Urea Cream Treatment Sorafenib-Associated HSFR in HCC

NCT ID: NCT01934829

Last Updated: 2013-09-04

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

871 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-07-31

Study Completion Date

2010-07-31

Brief Summary

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Although sorafenib is effective and safe in patients with advanced hepatocellular carcinoma (HCC), it increases dermatologic toxicities, including hand-foot skin reaction (HFSR), which may have a negative impact on patient quality of life (QoL). Urea-based creams may have a prophylactic effect on sorafenib-induced HFSR in HCC patients.

Detailed Description

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Mild hyperkeratosis is an early sign of HFSR and may sometimes be the only manifestation of sorafenib-associated HFSR. Urea is useful for the treatment of hyperkeratotic conditions and has been recommended for the treatment of multitargeted kinase inhibitor-related HFSR . To our knowledge, no randomized, controlled trials to date have evaluated treatments to prevent/palliate sorafenib-associated HFSR. We therefore tested the prophylactic effects of a urea-based cream on the incidence of HFSR associated with sorafenib treatment of patients with advanced HCC.

Conditions

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Hepatocellular Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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urea-based cream

Advanced HCC throughout China were treated with 10% urea-based cream 3 times per day plus best supportive care, starting on day 1 of sorafenib treatment, for up to 12 weeks

Group Type EXPERIMENTAL

urea-based cream

Intervention Type DRUG

urea-based cream (10% urea; Eucerin) 3 times per day plus best supportive care, starting on day 1 of sorafenib treatment, for a maximum of 12 weeks .

BSC included the ad libitum use of non-urea-based moisturizing creams, alcohol-free moisturizer and petroleum jelly. Once HFSR occurred, patients were allowed any cream, including urea based creams, as guided by the investigator.

best supportive care

BSC included the ad libitum use of non-urea-based moisturizing creams, alcohol-free moisturizer and petroleum jelly. Once HFSR occurred, patients were allowed any cream, including urea based creams, as guided by the investigator

Group Type PLACEBO_COMPARATOR

No interventions assigned to this group

Interventions

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urea-based cream

urea-based cream (10% urea; Eucerin) 3 times per day plus best supportive care, starting on day 1 of sorafenib treatment, for a maximum of 12 weeks .

BSC included the ad libitum use of non-urea-based moisturizing creams, alcohol-free moisturizer and petroleum jelly. Once HFSR occurred, patients were allowed any cream, including urea based creams, as guided by the investigator.

Intervention Type DRUG

Other Intervention Names

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Nexavar is the brand name of sorafenib

Eligibility Criteria

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Inclusion Criteria

* The patients with hepatocellular carcinoma will receive sorafenib per instructions of the package insert
* The patients with hepatocellular carcinoma must be willing to participate in this study and provide the investigators with written consents;
* The patients must be willing and able to complete the biweekly visits for the first 3 months;
* The patients must be willing and able to fill in the patient's efficacy questionnaires. If the patients cannot use pens or pencils, the patient's acquaintances or the clinical staffs will complete these questionnaires based on the answers provided by the patients
* The patients must discontinue all prior cancer treatment in at least 3 weeks before enrollment;
* The patient's life expectancy is ≥3 months
* The patients must provide written informed consents

Exclusion Criteria

* The patients participated in other clinical trials
* The patients received sorafenib therapy prior to enrollment
* The patients combined other treatment or used other biological therapy, chemotherapy, experimental treatment or radiotherapy
* The patient's sorafenib dosage exceeds 400mg, twice daily
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chinese Anti-Cancer Association

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sheng-Long Ye, PHD

Role: PRINCIPAL_INVESTIGATOR

Zhongshan Hospital, Fudan University, Shanghai, China

Locations

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301 Military Hospital, Beijing, China

Beijing, Beijing Municipality, China

Site Status

302 Military Hospital, Beijing, China

Beijing, Beijing Municipality, China

Site Status

Union Hospital of Fujian Medical University, Fujian, China

Fuzhou, Fujian, China

Site Status

Guangdong Provincial People's Hospital, Guangdong, China

Guangzhou, Guangdong, China

Site Status

The Third Affiliated Hospital of Sun Yat-sen University, Guangdong, China

Guangzhou, Guangdong, China

Site Status

Heilongjiang Provincial Cancer Hospital, Heilongjiang, China

Haerbin, Heilongjiang, China

Site Status

The 81 Hospital of the Chinese People's Liberation Army, Nanjing, China

Nanjing, Jiangsu, China

Site Status

Jilin Provincial Tumor Hospital, Jilin, China

Changchun, Jilin, China

Site Status

Zhongshan Hospital, Fudan University, Shanghai

Shanghai, Shanghai Municipality, China

Site Status

Eastern Hepatobiliary Surgery Hospital of the Second Military Medical University, Shanghai, China

Shanghai, Shanghai Municipality, China

Site Status

Tianjin Cancer Hospital, Tianjin, China

Tianjin, Tianjin Municipality, China

Site Status

Countries

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China

References

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Bosch FX, Ribes J, Cleries R, Diaz M. Epidemiology of hepatocellular carcinoma. Clin Liver Dis. 2005 May;9(2):191-211, v. doi: 10.1016/j.cld.2004.12.009.

Reference Type RESULT
PMID: 15831268 (View on PubMed)

Parkin DM, Bray F, Ferlay J, Pisani P. Estimating the world cancer burden: Globocan 2000. Int J Cancer. 2001 Oct 15;94(2):153-6. doi: 10.1002/ijc.1440. No abstract available.

Reference Type RESULT
PMID: 11668491 (View on PubMed)

Llovet JM, Burroughs A, Bruix J. Hepatocellular carcinoma. Lancet. 2003 Dec 6;362(9399):1907-17. doi: 10.1016/S0140-6736(03)14964-1.

Reference Type RESULT
PMID: 14667750 (View on PubMed)

Chang MH, Chen CJ, Lai MS, Hsu HM, Wu TC, Kong MS, Liang DC, Shau WY, Chen DS. Universal hepatitis B vaccination in Taiwan and the incidence of hepatocellular carcinoma in children. Taiwan Childhood Hepatoma Study Group. N Engl J Med. 1997 Jun 26;336(26):1855-9. doi: 10.1056/NEJM199706263362602.

Reference Type RESULT
PMID: 9197213 (View on PubMed)

Young JL Jr, Ries LG, Silverberg E, Horm JW, Miller RW. Cancer incidence, survival, and mortality for children younger than age 15 years. Cancer. 1986 Jul 15;58(2 Suppl):598-602. doi: 10.1002/1097-0142(19860715)58:2+3.0.co;2-c.

Reference Type RESULT
PMID: 3719551 (View on PubMed)

Other Identifiers

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1163

Identifier Type: -

Identifier Source: org_study_id