Sorafenib Long Term Extension Program



Status:Active, not recruiting
Conditions:Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:16 - Any
Updated:3/7/2019
Start Date:December 21, 2007
End Date:June 30, 2020

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The primary purpose of program is to enable patients, currently receiving sorafenib (Nexavar)
in a Bayer/Onyx sponsored clinical trial, to continue sorafenib treatment after their
respective study has met its primary endpoint and/or has reached the end as defined in the
original protocol. Patients will be able to continue treatment until (i) the treating
physician feels the patient is no longer benefiting from the treatment or (ii) the treatmenti
becomes commercially available and reimbursed for the respective indication as applicable in
the country in which the patient lives and the patient can obtain suitable amounts of drug
for treatment through standard mechanisms of commercial availability.

An additional objective is the assessment of the safety of Nexavar or Nexavar combination
treatment.


Inclusion Criteria:

- Patients, who are participating in a previous Bayer/Onyx sponsored study that has
reached its endpoint (statistical and regulatory or study end), and who are, in the
opinion of the Investigator, expected to continue to have an overall positive
benefit/risk from continuing treatment.

- Patients who have signed informed consent for this long term extension program.

- Women of childbearing potential and men must agree to use adequate contraception prior
to study entry and for the duration of study participation, including the 30 days
period after last study drug dosing. The investigator should advise the patient how to
achieve an adequate contraception.

- Women of childbearing potential who have a negative pregnancy test within 7 days of
the first dose of sorafenib in this long term extension program.

- Patient is receiving sorafenib (Nexavar) as a monotherapy in their originating
protocol. Patients who were being treated with sorafenib (Nexavar) in combination with
other chemotherapies in the original study, but continued on single agent sorafenib
(Nexavar) after discontinuation of the combination agent will be eligible.

- Patient who are receiving concurrent combination with sorafenib (Nexavar) and TACE
(transarterial chemoembolization) in their originating study will be eligible.

- Patients who have completed the End of Treatment assessments in their originating
study. Every effort should e made to conduct the End of Treatment visit such that the
patient does not have any interruption in sorafenib dosing.

- Patients who are receiving concurrent combination with sorafenib (Nexavar) and
capecitabine in their originating Study 12444 (RESILIENCE) will be eligible.

Exclusion Criteria:

- Any condition that is unstable or which could jeopardize the safety of the patient
(please refer to the Investigator Brochure and product labeling safety sections).

- History of cardiac disease: congestive heart failure>NYHA Class 2 or uncontrolled
hypertension

- Myocardial infarction (MI) within the last 3 months

- Symptomatic metastatic brain or meningeal tumors

- 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, Tis &T1) or any cancer curatively
treated > 5 years prior to study entry.

- Patients with seizure disorder requiring medication (such as steroid anti-epileptics)

- Substance abuse, medical, psychological or social conditions that may interfere with
the patient's participation in the study or evaluation of the study results

- Any condition which could jeopardise the safety of the patient and his/her compliance
in the study

Excluded therapies and medications, previous and concomitant:

- Concurrent anti-cancer chemotherapy, except TACE (transarterial chemoembolization),
during or within 30 days prior to start of study drug

- Concurrent immunotherapy (including monoclonal antibodies),during or within 30 days
prior to start of study drug

- Concurrent hormonal therapy, except for bisphosphonates,during or within 30 days prior
to start of study drug

- Concomitant Rifampicin and St John's Wort (Warfarin may be used only with very close
monitoring.)

- Radiotherapy during study or within 3 weeks of start of study drug. [Palliative
radiotherapy will be allowed]

- Concomitant use of potent inhibitors of CYP 3A4 including ketoconazole, itraconazole
and ritonavir. Consumption of grapefruit juice should also be avoided.
We found this trial at
6
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