Safety and Efficacy of Doxorubicin Adsorbed to Magnetic Beads Vs. IV Doxorubicin in Treating Liver Cancer

NCT ID: NCT00034333

Last Updated: 2005-06-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-03-31

Brief Summary

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MTC-DOX is Doxorubicin or DOX, a chemotherapy drug, that is adsorbed, or made to "stick", to magnetic beads (MTCs). MTCs are tiny, microscopic particles of iron and carbon. When DOX is added to MTCs, DOX attaches to the carbon part of the MTCs. MTC-DOX is directed to and deposited in the area of a tumor, where it is thought that it then "leaks" through the blood vessel walls. Once in the surrounding tissues, it is thought that Doxorubicin becomes "free from" the magnetic beads and will then be able to act against the tumor cells. The iron component of the particle has magnetic properties, making it possible to direct MTC-DOX to specific tumor sites in the liver by placing a magnet on the body surface. It is hoped that MTC-DOX used with the magnet may target the chemotherapy directly to liver tumors and provide a treatment to patients with liver cancer.

To be sure of the effect of MTC-DOX on liver cancer, it will be compared to the effect of Doxorubicin given through the vein.

The study treatments will be administered every three weeks, (which is considered a study treatment cycle), until you complete six treatment cycles, the tumor grows, disappears, or you experience a side effect, which may cause you to leave the study. Follow-up visits will occur on Days 3, 10, and 21 following treatment in the first cycle and Days 7 and 21 for the remaining cycles, and also 60 days after you receive your last treatment cycle.

Therefore, the purpose of this Phase 2/3 study is to evaluate safety, tolerance, and efficacy (survival time) of an MTC-DOX dosing strategy where the DOX dose is determined by tumor size

Detailed Description

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Conditions

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Carcinoma, Hepatocellular

Keywords

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Hepatoma Unresectable adult primary liver cancer liver cancer HCC Hepatocellular Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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MTC-DOX for Injection

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Unresectable hepatocellular carcinoma diagnosed by CT scan and meets the criteria described in Section 23.
* Total combined cross-sectional area of all hepatic tumors as determined by CT scan is between 4 and 200 cm2.
* Center of the tumor(s) mass must be \</= 14 cm from the anterior lateral abdominal wall as determined by cross-sectional imaging at baseline. This is required for optimal placement of the magnet. If more than one tumor mass is present, all of the tumor masses must meet this criterion.
* Is ambulatory with a Karnofsky performance status score \> 60 and an estimated life expectancy of \> 3 months.
* Is judged by the investigator to have the initiative and means to be compliant with the protocol and be within geographical proximity to allow follow-up.
* Have the ability to give informed written consent prior to initiation of therapy.
* If female and of childbearing potential,must have a negative beta-HCG prior to receiving treatment.
* Must agree to use an effective method of contraception

Patients will be excluded from enrollment if any of the following apply:

* Has a history of cancer other than hepatocellular (excluding resected basal cell carcinoma; or curatively resected stage 1 or less cervical cancer if disease free for 5 years or more).
* Has had prior local radiation therapy within the last 4 weeks, mediastinal radiation therapy within the last 3 months, or chemotherapy within the last 4 weeks.
* Diffuse hepatocellular carcinoma or disease that precludes delivery of the drug to the tumor via a vessel that feeds the tumor.
* Has another active medical condition(s) or organ disease(s) that may either compromise patient safety or interfere with the safety and/or outcome (e.g., survival) evaluation of the study drugs. While this exclusion is not limited to the following abnormalities, if any of the following laboratory abnormalities are present, the patient should be excluded:

WBC \< 2,000 /uL Platelets \< 50,000/uL Hemoglobin \< 8.0 gm/dL Total bilirubin \> 3.0 mg/dL ALT or AST \>/= 5 x upper limit of normal Serum Creatinine \>2.0 mg/dL INR \>/= 1.5

* Has cardiac dysfunction with a left ventricular ejection fraction \< 40%.
* Has clinically significant pulmonary impairment
* Plans concomitant chemotherapy, radiation therapy, hormonal and/or biological treatment for cancer including immunotherapy while on study.
* Has an indwelling cardiac pacemaker, cerebral aneurysm clips, or any other indwelling device or appliance that could be adversely affected by the use of the external magnet.
* Has documented evidence of hemachromatosis or hemosiderosis.
* Has CT or ultrasound evidence of portal vein invasion or thrombosis.
* Prior orthotopic hepatic transplant.
* Has received previous treatment with doxorubicin, idarubicin, and/or other anthracyclines or anthracenes.
* Has a known allergy to doxorubicin, MTC-DOX or any of their components.
* Has been treated with any investigational drug, investigational biologic, or investigational therapeutic device within 30 days of initiating study treatment.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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FeRx

INDUSTRY

Sponsor Role lead

Principal Investigators

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Joy Koda, Ph.D.

Role: STUDY_CHAIR

FeRx

Locations

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Long Beach VA Medical Center

Long Beach, California, United States

Site Status

VAMC San Francisco and Comprehensive Cancer Ctr.

San Francisco, California, United States

Site Status

Northwestern Univ. Med. School

Chicago, Illinois, United States

Site Status

Weill Medical College of Cornell University

New York, New York, United States

Site Status

Univ. of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States

Site Status

Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Allegheny-Singer Research Institute

Pittsburgh, Pennsylvania, United States

Site Status

University of Texas Medical Branch

Galveston, Texas, United States

Site Status

Scott & White Mem. Hosp. & Clinic

Temple, Texas, United States

Site Status

McGuire DVAMC

Richmond, Virginia, United States

Site Status

Landeskrankenhaus Graz University Hospital

Graz, , Austria

Site Status

University Hospital Vienna

Vienna, , Austria

Site Status

University Hospital Cologne

Cologne, , Germany

Site Status

University Hospital Am Main

Frankfurt, , Germany

Site Status

Queen Mary Hospital, University of Hong Kong

Pokfulam, , Hong Kong

Site Status

Chinese Universtiy of Hong Kong

Shatin, N.T., , Hong Kong

Site Status

Central Research Institute of Roentgenology and Radiology

Pesochny, Sankt-Peterburg, Russia

Site Status

N.N. Blokhin Cancer Research Center RAMS

Moscow, , Russia

Site Status

Chulalongkorn University Hospital

Bangkok, , Thailand

Site Status

Siriraj Hospital, Mahidol University

Bangkok, , Thailand

Site Status

National Cancer Institute

Bangkok, , Thailand

Site Status

Chiang Mai University

Chiang Mai, , Thailand

Site Status

Khon Kaen Universtiy

Khon Kaen, , Thailand

Site Status

Institute of Oncology AMS of Ukraine

Kiev, , Ukraine

Site Status

Queen Elizabeth Hospital

Edgbaston, Birmingham, United Kingdom

Site Status

Leicester Royal Infirmary

Leicester, England, United Kingdom

Site Status

St. George's Hospital

London, England, United Kingdom

Site Status

Edinburgh Royal Infirmary

Edinburgh, Scotland, United Kingdom

Site Status

Countries

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United States Austria Germany Hong Kong Russia Thailand Ukraine United Kingdom

Other Identifiers

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MTC-DOX-004

Identifier Type: -

Identifier Source: org_study_id

NCT00052819

Identifier Type: -

Identifier Source: nct_alias