Treatment for Subjects With Unresectable Stage III or Stage IV Melanoma

Sponsor
Bayer (Industry)
Overall Status
Completed
CT.gov ID
NCT00110994
Collaborator
Amgen (Industry)
101
14
2
35
7.2
0.2

Study Details

Study Description

Brief Summary

This is a randomized, double blind, placebo controlled, multicenter, phase II study to compare the anti-tumor activity as measured by progression-free survival (PFS) and the tolerability of Sorafenib in combination with Dacarbazine (DTIC) versus DTIC in combination with placebo in subjects with unresectable Stage III or Stage IV melanoma who have not received prior cytotoxic chemotherapy. A total of approximately 98 subjects will be randomized to receive DTIC + Sorafenib or DTIC + Placebo.

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
101 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
Phase II Randomized, Placebo Controlled Study of Sorafenib in Repeated Cycles of 21 Days in Combination With Dacarbazine (DTIC) Chemotherapy in Subjects With Unresectable Stage III or Stage IV Melanoma
Study Start Date :
Apr 1, 2005
Actual Primary Completion Date :
Oct 1, 2006
Actual Study Completion Date :
Mar 1, 2008

Arms and Interventions

Arm Intervention/Treatment
Experimental: Sorafenib (Nexavar, BAY43-9006) + Dacarbazine

Sorafenib, 2 tablets (200 mg each) orally twice daily (bid) on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period.

Drug: Sorafenib (Nexavar, BAY43-9006)
Sorafenib, 400 mg, 2 tablets (200 mg each) po (per os) bid (twice daily) Study days 1-21

Drug: Dacarbazine
Dacarbazine, 1000 mg/m^2 intravenous on Study Day 1

Active Comparator: Placebo + Dacarbazine

Placebo, 2 tablets orally twice daily on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period.

Drug: Placebo
Placebo, 2 tablets, po (per os) bid (twice daily) Study days 1-21

Drug: Dacarbazine
Dacarbazine, 1000 mg/m^2 intravenous on Study Day 1

Outcome Measures

Primary Outcome Measures

  1. Progression Free Survival (PFS) [Time from randomization to documented tumor progression or death (the maximum treatment duration of 71.1 weeks)]

    PFS was calculated as the time (days) from date of randomization to date of first observed DP (per modified Response Evaluation Criteria In Solid Tumors [RECIST] or clinical judgment, whichever was earlier: CR, PR, stable disease, progressive disease) or death due to any cause, if death occurred before progression was documented. The actual date of tumor assessments was used for this calculation. PFS for subjects without progression or death was censored at the last date of tumor evaluation. PFS for subjects who had no tumor assessments after baseline and did not die was censored at 1 day.

Secondary Outcome Measures

  1. Overall Survival (OS) [Time from randomization to death (the maximum treatment duration of 71.1 weeks)]

    Overall Survival (OS) was calculated as the number of days from date of randomization to death date. Subjects who had not died at the time of analysis were censored at their last contact date.

  2. Number of Participants in Tumor Response Categories [Every 6 weeks from the start of the treatment until the end of treatment visit with a median of 134 days]

    Tumor response was defined as the best response (confirmed complete response [CR], partial response [PR], stable disease [SD], or progressive disease [PD]) assessed using the Response Evaluation Criteria in Solid Tumors (RECIST). PR: At least a 30% decrease in the sum of the longest diameter [SLD] of target lesions, taking as reference the baseline SLD. CR: Disappearance of all target lesions. SD: Does not qualify for CR or PR. PD: at least a 20% increase in SLD taking as reference the smallest SLD recorded since treatment started or the appearance of one or more new lesions.

  3. Time to Progression (TTP) [Time from randomization to documented tumor progression (median time of 148 days)]

    TTP was calculated as the time (days) from date of randomization to date of first observed disease progression (per modified RECIST or clinical judgment, whichever was earlier: CR, PR, stable disease, progressive disease). The actual dates of tumor assessments were used for this calculation. TTP for subjects without disease progression at the time of analysis, including subjects with death prior to progression, was censored at the last date of tumor evaluation. TTP for subjects who had no tumor assessments after baseline was censored at 1 day.

  4. Duration of Response (DOR) [Time from initial response to documented tumor progression or death (median time of 188 days)]

    Duration of response was defined as the time from the first documented objective response of Partial Response (PR: At least a 30% decrease in the sum of the longest diameter [SLD] of target lesions, taking as reference the baseline SLD or better) or Complete Response (CR: Disappearance of all target lesions), whichever was noted earlier, to disease progression or death (if death occurred before progression was documented). Duration of response for subjects who had not progressed or died at the time of analysis was censored at the date of their last tumor assessment.

  5. Change in Eastern Cooperative Oncology Group (ECOG) Performance Status From Baseline to the Visit When the Best Tumor Response Was Noted [Baseline and every 6 weeks from the start of the treatment until the end of treatment visit with a median of 134 days]

    Change in ECOG PS is defined as an improvement (increase) or worsening (decrease) of at least one grade from the baseline ECOG score (from 0 [fully active] to 5 [dead]). Change in ECOG PS was recorded at the visit at which best confirmed response (BCR) using the modified RECIST (PR, CR, stable disease or Progressive Disease (PD)) was first noted (the change was 7% for both Sorafenib and Placebo). The BCR is the BCR recorded from the start of the treatment until DP/recurrence (taking as reference for DP, the smallest measurements recorded since treatment started).

  6. Change of European Quality of Life 5-dimensional (EQ-5D) Questionnaire Index Score From Baseline to the Visit at Which Best Response Was First Noted [Baseline and every 6 weeks from the start of the treatment until the end of treatment visit with a median of 134 days]

    European Quality of Life 5-dimensional (EQ-5D) is a self-administered questionnaire developed to measure health status across 5 dimensions: Mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. Each dimension has 3 levels of response: No problem (1), some problems (2), and extreme problems (3). The five dimensions are summarized into a single score, the EQ-5D index score, which ranges between 0 and 1, with 0 representing the worst imaginable health state or death and 1 representing perfect health.

  7. Change of European Quality of Life 5-dimensional (EQ-5D) Questionnaire Index Score From Baseline to the End of Treatment [Baseline and every 6 weeks from the start of the treatment until the end of treatment visit with a median of 134 days]

    European Quality of Life 5-dimensional (EQ-5D) is a self-administered questionnaire developed to measure health status across 5 dimensions: Mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. Each dimension has 3 levels of response: No problem (1), some problems (2), and extreme problems (3). The five dimensions are summarized into a single score, the EQ-5D index score, which ranges between 0 and 1, with 0 representing the worst imaginable health state or death and 1 representing perfect health.

  8. Change of European Quality of Life Visual Analogue Scale (EQ-VAS) Score From Baseline to the Visit at Which Best Response Was First Noted [Baseline and every 6 weeks from the start of the treatment until the end of treatment visit with a median of 134 days]

    European Quality of Life Visual Analogue Scale (EQ-VAS) is a self-administered test that records the respondents' self-rated health status on a visual analogue scale ranging from 0 (worst imaginable health state) to 100 (best imaginable health state). Responders specify their scales by indicating a position along a continuous line between 0 and 100.

  9. Change of European Quality of Life Visual Analogue Scale (EQ-VAS) Score From Baseline to the End of Treatment [Baseline and every 6 weeks from the start of the treatment until the end of treatment visit with a median of 134 days]

    European Quality of Life Visual Analogue Scale (EQ-VAS) is a self-administered test that records the respondents' self-rated health status on a visual analogue scale ranging from 0 (worst imaginable health state) to 100 (best imaginable health state). Responders specify their scales by indicating a position along a continuous line between 0 and 100.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Patients who have a life expectancy of at least 12 weeks

  • Patients with histologically or cytologically confirmed unresectable (Stage III) or metastatic (Stage IV) melanoma

  • Patients who have an ECOG PS of 0, or 1

  • Measurable disease defined as at least one lesion that can be accurately and serially measured per the modified RECIST criteria

Exclusion Criteria:
  • Primary ocular or mucosal melanoma

  • Previous or concurrent cancer that is distinct in primary site or histology from the cancer being evaluated in this study except cervical carcinoma in situ, treated basal cell carcinoma, superficial bladder tumors (Ta [Noninvasive papillary carcinoma], Tis [Carcinoma in situ: "flat tumor"] & T1 [Tumor invades subepithelial connective tissue]) or any cancer curatively treated < 3 years prior to study entry

  • History of cardiac disease

  • Known history of human immunodeficiency virus (HIV) infection

Contacts and Locations

Locations

Site City State Country Postal Code
1 Tucson Arizona United States 85724
2 Aurora Colorado United States 80045
3 Lakeland Florida United States 33805
4 Park Ridge Illinois United States 60068
5 Boston Massachusetts United States 02114
6 Boston Massachusetts United States 02115-6084
7 Boston Massachusetts United States 02215
8 St. Louis Missouri United States 63110-1093
9 Omaha Nebraska United States 68114
10 Charlotte North Carolina United States 28203
11 Pittsburgh Pennsylvania United States 15232
12 Hilton Head Island South Carolina United States 29926-2739
13 Nashville Tennessee United States 37232-6307
14 San Antonio Texas United States 78229

Sponsors and Collaborators

  • Bayer
  • Amgen

Investigators

  • Study Director: Bayer Study Director, Bayer

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Bayer
ClinicalTrials.gov Identifier:
NCT00110994
Other Study ID Numbers:
  • 11715
First Posted:
May 17, 2005
Last Update Posted:
Jun 8, 2015
Last Verified:
May 1, 2015
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details A total of 121 subjects were enrolled at 17 centers in the United States. There were 20 screening failures; 12 subjects did not meet 1 or more entry criteria, 4 subjects withdrew consent before randomization, and 4 subjects were not randomized for other reasons. 101 subjects were randomized between 21 Mar 2005 and 27 Apr 2006.
Pre-assignment Detail A total of 101 subjects were randomized (50 to Placebo + Dacarbazine (DTIC) and 51 to Sorafenib + DTIC) and were included in the population valid for intent to treat (ITT) analyses. All randomized subjects received study drug and were included in the population valid for safety analyses.
Arm/Group Title Sorafenib (Nexavar, BAY43-9006) + Dacarbazine Placebo + Dacarbazine
Arm/Group Description Sorafenib, 2 tablets (200 mg each) orally twice daily (bid) on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period. Placebo, 2 tablets orally twice daily on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period.
Period Title: Double-blind (DB) Treatment
STARTED 51 50
Received Treatment 51 50
COMPLETED 9 3
NOT COMPLETED 42 47
Period Title: Double-blind (DB) Treatment
STARTED 1 2
COMPLETED 0 0
NOT COMPLETED 1 2
Period Title: Double-blind (DB) Treatment
STARTED 41 47
COMPLETED 22 30
NOT COMPLETED 19 17

Baseline Characteristics

Arm/Group Title Sorafenib (Nexavar, BAY43-9006) + Dacarbazine Placebo + Dacarbazine Total
Arm/Group Description Sorafenib, 2 tablets (200 mg each) orally twice daily (bid) on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period. Placebo, 2 tablets orally twice daily on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period. Total of all reporting groups
Overall Participants 51 50 101
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
56.5
(12.7)
60.1
(13.8)
58.3
(13.3)
Age, Customized (participants) [Number]
<65 years
36
70.6%
33
66%
69
68.3%
>=65 and <75 years
11
21.6%
8
16%
19
18.8%
>=75 years
4
7.8%
9
18%
13
12.9%
Sex: Female, Male (Count of Participants)
Female
13
25.5%
17
34%
30
29.7%
Male
38
74.5%
33
66%
71
70.3%
American Joint Committee on Cancer (AJCC) Stage at Study Entry (participants) [Number]
Stage III
2
3.9%
1
2%
3
3%
Stage IV M1a
3
5.9%
7
14%
10
9.9%
Stage IV M1b
18
35.3%
17
34%
35
34.7%
Stage IV M1c
28
54.9%
25
50%
53
52.5%
Baseline Eastern Cooperative Oncology Group (ECOG) Performance Status (participants) [Number]
Status 0
31
60.8%
31
62%
62
61.4%
Status 1
20
39.2%
19
38%
39
38.6%
Lactate dehydrogenase (LDH) at study entry (participants) [Number]
Normal
33
64.7%
29
58%
62
61.4%
Low
1
2%
2
4%
3
3%
High
12
23.5%
17
34%
29
28.7%
Missing
5
9.8%
2
4%
7
6.9%

Outcome Measures

1. Primary Outcome
Title Progression Free Survival (PFS)
Description PFS was calculated as the time (days) from date of randomization to date of first observed DP (per modified Response Evaluation Criteria In Solid Tumors [RECIST] or clinical judgment, whichever was earlier: CR, PR, stable disease, progressive disease) or death due to any cause, if death occurred before progression was documented. The actual date of tumor assessments was used for this calculation. PFS for subjects without progression or death was censored at the last date of tumor evaluation. PFS for subjects who had no tumor assessments after baseline and did not die was censored at 1 day.
Time Frame Time from randomization to documented tumor progression or death (the maximum treatment duration of 71.1 weeks)

Outcome Measure Data

Analysis Population Description
PFS was analyzed for the intent to treat (ITT) population, defined as all subjects randomized to treatment.
Arm/Group Title Sorafenib (Nexavar, BAY43-9006) + Dacarbazine Placebo + Dacarbazine
Arm/Group Description Sorafenib, 2 tablets (200 mg each) orally twice daily (bid) on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period. Placebo, 2 tablets orally twice daily on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period.
Measure Participants 51 50
Median (95% Confidence Interval) [days]
148
82
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Sorafenib (Nexavar, BAY43-9006) + Dacarbazine, Placebo + Dacarbazine
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.068
Comments
Method log rank test
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.665
Confidence Interval (2-Sided) 95%
0.428 to 1.034
Parameter Dispersion Type:
Value:
Estimation Comments
2. Secondary Outcome
Title Overall Survival (OS)
Description Overall Survival (OS) was calculated as the number of days from date of randomization to death date. Subjects who had not died at the time of analysis were censored at their last contact date.
Time Frame Time from randomization to death (the maximum treatment duration of 71.1 weeks)

Outcome Measure Data

Analysis Population Description
OS was analyzed for the intent to treat (ITT) population, defined as all subjects randomized to treatment.
Arm/Group Title Sorafenib (Nexavar, BAY43-9006) + Dacarbazine Placebo + Dacarbazine
Arm/Group Description Sorafenib, 2 tablets (200 mg each) orally twice daily (bid) on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period. Placebo, 2 tablets orally twice daily on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period.
Measure Participants 51 50
Median (95% Confidence Interval) [days]
319
359
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Sorafenib (Nexavar, BAY43-9006) + Dacarbazine, Placebo + Dacarbazine
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.973
Comments
Method log rank test
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.992
Confidence Interval (2-Sided) 95%
0.627 to 1.570
Parameter Dispersion Type:
Value:
Estimation Comments
3. Secondary Outcome
Title Number of Participants in Tumor Response Categories
Description Tumor response was defined as the best response (confirmed complete response [CR], partial response [PR], stable disease [SD], or progressive disease [PD]) assessed using the Response Evaluation Criteria in Solid Tumors (RECIST). PR: At least a 30% decrease in the sum of the longest diameter [SLD] of target lesions, taking as reference the baseline SLD. CR: Disappearance of all target lesions. SD: Does not qualify for CR or PR. PD: at least a 20% increase in SLD taking as reference the smallest SLD recorded since treatment started or the appearance of one or more new lesions.
Time Frame Every 6 weeks from the start of the treatment until the end of treatment visit with a median of 134 days

Outcome Measure Data

Analysis Population Description
Tumor response was analyzed for the intent to treat (ITT) population, defined as all subjects randomized to treatment.
Arm/Group Title Sorafenib (Nexavar, BAY43-9006) + Dacarbazine Placebo + Dacarbazine
Arm/Group Description Sorafenib, 2 tablets (200 mg each) orally twice daily (bid) on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period. Placebo, 2 tablets orally twice daily on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period.
Measure Participants 51 50
CR
0
0%
0
0%
PR
12
23.5%
6
12%
SD
24
47.1%
22
44%
PD
15
29.4%
21
42%
Not Evaluated
0
0%
1
2%
4. Secondary Outcome
Title Time to Progression (TTP)
Description TTP was calculated as the time (days) from date of randomization to date of first observed disease progression (per modified RECIST or clinical judgment, whichever was earlier: CR, PR, stable disease, progressive disease). The actual dates of tumor assessments were used for this calculation. TTP for subjects without disease progression at the time of analysis, including subjects with death prior to progression, was censored at the last date of tumor evaluation. TTP for subjects who had no tumor assessments after baseline was censored at 1 day.
Time Frame Time from randomization to documented tumor progression (median time of 148 days)

Outcome Measure Data

Analysis Population Description
TTP was analyzed for the intent to treat (ITT) population, defined as all subjects randomized to treatment.
Arm/Group Title Sorafenib (Nexavar, BAY43-9006) + Dacarbazine Placebo + Dacarbazine
Arm/Group Description Sorafenib, 2 tablets (200 mg each) orally twice daily (bid) on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period. Placebo, 2 tablets orally twice daily on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period.
Measure Participants 51 50
Median (95% Confidence Interval) [days]
148
82
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Sorafenib (Nexavar, BAY43-9006) + Dacarbazine, Placebo + Dacarbazine
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.039
Comments
Method log rank test
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.619
Confidence Interval (2-Sided) 95%
0.391 to 0.980
Parameter Dispersion Type:
Value:
Estimation Comments
5. Secondary Outcome
Title Duration of Response (DOR)
Description Duration of response was defined as the time from the first documented objective response of Partial Response (PR: At least a 30% decrease in the sum of the longest diameter [SLD] of target lesions, taking as reference the baseline SLD or better) or Complete Response (CR: Disappearance of all target lesions), whichever was noted earlier, to disease progression or death (if death occurred before progression was documented). Duration of response for subjects who had not progressed or died at the time of analysis was censored at the date of their last tumor assessment.
Time Frame Time from initial response to documented tumor progression or death (median time of 188 days)

Outcome Measure Data

Analysis Population Description
DOR was analyzed for the intent to treat (ITT) population, defined as all subjects randomized to treatment.
Arm/Group Title Sorafenib (Nexavar, BAY43-9006) + Dacarbazine Placebo + Dacarbazine
Arm/Group Description Sorafenib, 2 tablets (200 mg each) orally twice daily (bid) on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period. Placebo, 2 tablets orally twice daily on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period.
Measure Participants 51 50
Median (95% Confidence Interval) [days]
188
161
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Sorafenib (Nexavar, BAY43-9006) + Dacarbazine, Placebo + Dacarbazine
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.194
Comments
Method log rank test
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.427
Confidence Interval (2-Sided) 95%
0.114 to 1.601
Parameter Dispersion Type:
Value:
Estimation Comments
6. Secondary Outcome
Title Change in Eastern Cooperative Oncology Group (ECOG) Performance Status From Baseline to the Visit When the Best Tumor Response Was Noted
Description Change in ECOG PS is defined as an improvement (increase) or worsening (decrease) of at least one grade from the baseline ECOG score (from 0 [fully active] to 5 [dead]). Change in ECOG PS was recorded at the visit at which best confirmed response (BCR) using the modified RECIST (PR, CR, stable disease or Progressive Disease (PD)) was first noted (the change was 7% for both Sorafenib and Placebo). The BCR is the BCR recorded from the start of the treatment until DP/recurrence (taking as reference for DP, the smallest measurements recorded since treatment started).
Time Frame Baseline and every 6 weeks from the start of the treatment until the end of treatment visit with a median of 134 days

Outcome Measure Data

Analysis Population Description
Change in ECOG performance status was analyzed for the intent to treat (ITT) population, defined as all subjects randomized to treatment.
Arm/Group Title Sorafenib (Nexavar, BAY43-9006) + Dacarbazine Placebo + Dacarbazine
Arm/Group Description Sorafenib, 2 tablets (200 mg each) orally twice daily (bid) on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period. Placebo, 2 tablets orally twice daily on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period.
Measure Participants 51 50
missing
1
2%
1
2%
better
1
2%
2
4%
no change
34
66.7%
34
68%
worse
15
29.4%
13
26%
7. Secondary Outcome
Title Change of European Quality of Life 5-dimensional (EQ-5D) Questionnaire Index Score From Baseline to the Visit at Which Best Response Was First Noted
Description European Quality of Life 5-dimensional (EQ-5D) is a self-administered questionnaire developed to measure health status across 5 dimensions: Mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. Each dimension has 3 levels of response: No problem (1), some problems (2), and extreme problems (3). The five dimensions are summarized into a single score, the EQ-5D index score, which ranges between 0 and 1, with 0 representing the worst imaginable health state or death and 1 representing perfect health.
Time Frame Baseline and every 6 weeks from the start of the treatment until the end of treatment visit with a median of 134 days

Outcome Measure Data

Analysis Population Description
Change of EQ-5D questionnaire index score was analyzed for the intent to treat (ITT) population, defined as all subjects randomized to treatment.
Arm/Group Title Sorafenib (Nexavar, BAY43-9006) + Dacarbazine Placebo + Dacarbazine
Arm/Group Description Sorafenib, 2 tablets (200 mg each) orally twice daily (bid) on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period. Placebo, 2 tablets orally twice daily on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period.
Measure Participants 51 50
Mean (Standard Deviation) [scores on a scale]
-0.004
(0.142)
-0.008
(0.125)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Sorafenib (Nexavar, BAY43-9006) + Dacarbazine, Placebo + Dacarbazine
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.908
Comments
Method t-test, 2 sided
Comments
8. Secondary Outcome
Title Change of European Quality of Life 5-dimensional (EQ-5D) Questionnaire Index Score From Baseline to the End of Treatment
Description European Quality of Life 5-dimensional (EQ-5D) is a self-administered questionnaire developed to measure health status across 5 dimensions: Mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. Each dimension has 3 levels of response: No problem (1), some problems (2), and extreme problems (3). The five dimensions are summarized into a single score, the EQ-5D index score, which ranges between 0 and 1, with 0 representing the worst imaginable health state or death and 1 representing perfect health.
Time Frame Baseline and every 6 weeks from the start of the treatment until the end of treatment visit with a median of 134 days

Outcome Measure Data

Analysis Population Description
Change of EQ-5D questionnaire index score was analyzed for the intent to treat (ITT) population, defined as all subjects randomized to treatment.
Arm/Group Title Sorafenib (Nexavar, BAY43-9006) + Dacarbazine Placebo + Dacarbazine
Arm/Group Description Sorafenib, 2 tablets (200 mg each) orally twice daily (bid) on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period. Placebo, 2 tablets orally twice daily on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period.
Measure Participants 51 50
Mean (Standard Deviation) [scores on a scale]
-0.015
(0.124)
-0.019
(0.161)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Sorafenib (Nexavar, BAY43-9006) + Dacarbazine, Placebo + Dacarbazine
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.890
Comments
Method t-test, 2 sided
Comments
9. Secondary Outcome
Title Change of European Quality of Life Visual Analogue Scale (EQ-VAS) Score From Baseline to the Visit at Which Best Response Was First Noted
Description European Quality of Life Visual Analogue Scale (EQ-VAS) is a self-administered test that records the respondents' self-rated health status on a visual analogue scale ranging from 0 (worst imaginable health state) to 100 (best imaginable health state). Responders specify their scales by indicating a position along a continuous line between 0 and 100.
Time Frame Baseline and every 6 weeks from the start of the treatment until the end of treatment visit with a median of 134 days

Outcome Measure Data

Analysis Population Description
Change of EQ-VAS score was analyzed for the intent to treat (ITT) population, defined as all subjects randomized to treatment.
Arm/Group Title Sorafenib (Nexavar, BAY43-9006) + Dacarbazine Placebo + Dacarbazine
Arm/Group Description Sorafenib, 2 tablets (200 mg each) orally twice daily (bid) on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period. Placebo, 2 tablets orally twice daily on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period.
Measure Participants 51 50
Mean (Standard Deviation) [scores on a scale]
0.558
(17.86)
-4.425
(17.28)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Sorafenib (Nexavar, BAY43-9006) + Dacarbazine, Placebo + Dacarbazine
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.201
Comments
Method t-test, 2 sided
Comments
10. Secondary Outcome
Title Change of European Quality of Life Visual Analogue Scale (EQ-VAS) Score From Baseline to the End of Treatment
Description European Quality of Life Visual Analogue Scale (EQ-VAS) is a self-administered test that records the respondents' self-rated health status on a visual analogue scale ranging from 0 (worst imaginable health state) to 100 (best imaginable health state). Responders specify their scales by indicating a position along a continuous line between 0 and 100.
Time Frame Baseline and every 6 weeks from the start of the treatment until the end of treatment visit with a median of 134 days

Outcome Measure Data

Analysis Population Description
Change of EQ-VAS score was analyzed for the intent to treat (ITT) population, defined as all subjects randomized to treatment.
Arm/Group Title Sorafenib (Nexavar, BAY43-9006) + Dacarbazine Placebo + Dacarbazine
Arm/Group Description Sorafenib, 2 tablets (200 mg each) orally twice daily (bid) on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period. Placebo, 2 tablets orally twice daily on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period.
Measure Participants 51 50
Mean (Standard Deviation) [scores on a scale]
-2.00
(19.612)
-8.146
(20.905)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Sorafenib (Nexavar, BAY43-9006) + Dacarbazine, Placebo + Dacarbazine
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.168
Comments
Method t-test, 2 sided
Comments

Adverse Events

Time Frame
Adverse Event Reporting Description Abbreviations used in the Adverse Events section: Absolute Neutrophil Count (ANC), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Central Nervous System (CNS), Common Terminology Criteria for Adverse Events (CTCAE), Gastro-Intestinal (GI), National Cancer Institute (NCI), Not Otherwise Specified (NOS)
Arm/Group Title Sorafenib (Nexavar, BAY43-9006) + Dacarbazine Placebo + Dacarbazine
Arm/Group Description Sorafenib, 2 tablets (200 mg each) orally twice daily (bid) on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period. Placebo, 2 tablets orally twice daily on study days 1-21 + Dacarbazine, 1000 mg/m^2 intravenous on study day 1 (21 days per cycle) for double-blind (DB) treatment. Subjects who discontinued DB treatment with complete response (CR), partial response (PR) or stable disease (SD) entered active follow up period. Subjects who discontinued DB treatment with disease progression (DP) entered long term follow up period.
All Cause Mortality
Sorafenib (Nexavar, BAY43-9006) + Dacarbazine Placebo + Dacarbazine
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN)
Serious Adverse Events
Sorafenib (Nexavar, BAY43-9006) + Dacarbazine Placebo + Dacarbazine
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 22/51 (43.1%) 14/50 (28%)
Blood and lymphatic system disorders
platelets 1/51 (2%) 1/50 (2%)
neutrophils 0/51 (0%) 1/50 (2%)
hemoglobin 0/51 (0%) 1/50 (2%)
leukocytes 1/51 (2%) 0/50 (0%)
Cardiac disorders
supraventricular arrhythmia, atrial fibrillation 1/51 (2%) 0/50 (0%)
supraventricular arrhythmia, supraventricular tachycardia 0/51 (0%) 1/50 (2%)
hypotension 4/51 (7.8%) 0/50 (0%)
cardiac ischemia / infarction 2/51 (3.9%) 0/50 (0%)
cardiopulmonary arrest 0/51 (0%) 1/50 (2%)
hypertension 1/51 (2%) 0/50 (0%)
Eye disorders
blurred vision 1/51 (2%) 0/50 (0%)
Gastrointestinal disorders
vomiting 3/51 (5.9%) 1/50 (2%)
nausea 2/51 (3.9%) 1/50 (2%)
ascites 1/51 (2%) 0/50 (0%)
constipation 0/51 (0%) 1/50 (2%)
dehydration 0/51 (0%) 1/50 (2%)
General disorders
death not associated with CTCAE term, disease progression NOS 2/51 (3.9%) 1/50 (2%)
death not associated with CTCAE term, multi-organ failure 1/51 (2%) 0/50 (0%)
fever 2/51 (3.9%) 1/50 (2%)
constitutional symptoms - other 1/51 (2%) 2/50 (4%)
rigors / chills 0/51 (0%) 1/50 (2%)
pain, chest / thorax NOS 1/51 (2%) 1/50 (2%)
pain, abdomen NOS 1/51 (2%) 1/50 (2%)
pain, extremity - limb 0/51 (0%) 1/50 (2%)
pain, head / headache 1/51 (2%) 0/50 (0%)
pain, muscle 0/51 (0%) 1/50 (2%)
pain, pain NOS 1/51 (2%) 0/50 (0%)
no code in CTCAE 1/51 (2%) 0/50 (0%)
Hepatobiliary disorders
cholecystitis 2/51 (3.9%) 0/50 (0%)
liver dysfunction 1/51 (2%) 0/50 (0%)
pancreatitis 1/51 (2%) 0/50 (0%)
Infections and infestations
infection - other 1/51 (2%) 1/50 (2%)
infection with unknown ANC, skin (cellulitis) 0/51 (0%) 1/50 (2%)
Musculoskeletal and connective tissue disorders
fracture 2/51 (3.9%) 0/50 (0%)
Nervous system disorders
CNS ischemia 0/51 (0%) 1/50 (2%)
dizziness 1/51 (2%) 0/50 (0%)
neurology - other 1/51 (2%) 0/50 (0%)
psychosis 0/51 (0%) 1/50 (2%)
seizure 0/51 (0%) 1/50 (2%)
Renal and urinary disorders
renal failure 2/51 (3.9%) 0/50 (0%)
renal - other 1/51 (2%) 0/50 (0%)
Respiratory, thoracic and mediastinal disorders
dyspnea (shortness of breath) 1/51 (2%) 0/50 (0%)
Vascular disorders
CNS hemorrhage 4/51 (7.8%) 0/50 (0%)
hemorrhage, GI, abdomen NOS 1/51 (2%) 0/50 (0%)
hemorrhage, GI, upper GI NOS 0/51 (0%) 1/50 (2%)
hemorrhage - other 1/51 (2%) 0/50 (0%)
hemorrhage pulmonary, nose 0/51 (0%) 1/50 (2%)
thrombosis / thrombus / embolism 2/51 (3.9%) 0/50 (0%)
Other (Not Including Serious) Adverse Events
Sorafenib (Nexavar, BAY43-9006) + Dacarbazine Placebo + Dacarbazine
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 49/51 (96.1%) 45/50 (90%)
Blood and lymphatic system disorders
platelets 30/51 (58.8%) 14/50 (28%)
neutrophils 23/51 (45.1%) 9/50 (18%)
hemoglobin 18/51 (35.3%) 12/50 (24%)
leukocytes 13/51 (25.5%) 7/50 (14%)
lymphopenia 3/51 (5.9%) 1/50 (2%)
edema: limb 3/51 (5.9%) 0/50 (0%)
Cardiac disorders
hypertension 5/51 (9.8%) 0/50 (0%)
hypotension 4/51 (7.8%) 0/50 (0%)
Gastrointestinal disorders
nausea 29/51 (56.9%) 26/50 (52%)
diarrhea 29/51 (56.9%) 8/50 (16%)
anorexia 17/51 (33.3%) 11/50 (22%)
vomiting 15/51 (29.4%) 8/50 (16%)
constipation 8/51 (15.7%) 12/50 (24%)
heartburn 5/51 (9.8%) 5/50 (10%)
GI - other 6/51 (11.8%) 2/50 (4%)
flatulence 4/51 (7.8%) 2/50 (4%)
taste alteration 5/51 (9.8%) 1/50 (2%)
mucositis (functional / symptomatic), oral cavity 5/51 (9.8%) 0/50 (0%)
dry mouth 3/51 (5.9%) 0/50 (0%)
General disorders
fatigue 29/51 (56.9%) 27/50 (54%)
weight loss 9/51 (17.6%) 4/50 (8%)
rigors / chills 5/51 (9.8%) 3/50 (6%)
sweating 5/51 (9.8%) 2/50 (4%)
fever 2/51 (3.9%) 3/50 (6%)
pain, head / headache 10/51 (19.6%) 7/50 (14%)
pain, joint 11/51 (21.6%) 2/50 (4%)
pain, muscle 6/51 (11.8%) 4/50 (8%)
pain, extremity - limb 3/51 (5.9%) 1/50 (2%)
pain, pain NOS 3/51 (5.9%) 1/50 (2%)
pain, other 3/51 (5.9%) 0/50 (0%)
Immune system disorders
allergic reaction 3/51 (5.9%) 0/50 (0%)
Metabolism and nutrition disorders
lipase 13/51 (25.5%) 8/50 (16%)
ALT 6/51 (11.8%) 4/50 (8%)
amylase 5/51 (9.8%) 4/50 (8%)
AST 4/51 (7.8%) 3/50 (6%)
hypokalemia 3/51 (5.9%) 1/50 (2%)
hypophosphatemia 3/51 (5.9%) 1/50 (2%)
metabolic / lab - other 3/51 (5.9%) 1/50 (2%)
hypomagnesemia 3/51 (5.9%) 0/50 (0%)
Nervous system disorders
neuropathy: sensory 8/51 (15.7%) 7/50 (14%)
dizziness 6/51 (11.8%) 3/50 (6%)
Respiratory, thoracic and mediastinal disorders
voice changes 3/51 (5.9%) 1/50 (2%)
Skin and subcutaneous tissue disorders
rash / desquamation 19/51 (37.3%) 6/50 (12%)
pruritus 12/51 (23.5%) 2/50 (4%)
hand-foot skin reaction 11/51 (21.6%) 1/50 (2%)
alopecia 9/51 (17.6%) 2/50 (4%)
injection site reaction 6/51 (11.8%) 4/50 (8%)
dermatology - other 6/51 (11.8%) 4/50 (8%)
flushing 5/51 (9.8%) 3/50 (6%)
dry skin 3/51 (5.9%) 2/50 (4%)
acne 4/51 (7.8%) 0/50 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

Results Point of Contact

Name/Title Therapeutic Area Head
Organization BAYER
Phone
Email clinical-trials-contact@bayerhealthcare.com
Responsible Party:
Bayer
ClinicalTrials.gov Identifier:
NCT00110994
Other Study ID Numbers:
  • 11715
First Posted:
May 17, 2005
Last Update Posted:
Jun 8, 2015
Last Verified:
May 1, 2015