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    Clinical Trial Results:
    A stratified, multicenter, phase II study evaluating the efficacy and toxicity of Sorafenib in locally advanced or metastatic angiosarcoma not amenable to curative surgery

    Summary
    EudraCT number
    2007-004651-10
    Trial protocol
    FR  
    Global end of trial date
    01 Jan 2015

    Results information
    Results version number
    v1(current)
    This version publication date
    21 Aug 2025
    First version publication date
    21 Aug 2025
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    Angio-Next-0710
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT00874874
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Centre Oscar Lambret
    Sponsor organisation address
    3 rue Frédéric Combemale – BP307, LILLE, France, 59020
    Public contact
    Emilie DECOUPIGNY, Centre Oscar Lambret, 33 320295568, e-decoupigny@o-lambret.fr
    Scientific contact
    Nicolas PENEL, Centre Oscar Lambret, 33 320295920, n-penel@o-lambret.fr
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    01 Aug 2017
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    01 Jan 2015
    Global end of trial reached?
    Yes
    Global end of trial date
    01 Jan 2015
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    9-month progression-free rate
    Protection of trial subjects
    In accordance with the regulations in force, the clinical study protocol and the various amendments are submitted by the study sponsor to a CPP in the region where it operates. An independent trial monitoring committee will be set up to guarantee patient protection, ensure that the trial is conducted ethically, assess the benefit/risk ratio of the trial and review the scientific results during and at the end of the trial. The monitoring committee will meet every 6 months and will be composed of 3 members (- A radiologist - An oncologist - A methodologist). This Biomedical Research is conducted in accordance with: the Public Health Law n° 2004-806 of August 9, 2004 and the application decree n° 2006-477 of April 2006, the law n° 2004-800 of August 6, 2004 relating to bioethics, the use of your blood samples and your tumor tissues is subject to your prior written agreement. The law n° 2004-801 of August 6, 2004 relating to the protection of individuals with regard to the processing of personal data and modifying the law n° 78-17 of January 6, 1978 relating to data processing, files and freedoms.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    11 Jun 2008
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Efficacy, Scientific research
    Long term follow-up duration
    5 Years
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    France: 88
    Worldwide total number of subjects
    88
    EEA total number of subjects
    88
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    55
    From 65 to 84 years
    32
    85 years and over
    1

    Subject disposition

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    Recruitment
    Recruitment details
    88 pts were included from 06/2008 to 01/2014, from 21 French centers, in 4 strata (histological subtype), described hereinafter as Arms. - Stratum A: 26 pts (06/2008 - 06/2009) - Stratum B: 15 pts (06/2008 - 06/2009) - Stratum C: 20 pts (06/2009 - 02/2011) - Stratum D: 27 pts (05/2011 - 01/2014) Treatment was similar in all strata.

    Pre-assignment
    Screening details
    Not available

    Period 1
    Period 1 title
    Overall Trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Stratum A
    Arm description
    This arm is actually a subgroup. Stratum A included all forms of superficial angiosarcoma (skin, scalp, soft tissue and breast angiosarcoma).
    Arm type
    Subgroup

    Investigational medicinal product name
    NEXAVAR
    Investigational medicinal product code
    Other name
    SORAFENIB
    Pharmaceutical forms
    Coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    2 X 400 mg / day with 12 hours interval per os for 270 days

    Arm title
    Stratum B
    Arm description
    This arm is actually a subgroup. Stratum B included all forms of of bone or visceral angiosarcoma.
    Arm type
    Subgroup

    Investigational medicinal product name
    NEXAVAR
    Investigational medicinal product code
    Other name
    SORAFENIB
    Pharmaceutical forms
    Coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    2 X 400 mg / day with 12 hours interval per os for 270 days

    Arm title
    Stratum C
    Arm description
    This arm is actually a subgroup. Stratum C included epithelioid hemangioendothelioma, hemangiopericitomas and solitary fibrous tumors.
    Arm type
    Subgroup

    Investigational medicinal product name
    NEXAVAR
    Investigational medicinal product code
    Other name
    SORAFENIB
    Pharmaceutical forms
    Coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    2 X 400 mg / day with 12 hours interval per os for 270 days

    Arm title
    Stratum D
    Arm description
    This arm is actually a subgroup. Stratum D included chordomas.
    Arm type
    Subgroup

    Investigational medicinal product name
    NEXAVAR
    Investigational medicinal product code
    Other name
    SORAFENIB
    Pharmaceutical forms
    Coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    2 X 400 mg / day with 12 hours interval per os for 270 days

    Number of subjects in period 1
    Stratum A Stratum B Stratum C Stratum D
    Started
    26
    15
    20
    27
    Completed
    23
    13
    18
    26
    Not completed
    3
    2
    2
    1
         No treatment received (gastrointestinal bleeding)
    1
    -
    -
    -
         Physician decision
    -
    1
    -
    -
         Consent withdrawn by subject
    -
    -
    1
    -
         Drop out of study at day 7 (pulmonary embolism)
    1
    -
    -
    -
         Severe toxicity after 15 days of treatment
    -
    -
    -
    1
         Drop out of study at day 11 (Grade 4 anemia)
    -
    1
    -
    -
         Disease progression at day 21
    -
    -
    1
    -
         No treatment received (Grade 3 thrombocytopenia)
    1
    -
    -
    -

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Stratum A
    Reporting group description
    This arm is actually a subgroup. Stratum A included all forms of superficial angiosarcoma (skin, scalp, soft tissue and breast angiosarcoma).

    Reporting group title
    Stratum B
    Reporting group description
    This arm is actually a subgroup. Stratum B included all forms of of bone or visceral angiosarcoma.

    Reporting group title
    Stratum C
    Reporting group description
    This arm is actually a subgroup. Stratum C included epithelioid hemangioendothelioma, hemangiopericitomas and solitary fibrous tumors.

    Reporting group title
    Stratum D
    Reporting group description
    This arm is actually a subgroup. Stratum D included chordomas.

    Reporting group values
    Stratum A Stratum B Stratum C Stratum D Total
    Number of subjects
    26 15 20 27 88
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    13 13 14 15 55
        From 65-84 years
    13 2 6 11 32
        85 years and over
    0 0 0 1 1
    Age continuous
    Units: years
        median (full range (min-max))
    65 (31 to 82) 55 (19 to 80) 57 (31 to 76) 64 (30 to 86) -
    Gender categorical
    Units: Subjects
        Female
    18 6 8 10 42
        Male
    8 9 12 17 46
    Tumor arising in irradiated field
    Analysis were performed in ITT only
    Units: Subjects
        yes
    13 1 1 0 15
        no
    13 14 19 27 73
    Associated lymphedema
    Units: Subjects
        Yes
    6 1 0 0 7
        No
    20 14 20 27 81
    Histological subtype
    Units: Subjects
        Epithelioid angiosarcoma
    9 4 0 0 13
        Non-epithelioid angiosarcoma
    17 11 0 0 28
        Epithelioid hemangioendothelioma
    0 0 15 0 15
        Solitary fibrous tumor / Hemangiopericytoma
    0 0 5 0 5
        Chordoma
    0 0 0 27 27
    Presence of metastasis
    Units: Subjects
        Yes
    19 14 16 14 63
        No
    7 1 4 13 25
    Performans status
    Units: Subjects
        Score 0
    9 5 10 11 35
        Score 1
    11 7 7 13 38
        Score 2
    6 3 3 2 14
        Unknown
    0 0 0 1 1
    Tissular location
    Units: Subjects
        Skin / scalp
    9 0 1 0 10
        Soft tissues
    7 0 6 3 16
        Breast
    10 0 0 0 10
        Viscera
    0 15 13 0 28
        Bones
    0 0 0 24 24
    Anatomical location
    Units: Subjects
        Pelvis
    0 0 0 19 19
        Head and neck
    3 0 3 3 9
        Trunck
    2 1 4 1 8
        Sacrum
    0 0 0 1 1
        Rachis
    0 0 0 1 1
        Lumbar rachis
    0 0 0 1 1
        Lumbosacral
    0 0 0 1 1
        Upper limb and shoulder
    5 1 1 0 7
        Lower limb and hip
    4 0 2 0 6
        Breast
    10 0 0 0 10
        Peritoneum
    1 0 0 0 1
        Thoracic wall
    1 0 0 0 1
        Cardiac
    0 4 0 0 4
        Spleen
    0 2 0 0 2
        Pulmonary artery
    0 2 0 0 2
        Bladder
    0 1 0 0 1
        Bone
    0 1 0 0 1
        Duodenum
    0 1 0 0 1
        Liver
    0 1 4 0 5
        Colon
    0 1 0 0 1
        Cervical
    0 0 1 0 1
        Intracanal L1 L2
    0 0 1 0 1
        Parietal, diaphragmatic and visceral pleura
    0 0 1 0 1
        Retroperitoneum
    0 0 1 0 1
        Trunk and lung
    0 0 1 0 1
        Unknown
    0 0 1 0 1

    End points

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    End points reporting groups
    Reporting group title
    Stratum A
    Reporting group description
    This arm is actually a subgroup. Stratum A included all forms of superficial angiosarcoma (skin, scalp, soft tissue and breast angiosarcoma).

    Reporting group title
    Stratum B
    Reporting group description
    This arm is actually a subgroup. Stratum B included all forms of of bone or visceral angiosarcoma.

    Reporting group title
    Stratum C
    Reporting group description
    This arm is actually a subgroup. Stratum C included epithelioid hemangioendothelioma, hemangiopericitomas and solitary fibrous tumors.

    Reporting group title
    Stratum D
    Reporting group description
    This arm is actually a subgroup. Stratum D included chordomas.

    Primary: Primary endpoint : 9-month progression free rate

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    End point title
    Primary endpoint : 9-month progression free rate [1]
    End point description
    Disease was assessed according to the RECIST, version 1.1. An independent third-party radiologist reviewed selected imaging studies to verify all imaging performed during the treatment period with the trial drug to ensure consistent, unbiased application of the RECIST. Stratum A, B, C : 9-month progression free rate was defined as the rate of patients without progression at 9 month (stable disease, complete or partial response) in the intent-to-treat population. Stratum D : 9-month progression-free rate was estimated as progression-free survival rate at 9 month. Progression-free survival times were calculated using Kaplan-Meier method from the date of inclusion until progression (imaging according to RECIST criteria and panel review) or death; patients who did not progress and did not die were censored at the time of last news.
    End point type
    Primary
    End point timeframe
    Progression free-rate at 9 months from inclusion.
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a single arm study so no statistical analysis was planned.
    End point values
    Stratum A Stratum B Stratum C Stratum D
    Number of subjects analysed
    26
    15
    20
    27
    Units: percent
        number (confidence interval 95%)
    3.8 (0.1 to 19.6)
    0 (0 to 0)
    30.0 (11.9 to 54.3)
    73.0 (46.1 to 88.0)
    No statistical analyses for this end point

    Secondary: Overall response rate

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    End point title
    Overall response rate
    End point description
    Disease was assessed according to the RECIST, version 1.1. An independent third-party radiologist reviewed selected imaging studies to verify all imaging performed during the treatment period with the trial drug to ensure consistent, unbiased application of the RECIST. Overall response rate was defined as the rate of patients with complete or partial response at the time of interest, on intent to treat population.
    End point type
    Secondary
    End point timeframe
    Overall response rate at 4, 6 and 9 months.
    End point values
    Stratum A Stratum B Stratum C Stratum D
    Number of subjects analysed
    26
    15
    20
    27
    Units: percent
    number (confidence interval 95%)
        Overall response rate at 4 months
    15.4 (4.4 to 34.9)
    13.3 (1.7 to 40.5)
    5.0 (0.1 to 24.9)
    0 (0 to 0)
        Overall response rate at 6 months
    11.5 (2.4 to 30.2)
    0 (0 to 0)
    5.0 (0.1 to 24.9)
    3.7 (0.1 to 19.0)
        Overall response rate at 9 months
    0 (0 to 0)
    0 (0 to 0)
    5.0 (0.1 to 24.9)
    3.7 (0.1 to 19.0)
    No statistical analyses for this end point

    Secondary: Overall survival

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    End point title
    Overall survival [2]
    End point description
    Survival endpoints were estimated using Kaplan-Meier method. Overall survival times were calculated from the date of inclusion until death; patients who did not die were censored at the time of last news. Stratum D: Median OS was not reached. 12-months overall survical rate was 86.5% (95% CI : 55.8-96.5%).
    End point type
    Secondary
    End point timeframe
    Median overall survival (all study)
    Notes
    [2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Median overall survival was not reached in stratum D.
    End point values
    Stratum A Stratum B Stratum C
    Number of subjects analysed
    26
    15
    20
    Units: month
        number (not applicable)
    12.2
    8.9
    19.7
    No statistical analyses for this end point

    Secondary: Progression-free survival

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    End point title
    Progression-free survival [3]
    End point description
    Progression-free survival times were calculated using Kaplan-Meier method from the date of inclusion until progression (imaging according to RECIST criteria and panel review) or death; patients who did not progress and did not die were censored at the time of last news. Stratum D : median PFS was not reached.
    End point type
    Secondary
    End point timeframe
    Median Progression-free survival (all study)
    Notes
    [3] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Median progression-free survival was not reached in stratum D.
    End point values
    Stratum A Stratum B Stratum C
    Number of subjects analysed
    26
    15
    20
    Units: month
        number (confidence interval 95%)
    1.8 (1.5 to 3.2)
    3.8 (1.9 to 5.7)
    5.8 (3.3 to 20.2)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    AEs werecarried forward from the date of consent until 30 days after the last treatment was administered. Serious AEs werecarried forward without a time delay.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    10.0
    Reporting groups
    Reporting group title
    Stratum A and B
    Reporting group description
    Data were given for grouped stratum A and B.

    Reporting group title
    Stratum C
    Reporting group description
    -

    Reporting group title
    Stratum D
    Reporting group description
    -

    Serious adverse events
    Stratum A and B Stratum C Stratum D
    Total subjects affected by serious adverse events
         subjects affected / exposed
    23 / 39 (58.97%)
    6 / 20 (30.00%)
    10 / 27 (37.04%)
         number of deaths (all causes)
    25
    9
    3
         number of deaths resulting from adverse events
    0
    0
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Squamous cell carcinoma
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Tumour haemorrhage
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 20 (5.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Vascular disorders
    Hypertension
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 20 (5.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pulmonary embolism
         subjects affected / exposed
    2 / 39 (5.13%)
    0 / 20 (0.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Surgical and medical procedures
    Lesion excision
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 20 (5.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 20 (5.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Prolapse
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    General physical health deterioration
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 20 (5.00%)
    2 / 27 (7.41%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Chest pain
         subjects affected / exposed
    1 / 39 (2.56%)
    1 / 20 (5.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Back pain
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pain
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Anorexia and bulimia syndrome
         subjects affected / exposed
    1 / 39 (2.56%)
    1 / 20 (5.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
         subjects affected / exposed
    3 / 39 (7.69%)
    0 / 20 (0.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Haemorrhage
         subjects affected / exposed
    7 / 39 (17.95%)
    0 / 20 (0.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    4 / 7
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Fracture
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 20 (0.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    Myocardial ischaemia
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 20 (0.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pericarditis
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 20 (0.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    Epilepsy
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 20 (5.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Neuromuscular pain
         subjects affected / exposed
    5 / 39 (12.82%)
    0 / 20 (0.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    1 / 7
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    2 / 39 (5.13%)
    0 / 20 (0.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Platelet count decreased
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 20 (0.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Abdominal pain
         subjects affected / exposed
    2 / 39 (5.13%)
    0 / 20 (0.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pancreatitis
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Constipation
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 20 (0.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Motor dysfunction
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Myalgia
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 20 (5.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Infection
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 20 (0.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Hypokalaemia
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Stratum A and B Stratum C Stratum D
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    37 / 39 (94.87%)
    20 / 20 (100.00%)
    27 / 27 (100.00%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Tumour pain
         subjects affected / exposed
    2 / 39 (5.13%)
    0 / 20 (0.00%)
    0 / 27 (0.00%)
         occurrences all number
    2
    0
    0
    Vascular disorders
    Hypertension
         subjects affected / exposed
    3 / 39 (7.69%)
    0 / 20 (0.00%)
    7 / 27 (25.93%)
         occurrences all number
    3
    0
    9
    Haemorrhage
         subjects affected / exposed
    4 / 39 (10.26%)
    0 / 20 (0.00%)
    0 / 27 (0.00%)
         occurrences all number
    4
    0
    0
    General disorders and administration site conditions
    Chest pain
         subjects affected / exposed
    2 / 39 (5.13%)
    0 / 20 (0.00%)
    0 / 27 (0.00%)
         occurrences all number
    2
    0
    0
    Asthenia
         subjects affected / exposed
    15 / 39 (38.46%)
    13 / 20 (65.00%)
    13 / 27 (48.15%)
         occurrences all number
    15
    21
    18
    Mucosal disorder
         subjects affected / exposed
    6 / 39 (15.38%)
    2 / 20 (10.00%)
    3 / 27 (11.11%)
         occurrences all number
    6
    2
    5
    Epistaxis
         subjects affected / exposed
    0 / 39 (0.00%)
    2 / 20 (10.00%)
    0 / 27 (0.00%)
         occurrences all number
    0
    2
    0
    Hyperthermia
         subjects affected / exposed
    0 / 39 (0.00%)
    2 / 20 (10.00%)
    0 / 27 (0.00%)
         occurrences all number
    0
    2
    0
    Sweating fever
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    4 / 27 (14.81%)
         occurrences all number
    0
    0
    4
    Pain
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    0
    3
    Respiratory, thoracic and mediastinal disorders
    Bronchitis
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    0
    2
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    0 / 39 (0.00%)
    2 / 20 (10.00%)
    0 / 27 (0.00%)
         occurrences all number
    0
    2
    0
    Investigations
    Weight decreased
         subjects affected / exposed
    2 / 39 (5.13%)
    2 / 20 (10.00%)
    11 / 27 (40.74%)
         occurrences all number
    2
    3
    19
    Alanine aminotransferase increased
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    7 / 27 (25.93%)
         occurrences all number
    0
    0
    7
    Aspartate aminotransferase increased
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    9 / 27 (33.33%)
         occurrences all number
    0
    0
    11
    Metabolic disorder
    Additional description: Alkaline phosphatase increased
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    11 / 27 (40.74%)
         occurrences all number
    0
    0
    11
    Creatinine renal clearance decreased
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    9 / 27 (33.33%)
         occurrences all number
    0
    0
    9
    Hyperbilirubinaemia
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    9 / 27 (33.33%)
         occurrences all number
    0
    0
    10
    Hypercreatinaemia
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    3 / 27 (11.11%)
         occurrences all number
    0
    0
    4
    Hyperkalaemia
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    8 / 27 (29.63%)
         occurrences all number
    0
    0
    8
    Hypokalaemia
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    5 / 27 (18.52%)
         occurrences all number
    0
    0
    6
    Hyponatraemia
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    10 / 27 (37.04%)
         occurrences all number
    0
    0
    10
    Nervous system disorders
    Dysphonia
         subjects affected / exposed
    0 / 39 (0.00%)
    2 / 20 (10.00%)
    3 / 27 (11.11%)
         occurrences all number
    0
    2
    3
    Discomfort
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    0
    2
    Paraesthesia
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    0
    2
    Headache
         subjects affected / exposed
    0 / 39 (0.00%)
    3 / 20 (15.00%)
    0 / 27 (0.00%)
         occurrences all number
    0
    4
    0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    7 / 39 (17.95%)
    0 / 20 (0.00%)
    13 / 27 (48.15%)
         occurrences all number
    7
    0
    13
    Thrombocytopenia
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    6 / 27 (22.22%)
         occurrences all number
    0
    0
    6
    Leukopenia
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    6 / 27 (22.22%)
         occurrences all number
    0
    0
    6
    Lymphopenia
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    21 / 27 (77.78%)
         occurrences all number
    0
    0
    22
    Neutropenia
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    4 / 27 (14.81%)
         occurrences all number
    0
    0
    4
    Ear and labyrinth disorders
    Tinnitus
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    3 / 27 (11.11%)
         occurrences all number
    0
    0
    3
    Eye disorders
    Conjunctivitis
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    0
    2
    Dry eye
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    0
    3
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    6 / 39 (15.38%)
    2 / 20 (10.00%)
    0 / 27 (0.00%)
         occurrences all number
    6
    4
    0
    Anorexia and bulimia syndrome
         subjects affected / exposed
    6 / 39 (15.38%)
    4 / 20 (20.00%)
    5 / 27 (18.52%)
         occurrences all number
    6
    4
    6
    Constipation
         subjects affected / exposed
    2 / 39 (5.13%)
    3 / 20 (15.00%)
    5 / 27 (18.52%)
         occurrences all number
    2
    5
    6
    Diarrhoea
         subjects affected / exposed
    9 / 39 (23.08%)
    6 / 20 (30.00%)
    16 / 27 (59.26%)
         occurrences all number
    9
    16
    27
    Nausea
         subjects affected / exposed
    7 / 39 (17.95%)
    5 / 20 (25.00%)
    11 / 27 (40.74%)
         occurrences all number
    8
    10
    13
    Dysgeusia
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    4 / 27 (14.81%)
         occurrences all number
    0
    0
    4
    Dry mouth
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    3 / 27 (11.11%)
         occurrences all number
    0
    0
    3
    Colitis
         subjects affected / exposed
    0 / 39 (0.00%)
    2 / 20 (10.00%)
    0 / 27 (0.00%)
         occurrences all number
    0
    2
    0
    Skin and subcutaneous tissue disorders
    Hand-foot-and-mouth disease
         subjects affected / exposed
    11 / 39 (28.21%)
    9 / 20 (45.00%)
    12 / 27 (44.44%)
         occurrences all number
    11
    15
    31
    Skin toxicity
         subjects affected / exposed
    16 / 39 (41.03%)
    0 / 20 (0.00%)
    0 / 27 (0.00%)
         occurrences all number
    24
    0
    0
    Alopecia
         subjects affected / exposed
    0 / 39 (0.00%)
    5 / 20 (25.00%)
    13 / 27 (48.15%)
         occurrences all number
    0
    5
    14
    Rash
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    0
    3
    Erythema
         subjects affected / exposed
    0 / 39 (0.00%)
    3 / 20 (15.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    5
    2
    Pruritus
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    3 / 27 (11.11%)
         occurrences all number
    0
    0
    3
    Dry skin
         subjects affected / exposed
    0 / 39 (0.00%)
    5 / 20 (25.00%)
    9 / 27 (33.33%)
         occurrences all number
    0
    5
    13
    Renal and urinary disorders
    Proteinuria
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    17 / 27 (62.96%)
         occurrences all number
    0
    0
    17
    Endocrine disorders
    Hot flush
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    0
    2
    Musculoskeletal and connective tissue disorders
    Neuromuscular pain
         subjects affected / exposed
    16 / 39 (41.03%)
    0 / 20 (0.00%)
    0 / 27 (0.00%)
         occurrences all number
    17
    0
    0
    Sacral pain
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    3 / 27 (11.11%)
         occurrences all number
    0
    0
    4
    Myalgia
         subjects affected / exposed
    0 / 39 (0.00%)
    2 / 20 (10.00%)
    3 / 27 (11.11%)
         occurrences all number
    0
    3
    4
    Pain
    Additional description: Thigh pain
         subjects affected / exposed
    0 / 39 (0.00%)
    0 / 20 (0.00%)
    3 / 27 (11.11%)
         occurrences all number
    0
    0
    3
    Infections and infestations
    Infection
         subjects affected / exposed
    7 / 39 (17.95%)
    0 / 20 (0.00%)
    0 / 27 (0.00%)
         occurrences all number
    8
    0
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    07 May 2008
    Substantial Change number 2: 1. The non-inclusion criterion "Previous treatment with Bevacizumab", appearing in the section "Prohibited concomitant treatment" has been added in the synopsis and in the non-inclusion criteria section. 2. To coincide with the maximum time frame for SAEs reporting, the time frame for the end-of-study review was changed to 30 days instead of 3 weeks. 3. In the "serious adverse events" chapter: - definition of SAEs not considered serious (e.g. hospitalization <24h); - addition of a chapter on notification to the competent authorities; - addition of a chapter on notification to BAYER SCHERING Pharma. 4. It was specified that the statistical analysis will be performed according to the stratification factors defined in the protocol. 5. To comply with the product's marketing authorization and because of its half-life, the frequency of drug intake in case of dose reduction was corrected to : 2 x 200mg 1 time/day. 6. The study schedule has been corrected. Indeed, the histological confirmation at day 15 is a typographical error.
    06 Apr 2009
    Substantial Change number 4: The major changes include: 1. Interim analysis on the primary endpoint, which is progression-free survival at 9 months. In summary, 44 and 24 patients should be included in strata A and B respectively with p0 = 0.13 and p1= 0.32 (expected progression-free survival at 9 months), alpha = 0.10, and a power of 95% and 81% in strata A and B strata, respectively. This design allows for an interim analysis in each stratum after inclusion of 24 and 12 patients, with a stopping decision if more than 20 progressions out of 24 patients before 9 months in stratum A and more than 10 progressions out of 12 patients before 9 months in stratum B. 2. Creation of Stratum C: Epithelioid hemangioendotheliomas, hemangiopericytomas and malignant solitary fibrous tumors. There are three arguments in favor of creating this stratum: - The favorable benefit/risk ratio of Sorafenib for angiosarcoma observed in the 1st IDMC - The absence of a therapeutic standard for other vascular sarcomas (epithelioid hemangioendotheliomas and hemangiopericytomas) - The biological rationale suggesting efficacy in these situations.
    31 Jan 2011
    Rationale for Substantial Change number 5: 1. The creation of a D stratum: chordomas The rationale behind the addition of this new stratum is based on: - The lack of a therapeutic standard, - Prolonged stabilization with the use of targeted therapies such as tyrosine kinase inhibitors (while chemotherapies remain ineffective) ineffective), - Characterization by expression of a functional target of Sorafenib, suggesting its efficacy in this indication This stratum will include 25 patients with metastatic and progressive chordoma. The clinical studies on which the rationale is based were conducted in limited on limited cohorts, which does not allow for statistical hypothesis. The benefit/risk ratio within this stratum will be reviewed on a semi-annual basis by semi-annually by the IDMC set up for this study. Therefore, changes are being made to the protocol regarding inclusion criteria, study duration and total number of patients. 2. Update of the Nexavar summary of product characteristics This document was revised on January 5, 2011, and mentions new data : - warnings and precautions for use, - fatal or life-threatening adverse events (see table below). This new version cancels and replaces the current reference document in this study. The information and consent note for patients includes these elements. 3. Change in telephone and monitor contact information 4. Updated Declaration of Helsinki

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/22285963
    http://www.ncbi.nlm.nih.gov/pubmed/23589078
    http://www.ncbi.nlm.nih.gov/pubmed/24005614
    http://www.ncbi.nlm.nih.gov/pubmed/26202596
    For support, Contact us.
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    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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