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Comparison of Nexavar/Placebo as Maintenance Therapy for Patients With Advanced Ovarian or Primary Peritoneal Cancer

A Double-Blind, Randomized Phase II Study Evaluating the Efficacy and Safety of Sorafenib Compared to Placebo in Ovarian Epithelial Cancer or Primary Peritoneal Cancer Patients Who Have Achieved a Complete Clinical Response After Standard Platinum/Taxane Containing Chemotherapy

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00791778
Enrollment
246
Registered
2008-11-17
Start date
2008-11-30
Completion date
2012-12-31
Last updated
2015-09-28

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

Conditions

Ovarian Neoplasms

Keywords

Peritoneal Neoplasma

Brief summary

Comparison of Nexavar with a placebo as maintenance therapy for patients with advanced Ovarian or primary Peritoneal cancers in complete remission following surgery and one regimen of chemotherapy.

Interventions

DRUGSorafenib (Nexavar, BAY43-9006)

Patients in Sorafenib arm will receive 2 Sorafenib tablets (200 mg each) twice a day and in continuous administration.

DRUGPlacebo

Patients in Placebo arm will receive 2 matching placebo tablets twice a day and in continuous administration.

Sponsors

Bayer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

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

Inclusion criteria

* Histologically confirmed International Federation of Gynecology and Obstetrics (FIGO) stage (67) III or IV ovarian epithelial cancer or primary peritoneal cancer at presentation. Patients must have achieved a clinical complete response (disappearance of all clinical and radiological evidence of tumor) after only one regimen (4-6 cycles) of platinum and taxane-based standard chemotherapy received after tumor debulkment. * Normal serum CA125 (cancer-associated tumor marker) level within 7 days of first dose of sorafenib. * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. * All scans used to document complete response must be done within 30 days prior to randomization. * Patients must be able to swallow and retain oral medication.

Exclusion criteria

* Patients with any residual cancer tissue after the completion of chemotherapy detectable by standard Computed tomography (CT) or magnetic resonance imaging (MRI). * Prior local radiotherapy, neoadjuvant chemotherapy or intraperitoneal chemotherapy. * Histologic subtypes of ovarian cancer other than epithelial (i.e. sarcoma, lymphoma, germ cell). * Major surgery, open biopsy, or significant traumatic injury within 30 days prior to randomization.

Design outcomes

Primary

MeasureTime frameDescription
Progression-free Survival (PFS), Based on Radiological or Pathologic AssessmentFrom randomization of the first patient until 32.5 months later, assessed every 8 weeksTime from randomization to the first documented disease progression by radiological or pathologic assessment or death due to any cause whichever occurred first. For patients who had not progressed or died at the time of analysis, PFS was censored at the date of their last evaluable tumor scan.

Secondary

MeasureTime frameDescription
Time to First Pathologic CA-125 (Cancer-associated Tumor Marker) Serum LevelFrom randomization of the first patient until 32.5 months later, assessed every 8 weeksTime from randomization to the first documented increase of CA-125 above the upper limit of normal. Patients without pathologic CA-125 increase at the time of analysis were censored at their last date of evaluation of CA-125.
Overall Survival (OS)From randomization of the first patient until 32.5 months laterThe OS time was measured from the date of randomization until the date of death due to any cause. Patients who were alive at the time of analysis were censored at the date of the last contact (last time the patient was known to be alive).

Other

MeasureTime frameDescription
FOSI Total Score at Cycle 5At Cycle 5 (4 weeks per Cycle)The FOSI is an 8-item index derived from the FACT-Ovarian Cancer (FACT-O) to measure symptom response to treatment for ovarian cancer. The FOSI total score ranges from 0 (severely symptomatic) to 32 (asymptomatic).
Change From Baseline in FOSI Total Score at Cycle 5Baseline and Cycle 5 (4 weeks per Cycle)The FOSI is an 8-item index derived from the FACT-Ovarian Cancer (FACT-O) to measure symptom response to treatment for ovarian cancer. The change is calculated as score at Cycle 5 minus baseline score. The change in FOSI total score ranges from -32 (most deterioration from baseline) to 32 (most improvement from baseline).
FOSI Total Score at End of TreatmentAt End of treatment (up to Cycle 33, 4 weeks per Cycle)The FOSI is an 8-item index derived from the FACT-Ovarian Cancer (FACT-O) to measure symptom response to treatment for ovarian cancer. The FOSI total score ranges from 0 (severely symptomatic) to 32 (asymptomatic).
Change From Baseline in FOSI Total Score at End of TreatmentBaseline and End of treatment (up to Cycle 33, 4 weeks per Cycle)The FOSI is an 8-item index derived from the FACT-Ovarian Cancer (FACT-O) to measure symptom response to treatment for ovarian cancer. The change is calculated as score at End of treatment minus baseline score. The change in FOSI total score ranges from -32 (most deterioration from baseline) to 32 (most improvement from baseline).
EuroQol-5D (EQ-5D) Index Score at Cycle 1/BaselineAt Cycle 1 (4 weeks per Cycle)/baselineThe EQ-5D contains a descriptive system which measures 5 health dimensions: mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. These five health dimensions are summarized into a single score, the EQ-5D index score which ranges from -0.594 (worst) to 1 (best) when the United Kingdom (UK) weights are applied.
EQ-5D Index Score at Cycle 3At Cycle 3 (4 weeks per Cycle)The EQ-5D contains a descriptive system which measures 5 health dimensions: mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. These five health dimensions are summarized into a single score, the EQ-5D index score which ranges from -0.594 (worst) to 1 (best) when the United Kingdom (UK) weights are applied.
Change From Baseline in EQ-5D Index Score at Cycle 3Baseline and Cycle 3 (4 weeks per Cycle)The EQ-5D contains a descriptive system which measures 5 health dimensions: mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. These five health dimensions are summarized into a single score, the EQ-5D index. The change is calculated as score at Cycle 3 minus baseline score. The change in EQ-5D index ranges from -1.594 (most deterioration from baseline) to 1.594 (most improvement from baseline).
EQ-5D Index Score at Cycle 5At Cycle 5 (4 weeks per Cycle)The EQ-5D contains a descriptive system which measures 5 health dimensions: mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. These five health dimensions are summarized into a single score, the EQ-5D index score which ranges from -0.594 (worst) to 1 (best) when the United Kingdom (UK) weights are applied.
Change From Baseline in EQ-5D Index Score at Cycle 5Baseline and Cycle 5 (4 weeks per Cycle)The EQ-5D contains a descriptive system which measures 5 health dimensions: mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. These five health dimensions are summarized into a single score, the EQ-5D index. The change is calculated as score at Cycle 5 minus baseline score. The change in EQ-5D index ranges from -1.594 (most deterioration from baseline) to 1.594 (most improvement from baseline).
Functional Assessment of Cancer Therapy (FACT)/National Comprehensive Cancer Network (NCCN) Ovarian Symptom Index (FOSI) Total Score at Cycle 1/BaselineAt Cycle 1 (4 weeks per Cycle)/baselineThe FOSI is an 8-item index derived from the FACT-Ovarian Cancer (FACT-O) to measure symptom response to treatment for ovarian cancer. The FOSI total score ranges from 0 (severely symptomatic) to 32 (asymptomatic).
Change From Baseline in EQ-5D Index Score at End of TreatmentBaseline and End of treatment (up to Cycle 33, 4 weeks per Cycle)The EQ-5D contains a descriptive system which measures 5 health dimensions: mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. These five health dimensions are summarized into a single score, the EQ-5D index. The change is calculated as score at End of treatment minus baseline score. The change in EQ-5D index ranges from -1.594 (most deterioration from baseline) to 1.594 (most improvement from baseline).
EQ-5D Visual Analogue Scale (VAS) Score at Cycle 1/BaselineAt Cycle 1 (4 weeks per Cycle)/baselineThe EQ-5D also contains a VAS, which records the respondent's self-rated health status on a vertical graduated scale. The scale ranges from 0 (worst imaginable health state) to 100 (best imaginable health state).
EQ-5D VAS Score at Cycle 3At Cycle 3 (4 weeks per Cycle)The EQ-5D also contains a VAS, which records the respondent's self-rated health status on a vertical graduated scale. The scale ranges from 0 (worst imaginable health state) to 100 (best imaginable health state).
Change From Baseline in EQ-5D VAS Score at Cycle 3Baseline and Cycle 3 (4 weeks per Cycle)The EQ-5D also contains a VAS, which records the respondent's self-rated health status on a vertical graduated scale. The change is calculated as score at Cycle 3 minus baseline score. The change in EQ-5D VAS ranges from -100 (most deterioration from baseline) to 100 (most improvement from baseline).
EQ-5D VAS Score at Cycle 5At Cycle 5 (4 weeks per Cycle)The EQ-5D also contains a VAS, which records the respondent's self-rated health status on a vertical graduated scale. The scale ranges from 0 (worst imaginable health state) to 100 (best imaginable health state).
Change From Baseline in EQ-5D VAS Score at Cycle 5Baseline and Cycle 5 (4 weeks per Cycle)The EQ-5D also contains a VAS, which records the respondent's self-rated health status on a vertical graduated scale. The change is calculated as score at Cycle 5 minus baseline score. The change in EQ-5D VAS ranges from -100 (most deterioration from baseline) to 100 (most improvement from baseline).
EQ-5D VAS Score at End of TreatmentAt End of treatment (up to Cycle 33, 4 weeks per Cycle)The EQ-5D also contains a VAS, which records the respondent's self-rated health status on a vertical graduated scale. The scale ranges from 0 (worst imaginable health state) to 100 (best imaginable health state).
Change From Baseline in EQ-5D VAS Score at End of TreatmentBaseline and End of treatment (up to Cycle 33, 4 weeks per Cycle)The EQ-5D also contains a VAS, which records the respondent's self-rated health status on a vertical graduated scale. The change is calculated as score at End of treatment minus baseline score. The change in EQ-5D VAS ranges from -100 (most deterioration from baseline) to 100 (most improvement from baseline).
EQ-5D Index Score at End of TreatmentAt End of treatment (up to Cycle 33, 4 weeks per Cycle)The EQ-5D contains a descriptive system which measures 5 health dimensions: mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. These five health dimensions are summarized into a single score, the EQ-5D index score which ranges from -0.594 (worst) to 1 (best) when the United Kingdom (UK) weights are applied.
FOSI Total Score at Cycle 3At Cycle 3 (4 weeks per Cycle)The FOSI is an 8-item index derived from the FACT-Ovarian Cancer (FACT-O) to measure symptom response to treatment for ovarian cancer. The FOSI total score ranges from 0 (severely symptomatic) to 32 (asymptomatic).
Change From Baseline in FOSI Total Score at Cycle 3Baseline and Cycle 3 (4 weeks per Cycle)The FOSI is an 8-item index derived from the FACT-Ovarian Cancer (FACT-O) to measure symptom response to treatment for ovarian cancer. The change is calculated as score at Cycle 3 minus baseline score. The change in FOSI total score ranges from -32 (most deterioration from baseline) to 32 (most improvement from baseline).

Countries

Belgium, Canada, Finland, France, Germany, Hong Kong, Italy, Japan, Netherlands, Poland, Singapore, South Korea, Spain, United States

Participant flow

Participants by arm

ArmCount
Sorafenib (Nexavar, BAY43-9006)
Participants received 2 sorafenib tablets (200 mg each) per oral twice daily (bid)
123
Placebo
Participants received 2 matching placebo tablets per oral twice daily
123
Total246

Withdrawals & dropouts

PeriodReasonFG000FG001
Double-blind TreatmentAdverse Event499
Double-blind TreatmentNon-compliant with study medication20
Double-blind TreatmentPhysician Decision626
Double-blind TreatmentProtocol Violation04
Double-blind TreatmentWithdrawal by Subject209
Follow-upLost to Follow-up21
Follow-upWithdrawal by Subject30

Baseline characteristics

CharacteristicSorafenib (Nexavar, BAY43-9006)PlaceboTotal
Age, Continuous56.9 Years
STANDARD_DEVIATION 10.4
54.4 Years
STANDARD_DEVIATION 10.3
55.7 Years
STANDARD_DEVIATION 10.4
Age, Customized
≥ 65 - < 75 years
23 Participants23 Participants46 Participants
Age, Customized
< 65 years
95 Participants99 Participants194 Participants
Age, Customized
≥ 75 years
5 Participants1 Participants6 Participants
Performance status, Eastern Cooperative Oncology Group (ECOG)
0=Fully active without restriction
89 Participants92 Participants181 Participants
Performance status, Eastern Cooperative Oncology Group (ECOG)
1=Restricted in physically strenuous activity
32 Participants30 Participants62 Participants
Performance status, Eastern Cooperative Oncology Group (ECOG)
2=Ambulatory, capable of all selfcare
1 Participants0 Participants1 Participants
Performance status, Eastern Cooperative Oncology Group (ECOG)
Missing
1 Participants1 Participants2 Participants
Previous Intra-peritoneal (IP) chemotherapy
No
118 Participants119 Participants237 Participants
Previous Intra-peritoneal (IP) chemotherapy
Yes
5 Participants4 Participants9 Participants
Sex: Female, Male
Female
123 Participants123 Participants246 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants
Surgical cytoreduction
Missing
8 Participants8 Participants16 Participants
Surgical cytoreduction
Optimal
105 Participants105 Participants210 Participants
Surgical cytoreduction
Suboptimal
10 Participants10 Participants20 Participants
Type of cancer
Ovarian cancer
115 Participants114 Participants229 Participants
Type of cancer
Peritoneal cancer
8 Participants9 Participants17 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
121 / 123105 / 123
serious
Total, serious adverse events
26 / 12325 / 123

Outcome results

Primary

Progression-free Survival (PFS), Based on Radiological or Pathologic Assessment

Time from randomization to the first documented disease progression by radiological or pathologic assessment or death due to any cause whichever occurred first. For patients who had not progressed or died at the time of analysis, PFS was censored at the date of their last evaluable tumor scan.

Time frame: From randomization of the first patient until 32.5 months later, assessed every 8 weeks

Population: Full analysis set (FAS)=all randomized participants

ArmMeasureValue (MEDIAN)
Sorafenib (Nexavar, BAY43-9006)Progression-free Survival (PFS), Based on Radiological or Pathologic Assessment386 Days
PlaceboProgression-free Survival (PFS), Based on Radiological or Pathologic Assessment478 Days
Comparison: Sample size based on the primary efficacy endpoint of PFS. Clinically meaningful improvement defined as 65% increase in median PFS. With one-sided alpha of 0.10, power of 90% and a randomization ratio of 1:1 between Sorafenib and Placebo, a total of 105 PFS events were required.p-value: 0.65595% CI: [0.72, 1.63]Log Rank
Secondary

Overall Survival (OS)

The OS time was measured from the date of randomization until the date of death due to any cause. Patients who were alive at the time of analysis were censored at the date of the last contact (last time the patient was known to be alive).

Time frame: From randomization of the first patient until 32.5 months later

Population: FAS=all randomized participants

ArmMeasureValue (MEDIAN)
Sorafenib (Nexavar, BAY43-9006)Overall Survival (OS)NA Days
PlaceboOverall Survival (OS)NA Days
p-value: 0.8495% CI: [0.69, 3.23]Log Rank
Secondary

Time to First Pathologic CA-125 (Cancer-associated Tumor Marker) Serum Level

Time from randomization to the first documented increase of CA-125 above the upper limit of normal. Patients without pathologic CA-125 increase at the time of analysis were censored at their last date of evaluation of CA-125.

Time frame: From randomization of the first patient until 32.5 months later, assessed every 8 weeks

Population: Per protocol set (PPS)=all randomized participants who had normal CA-125 serum level at baseline and at least one post-baseline CA-125 assessment

ArmMeasureValue (MEDIAN)
Sorafenib (Nexavar, BAY43-9006)Time to First Pathologic CA-125 (Cancer-associated Tumor Marker) Serum Level337 Days
PlaceboTime to First Pathologic CA-125 (Cancer-associated Tumor Marker) Serum Level617 Days
p-value: 0.95195% CI: [0.93, 2.2]Log Rank
Other Pre-specified

Change From Baseline in EQ-5D Index Score at Cycle 3

The EQ-5D contains a descriptive system which measures 5 health dimensions: mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. These five health dimensions are summarized into a single score, the EQ-5D index. The change is calculated as score at Cycle 3 minus baseline score. The change in EQ-5D index ranges from -1.594 (most deterioration from baseline) to 1.594 (most improvement from baseline).

Time frame: Baseline and Cycle 3 (4 weeks per Cycle)

Population: PRO analysis set=the FAS population with evaluable PRO assessments at baseline and at Cycle 3

ArmMeasureValue (MEAN)Dispersion
Sorafenib (Nexavar, BAY43-9006)Change From Baseline in EQ-5D Index Score at Cycle 3-0.068 Scores on a scaleStandard Deviation 0.225
PlaceboChange From Baseline in EQ-5D Index Score at Cycle 3-0.003 Scores on a scaleStandard Deviation 0.201
Other Pre-specified

Change From Baseline in EQ-5D Index Score at Cycle 5

The EQ-5D contains a descriptive system which measures 5 health dimensions: mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. These five health dimensions are summarized into a single score, the EQ-5D index. The change is calculated as score at Cycle 5 minus baseline score. The change in EQ-5D index ranges from -1.594 (most deterioration from baseline) to 1.594 (most improvement from baseline).

Time frame: Baseline and Cycle 5 (4 weeks per Cycle)

Population: PRO analysis set=the FAS population with evaluable PRO assessments at baseline and at Cycle 5

ArmMeasureValue (MEAN)Dispersion
Sorafenib (Nexavar, BAY43-9006)Change From Baseline in EQ-5D Index Score at Cycle 5-0.045 Scores on a scaleStandard Deviation 0.222
PlaceboChange From Baseline in EQ-5D Index Score at Cycle 50.016 Scores on a scaleStandard Deviation 0.18
Other Pre-specified

Change From Baseline in EQ-5D Index Score at End of Treatment

The EQ-5D contains a descriptive system which measures 5 health dimensions: mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. These five health dimensions are summarized into a single score, the EQ-5D index. The change is calculated as score at End of treatment minus baseline score. The change in EQ-5D index ranges from -1.594 (most deterioration from baseline) to 1.594 (most improvement from baseline).

Time frame: Baseline and End of treatment (up to Cycle 33, 4 weeks per Cycle)

Population: PRO analysis set=the FAS population with evaluable PRO assessments at baseline and at end of treatment

ArmMeasureValue (MEAN)Dispersion
Sorafenib (Nexavar, BAY43-9006)Change From Baseline in EQ-5D Index Score at End of Treatment-0.064 Scores on a scaleStandard Deviation 0.243
PlaceboChange From Baseline in EQ-5D Index Score at End of Treatment-0.054 Scores on a scaleStandard Deviation 0.274
Other Pre-specified

Change From Baseline in EQ-5D VAS Score at Cycle 3

The EQ-5D also contains a VAS, which records the respondent's self-rated health status on a vertical graduated scale. The change is calculated as score at Cycle 3 minus baseline score. The change in EQ-5D VAS ranges from -100 (most deterioration from baseline) to 100 (most improvement from baseline).

Time frame: Baseline and Cycle 3 (4 weeks per Cycle)

Population: PRO analysis set=the FAS population with evaluable PRO assessments at baseline and at Cycle 3

ArmMeasureValue (MEAN)Dispersion
Sorafenib (Nexavar, BAY43-9006)Change From Baseline in EQ-5D VAS Score at Cycle 3-2.225 Scores on a scaleStandard Deviation 15.594
PlaceboChange From Baseline in EQ-5D VAS Score at Cycle 32.688 Scores on a scaleStandard Deviation 10.736
Other Pre-specified

Change From Baseline in EQ-5D VAS Score at Cycle 5

The EQ-5D also contains a VAS, which records the respondent's self-rated health status on a vertical graduated scale. The change is calculated as score at Cycle 5 minus baseline score. The change in EQ-5D VAS ranges from -100 (most deterioration from baseline) to 100 (most improvement from baseline).

Time frame: Baseline and Cycle 5 (4 weeks per Cycle)

Population: PRO analysis set=the FAS population with evaluable PRO assessments at baseline and at Cycle 5

ArmMeasureValue (MEAN)Dispersion
Sorafenib (Nexavar, BAY43-9006)Change From Baseline in EQ-5D VAS Score at Cycle 5-0.947 Scores on a scaleStandard Deviation 15.901
PlaceboChange From Baseline in EQ-5D VAS Score at Cycle 53.543 Scores on a scaleStandard Deviation 14.151
Other Pre-specified

Change From Baseline in EQ-5D VAS Score at End of Treatment

The EQ-5D also contains a VAS, which records the respondent's self-rated health status on a vertical graduated scale. The change is calculated as score at End of treatment minus baseline score. The change in EQ-5D VAS ranges from -100 (most deterioration from baseline) to 100 (most improvement from baseline).

Time frame: Baseline and End of treatment (up to Cycle 33, 4 weeks per Cycle)

Population: PRO analysis set=the FAS population with evaluable PRO assessments at baseline and at end of treatment

ArmMeasureValue (MEAN)Dispersion
Sorafenib (Nexavar, BAY43-9006)Change From Baseline in EQ-5D VAS Score at End of Treatment-2.147 Scores on a scaleStandard Deviation 18.054
PlaceboChange From Baseline in EQ-5D VAS Score at End of Treatment0.348 Scores on a scaleStandard Deviation 17.481
Other Pre-specified

Change From Baseline in FOSI Total Score at Cycle 3

The FOSI is an 8-item index derived from the FACT-Ovarian Cancer (FACT-O) to measure symptom response to treatment for ovarian cancer. The change is calculated as score at Cycle 3 minus baseline score. The change in FOSI total score ranges from -32 (most deterioration from baseline) to 32 (most improvement from baseline).

Time frame: Baseline and Cycle 3 (4 weeks per Cycle)

Population: PRO analysis set=the FAS population with evaluable PRO assessments at baseline and at Cycle 3

ArmMeasureValue (MEAN)Dispersion
Sorafenib (Nexavar, BAY43-9006)Change From Baseline in FOSI Total Score at Cycle 30.086 Scores on a scaleStandard Deviation 3.387
PlaceboChange From Baseline in FOSI Total Score at Cycle 30.460 Scores on a scaleStandard Deviation 3.128
Other Pre-specified

Change From Baseline in FOSI Total Score at Cycle 5

The FOSI is an 8-item index derived from the FACT-Ovarian Cancer (FACT-O) to measure symptom response to treatment for ovarian cancer. The change is calculated as score at Cycle 5 minus baseline score. The change in FOSI total score ranges from -32 (most deterioration from baseline) to 32 (most improvement from baseline).

Time frame: Baseline and Cycle 5 (4 weeks per Cycle)

Population: PRO analysis set=the FAS population with evaluable PRO assessments at baseline and at Cycle 5

ArmMeasureValue (MEAN)Dispersion
Sorafenib (Nexavar, BAY43-9006)Change From Baseline in FOSI Total Score at Cycle 5-0.223 Scores on a scaleStandard Deviation 3.53
PlaceboChange From Baseline in FOSI Total Score at Cycle 50.659 Scores on a scaleStandard Deviation 3.38
Other Pre-specified

Change From Baseline in FOSI Total Score at End of Treatment

The FOSI is an 8-item index derived from the FACT-Ovarian Cancer (FACT-O) to measure symptom response to treatment for ovarian cancer. The change is calculated as score at End of treatment minus baseline score. The change in FOSI total score ranges from -32 (most deterioration from baseline) to 32 (most improvement from baseline).

Time frame: Baseline and End of treatment (up to Cycle 33, 4 weeks per Cycle)

Population: PRO analysis set=the FAS population with evaluable PRO assessments at baseline and at end of treatment

ArmMeasureValue (MEAN)Dispersion
Sorafenib (Nexavar, BAY43-9006)Change From Baseline in FOSI Total Score at End of Treatment-0.733 Scores on a scaleStandard Deviation 4.089
PlaceboChange From Baseline in FOSI Total Score at End of Treatment-1.088 Scores on a scaleStandard Deviation 4.067
Other Pre-specified

EQ-5D Index Score at Cycle 3

The EQ-5D contains a descriptive system which measures 5 health dimensions: mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. These five health dimensions are summarized into a single score, the EQ-5D index score which ranges from -0.594 (worst) to 1 (best) when the United Kingdom (UK) weights are applied.

Time frame: At Cycle 3 (4 weeks per Cycle)

Population: PRO analysis set=the FAS population with evaluable PRO assessments at baseline and at Cycle 3

ArmMeasureValue (MEAN)Dispersion
Sorafenib (Nexavar, BAY43-9006)EQ-5D Index Score at Cycle 30.727 Scores on a scaleStandard Deviation 0.219
PlaceboEQ-5D Index Score at Cycle 30.767 Scores on a scaleStandard Deviation 0.232
Other Pre-specified

EQ-5D Index Score at Cycle 5

The EQ-5D contains a descriptive system which measures 5 health dimensions: mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. These five health dimensions are summarized into a single score, the EQ-5D index score which ranges from -0.594 (worst) to 1 (best) when the United Kingdom (UK) weights are applied.

Time frame: At Cycle 5 (4 weeks per Cycle)

Population: PRO analysis set=the FAS population with evaluable PRO assessments at baseline and at Cycle 5

ArmMeasureValue (MEAN)Dispersion
Sorafenib (Nexavar, BAY43-9006)EQ-5D Index Score at Cycle 50.744 Scores on a scaleStandard Deviation 0.217
PlaceboEQ-5D Index Score at Cycle 50.813 Scores on a scaleStandard Deviation 0.159
Other Pre-specified

EQ-5D Index Score at End of Treatment

The EQ-5D contains a descriptive system which measures 5 health dimensions: mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. These five health dimensions are summarized into a single score, the EQ-5D index score which ranges from -0.594 (worst) to 1 (best) when the United Kingdom (UK) weights are applied.

Time frame: At End of treatment (up to Cycle 33, 4 weeks per Cycle)

Population: PRO analysis set=the FAS population with evaluable PRO assessments at baseline and at end of treatment

ArmMeasureValue (MEAN)Dispersion
Sorafenib (Nexavar, BAY43-9006)EQ-5D Index Score at End of Treatment0.731 Scores on a scaleStandard Deviation 0.235
PlaceboEQ-5D Index Score at End of Treatment0.741 Scores on a scaleStandard Deviation 0.25
Other Pre-specified

EQ-5D VAS Score at Cycle 3

The EQ-5D also contains a VAS, which records the respondent's self-rated health status on a vertical graduated scale. The scale ranges from 0 (worst imaginable health state) to 100 (best imaginable health state).

Time frame: At Cycle 3 (4 weeks per Cycle)

Population: PRO analysis set=the FAS population with evaluable PRO assessments at baseline and at Cycle 3

ArmMeasureValue (MEAN)Dispersion
Sorafenib (Nexavar, BAY43-9006)EQ-5D VAS Score at Cycle 373.042 Scores on a scaleStandard Deviation 14.701
PlaceboEQ-5D VAS Score at Cycle 377.899 Scores on a scaleStandard Deviation 16.503
Other Pre-specified

EQ-5D VAS Score at Cycle 5

The EQ-5D also contains a VAS, which records the respondent's self-rated health status on a vertical graduated scale. The scale ranges from 0 (worst imaginable health state) to 100 (best imaginable health state).

Time frame: At Cycle 5 (4 weeks per Cycle)

Population: PRO analysis set=the FAS population with evaluable PRO assessments at baseline and at Cycle 5

ArmMeasureValue (MEAN)Dispersion
Sorafenib (Nexavar, BAY43-9006)EQ-5D VAS Score at Cycle 575.404 Scores on a scaleStandard Deviation 14.177
PlaceboEQ-5D VAS Score at Cycle 579.915 Scores on a scaleStandard Deviation 16.339
Other Pre-specified

EQ-5D VAS Score at End of Treatment

The EQ-5D also contains a VAS, which records the respondent's self-rated health status on a vertical graduated scale. The scale ranges from 0 (worst imaginable health state) to 100 (best imaginable health state).

Time frame: At End of treatment (up to Cycle 33, 4 weeks per Cycle)

Population: PRO analysis set=the FAS population with evaluable PRO assessments at baseline and at end of treatment

ArmMeasureValue (MEAN)Dispersion
Sorafenib (Nexavar, BAY43-9006)EQ-5D VAS Score at End of Treatment71.413 Scores on a scaleStandard Deviation 16.686
PlaceboEQ-5D VAS Score at End of Treatment76.246 Scores on a scaleStandard Deviation 16.017
Other Pre-specified

EQ-5D Visual Analogue Scale (VAS) Score at Cycle 1/Baseline

The EQ-5D also contains a VAS, which records the respondent's self-rated health status on a vertical graduated scale. The scale ranges from 0 (worst imaginable health state) to 100 (best imaginable health state).

Time frame: At Cycle 1 (4 weeks per Cycle)/baseline

Population: PRO analysis set=the FAS population with evaluable PRO assessments at baseline and at least one post-baseline assessment

ArmMeasureValue (MEAN)Dispersion
Sorafenib (Nexavar, BAY43-9006)EQ-5D Visual Analogue Scale (VAS) Score at Cycle 1/Baseline75.235 Scores on a scaleStandard Deviation 14.494
PlaceboEQ-5D Visual Analogue Scale (VAS) Score at Cycle 1/Baseline75.868 Scores on a scaleStandard Deviation 16.725
Other Pre-specified

EuroQol-5D (EQ-5D) Index Score at Cycle 1/Baseline

The EQ-5D contains a descriptive system which measures 5 health dimensions: mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. These five health dimensions are summarized into a single score, the EQ-5D index score which ranges from -0.594 (worst) to 1 (best) when the United Kingdom (UK) weights are applied.

Time frame: At Cycle 1 (4 weeks per Cycle)/baseline

Population: PRO analysis set=the FAS population with evaluable PRO assessments at baseline and at least one post-baseline assessment

ArmMeasureValue (MEAN)Dispersion
Sorafenib (Nexavar, BAY43-9006)EuroQol-5D (EQ-5D) Index Score at Cycle 1/Baseline0.804 Scores on a scaleStandard Deviation 0.168
PlaceboEuroQol-5D (EQ-5D) Index Score at Cycle 1/Baseline0.779 Scores on a scaleStandard Deviation 0.218
Other Pre-specified

FOSI Total Score at Cycle 3

The FOSI is an 8-item index derived from the FACT-Ovarian Cancer (FACT-O) to measure symptom response to treatment for ovarian cancer. The FOSI total score ranges from 0 (severely symptomatic) to 32 (asymptomatic).

Time frame: At Cycle 3 (4 weeks per Cycle)

Population: PRO analysis set=the FAS population with evaluable PRO assessments at baseline and at Cycle 3

ArmMeasureValue (MEAN)Dispersion
Sorafenib (Nexavar, BAY43-9006)FOSI Total Score at Cycle 325.871 Scores on a scaleStandard Deviation 3.166
PlaceboFOSI Total Score at Cycle 326.105 Scores on a scaleStandard Deviation 3.414
Other Pre-specified

FOSI Total Score at Cycle 5

The FOSI is an 8-item index derived from the FACT-Ovarian Cancer (FACT-O) to measure symptom response to treatment for ovarian cancer. The FOSI total score ranges from 0 (severely symptomatic) to 32 (asymptomatic).

Time frame: At Cycle 5 (4 weeks per Cycle)

Population: PRO analysis set=the FAS population with evaluable PRO assessments at baseline and at Cycle 5

ArmMeasureValue (MEAN)Dispersion
Sorafenib (Nexavar, BAY43-9006)FOSI Total Score at Cycle 525.496 Scores on a scaleStandard Deviation 3.83
PlaceboFOSI Total Score at Cycle 526.634 Scores on a scaleStandard Deviation 2.922
Other Pre-specified

FOSI Total Score at End of Treatment

The FOSI is an 8-item index derived from the FACT-Ovarian Cancer (FACT-O) to measure symptom response to treatment for ovarian cancer. The FOSI total score ranges from 0 (severely symptomatic) to 32 (asymptomatic).

Time frame: At End of treatment (up to Cycle 33, 4 weeks per Cycle)

Population: PRO analysis set=the FAS population with evaluable PRO assessments at baseline and at end of treatment

ArmMeasureValue (MEAN)Dispersion
Sorafenib (Nexavar, BAY43-9006)FOSI Total Score at End of Treatment25.011 Scores on a scaleStandard Deviation 3.832
PlaceboFOSI Total Score at End of Treatment24.528 Scores on a scaleStandard Deviation 3.579
Other Pre-specified

Functional Assessment of Cancer Therapy (FACT)/National Comprehensive Cancer Network (NCCN) Ovarian Symptom Index (FOSI) Total Score at Cycle 1/Baseline

The FOSI is an 8-item index derived from the FACT-Ovarian Cancer (FACT-O) to measure symptom response to treatment for ovarian cancer. The FOSI total score ranges from 0 (severely symptomatic) to 32 (asymptomatic).

Time frame: At Cycle 1 (4 weeks per Cycle)/baseline

Population: Patient-reported outcomes (PRO) analysis set=the FAS population with evaluable PRO assessments at baseline and at least one post-baseline assessment

ArmMeasureValue (MEAN)Dispersion
Sorafenib (Nexavar, BAY43-9006)Functional Assessment of Cancer Therapy (FACT)/National Comprehensive Cancer Network (NCCN) Ovarian Symptom Index (FOSI) Total Score at Cycle 1/Baseline25.909 Scores on a scaleStandard Deviation 3.174
PlaceboFunctional Assessment of Cancer Therapy (FACT)/National Comprehensive Cancer Network (NCCN) Ovarian Symptom Index (FOSI) Total Score at Cycle 1/Baseline25.658 Scores on a scaleStandard Deviation 3.968

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