Megestrol in Treating Patients With Liver Cancer That Cannot Be Removed By Surgery

NCT ID: NCT00041275

Last Updated: 2013-09-20

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-05-31

Study Completion Date

2011-08-31

Brief Summary

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RATIONALE: Estrogen can stimulate the growth of cancer cells. Hormone therapy using megestrol may fight liver cancer by blocking the uptake of estrogen. It is not yet known if megestrol is an effective treatment for liver cancer.

PURPOSE: Randomized phase III trial to determine the effectiveness of megestrol in treating patients who have liver cancer that cannot be removed by surgery.

Detailed Description

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OBJECTIVES:

* Compare the overall survival of patients with inoperable hepatocellular carcinoma treated with megestrol vs placebo.
* Compare the quality of life of patients treated with these drugs.

OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study. Patients are stratified according to participating center. Patients are randomized to 1 of 2 treatment arms.

* Arm I: Patients receive oral megestrol twice daily for 1 year.
* Arm II: Patients receive an oral placebo twice daily for 1 year. Quality of life is assessed at baseline and then monthly for 1 year.

PROJECTED ACCRUAL: A minimum of 300 patients (200 for arm I and 100 for arm II) will be accrued for this study.

Conditions

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Liver Cancer

Keywords

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localized unresectable adult primary liver cancer advanced adult primary liver cancer adult primary hepatocellular carcinoma

Study Design

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Allocation Method

RANDOMIZED

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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megestrol acetate

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Diagnosis of hepatocellular carcinoma (HCC)

* Histologically confirmed OR
* Meets 2 of the following criteria:

* Radiological evidence of HCC on CT scan, MRI, or ultrasound
* Serum alpha-fetoprotein level at least 400 µg/L
* Positive lipiodol retention
* Not amenable to surgery

PATIENT CHARACTERISTICS:

Age:

* 20 to 100

Performance status:

* ECOG 0-3

Life expectancy:

* Not specified

Hematopoietic:

* Not specified

Hepatic:

* Bilirubin no greater than 5.8 mg/dL

Renal:

* Creatinine less than 1.7 mg/dL

Other:

* Not pregnant
* No clinical encephalopathy
* No other malignancy within the past 5 years

PRIOR CONCURRENT THERAPY:

Biologic therapy:

* Not specified

Chemotherapy:

* No prior chemoembolization for HCC
* No prior systemic chemotherapy for HCC

Endocrine therapy:

* Not specified

Radiotherapy:

* Not specified

Surgery:

* See Disease Characteristics
* No prior surgery for HCC

Other:

* No prior percutaneous injection for HCC
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Medical Research Council (NMRC), Singapore

OTHER_GOV

Sponsor Role lead

Principal Investigators

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Pierce Chow, MD, PhD, MBBS, FRCS, FAMS

Role: STUDY_CHAIR

National Cancer Centre, Singapore

Locations

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Bangabandhu Sheikh Mujib Medical University

Dhaka, , Bangladesh

Site Status

Yangon General Hospital

Yangon, , Burma

Site Status

Rumah Sakit Sanglah

Denpasar, Bali, Indonesia

Site Status

Auckland City Hospital

Auckland, , New Zealand

Site Status

Davao Doctors Hospital

Davao City, , Philippines

Site Status

National Cancer Centre - Singapore

Singapore, , Singapore

Site Status

Changi General Hospital

Singapore, , Singapore

Site Status

St. Vincent Hospital

Suwon, , South Korea

Site Status

Chang-Gung Memorial Hospital - Taipei

Taipei, , Taiwan

Site Status

Ramathibodi Hospital

Bangkok, , Thailand

Site Status

National Cancer Institute

Hà Nội, , Vietnam

Site Status

Cho Ray Hospital

Ho Chi Minh City, , Vietnam

Site Status

Countries

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Bangladesh Burma Indonesia New Zealand Philippines Singapore South Korea Taiwan Thailand Vietnam

References

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Chow PK, Machin D, Chen Y, Zhang X, Win KM, Hoang HH, Nguyen BD, Jin MY, Lobo R, Findlay M, Lim CH, Tan SB, Gandhi M, Soo KC; Asia-Pacific Hepatocellular Carcinoma Trials Group. Randomised double-blind trial of megestrol acetate vs placebo in treatment-naive advanced hepatocellular carcinoma. Br J Cancer. 2011 Sep 27;105(7):945-52. doi: 10.1038/bjc.2011.333. Epub 2011 Aug 23.

Reference Type RESULT
PMID: 21863030 (View on PubMed)

Other Identifiers

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NMRC-AHCC02

Identifier Type: -

Identifier Source: secondary_id

EU-20203

Identifier Type: -

Identifier Source: secondary_id

CDR0000069460

Identifier Type: -

Identifier Source: org_study_id