Safety and Efficacy of Radiotherapy Plus Sintilimab for HCC With Portal Vein Tumor Thrombosis
A Pilot Study to Evaluate the Safety and Efficacy of Radiotherapy Plus Sintilimab for Advanced Hepatocellular Carcinoma With Portal Vein Tumor Thrombosis
1 other identifier
interventional
20
1 country
1
Brief Summary
The proposed study is an open-label, single-center, single arm phase 1b study to evaluate the safety and efficacy of radiotherapy plus sintilimab for HCC with PVTT.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1 hepatocellular-carcinoma
Started Nov 2019
Shorter than P25 for phase_1 hepatocellular-carcinoma
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
First Submitted
Initial submission to the registry
September 24, 2019
CompletedFirst Posted
Study publicly available on registry
September 26, 2019
CompletedStudy Start
First participant enrolled
November 25, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 31, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2021
CompletedJuly 7, 2020
July 1, 2020
1.7 years
September 24, 2019
July 5, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Incidence of treatment-emergent adverse events
Safety and tolerability of radiotherapy plus sintilimab based on NCI CTCAE v4.03 and RTOG/EORTC criteria
1 year
Secondary Outcomes (3)
Overall response rate (ORR)
1 year
Progression-free survival (PFS)
2 years
Overall Survival (OS)
2 years
Study Arms (1)
Radiotherapy Plus Sintilimab
EXPERIMENTALHCC Patients will be received radiotherapy and concurrent Sintilimab (PD-1 inhibitor)treatment.
Interventions
Arm 1: The single radiotherapy dose was 200cGy, once a day, and the total dose was 5000cGy. Arm 2: the single dose of radiotherapy was 300 cGy, once a day, and the total dose was 3000 cGy.
Sintilimab is a PD-1 inhibitor, intravenously, at a dose of 200 mg, once every 3 weeks
Eligibility Criteria
You may qualify if:
- Ability to understand and willingness to sign a written informed consent document.
- Locally advanced hepatocellular carcinoma with identified tumor thrombosis of main portal vein or primary branches (left and / or right branches)
- Has at least 1 measurable lesion
- Age ≥18 years
- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
- Adequate organ function
- Child Pugh class A
- Life expectancy ≥12 weeks.
- Antiviral therapy per local standard of care for hepatitis B
- Woman of child bearing potential must have a negative pregnancy test
- Must use acceptable form of birth control while on study
You may not qualify if:
- Has previously been performed by raditotherapy for the area to be treated.
- With extrahepatic metastasis
- History of hepatic encephalopathy or liver transplantation
- Untreated hepatitis infection: HBV DNA\>2000IU/mlor10000 copy/ml, HCV RNA\> 1000copy/ml, both HbsAg and anti-HCV body are positive
- Has liver tumor not amenable to radiotherapy, or has had prior upper abdominal radiation therapy within planned volumes
- Has had esophageal or gastric variceal bleeding within 3 months prior to study enrollment
- With serious systemic diseases such as heart disease and cerebrovascular disease, and the condition is unstable or uncontrollable
- Evidence of active pulmonary tuberculosis (TB)
- Positive test of immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS)
- History of allergic reactions to related drugs
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Beijing Tsinghua Changgung Hospital
Beijing, Beijing Municipality, 102218, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Gong Li, MD
Beijing Tsinghua Changgeng Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 24, 2019
First Posted
September 26, 2019
Study Start
November 25, 2019
Primary Completion
July 31, 2021
Study Completion
December 31, 2021
Last Updated
July 7, 2020
Record last verified: 2020-07