Evaluation of Hepatic Arterial Infusion of Cisplatin and 5-FU in Biomarker Stratified HCC

NCT ID: NCT02967887

Last Updated: 2017-07-17

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

96 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-11-30

Study Completion Date

2018-12-31

Brief Summary

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This study is to assess the efficacy and the safety of hepatic arterial infusion of cisplatin and 5-fluorouracil (HAIC) in advanced HCC patients stratified by biomarker expression predicting therapeutic response.

Detailed Description

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Hepatic arterial infusion chemotherapy (HAIC) with cisplatin and 5-fluorouracil has been used in advanced HCC. However, cisplatin or 5-fluorouracil acts on cells without tumor selectivity. Therefore, to improve the tumor selectivity and effectiveness of HAIC, molecular subtyping-based stratification strategies should be considered. In this study, patients who have progressed or intolerance to sorafenib with non-metastatic HCC in TNM stage III-IVA and ECOG PS 0 or 1, Child-Pugh class A will be enrolled. 96 patients with pre-treatment tumor biopsy will receive Cisplatin (60mg/m2 for 2h on day 2) and 5-fluorouracil (500mg/m2 for 5h on days 1-3) through implanted port system. This treatment will be repeated every 4 weeks, up to 6 times. The primary objective is to determine overall response rate, where benefit is defined as complete or partial response according to mRECIST V1.1. Secondary endpoints include time to progression, progression free survival. The biopsy tissue will be subjected to real time reverse transcriptase polymerase chain reaction for quantification of gene expression levels. Patients will be categorized into two groups according to gene expression results, and then AUC value of ROC curve analysis will be evaluated as an exploratory endpoint to assess predictive performance of biomarker for therapeutic response of HAIC.

Conditions

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Hepatocellular Carcinoma Non-Resectable

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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cisplatin and 5-fluorouracil

Enrolled patients with pre-treatment tumor biopsy will receive Cisplatin (60mg/m2 for 2h on day 2) and 5-fluorouracil (500mg/m2 for 5h on days 1-3) through implanted port system. This treatment will be repeated every 4 weeks, up to 6 times.

Group Type EXPERIMENTAL

cisplatin and 5-fluorouracil

Intervention Type DRUG

Hepatic arterial infusion of Cisplatin (60mg/m2 for 2h on day 2) and 5-fluorouracil (500mg/m2 for 5h on days 1-3) through implanted port system (chemoport)

Interventions

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cisplatin and 5-fluorouracil

Hepatic arterial infusion of Cisplatin (60mg/m2 for 2h on day 2) and 5-fluorouracil (500mg/m2 for 5h on days 1-3) through implanted port system (chemoport)

Intervention Type DRUG

Other Intervention Names

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CBD-01 and CBD-02

Eligibility Criteria

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Inclusion Criteria

* over 20 years old
* Patients with advanced hepatocellular carcinoma who have progressed or intolerance to Sorafenib
* Patients with advanced hepatocellular carcinoma who cannot be treated with surgery, transplantation, RFA, or TACE.
* TNM stage III/IV (including intrahepatic single or multiple tumors without extrahepatic metastasis regardless of lymph node metastasis)
* ECOG performance status of 0 or 1
* Liver function status of Child-Pugh Class A or B
* more than 3 months of life expectancy
* serum creatinine \<1.5 mg/dL
* aminotransferase \<5 times the upper limit of normal
* absolute neutrophil count \>1,500 cells/lL
* platelet count \>75,000/lL
* hemoglobin \>10 g/dL

Exclusion Criteria

* patients with extrahepatic tumors
* Patients requiring combined treatment with chemotherapy, radiotherapy, TACE, RFA, or others
* Patients in any severe and/or uncontrolled medical conditions
* patients with history of allergic response to CT contrast media
* patients who participated as subjects in other interventional clinical studies (as of the date of visit) within 60 days before drug administration
* Any person deemed inappropriate by reason of the investigator for other reasons
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CbsBioscience

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Si Hyun Bae, MD., PhD.

Role: PRINCIPAL_INVESTIGATOR

The Catholic University of Korea

Locations

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Korea University Ansan Hospital

Ansan, , South Korea

Site Status NOT_YET_RECRUITING

Sooncheonhyang University Hospital Bucheon

Bucheon-si, , South Korea

Site Status NOT_YET_RECRUITING

The Catholic University of Korea Bucheon ST. Mary's Hospital

Bucheon-si, , South Korea

Site Status NOT_YET_RECRUITING

Keimyung University Dongsan Medical Center

Daegu, , South Korea

Site Status NOT_YET_RECRUITING

The Catholic University of Korea Daejeon ST. Mary's Hospital

Daejeon, , South Korea

Site Status NOT_YET_RECRUITING

Chonnam National University Hwasun Hospital

Hwasun, , South Korea

Site Status NOT_YET_RECRUITING

Korea University Anam Hospital

Seoul, , South Korea

Site Status NOT_YET_RECRUITING

Seoul National University Hospital

Seoul, , South Korea

Site Status NOT_YET_RECRUITING

Sooncheonhyang University Hospital Seoul

Seoul, , South Korea

Site Status RECRUITING

The Catholic University of korea, Seoul ST. Mary's Hospital

Seoul, , South Korea

Site Status RECRUITING

Ajou University Hospital

Suwon, , South Korea

Site Status RECRUITING

The Catholic University of Korea ST. Vincent's Hospital

Suwon, , South Korea

Site Status NOT_YET_RECRUITING

Countries

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South Korea

Central Contacts

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Jin Young Park

Role: CONTACT

82-2-336-0855

Facility Contacts

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Yim, MD., PhD.

Role: primary

Kim, MD., PhD.

Role: primary

Lee, MD., PhD.

Role: primary

Chung, MD., PhD.

Role: primary

Song, MD., PhD.

Role: primary

Cho, MD., PhD.

Role: primary

Seo, MD., PhD.

Role: primary

Yoon, MD., PhD.

Role: primary

Jang, MD., PhD.

Role: primary

Si Hyun Bae, MD., PhD.

Role: primary

Wang, MD., PhD.

Role: primary

Cheong, MD., PhD.

Role: backup

Song, MD., PhD.

Role: primary

Other Identifiers

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CBS-PCT-01

Identifier Type: -

Identifier Source: org_study_id

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