MedPath

Regorafenib

Generic Name
Regorafenib
Brand Names
Stivarga
Drug Type
Small Molecule
Chemical Formula
C21H15ClF4N4O3
CAS Number
755037-03-7
Unique Ingredient Identifier
24T2A1DOYB
Background

Regorafenib is an orally-administered inhibitor of multiple kinases. It is used for the treatment of metastatic colorectal cancer, advanced gastrointestinal stromal tumours, and hepatocellular carcinoma. FDA approved on September 27, 2012. Approved use of Regorafenib was expanded to treat Hepatocellular Carcinoma in April 2017.

Indication

Regorafenib is indicated for the treatment of patients with metastatic colorectal cancer (CRC) who have been previously treated with fluoropyrimidine-, oxaliplatin- and irinotecan-based chemotherapy, an anti-VEGF therapy, and, if KRAS wild type, an anti-EGFR therapy. Regorafenib is also indicated for the treatment of patients with locally advanced, unresectable or metastatic gastrointestinal stromal tumour (GIST) who have been previously treated with imatinib mesylate and sunitinib malate. Regorafenib is also indicated for the treatment of patients with hepatocellular carcinoma (HCC) previously treated with sorafenib.

Associated Conditions
Hepatocellular Carcinoma, Metastatic Colorectal Cancer (CRC), Metastatic Gastrointestinal Stromal Tumor (GIST), Locally advanced Gastrointestinal stromal tumor, Unresectable Gastrointestinal stromal tumor

Daily Oral Regorafenib for Chemotherapy-Refractory, Metastatic and Locally Advanced Angiosarcoma

Phase 2
Completed
Conditions
Recurrent Adult Soft Tissue Sarcoma
Stage IV Adult Soft Tissue Sarcoma
Stage III Adult Soft Tissue Sarcoma
Adult Angiosarcoma
Interventions
First Posted Date
2014-01-29
Last Posted Date
2022-04-25
Lead Sponsor
Northwestern University
Target Recruit Count
31
Registration Number
NCT02048722
Locations
🇺🇸

Sarcoma Oncology Center, Santa Monica, California, United States

🇺🇸

Northwestern University, Chicago, Illinois, United States

🇺🇸

Washington University-St. Louis, Saint Louis, Missouri, United States

and more 4 locations

Safety and Effectiveness of Regorafenib

Completed
Conditions
Neoplasms
Interventions
First Posted Date
2014-01-22
Last Posted Date
2018-01-16
Lead Sponsor
Bayer
Target Recruit Count
1034
Registration Number
NCT02042144

A Study of BBI608 in Combination With Standard Chemotherapies in Adult Patients With Advanced Gastrointestinal Cancer

First Posted Date
2013-12-31
Last Posted Date
2023-11-15
Lead Sponsor
Sumitomo Pharma America, Inc.
Target Recruit Count
495
Registration Number
NCT02024607
Locations
🇺🇸

Parkview Research Center, Fort Wayne, Indiana, United States

🇺🇸

Emory University Winship Cancer Institute, Atlanta, Georgia, United States

🇺🇸

Indiana University Health Goshen Center for Cancer Care, Goshen, Indiana, United States

and more 12 locations

Regorafenib in Good Performance Status Patients With Newly Diagnosed Metastatic Colorectal Adenocarcinoma

Phase 2
Active, not recruiting
Conditions
Metastatic Colorectal Adenocarcinoma
Interventions
First Posted Date
2013-12-30
Last Posted Date
2025-01-22
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Target Recruit Count
11
Registration Number
NCT02023333
Locations
🇺🇸

Memorial Sloan Kettering Cancer Center at Basking Ridge, Basking Ridge, New Jersey, United States

🇺🇸

Memorial Sloan Kettering Cancer Center at Mercy Medical Center, Rockville Centre, New York, United States

🇺🇸

Queens Cancer Center of Queens Hospital, Jamaica, New York, United States

and more 4 locations

Effect of Neomycin on the Pharmacokinetics of Regorafenib

Phase 1
Completed
Conditions
Neoplasms
Interventions
First Posted Date
2013-12-05
Last Posted Date
2015-08-13
Lead Sponsor
Bayer
Target Recruit Count
27
Registration Number
NCT02001909

Identification of Predictive Biomarker of Regorafenib in Refractory Colorectal Cancer

Not Applicable
Completed
Conditions
Metastatic Colorectal Cancer
Interventions
First Posted Date
2013-11-27
Last Posted Date
2019-02-22
Lead Sponsor
Seoul National University Hospital
Target Recruit Count
117
Registration Number
NCT01996969
Locations
🇰🇷

Seoul National University Hospital, Seoul, Korea, Republic of

Safety and Pharmacokinetics of Regorafenib and Cetuximab in Combination

Phase 1
Completed
Conditions
Neoplasms
Interventions
First Posted Date
2013-11-01
Last Posted Date
2019-04-09
Lead Sponsor
Bayer
Target Recruit Count
42
Registration Number
NCT01973868
Locations
🇺🇸

University of Colorado Hospital, Aurora, Colorado, United States

🇺🇸

University of Southern California, Los Angeles, California, United States

🇺🇸

University of Pittsburgh Medical Center Health System, Pittsburgh, Pennsylvania, United States

and more 1 locations

Investigating the Use of Regorafenib (Stivarga®) in Patients With Metastatic Colorectal Cancer (mCRC) After Failure of Standard Therapy

Completed
Conditions
Colorectal Neoplasm
Interventions
First Posted Date
2013-10-09
Last Posted Date
2018-03-08
Lead Sponsor
Bayer
Target Recruit Count
483
Registration Number
NCT01959269

Study to Determine the Efficacy of Regorafenib in Metastatic Colorectal Cancer Patients and to Discover Biomarkers

Phase 2
Conditions
Metastatic Colorectal Cancer
Interventions
First Posted Date
2013-09-24
Last Posted Date
2018-08-10
Lead Sponsor
Gerald Batist
Target Recruit Count
48
Registration Number
NCT01949194
Locations
🇨🇦

McGill University Health Centre, Montréal, Quebec, Canada

🇨🇦

Hopital Maisonneuve-Rosemont, Montreal, Canada

🇨🇦

St-Mary's Hospital Centre, Montreal, Quebec, Canada

and more 2 locations

Colorectal Cancer Treated With Adjuvant Regorafenib Versus Placebo After Curative Treatment of Liver Metastases in a Randomized, Double-blind, Placebo-Controlled Phase-III STudy

Phase 3
Terminated
Conditions
Colorectal Neoplasms
Interventions
First Posted Date
2013-09-11
Last Posted Date
2017-10-20
Lead Sponsor
Bayer
Target Recruit Count
25
Registration Number
NCT01939223
Locations
🇬🇧

Royal Marsden NHS Trust (Surrey), Sutton, Surrey, United Kingdom

🇨🇳

Fujian Medical University Union Hospital, Fuzhou, Fujian, China

🇺🇸

Duke University Medical Center, Durham, North Carolina, United States

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