A Randomized, Controlled Phase III Trial of Sorafenib With or Without cTACE in Patients With Advanced HCC

NCT01829035 | Completed Phase 3

• 1 other identifier: STAH Korea Trial
• Study Type: interventional
• Target: 339
• Locations: 1 country
• Sites: 1

Brief Summary

This is a randomized, multi-center, open-labeled, phase III study in patients with advanced HCC. A total of 338 patients will be randomized (1:1) into one of the two treatment arms, to receive sorafenib with (Arm Combination-treatment; Arm C) or without (Arm Sorafenib alone treatment; Arm S) cTACE. All the patients will be initially given sorafenib within 72 hours after the randomization. Treatment should continue until the criteria for treatment discontinuation are met. After the treatment period, patients will undergo follow up for survival every 12 weeks (±7 days) from the last dose, and the survival follow up will be performed for at least 1.5 years after the last patient's last treatment.

Conditions

Advanced Adult Hepatocellular Carcinoma

Keywords

TACE; Sorafenib

Outcome Measures

Primary Outcomes (1)

• The overall survival (OS) of oral sorafenib given as monotherapy daily compared to sorafenib with combination cTACE in subjects

  3.5 years

Secondary Outcomes (4)

• Time to progression (TTP)in patients

  3.5 years

• Tumor response rate (TRR)in patients

  3.5 years

• Progression free survival(PFS)will be evaluated

  3.5 years

• Evaluation of adverse events

  3.5 years

Study Arms (2)

Arm S

NO INTERVENTION

sorafenib 400mg bid daily po until progression

Arm C

EXPERIMENTAL

after the first Conventional Transarterial Chemoembolization is completed, sorafenib po and cTACE on demand until progression

Other: Conventional Transarterial Chemoembolization (cTACE)

Interventions

Conventional Transarterial Chemoembolization (cTACE) OTHER

Concurrent use of the following material/drug is defined as cTACE in this trial. * Embolization material (e.g., gelatin sponges, porous gelatin particles, Ivalon, etc.) other than ethiodized oil * Anti-tumor drug: 1. Unapproved drug/embolization material from each regulatory agency should not be used. 2. To chemo-embolize all arteries feeding viable lesions via super selective cTACE, which is more effective and can be recommended as it rarely causes impairment of non-cancerous liver tissues. After assessing the disappearance of tumor stain as much as possible by angiography, the cTACE procedure should be completed

Arm C

Eligibility Criteria

• Age: 20 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• To be eligible to participate in the study, patients must meet the following criteria:
• Signed written informed consent
• Clinical or histological diagnosis of HCC based on the guidelines of the Korean Liver Cancer Study Group and the National Cancer Center Korea
• At least one typical enhanced index lesion in the liver that is bi-dimensionally measurable by multiphasic spiral CT scan or dynamic contrast-enhanced MRI, and size of largest tumor is 15 cm or less at enrollment.
• Tumor conditions confirmed by abdominal imaging (contrast enhanced CT ± MRI) and chest imaging (CT) performed within 4 weeks prior to the treatment initiation:
• Age of at least 20 years.
• ECOG Performance Status of 0, 1 or 2.
• Child-Pugh class A or B (Child-Pugh score ≤ 7).
• Life expectancy of at least 16 weeks.
• Adequate bone marrow, liver, and renal function as assessed by the following laboratory requirements (no transfusion, no restoration), conducted within 14 days prior to screening:
• Female patients at least 1 year postmenopausal, surgically sterile or those of childbearing potential must have a negative urine pregnancy test within 14 days prior to the first treatment, and have to use at least one medically acceptable and effective contraceptive method for the last 2 months prior to Screening Visit: methods of effective contraception result in a low failure rate (i.e. less than 1% per year) when used consistently and correctly such as a barrier method (implant, injectable contraceptives, oral contraceptives, intrauterine contraceptive device), hormonal IUD, sexual abstinence or vasectomized partner.

Sponsors & Collaborators

• National Cancer Center, Korea: lead

Study Sites (1)

National Cancer Center, Korea

Seoul, South Korea

Location

Related Publications (1)

• Park JW, Kim YJ, Kim DY, Bae SH, Paik SW, Lee YJ, Kim HY, Lee HC, Han SY, Cheong JY, Kwon OS, Yeon JE, Kim BH, Hwang J. Sorafenib with or without concurrent transarterial chemoembolization in patients with advanced hepatocellular carcinoma: The phase III STAH trial. J Hepatol. 2019 Apr;70(4):684-691. doi: 10.1016/j.jhep.2018.11.029. Epub 2018 Dec 6.

  PMID: 30529387 DERIVED

Study Officials

• Joong-Won Parkr, Ph.D.

  National Cancer Center, Korea

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 3
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Chief of Hepatology, Center for Liver Cancer

Study Record Dates

• First Submitted: March 31, 2013
• First Posted: April 11, 2013
• Study Start: February 21, 2013
• Primary Completion: June 21, 2017
• Study Completion: June 21, 2017
• Last Updated: March 29, 2018

Record last verified: 2018-03

Locations

KR (1)