Trans-catheter Chemo-embolization Combined With rAd-p53 Gene Injection in Treatment of Advanced Hepatocellular Carcinoma
Multicenter, Open-labeled, Controlled Phase II Study: Trans-catheter Chemo-embolization Combined With rAd-p53 Gene Injection in Treatment of Advanced Hepatocellular Carcinoma
1 other identifier
interventional
120
1 country
1
Brief Summary
Treatment options for advanced hepatocellular carcinoma (HCC) are limited due to patients' poor condition, advanced tumor, concomitant intra- and extra-liver diseases, and resistance to both chemo- and radio-therapy. Trans-catheter embolization (TAE) or Trans-catheter chemo-embolization (TACE) is the most widely used locoregional treatment for advanced HCC. But no solid evidences support the beneficial effect of the chemotherapy in TACE. Many advanced HCC patients also can't tolerate the locoregional chemotherapy. The p53 gene has multiple anticancer functions and does not have any of the immune-inhibitory effects of chemo- or radio-therapy. The objectives of this study are to investigate the efficacy and safety usingTAE plus recombinant adenoviral human p53 gene (rAd-p53) in treatment of advanced HCC.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Jul 2014
Typical duration for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2014
CompletedFirst Submitted
Initial submission to the registry
March 25, 2015
CompletedFirst Posted
Study publicly available on registry
April 17, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2017
CompletedApril 17, 2015
March 1, 2015
2.8 years
March 25, 2015
April 13, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
overall survival
overall survival
tumor assessment will be performed every 6 weeks from starting study treatment to death or 2 years later
Secondary Outcomes (2)
safety as assessed by adverse events, vital sign, lab tests, ECG and physical examination
from the first study treatment to the 30 days after the last treatment (on an average of 6 months from the start treatment)
progression-free survival
tumor assessment will be performed every 6 weeks from starting study treatment to disease progression or 2 years later
Study Arms (2)
TACE plus rAd-p53
EXPERIMENTALTACE plus rAd-p53 artery injection'
TACE
ACTIVE COMPARATORTACE will be applied alone
Interventions
Trans-catheter chemo-embolization (TACE) with rAd-p53 injection will be given every 21 days
Trans-catheter chemo-embolization (TACE) without rAd-p53 injection will be given every 21 days
Eligibility Criteria
You may qualify if:
- histopathologically diagnosed HCC;
- unresectable;
- over 18 years old;
- with an Eastern Cooperative Oncology Group (ECOG) score of 0-2;
- with Barcelona Clinic Liver Cancer (BCLC) Stage of B or C;
- with Child-Pugh score A or B;
- with normal tests of hemogram, blood coagulation, liver and kidney function; 8. signed the informed consent form.
You may not qualify if:
- Serious blood coagulation disorder, bleeding tendency, platelet \< 6 \* 1000000000/L;
- have serious heart, lung function abnormalities or severe diabetes patients;
- active infection;
- liver function Child-Pugh grade C;
- secondary and diffuse hepatocellular carcinoma patients;
- extensive metastasis;
- severe atherosclerosis;
- AIDS patients;
- serious thrombotic or embolic events within 6 months;
- renal insufficiency requiring hemodialysis or peritoneal dialysis;
- \. pregnant or lactating women;
- \. mental disorder or disease.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Xijing Hospital of the Fourth Military Medical University
Xi’an, Shanxi, 710032, China
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 25, 2015
First Posted
April 17, 2015
Study Start
July 1, 2014
Primary Completion
May 1, 2017
Study Completion
December 1, 2017
Last Updated
April 17, 2015
Record last verified: 2015-03