0.76923, Sorafenib+C/P over Placebo+C/P -Null: theta\>=1, Alternative: theta\<=0.76923). With overall one-sided alpha of 0.025, 90% power and randomization of 1:1, one formal interim analysis and one final analysis were planned using O'Brien-Fleming type error spending function, and a total of 614 events (deaths) were required.p-value: 0.91595% CI: [0.94, 1.41]Log Rank
Secondary

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.

ArmMeasureValue (MEDIAN)
Sorafenib + C/PDuration of Response168 days
Placebo + C/PDuration of Response134 days
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Sorafenib + C/POverall Best ResponseStable Disease (SD)45.9 percentage of participants
Sorafenib + C/POverall Best ResponsePartial Response (PR)27.4 percentage of participants
Sorafenib + C/POverall Best ResponseProgressive Disease (PD)9.9 percentage of participants
Sorafenib + C/POverall Best ResponseNot evaluated16.8 percentage of participants
Sorafenib + C/POverall Best ResponseDisease control49.8 percentage of participants
Sorafenib + C/POverall Best ResponseComplete Response (CR)0.0 percentage of participants
Placebo + C/POverall Best ResponseDisease control56.3 percentage of participants
Placebo + C/POverall Best ResponseNot evaluated10.6 percentage of participants
Placebo + C/POverall Best ResponseComplete Response (CR)1.1 percentage of participants
Placebo + C/POverall Best ResponsePartial Response (PR)22.9 percentage of participants
Placebo + C/POverall Best ResponseStable Disease (SD)47.8 percentage of participants
Placebo + C/POverall Best ResponseProgressive Disease (PD)17.5 percentage of participants
Comparison: Objective response rate (ie. CR+PR rate) was compared between treatment arms using Cochran-Mantel-Haenszel test with one-side alpha 0.025 adjusting for same stratification factors as randomizationp-value: 0.101595% CI: [-9.18, 1.89]Cochran-Mantel-Haenszel
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Sorafenib + C/PPatient 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 scaleStandard Deviation 10.5
Sorafenib + C/PPatient 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 scaleStandard Deviation 8
Sorafenib + C/PPatient 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 scaleStandard Deviation 8.1
Sorafenib + C/PPatient 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 scaleStandard Deviation 10.6
Sorafenib + C/PPatient 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 10.0 Scores on a scaleStandard Deviation 8
Placebo + C/PPatient 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 scaleStandard Deviation 10.5
Placebo + C/PPatient 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 10.1 Scores on a scaleStandard Deviation 9.7
Placebo + C/PPatient 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 scaleStandard Deviation 9.8
Placebo + C/PPatient 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 scaleStandard Deviation 9.4
Placebo + C/PPatient 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 scaleStandard Deviation 10.6
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Sorafenib + C/PPatient 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 scaleStandard Deviation 2.9
Sorafenib + C/PPatient 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 scaleStandard Deviation 3.1
Sorafenib + C/PPatient 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 scaleStandard Deviation 2.9
Sorafenib + C/PPatient 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 scaleStandard Deviation 3.2
Sorafenib + C/PPatient 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 scaleStandard Deviation 2.9
Sorafenib + C/PPatient 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 scaleStandard Deviation 3.1
Sorafenib + C/PPatient 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 scaleStandard Deviation 2.9
Sorafenib + C/PPatient 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 scaleStandard Deviation 3.2
Sorafenib + C/PPatient 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 10.0 Scores on a scaleStandard Deviation 2.7
Placebo + C/PPatient 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 scaleStandard Deviation 3
Placebo + C/PPatient 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 scaleStandard Deviation 3.1
Placebo + C/PPatient 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 scaleStandard Deviation 2.9
Placebo + C/PPatient 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 scaleStandard Deviation 3
Placebo + C/PPatient 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 scaleStandard Deviation 2.9
Placebo + C/PPatient 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 scaleStandard Deviation 3.1
Placebo + C/PPatient 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 scaleStandard Deviation 2.9
Placebo + C/PPatient 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 scaleStandard Deviation 2.6
Placebo + C/PPatient 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 scaleStandard Deviation 3.3
Secondary

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.

ArmMeasureValue (MEDIAN)
Sorafenib + C/PProgression Free Survival (PFS)139 days
Placebo + C/PProgression Free Survival (PFS)163 days
Comparison: Two treatment groups compared using one-sided log-rank test (Sorafenib+C/P over Placebo+C/P) with alpha of 0.025 stratified by same stratification factors at randomizationp-value: 0.43395% CI: [0.84, 1.16]Log Rank

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