UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000024661
Receipt number R000024660
Scientific Title Randomised phase II study of Intra-arterial infusion therapy with cisplatin suspension in lipiodol and 5-fluorouracil(New FP therapy)versus sorafenib in advanced hepatocellular carcinoma.
Date of disclosure of the study information 2016/11/01
Last modified on 2018/11/16 09:37:12

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Basic information

Public title

Randomised phase II study of Intra-arterial infusion therapy with cisplatin suspension in lipiodol and 5-fluorouracil(New FP therapy)versus sorafenib in advanced hepatocellular carcinoma.

Acronym

Randomised Phase II study of New FP therapy versus sorafenib in advanced HCC

Scientific Title

Randomised phase II study of Intra-arterial infusion therapy with cisplatin suspension in lipiodol and 5-fluorouracil(New FP therapy)versus sorafenib in advanced hepatocellular carcinoma.

Scientific Title:Acronym

Randomised Phase II study of New FP therapy versus sorafenib in advanced HCC

Region

Japan


Condition

Condition

advanced hepatocellular carcinoma

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

evaluate and compare the efficacy and safety of sorafenib versus hepatic arterial infusion therapy using cisplatin suspension in lipiodol and 5-fluorouracil( New FP)in advanced hepatocellular carcinoma.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Progression free survival

Key secondary outcomes

Overall survival, Responsive rate,AE, Down staging rate for Curative treatment


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Arm A: Soragenib
800mg/day everyday

Patients will continue to receive study treatment of Arm A and B until another criterion for discontinuation or completion is met.

Interventions/Control_2

Arm B: New FP treatment
Day 1: CDDP 50mg/day, 5-FU 250mg
Day1-5: 5-FU (continuous medication) Maximum 1250mg

Patients will continue to receive study treatment of Arm A and B until another criterion for discontinuation or completion is met.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Histologically or Clinically diagnosed as hepatocellular carcinoma (HCC) by imaging assessment and tumor maker.
2) Unsuitable for local therapy. (Including surgery, radiofrequency ablation, hepatic arterial embolization and percutaneous ethanol injection etc.)
3) Presence of intrahepatic major lesion.
4) Measurable lesion on clinical image studies by CT with contrast or MRI with contrast.
5) No lingering effects of previous therapy. (treatment-free interval: Hepatectomy and local therapy, 2 weeks or more. Hepatic arterial embolization, continuous hepatic arterial infusion and radiotherapy, 4 weeks or more.)
6) Child-Pugh classification A.
7) Performance status of 0 to 1.
8) Preservation of major organ function. (Examination should be performed within 2 weeks prior to the registration.)
9) Age more than 20 years.
10) Willing and able to comply with study procedures.
11) Provision of written informed consent.

Key exclusion criteria

Patients will be excluded from the study if they meet any of the following criteria.
1) Having a history of molecular targeted drug or sorafenib.
2) Having a history of any previous systemic therapy.
3) Having clinically meaningful ascites that require a puncture method.
4) History of liver transplant.
5) Having esophageal varices that represent a high bleeding risk.
6) With cardiac infarction, unstable angina, cardiac failure and cerebral vascular disorder within 12 month before registration.
7) History of or current hepatic encephalopathy.
8) With cerebral tumors.
9) Having a dialysis.
10) With a gastrointestinal hemorrhage within 1 month before registration.
11) With a duplicate active cancer.
12) Taking drugs with CYP3A4 (Including rifampicin etc.)
13) Severe arrhythmia of CTCAE v4.0 >= grade 2 and uncontrolled high blood pressure defined in blood pressure guidelines 2014.
14) Having hypersensitivity reaction to any of the treatment components.
15) Taking approved crude drugs for cancer treatment. (Including shosaikoto.)
16) Known human immunodeficiency virus infection (HIV) or acquire immunodeficiency syndrome (AIDS) -related illness.
17) Pregnancy, nursing women.
18) Not eligible because of safety issues judged by investigators.

Target sample size

120


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Rie Sugimoto

Organization

National Hospital Organization Kyushu Cancer Center

Division name

Department of Hepato-biliary-pancreatology

Zip code


Address

3-1-1 Notame Minamiku Fukuoka, Japan 811-1395

TEL

092-541-3231

Email

sugimoto.r@nk-cc.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name Masaki Kato

Organization

Kyushu University

Division name

Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences

Zip code


Address

3-1-1 Maidashi Higashiku Fukuoka

TEL

092-642-5282

Homepage URL


Email

mkato11@med.kyushu-u.ac.jp


Sponsor or person

Institute

National Hospital Organization Kyushu Cancer Center
Department of Hepato-biliary-pancreatology

Institute

Department

Personal name



Funding Source

Organization

No

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2016 Year 11 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Terminated

Date of protocol fixation

2015 Year 12 Month 15 Day

Date of IRB


Anticipated trial start date

2016 Year 11 Month 01 Day

Last follow-up date

2018 Year 05 Month 01 Day

Date of closure to data entry

2018 Year 05 Month 01 Day

Date trial data considered complete

2018 Year 05 Month 01 Day

Date analysis concluded

2018 Year 05 Month 01 Day


Other

Other related information



Management information

Registered date

2016 Year 10 Month 31 Day

Last modified on

2018 Year 11 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000024660