Status:
COMPLETED
Sorafenib in Treating Patients With Persistent or Recurrent Ovarian Epithelial or Peritoneal Cancer
Lead Sponsor:
National Cancer Institute (NCI)
Collaborating Sponsors:
Gynecologic Oncology Group
Conditions:
Primary Peritoneal Carcinoma
Recurrent Ovarian Carcinoma
Eligibility:
FEMALE
18+ years
Phase:
PHASE2
Brief Summary
Sorafenib may stop the growth of tumor cells by stopping blood flow to the tumor and by blocking the enzymes necessary for their growth. This phase II trial is studying how well sorafenib works in tre...
Detailed Description
PRIMARY OBJECTIVES: I. Determine the efficacy of sorafenib in patients with persistent or recurrent ovarian epithelial or primary peritoneal carcinoma. II. Determine 6-month progression-free surviva...
Eligibility Criteria
Inclusion
- Inclusion Criteria:
- Histologically confirmed ovarian epithelial or primary peritoneal carcinoma
- Persistent or recurrent disease
- Measurable or evaluable disease
- Measurable disease is defined as at least 1 unidimensionally measurable lesion ≥ 20 mm by conventional techniques (including palpation, plain x-ray, CT scan, or MRI) OR ≥ 10 mm by spiral CT scan
- Evaluable disease is defined as at least 1 of the following:
- CA 125 ≥ 2 times upper limit of normal (ULN)
- Ascites and/or pleural effusion attributed to tumor
- Solid and/or cystic abnormalities on radiographic imaging that do not meet RECIST definition for target lesions
- Must have received 1 prior platinum-based chemotherapeutic regimen for primary disease, including carboplatin, cisplatin, or another organoplatinum compound
- Initial treatment may have included high-dose therapy, consolidation, or extended therapy administered after surgical or non-surgical assessment
- Platinum-resistant according to 1 of the following criteria:
- Treatment-free interval of \< 12 months after platinum therapy
- Disease progression during platinum-based therapy
- Persistent disease after a platinum-based regimen
- Ineligible for higher priority GOG protocol (e.g., any active phase III GOG protocol for the same patient population)
- No brain metastases
- Performance status - GOG 0-2 (for patients who received 1 prior treatment regimen)
- Performance status - GOG 0-1 (for patients who received 2 prior treatment regimens)
- Absolute neutrophil count ≥ 1,500/mm\^3
- Platelet count ≥ 100,000/mm\^3
- No known bleeding diathesis
- Bilirubin ≤ 1.5 times ULN
- SGOT ≤ 2.5 times ULN
- Alkaline phosphatase ≤ 2.5 times ULN
- Creatinine ≤ 1.5 times ULN
- No symptomatic congestive heart failure
- No unstable angina pectoris
- No cardiac arrhythmia
- No uncontrolled hypertension
- Able to take oral medication
- No bowel obstruction or persistent vomiting
- No requirement for parenteral feedings
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective barrier contraception during and for 3 months after study participation
- No sensory or motor neuropathy \> grade 1
- No active or ongoing infection requiring antibiotics
- No history of allergic reaction attributed to compounds of similar chemical or biological composition to sorafenib
- No serious chronic skin conditions (i.e., psoriasis or dermatitis) that would preclude study participation
- No psychiatric illness or social situation that would preclude study compliance
- No other uncontrolled illness
- No other invasive malignancy within the past 5 years except nonmelanoma skin cancer
- At least 3 weeks since prior immunologic agents for the malignancy
- More than 4 weeks since prior mouse antibodies (for patients with evaluable disease only)
- No concurrent prophylactic growth factors (e.g., filgrastim \[G-CSF\])
- No concurrent prophylactic thrombopoietic agents except in the case of recurrent grade 4 thrombocytopenia
- No other concurrent biological agents for the primary tumor
- See Disease Characteristics
- More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) and recovered
- No prior non-cytotoxic chemotherapy for persistent or recurrent disease
- No concurrent chemotherapy for the primary tumor
- At least 1 week since prior hormonal therapy for the malignancy
- No concurrent hormonal therapy for the primary tumor
- Concurrent hormone replacement therapy allowed
- More than 4 weeks since prior radiotherapy and recovered
- No prior radiotherapy to \> 25% of marrow-bearing areas
- No concurrent radiotherapy
- More than 4 weeks since prior surgery involving the peritoneum or pleura (for patients with evaluable disease only)
- Recovered from prior surgery
- At least 3 weeks since other prior therapy for the malignancy
- No more than 1 additional prior cytotoxic regimen for persistent or recurrent disease
- No prior sorafenib
- No prior anticancer treatment that would preclude study participation
- No concurrent therapeutic oral anticoagulation therapy (i.e., warfarin)
- Concurrent prophylactic anticoagulation (i.e., low-dose warfarin) for central venous access devices allowed provided INR is \< 1.5
- No concurrent combination antiretroviral therapy for HIV-positive patients
- No other concurrent investigational or commercial agents or therapies for the malignancy
Exclusion
Key Trial Info
Start Date :
October 1 2004
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
January 1 2011
Estimated Enrollment :
73 Patients enrolled
Trial Details
Trial ID
NCT00093626
Start Date
October 1 2004
End Date
January 1 2011
Last Update
July 23 2019
Active Locations (1)
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1
Gynecologic Oncology Group
Philadelphia, Pennsylvania, United States, 19103