Trial Outcomes & Findings for Sorafenib Combined With Erlotinib, Tipifarnib, or Temsirolimus in Treating Patients With Recurrent Glioblastoma Multiforme or Gliosarcoma (NCT NCT00335764)

NCT ID: NCT00335764

Last Updated: 2018-07-02

Results Overview

DLT defined as: any grade 4 hematologic toxicity; grade 3 thrombocytopenia \> 7 days, any grade 3/4 non-hematologic toxicity (despite maximal medical therapy), any intolerable grade 2 non-hematological, ro grade 3 hematological toxicity requiring deduction during first 28 days of treatment, any toxicity resulting in delay of \>1week during first 28 days of treatment

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

92 participants

Primary outcome timeframe

28 days

Results posted on

2018-07-02

Participant Flow

patients enrolled from 2006 - 2009 Patients accrued from comprehensive outpatient cancer centers

Participant milestones

Participant milestones
Measure
Group 1 Phase I Sorafenib and Erlotinib
Patients receive oral sorafenib tosylate BID and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally Dose Level 0: 200mg BID (fixed) Dose Level 1: 400mg BID (fixed) erlotinib hydrochloride: given orally Dose Level 0: 100mg QD Dose Level 1: 100mg QD Dose Level 2: 150mg QD
Group 2 Phase I Sorafenib and Temsirolimus
Patients receive sorafenib tosylate BID as in group 2. Patients also receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID temsirolimus: IV administration Dose Level 0: 25mg IV QW Dose Level 1: 25mg IV QW Dose Level 2: 50mg IV QW Dose Level 3: 75mg IV QW Dose Level 4: 125mg IV QW Dose Level 5: 175mg IV QW
Group 3 Phase I Sorafenib and Tipifarnib
Patients receive sorafenib tosylate BID as in group 3. Patients also receive oral tipifarnib twice daily on days 1-21. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID tipifarnib: given orally Dose Level 0: 100mg BID Dose Level 1: 100mg BID Dose Level 2: 200mg BID Dose Level 3: 300mg BID
Group 1 Phase II Sorafenib and Erlotinib
Patients receive oral sorafenib tosylate BID and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally erlotinib hydrochloride: given orally
Group 2 Phase II Sorafenib and Temsirolimus
Patients receive sorafenib tosylate BID as in group 2. Patients also receive temsirolimus IV 25 mg over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally 400mg BID temsirolimus: IV administration 25mg IV QW
Overall Study
STARTED
17
13
24
19
19
Overall Study
COMPLETED
16
13
24
19
18
Overall Study
NOT COMPLETED
1
0
0
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Group 1 Phase I Sorafenib and Erlotinib
Patients receive oral sorafenib tosylate BID and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally Dose Level 0: 200mg BID (fixed) Dose Level 1: 400mg BID (fixed) erlotinib hydrochloride: given orally Dose Level 0: 100mg QD Dose Level 1: 100mg QD Dose Level 2: 150mg QD
Group 2 Phase I Sorafenib and Temsirolimus
Patients receive sorafenib tosylate BID as in group 2. Patients also receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID temsirolimus: IV administration Dose Level 0: 25mg IV QW Dose Level 1: 25mg IV QW Dose Level 2: 50mg IV QW Dose Level 3: 75mg IV QW Dose Level 4: 125mg IV QW Dose Level 5: 175mg IV QW
Group 3 Phase I Sorafenib and Tipifarnib
Patients receive sorafenib tosylate BID as in group 3. Patients also receive oral tipifarnib twice daily on days 1-21. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID tipifarnib: given orally Dose Level 0: 100mg BID Dose Level 1: 100mg BID Dose Level 2: 200mg BID Dose Level 3: 300mg BID
Group 1 Phase II Sorafenib and Erlotinib
Patients receive oral sorafenib tosylate BID and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally erlotinib hydrochloride: given orally
Group 2 Phase II Sorafenib and Temsirolimus
Patients receive sorafenib tosylate BID as in group 2. Patients also receive temsirolimus IV 25 mg over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally 400mg BID temsirolimus: IV administration 25mg IV QW
Overall Study
wrong histology
1
0
0
0
1

Baseline Characteristics

Sorafenib Combined With Erlotinib, Tipifarnib, or Temsirolimus in Treating Patients With Recurrent Glioblastoma Multiforme or Gliosarcoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group 1 Phase I Sorafenib and Erlotinib
n=16 Participants
Patients receive oral sorafenib tosylate twice daily and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally erlotinib hydrochloride: given orally
Group 2 Phase I Sorafenib and Temsirolimus
n=13 Participants
Patients receive sorafenib tosylate as in group 2. Patients also receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally temsirolimus: IV administration
Group 3 Phase I Sorafenib and Tipifarnib
n=24 Participants
Patients receive sorafenib tosylate as in group 3. Patients also receive oral tipifarnib twice daily on days 1-21. sorafenib tosylate: given orally tipifarnib: given orally
Group 1 Phase II Sorafenib and Erlotinib
n=19 Participants
Patients receive oral sorafenib tosylate twice daily and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally erlotinib hydrochloride: given orally
Group 2 Phase II Sorafenib and Temsirolimus
n=18 Participants
Patients receive sorafenib tosylate 400 mg BID as in group 2. Patients also receive temsirolimus IV 25 mg over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally temsirolimus: IV administration
Total
n=90 Participants
Total of all reporting groups
Age, Continuous
53 years
n=99 Participants
50 years
n=107 Participants
57 years
n=206 Participants
52 years
n=7 Participants
50 years
n=31 Participants
53 years
n=30 Participants
Sex: Female, Male
Female
7 Participants
n=99 Participants
4 Participants
n=107 Participants
8 Participants
n=206 Participants
10 Participants
n=7 Participants
9 Participants
n=31 Participants
38 Participants
n=30 Participants
Sex: Female, Male
Male
9 Participants
n=99 Participants
9 Participants
n=107 Participants
16 Participants
n=206 Participants
9 Participants
n=7 Participants
9 Participants
n=31 Participants
52 Participants
n=30 Participants
Karnofsky Performance Status Scale
90 units on a scale
n=99 Participants
80 units on a scale
n=107 Participants
85 units on a scale
n=206 Participants
90 units on a scale
n=7 Participants
90 units on a scale
n=31 Participants
90 units on a scale
n=30 Participants

PRIMARY outcome

Timeframe: 28 days

Population: 3+3 design due to excessive toxicities of Group 3 no DLT was defined for Group 3

DLT defined as: any grade 4 hematologic toxicity; grade 3 thrombocytopenia \> 7 days, any grade 3/4 non-hematologic toxicity (despite maximal medical therapy), any intolerable grade 2 non-hematological, ro grade 3 hematological toxicity requiring deduction during first 28 days of treatment, any toxicity resulting in delay of \>1week during first 28 days of treatment

Outcome measures

Outcome measures
Measure
Group 1 Phase I Sorafenib and Erlotinib QD
n=16 Participants
Patients receive oral sorafenib tosylate BID and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally Dose Level 0: 200mg BID (fixed) Dose Level 1: 400mg BID (fixed) erlotinib hydrochloride: given orally Dose Level 0: 100mg QD Dose Level 1: 100mg QD Dose Level 2: 150mg QD
Group 2 Phase I Sorafenib and Temsirolimus QW
n=13 Participants
Patients receive sorafenib tosylate BID as in group 2. Patients also receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID temsirolimus: IV administration Dose Level 0: 25mg IV QW Dose Level 1: 25mg IV QW Dose Level 2: 50mg IV QW Dose Level 3: 75mg IV QW Dose Level 4: 125mg IV QW Dose Level 5: 175mg IV QW
Group 3 Phase I Sorafenib and Tipifarnib BID
n=24 Participants
Patients receive sorafenib tosylate BID as in group 3. Patients also receive oral tipifarnib twice daily on days 1-21. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID tipifarnib: given orally Dose Level 0: 100mg BID Dose Level 1: 100mg BID Dose Level 2: 200mg BID Dose Level 3: 300mg BID
Maximum Tolerated Dose (MTD) of the Each Combination Agent Combined With a Fixed Dose of BAY 43-9006 Determined by Dose-limiting Toxicities (DLT) (Phase I)
100 mg
25 mg
NA mg
due to the excessive toxicities of Group 3 no DLT was defined

PRIMARY outcome

Timeframe: cycle 1 ((Day1, Day15, Day28)

Population: Group 2: total 13 patients were studied for their day 1 Cmax ,day 15 Cmax and day 28 Cmax Note that although 13 patients were accrued/analyzed some samples were incomplete or inevaluable or missing hence number analyzed difference

Group 2: 13 patients received temsirolimus 25mg IV and 7 patients treated with 200mg Sorafenib and 6 patients treated with 400mg Sorafenib

Outcome measures

Outcome measures
Measure
Group 1 Phase I Sorafenib and Erlotinib QD
n=13 Participants
Patients receive oral sorafenib tosylate BID and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally Dose Level 0: 200mg BID (fixed) Dose Level 1: 400mg BID (fixed) erlotinib hydrochloride: given orally Dose Level 0: 100mg QD Dose Level 1: 100mg QD Dose Level 2: 150mg QD
Group 2 Phase I Sorafenib and Temsirolimus QW
n=7 Participants
Patients receive sorafenib tosylate BID as in group 2. Patients also receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID temsirolimus: IV administration Dose Level 0: 25mg IV QW Dose Level 1: 25mg IV QW Dose Level 2: 50mg IV QW Dose Level 3: 75mg IV QW Dose Level 4: 125mg IV QW Dose Level 5: 175mg IV QW
Group 3 Phase I Sorafenib and Tipifarnib BID
n=6 Participants
Patients receive sorafenib tosylate BID as in group 3. Patients also receive oral tipifarnib twice daily on days 1-21. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID tipifarnib: given orally Dose Level 0: 100mg BID Dose Level 1: 100mg BID Dose Level 2: 200mg BID Dose Level 3: 300mg BID
Pharmacokinetic Max Concentration (Cmax) of Group 2 Sorafenib and Temsirolimus (Phase I)
Day 1 Cmax
530 ng/mL
Standard Deviation 101
NA ng/mL
Standard Deviation NA
specimens not collected on day 1
NA ng/mL
Standard Deviation NA
specimens not collected on day 1
Pharmacokinetic Max Concentration (Cmax) of Group 2 Sorafenib and Temsirolimus (Phase I)
Day 15 Cmax
616 ng/mL
Standard Deviation 209
4.04 ng/mL
Standard Deviation 1.68
7.49 ng/mL
Standard Deviation 3.46
Pharmacokinetic Max Concentration (Cmax) of Group 2 Sorafenib and Temsirolimus (Phase I)
Day 28 Cmax
NA ng/mL
Standard Deviation NA
specimens not collected on day 28
3.26 ng/mL
Standard Deviation 1.34
6.24 ng/mL
Standard Deviation 4.03

PRIMARY outcome

Timeframe: 28days (D1, D15, D28) (0,1,2,4,6,8,12,24hr post administration)

Population: 8 samples collected over 24 hours on Day 1, day 15 and day 28 (0,1,2,4,6,8,12hr, \& 24hr post administration). Note that although 16 patients were accrued/analyzed some samples were incomplete or inevaluable or missing hence number analyzed difference

8 samples collected over 24 hours on Day 1, day 15 and day 28 13 total patients treated 100mg Erlotinib and either 200mg or 400mg of Sorafenib

Outcome measures

Outcome measures
Measure
Group 1 Phase I Sorafenib and Erlotinib QD
n=16 Participants
Patients receive oral sorafenib tosylate BID and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally Dose Level 0: 200mg BID (fixed) Dose Level 1: 400mg BID (fixed) erlotinib hydrochloride: given orally Dose Level 0: 100mg QD Dose Level 1: 100mg QD Dose Level 2: 150mg QD
Group 2 Phase I Sorafenib and Temsirolimus QW
n=9 Participants
Patients receive sorafenib tosylate BID as in group 2. Patients also receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID temsirolimus: IV administration Dose Level 0: 25mg IV QW Dose Level 1: 25mg IV QW Dose Level 2: 50mg IV QW Dose Level 3: 75mg IV QW Dose Level 4: 125mg IV QW Dose Level 5: 175mg IV QW
Group 3 Phase I Sorafenib and Tipifarnib BID
n=6 Participants
Patients receive sorafenib tosylate BID as in group 3. Patients also receive oral tipifarnib twice daily on days 1-21. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID tipifarnib: given orally Dose Level 0: 100mg BID Dose Level 1: 100mg BID Dose Level 2: 200mg BID Dose Level 3: 300mg BID
Pharmacokinetic cMax Group 1 Sorafenib and Erlotinib (Phase I)
cMax Day 1
443 ng/mL
Standard Deviation 155
NA ng/mL
Standard Deviation NA
Specimens not collected/drug not given on Day 1
NA ng/mL
Standard Deviation NA
Specimens not collected/drug not given on Day 1
Pharmacokinetic cMax Group 1 Sorafenib and Erlotinib (Phase I)
cMax Day 15
662 ng/mL
Standard Deviation 373
5.51 ng/mL
Standard Deviation 2.68
8.4 ng/mL
Standard Deviation 5.18
Pharmacokinetic cMax Group 1 Sorafenib and Erlotinib (Phase I)
cMax Day 28
653 ng/mL
Standard Deviation 469
4.67 ng/mL
Standard Deviation 2.10
4.10 ng/mL
Standard Deviation 0.56

PRIMARY outcome

Timeframe: 28Days (D1, D15, D28) (0,1,2,4,6,8,12,24hr post administration) AUC 0-12

Population: 8 samples collected over 24 hours on Day 1, day 15 and day 28 AUC 0-12 16 patients treated at 100mg erlotinib,and Sorafenib at either 200 or 400mg Note that although 16 patients were accrued/analyzed some samples were incomplete or inevaluable or missing hence number analyzed difference

8 samples collected over 24 hours on Day 1, day 15 and day 28 16 patients Note that although 16 patients were accrued/analyzed some samples were incomplete or inevaluable or missing hence number analyzed difference AUC - Area Under Curve

Outcome measures

Outcome measures
Measure
Group 1 Phase I Sorafenib and Erlotinib QD
n=16 Participants
Patients receive oral sorafenib tosylate BID and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally Dose Level 0: 200mg BID (fixed) Dose Level 1: 400mg BID (fixed) erlotinib hydrochloride: given orally Dose Level 0: 100mg QD Dose Level 1: 100mg QD Dose Level 2: 150mg QD
Group 2 Phase I Sorafenib and Temsirolimus QW
n=9 Participants
Patients receive sorafenib tosylate BID as in group 2. Patients also receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID temsirolimus: IV administration Dose Level 0: 25mg IV QW Dose Level 1: 25mg IV QW Dose Level 2: 50mg IV QW Dose Level 3: 75mg IV QW Dose Level 4: 125mg IV QW Dose Level 5: 175mg IV QW
Group 3 Phase I Sorafenib and Tipifarnib BID
n=6 Participants
Patients receive sorafenib tosylate BID as in group 3. Patients also receive oral tipifarnib twice daily on days 1-21. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID tipifarnib: given orally Dose Level 0: 100mg BID Dose Level 1: 100mg BID Dose Level 2: 200mg BID Dose Level 3: 300mg BID
Pharmacokinetic AUC 0-12 Group 1 Sorafenib and Erlotinib (Phase I)
AUC0-12 Day1
6.3 ug xhr/mL
Standard Deviation 2.61
NA ug xhr/mL
Standard Deviation NA
Specimens not collected/drug not given on Day 1
NA ug xhr/mL
Standard Deviation NA
Specimens not collected/drug not given on Day 1
Pharmacokinetic AUC 0-12 Group 1 Sorafenib and Erlotinib (Phase I)
AUC0-12 Day 15
6.9 ug xhr/mL
Standard Deviation 4.59
45.85 ug xhr/mL
Standard Deviation 21.5
62.4 ug xhr/mL
Standard Deviation 38
Pharmacokinetic AUC 0-12 Group 1 Sorafenib and Erlotinib (Phase I)
AUC0-12 Day 28
7.7 ug xhr/mL
Standard Deviation 4.05
40.29 ug xhr/mL
Standard Deviation 18.6
38.7 ug xhr/mL
Standard Deviation 9.61

PRIMARY outcome

Timeframe: 15 days

Population: Group 2: 12 patients were analyzed for Day 1, 5 patients were analyzed for Day 15. In both cases samples were either missing or not enough to analyze.

Group 2: 12 patients were analyzed for Day 1 (1 patient not evaluable), 5 patients were analyzed for Day 15 (8 patients not evaluable)

Outcome measures

Outcome measures
Measure
Group 1 Phase I Sorafenib and Erlotinib QD
n=13 Participants
Patients receive oral sorafenib tosylate BID and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally Dose Level 0: 200mg BID (fixed) Dose Level 1: 400mg BID (fixed) erlotinib hydrochloride: given orally Dose Level 0: 100mg QD Dose Level 1: 100mg QD Dose Level 2: 150mg QD
Group 2 Phase I Sorafenib and Temsirolimus QW
Patients receive sorafenib tosylate BID as in group 2. Patients also receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID temsirolimus: IV administration Dose Level 0: 25mg IV QW Dose Level 1: 25mg IV QW Dose Level 2: 50mg IV QW Dose Level 3: 75mg IV QW Dose Level 4: 125mg IV QW Dose Level 5: 175mg IV QW
Group 3 Phase I Sorafenib and Tipifarnib BID
Patients receive sorafenib tosylate BID as in group 3. Patients also receive oral tipifarnib twice daily on days 1-21. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID tipifarnib: given orally Dose Level 0: 100mg BID Dose Level 1: 100mg BID Dose Level 2: 200mg BID Dose Level 3: 300mg BID
Trough Concentration Group 2 Sorafenib and Temsirolimus (Phase I)
Trough Day 1
24 ng/mL
Standard Deviation 6.92
Trough Concentration Group 2 Sorafenib and Temsirolimus (Phase I)
Trough Day 15
20 ng/mL
Standard Deviation 7.05

PRIMARY outcome

Timeframe: Cycle 1 (D1, D15, D28) (0,1,2,4,6,8,12,24hr post drug administration)

Population: 13 patients temsirolimus 25mg and Sorafenib at either 200mg or 400mg. 1 patient withdrew early hence specimens not analyzed in other cases samples were either missing or not enough to analyze if numbers are not 12

Day 1 = 12 patients (1 sample not evaluable) Day 15 = 5 patients (8 samples not evaluable) AUC - Area Under Curve 8 samples collected over 24 hours - 28 day PKs

Outcome measures

Outcome measures
Measure
Group 1 Phase I Sorafenib and Erlotinib QD
n=13 Participants
Patients receive oral sorafenib tosylate BID and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally Dose Level 0: 200mg BID (fixed) Dose Level 1: 400mg BID (fixed) erlotinib hydrochloride: given orally Dose Level 0: 100mg QD Dose Level 1: 100mg QD Dose Level 2: 150mg QD
Group 2 Phase I Sorafenib and Temsirolimus QW
n=13 Participants
Patients receive sorafenib tosylate BID as in group 2. Patients also receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID temsirolimus: IV administration Dose Level 0: 25mg IV QW Dose Level 1: 25mg IV QW Dose Level 2: 50mg IV QW Dose Level 3: 75mg IV QW Dose Level 4: 125mg IV QW Dose Level 5: 175mg IV QW
Group 3 Phase I Sorafenib and Tipifarnib BID
n=13 Participants
Patients receive sorafenib tosylate BID as in group 3. Patients also receive oral tipifarnib twice daily on days 1-21. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID tipifarnib: given orally Dose Level 0: 100mg BID Dose Level 1: 100mg BID Dose Level 2: 200mg BID Dose Level 3: 300mg BID
Plasma Time Curve (AUC) of Group 2 Sorafenib and Temsirolimus (Phase I)
AUC 0-12 Day 1
1.53 mcg*hr/mL
Standard Deviation 0.27
NA mcg*hr/mL
Standard Deviation NA
Samples not collected on this day, drug not given on day 1
NA mcg*hr/mL
Standard Deviation NA
Samples not collected on this day, drug not given on day 1
Plasma Time Curve (AUC) of Group 2 Sorafenib and Temsirolimus (Phase I)
AUC 0-12 Day 15
1.35 mcg*hr/mL
Standard Deviation 0.28
35.45 mcg*hr/mL
Standard Deviation 18.10
42.32 mcg*hr/mL
Plasma Time Curve (AUC) of Group 2 Sorafenib and Temsirolimus (Phase I)
AUC 0-12 Day 28
NA mcg*hr/mL
Standard Deviation NA
Samples not collected on this day, drug not given on day 28
29.0 mcg*hr/mL
Standard Deviation 12.32
32.98 mcg*hr/mL
Standard Deviation 0.318

PRIMARY outcome

Timeframe: Cycle 1 = 28 day PKs D1, D15,D28 (0,1,2,4,6,8,12,24hr post drug administration)

Population: Group 3: Only PKs for Dose level 1 and -1 were collected. Note that although 6 patients were accrued/analyzed some samples were incomplete or inevaluable or missing hence number analyzed difference

Group 3: Only PKs for Dose level 1 and -1 were collected.

Outcome measures

Outcome measures
Measure
Group 1 Phase I Sorafenib and Erlotinib QD
n=6 Participants
Patients receive oral sorafenib tosylate BID and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally Dose Level 0: 200mg BID (fixed) Dose Level 1: 400mg BID (fixed) erlotinib hydrochloride: given orally Dose Level 0: 100mg QD Dose Level 1: 100mg QD Dose Level 2: 150mg QD
Group 2 Phase I Sorafenib and Temsirolimus QW
n=6 Participants
Patients receive sorafenib tosylate BID as in group 2. Patients also receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID temsirolimus: IV administration Dose Level 0: 25mg IV QW Dose Level 1: 25mg IV QW Dose Level 2: 50mg IV QW Dose Level 3: 75mg IV QW Dose Level 4: 125mg IV QW Dose Level 5: 175mg IV QW
Group 3 Phase I Sorafenib and Tipifarnib BID
Patients receive sorafenib tosylate BID as in group 3. Patients also receive oral tipifarnib twice daily on days 1-21. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID tipifarnib: given orally Dose Level 0: 100mg BID Dose Level 1: 100mg BID Dose Level 2: 200mg BID Dose Level 3: 300mg BID
Pharmacokinetic Cpmax Group 3 Sorafenib and Tipifarnib (Phase I) 100 mg QD (Level -1)
Cmax Day 28
NA ng/mL
Standard Deviation NA
Samples not collected on day 28, drug not given on day 28
3.43 ng/mL
Standard Deviation 1.46
Pharmacokinetic Cpmax Group 3 Sorafenib and Tipifarnib (Phase I) 100 mg QD (Level -1)
Cmax Day 1
209.5 ng/mL
Standard Deviation 135.85
NA ng/mL
Standard Deviation NA
Samples not collected on day 1, drug not given on day 1
Pharmacokinetic Cpmax Group 3 Sorafenib and Tipifarnib (Phase I) 100 mg QD (Level -1)
Cmax Day 15
169.5 ng/mL
Standard Deviation 186
3.34 ng/mL
Standard Deviation 1.31

PRIMARY outcome

Timeframe: Cycle 1 = 28 day PKs D1, D15,D28 (0,1,2,4,6,8,12,24hr post drug administration)

Population: Group 3: patients were studied for their day 1 Cmax, day 15 Cmax. and Day 28 Cmax PKs for 100mg BID Tipifarnib Note that although 10 patients were accrued/analyzed some samples were incomplete or inevaluable or missing hence number analyzed difference Level 1 (n=10): Day 1 n=6 (4 samples not evaluable) and D15 n=5 (5 samples not evaluable)

Group 3: patients were studied for their day 1 Cmax, and day 15 Cmax Tipifanib and Day 15 and Day 28 sorafenib Group 3: Only PKs for Dose level 1 and -1 were collected.

Outcome measures

Outcome measures
Measure
Group 1 Phase I Sorafenib and Erlotinib QD
n=10 Participants
Patients receive oral sorafenib tosylate BID and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally Dose Level 0: 200mg BID (fixed) Dose Level 1: 400mg BID (fixed) erlotinib hydrochloride: given orally Dose Level 0: 100mg QD Dose Level 1: 100mg QD Dose Level 2: 150mg QD
Group 2 Phase I Sorafenib and Temsirolimus QW
n=10 Participants
Patients receive sorafenib tosylate BID as in group 2. Patients also receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID temsirolimus: IV administration Dose Level 0: 25mg IV QW Dose Level 1: 25mg IV QW Dose Level 2: 50mg IV QW Dose Level 3: 75mg IV QW Dose Level 4: 125mg IV QW Dose Level 5: 175mg IV QW
Group 3 Phase I Sorafenib and Tipifarnib BID
Patients receive sorafenib tosylate BID as in group 3. Patients also receive oral tipifarnib twice daily on days 1-21. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID tipifarnib: given orally Dose Level 0: 100mg BID Dose Level 1: 100mg BID Dose Level 2: 200mg BID Dose Level 3: 300mg BID
Pharmacokinetic CpMax Concentration of Group 3 Sorafenib and Tipifarnib (Phase I) 100mg BID
Day 1 Cmax
132.17 ng/mL
Standard Deviation 65.96
NA ng/mL
Standard Deviation NA
Samples not collected on this day, drug not given
Pharmacokinetic CpMax Concentration of Group 3 Sorafenib and Tipifarnib (Phase I) 100mg BID
Day 15 Cmax
233.60 ng/mL
Standard Deviation 84.83
4.17 ng/mL
Standard Deviation 2.99
Pharmacokinetic CpMax Concentration of Group 3 Sorafenib and Tipifarnib (Phase I) 100mg BID
Day 28 Cmax
NA ng/mL
Standard Deviation NA
Samples not collected on this day, drug not given
4.53 ng/mL
Standard Deviation 2.38

PRIMARY outcome

Timeframe: Cycle 1 (D1, D15, D28) (0,1,2,4,6,8,12,24hr post drug administration)

Population: Group 3: PKs for Dose level -1 Tipifarnib 100mg QD Sorafenib started day 2

Group 3: PKs for Dose level -1 100mg QD Note that although 9 patients were accrued/analyzed some samples were incomplete or inevaluable or missing hence number analyzed difference

Outcome measures

Outcome measures
Measure
Group 1 Phase I Sorafenib and Erlotinib QD
n=9 Participants
Patients receive oral sorafenib tosylate BID and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally Dose Level 0: 200mg BID (fixed) Dose Level 1: 400mg BID (fixed) erlotinib hydrochloride: given orally Dose Level 0: 100mg QD Dose Level 1: 100mg QD Dose Level 2: 150mg QD
Group 2 Phase I Sorafenib and Temsirolimus QW
n=9 Participants
Patients receive sorafenib tosylate BID as in group 2. Patients also receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID temsirolimus: IV administration Dose Level 0: 25mg IV QW Dose Level 1: 25mg IV QW Dose Level 2: 50mg IV QW Dose Level 3: 75mg IV QW Dose Level 4: 125mg IV QW Dose Level 5: 175mg IV QW
Group 3 Phase I Sorafenib and Tipifarnib BID
Patients receive sorafenib tosylate BID as in group 3. Patients also receive oral tipifarnib twice daily on days 1-21. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID tipifarnib: given orally Dose Level 0: 100mg BID Dose Level 1: 100mg BID Dose Level 2: 200mg BID Dose Level 3: 300mg BID
Plasma Time Curve (AUC) of Group 3 Phase I Sorafenib and Tipifarnib 100mg QD (Level -1)
AUC 0-12 Day 1
814.5 ng*hr/mL
Standard Deviation 347.57
NA ng*hr/mL
Standard Deviation NA
Samples not collected on this day, drug not given
Plasma Time Curve (AUC) of Group 3 Phase I Sorafenib and Tipifarnib 100mg QD (Level -1)
AUC 0-12 Day 15
706 ng*hr/mL
Standard Deviation 644.88
30.59 ng*hr/mL
Standard Deviation 14.59
Plasma Time Curve (AUC) of Group 3 Phase I Sorafenib and Tipifarnib 100mg QD (Level -1)
AUC 0-12 Day 28
NA ng*hr/mL
Standard Deviation NA
Samples not collected on this day, drug not given
41.43 ng*hr/mL
Standard Deviation 28.82

PRIMARY outcome

Timeframe: Cycle 1 = 28 day PKs D1, D15,D28 (0,1,2,4,6,8,12,24hr post drug administration)

Population: Group 3: PKs for Dose level 1 Tipifarnib 100mg BID

Group 3: PKs for Dose level 1 Tipifarnib 100mg BID

Outcome measures

Outcome measures
Measure
Group 1 Phase I Sorafenib and Erlotinib QD
n=10 Participants
Patients receive oral sorafenib tosylate BID and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally Dose Level 0: 200mg BID (fixed) Dose Level 1: 400mg BID (fixed) erlotinib hydrochloride: given orally Dose Level 0: 100mg QD Dose Level 1: 100mg QD Dose Level 2: 150mg QD
Group 2 Phase I Sorafenib and Temsirolimus QW
n=10 Participants
Patients receive sorafenib tosylate BID as in group 2. Patients also receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID temsirolimus: IV administration Dose Level 0: 25mg IV QW Dose Level 1: 25mg IV QW Dose Level 2: 50mg IV QW Dose Level 3: 75mg IV QW Dose Level 4: 125mg IV QW Dose Level 5: 175mg IV QW
Group 3 Phase I Sorafenib and Tipifarnib BID
Patients receive sorafenib tosylate BID as in group 3. Patients also receive oral tipifarnib twice daily on days 1-21. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID tipifarnib: given orally Dose Level 0: 100mg BID Dose Level 1: 100mg BID Dose Level 2: 200mg BID Dose Level 3: 300mg BID
Plasma Time Curve (AUC) of Group 3 Phase I Sorafenib and Tipifarnib 100mg BID (Level 1)
AUC 0-12 Day 1
631.67 ng*hr/mL
Standard Deviation 431.12
NA ng*hr/mL
Standard Deviation NA
Samples not collected, drug not given on this day
Plasma Time Curve (AUC) of Group 3 Phase I Sorafenib and Tipifarnib 100mg BID (Level 1)
AUC 0-12 Day 15
390.25 ng*hr/mL
Standard Deviation 758.07
12.17 ng*hr/mL
Standard Deviation 16.33
Plasma Time Curve (AUC) of Group 3 Phase I Sorafenib and Tipifarnib 100mg BID (Level 1)
AUC 0-12 Day 28
NA ng*hr/mL
Standard Deviation NA
Samples not collected, drug not given on this day
36.45 ng*hr/mL
Standard Deviation 17.21

PRIMARY outcome

Timeframe: 12 months

Population: Group 3 did not reach an MTD Hence, did not complete the Phase 2 portion of study, combination treatment too toxic.

number of patients alive at 12 months

Outcome measures

Outcome measures
Measure
Group 1 Phase I Sorafenib and Erlotinib QD
n=19 Participants
Patients receive oral sorafenib tosylate BID and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally Dose Level 0: 200mg BID (fixed) Dose Level 1: 400mg BID (fixed) erlotinib hydrochloride: given orally Dose Level 0: 100mg QD Dose Level 1: 100mg QD Dose Level 2: 150mg QD
Group 2 Phase I Sorafenib and Temsirolimus QW
n=18 Participants
Patients receive sorafenib tosylate BID as in group 2. Patients also receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID temsirolimus: IV administration Dose Level 0: 25mg IV QW Dose Level 1: 25mg IV QW Dose Level 2: 50mg IV QW Dose Level 3: 75mg IV QW Dose Level 4: 125mg IV QW Dose Level 5: 175mg IV QW
Group 3 Phase I Sorafenib and Tipifarnib BID
Patients receive sorafenib tosylate BID as in group 3. Patients also receive oral tipifarnib twice daily on days 1-21. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID tipifarnib: given orally Dose Level 0: 100mg BID Dose Level 1: 100mg BID Dose Level 2: 200mg BID Dose Level 3: 300mg BID
12 Month Survival Rate (Phase II)
Patients Alive at 12 Months
8 Participants
10 Participants
12 Month Survival Rate (Phase II)
Patients Dead at 12 Months
11 Participants
8 Participants

PRIMARY outcome

Timeframe: 28 days

CTCAE 3.0

Outcome measures

Outcome measures
Measure
Group 1 Phase I Sorafenib and Erlotinib QD
n=16 Participants
Patients receive oral sorafenib tosylate BID and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally Dose Level 0: 200mg BID (fixed) Dose Level 1: 400mg BID (fixed) erlotinib hydrochloride: given orally Dose Level 0: 100mg QD Dose Level 1: 100mg QD Dose Level 2: 150mg QD
Group 2 Phase I Sorafenib and Temsirolimus QW
n=13 Participants
Patients receive sorafenib tosylate BID as in group 2. Patients also receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID temsirolimus: IV administration Dose Level 0: 25mg IV QW Dose Level 1: 25mg IV QW Dose Level 2: 50mg IV QW Dose Level 3: 75mg IV QW Dose Level 4: 125mg IV QW Dose Level 5: 175mg IV QW
Group 3 Phase I Sorafenib and Tipifarnib BID
n=24 Participants
Patients receive sorafenib tosylate BID as in group 3. Patients also receive oral tipifarnib twice daily on days 1-21. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID tipifarnib: given orally Dose Level 0: 100mg BID Dose Level 1: 100mg BID Dose Level 2: 200mg BID Dose Level 3: 300mg BID
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase I)
Leukopenia Grade 3
0 Events
0 Events
0 Events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase I)
Lymphopenia Grade 3
0 Events
2 Events
3 Events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase I)
Neutropenia Grade 3
0 Events
0 Events
0 Events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase I)
Thrombocytopenia Grade 3
0 Events
1 Events
0 Events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase I)
AST, SGOT Grade 3
1 Events
1 Events
0 Events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase I)
Cholesterol Grade 3
0 Events
1 Events
0 Events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase I)
Diarrhea Grade 3
0 Events
1 Events
2 Events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase I)
Hemmorrhoids Grade 3
0 Events
1 Events
0 Events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase I)
Hypertriglyceridemia Grade 3
0 Events
1 Events
0 Events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase I)
Hypophosphatemia Grade 3
3 Events
2 Events
4 Events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase I)
Fatigue Grade 3
0 Events
0 Events
1 Events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase I)
Vomiting Grade 3
0 Events
0 Events
1 Events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase I)
Lipase Grade 4
0 Events
0 Events
3 Events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase I)
Joint - Knee Pain Grade 3
0 Events
0 Events
1 Events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase I)
Thrombosis/thrombus/embolism Grade 4
0 Events
0 Events
1 Events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase I)
Fever Grade 3
0 Events
0 Events
1 Events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase I)
Dysphasia Grade 3
0 Events
0 Events
1 Events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase I)
Pain - Head/Headache Grade 3
0 Events
0 Events
1 Events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase I)
Encephalopathy Grade 3
0 Events
0 Events
1 Events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase I)
Lipase Grade 3
1 Events
0 Events
0 Events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase I)
ALT, SGPT Grade 3
2 Events
0 Events
0 Events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase I)
Hypertension Grade 3
1 Events
0 Events
0 Events

PRIMARY outcome

Timeframe: 1 year

Outcome measures

Outcome measures
Measure
Group 1 Phase I Sorafenib and Erlotinib QD
n=19 Participants
Patients receive oral sorafenib tosylate BID and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally Dose Level 0: 200mg BID (fixed) Dose Level 1: 400mg BID (fixed) erlotinib hydrochloride: given orally Dose Level 0: 100mg QD Dose Level 1: 100mg QD Dose Level 2: 150mg QD
Group 2 Phase I Sorafenib and Temsirolimus QW
n=18 Participants
Patients receive sorafenib tosylate BID as in group 2. Patients also receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID temsirolimus: IV administration Dose Level 0: 25mg IV QW Dose Level 1: 25mg IV QW Dose Level 2: 50mg IV QW Dose Level 3: 75mg IV QW Dose Level 4: 125mg IV QW Dose Level 5: 175mg IV QW
Group 3 Phase I Sorafenib and Tipifarnib BID
Patients receive sorafenib tosylate BID as in group 3. Patients also receive oral tipifarnib twice daily on days 1-21. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID tipifarnib: given orally Dose Level 0: 100mg BID Dose Level 1: 100mg BID Dose Level 2: 200mg BID Dose Level 3: 300mg BID
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase 2)
Lymphopenia Grade 3
2 events
2 events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase 2)
Thrombocytopenia Grade 3
0 events
5 events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase 2)
Thrombocytopenia Grade 4
0 events
2 events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase 2)
Cholesterol (high) Grade 3
0 events
2 events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase 2)
Diarrhea Grade 3
1 events
1 events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase 2)
Fatigue Grade 3
3 events
2 events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase 2)
Hypokalemia Grade 3
0 events
1 events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase 2)
Hyponatremia Grade 3
0 events
1 events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase 2)
Hypophosphatemia Grade 3
0 events
3 events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase 2)
Lipase (high) Grade 3
0 events
1 events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase 2)
Pharyngeal mucositis Grade 3
0 events
1 events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase 2)
Pruritis Grade 3
0 events
1 events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase 2)
Rash Grade 3
0 events
1 events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase 2)
Seizures Grade 3
0 events
1 events
Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase 2)
Hypertension Grade 3
1 events
0 events

PRIMARY outcome

Timeframe: 6 months

Population: Group 3 did not reach an MTD not complete the Phase 2 portion of study, combination treatment too toxic. End points not followed for group 3 Phase 2

Patients with a scan at 6 months without progressive disease Progressive disease defined as Progressive neurological abnormalities not explained by other causes or greater than 25% increase in size of tumor or if new lesion.

Outcome measures

Outcome measures
Measure
Group 1 Phase I Sorafenib and Erlotinib QD
n=19 Participants
Patients receive oral sorafenib tosylate BID and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally Dose Level 0: 200mg BID (fixed) Dose Level 1: 400mg BID (fixed) erlotinib hydrochloride: given orally Dose Level 0: 100mg QD Dose Level 1: 100mg QD Dose Level 2: 150mg QD
Group 2 Phase I Sorafenib and Temsirolimus QW
n=18 Participants
Patients receive sorafenib tosylate BID as in group 2. Patients also receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID temsirolimus: IV administration Dose Level 0: 25mg IV QW Dose Level 1: 25mg IV QW Dose Level 2: 50mg IV QW Dose Level 3: 75mg IV QW Dose Level 4: 125mg IV QW Dose Level 5: 175mg IV QW
Group 3 Phase I Sorafenib and Tipifarnib BID
n=24 Participants
Patients receive sorafenib tosylate BID as in group 3. Patients also receive oral tipifarnib twice daily on days 1-21. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID tipifarnib: given orally Dose Level 0: 100mg BID Dose Level 1: 100mg BID Dose Level 2: 200mg BID Dose Level 3: 300mg BID
Progression-free Survival at 6 Months (Phase II)
15.8 weeks
Interval 3.4 to 39.6
8 weeks
Interval 5.0 to 9.0
4.2 weeks
Interval 0.1 to 21.1

PRIMARY outcome

Timeframe: Up to 5 years

Measurable: Bidimensionally measurable lesions w/ clearly defined margins by MRI Evaluable: Unidimensionally measurable lesions, masses w/margins not clearly defined. Complete Response (CR): Complete disappearance of all measurable/evaluable disease. No new lesions. No evidence of non-evaluable disease. Patients on minimal/no steroids. Partial Response (PR): \>/= to 50% decrease under baseline in the sum of products of perpendicular diameters of all measurable lesions. No progression of evaluable disease. Responders must be on same/decreasing doses of dexamethasone. Stable/No Response: Does not qualify for CR, PR, or progression. Progression: 25% increase in the sum of products of all measurable lesions over smallest sum observed (over BL if no decrease), OR clear worsening of any evaluable disease, OR appearance of any new lesion/site, OR failure to return for evaluation due to death or deteriorating condition (unless clearly unrelated to this cancer).

Outcome measures

Outcome measures
Measure
Group 1 Phase I Sorafenib and Erlotinib QD
n=19 Participants
Patients receive oral sorafenib tosylate BID and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally Dose Level 0: 200mg BID (fixed) Dose Level 1: 400mg BID (fixed) erlotinib hydrochloride: given orally Dose Level 0: 100mg QD Dose Level 1: 100mg QD Dose Level 2: 150mg QD
Group 2 Phase I Sorafenib and Temsirolimus QW
n=18 Participants
Patients receive sorafenib tosylate BID as in group 2. Patients also receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID temsirolimus: IV administration Dose Level 0: 25mg IV QW Dose Level 1: 25mg IV QW Dose Level 2: 50mg IV QW Dose Level 3: 75mg IV QW Dose Level 4: 125mg IV QW Dose Level 5: 175mg IV QW
Group 3 Phase I Sorafenib and Tipifarnib BID
Patients receive sorafenib tosylate BID as in group 3. Patients also receive oral tipifarnib twice daily on days 1-21. sorafenib tosylate: given orally Dose Level 0: 200mg BID Dose Level 1: 400mg BID tipifarnib: given orally Dose Level 0: 100mg BID Dose Level 1: 100mg BID Dose Level 2: 200mg BID Dose Level 3: 300mg BID
Objective Response Rate in Patients With Measurable Disease (Phase II)
Partial Response
0 Participants
2 Participants
Objective Response Rate in Patients With Measurable Disease (Phase II)
Complete Response
0 Participants
0 Participants
Objective Response Rate in Patients With Measurable Disease (Phase II)
Stable Response
7 Participants
3 Participants
Objective Response Rate in Patients With Measurable Disease (Phase II)
Progressive Disease
10 Participants
13 Participants
Objective Response Rate in Patients With Measurable Disease (Phase II)
Unevaluable
2 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 28 days

Population: this was more an exploratory correlative and as per the pre-specified protocol, was only to be performed if the outcome of other parts of the study indicated positive results.

Examination of tissue markers of signal transduction pathways by immunohistochemical analysis this was an exploratory measure and it was not explore due to the negative results of the rest of the study

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 28 days

Population: This was more an exploratory correlative and as per the pre-specified protocol, was only to be performed if the outcome of other parts of the study indicated positive results.

Determine the relationship between tumor and blood biomarkers and clinical outcome of patients this was more an exploratory correlative and was not completed due to the negative outcome of other parts of the study

Outcome measures

Outcome data not reported

Adverse Events

Group 1 Phase I Sorafenib and Erlotinib

Serious events: 0 serious events
Other events: 13 other events
Deaths: 15 deaths

Group 2 Phase I Sorafenib and Temsirolimus

Serious events: 0 serious events
Other events: 8 other events
Deaths: 13 deaths

Group 3 Phase I Sorafenib and Tipifarnib

Serious events: 4 serious events
Other events: 15 other events
Deaths: 24 deaths

Group 1 Phase II Sorafenib and Erlotinib

Serious events: 1 serious events
Other events: 11 other events
Deaths: 19 deaths

Group 2 Phase II Sorafenib and Temsirolimus

Serious events: 2 serious events
Other events: 12 other events
Deaths: 18 deaths

Serious adverse events

Serious adverse events
Measure
Group 1 Phase I Sorafenib and Erlotinib
n=16 participants at risk
Patients receive oral sorafenib tosylate twice daily and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally erlotinib hydrochloride: given orally
Group 2 Phase I Sorafenib and Temsirolimus
n=13 participants at risk
Patients receive sorafenib tosylate as in group 2. Patients also receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally temsirolimus: IV administration
Group 3 Phase I Sorafenib and Tipifarnib
n=24 participants at risk
Patients receive sorafenib tosylate as in group 3. Patients also receive oral tipifarnib twice daily on days 1-21. sorafenib tosylate: given orally tipifarnib: given orally
Group 1 Phase II Sorafenib and Erlotinib
n=19 participants at risk
Patients receive oral sorafenib tosylate twice daily and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally erlotinib hydrochloride: given orally
Group 2 Phase II Sorafenib and Temsirolimus
n=18 participants at risk
Patients receive sorafenib tosylate 400 mg BID as in group 2. Patients also receive temsirolimus IV 25 mg over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally temsirolimus: IV administration
Gastrointestinal disorders
Abdominal pain
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
4.2%
1/24 • Number of events 1 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Psychiatric disorders
Confusion
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
4.2%
1/24 • Number of events 1 • 2 years
CTCAE
5.3%
1/19 • Number of events 1 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Gastrointestinal disorders
Diarrhea
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
5.3%
1/19 • Number of events 1 • 2 years
CTCAE
5.6%
1/18 • Number of events 1 • 2 years
CTCAE
Nervous system disorders
Encephalopathy
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
4.2%
1/24 • Number of events 1 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Vascular disorders
Hypertension
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
4.2%
1/24 • Number of events 1 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Investigations
Lipase increased
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
4.2%
1/24 • Number of events 1 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Nervous system disorders
Headache
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
4.2%
1/24 • Number of events 1 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Infections and infestations
Pancrease infection
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
4.2%
1/24 • Number of events 1 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Skin and subcutaneous tissue disorders
Rash acneiform
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
4.2%
1/24 • Number of events 1 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Nervous system disorders
Seizure
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
5.6%
1/18 • Number of events 1 • 2 years
CTCAE
Investigations
Serum amylase increased
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
4.2%
1/24 • Number of events 1 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Vascular disorders
Thromboembolic event
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
4.2%
1/24 • Number of events 1 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Metabolism and nutrition disorders
Hypertriglyceridemia
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
5.6%
1/18 • Number of events 1 • 2 years
CTCAE

Other adverse events

Other adverse events
Measure
Group 1 Phase I Sorafenib and Erlotinib
n=16 participants at risk
Patients receive oral sorafenib tosylate twice daily and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally erlotinib hydrochloride: given orally
Group 2 Phase I Sorafenib and Temsirolimus
n=13 participants at risk
Patients receive sorafenib tosylate as in group 2. Patients also receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally temsirolimus: IV administration
Group 3 Phase I Sorafenib and Tipifarnib
n=24 participants at risk
Patients receive sorafenib tosylate as in group 3. Patients also receive oral tipifarnib twice daily on days 1-21. sorafenib tosylate: given orally tipifarnib: given orally
Group 1 Phase II Sorafenib and Erlotinib
n=19 participants at risk
Patients receive oral sorafenib tosylate twice daily and oral erlotinib hydrochloride once daily on days 1-28. sorafenib tosylate: given orally erlotinib hydrochloride: given orally
Group 2 Phase II Sorafenib and Temsirolimus
n=18 participants at risk
Patients receive sorafenib tosylate 400 mg BID as in group 2. Patients also receive temsirolimus IV 25 mg over 30 minutes on days 1, 8, 15, and 22. sorafenib tosylate: given orally temsirolimus: IV administration
Nervous system disorders
Headache
0.00%
0/16 • 2 years
CTCAE
7.7%
1/13 • Number of events 1 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
5.3%
1/19 • Number of events 1 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Gastrointestinal disorders
Acidosis
0.00%
0/16 • 2 years
CTCAE
7.7%
1/13 • Number of events 1 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Investigations
Alanine aminotransferase increased
18.8%
3/16 • Number of events 3 • 2 years
CTCAE
15.4%
2/13 • Number of events 2 • 2 years
CTCAE
8.3%
2/24 • Number of events 2 • 2 years
CTCAE
15.8%
3/19 • Number of events 3 • 2 years
CTCAE
16.7%
3/18 • Number of events 3 • 2 years
CTCAE
Investigations
Alkaline phosphatase increased
6.2%
1/16 • Number of events 1 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Skin and subcutaneous tissue disorders
Alopecia
12.5%
2/16 • Number of events 2 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
5.3%
1/19 • Number of events 1 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Blood and lymphatic system disorders
Anemia
0.00%
0/16 • 2 years
CTCAE
30.8%
4/13 • Number of events 4 • 2 years
CTCAE
12.5%
3/24 • Number of events 3 • 2 years
CTCAE
5.3%
1/19 • Number of events 1 • 2 years
CTCAE
22.2%
4/18 • Number of events 4 • 2 years
CTCAE
Metabolism and nutrition disorders
Anorexia
6.2%
1/16 • Number of events 1 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
10.5%
2/19 • Number of events 2 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Musculoskeletal and connective tissue disorders
Arthralgia
6.2%
1/16 • Number of events 1 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
5.6%
1/18 • Number of events 1 • 2 years
CTCAE
Investigations
Aspartate aminotransferase increased
25.0%
4/16 • Number of events 4 • 2 years
CTCAE
15.4%
2/13 • Number of events 2 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
5.3%
1/19 • Number of events 1 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Investigations
Blood bilirubin increased
0.00%
0/16 • 2 years
CTCAE
15.4%
2/13 • Number of events 2 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Skin and subcutaneous tissue disorders
Bruising
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
5.3%
1/19 • Number of events 1 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Musculoskeletal and connective tissue disorders
Chest wall pain
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
5.3%
1/19 • Number of events 1 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
General disorders
Chills
0.00%
0/16 • 2 years
CTCAE
7.7%
1/13 • Number of events 1 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Investigations
Cholesterol high
0.00%
0/16 • 2 years
CTCAE
23.1%
3/13 • Number of events 3 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
27.8%
5/18 • Number of events 5 • 2 years
CTCAE
Psychiatric disorders
Confusion
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
5.3%
1/19 • Number of events 1 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Gastrointestinal disorders
Constipation
0.00%
0/16 • 2 years
CTCAE
15.4%
2/13 • Number of events 2 • 2 years
CTCAE
12.5%
3/24 • Number of events 3 • 2 years
CTCAE
5.3%
1/19 • Number of events 1 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/16 • 2 years
CTCAE
7.7%
1/13 • Number of events 1 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Psychiatric disorders
Depression
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
5.3%
1/19 • Number of events 1 • 2 years
CTCAE
5.6%
1/18 • Number of events 1 • 2 years
CTCAE
Gastrointestinal disorders
Diarrhea
25.0%
4/16 • Number of events 4 • 2 years
CTCAE
30.8%
4/13 • Number of events 4 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
10.5%
2/19 • Number of events 2 • 2 years
CTCAE
11.1%
2/18 • Number of events 2 • 2 years
CTCAE
Nervous system disorders
Dizziness
6.2%
1/16 • Number of events 1 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Skin and subcutaneous tissue disorders
Dry Skin
6.2%
1/16 • Number of events 1 • 2 years
CTCAE
15.4%
2/13 • Number of events 2 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
5.6%
1/18 • Number of events 1 • 2 years
CTCAE
Gastrointestinal disorders
Dyspepsia
6.2%
1/16 • Number of events 1 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Ear and labyrinth disorders
Ear and labyrinth disorders - Other, specify
6.2%
1/16 • Number of events 1 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
General disorders
Fatigue
18.8%
3/16 • Number of events 3 • 2 years
CTCAE
15.4%
2/13 • Number of events 2 • 2 years
CTCAE
29.2%
7/24 • Number of events 7 • 2 years
CTCAE
31.6%
6/19 • Number of events 6 • 2 years
CTCAE
16.7%
3/18 • Number of events 3 • 2 years
CTCAE
Musculoskeletal and connective tissue disorders
Generalized Muscle Weakness
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
5.3%
1/19 • Number of events 1 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Renal and urinary disorders
Hemoglobinuria
0.00%
0/16 • 2 years
CTCAE
7.7%
1/13 • Number of events 1 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Metabolism and nutrition disorders
Hypercalcemia
0.00%
0/16 • 2 years
CTCAE
7.7%
1/13 • Number of events 1 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Metabolism and nutrition disorders
Hyperglycemia
12.5%
2/16 • Number of events 2 • 2 years
CTCAE
7.7%
1/13 • Number of events 1 • 2 years
CTCAE
20.8%
5/24 • Number of events 5 • 2 years
CTCAE
5.3%
1/19 • Number of events 1 • 2 years
CTCAE
16.7%
3/18 • Number of events 3 • 2 years
CTCAE
Metabolism and nutrition disorders
Hyperkalemia
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
5.3%
1/19 • Number of events 1 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Metabolism and nutrition disorders
Hypermagnesemia
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
5.6%
1/18 • Number of events 1 • 2 years
CTCAE
Metabolism and nutrition disorders
Hypernatremia
0.00%
0/16 • 2 years
CTCAE
7.7%
1/13 • Number of events 1 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Vascular disorders
Hypertension
12.5%
2/16 • Number of events 2 • 2 years
CTCAE
7.7%
1/13 • Number of events 1 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
5.3%
1/19 • Number of events 1 • 2 years
CTCAE
5.6%
1/18 • Number of events 1 • 2 years
CTCAE
Metabolism and nutrition disorders
Hypertriglyceridemia
0.00%
0/16 • 2 years
CTCAE
30.8%
4/13 • Number of events 4 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
22.2%
4/18 • Number of events 4 • 2 years
CTCAE
Metabolism and nutrition disorders
Hypoalbuminemia
12.5%
2/16 • Number of events 2 • 2 years
CTCAE
7.7%
1/13 • Number of events 1 • 2 years
CTCAE
8.3%
2/24 • Number of events 2 • 2 years
CTCAE
5.3%
1/19 • Number of events 1 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Metabolism and nutrition disorders
Hypocalcemia
6.2%
1/16 • Number of events 1 • 2 years
CTCAE
7.7%
1/13 • Number of events 1 • 2 years
CTCAE
20.8%
5/24 • Number of events 5 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
16.7%
3/18 • Number of events 3 • 2 years
CTCAE
Metabolism and nutrition disorders
Hypokalemia
18.8%
3/16 • Number of events 3 • 2 years
CTCAE
7.7%
1/13 • Number of events 1 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
5.3%
1/19 • Number of events 1 • 2 years
CTCAE
11.1%
2/18 • Number of events 2 • 2 years
CTCAE
Metabolism and nutrition disorders
Hypomagnesemia
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
11.1%
2/18 • Number of events 2 • 2 years
CTCAE
Metabolism and nutrition disorders
Hyponatremia
0.00%
0/16 • 2 years
CTCAE
7.7%
1/13 • Number of events 1 • 2 years
CTCAE
8.3%
2/24 • Number of events 2 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
5.6%
1/18 • Number of events 1 • 2 years
CTCAE
Metabolism and nutrition disorders
Hypophosphatemia
25.0%
4/16 • Number of events 4 • 2 years
CTCAE
23.1%
3/13 • Number of events 3 • 2 years
CTCAE
8.3%
2/24 • Number of events 2 • 2 years
CTCAE
15.8%
3/19 • Number of events 3 • 2 years
CTCAE
22.2%
4/18 • Number of events 4 • 2 years
CTCAE
Investigations
Lipase increased
31.2%
5/16 • Number of events 5 • 2 years
CTCAE
7.7%
1/13 • Number of events 1 • 2 years
CTCAE
16.7%
4/24 • Number of events 4 • 2 years
CTCAE
5.3%
1/19 • Number of events 1 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Infections and infestations
Lung infection
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
5.6%
1/18 • Number of events 1 • 2 years
CTCAE
Investigations
Lymphocyte count decreased
12.5%
2/16 • Number of events 2 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
16.7%
4/24 • Number of events 4 • 2 years
CTCAE
15.8%
3/19 • Number of events 3 • 2 years
CTCAE
27.8%
5/18 • Number of events 5 • 2 years
CTCAE
Metabolism and nutrition disorders
Metabolism and nutrition disorders - Other, specify
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
5.3%
1/19 • Number of events 1 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Gastrointestinal disorders
Muscositis oral
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
16.7%
3/18 • Number of events 3 • 2 years
CTCAE
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
5.3%
1/19 • Number of events 1 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Infections and infestations
Nail infection
6.2%
1/16 • Number of events 1 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Skin and subcutaneous tissue disorders
Nail loss
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
5.6%
1/18 • Number of events 1 • 2 years
CTCAE
Gastrointestinal disorders
Nausea
12.5%
2/16 • Number of events 2 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
8.3%
2/24 • Number of events 2 • 2 years
CTCAE
10.5%
2/19 • Number of events 2 • 2 years
CTCAE
11.1%
2/18 • Number of events 2 • 2 years
CTCAE
Investigations
Neutrophil count decreased
12.5%
2/16 • Number of events 2 • 2 years
CTCAE
7.7%
1/13 • Number of events 1 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Gastrointestinal disorders
Oral pain
6.2%
1/16 • Number of events 1 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysesthesia syndrome
12.5%
2/16 • Number of events 2 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
10.5%
2/19 • Number of events 2 • 2 years
CTCAE
5.6%
1/18 • Number of events 1 • 2 years
CTCAE
Nervous system disorders
Peripheral sensory neuropathy
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
5.3%
1/19 • Number of events 1 • 2 years
CTCAE
5.6%
1/18 • Number of events 1 • 2 years
CTCAE
Respiratory, thoracic and mediastinal disorders
Pharyngeal mucositis
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
5.6%
1/18 • Number of events 1 • 2 years
CTCAE
Investigations
Platelet count decreased
18.8%
3/16 • Number of events 3 • 2 years
CTCAE
38.5%
5/13 • Number of events 5 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
10.5%
2/19 • Number of events 2 • 2 years
CTCAE
38.9%
7/18 • Number of events 7 • 2 years
CTCAE
Skin and subcutaneous tissue disorders
Pruritus
12.5%
2/16 • Number of events 2 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
5.6%
1/18 • Number of events 1 • 2 years
CTCAE
Skin and subcutaneous tissue disorders
Purpura
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
5.6%
1/18 • Number of events 1 • 2 years
CTCAE
Skin and subcutaneous tissue disorders
Rash acneiform
12.5%
2/16 • Number of events 2 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
5.3%
1/19 • Number of events 1 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Skin and subcutaneous tissue disorders
Rash maculo-papular
25.0%
4/16 • Number of events 4 • 2 years
CTCAE
15.4%
2/13 • Number of events 2 • 2 years
CTCAE
8.3%
2/24 • Number of events 2 • 2 years
CTCAE
26.3%
5/19 • Number of events 5 • 2 years
CTCAE
16.7%
3/18 • Number of events 3 • 2 years
CTCAE
Investigations
Serum amylase increased
12.5%
2/16 • Number of events 2 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Gastrointestinal disorders
Vomiting
6.2%
1/16 • Number of events 1 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Eye disorders
Watering eyes
6.2%
1/16 • Number of events 1 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
0.00%
0/19 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Investigations
Weight loss
0.00%
0/16 • 2 years
CTCAE
0.00%
0/13 • 2 years
CTCAE
0.00%
0/24 • 2 years
CTCAE
10.5%
2/19 • Number of events 2 • 2 years
CTCAE
0.00%
0/18 • 2 years
CTCAE
Investigations
White blood cell count decreased
37.5%
6/16 • Number of events 6 • 2 years
CTCAE
23.1%
3/13 • Number of events 3 • 2 years
CTCAE
12.5%
3/24 • Number of events 3 • 2 years
CTCAE
5.3%
1/19 • Number of events 1 • 2 years
CTCAE
5.6%
1/18 • Number of events 1 • 2 years
CTCAE

Additional Information

Mark Gilbert, MD

Adult Brain Tumor Consortium (ABTC)

Phone: 410-955-3657

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60