Cancer
Conditions
Keywords
Thorax, Abdomen, Pelvis, Lesion, Cancer, Radiation, Chemotherapy, Phase 1, Advanced Cancer, Sorafenib, Nexavar, BAY43-9006
Brief summary
The purpose of this study is to test the combination of radiation treatment and an anti-angiogenic drug called sorafenib (or BAY 43-9006 or Nexavar) to determine the effects of this combination on cancers but also on side effects of radiation treatment. This study will also determine the highest safe dose of sorafenib that can be given with radiation treatment.
Interventions
Sorafenib orally for one week prior to radiation, then concomitantly for two weeks with radiation and then for one week following completion of radiation. Each anatomic cohort will dose escalate independently. Dose level 1 is 200mg of sorafenib. If full oral dose (400mg orally, twice a day) is reached in a given cohort then an additional dose level will open where sorafenib treatment is extended following radiation for a total of eight weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Advanced cancer not eligible for curative treatment. * A measurable lesion in the thorax, abdomen or pelvis. * Normal organ and bone marrow function. * Able to receive protocol prescribed radiation. Please refer to the protocol for detailed inclusion criteria.
Exclusion criteria
* Overlap of treatment field with a previous radiation field. * Inability to meet mandated normal tissue radiation dose constraints. * Brain metastases (unless previously treated and controlled) * Previous treatment with Sorafenib. * Poorly controlled Hypertension. * Unable to swallow sorafenib tablets. * Intercurrent cardiac dysfunction. * Uncontrolled intercurrent illness. Please refer to the protocol for detailed
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Maximum Tolerated Dose | Outcome is measured prior to each dose escalation. | To measure safety and maximum tolerated dose, all adverse events will be assessed in line with dose limiting toxicities. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sorafenib with radiation treatment efficacy | 12 weeks from initiation of study treatment. | To assess the efficacy of adding sorafenib to radiation treatment, radiological imaging will be used to assess response rate inline with the RECIST criteria. |
Countries
Canada