Trial Outcomes & Findings for Pravastatin Intervention to Delay Hepatocellular Carcinoma Recurrence (NCT NCT03219372)

NCT ID: NCT03219372

Last Updated: 2021-01-22

Results Overview

Mean difference in time (in months) from baseline (study visit 1) to first hepatocellular cancer (HCC) recurrence or HCC death within 12 months following treatment initiation for subjects randomized to pravastatin versus subjects randomized to placebo. \- HCC recurrence will be confirmed by central expert independent radiographic review.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

1 participants

Primary outcome timeframe

12 months from baseline

Results posted on

2021-01-22

Participant Flow

Participant milestones

Participant milestones
Measure
Pravastatin Pill
Pravastatin 40 mg, daily for 12 months Pravastatin, a lipid-lowering agent, is a derivative of ML236B (compactin), which was identified in a fungus called Penicillium citrinum in the 1970s. It is an inhibitor of 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase.
Placebo Oral Tablet
Placebo identical in color, consistency, and appearance to pravastatin 40 mg, daily for 12 months Placebo: A substance that has no therapeutic effect, and will be used as a control in testing the study agent.
Overall Study
STARTED
1
0
Overall Study
COMPLETED
0
0
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Pravastatin Pill
Pravastatin 40 mg, daily for 12 months Pravastatin, a lipid-lowering agent, is a derivative of ML236B (compactin), which was identified in a fungus called Penicillium citrinum in the 1970s. It is an inhibitor of 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase.
Placebo Oral Tablet
Placebo identical in color, consistency, and appearance to pravastatin 40 mg, daily for 12 months Placebo: A substance that has no therapeutic effect, and will be used as a control in testing the study agent.
Overall Study
Withdrawal by Subject
1
0

Baseline Characteristics

Pravastatin Intervention to Delay Hepatocellular Carcinoma Recurrence

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pravastatin Pill
n=1 Participants
Pravastatin 40 mg, daily for 12 months Pravastatin, a lipid-lowering agent, is a derivative of ML236B (compactin), which was identified in a fungus called Penicillium citrinum in the 1970s. It is an inhibitor of 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase.
Placebo Oral Tablet
Placebo identical in color, consistency, and appearance to pravastatin 40 mg, daily for 12 months Placebo: A substance that has no therapeutic effect, and will be used as a control in testing the study agent.
Total
n=1 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
1 Participants
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
1 Participants
n=5 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
1 participants
n=5 Participants
1 participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 months from baseline

Population: As accrual fell far below target, for associated privacy considerations related to the potential for participant re-identification, data are not reported.

Mean difference in time (in months) from baseline (study visit 1) to first hepatocellular cancer (HCC) recurrence or HCC death within 12 months following treatment initiation for subjects randomized to pravastatin versus subjects randomized to placebo. \- HCC recurrence will be confirmed by central expert independent radiographic review.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months from baseline

Population: As accrual fell far below target, for associated privacy considerations related to the potential for participant re-identification, data are not reported.

Mean difference in time (in months) from baseline (study visit 1) to first occurrence of a documented hepatocellular cancer (HCC) recurrence within 12 months following treatment initiation for subjects randomized to pravastatin versus subjects randomized to placebo. \- HCC recurrence will be confirmed by central expert independent radiographic review.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months from baseline

Population: As accrual fell far below target, for associated privacy considerations related to the potential for participant re-identification, data are not reported.

Mean difference in time (in months) from baseline (study visit 1) to death (for any reason) within 12 months following treatment initiation for subjects randomized to pravastatin versus subjects randomized to placebo.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months from baseline

Population: As accrual fell far below target, for associated privacy considerations related to the potential for participant re-identification, data are not reported.

Mean difference in time from baseline (study visit 1) to liver transplant waitlist drop-off within 12 months following treatment initiation for subjects randomized to pravastatin versus subjects randomized to placebo.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months from baseline

Population: As accrual fell far below target, for associated privacy considerations related to the potential for participant re-identification, data are not reported.

Mean difference in mean change in liver stiffness (as measured by MRE or FibroScan) between baseline (study visit 1) and 12 months (study visit 6) for subjects randomized to pravastatin versus subjects randomized to placebo.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months from baseline

Population: As accrual fell far below target, for associated privacy considerations related to the potential for participant re-identification, data are not reported.

Mean difference in within-person change in liver fat fraction (as measured by MRE) between baseline (study visit 1) and 12 months (study visit 6) for subjects randomized to pravastatin versus subjects randomized to placebo.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months from baseline

Population: As accrual fell far below target, for associated privacy considerations related to the potential for participant re-identification, data are not reported.

Mean difference in serum biomarkers including cytokines, chemokines, soluble receptors, and proteins (eg. IL6, TNFα, sTNFRII, IL18BP, sCD163, IL10, IL17, IL-8, CCL17, TGFβ) from baseline (study visit 1) to 12 months (study visit 6) for subjects randomized to pravastatin versus subjects randomized to placebo.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months from baseline

Population: As accrual fell far below target, for associated privacy considerations related to the potential for participant re-identification, data are not reported.

Mean difference in liver tissue markers related to HCC including those in the Wnt/β-catenin pathway (eg. β-catenin, glutamine synthetase) from baseline (study visit 1) to 12 months (study visit 6) for subjects randomized to pravastatin versus subjects randomized to placebo.

Outcome measures

Outcome data not reported

Adverse Events

Pravastatin Pill

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Placebo Oral Tablet

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Pravastatin Pill
n=1 participants at risk
Pravastatin 40 mg, daily for 12 months Pravastatin, a lipid-lowering agent, is a derivative of ML236B (compactin), which was identified in a fungus called Penicillium citrinum in the 1970s. It is an inhibitor of 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase.
Placebo Oral Tablet
Placebo identical in color, consistency, and appearance to pravastatin 40 mg, daily for 12 months Placebo: A substance that has no therapeutic effect, and will be used as a control in testing the study agent.
General disorders
Fatigue
100.0%
1/1 • Number of events 1 • Adverse events were collected over the 2-month* intervention period (one patient and early withdrawal at Visit 2) and within 90 days after the last administration of the study drug. *Scheduled intervention period for this study was 12 months with 6 study visits.
Regular investigator assessment, regular laboratory testing, self-reporting.
0/0 • Adverse events were collected over the 2-month* intervention period (one patient and early withdrawal at Visit 2) and within 90 days after the last administration of the study drug. *Scheduled intervention period for this study was 12 months with 6 study visits.
Regular investigator assessment, regular laboratory testing, self-reporting.

Additional Information

Shehnaz K. Hussain, PhD, ScM

Cedars Sinai Medical Center

Phone: 310-429-9859

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place