Status:

UNKNOWN

Adjuvant Therapy of Gefitinib (Iressa, ZD1839) in Patients With Resectable Hepatocellular Carcinoma

Lead Sponsor:

Tan Tock Seng Hospital

Collaborating Sponsors:

Singapore Cancer Syndicate.

AstraZeneca

Conditions:

Liver Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

This research is being done to find how soon the liver cancer may come back and whether proteins or genes in tumor, blood or urine can give us clues of early recurrence.

Detailed Description

Hepatocellular carcinoma (HCC) is one of the most common cancers in the world1. HCC risk increases drastically in patients with chronic hepatitis B infection, hepatitis C infection or liver cirrhosis....

Eligibility Criteria

Inclusion

  • Pathologically newly diagnosis HCC, which is deemed resectable and resected.
  • Patient has to start gefitinib within 6 weeks of hepatic resection with full recovery.
  • Patients with positive resection margin or minimal residual disease (\<0.5 cm) are also eligible.
  • ECOG performance status (PS) 0, 1 or 2
  • Patient must recover fully from hepatic resection ANC \> 1,500/uL SGOT \< 5 x UNL (upper normal limits) Plt \> 75,000/uL Bilirubin \< 2 x UNL Serum albumin ≥ 2.5g/dL
  • Creatinine \< 1.5 mg/dl or 125 u/L, alpha fetoprotein \< 50 ug/L
  • Signed informed consent
  • Age \> 18
  • No space occupying lesion on CT scan of the liver i.e. normal CT scan post-resection. Small lesion in the liver after resection can be ablated by alcohol injection or radio frequency ablation and can make patient eligible.
  • Negative pregnancy test of the blood within 7 days of starting treatment in female patient of childbearing potential.
  • No prior systemic therapy or I131 or chemoembolization treatment after surgery.
  • Can take or swallow medication orally i.e. no chronic or persistent nausea and vomiting
  • No other malignancy except for adequately treated basal cell or squamous cell skin cancer or cervical cancer in-situ.
  • No active infection, symptomatic CHF, unstable angina, uncontrolled cardiac arrhythmia and psychiatric disorder.
  • No concomitant medications such as phenytoin, carbamazepine, rifampicin, barbiturates, ketoconazole and itraconazole, which are potent inducers of CYP3A4 or potent inhibitors of CYP3A4.
  • Patient is not taking St. John's Wort.

Exclusion

  • \-

Key Trial Info

Start Date :

December 1 2005

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2019

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT00282100

Start Date

December 1 2005

End Date

September 1 2019

Last Update

April 16 2019

Active Locations (1)

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1

Tan Tock Seng Hospital

Singapore, Singapore, 308433