A Phase III, Multi-center, Placebo-Controlled Trial of Sorafenib (BAY43-9006) in Patients With Relapsed or Refractory Advanced Predominantly Non Squamous Non-Small Cell Lung Cancer (NSCLC) After 2 or 3 Previous Treatment Regimens for Advanced Disease
Inclusion Criteria:
- Ability to understand and willingness to sign a written Informed Consent
- Advanced relapsed or refractory predominantly non squamous NSCLC. The diagnosis must
have been confirmed cyto-/ histologically
- Patients must have measurable or non-measurable disease
- At least two but not more than three prior standard treatment regimens for NSCLC
- ECOG Performance Status of 0 or 1
- Male or female subjects >/= 18 years of age (>/=20 for Japan) at the time of Informed
Consent
- Life expectancy of at least 12 weeks
- Ability to swallow oral medication
- Both men and women using adequate barrier birth control measures during the course of
the trial and 4 weeks after the completion of trial
- Adequate bone marrow, liver and renal function as assessed by the following
laboratory requirements to be conducted within 7 days prior to start of the study
drug:
- Haemoglobin > 9.0 g/dl
- Absolute neutrophil count (ANC) >1,500/mm3
- Platelet count >/= 100,000/µl
- Total bilirubin =1.5 x the upper limit of normal
- ALT < 2.5 x upper limit of normal (= 5 x upper limit of normal in patients
with liver metastases) AST < 2.5 x upper limit of normal (= 5 x upper limit of
normal in patients with liver metastases)
- Alkaline phosphatase < 4 x upper limit of normal (= 5 x upper limit of normal
in patients with liver metastases)
- PT-INR or PTT < 1.5 x upper limit of normal
- Serum creatinine < 1.5 x upper limit of normal
- Calculated creatinine clearance of >/= 50 mL/min
Exclusion Criteria:
- NSCLC patients with predominantly squamous cell carcinoma histology
Excluded medical conditions:
- History of cardiac disease: Congestive heart failure, Active coronary artery disease
(CAD), Cardiac arrhythmias (>Grade 2 NCI-CTCAE vers. 3.0)
- Uncontrolled hypertension despite two anti-hypertensive medications
- History of HIV infection or chronic hepatitis B or C
- History of organ allograft
- Active clinically serious infections (> grade 2 NCI-CTCAE vers. 3.0)
- Patients with seizure disorder requiring medication
- Patients with evidence or history of bleeding diathesis or coagulopathy
- Patients undergoing renal dialysis
- Pulmonary hemorrhage/ bleeding event >/= CTCAE grade 2 within four weeks prior to the
first dose of the study drug
- Any other hemorrhage/ bleeding event >/= CTCAE grade 3 within four weeks prior to
the first dose of the study drug
- Thrombotic or embolic venous or arterial events such as cerebrovascular accident
- Pregnant or breast-feeding women.
- Any condition which could affect the absorption or pharmacokinetics of the study drug
- Prior treatment with other VEGF(R) inhibitors, including compounds that impact
vascularity (i.e. sunitinib, thalidomide, vandetanib, vascular disrupting agents
[VDA], VEGF-trap and other experimental agents of this class). Only bevacizumab
(Avastin) is permitted.