Phase 2 Study of Sorafenib Plus HAIC of FOLFOX vs. Sorafenib Plus HAIC of OXA for Advanced HCC

NCT ID: NCT03812770

Last Updated: 2019-04-17

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

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-08-04

Study Completion Date

2019-09-01

Brief Summary

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The purpose of this study is to evaluate the efficacy and safety of hepatic arterial infusion chemotherapy (HAIC) of oxaliplatin plus fluorouracil/leucovorin compared with HAIC of oxaliplatin alone in patients with advanced hepatocellular carcinoma (HCC)

Detailed Description

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Sorafenib is the most widely used palliative treatment for advanced hepatocellular carcinoma (HCC) patients . Our previous prospective study revealed that sorafenib combined with hepatic arterial infusion chemotherapy (HAIC) of oxaliplatin plus fluorouracil/leucovorin confer a survival benefit to advanced HCC . However, HAIC of fluorouracil is not such for advanced HCC. Whether HAIC of oxaliplatin is as effective as HAIC of oxaliplatin plus fluorouracil/leucovorin is controversial. Thus, the investigators carried out this prospective randomized control study to find out it.

Conditions

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Hepatocellular Carcinoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Sorafenib plus HAIC of OXA

Sorafenib combined with Hepatic arterial infusion chemotherapy with Oxaliplatin

Group Type EXPERIMENTAL

Sorafenib

Intervention Type DRUG

Oral Sorafenib, 400mg, Bid

HAIC of OXA

Intervention Type DRUG

administration of Oxaliplatin via the tumor feeding arteries

Sorafenib plus HAIC of FOLFOX

Sorafenib combined with Hepatic arterial infusion chemotherapy with Oxaliplatin, Fluorouracil and Leucovorin

Group Type ACTIVE_COMPARATOR

Sorafenib

Intervention Type DRUG

Oral Sorafenib, 400mg, Bid

HAIC of FOLFOX

Intervention Type DRUG

administration of Oxaliplatin , fluorouracil, and leucovorin via the tumor feeding arteries

Interventions

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Sorafenib

Oral Sorafenib, 400mg, Bid

Intervention Type DRUG

HAIC of FOLFOX

administration of Oxaliplatin , fluorouracil, and leucovorin via the tumor feeding arteries

Intervention Type DRUG

HAIC of OXA

administration of Oxaliplatin via the tumor feeding arteries

Intervention Type DRUG

Other Intervention Names

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Oxaliplatin , fluorouracil, and leucovorin Oxaliplatin

Eligibility Criteria

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Inclusion Criteria

* The diagnosis of HCC was based on the diagnostic criteria for HCC used by the European Association for the Study of the Liver (EASL)
* Patients must have at least one tumor lesion that can be accurately measured according to EASL criteria.
* Barcelona clinic liver cancer-stage C
* Eastern Cooperative Oncology Group performance status of 0 to 2
* with no previous treatment
* No Cirrhosis or cirrhotic status of Child-Pugh class A only
* Not amendable to surgical resection ,local ablative therapy and any other cured treatment.
* The following laboratory parameters:

Platelet count ≥ 75,000/μL Hemoglobin ≥ 8.5 g/dL Total bilirubin ≤ 30mmol/L Serum albumin ≥ 30 g/L ASL and AST ≤ 5 x upper limit of normal Serum creatinine ≤ 1.5 x upper limit of normal INR ≤ 1.5 or PT/APTT within normal limits Absolute neutrophil count (ANC) \>1,500/mm3

• Ability to understand the protocol and to agree to and sign a written informed consent document

Exclusion Criteria

* Evidence of hepatic decompensation including ascites, gastrointestinal bleeding or hepatic encephalopathy
* Known history of HIV
* History of organ allograft
* Known or suspected allergy to the investigational agents or any agent given in association with this trial.
* Cardiac ventricular arrhythmias requiring anti-arrhythmic therapy
* Evidence of bleeding diathesis.
* Patients with clinically significant gastrointestinal bleeding within 30 days prior to study entry.
* Any other hemorrhage/bleeding event \> CTCAE Grade 3 within 4 weeks of first dose of study drug
* Serious non-healing wound, ulcer, or bone fracture
* Known central nervous system tumors including metastatic brain disease
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kaiping Central Hospital

OTHER

Sponsor Role collaborator

Guangzhou No.12 People's Hospital

OTHER_GOV

Sponsor Role collaborator

Sun Yat-sen University

OTHER

Sponsor Role lead

Responsible Party

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Shi Ming

Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Cancer Center Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status RECRUITING

Guangzhou Twelfth People 's Hospita

Guangzhou, Guangdong, China

Site Status RECRUITING

Kaiping Central Hospital

Kaiping, Guangdong, China

Site Status RECRUITING

Countries

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China

Facility Contacts

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Ming Shi

Role: primary

86-2087343154 ext. 86-2087343154

Ping Rong, Guo

Role: backup

86-2087342266 ext. 86-2087342266

Yuanmin Zhou, MD

Role: primary

15521278919

WanQiang Fang, MD

Role: primary

13717287622

Other Identifiers

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HCC-OXA

Identifier Type: -

Identifier Source: org_study_id

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