Status:

UNKNOWN

Sorafenib Monotherapy in Inoperable/Recurrent Germ Cell Carcinoma Refractory to Chemotherapy

Lead Sponsor:

Fondation Wygrajmy Zdrowie

Conditions:

Testicular Cancer

Eligibility:

MALE

18-75 years

Phase:

PHASE2

Brief Summary

Germ cell tumors, a relatively rare disease, but most common malignancy in young males, occur most frequently in testis. The incidence is about 1%, but is increasing in the majority of developed count...

Eligibility Criteria

Inclusion

  • Male patients \> 18 years of age
  • Patients with histologically proven germ cell neoplasm (gonadal or extragonadal primary)
  • Patients must have the disease not amendable to cure with either surgery or chemotherapy
  • Patients must have failed at least two cisplatin-based combination chemotherapy regimens.
  • Failure on prior regimens will be defined as either:
  • A ≥ 25% increase in sum of target lesions, new lesions, or
  • An increasing AFP or HCG above the nadir level.
  • Patients with at least one measurable lesion by CT scan or MRI according to RECIST criteria
  • Adequate bone marrow, liver and renal function, assessed no longer than 14 days before treatment start, defined by the following laboratory test limits: WBC \> 2.0 x 109/l and platelets \> 60 x 109/l, total bilirubin \< 2 x upper limit, AST and ALT \< 5 x upper limit normal, serum creatinine \< 2 x UNL
  • WHO Performance Status 0, 1, 2
  • No concurrent chemotherapy or radiotherapy
  • Life expectancy of at least 12 weeks
  • Absence of any physiological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule
  • A signed informed consent must be obtained prior to any study specific procedures
  • All patients must agree to use adequate contraception during the whole study period

Exclusion

  • Patients not fulfilling of inclusion criteria
  • Primary radiotherapy in the field of target lesion
  • Major surgery (RPLND) within 4 weeks before the start of study drug or concurrent serious non-healing wounds, ulcers or bone fractures.
  • Known serious and active bacterial, viral or fungal infection (\> grade II CTC-AE) including HBV, HCV and HIV carrier state.
  • Previous or concurrent malignancy except for basal cell carcinoma of the skin
  • Uncontrolled hypertension.
  • Thrombotic or embolic event in last 6 months prior to inclusion.
  • Impairment of gastrointestinal tract, or GI disease that may influence the bioavailability of oral sorafenib
  • Substance and alcohol abuse (nicotine use is allowed)
  • Known or suspected hypersensitivity to sorafenib.
  • Participants in any other clinical trial using investigational drug within 4 weeks prior to study entry
  • Prior use of investigational or licensed angiogenesis and RAF kinase or MEK inhibitors.
  • Patient unwilling or unable to give informed consent
  • Any condition that may in the investigator's opinion jeopardize the safety of the patient or his compliance in the study.

Key Trial Info

Start Date :

September 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2011

Estimated Enrollment :

20 Patients enrolled

Trial Details

Trial ID

NCT00772694

Start Date

September 1 2008

End Date

December 1 2011

Last Update

October 24 2008

Active Locations (1)

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1

Chemotherapy Unit, Dept of Urology, Instituite of Oncology

Warsaw, Poland, 02781