Trial Outcomes & Findings for Study of Pembrolizumab Following TACE in Primary Liver Carcinoma (NCT NCT03397654)

NCT ID: NCT03397654

Last Updated: 2025-03-06

Results Overview

The safety and tolerability of pembrolizumab will be assessed by recording the incidence of adverse events (AEs) using National Cancer Institute Common Terminology Criteria for Adverse Events version 4 (NCI CTCAE v4).

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

26 participants

Primary outcome timeframe

from the first pembrolizumab administration to up to 130 days after the last dose, 1.5 years

Results posted on

2025-03-06

Participant Flow

Participant milestones

Participant milestones
Measure
TACE Followed by Pembrolizumab
Trans-arterial chemoembolization (TACE) using doxorubicin solution (60 mg dose) and gelatin sponge particles; followed, at least 30 or 45 days later, by pembrolizumab solution (200 mg dose) every 3 weeks for a maximum of 1 year Pembrolizumab: Pembrolizumab solution Trans-arterial chemoembolization: Doxorubicin injected through the hepatic blood supply directly to the cancer-affected part of the liver, then gelatin sponge particles injected to block the blood vessels supplying the tumour
Overall Study
STARTED
26
Overall Study
COMPLETED
15
Overall Study
NOT COMPLETED
11

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
TACE Followed by Pembrolizumab
n=15 Participants
Trans-arterial chemoembolization (TACE) using doxorubicin solution (60 mg dose) and gelatin sponge particles; followed, at least 30 or 45 days later, by pembrolizumab solution (200 mg dose) every 3 weeks for a maximum of 1 year Pembrolizumab: Pembrolizumab solution Trans-arterial chemoembolization: Doxorubicin injected through the hepatic blood supply directly to the cancer-affected part of the liver, then gelatin sponge particles injected to block the blood vessels supplying the tumour
Age, Categorical
<=18 years
0 Participants
n=15 Participants
Age, Categorical
Between 18 and 65 years
5 Participants
n=15 Participants
Age, Categorical
>=65 years
10 Participants
n=15 Participants
Age, Continuous
72 Years
n=15 Participants
Sex: Female, Male
Female
4 Participants
n=15 Participants
Sex: Female, Male
Male
11 Participants
n=15 Participants
Region of Enrollment
United Kingdom
15 participants
n=15 Participants
Eastern Cooperative Oncology Group performance
ECOG 0
9 Participants
n=15 Participants
Eastern Cooperative Oncology Group performance
ECOG 1
6 Participants
n=15 Participants

PRIMARY outcome

Timeframe: from the first pembrolizumab administration to up to 130 days after the last dose, 1.5 years

Population: Patients with liver confirmed Hepatocellular carcinoma

The safety and tolerability of pembrolizumab will be assessed by recording the incidence of adverse events (AEs) using National Cancer Institute Common Terminology Criteria for Adverse Events version 4 (NCI CTCAE v4).

Outcome measures

Outcome measures
Measure
TACE Followed by Pembrolizumab
n=15 Participants
Trans-arterial chemoembolization (TACE) using doxorubicin solution (60 mg dose) and gelatin sponge particles; followed, at least 30 or 45 days later, by pembrolizumab solution (200 mg dose) every 3 weeks for a maximum of 1 year Pembrolizumab: Pembrolizumab solution Trans-arterial chemoembolization: Doxorubicin injected through the hepatic blood supply directly to the cancer-affected part of the liver, then gelatin sponge particles injected to block the blood vessels supplying the tumour
Incidence of Treatment-emergent Adverse Events (Safety and Tolerability)
15 Participants

SECONDARY outcome

Timeframe: 12 weeks

Population: Patients with liver confirmed Hepatocellular carcinoma

PFS was defined by the time from last TACE to the first occurrence of documented disease progression based on RECIST v1.1 criteria or death from any cause, whichever occurred first, and it was calculated using Kaplan-Meier.

Outcome measures

Outcome measures
Measure
TACE Followed by Pembrolizumab
n=15 Participants
Trans-arterial chemoembolization (TACE) using doxorubicin solution (60 mg dose) and gelatin sponge particles; followed, at least 30 or 45 days later, by pembrolizumab solution (200 mg dose) every 3 weeks for a maximum of 1 year Pembrolizumab: Pembrolizumab solution Trans-arterial chemoembolization: Doxorubicin injected through the hepatic blood supply directly to the cancer-affected part of the liver, then gelatin sponge particles injected to block the blood vessels supplying the tumour
Progression-free Survival Rate (PFS; Efficacy) at 12 Weeks
93.3 Percentage
Interval 82.0 to 100.0

Adverse Events

TACE Followed by Pembrolizumab

Serious events: 7 serious events
Other events: 14 other events
Deaths: 10 deaths

Serious adverse events

Serious adverse events
Measure
TACE Followed by Pembrolizumab
n=15 participants at risk
Trans-arterial chemoembolization (TACE) using doxorubicin solution (60 mg dose) and gelatin sponge particles; followed, at least 30 or 45 days later, by pembrolizumab solution (200 mg dose) every 3 weeks for a maximum of 1 year Pembrolizumab: Pembrolizumab solution Trans-arterial chemoembolization: Doxorubicin injected through the hepatic blood supply directly to the cancer-affected part of the liver, then gelatin sponge particles injected to block the blood vessels supplying the tumour
General disorders
Fatigue
6.7%
1/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
General disorders
Anorexia
6.7%
1/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
Skin and subcutaneous tissue disorders
Skin rash
6.7%
1/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
Gastrointestinal disorders
Abdominal pain
6.7%
1/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
General disorders
Flu-like symptoms
6.7%
1/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
Gastrointestinal disorders
Bilirubin increase
6.7%
1/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
Gastrointestinal disorders
Diarrhoea
6.7%
1/15 • Through study completion , an average of 1.5 years.
CTCAE version v5

Other adverse events

Other adverse events
Measure
TACE Followed by Pembrolizumab
n=15 participants at risk
Trans-arterial chemoembolization (TACE) using doxorubicin solution (60 mg dose) and gelatin sponge particles; followed, at least 30 or 45 days later, by pembrolizumab solution (200 mg dose) every 3 weeks for a maximum of 1 year Pembrolizumab: Pembrolizumab solution Trans-arterial chemoembolization: Doxorubicin injected through the hepatic blood supply directly to the cancer-affected part of the liver, then gelatin sponge particles injected to block the blood vessels supplying the tumour
General disorders
Fatigue
66.7%
10/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
General disorders
Anorexia
66.7%
10/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
Skin and subcutaneous tissue disorders
Skin rash
60.0%
9/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
Gastrointestinal disorders
Diarrhoea
53.3%
8/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
Respiratory, thoracic and mediastinal disorders
Dyspnoea
40.0%
6/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
Musculoskeletal and connective tissue disorders
Back pain
40.0%
6/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
Skin and subcutaneous tissue disorders
Pruritus
33.3%
5/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
General disorders
Lethargy
33.3%
5/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
Gastrointestinal disorders
Abdominal distension
33.3%
5/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
Gastrointestinal disorders
Dry mouth
33.3%
5/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
Skin and subcutaneous tissue disorders
Peripheral oedema
33.3%
5/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Peripheral neuropathy
33.3%
5/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
Gastrointestinal disorders
Abdominal pain
26.7%
4/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
General disorders
Flu-like symptoms
26.7%
4/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
Respiratory, thoracic and mediastinal disorders
Cough
26.7%
4/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
Gastrointestinal disorders
Nausea
26.7%
4/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
Gastrointestinal disorders
Bilirubin increase
20.0%
3/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
Gastrointestinal disorders
Mucositis
20.0%
3/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
Gastrointestinal disorders
Dysgeusia
20.0%
3/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
Gastrointestinal disorders
Hypothyroidism
20.0%
3/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
Endocrine disorders
Hypothyroidism
20.0%
3/15 • Through study completion , an average of 1.5 years.
CTCAE version v5
Infections and infestations
Upper respiratory infection
20.0%
3/15 • Through study completion , an average of 1.5 years.
CTCAE version v5

Additional Information

Dr David Pinato

Imperial College London

Phone: +44 20 7594 2799

Results disclosure agreements

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