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1st or 2nd Line MBC (Metastatic Breast Cancer) With Previous Avastin (Bevacizumab) Therapy - NCT00493636-19106(Clinical Trial 175080)



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City:  Philadelphia
State:  
PA
Zip Code: 19106
Conditions: Breast Cancer
Purpose: The study is being conducted to compare progression-free survival in patients treated with sorafenib and gemcitabine/capecitabine versus patients treated with placebo and gemcitabine/capecitabine for locally advanced or metastatic breast cancer that has progressed during or following treatment with a bevacizumab-containing regimen.
Study summary:
Criteria: Inclusion Criteria: - Histologically or cytologically confirmed adenocarcinoma of the breast. - Measurable or evaluable locally advanced or metastatic disease. - Age ≥18 years. - Disease progression during or after treatment with a bevacizumab-containing regimen in the adjuvant or first-line metastatic setting. - Patients must have discontinued chemotherapy at least 3 weeks prior to randomization. - No more than one prior chemotherapy regimen for locally advanced or metastatic disease. - Prior hormonal therapy allowed provided it has been discontinued prior to randomization. - Prior radiation therapy is allowed but must be completed at least 3 weeks prior to randomization. Previously radiated area(s) must not be the only site of disease. - ECOG Performance Status of 0 or 1. - Adequate bone marrow, liver, and renal function - Women of childbearing potential must have a negative serum pregnancy test performed within 7 days prior to randomization, and must agree to use adequate contraception prior to study entry, for the duration of study participation and 28 days after the last study drug dosing. - Patients must be able and willing to sign a written informed consent. - Patients must be able to swallow and retain oral medication. Exclusion Criteria: - Patients with breast cancer over-expressing human epidermal growth factor receptor 2 (HER-2) (gene amplification by FISH or 3+ over-expression by immunohistochemistry). Patients with unknown HER-2 status are not eligible. - Patients with active brain metastases. - Major surgery, open biopsy, or significant traumatic injury within 4 weeks of randomization. - Prior use of gemcitabine/capecitabine or sorafenib. - Evidence or history of bleeding diathesis or coagulopathy. - Serious, non-healing wound, ulcer, or bone fracture. - Substance abuse, or medical, psychological, or social condition that may interfere with the patient's participation in the study or evaluation of the study results. - Use of cytochrome P450 enzyme-inducing anti-epileptic drugs is not allowed. - Clinically significant cardiac disease - Uncontrolled hypertension - Thrombolic, embolic, venous, or arterial events such as a cerebrovascular accident including transient ischemic attacks within the past 6 months. - Pulmonary hemorrhage/bleeding event > NCI-CTCAE Grade 2 within 4 weeks of randomization. - Any other hemorrhage/bleeding event ≥ NCI-CTCAE Grade 3 within 4 weeks of randomization. - Active clinically serious infection > NCI-CTCAE Grade 2. - Known HIV infection or chronic hepatitis B or C (the safety and effectiveness of sorafenib in this patient population have not been studied). - Previous or concurrent cancer that is distinct in primary site or histology from breast cancer EXCEPT cervical cancer in-situ, treated basal cell carcinoma, superficial bladder tumors [Ta and Tis] or any cancer curatively treated > 5 years prior to randomization. - Known or suspected allergy to sorafenib or gemcitabine/capecitabine. - Prior or concurrent use of St. John's Wort or rifampin (rifampicin) within 3 weeks of randomization. - Concurrent anti-cancer therapy other than gemcitabine/capecitabine and sorafenib/placebo. - Prior treatment with any agent that targets VEGF or VEGFR (licensed or investigational), except bevacizumab. - Women who are pregnant or breast-feeding. - Use of any investigational drug within 30 days or 5 half-lives, whichever is longer, preceding randomization. - Inability to comply with protocol and/or not willing or not available for follow-up assessments. - Any condition which in the investigator's opinion makes the patient unsuitable for the study participation.
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Data Source: ClinicalTrials.gov
Date Processed: August 16, 2010
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