Unique ID issued by UMIN | UMIN000008710 |
---|---|
Receipt number | R000010235 |
Scientific Title | Randomized phase II study comparing pegylated interferon alpha-2b combined with intra-arterial 5-fluorouracil and sorafenib alone for advanced hepatocellular carcinoma |
Date of disclosure of the study information | 2012/08/17 |
Last modified on | 2012/11/08 13:18:44 |
Randomized phase II study comparing pegylated interferon alpha-2b combined with intra-arterial 5-fluorouracil and sorafenib alone for advanced hepatocellular carcinoma
Comparing pegylated interferon alpha-2b combined with 5-fluorouracil and sorafenib for advanced hepatocellular carcinoma
Randomized phase II study comparing pegylated interferon alpha-2b combined with intra-arterial 5-fluorouracil and sorafenib alone for advanced hepatocellular carcinoma
Comparing pegylated interferon alpha-2b combined with 5-fluorouracil and sorafenib for advanced hepatocellular carcinoma
Japan |
advanced hepatocellular carcinoma
Hepato-biliary-pancreatic medicine |
Malignancy
NO
In this study, we evaluated the efficacy of combined 5-FU and PEG-IFN alpha-2b, and compared outcomes between advanced HCC patients with PVTT treated using sorafenib.
Safety,Efficacy
Progression free survival
Interventional
Parallel
Randomized
Open -no one is blinded
Uncontrolled
2
Treatment
Medicine |
Enrolled patients will be randomly assigned to receive combined 5-FU and PEG-IFN alpha-2b or sorafenib.
In the 5-FU and PEG-IFN alpha -2b group, after insertion of the drug delivery system, patients received arterial infusion of chemotherapeutic agents via the injection port. Patients are treated with subcutaneous administration of PEG-IFN alpha-2b (PegIntron; Schering-Plough, Osaka, Japan) and intra-arterial infusion of 5-FU (Kyowa Hakko, Tokyo, Japan). One treatment cycle lasts 4 weeks. PEG-IFN alpha-2b dose is weight-adjusted and administered subcutaneously on day 1 of every week. Administration of 5-FU (250 mg/day) into the hepatic artery for 5 h via mechanical infusion pump is performed on days 1-5 of every week.
We will compare the early response to the therapy, progression free survival (PFS) and the cumulative survival rate between these two groups for thee years.
In the sorafenib group, patients are treated using continuous oral treatment with 400-800 mg of sorafenib (consisting of two 100-200 mg tablets) twice daily
We will compare the early response to the therapy, progression free survival (PFS) and the cumulative survival rate between these two groups for thee years.
20 | years-old | <= |
80 | years-old | >= |
Male and Female
Eligibility criteria for treatment were as follows: 1) Portal vein tumor thrombosis (PVTT) grade Vp2-Vp4; 2) no indications for radiotherapy, surgical resection or nonsurgical interventions such as radiofrequency ablation (RFA), microwave coagulation therapy (MCT), percutaneous ethanol injection (PEI) or trans-hepatic arterial chemoembolization (TACE); 3) age >20 years; 4) Eastern Cooperative Oncology Group (ECOG) performance status (PS)4 level 0-2; 5) no uncontrollable ascites or pleural effusion; 6) platelet count >50000/mm3, leukocyte count >2000/l, total bilirubin <3 mg/dl, and serum creatinine <1.5 mg/dl; and 7) chronic hepatitis (CH) or compensated liver cirrhosis (LC) with a Child-Pugh class of A or B.
Exclusion criteria for treatment were as follows:1) pregnancy women 2) patients who had allergic disorder and severe disease
100
1st name | |
Middle name | |
Last name | Kazuhiro Kasai |
Iwate Medical University
Division of gastroenterology and hepatology, Department of internal medicine,
Uchimaru 19-1, Morioka, Iwate 020-8505, Japan
1st name | |
Middle name | |
Last name |
Iwate Medical University
Division of gastroenterology and hepatology, Department of internal medicine,
kaz-k@yc4.so-net.ne.jp
Iwate Medical University
Japanese foundation for multidisciplinary treatment of cancer
Non profit foundation
NO
2012 | Year | 08 | Month | 17 | Day |
Unpublished
Open public recruiting
2009 | Year | 01 | Month | 01 | Day |
2009 | Year | 01 | Month | 01 | Day |
2012 | Year | 08 | Month | 17 | Day |
2012 | Year | 11 | Month | 08 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010235