A Randomized Phase II Trial Comparing Therapy Based on Tumor Molecular Profiling Versus Conventional Therapy in Patients With Refractory Cancer
SHIVA
A Randomized Proof-of-concept Phase II Trial Comparing Therapy Based on Tumor Molecular Profiling Versus Conventional Therapy in Patients With Refractory Cancer.
This date has not been verified as actual or estimated.
Primary Completion
October 2016
Actual (reported)
Study Completion
December 2016
Actual (reported)
Brief Summary
SHIVA is a proof of concept randomized phase II trial which compares two treatment strategies for patients with refractory cancer. From a tumor biopsy, a molecular profile of the disease is established (mutations, amplifications, hormone receptor status). If a molecular abnormality is identified for which an approved targeted agent is available, patients are randomized randomized between two arms:
Targeted therapy based on the molecular profile
Conventional therapy based on investigator's choice. A cross-over is proposed at disease progression.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
completed
Actual enrollment (reported)
742 participants
Study completion date
December 2016
Actual (reported)
Listed locations
1 countries · 8 sites
Trial Relationships
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Some registry-reported names shown below are not yet linked in this graph.
Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Study Start
October 2012
Date type not reported
This date has not been verified as actual or estimated.
Patient's progression free survival (according RECIST 1.1) of targeted therapy based on molecular profiling versus conventional chemotherapy.
Tumor evaluation according to RECIST 1.1 criteria (every 2 months)
Secondary Outcomes (8)
Overall response rate (ORR)
Overall Survival (OS)
Treatments side effects assessement according to the NCI CTCAE v4.03 scale.
Treatment effect variations as defined by tumor growth according to the altered signaling pathway
Patient's progression free survival (according RECIST 1.1) of targeted therapy based on molecular profiling versus conventional chemotherapy after cross-over.
+3 more secondary outcomes
Study Arms (2)
Standard chemotherapy
ACTIVE COMPARATOR
Treatment choice is based on Investigator decision.
Procedure: Tumor biopsyDrug: Standard Chemotherapy
Personalized treatment
EXPERIMENTAL
Targeted therapy based on the patient molecular profil (if there is at least one abnormality that could be targeted)
Elligible therapies in this trial are :
Imatinib Everolimus Vemurafenib Sorafenib Erlotinib Lapatinib Trastuzumab Dasatinib Tamoxifen (or letrozole if contra-indication) Abiraterone
Drug: Targeted therapy based on molecular profiling : ImatinibProcedure: Tumor biopsyDrug: Targeted therapy based on molecular profiling : EverolimusDrug: Targeted therapy based on molecular profiling : Vemurafenib
Interventions
Targeted therapy based on molecular profiling : ImatinibDrug
Personalized treatment
Tumor biopsyProcedure
Personalized treatmentStandard chemotherapy
Registry intervention entries
These entries preserve how the registry describes the intervention. Their treatment roles are shown separately from molecular identities.
Grouped treatment entry
Targeted therapy based on molecular profiling : Lapatinib + Trastuzumab
The registry names several treatments. This does not confirm that participants received them together or that they form a single product.
Patient with recurrent/metastatic solid tumor who failed or are not candidate for treatments usually proposed in first intentions and for whom a prospective clinical trial has been indicated in a tumor board
Centre régional de lutte contre le cancer de Bourgogne Georges François Leclerc
Dijon, 21079, France
Centre Leon Berard
Lyon, 69373, France
Institut Paoli Calmettes
Marseille, 13009, France
Insitut Curie
Paris, 75248, France
Institut Curie Hopital Rene Huguenin
Saint-Cloud, 92210, France
Institut de cancérologie de l'Ouest Centre René Gauducheau
Saint-Herblain, 44000, France
Institut Claudius Régaud
Toulouse, 31052, France
Related Publications (2)
Belin L, Kamal M, Mauborgne C, Plancher C, Mulot F, Delord JP, Goncalves A, Gavoille C, Dubot C, Isambert N, Campone M, Tredan O, Ricci F, Alt M, Loirat D, Sablin MP, Paoletti X, Servois V, Le Tourneau C. Randomized phase II trial comparing molecularly targeted therapy based on tumor molecular profiling versus conventional therapy in patients with refractory cancer: cross-over analysis from the SHIVA trial. Ann Oncol. 2017 Mar 1;28(3):590-596. doi: 10.1093/annonc/mdw666.
Le Tourneau C, Delord JP, Goncalves A, Gavoille C, Dubot C, Isambert N, Campone M, Tredan O, Massiani MA, Mauborgne C, Armanet S, Servant N, Bieche I, Bernard V, Gentien D, Jezequel P, Attignon V, Boyault S, Vincent-Salomon A, Servois V, Sablin MP, Kamal M, Paoletti X; SHIVA investigators. Molecularly targeted therapy based on tumour molecular profiling versus conventional therapy for advanced cancer (SHIVA): a multicentre, open-label, proof-of-concept, randomised, controlled phase 2 trial. Lancet Oncol. 2015 Oct;16(13):1324-34. doi: 10.1016/S1470-2045(15)00188-6. Epub 2015 Sep 3.
Drug: Targeted therapy based on molecular profiling : Sorafenib
Drug: Targeted therapy based on molecular profiling : Erlotinib
Drug: Targeted therapy based on molecular profiling : Lapatinib + Trastuzumab
Drug: Targeted therapy based on molecular profiling : Dasatinib
Drug: Targeted therapy based on molecular profiling : Tamoxifen (or letrozole if contra-indication)
Drug: Targeted therapy based on molecular profiling : Abiraterone
Targeted therapy based on molecular profiling : AbirateroneDrug
Personalized treatment
Standard ChemotherapyDrug
Also known as: Based on each investigator choice
Standard chemotherapy
Targeted therapy based on molecular profiling : EverolimusDrug
Personalized treatment
Targeted therapy based on molecular profiling : VemurafenibDrug
Personalized treatment
Targeted therapy based on molecular profiling : SorafenibDrug
Personalized treatment
Targeted therapy based on molecular profiling : ErlotinibDrug
Personalized treatment
Targeted therapy based on molecular profiling : Lapatinib + TrastuzumabDrug
Personalized treatment
Targeted therapy based on molecular profiling : DasatinibDrug
Personalized treatment
Targeted therapy based on molecular profiling : Tamoxifen (or letrozole if contra-indication)Drug
Personalized treatment
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Biopsiable disease (tumor biopsy mandatory for tumor profiling). The biopsy can be performed when patients are being treated with standard therapy for their recurrent/metastatic cancer if it is not planned to treat them with molecularly targeted agents in the future.
Measurable disease
Adequate renal function defined by a serum creatinine \<1.5xUNL (upper normal limit)
Adequate liver function test defined by SGOT \& SGPT \<3xUNL (5xUNL in case of liver metastases), and bilirubin level \<1.5xUNL
Adequate bone marrow function defined by platelets \>100,000/mm3, hemoglobin \>10 g/dL, and neutrophils \>1,000/mm3
Patients must be affiliated to the French Social Security System
Signed informed consent
For female of child-bearing potential: a negative pregnancy test \<72 hours before starting study treatment is required. If sexually active, female of childbearing potential must use "highly effective" methods of contraception for the study duration and for 3 months following the last treatment
For male of reproductive potential: any sexually active male patient must use a condom while on study treatment and for 3 months following the last treatment
Agreement to send the CD-ROMs of imaging for central review
You may not qualify if:
Patients who have only bone and/or brain metastases
Patients whose brain metastases have not been controlled for \>3 months
Patient participating in another clinical trial with an experimental drug
Patients who are candidate to receive a molecularly targeted agent that is approved for their disease
Anticoagulation with anti-vitamin K (Low Molecular Weight Heparin \[LMWH\] is allowed)
Patients with other concurrent severe and/or uncontrolled medical disease which could compromise participation in the study, including uncontrolled diabetes, cardiac disease, uncontrolled hypertension, congestive cardiac failure, ventricular arrhythmias, active ischemic heart disease, myocardial infection within one year, chronic liver or renal disease, active gastrointestinal tract ulceration, severely impaired lung function
Pregnant and/or breastfeeding women
Individually deprived of liberty or placed under the authority of a tutor
Patients with any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule
Known HIV, HBV, or HCV infection
Eligibility criteria for the randomized part :
Identification of tumor molecular abnormalities for which the Therapeutic Decision Committee (TDC) recommends a molecularly targeted therapy available in the context of the trial (even if the molecular profile is incomplete)
Therapy recommended by the TDC is not approved for the patient's disease
ECOG performance status of 0 or 1
Adequate renal function defined by a serum creatinine \<1.5xUNL
+5 more criteria
Contact the study team to confirm eligibility.
Centre Alexis Vautrin
Vandœuvre-lès-Nancy, 54500, France
DERIVED
Proteins
Amino Acids, Peptides, and Proteins
Serum Globulins
Globulins
Primary Completion
October 2016
Actual (reported)
Study Completion
December 2016
Actual (reported)
Last Updated
November 24, 2025
Record last verified: 2025-11
Source record
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Source: ClinicalTrials.gov.
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