Unique ID issued by UMIN | UMIN000000487 |
---|---|
Receipt number | R000000591 |
Scientific Title | Phase I/II trial of hepatic arterial infusion of FMP therapy for advanced hepatocellular carcinoma |
Date of disclosure of the study information | 2006/09/12 |
Last modified on | 2010/09/13 00:40:32 |
Phase I/II trial of hepatic arterial infusion of FMP therapy for advanced hepatocellular carcinoma
Hepatic arterial infusion of FMP therapy for advanced hepatocellular carcinoma
Phase I/II trial of hepatic arterial infusion of FMP therapy for advanced hepatocellular carcinoma
Hepatic arterial infusion of FMP therapy for advanced hepatocellular carcinoma
Japan |
advanced hepatocellular carcinoma
Hepato-biliary-pancreatic medicine |
Malignancy
NO
The aim of this study is to investigate the maximum-tolerated dose and the recommended dose based on the frequency of dose-limiting toxicities of continuous intraarterial infusion of 5-fluorouracil, mitoxantrone and cisplatin (FMP therapy) in a phase I, and to evaluate the efficacy and toxicity of FMP therapy at the recommended dose for advanced hepatocellular carcinoma in a phase II.
Safety,Efficacy
Exploratory
Pragmatic
Phase I,II
Phase I:
frequency of dose-limiting toxicities
Phase II:
response rate and adverse events at the recommended dose
Progression free survival, overall survival
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
FMP therapy:
The therapy consists of intraarterial administration of cisplatin and mitoxantrone on day 1, and continuous intraarterial infusion of 5-fluorouracil on days 1 through 5. The treatment is repeated every four weeks for a maximum of six courses if there is no evidence of tumor progression or unacceptable toxicity.
Dosage level[5-fluorouracil, mitoxantrone, cisplatin (mg/m2)]
Level -1 [300, 4, 50]
Level 0 [300, 4, 60]
Level 1 [400, 4, 60]
Level 2 [400, 6, 60]
Level 3 [500, 6, 60]
20 | years-old | <= |
Not applicable |
Male and Female
1) Advanced hepatocellular carcinoma with confirmation of histological examination or typical computed tomographic(CT), angiographic findings and elevated serum alpha-fetoprotein levels
2) No indication for surgical resection, local ablation, and transcatheter arterial embolization
3) Measurable disease
4) Aged 20 years or over
5) An Eastern Cooperative Oncology Group performance status of 0-2
6) A hepatic arterial catheter and port system placed and the adequate drug distribution confirmed by CT angiography or MR angiography
7) Sufficient organ function: WBC>=3,000 /mm3, Hb>=9.0 g/dL, PLT>=70,000 /mm3, Child-Pugh grade A or B, T-Bil<=2.0 mg/dL, Albumin>=3.0 g/dL, AST<=200 U/L, ALT<=200 U/L, Creatinine<=1.1 mg/dL, Creatinine clearance>= 60 ml/min
8) Interval of 4 weeks or over between last treatment and present therapy, and no influence of previous treatments
9) Written informed consent
1) Prior chemotherapy with 5-fluorouracil, mitoxantrone, and cisplatin for hepatocellular carcinoma
2) Refractory pleural effusion or ascites
3) Allergic reaction to iodine contrast material
4) Severe heart disease
5) Active infection excluding hepatitis B or C viral infection
6) Active concomitant malignancy
7) Severe mental disorder
8) Severe allergic reaction to drug
9) Severe complication
10) Pregnant and lactating females; females of childbearing age unless using effective contraception
45
1st name | |
Middle name | |
Last name | Masafumi Ikeda, MD. |
National Cancer Center Hospital
Hepatobiliary and Pancreatic Oncology Division
5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan
03-3542-2511
1st name | |
Middle name | |
Last name | Masafumi Ikeda, MD. |
FMP HAI Coordinating Office
Hepatobiliary and Pancreatic Oncology Division, National Cancer Center Hospital
5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan
03-3542-2511
Hepatobiliary and Pancreatic Oncology Division, National Cancer Center Hospital
Ministry of Health, Labour and Welfare
Japan
NO
2006 | Year | 09 | Month | 12 | Day |
Published
Completed
2005 | Year | 09 | Month | 22 | Day |
2005 | Year | 10 | Month | 01 | Day |
2009 | Year | 10 | Month | 01 | Day |
2009 | Year | 12 | Month | 01 | Day |
2009 | Year | 12 | Month | 01 | Day |
2010 | Year | 06 | Month | 01 | Day |
2006 | Year | 09 | Month | 12 | Day |
2010 | Year | 09 | Month | 13 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000591