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Nexavar

Phase 3

Carcinoma, Hepatocellular | Small molecule | Oncology |Bayer AG|Last Updated: Aug 8, 2018

Target and mechanism

Molecular targetRAF1, PDGFRB, BRAF, KIT, FLT3, RET
Target classInhibitor
ModalitySmall molecule

Also known as Sorafenib

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment1,114

FDA Designations

No designations recorded

Clinical trial landscape

Nexavar · 8 trials · 9 indications

Phase 3 2Phase 2 3Phase 1 3
NCT00692770Sorafenib as Adjuvant Treatment in the Prevention Of Recurrence of Hepatocellular Carcinoma (STORM)Carcinoma, Hepatocellular
COMPLETED1,114 Analytics
NCT00492986An Open-Label, Non-Comparative, Phase III Study of the Raf-Kinase Inhibitor BAY 43-9006 as a Subsequent to First-Line Therapy in Patients With Advanced Renal Cell CarcinomaCarcinoma, Renal Cell
COMPLETED1,150 Analytics
PHASE3COMPLETED
Sorafenib as Adjuvant Treatment in the Prevention Of Recurrence of Hepatocellular Carcinoma (STORM)
Carcinoma, HepatocellularUnlock trial analytics
PHASE3COMPLETED
An Open-Label, Non-Comparative, Phase III Study of the Raf-Kinase Inhibitor BAY 43-9006 as a Subsequent to First-Line Therapy in Patients With Advanced Renal Cell Carcinoma
Carcinoma, Renal CellUnlock trial analytics

Study Endpoints

Primary Endpoints

Recurrence Free Survival (RFS) by Independent Assessment
From randomization up to 4 years or until disease recurrence whichever came first

Disease recurrence of HCC (intra or extra hepatic) was defined as the appearance of a new intrahepatic lesions fulfilling the American Association for the Study of Liver Diseases (AASLD) criteria of diagnosis of HCC or a new extra-hepatic lesions according to the Response Evaluation Criteria in Solid Tumors (RECIST) criteria version 1.0. In addition to investigator assessment, all images were reviewed by an independent panel of radiologists. The calculation of the RFS was based on the independent evaluation of the scans. RFS was defined as the time from randomization to the first documented disease recurrence by independent radiological assessment or death due to any cause whichever occurred first. For subjects who had not recurred or died at the time of analysis, RFS was censored at their last date of evaluable scan before drop-out for any other reason than recurrence or death.

Safety Parameters
Continously
Tumor response rate
Tumor measurements: every 6 weeks for the first 24 weeks (or the time of evaluation as progression, whichever is earlier) and every 8 weeks thereafter.
To determine the major hematologic response rate (i.e. complete and partial hematologic responses) associated with BAY 43-9006 in patients with chronic phase CML resistant to Gleevec.
Every 3 months
Survival
Death
To determine the pharmacokinetics and safety of cyclophosphamide when co-administered with 400 mg BID sorafenib and doxorubicin administered
6 weeks
Safety and pharmacokinetics of the three agents: sorafenib administered daily, without a break in dosing, in combination with carboplatin and paclitaxel, administered every 3 weeks
2 years
The primary objective of this study is to define the safety profile and maximum tolerated dose (MTD) of BAY43-9006 (sorafenib) administered in combination with, carboplatin, paclitaxel and bevacizumab
2 years

Secondary Endpoints

Time to Recurrence (TTR) by Independent Assessment
From randomization up to 4 years or until disease recurrence whichever came first
Overall Survival (OS)
From randomization of the first subject until 4 years later.
Collection of radiological evaluations
Continously
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Sorafenib (Nexavar, BAY43-9006)EXPERIMENTALParticipants received 2 tablets of Sorafenib (2×200 mg) orally twice daily (BID)
PlaceboPLACEBO_COMPARATORParticipants received 2 tablets of placebo orally twice daily (BID)
Arm 1EXPERIMENTAL -
Arm 2EXPERIMENTAL -
Arm 3EXPERIMENTAL -
Arm 4EXPERIMENTAL -
Arm 5EXPERIMENTAL -
Arm 6EXPERIMENTAL -

Interventions

NameTypeDescription
Nexavar (Sorafenib, BAY43-9006)DRUGSorafenib 400 mg twice daily (BID)
PlaceboDRUGPlacebo 2 tablets twice daily (BID)
BevacizumabDRUGBevacizumab 2.5 mg/kg intravenously
PaclitaxelDRUGPaclitaxel 200 mg/m² intravenously
CarboplatinDRUGCarboplatin AUC 6 intravenously
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites199

Inclusion Criteria: * Subjects who have undergone surgical resection or local ablation (PEI or percutaneous or intraoperative RFA) for treatment of HCC with curative intent within 4 months from staging to potentially curative treatment. A maximum of 2 local ablation courses may be administered duri...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilBulgariaCanadaChileChinaFranceGermanyGreeceHong KongItalyJapanMexicoNew ZealandPortugalRomaniaRussiaSingaporeSouth KoreaSpainSwedenSwitzerlandTaiwanUnited KingdomDenmarkNetherlandsPoland
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Frequently asked questions about Nexavar

What is Nexavar used for?

Nexavar (sorafenib) is an investigational small molecule oncology drug being studied for use in hepatocellular carcinoma, renal cell carcinoma, chronic myelogenous leukemia, and non-small-cell lung cancer. It is a kinase inhibitor in the -nib class. Nexavar is not FDA approved and remains in clinical development.

What does Nexavar target?

Nexavar is a kinase inhibitor, belonging to the -nib class of drugs. It targets kinases involved in cancer cell signaling and tumor growth. The drug is being investigated for its activity against several cancer types, including hepatocellular carcinoma and renal cell carcinoma.

Who makes Nexavar?

Nexavar is being developed by Bayer AG, a German pharmaceutical company traded on the OTC market under the ticker BAYRY. Bayer is conducting clinical trials of Nexavar across multiple oncology indications, including renal cell carcinoma and hepatocellular carcinoma.

What phase is Nexavar in?

Nexavar is in Phase 1 clinical development. While some completed trials were Phase 2 and Phase 3, the drug's current development stage is Phase 1. Nexavar is investigational and has not received FDA approval. It is being studied for several cancers, including renal cell carcinoma and hepatocellular carcinoma.

What clinical trials is Nexavar in?

Nexavar has been studied in clinical trials including NCT00492986, a Phase 3 study in advanced renal cell carcinoma with 1,150 participants, and NCT00661375, a Phase 2 study in renal cell carcinoma with 131 participants. Additional trials include NCT00692770 in hepatocellular carcinoma and NCT01069328 in non-small-cell lung cancer.

Is Nexavar the same as Sorafenib?

Yes, Nexavar is the same as sorafenib. Sorafenib is the generic name for the drug, while Nexavar is the brand name. Both names refer to the same investigational kinase inhibitor being developed by Bayer AG for oncology indications.