Status:

COMPLETED

Study of GC33 and Sorafenib in Combination in Advanced or Metastatic Liver Cancer (Hepatocellular Carcinoma)

Lead Sponsor:

Chugai Pharmaceutical

Collaborating Sponsors:

Hoffmann-La Roche

Conditions:

Hepatocellular Carcinoma

Eligibility:

All Genders

18+ years

Phase:

PHASE1

Brief Summary

This phase I trial is studying the safety and best dose of GC33 and Sorafenib in combination in patients with advanced or metastatic liver cancer.

Detailed Description

This is a Phase I open-label dose escalation study of GC33 in combination with Sorafenib in patients with advanced or metastatic HCC. This study is designed to evaluate safety, tolerability, pharmacok...

Eligibility Criteria

Inclusion

  • Signed written Institutional Review Board/Ethical Committee approved informed consent form.
  • Male or female ≥18 years old.
  • Life expectancy ≥3 months.
  • ECOG Performance Status of 0-1.
  • Histologically confirmed hepatocellular carcinoma.
  • Not a candidate for curative treatments.
  • Child-Pugh A
  • Hematological, Biochemical and Organ Function:
  • AST (SGOT): ≤5.0 × ULN,
  • ALT (SGPT): ≤5.0 × ULN,
  • Total Bilirubin: ≤1.5mg/dL,
  • Platelets: ≥100,000/μL,
  • Absolute Neutrophil Count: ≥1,500/μL,
  • Serum creatinine: ≤2.0 × ULN,
  • PT-INR: ≤2.0
  • Ability to provide a tumor tissue sample either by:
  • A formalin fixed paraffin embedded block sample within 12 months prior to informed consent for HCC diagnosis
  • Undergo a biopsy to confirm HCC diagnosis
  • Measurable disease.

Exclusion

  • Child-Pugh B or C
  • Patient who have taken Sorafenib previously.
  • Difficulty or inability to swallow pills.
  • Pregnant or lactating women or women of child-bearing potential and men of childbearing potential not willing to use effective means of contraception.
  • Patients known to be positive for Human immunodeficiency virus infection.
  • Active infectious diseases requiring treatment except for hepatitis B and C.
  • Other malignancies within the last 5 years.
  • History of transplantation (organ, bone marrow transplantation, Peripheral blood stem cell transplantation, etc.).
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements..
  • Patients with known brain metastases or other central nervous system disease/disorders.
  • Uncontrolled hypertension defined as systolic blood pressure \>150 mmhg or diastolic blood pressure \>90 mmHg, despite optimal medical management.
  • Non-tumor related thrombolic or embolic events such as a cerebrovascular accident including transient ischemic attacks within the past 6 months.
  • Pulmonary hemorrhage/bleeding event ≥ CTCAE Grade 3, any other hemorrhage/bleeding event ≥ CTCAE Grade 4 within 4 weeks of first dose of study drug.
  • Serious non-healing wound, ulcer, or bone fracture.
  • Patients who received major surgery, local therapy for HCC, chemotherapy, radiotherapy, hormone-therapy, immunotherapy, or another investigational drug within 4 weeks prior to Day 1(6 weeks for nitrosoureas, mitomycin, and bevacizumab; 1 week for tumor biopsy).
  • Patients who received the following treatments within 2 weeks prior to Day 1:
  • Anticoagulant or thrombolytic agents for therapeutic purposes,
  • Systemic anti-viral therapy for hepatitis C and Interferon therapy for hepatitis B,
  • Blood transfusion including all blood products
  • Known history of hypersensitivity to similar agents.
  • Patients receiving any medications or substances that are inducers of CYP3A4 are ineligible: rifampin, St. John's wort, phenytoin, carbamazepine, phenobarbital and dexamethasone.
  • Any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol requirements and/or follow-up procedures; those conditions should be discussed with the patient before trial entry.

Key Trial Info

Start Date :

September 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 1 2014

Estimated Enrollment :

42 Patients enrolled

Trial Details

Trial ID

NCT00976170

Start Date

September 1 2009

End Date

September 1 2014

Last Update

October 3 2014

Active Locations (7)

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Page 1 of 2 (7 locations)

1

California Pacific Medical Center

San Francisco, California, United States, 94115

2

University of Miami

Miami, Florida, United States

3

Memorial Sloan-Kettering Cancer Center

New York, New York, United States

4

University of North Carolina

Chapel Hill, North Carolina, United States