Unique ID issued by UMIN | UMIN000030718 |
---|---|
Receipt number | R000035059 |
Scientific Title | Combination of molecularly-targeted therapy with stereotactic body radiotherapy in hepatocellular carcinoma with major vascular invasion |
Date of disclosure of the study information | 2018/01/09 |
Last modified on | 2021/01/09 14:04:03 |
Combination of molecularly-targeted therapy with stereotactic body radiotherapy in hepatocellular carcinoma with major vascular invasion
Combination of molecularly-targeted therapy with SBRT in HCC with MVI
Combination of molecularly-targeted therapy with stereotactic body radiotherapy in hepatocellular carcinoma with major vascular invasion
Combination of molecularly-targeted therapy with SBRT in HCC with MVI
Japan |
Hepatocellular carcinoma with major vascular invasion
Hepato-biliary-pancreatic medicine |
Malignancy
NO
The aim of this study is to investigate the safety and efficacy of the novel combination therapy of molecularly-targeted therapy with SBRT in patients having HCC with MVI.
Safety,Efficacy
Safety; occurrence rate of adverse events, occurrence rate of adverse events of grade 3 or more.
Efficacy; overall survival rate, progression-free survival, response rate, disease control rate
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine | Other |
1) Stereotactic body radiotherapy, 48Gy/4Fr toward the portion of vascular invasion of the tumor.
2) Seven to 28 days after radiotherapy, the molecularly-targeted agent is started.
The sorts of molecularly-targeted agents, that can be selected for this study, are sorafenib (at a dose of 800 mg daily), regorafenib (at a dose of 160 mg daily for the first 3 weeks of each 4-week cycle) or lenvatinib (at a dose of 120 mg daily in patients of body weight of 60 kg or more, or 80 mg daily in patients of body weight of less than 60 kg). The treatment interruption and dose reduction are allowed to manage drug toxicity.
20 | years-old | <= |
Not applicable |
Male and Female
The eligible subject must;
1) Be able to provide written informed consent from the subject person.
2) Have no previous molecularly-targeted therapies or systemic chemotherapies.
3) Have an ECOG-PS 0 or 1.
4) Have the liver function of a Child-Pugh class A (5-6 points), or Child-Pugh score 7 points with serum albumin of 3.0-3.5 g/dl and prothrombin time of 60-70%.
5) Fulfill the following the values of laboratory testings within 14 days prior to the trial registration.
Neutrophils > 1500/mm^3, Hemoglobin > 8.5 g/dl, Platelets > 60000/mm^3, AST < x5 ULN, ALT < x5 ULN, Serum creatinine < 1.3 mg/dl, Creatinine clearance < 60 ml/min.
6) Received no treatments for HCC within 28 days prior to the trial registration.
7) Have a predicted life expentancy of 8 weeks or more.
The subject must be excluded if the subject;
1) Has the hepatic encephalopathy
2) Has the uncontrollable hypertension, heart failure, ischemic heart disease or arrhythmia.
3) Has had the acute myocardial infarction in the last 6 months.
4) Has the synchronous malignancies of other organs, or has had the metachronous ones in the last 2 years.
5) Has the serious psychiatric disorder or a serious decline in cognitive function.
6) Is pregnant or breastfeeding, or a female expecting to conceive a child.
7) Is judged to be inappropriate for the entry of this trial in the opinion of the treating investigator.
20
1st name | Kazuyoshi |
Middle name | |
Last name | Ohkawa |
Osaka International Cancer Institute
Department of Hepatobiliary and Pancreatic Oncology
5418567
3-1-69, Otemae, Chuo-ku, Osaka, Japan
81-6-6945-1181
kazuyoshi.ohkawa@oici.jp
1st name | Kazuyoshi |
Middle name | |
Last name | Ohkawa |
Osaka International Cancer Institute
Department of Hepatobiliary and Pancreatic Oncology
5418567
3-1-69, Otemae, Chuo-ku, Osaka, Japan
81-6-6945-1181
kazuyoshi.ohkawa@oici.jp
Osaka International Cancer Institute
Osaka International Cancer Institute
Other
Osaka International Cancer Institute
3-1-69, Otemae, Chuo-ku, Osaka, Japan
0669451181
kazuyoshi.ohkawa@oici.jp
NO
2018 | Year | 01 | Month | 09 | Day |
Unpublished
Open public recruiting
2017 | Year | 11 | Month | 01 | Day |
2017 | Year | 09 | Month | 07 | Day |
2018 | Year | 01 | Month | 09 | Day |
2023 | Year | 12 | Month | 31 | Day |
2018 | Year | 01 | Month | 07 | Day |
2021 | Year | 01 | Month | 09 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000035059