A Randomized, Placebo-controlled, Double-blind Phase 2 Study With OSI-906 in Patients With Advanced HCC

NCT ID: NCT01101906

Last Updated: 2024-11-20

Basic Information

• Recruitment Status: TERMINATED
• Clinical Phase: PHASE2
• Total Enrollment: 23 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2011-01-10
• Study Completion Date: 2011-12-28

Brief Summary

This is a randomized, placebo-controlled, double-blind phase 2 study of OSI-906 or placebo at a continuous 150 mg twice daily (BID) dose.

Detailed Description

Adult patients with advanced HCC previously treated with sorafenib will be randomized 2:1 to receive either single agent OSI-906 or placebo

Conditions

Advanced Hepatocellular Carcinoma (HCC)

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: QUADRUPLE

Study Groups

Arm A: OSI-906

150 mg BID

Group Type: EXPERIMENTAL

OSI-906

Intervention Type: DRUG

OSI-906 administered orally

Arm B: Placebo

Placebo BID

Group Type: PLACEBO_COMPARATOR

Placebo

Intervention Type: DRUG

Matching placebo administered orally

Interventions

OSI-906

OSI-906 administered orally

Intervention Type: DRUG

Placebo

Matching placebo administered orally

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

• Histologically confirmed diagnosis of advanced HCC. Clinical diagnosis by American Association for the Study of Liver Diseases (AASLD) criteria in cirrhotic patients is acceptable. For patients without cirrhosis histological confirmation is mandatory
• Patients must have received prior systemic treatment for advanced HCC with sorafenib and had confirmed disease progression or had discontinued sorafenib due to a drug related toxicity
• Patient has received their last dose of sorafenib at least 14 days prior to randomization
• Patient has recovered from sorafenib or investigational agent related toxicity to ≤ grade 2
• Measurable disease according to RECIST (version 1.1)
• Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0 - 1
• Child-Pugh Status A or B(7)
• Barcelona Clinic Liver Cancer (BCLC) stage B/C
• Previous local therapy (eg, surgery, radiation therapy, hepatic arterial therapy, chemoembolization, radiofrequency ablation, percutaneous ethanol injection, or cryoablation) is permitted if ≥ 21 days before randomization
• Fasting glucose ≤ 150 mg/dL (8.3 mmol/L). Concurrent use of non-insulinotropic oral antihyperglycemic therapy is permitted if the dose has been stable for ≥ 4 weeks at the time of randomization
• Following laboratory parameters (determined by laboratory):

• Platelets ≥ 60 x 10^9/L
• Hemoglobin ≥ 8.5 g/dL
• Absolute neutraphil count (ANC) ≥ 1.5 x 10^9/L
• Potassium within normal limits (supplementation may be used)
• Partial thrombopastin time (PTT) ≤ 2.3 x Upper Limit of Normal (ULN)
• Magnesium within normal limits (supplementation may be used)
• Calcium within normal limits (supplementation may be used)
• Adequate organ function (for a HCC population):

• Liver function test (LFT) ≤ 5 x ULN
• Albumin ≥ 2.8 g/dL
• Total bilirubin ≤ 2.8 mg/dL
• Creatinine ≤ 1.5 x ULN
• International normalized ratio (INR) ≤ 2.3
• Estimated life expectancy ≥ 12 weeks based on an investigator assessment of recent changes in laboratory values, performance status, and other clinical criteria
• Patients, both males and females, with reproductive potential (ie, menopausal for less than 1 year and not surgically sterilized) must agree to practice effective contraceptive measures throughout the study. Women of childbearing potential must provide a negative pregnancy test (serum or urine) within 14 days prior to randomization
• Patients must provide written informed consent to participate in the study
• Prior radiation therapy is permitted provided patients have recovered from the acute, toxic effects of radiotherapy prior to randomization. A minimum of 21 days must have elapsed between the end of radiotherapy and randomization; and
• Prior surgery is permitted provided that the surgery was done ≤ 28 days prior to randomization and adequate wound healing has occurred prior to randomization

Exclusion Criteria

• Child-Pugh B (8 - 9) or C
• Patients who are candidates for potentially curative intervention (ie, surgical resection or transplantation)
• Type 1 diabetes mellitus or Type 2 diabetes mellitus currently requiring insulinotropic or insulin therapy
• Prior insulin-like growth factor - 1 receptor (IGF-1R) therapy
• Patients requiring interferon
• Patients with uncontrolled symptomatic ascites
• Prior investigational agent within 21 days prior to randomization
• History of poorly controlled gastrointestinal disorders that could affect the absorption of study drug (eg, Crohn's disease, ulcerative colitis, etc)
• History of organ allograft including liver transplant
• Malignancy other than HCC within the past 3 years:

• Exceptions: resected basal cell or squamous cell carcinoma of the skin, cured in situ cervical carcinoma, cured ductal carcinoma in situ of the breast, and/or cured superficial bladder cancer
• History (within last 6 months) of significant cardiovascular disease unless the disease is well-controlled. Significant cardiac disease includes second/third degree heart block; clinically significant ischemic heart disease; superior vena cava (SVC) syndrome; poorly controlled hypertension; congestive heart failure of New York Heart Association (NYHA) Class II or worse (slight limitation of physical activity; comfortable at rest, but ordinary physical activity results in fatigue, palpitation, or dyspnea)
• History of arrhythmia (multifocal premature ventricular contractions [PVCs], bigeminy, trigeminy, ventricular tachycardia, or uncontrolled atrial fibrillation) that is symptomatic or requires treatment (≥ grade 3), left bundle branch block (LBBB), or asymptomatic sustained ventricular tachycardia are not allowed. Patients with atrial fibrillation controlled by medication are not excluded
• QTcF interval at screening ≥ 450 msec
• Use of drugs that have a known risk of causing Torsades de Pointes (TdP) ('Torsades List' on www.azcert.org/medical-pros/drug-lists/by category.cfm)are prohibited within 14 days prior to randomization
• Use of the potent CYP1A2 inhibitors ciprofloxacin and fluvoxamine. Other less potent CYP1A2 inhibitors/inducers are not excluded
• History of cerebrovascular accident (CVA) within 6 months prior to randomization or that resulted in ongoing neurologic instability
• Active infection or serious underlying medical condition (including any type of active seizure disorder within 12 months prior to randomization) that would impair the ability of the patient to receive study drug
• History of human immunodeficiency virus (HIV) infection or acquired immune deficiency syndrome (AIDS)-related illness or serious acute or chronic illness
• History of any psychiatric or neurologic condition that might impair the patient's ability to understand or to comply with the requirements of the study or to provide informed consent
• Pregnant or breast-feeding females
• Symptomatic brain metastases that are not stable, require steroids, are potentially life threatening, or that have required radiation within 28 days prior to randomization; and/or
• History of allergic reactions attributed to compounds of similar chemical or biologic composition to study drug

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Astellas Pharma Inc

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Medical Director

Role: STUDY_DIRECTOR

Astellas Pharma Global Development

Locations

University of California - Los Angeles

Los Angeles, California, United States

Tulane University Health Services Center

New Orleans, Louisiana, United States

Oregon Health & Science University

Portland, Oregon, United States

Virginia Mason Medical Center

Seattle, Washington, United States

Seattle Cancer Care Alliance University of Washington

Seattle, Washington, United States

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Cliniques Universitaires Saint-Luc

Brussells, , Belgium

Universitair Ziekenhuis Gent

Ghent, , Belgium

Hopital Jean Verdier - Dervice d'Hepato-Gastroenterologie

Bondy, , France

Hôpital Henri Mondor

Créteil, , France

Hopital de la Timone

Marseille, , France

Hopital l'Archet 2

Nice, , France

Hôpital Saint-Antoine

Paris, , France

Hôpital de Tenon

Paris, , France

Centre Rene Gauducheau

Saint-Herblain, , France

Universitatsklinikum Essen

Essen, , Germany

Universitätsklinikum Halle

Halle, , Germany

Universitatsklinikum des Saarlandes

Homburg, , Germany

Universitätsklinikum Magdeburg A.ö.R.

Magdeburg, , Germany

Queen Mary Hospital

Hong Kong, , Hong Kong

Fondazione Ca' Granda Ospedale Maggiore Policlinico, Divisione di Gastroenterologia I

Milan, , Italy

Ospedale Fatebenefratelli, Dipartimento Medicina Interna

Napoli, , Italy

IRCCS Istituto Nazionale per lo studio e la cura dei tumori Fondazione G. Pascale-SSD Epatobiliare

Napoli, , Italy

Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione ISMETT-Dipartimento di Epatologia e Gastroenterologia

Palermo, , Italy

Singapore General Hospital

Singapore, , Singapore

Johns Hopkins Singapore International Medical Centre

Singapore, , Singapore

Pusan National University Hospital

Busan, , South Korea

Kyungpook National University Hospital

Daegu, , South Korea

National Cancer Center

Goyang-si, , South Korea

Seoul National University Hospital

Seoul, , South Korea

Severance Hospital

Seoul, , South Korea

Samsung Medical Center

Seoul, , South Korea

Hospital Clinico Universitario de Santiago de Compostela

Santiago de Compostela, Coruna, Spain

Hospital Clinic Provincial

Barcelona, , Spain

Hospital Puerta de Hierro Majadahonda

Madrid, , Spain

Clinica Universitaria de Navarra

Pamplona, , Spain

Changhua Christian Hospital

Changhua, , Taiwan

Kaohsiung Medical University Chung-Ho Memorial Hospital

Kaohsiung City, , Taiwan

Taichung Veterans General Hospital

Taichung, , Taiwan

China Medical University Hospital

Taichung, , Taiwan

Chang Gung Medical Foundation LinKou Branch

Taoyuan District, , Taiwan

Countries

United States; Belgium; France; Germany; Hong Kong; Italy; Singapore; South Korea; Spain; Taiwan

Related Links

https://astellasclinicalstudyresults.com/study.aspx?ID=228

Link to results on the Astellas Clinical Study Results website.

Other Identifiers

2010-018739-17

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

OSI-906-206

Identifier Type: -

Identifier Source: org_study_id