A Research Study to Treat Patients With Advanced Hepatocellular Carcinoma

NCT ID: NCT00108953

Last Updated: 2014-10-31

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

96 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-04-30

Study Completion Date

2008-04-30

Brief Summary

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The purpose of this study is to evaluate the safety and efficacy of doxorubicin plus sorafenib versus doxorubicin plus placebo in patients with advanced hepatocellular carcinoma (HCC).

Detailed Description

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In addition to the key secondary outcome parameters the following parameters will be assessed in an exploratory manner: relative time to progression (TTP), time to symptomatic progression (TTSP), response rate (RR) and overall survival between the 2 study populations.

The possible and potential predictive assays of clinical benefit through an assessment of the correlation between the defined baseline characteristics and key clinical endpoints.

The safety and tolerability will be assessed in the adverse event section. Doxorubicin pharmacokinetics in HCC patients treated with sorafenib versus placebo will be compared and the pharmacokinetic data will be correlated with doxorubicin-related adverse events (i.e., cardiotoxicity).

Conditions

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Carcinoma, Hepatocellular

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Sorafenib + Doxorubicin

"Sorafenib + Doxorubicin" -- combination therapy: Sorafenib (Nexavar, BAY43-9006) 200 mg tablets by mouth (orally) twice daily + doxorubicin 60 mg/m2 intravenous infusion every 21 days for 6 cycles (18 weeks)

Group Type EXPERIMENTAL

Sorafenib (Nexavar, BAY43-9006) plus Doxorubicin

Intervention Type DRUG

Multi kinase inhibitor plus Chemotherapy

Placebo + Doxorubicin

"Placebo + Doxorubicin" -- monotherapy: Sorafenib (Nexavar, BAY43-9006) matching placebo tablets by mouth (orally) twice daily + doxorubicin 60 mg/m2 intravenous infusion every 21 days for 6 cycles (18 weeks)

Group Type ACTIVE_COMPARATOR

Doxorubicin/Placebo

Intervention Type DRUG

Chemotherapy plus Placebo

Interventions

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Sorafenib (Nexavar, BAY43-9006) plus Doxorubicin

Multi kinase inhibitor plus Chemotherapy

Intervention Type DRUG

Doxorubicin/Placebo

Chemotherapy plus Placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients who have a life expectancy of at least 12 weeks
* Patients with advanced HCC (unresectable, and/or metastatic) which has been histologically or cytologically documented
* Patients must have at least one tumor lesion that meets both of the following criteria:

* can be accurately measured in at least one dimension according to Response Evaluation Criteria in Solid Tumors (RECIST)
* has not been previously treated with local therapy
* Patients who have received local therapy except chemoembolization, such as surgery, radiation therapy, hepatic arterial embolization, radiofrequency ablation, percutaneous ethanol injection or cryoablation are eligible, provided that they either have a target lesion which has not been subjected to local therapy and/or the target lesion(s) within the field of the local therapy has shown an increase of 25% in the size. Local therapy must be completed at least 4 weeks prior to the baseline scan
* Patients who have an Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2

Exclusion Criteria

* Previous or concurrent cancer that is distinct in primary site or histology from HCC, EXCEPT cervical carcinoma in situ, treated basal cell carcinoma, and superficial bladder tumors (Ta, Tis \& T1). Any cancer curatively treated \> 3 years prior to entry is permitted
* History of cardiac disease
* Serious myocardial dysfunction
* Active, clinically serious infections
* Known history of Human Immunodeficiency Virus (HIV) infection
* Known Central Nervous System (CNS) tumors including metastatic brain disease
* Patients with clinically significant gastrointestinal bleeding within 30 days prior to study entry
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bayer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bayer Study Director

Role: STUDY_DIRECTOR

Bayer

Locations

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Birmingham, Alabama, United States

Site Status

Beverly Hills, California, United States

Site Status

Orange, California, United States

Site Status

Palo Alto, California, United States

Site Status

San Francisco, California, United States

Site Status

San Francisco, California, United States

Site Status

Sylmar, California, United States

Site Status

Miami, Florida, United States

Site Status

Lafayette, Louisiana, United States

Site Status

Minneapolis, Minnesota, United States

Site Status

Hackensack, New Jersey, United States

Site Status

New York, New York, United States

Site Status

Rochester, New York, United States

Site Status

Nashville, Tennessee, United States

Site Status

Seattle, Washington, United States

Site Status

Buenos Aires, Ciudad Auton. de Buenos Aires, Argentina

Site Status

Neuquén, Neuquén Province, Argentina

Site Status

Buenos Aires, , Argentina

Site Status

Toronto, Ontario, Canada

Site Status

Hong Kong, Hong Kong, Hong Kong

Site Status

Kazan', , Russia

Site Status

Kirov, , Russia

Site Status

Krasnodar, , Russia

Site Status

Maidstone, Kent, United Kingdom

Site Status

London, London, United Kingdom

Site Status

Manchester, Manchester, United Kingdom

Site Status

Bebington, Merseyside, United Kingdom

Site Status

Birmingham, West Midlands, United Kingdom

Site Status

Countries

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United States Argentina Canada Hong Kong Russia United Kingdom

References

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Abou-Alfa GK, Schwartz L, Ricci S, Amadori D, Santoro A, Figer A, De Greve J, Douillard JY, Lathia C, Schwartz B, Taylor I, Moscovici M, Saltz LB. Phase II study of sorafenib in patients with advanced hepatocellular carcinoma. J Clin Oncol. 2006 Sep 10;24(26):4293-300. doi: 10.1200/JCO.2005.01.3441. Epub 2006 Aug 14.

Reference Type RESULT
PMID: 16908937 (View on PubMed)

Abou-Alfa GK, Johnson P, Knox JJ, Capanu M, Davidenko I, Lacava J, Leung T, Gansukh B, Saltz LB. Doxorubicin plus sorafenib vs doxorubicin alone in patients with advanced hepatocellular carcinoma: a randomized trial. JAMA. 2010 Nov 17;304(19):2154-60. doi: 10.1001/jama.2010.1672.

Reference Type RESULT
PMID: 21081728 (View on PubMed)

Related Links

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http://www.clinicaltrialsregister.eu/

Click here to find information about studies related to Bayer Healthcare products conducted in Europe

Other Identifiers

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2004-001770-40

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

11546

Identifier Type: -

Identifier Source: org_study_id

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