Trial Outcomes & Findings for Phase 3 Study of ThermoDox With Radiofrequency Ablation (RFA) in Treatment of Hepatocellular Carcinoma (HCC) (NCT NCT00617981)

NCT ID: NCT00617981

Last Updated: 2024-05-03

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

701 participants

Primary outcome timeframe

3 years

Results posted on

2024-05-03

Participant Flow

Participant milestones

Participant milestones
Measure
ThermoDox + RFA
ThermoDox should be administered at 50 mg/m2. The infusion should start approximately 15 minutes before radiofrequency ablation begins and continue for approximately 30 minutes. ThermoDox: Thermally Sensitive Liposomal Doxorubicin 50 mg/m2 Single 30 minute intravenous infusion
Sham + RFA
Sham infusion should start approximately 15 minutes before radiofrequency ablation begins and continue for approximately 30 minutes. 5% Dextrose Solution: Single 30 minute intravenous infusion
Overall Study
STARTED
354
347
Overall Study
COMPLETED
244
245
Overall Study
NOT COMPLETED
110
102

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Phase 3 Study of ThermoDox With Radiofrequency Ablation (RFA) in Treatment of Hepatocellular Carcinoma (HCC)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ThermoDox + RFA
n=354 Participants
ThermoDox 50 mg/m2 start infusion over 30 minutes about 15 minutes before radiofrequency ablation begins. ThermoDox: Thermally Sensitive Liposomal Doxorubicin 50 mg/m2 Single 30 minute intravenous infusion
Sham + RFA
n=347 Participants
Sham infusion over 30 minutes about 15 minutes before radiofrequency ablation begins. 5% Dextrose Solution: Single 30 minute intravenous infusion
Total
n=701 Participants
Total of all reporting groups
Age, Customized
<40
7 participants
n=5 Participants
10 participants
n=7 Participants
17 participants
n=5 Participants
Age, Customized
40-<45
13 participants
n=5 Participants
14 participants
n=7 Participants
27 participants
n=5 Participants
Age, Customized
45-<50
18 participants
n=5 Participants
25 participants
n=7 Participants
43 participants
n=5 Participants
Age, Customized
50-<55
42 participants
n=5 Participants
44 participants
n=7 Participants
86 participants
n=5 Participants
Age, Customized
55-<60
57 participants
n=5 Participants
50 participants
n=7 Participants
107 participants
n=5 Participants
Age, Customized
60-<65
65 participants
n=5 Participants
64 participants
n=7 Participants
129 participants
n=5 Participants
Age, Customized
65-<70
44 participants
n=5 Participants
45 participants
n=7 Participants
89 participants
n=5 Participants
Age, Customized
70-<75
51 participants
n=5 Participants
42 participants
n=7 Participants
93 participants
n=5 Participants
Age, Customized
75-<80
33 participants
n=5 Participants
34 participants
n=7 Participants
67 participants
n=5 Participants
Age, Customized
80-<85
19 participants
n=5 Participants
13 participants
n=7 Participants
32 participants
n=5 Participants
Age, Customized
85+
2 participants
n=5 Participants
4 participants
n=7 Participants
6 participants
n=5 Participants
Age, Customized
Missing
3 participants
n=5 Participants
2 participants
n=7 Participants
5 participants
n=5 Participants
Sex: Female, Male
Female
87 Participants
n=5 Participants
84 Participants
n=7 Participants
171 Participants
n=5 Participants
Sex: Female, Male
Male
267 Participants
n=5 Participants
263 Participants
n=7 Participants
530 Participants
n=5 Participants
Race/Ethnicity, Customized
Caucasian
42 participants
n=5 Participants
26 participants
n=7 Participants
68 participants
n=5 Participants
Race/Ethnicity, Customized
Japanese
8 participants
n=5 Participants
11 participants
n=7 Participants
19 participants
n=5 Participants
Race/Ethnicity, Customized
Korean
83 participants
n=5 Participants
91 participants
n=7 Participants
174 participants
n=5 Participants
Race/Ethnicity, Customized
Taiwanese
66 participants
n=5 Participants
62 participants
n=7 Participants
128 participants
n=5 Participants
Race/Ethnicity, Customized
Chinese
115 participants
n=5 Participants
125 participants
n=7 Participants
240 participants
n=5 Participants
Race/Ethnicity, Customized
Other
40 participants
n=5 Participants
32 participants
n=7 Participants
72 participants
n=5 Participants
Region of Enrollment
United States
10 participants
n=5 Participants
5 participants
n=7 Participants
15 participants
n=5 Participants
Region of Enrollment
Philippines
18 participants
n=5 Participants
21 participants
n=7 Participants
39 participants
n=5 Participants
Region of Enrollment
Taiwan
68 participants
n=5 Participants
63 participants
n=7 Participants
131 participants
n=5 Participants
Region of Enrollment
Hong Kong
6 participants
n=5 Participants
9 participants
n=7 Participants
15 participants
n=5 Participants
Region of Enrollment
Canada
5 participants
n=5 Participants
10 participants
n=7 Participants
15 participants
n=5 Participants
Region of Enrollment
Thailand
16 participants
n=5 Participants
8 participants
n=7 Participants
24 participants
n=5 Participants
Region of Enrollment
Malaysia
7 participants
n=5 Participants
6 participants
n=7 Participants
13 participants
n=5 Participants
Region of Enrollment
Japan
8 participants
n=5 Participants
10 participants
n=7 Participants
18 participants
n=5 Participants
Region of Enrollment
Italy
32 participants
n=5 Participants
17 participants
n=7 Participants
49 participants
n=5 Participants
Region of Enrollment
China
104 participants
n=5 Participants
104 participants
n=7 Participants
208 participants
n=5 Participants
Region of Enrollment
Korea, Republic of
82 participants
n=5 Participants
92 participants
n=7 Participants
174 participants
n=5 Participants

PRIMARY outcome

Timeframe: 3 years

Outcome measures

Outcome measures
Measure
ThermoDox + RFA
n=354 Participants
ThermoDox 50 mg/m2 start infusion over 30 minutes about 15 minutes before radiofrequency ablation begins. ThermoDox: Thermally Sensitive Liposomal Doxorubicin 50 mg/m2 Single 30 minute intravenous infusion
Sham + RFA
n=347 Participants
Sham infusion over 30 minutes about 15 minutes before radiofrequency ablation begins. 5% Dextrose Solution: Single 30 minute intravenous infusion
Progression Free Survival Will be Measured From the Date of Randomization to the First Date on Which One of the Following Occurs. o Local Recurrence o Any New Distant Intrahepatic HCC Tumor o Any New Extrahepatic HCC Tumor o Death From Any Cause
13.97 Time to Progression (months)
Interval 11.47 to 19.26
13.87 Time to Progression (months)
Interval 11.14 to 16.69

SECONDARY outcome

Timeframe: 3 years

Outcome measures

Outcome measures
Measure
ThermoDox + RFA
n=354 Participants
ThermoDox 50 mg/m2 start infusion over 30 minutes about 15 minutes before radiofrequency ablation begins. ThermoDox: Thermally Sensitive Liposomal Doxorubicin 50 mg/m2 Single 30 minute intravenous infusion
Sham + RFA
n=347 Participants
Sham infusion over 30 minutes about 15 minutes before radiofrequency ablation begins. 5% Dextrose Solution: Single 30 minute intravenous infusion
Overall Survival as Measured by Time From Randomization to Death or the End of the Study.
189 Participants (Deaths)
188 Participants (Deaths)

SECONDARY outcome

Timeframe: 3 years

Population: Intent-to-treat (ITT) population

Number of participants with significant symptom deterioration, defined as greater than or equal to 4-point increase from baseline in the eight-item Functional Assessment of Cancer Therapy-Hepatobiliary Symptom Index.

Outcome measures

Outcome measures
Measure
ThermoDox + RFA
n=354 Participants
ThermoDox 50 mg/m2 start infusion over 30 minutes about 15 minutes before radiofrequency ablation begins. ThermoDox: Thermally Sensitive Liposomal Doxorubicin 50 mg/m2 Single 30 minute intravenous infusion
Sham + RFA
n=347 Participants
Sham infusion over 30 minutes about 15 minutes before radiofrequency ablation begins. 5% Dextrose Solution: Single 30 minute intravenous infusion
Number of Participants With Definite Worsening as Per Patient-Reported Outcomes
53 participants
60 participants

SECONDARY outcome

Timeframe: 3 years

Population: Intent-to-treat (ITT) population

Number of participants with local progression in the intent-to-treat (ITT) population.

Outcome measures

Outcome measures
Measure
ThermoDox + RFA
n=354 Participants
ThermoDox 50 mg/m2 start infusion over 30 minutes about 15 minutes before radiofrequency ablation begins. ThermoDox: Thermally Sensitive Liposomal Doxorubicin 50 mg/m2 Single 30 minute intravenous infusion
Sham + RFA
n=347 Participants
Sham infusion over 30 minutes about 15 minutes before radiofrequency ablation begins. 5% Dextrose Solution: Single 30 minute intravenous infusion
Number of Participants With Local Recurrence
58 participants
55 participants

SECONDARY outcome

Timeframe: 3 years

Population: Incidence of treatment-related adverse events (≥ 5% of patients in either group; safety population)

Outcome measures

Outcome measures
Measure
ThermoDox + RFA
n=343 Participants
ThermoDox 50 mg/m2 start infusion over 30 minutes about 15 minutes before radiofrequency ablation begins. ThermoDox: Thermally Sensitive Liposomal Doxorubicin 50 mg/m2 Single 30 minute intravenous infusion
Sham + RFA
n=344 Participants
Sham infusion over 30 minutes about 15 minutes before radiofrequency ablation begins. 5% Dextrose Solution: Single 30 minute intravenous infusion
Evaluation of Safety
83 percentage of overall incidence
35 percentage of overall incidence

Adverse Events

ThermoDox + RFA

Serious events: 118 serious events
Other events: 327 other events
Deaths: 0 deaths

Sham + RFA

Serious events: 37 serious events
Other events: 301 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
ThermoDox + RFA
n=343 participants at risk
ThermoDox 50 mg/m2 start infusion over 30 minutes about 15 minutes before radiofrequency ablation begins. ThermoDox: Thermally Sensitive Liposomal Doxorubicin 50 mg/m2 Single 30 minute intravenous infusion
Sham + RFA
n=334 participants at risk
Sham infusion over 30 minutes about 15 minutes before radiofrequency ablation begins. 5% Dextrose Solution: Single 30 minute intravenous infusion
Blood and lymphatic system disorders
Neutropenia
16.3%
56/343
0.00%
0/334
Blood and lymphatic system disorders
Leukopenia
5.5%
19/343
0.00%
0/334
Blood and lymphatic system disorders
Febrile Neutropenia
2.6%
9/343
0.00%
0/334
Blood and lymphatic system disorders
Pancytopenia
0.87%
3/343
0.00%
0/334
Blood and lymphatic system disorders
Anaemia
0.29%
1/343
0.30%
1/334
Blood and lymphatic system disorders
Bone Marrow Failure
0.29%
1/343
0.00%
0/334
Gastrointestinal disorders
Abdominal Pain Upper
0.58%
2/343
0.60%
2/334
Gastrointestinal disorders
Upper Gastrointestinal Haemorrhage
0.29%
1/343
0.90%
3/334
Gastrointestinal disorders
Oesophageal Varices Haemorrhage
0.29%
1/343
0.60%
2/334
Gastrointestinal disorders
Ascites
0.58%
2/343
0.00%
0/334
Gastrointestinal disorders
Diarrhoea
0.58%
2/343
0.00%
0/334
Gastrointestinal disorders
Ileus
0.00%
0/343
0.60%
2/334
Gastrointestinal disorders
Abdominal Pain
0.29%
1/343
0.00%
0/334
Gastrointestinal disorders
Duodenal Ulcer
0.29%
1/343
0.00%
0/334
Gastrointestinal disorders
Gastric Ulcer Haemorrhage
0.29%
1/343
0.00%
0/334
Gastrointestinal disorders
Gastric Varices Haemorrhage
0.29%
1/343
0.00%
0/334
Gastrointestinal disorders
Gastritis
0.00%
0/343
0.30%
1/334
Gastrointestinal disorders
Gastrointestinal Haemorrhage
0.29%
1/343
0.00%
0/334
Gastrointestinal disorders
Gastrooesophageal Reflux Disease
0.29%
1/343
0.00%
0/334
Gastrointestinal disorders
Large Intestine Perforation
0.29%
1/343
0.00%
0/334
Gastrointestinal disorders
Localised Intraabdominal Fluid Collection
0.00%
0/343
0.30%
1/334
Gastrointestinal disorders
Mesenteric Vein Thrombosis
0.29%
1/343
0.00%
0/334
Gastrointestinal disorders
Nausea
0.29%
1/343
0.00%
0/334
Gastrointestinal disorders
Peritoneal Haemorrhage
0.29%
1/343
0.00%
0/334
Gastrointestinal disorders
Portal Hypertensive Gastropathy
0.00%
0/343
0.30%
1/334
Gastrointestinal disorders
Stress Ulcer
0.00%
0/343
0.30%
1/334
Infections and infestations
Pneumonia
0.29%
1/343
0.60%
2/334
Infections and infestations
Cellulitis
0.58%
2/343
0.00%
0/334
Infections and infestations
Liver Abscess
0.58%
2/343
0.00%
0/334
Infections and infestations
Neutropenic Sepsis
0.58%
2/343
0.00%
0/334
Infections and infestations
Peritonitis Bacterial
0.58%
2/343
0.00%
0/334
Infections and infestations
Sepsis
0.29%
1/343
0.30%
1/334
Infections and infestations
Septic Shock
0.29%
1/343
0.30%
1/334
Infections and infestations
Abdominal Infection
0.00%
0/343
0.30%
1/334
Infections and infestations
Anal Abscess
0.29%
1/343
0.00%
0/334
Infections and infestations
Bacteraemia
0.00%
0/343
0.30%
1/334
Infections and infestations
Furuncle
0.29%
1/343
0.00%
0/334
Infections and infestations
Gastritis Viral
0.29%
1/343
0.00%
0/334
Infections and infestations
Infected Cyst
0.00%
0/343
0.30%
1/334
Infections and infestations
Infection
0.29%
1/343
0.00%
0/334
Infections and infestations
Salmonella Sepsis
0.29%
1/343
0.00%
0/334
Infections and infestations
Wound Infection Staphylococcal
0.00%
0/343
0.30%
1/334
Injury, poisoning and procedural complications
Hepatic Rupture
0.87%
3/343
0.00%
0/334
Injury, poisoning and procedural complications
Post Procedural Complication
0.29%
1/343
0.60%
2/334
Injury, poisoning and procedural complications
Post Procedural Haemorrhage
0.58%
2/343
0.30%
1/334
Injury, poisoning and procedural complications
Procedural Pain
0.29%
1/343
0.30%
1/334
Injury, poisoning and procedural complications
Wound Complication
0.29%
1/343
0.30%
1/334
Injury, poisoning and procedural complications
Biloma
0.00%
0/343
0.30%
1/334
Injury, poisoning and procedural complications
Fall
0.00%
0/343
0.30%
1/334
Injury, poisoning and procedural complications
Hepatic Function Abnormal
0.29%
1/343
0.00%
0/334
Injury, poisoning and procedural complications
Hypotension
0.00%
0/343
0.30%
1/334
Injury, poisoning and procedural complications
Puncture Site Haemorrhage
0.00%
0/343
0.30%
1/334
Injury, poisoning and procedural complications
Skin laceration
0.29%
1/343
0.00%
0/334
Injury, poisoning and procedural complications
Wound Haemorrhage
0.29%
1/343
0.00%
0/334
Investigations
Neutrophil Count Decreased
2.6%
9/343
0.00%
0/334
Investigations
Alanine Aminotransferase Increased
0.29%
1/343
0.00%
0/334
Investigations
Aspartate Aminotransferase Increased
0.29%
1/343
0.00%
0/334
Investigations
Blood Bilirubin Increased
0.29%
1/343
0.00%
0/334
Investigations
Haemoglobin Decreased
0.29%
1/343
0.00%
0/334
Investigations
Platelet Count Decreased
0.29%
1/343
0.00%
0/334
Investigations
White Blood Cell Count Decreased
0.29%
1/343
0.00%
0/334
Hepatobiliary disorders
Hepatic Function Abnormal
0.58%
2/343
0.30%
1/334
Hepatobiliary disorders
Jaundice Cholestatic
0.00%
0/343
0.60%
2/334
Hepatobiliary disorders
Bile Duct Stone
0.00%
0/343
0.30%
1/334
Hepatobiliary disorders
Hepatic Failure
0.00%
0/343
0.30%
1/334
Hepatobiliary disorders
Hyperbilirubinaemia
0.29%
1/343
0.00%
0/334
Hepatobiliary disorders
Jaundice
0.29%
1/343
0.00%
0/334
Hepatobiliary disorders
Liver Disorder
0.29%
1/343
0.00%
0/334
Hepatobiliary disorders
Liver Injury
0.00%
0/343
0.30%
1/334
General disorders
Pyrexia
0.29%
1/343
0.60%
2/334
General disorders
Multi-organ Failure
0.00%
0/343
0.60%
2/334
General disorders
Asthenia
0.00%
0/343
0.30%
1/334
General disorders
Hyperpyrexia
0.29%
1/343
0.00%
0/334
General disorders
Oedema Peripheral
0.29%
1/343
0.00%
0/334
Nervous system disorders
Hepatic encephalopthy
0.29%
1/343
0.30%
1/334
Nervous system disorders
Cerebral Ischaemia
0.00%
0/343
0.30%
1/334
Nervous system disorders
Convulsion
0.29%
1/343
0.00%
0/334
Nervous system disorders
Depressed Level of Consciousness
0.29%
1/343
0.00%
0/334
Nervous system disorders
Haemorrhagic Stroke
0.29%
1/343
0.00%
0/334
Nervous system disorders
Transient Ischaemic Attack
0.00%
0/343
0.30%
1/334
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
0.58%
2/343
0.30%
1/334
Respiratory, thoracic and mediastinal disorders
Aspiration
0.00%
0/343
0.30%
1/334
Respiratory, thoracic and mediastinal disorders
Chronic Obstructive Pulmonary Disease
0.00%
0/343
0.30%
1/334
Respiratory, thoracic and mediastinal disorders
Haemothorax
0.29%
1/343
0.00%
0/334
Respiratory, thoracic and mediastinal disorders
Respiratory Failure
0.29%
1/343
0.00%
0/334
Metabolism and nutrition disorders
Diabetes Mellitus Inadequate Control
0.58%
2/343
0.00%
0/334
Metabolism and nutrition disorders
Decreased Appetite
0.00%
0/343
0.30%
1/334
Metabolism and nutrition disorders
Hypocalcaemia
0.00%
0/343
0.30%
1/334
Metabolism and nutrition disorders
Hypoglycaemia
0.00%
0/343
0.30%
1/334
Metabolism and nutrition disorders
Hyponatraemia
0.29%
1/343
0.00%
0/334
Metabolism and nutrition disorders
Metabolic Acidosis
0.29%
1/343
0.00%
0/334
Cardiac disorders
Myocardial Infarction
0.58%
2/343
0.00%
0/334
Cardiac disorders
Cardiac Failure
0.00%
0/343
0.30%
1/334
Cardiac disorders
Cardio-respiratory arrest
0.00%
0/343
0.30%
1/334
Cardiac disorders
Myocardial Rupture
0.00%
0/343
0.30%
1/334
Cardiac disorders
Pericardial Effusion
0.00%
0/343
0.30%
1/334
Renal and urinary disorders
Acute Prerenal Failure
0.29%
1/343
0.00%
0/334
Renal and urinary disorders
Renal Failure Acute
0.29%
1/343
0.00%
0/334
Renal and urinary disorders
Urethral Stenosis
0.29%
1/343
0.00%
0/334
Psychiatric disorders
Delirium Tremens
0.29%
1/343
0.00%
0/334
Psychiatric disorders
Mood Altered
0.29%
1/343
0.00%
0/334
Vascular disorders
Hypotension
0.29%
1/343
0.00%
0/334
Vascular disorders
Shock Haemorrhagic
0.00%
0/343
0.30%
1/334
Musculoskeletal and connective tissue disorders
Musculoskeletal Pain
0.00%
0/343
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour Thrombosis
0.29%
1/343
0.00%
0/334
Surgical and medical procedures
Biliary Drainage
0.00%
0/343
0.30%
1/334

Other adverse events

Other adverse events
Measure
ThermoDox + RFA
n=343 participants at risk
ThermoDox 50 mg/m2 start infusion over 30 minutes about 15 minutes before radiofrequency ablation begins. ThermoDox: Thermally Sensitive Liposomal Doxorubicin 50 mg/m2 Single 30 minute intravenous infusion
Sham + RFA
n=334 participants at risk
Sham infusion over 30 minutes about 15 minutes before radiofrequency ablation begins. 5% Dextrose Solution: Single 30 minute intravenous infusion
Vascular disorders
Hypertension
5.2%
18/343
5.1%
17/334
Renal and urinary disorders
Haematuria
3.8%
13/343
6.9%
23/334
Metabolism and nutrition disorders
Decreased Appetite
9.3%
32/343
3.9%
13/334
Respiratory, thoracic and mediastinal disorders
Cough
7.6%
26/343
14.7%
49/334
Injury, poisoning and procedural complications
Procedural Pain
8.2%
28/343
11.7%
39/334
Injury, poisoning and procedural complications
Wound Complication
9.6%
33/343
9.9%
33/334
Skin and subcutaneous tissue disorders
Alopecia
50.4%
173/343
0.60%
2/334
Blood and lymphatic system disorders
Neutropenia
25.4%
87/343
1.8%
6/334
Blood and lymphatic system disorders
Leukopenia
21.3%
73/343
1.5%
5/334
Blood and lymphatic system disorders
Thrombocytopenia
5.2%
18/343
0.60%
2/334
General disorders
Pyrexia
16.3%
56/343
29.3%
98/334
General disorders
Fatigue
5.8%
20/343
4.2%
14/334
Investigations
Aspartate Aminotransferase Increased
20.4%
70/343
21.0%
70/334
Investigations
Alanine Aminotransferase Increased
17.8%
61/343
18.6%
62/334
Investigations
Blood Bilirubin Increased
8.5%
29/343
11.7%
39/334
Investigations
White Blood Cell Count Decreased
14.0%
48/343
3.6%
12/334
Investigations
Neutrophil Count Decreased
11.1%
38/343
2.7%
9/334
Investigations
Platelet Count Decreased
5.8%
20/343
6.0%
20/334
Investigations
Blood Lactate Dehydrogenase Increased
5.5%
19/343
5.1%
17/334
Investigations
Neutrophil Count Increased
7.0%
24/343
2.4%
8/334
Investigations
White Blood Cell Count Increased
7.0%
24/343
1.5%
5/334
Gastrointestinal disorders
Abdominal Pain
14.6%
50/343
18.6%
62/334
Gastrointestinal disorders
Nausea
15.5%
53/343
12.9%
43/334
Gastrointestinal disorders
Abdominal Pain Upper
12.8%
44/343
13.2%
44/334
Gastrointestinal disorders
Vomiting
10.2%
35/343
8.4%
28/334
Gastrointestinal disorders
Constipation
6.1%
21/343
4.5%
15/334
Gastrointestinal disorders
Abdominal Distension
4.4%
15/343
5.1%
17/334

Additional Information

Nicholas Borys, M.D. Senior Vice President and Chief Medical Officer

Celsion Corporation

Phone: 609-896-9100

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60