Multicenter RCT of ADV-TK Gene Therapy Improving the Outcome of Liver Transplantation for Advanced HCC

NCT ID: NCT03313596

Last Updated: 2019-02-04

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-03-31

Study Completion Date

2019-12-31

Brief Summary

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Compare the effect of liver transplantation (LT) plus ADV-TK gene therapy versus LT only in advanced primary hepatocellular carcinoma.

Detailed Description

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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

SINGLE

Outcome Assessors

Study Groups

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LT-only

patients received orthotopic LT and subsequent immunosuppression therapy

Group Type ACTIVE_COMPARATOR

LT

Intervention Type PROCEDURE

Orthotopic LT and subsequent immunosuppression therapy

LT+ADV-TK

ADV-TK therapy was administered in addition to orthotopic LT and subsequent immunosuppression therapy

Group Type EXPERIMENTAL

ADV-Tk

Intervention Type DRUG

The first ADV-TK dose was administered during the operation; 1.0×10(12) viral particles of ADV-TK in 100 mL of 0.9% saline were injected into peritoneum tissues around the liver. The second and third ADV-TK dose was administered 60 days and 90 days after LT; 1.0×10(12) viral particles of ADV-TK in 100 mL of 0.9% saline were injected into the celiac artery (60 mL) and the superior mesenteric artery (40 mL) via femoral-artery puncture.

LT

Intervention Type PROCEDURE

Orthotopic LT and subsequent immunosuppression therapy

Interventions

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ADV-Tk

The first ADV-TK dose was administered during the operation; 1.0×10(12) viral particles of ADV-TK in 100 mL of 0.9% saline were injected into peritoneum tissues around the liver. The second and third ADV-TK dose was administered 60 days and 90 days after LT; 1.0×10(12) viral particles of ADV-TK in 100 mL of 0.9% saline were injected into the celiac artery (60 mL) and the superior mesenteric artery (40 mL) via femoral-artery puncture.

Intervention Type DRUG

LT

Orthotopic LT and subsequent immunosuppression therapy

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* 18 - 65 years of age (Male and Female).
* Clinical diagnosis of advanced primary hepatocellular carcinoma who could accept liver transplantation.
* Patients who had unresectable HCC with single tumor diameter \> 5 cm and ≤ 10cm; or numbers of multiple tumors \>3 and ≤ 5, and the total length of foci diameter ≤ 15 cm.
* Serum AFP ≤ 10000 ng/ml before liver transplantation.
* Child-pugh A-B.
* No metastasis in extrahepatic main vescular and extrahepatic lymph node detected during the operation and no metastasis of other organs.
* Provide written informed consent before screening.

Exclusion Criteria

* Metastasis in extrahepatic organs.
* HCC with Invasion in extrahepatic main vescular and extrahepatic organs.
* Contraindications of operation of other organ system.
* Hypersensitivity to adenovirus, GCV or similar drugs.
* Serious obstacle of the mechanism of coagulation, hemorrhagic tendency, and abnormal coagulation (≥50%).
* Plan to accept clinical trials of other antitumor drugs.
* Immunological deficit.
* HBsAg(+) and HBcAb(+) donor.
* Unsuitable participate assessed by investigator.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Beijing YouAn Hospital

OTHER

Sponsor Role collaborator

Huazhong University of Science and Technology

OTHER

Sponsor Role lead

Responsible Party

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Ding Ma

Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Beijing Youan Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

301 Military Hospital

Beijing, , China

Site Status RECRUITING

General Hospital of Chinese People's Armed Police

Beijing, , China

Site Status RECRUITING

The Third XiangYa Hospital of Central South University

Changsha, , China

Site Status RECRUITING

West China Hospital of Sichuan University

Chengdu, , China

Site Status RECRUITING

The Third Affiliated Hospital,Sun Yat-sen University

Guangzhou, , China

Site Status RECRUITING

The First Affiliated Hospital, Zhejiang University

Hangzhou, , China

Site Status RECRUITING

Zhongshan Hospital of Fudan University

Shanghai, , China

Site Status RECRUITING

The First Affiliated Hospital of China Medical University

Shenyang, , China

Site Status RECRUITING

The First Center Hospital of Tianjin

Tianjin, , China

Site Status RECRUITING

The First Hospital of Xinjiang Medical University

Ürümqi, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Danhui Weng, Dr.

Role: CONTACT

027-83663351

Facility Contacts

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Ning Li, Dr

Role: primary

Jiahong Dong

Role: primary

Yunjin Zang

Role: primary

Qifa Ye

Role: primary

Lvnan Yan

Role: primary

Guihua Chen

Role: primary

Shusen Zheng

Role: primary

Jia Fan

Role: primary

Yongfeng Liu

Role: primary

Zhongyang Shen

Role: primary

Hao Wen

Role: primary

Other Identifiers

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LT-03

Identifier Type: -

Identifier Source: org_study_id

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