Sorafenib for Imatinib/Sunitinib-failed GIST
A Phase II Study of Sorafenib in Patients With Metastatic or Advanced Gastrointestinal Stromal Tumors Who Failed to Imatinib and Sunitinib
1 other identifier
interventional
39
1 country
1
Brief Summary
With discovery of KIT (CD117) mutations and the advent of KIT tyrosine kinase inhibitor imatinib, there has been substantial improvement in overall survival in patients with advanced and/or metastatic gastrointestinal tumors (GIST). Recently, sunitinib showed activity as second-line therapy in GIST patients after failure with imatinib. However, virtually all patients will eventually progress or become intolerable after imatinib and sunitinib. In preclinical models, sorafenib inhibits KIT activity and cell growth of imatinib-resistant tumors. The objective of this multi-center, non-randomized phase II study is to evaluate the safety and activity of sorafenib given as third-line therapy for GIST.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Nov 2009
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2009
CompletedFirst Submitted
Initial submission to the registry
November 30, 2009
CompletedFirst Posted
Study publicly available on registry
March 23, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2011
CompletedJanuary 20, 2012
January 1, 2012
1.1 years
November 30, 2009
January 18, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Disease-control rate
Six months after registration
Secondary Outcomes (1)
Response rate
Every 2 months
Study Arms (1)
Sorafenib
EXPERIMENTALThe patients will receive daily oral administration of sorafenib 400 mg twice daily.
Interventions
The patients will receive daily oral administration of sorafenib 400 mg twice daily.
Eligibility Criteria
You may qualify if:
- age over 18 years
- advanced GIST
- failed (progressed and/or intolerable) after prior treatments for GIST
- ECOG performance status of 0\~2
- resolution of all toxic effects of prior treatments
- no prior radiotherapy within 1 month before registration
- measurable lesion as defined by RECIST
- adequate marrow, hepatic, renal and cardiac functions
- provision of a signed written informed consent
You may not qualify if:
- severe co-morbid illness and/or active infections
- pregnant or lactating women
- history of other malignancies
- active CNS disease not controllable with radiotherapy or corticosteroids
- active and uncontrollable bleeding from gastrointestinal tract
- prior history of sorafenib use
- gastrointestinal obstruction or malabsorption syndrome
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Samsung Medical Centerlead
- Korean GIST Study Groupcollaborator
Study Sites (1)
Samsung Medical Center
Seoul, 135710, South Korea
Related Publications (1)
Park SH, Ryu MH, Ryoo BY, Im SA, Kwon HC, Lee SS, Park SR, Kang BY, Kang YK. Sorafenib in patients with metastatic gastrointestinal stromal tumors who failed two or more prior tyrosine kinase inhibitors: a phase II study of Korean gastrointestinal stromal tumors study group. Invest New Drugs. 2012 Dec;30(6):2377-83. doi: 10.1007/s10637-012-9795-9. Epub 2012 Jan 25.
PMID: 22270258DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Se Hoon Park, MD
Samsung Medical Center, Seoul, Korea
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
November 30, 2009
First Posted
March 23, 2010
Study Start
November 1, 2009
Primary Completion
December 1, 2010
Study Completion
August 1, 2011
Last Updated
January 20, 2012
Record last verified: 2012-01