NCT03468231

Brief Summary

The purpose of this study is to evaluate the efficacy and safety of hepatic arterial infusion chemotherapy (HAIC) of oxaliplatin plus fluorouracil/leucovorin compared with HAIC of oxaliplatin alone in patients with hepatocellular carcinoma (HCC) with major portal venous tumor thrombus (PVTT).

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
300

participants targeted

Target at P50-P75 for phase_3 hepatocellular-carcinoma

Timeline
Completed

Started Mar 2018

Shorter than P25 for phase_3 hepatocellular-carcinoma

Geographic Reach
1 country

7 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 9, 2018

Completed
2 days until next milestone

First Submitted

Initial submission to the registry

March 11, 2018

Completed
5 days until next milestone

First Posted

Study publicly available on registry

March 16, 2018

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 9, 2019

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 9, 2020

Completed
Last Updated

March 16, 2018

Status Verified

March 1, 2018

Enrollment Period

1.5 years

First QC Date

March 11, 2018

Last Update Submit

March 11, 2018

Conditions

Keywords

Hepatocellular CarcinomaHepatic arterial infusion chemotherapySorafenibOxaliplatin plus Fluorouracil/LeucovorinOxaliplatin

Outcome Measures

Primary Outcomes (1)

  • Overall survival

    Overall survival

    10 months

Secondary Outcomes (4)

  • Progress free survival

    10 months

  • Adverse Events

    30 days

  • Number of of Patients developed Adverse Events

    30 days

  • Tumor response

    10 months

Study Arms (2)

Sorafenib plus HAIC of FOLFOX

ACTIVE COMPARATOR

Sorafenib combined with Hepatic arterial infusion chemotherapy with Oxaliplatin, Fluorouracil and Leucovorin

Drug: SorafenibDrug: HAIC of FOLFOX

Sorafenbi plus HAIC of OXA

EXPERIMENTAL

Sorafenib combined with Hepatic arterial infusion chemotherapy with Oxaliplatin

Drug: SorafenibDrug: HAIC of OXA

Interventions

Oral Sorafenib, 400mg, Bid

Sorafenbi plus HAIC of OXASorafenib plus HAIC of FOLFOX

administration of Oxaliplatin , fluorouracil, and leucovorin via the tumor feeding arteries

Also known as: Oxaliplatin , fluorouracil, and leucovorin
Sorafenib plus HAIC of FOLFOX

administration of Oxaliplatin via the tumor feeding arteries

Also known as: Oxaliplatin
Sorafenbi plus HAIC of OXA

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • The diagnosis of HCC was based on the diagnostic criteria for HCC used by the European Association for the Study of the Liver (EASL)
  • Patients must have at least one tumor lesion that can be accurately measured according to EASL criteria.
  • diagnosed with major or main portal vein invasion (Vp3 or Vp4)
  • KPS≥70;
  • with no previous treatment
  • No Cirrhosis or cirrhotic status of Child-Pugh class A only
  • Not amendable to surgical resection ,local ablative therapy and any other cured treatment.
  • The following laboratory parameters:
  • Platelet count ≥ 75,000/µL
  • Hemoglobin ≥ 8.5 g/dL
  • Total bilirubin ≤ 30mmol/L
  • Serum albumin ≥ 30 g/L
  • ASL and AST ≤ 5 x upper limit of normal
  • Serum creatinine ≤ 1.5 x upper limit of normal
  • INR ≤ 1.5 or PT/APTT within normal limits
  • +2 more criteria

You may not qualify if:

  • Evidence of hepatic decompensation including ascites, gastrointestinal bleeding or hepatic encephalopathy
  • Known history of HIV
  • History of organ allograft
  • Known or suspected allergy to the investigational agents or any agent given in association with this trial.
  • Cardiac ventricular arrhythmias requiring anti-arrhythmic therapy
  • Evidence of bleeding diathesis.
  • Patients with clinically significant gastrointestinal bleeding within 30 days prior to study entry.
  • Any other hemorrhage/bleeding event \> CTCAE Grade 3 within 4 weeks of first dose of study drug
  • Serious non-healing wound, ulcer, or bone fracture
  • Known central nervous system tumors including metastatic brain disease

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (7)

Dongguan People's Hospital

Dongguan, Guangdong, 523059, China

RECRUITING

Cancer Center Sun Yat-sen University

Guangzhou, Guangdong, 510060, China

RECRUITING

The First Affiliated Hospital, Sun Yat-sen University

Guangzhou, Guangdong, 510060, China

RECRUITING

Guangzhou Twelfth People 's Hospital

Guangzhou, Guangdong, 510620, China

RECRUITING

Kaiping Central Hospital

Kaiping, Guangdong, 529300, China

RECRUITING

First Affiliated Hospital of University Of South China

Hengyang, Hunan, 421001, China

RECRUITING

The First Affiliated Hospital Of Xi'an Jiaotong University

Xi’an, Shanxi, 710061, China

RECRUITING

MeSH Terms

Conditions

Carcinoma, Hepatocellular

Interventions

SorafenibOxaliplatinFluorouracilLeucovorin

Condition Hierarchy (Ancestors)

AdenocarcinomaCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsLiver NeoplasmsDigestive System NeoplasmsNeoplasms by SiteDigestive System DiseasesLiver Diseases

Intervention Hierarchy (Ancestors)

Phenylurea CompoundsUreaAmidesOrganic ChemicalsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsNiacinamideNicotinic AcidsAcids, HeterocyclicHeterocyclic CompoundsPyridinesHeterocyclic Compounds, 1-RingCoordination ComplexesUracilPyrimidinonesPyrimidinesFormyltetrahydrofolatesTetrahydrofolatesFolic AcidPterinsPteridinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingCoenzymesEnzymes and Coenzymes

Study Officials

  • Ming Shi, MD

    The Department of Hepatobiliary Oncology of Sun Yat-sen University Cancer Center

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
Masking Details
In the OXA group, saline replace the fluorouracil and leucovorin solution and patients are treated the same time as the FOLFOX group.
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

March 11, 2018

First Posted

March 16, 2018

Study Start

March 9, 2018

Primary Completion

September 9, 2019

Study Completion

March 9, 2020

Last Updated

March 16, 2018

Record last verified: 2018-03

Locations