Sorafenib in First-line Treatment of Advanced B Child Hepatocellular Carcinoma

NCT ID: NCT01405573

Last Updated: 2017-03-28

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

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

35 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-07-31

Study Completion Date

2017-03-31

Brief Summary

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The purpose of this study is to to compare the addition of sorafenib (800 mg/day)to best supportive care with best supportive care alone in terms of survival in patients with hepatocellular carcinoma (HCC) with impaired liver function (Child B).

Detailed Description

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Hepatocellular carcinoma (HCC) is the third cause of death for cancer in the world with an increasing incidence. No systemic therapy has proven effective in patients with advanced HCC until 2007, when results of the SHARP trial were presented. In this trial, the orally active multi-kinase inhibitor sorafenib (800 mg/day) significantly prolonged survival compared with placebo in patients with advanced HCC and good liver function (Child A). The same authors concluded that the effect of the drug in the population of patients with more impaired liver function should be further studied.

Conditions

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Advanced Adult Hepatocellular Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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A: Best Supportive Care

best supportive care

Group Type ACTIVE_COMPARATOR

Best Supportive Care

Intervention Type OTHER

Therapy given according to clinical practices at participating centres. Experimental therapies not permitted.

B: Sorafenib 400 mg, twice a day + Best Supportive Care

sorafenib + best supportive care

Group Type EXPERIMENTAL

Best Supportive Care

Intervention Type OTHER

Therapy given according to clinical practices at participating centres. Experimental therapies not permitted.

sorafenib

Intervention Type DRUG

400 mg twice a day

Interventions

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Best Supportive Care

Therapy given according to clinical practices at participating centres. Experimental therapies not permitted.

Intervention Type OTHER

sorafenib

400 mg twice a day

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients with diagnosis of hepatic cell carcinoma (HCC) according to the AASLD- EASL criteria
* Age \>18 years
* Advanced stage of disease defined as HCC not eligible for locoregional treatments (ab initio or following progression after such treatments)
* Liver function classified as Child-Pugh class B
* ECOG performance status \< or = 2
* Life expectancy of at least 2 months
* Adequate contraception for fertile male and female patients
* Signed informed consent

Exclusion Criteria

* Prior exposure to sorafenib or antiangiogenesis drugs
* Concomitant diseases that contraindicate the use of sorafenib
* Gastro-intestinal bleeding in the previous 30 days
* Altered renal function(creatinine \> 1.5 x ULN), or haematological function (platelet count \< 60 x 10\^9/L, hemoglobin \< 9 g/dl)
* Serious active infections (\> grade 2 CTCAE version 3.0)
* Congestive heart failure, history of congestive heart failure, unstable angina pectoris, myocardial infarct or significant valvular heart disease or uncontrolled heart arrhythmia
* Patients who are unable or unwilling to participate in the study
* Pregnant or lactating females
* Hepatic encephalopathy of any grade
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute, Naples

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bruno Daniele, M.D.

Role: PRINCIPAL_INVESTIGATOR

Azienda Sanitaria Rummo, Benevento, Division of Medical Oncology

Francesco Perrone, M.D., Ph.D

Role: PRINCIPAL_INVESTIGATOR

National Cancer Institute Naples, Italy; Director Clinical Trials Unit

Ciro Gallo, M.D., Ph.D

Role: PRINCIPAL_INVESTIGATOR

Second University of Naples, Italy; Chair of Medical Statistics

Antonio Gasbarrini, M.D.

Role: PRINCIPAL_INVESTIGATOR

Università Cattolica del S. Cuore, Policlinico Gemelli, Roma

Giacomo Carteni', M.D.

Role: PRINCIPAL_INVESTIGATOR

Ospedale Antonio Cardarelli, Napoli

Locations

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Azienda Ospedaliera G. Rummo

Benevento, BN, Italy

Site Status

Policlinico Giaccone

Palermo, PA, Italy

Site Status

S. Orsola-Malpighi

Bologna, , Italy

Site Status

Ospedale Ramazzini di Carpi

Carpi, , Italy

Site Status

Osp. Civile Infermi

Faenza, , Italy

Site Status

Azienda Ospedaliera Careggi

Florence, , Italy

Site Status

IRCCS-Azienda Ospedaliera Universitaria San Martino-IST

Genova, , Italy

Site Status

AO C. Poma

Mantova, , Italy

Site Status

Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori

Meldola, , Italy

Site Status

A.O.U. G.Martino- Policlinico Universita di Messina

Messina, , Italy

Site Status

Istituto Nazionale Tumori

Milan, , Italy

Site Status

A.O.U. Federico II

Napoli, , Italy

Site Status

AOU II Università di Napoli

Napoli, , Italy

Site Status

Istituto Nazionale dei Tumori

Napoli, , Italy

Site Status

Ospedale Cardarelli

Napoli, , Italy

Site Status

Azienda Ospedaliera Universitaria di Padova

Padua, , Italy

Site Status

Istituto Oncologico Veneto

Padua, , Italy

Site Status

A.O. Ospedali Riuniti Villa Sofia-Cervello

Palermo, , Italy

Site Status

Azienda Ospedaliero Universitaria di Parma

Parma, , Italy

Site Status

Ospedale Guglielmo da Saliceto

Piacenza, , Italy

Site Status

AO S. Carlo

Potenza, , Italy

Site Status

Policlinico Universitario Tor Vergata

Roma, , Italy

Site Status

Oncologia IRCCS - Casa Sollilevo Sofferenza

S. Giovanni Rotondo, , Italy

Site Status

Azienda Ospedaliera Universitaria Arcispedal, U.O. di Oncologia Clinica

Sant'Anna Di Ferrara, , Italy

Site Status

A.O. Trevigilio - Caravaggio

Trevigilio, , Italy

Site Status

Countries

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Italy

Other Identifiers

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EudraCT number 2009-013870-42

Identifier Type: REGISTRY

Identifier Source: secondary_id

BOOST

Identifier Type: -

Identifier Source: org_study_id

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