A Phase II Randomized, Double-blind, Placebo-controlled Study of Sorafenib or Placebo in Combination With Transarterial Chemoembolization (TACE) Performed With DC Bead and Doxorubicin for Intermediate Stage Hepatocellular Carcinoma (HCC).

NCT ID: NCT00855218

Last Updated: 2017-08-18

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

307 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-03-31

Study Completion Date

2013-02-28

Brief Summary

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This study will look at whether our drug (sorafenib) in combination with chemotherapy delivered directly into your tumor using beads (DC Bead) will slow the progression of the disease. The beads used with the chemotherapy will slowly release the chemotherapy reducing the adverse effects that normally occur with chemotherapy.

Detailed Description

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Safety issues will be reported in Adverse Event section. In addition to the secondary outcome measures, Biomarkers and Patient Report Outcome will also be analyzed as other variables.

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

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Sorafenib (Nexavar, BAY43-9006) + TACE

Sorafenib was to be orally administered as 2 x 200 mg tablets bid (twice daily). Patients were then also treated with Transarterial Chemoembolization (TACE) performed with DC Bead (300 to 500 microns) and doxorubicin (150 mg) between 3 to 7 days after the first dose of sorafenib, TACE was also performed on Days 1 (+ 4 days) of cycle 1, 3, 7, 13 and then every 6 cycles thereafter (an optional TACE procedure could be performed between Day 1 of Cycle 7 and Cycle 13 and between Day 1 of Cycles 13 and 19, if deemed necessary by the Investigator.)

Group Type EXPERIMENTAL

Sorafenib (Nexavar, BAY43-9006)

Intervention Type DRUG

800 mg sorafenib (4 tablets) will be taken daily (400mg b.i.d. \[twice daily\], 2 tablets). Transarterial Chemoembolization (TACE) using DC Bead

Placebo + TACE

Placebo was to be orally administered as 2 tablets bid (twice daily). Patients were then also treated with TACE performed with DC Bead (300 to 500 microns) and doxorubicin (150 mg) between 3 to 7 days after the first dose of placebo, TACE was also performed on Days 1 (+ 4 days) of cycle 1, 3, 7, 13 and then every 6 cycles thereafter (an optional TACE procedure could be performed between Day 1 of Cycle 7 and Cycle 13 and between Day 1 of Cycles 13 and 19, if deemed necessary by the Investigator.)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

4 tablets of placebo will be taken daily (2 tablets b.i.d). TACE using DC Bead

Interventions

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Sorafenib (Nexavar, BAY43-9006)

800 mg sorafenib (4 tablets) will be taken daily (400mg b.i.d. \[twice daily\], 2 tablets). Transarterial Chemoembolization (TACE) using DC Bead

Intervention Type DRUG

Placebo

4 tablets of placebo will be taken daily (2 tablets b.i.d). TACE using DC Bead

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Unresectable, multinodular asymptomatic tumor without vascular invasion or extrahepatic spread
* Confirmed Diagnosis of HCC:
* Cirrhotic subjects: Clinical diagnosis by American Association for the Study of Liver Diseases (AASLD) criteria
* HCC can be defined in cirrhotic subjects by one imaging technique (Computed tomography \[CT\] scan, Magnetic resonance imaging \[MRI\], or second generation contrast ultrasound) showing a nodule larger than 2 cm with contrast uptake in the arterial phase and washout in venous or late phases or two imaging techniques showing this radiological behavior for nodules of 1-2 cm in diameter.
* Cytohistological confirmation is required for subjects who do not fulfill these eligibility criteria.
* Non-cirrhotic subjects:

For subjects without cirrhosis, histological or cytological confirmation is mandatory

* Documentation of original biopsy for diagnosis is acceptable
* Child Pugh class A without ascites
* Adequate bone marrow, liver and renal function as assessed by central lab by means of the following laboratory requirements from samples within 7 days prior to randomization:

Exclusion Criteria

* Patients on a liver transplantation list or with advanced liver disease as defined below:
* Child Pugh B and C
* Active gastrointestinal bleeding
* Encephalopathy
* Ascites
* Lesions having previously been treated with local therapy such as resection of HCC, radiofrequency ablation (RFA), percutaneous ethanol injection (PEI) or cryoablation can not be selected as the target lesions.
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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La Jolla, California, United States

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Los Angeles, California, United States

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San Francisco, California, United States

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Gainesville, Florida, United States

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Miami, Florida, United States

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Orlando, Florida, United States

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Atlanta, Georgia, United States

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Ann Arbor, Michigan, United States

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Detroit, Michigan, United States

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Abbott Northwestern Hospital

Minneapolis, Minnesota, United States

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St Louis, Missouri, United States

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New York, New York, United States

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Cleveland, Ohio, United States

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Columbus, Ohio, United States

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Portland, Oregon, United States

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Richmond, Virginia, United States

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Seattle, Washington, United States

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Seattle, Washington, United States

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Camperdown, New South Wales, Australia

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St Leonards, New South Wales, Australia

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Greenslopes, Queensland, Australia

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Clayton, Victoria, Australia

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Heidelberg, Victoria, Australia

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Melbourne, Victoria, Australia

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Nedlands, Western Australia, Australia

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Innsbruck, , Austria

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Vienna, , Austria

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Bruxelles - Brussel, , Belgium

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Bruxelles - Brussel, , Belgium

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Bruxelles - Brussel, , Belgium

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Leuven, , Belgium

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Liège, , Belgium

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Calgary, Alberta, Canada

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Halifax, Nova Scotia, Canada

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Toronto, Ontario, Canada

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Guangzhou, Guangdong, China

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Guangzhou, Guangdong, China

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Xi'an, Shannxi, China

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Beijing, , China

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Beijing, , China

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Shanghai, , China

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Shanghai, , China

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Créteil, , France

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Lille, , France

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Lyon, , France

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Lyon, , France

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Marseille, , France

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Paris, , France

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Paris, , France

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Vandœuvre-lès-Nancy, , France

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Villejuif, , France

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Villejuif, , France

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Freiburg im Breisgau, Baden-Wurttemberg, Germany

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Heidelberg, Baden-Wurttemberg, Germany

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Tübingen, Baden-Wurttemberg, Germany

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Erlangen, Bavaria, Germany

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München, Bavaria, Germany

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Regensburg, Bavaria, Germany

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Frankfurt am Main, Hesse, Germany

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Hanover, Lower Saxony, Germany

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Essen, North Rhine-Westphalia, Germany

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Essen, North Rhine-Westphalia, Germany

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Münster, North Rhine-Westphalia, Germany

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Mainz, Rhineland-Palatinate, Germany

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Homburg, Saarland, Germany

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Jena, Thuringia, Germany

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Berlin, , Germany

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Hamburg, , Germany

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Bari, Apulia, Italy

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Napoli, Campania, Italy

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Bologna, Emilia-Romagna, Italy

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Rome, Lazio, Italy

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Rome, Lazio, Italy

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Milan, Lombardy, Italy

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Milan, Lombardy, Italy

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Turin, Piedmont, Italy

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Palermo, Sicily, Italy

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Pisa, Tuscany, Italy

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Padua, Veneto, Italy

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Verona, Veneto, Italy

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Singapore, , Singapore

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Singapore, , Singapore

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Daegu, , South Korea

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Gyeonggi-do, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Gangnam Severance Hospital, Yonsei University

Seoul, , South Korea

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Santiago de Compostela, A Coruña, Spain

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Badalona, Barcelona, Spain

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Sabadell, Barcelona, Spain

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Cruces/Barakaldo, Bilbao, Spain

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Barcelona, Catalonia, Spain

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Fundación Hospital Alcorcón

Alcorcón, Madrid, Spain

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Hospital Central de Asturias

Oviedo, Principality of Asturias, Spain

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San Cristóbal de La Laguna, Santa Cruz de Tenerife, Spain

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A Coruña, , Spain

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Alicante, , Spain

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Barcelona, , Spain

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Córdoba, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Hospital Universitario Virgen del Rocío

Seville, , Spain

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Valencia, , Spain

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Changhua Christian Hospital

Changhua, , Taiwan

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Taipei, , Taiwan

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Taipei, , Taiwan

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Countries

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United States Australia Austria Belgium Canada China France Germany Italy Singapore South Korea Spain Taiwan

References

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Lencioni R, Llovet JM, Han G, Tak WY, Yang J, Guglielmi A, Paik SW, Reig M, Kim DY, Chau GY, Luca A, Del Arbol LR, Leberre MA, Niu W, Nicholson K, Meinhardt G, Bruix J. Sorafenib or placebo plus TACE with doxorubicin-eluting beads for intermediate stage HCC: The SPACE trial. J Hepatol. 2016 May;64(5):1090-1098. doi: 10.1016/j.jhep.2016.01.012. Epub 2016 Jan 22.

Reference Type DERIVED
PMID: 26809111 (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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2008-005056-24

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

12918

Identifier Type: -

Identifier Source: org_study_id

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