Metformin Plus Sorafenib for Advanced HCC

NCT ID: NCT02672488

Last Updated: 2016-02-03

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

82 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-31

Study Completion Date

2018-12-31

Brief Summary

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Metformin is a widely used oral drug for type 2 diabetes and its antitumor effects have got much more attentions recently. It has been shown that metformin exerts anti-cancer activities in several cancers, including primary liver cancer. In this phase II study, safety and efficacy of the combination of metformin and sorafenib will be evaluated in patients with advanced hepatocellular carcinoma.

Detailed Description

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Sorafenib is the standard choice for advanced hepatocellular carcinoma (BCLC-C), but the efficacy is not satisfied. Metformin is a widely used oral drug for type 2 diabetes and its antitumor effects have got much more attentions recently. It has been shown that metformin exerts anti-cancer activities in several cancers, including primary liver cancer. Recent studies suggest that metformin treatment can reduce the risk of HCC in patients with type 2 diabetes and inhibit HCC invasion and increase drug sensitivity to sorafenib, however, the safety and efficacy of combined therapy for advanced hepatocellular carcinoma remains unclear. In this phase II study, patients with advanced hepatocellular carcinoma, measurable disease, and an Eastern Cooperative Oncology Group performance score≤1 will be enrolled. Eligible subjects will be randomly assigned to receive the treatment of sorafenib or metformin plus sorafenib. The potential improvement of overall survival, time to progression and safety will be evaluated.

Conditions

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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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Sorafenib and Metformin

Sorafenib 400μg tablet by mouth and Metformin 500mg tablet by mouth with meal, twice per day

Group Type EXPERIMENTAL

Sorafenib

Intervention Type DRUG

Standard treatment for advanced HCC

Metformin

Intervention Type DRUG

To evaluate the safety and efficacy of the combined treatment of Metformin and Sorafenib for advanced HCC

Sorafenib Alone

Sorafenib 400μg tablet by mouth, twice per day

Group Type ACTIVE_COMPARATOR

Sorafenib

Intervention Type DRUG

Standard treatment for advanced HCC

Interventions

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Sorafenib

Standard treatment for advanced HCC

Intervention Type DRUG

Metformin

To evaluate the safety and efficacy of the combined treatment of Metformin and Sorafenib for advanced HCC

Intervention Type DRUG

Other Intervention Names

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Nexavar Glucophage

Eligibility Criteria

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Inclusion Criteria

1. Ability of the research subject or authorized legal representative to understand and the willingness to sign a written informed consent document
2. Confirmed hepatocellular carcinoma according to one of following three criteria:

histopathology,Two radiographic techniques (US, MRI, CT, or Angiography) that confirm lesion with typical arterial hypervascularization,Barcelona Clinical Liver Cancer staging C (BCLC-C)
3. Age \> 18 years old
4. Patients with liver disease classified as Child Pugh class A
5. Eastern Clinical Oncology Group (ECOG) performance status 0,1 or 2 (Appendix I)
6. Hemoglobin ≥ 9 g/dL
7. Absolute Neutrophil count(ANC)≥ 1,500 /mm3
8. Platelet count≥ 50,000 /ul
9. Total Bilirubin \< 2 mg/dL
10. Transaminases (SGOT and SGPT) no more than 5 times the upper limit of normal
11. Alkaline phosphatase \< 4 times the upper limit of normal
12. Both men and women and members of all races and ethnic groups are eligible for this study
13. Prothrombin time \> 50% 或 PT-INR \< 2.3

Exclusion Criteria

1. Child Pugh Score is 7 with ascites
2. Severe cardiovascular disease
3. Uncontrollable hypertension
4. History of HIV infection
5. Active clinical severe infection(\>grade 2 ,NCI-CTCAE Version3.0)
6. Women who are pregnant
7. Administration of any systemic chemotherapy within the last 6 months
8. Presence of History of gastrointestinal bleeding before randomization
9. Epileptic seizures requiring drug therapy
10. History of allograft transplantation
11. Patients with signs of bleeding or medical history
12. Patients undergoing kidney dialysis
13. Metastatic liver cancer
14. Uncontrollable ascites
15. Encephalopathy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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First Affiliated Hospital of Harbin Medical University

OTHER

Sponsor Role collaborator

Harbin Medical University

OTHER

Sponsor Role collaborator

Liaoning Cancer Hospital & Institute

OTHER

Sponsor Role collaborator

Shanghai Zhongshan Hospital

OTHER

Sponsor Role collaborator

Fudan University

OTHER

Sponsor Role collaborator

Tianjin Medical University Cancer Institute and Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ti Zhang, MD

Role: PRINCIPAL_INVESTIGATOR

Tianjin Medical University Cancer Institute and Hospital

Locations

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Tianjin Medical University Cancer Institute and Hospital

Tianjin, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Zhao Yan, PhD

Role: CONTACT

+862223340123 ext. 6012

Dongyan Cheng, MS

Role: CONTACT

+862223359984

Facility Contacts

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TI ZHANG, MD

Role: primary

+862223340123 ext. 3092

Huikai Li, MD

Role: backup

+862223340123 ext. 3091

Other Identifiers

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METSOR

Identifier Type: -

Identifier Source: org_study_id

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