The purpose of this study is to see whether a new type of anti-cancer drug, known as BAY 43-9006, can be given safely and with good effect in combination with dacarbazine (DTIC). DTIC is the current standard chemotherapy drug given for melanoma that has spread through the body. Although this drug can be effective on its own and is generally well tolerated, not all patients will benefit, so there is a need to test new drugs and drug combinations for treating melanoma.
Issues on "Safety" outcomes are addressed in the Adverse Event section.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
83
Dacarbazine 1000 mg/m\^2 on day one of repeated 21 day cycles, in combination with daily continuous oral sorafenib (Nexavar, BAY 43-9006), 400 mg twice a day (bid)
Unnamed facility
Bordeaux, France
Unnamed facility
Lyon, France
Unnamed facility
Toulouse, France
Unnamed facility
Villejuif, France
Unnamed facility
Cambridge, Cambridgeshire, United Kingdom
Unnamed facility
Southampton, Hampshire, United Kingdom
Unnamed facility
London, London, United Kingdom
Unnamed facility
London, London, United Kingdom
Unnamed facility
London, London, United Kingdom
Unnamed facility
Manchester, Manchester, United Kingdom
...and 2 more locations
Overall Best Response
Best Overall Response (BOR): Best tumor response achieved during or within 30 days after active therapy confirmed according to the Response Evaluation Criteria in Solid Tumors (RECIST). Complete response (CR): The disappearance of all target and non-target lesions. Partial response (PR): At least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD. SD was defined as steady state of disease, PD was defined as an increase of at least 20% increase in the sum of the LD of target lesions or appearance of new lesions.
Time frame: during or within 30 days after active therapy
Progression-free Survival
Progression-free Survival (PFS) was the time from the first dose of combination therapy to disease progression (radiological or clinical, whichever is earlier) or death (if death occurs before progression is documented). PFS for subjects without tumor progression or death at the time of analysis were censored at the date of last tumor evaluation.
Time frame: from start of treatment until progression or death before progression (median 259 days)
Percentage of Subjects With Progression-free Survival at Specific Time-points
Progression-free Survival (PFS) was the time from the first dose of combination therapy to disease progression (radiological or clinical, whichever is earlier) or death (if death occurs before progression is documented). PFS for subjects without tumor progression or death at the time of analysis were censored at the date of last tumor evaluation.
Time frame: from start of treatment until progression or death before progression after 3, 6 and 12 months
Overall Survival
Overall Survival was the number of days from the date that combination treatment started until the date of death.
Time frame: from start of treatment until death (median 259 days)
Duration of Response
Duration of Response was assessed in subjects who showed a Partial Response (PR) or Complete Response (CR). It was defined as the time from the first documented objective response to Progressive Disease (PD), or death if before documented progression. Duration of response for subjects who have not progressed or died at the time of analysis was censored at the date of last tumor assessment.
Time frame: from confirmed Complete Response (CR) or Partial Response (PR) until Progressive Disease (PD) (median 259 days)
Duration of Complete Response
Duration of complete response was the number of days from the date that a complete response was first documented to the date that recurrent or progressive disease was first objectively documented (if patient progressed then censored=no) or to last observation (if patient did not progress then censored=yes).
Time frame: from confirmed CR until PD (median 259 days)
Duration of Partial Response
Duration of partial response was the number of days from the date that a partial response was first documented to the date that recurrent or progressive disease was first objectively documented (if patient progressed then censored=no) or to last observation (if patient did not progress then censored=yes).
Time frame: from confirmed PR until PD (median 259 days)
Disease Control (DC)
DC was defined as the total number of subjects whose best response was not progressive disease (PD) (total number of CRs + total number of PRs + total number of Stable Diseases (SD)). The DC at specific time points could also be calculated as the total number of subjects whose response was not PD at that time point.
Time frame: after start of treatment, at 6 months and 12 months
Duration of Stable Disease
Duration of Stable Disease (DSD), defined as the time from the first documented objective evidence of Stable Disease (SD) to disease progression (DP) or death if death occurred before DP, was assessed in subjects who showed SD as best response. DSD for subjects who had not progressed or died was censored at the date of last tumor assessment.
Time frame: from start of therapy to PD, only in non-responders (median 259 days)
Time to Response
Time to Response in subjects who achieved an objective response (PR or CR with confirmation) was measured from the date of starting study combination treatment until the earliest date that the response was first documented.
Time frame: start of therapy to confirmed CR or PR (median 259 days)
Time to Progression
Time to Progression was the number of days from the start of therapy to progression (if patient progressed then censored=no) or to the last observation at which the patient was known to have not progressed, that is, the last observation with a best response of CR, PR, or SD.
Time frame: From start of treatment until progression (median 259 days)
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