Actively Recruiting

Phase 3
Age: 18Years +
All Genders
NCT05201404

Namodenoson in the Treatment of Advanced Hepatocellular Carcinoma in Patients With Child-Pugh Class B7 Cirrhosis

Led by Can-Fite BioPharma · Updated on 2025-04-29

471

Participants Needed

32

Research Sites

185 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This is a clinical trial in patients with advanced hepatocellular carcinoma (HCC) and Child-Pugh Class B7 (CPB7) cirrhosis whose disease has progressed on at least 1st-line therapy. The trial will evaluate the efficacy and safety of namodenoson as compared to placebo.

CONDITIONS

Official Title

Namodenoson in the Treatment of Advanced Hepatocellular Carcinoma in Patients With Child-Pugh Class B7 Cirrhosis

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Male or female aged 18 years or older
  • Diagnosis of hepatocellular carcinoma confirmed by biopsy or guidelines
  • Advanced HCC that is treatment-resistant or metastatic
  • Disease progression after 1 to 2 prior systemic treatments
  • Barcelona Clinic Liver Cancer Stage B or C
  • Prior HCC treatments stopped at least 2 weeks before baseline
  • Measurable disease per RECIST v1.1 criteria
  • ECOG performance status of 0 or 1
  • Cirrhosis classified as Child-Pugh Class B7 with ascites Grade 2 or higher if used for scoring
  • Laboratory values within 10 days before first dose: ANC ≥ 1.5 x 10^9/L, platelets ≥ 75 x 10^9/L, creatinine clearance ≥ 50 mg/dL, AST and ALT ≤ 5 times upper limit of normal, total bilirubin ≤ 3.0 mg/dL, serum albumin ≥ 2.8 g/dL
  • Life expectancy of at least 6 weeks
  • Negative pregnancy test for women of childbearing potential
  • Ability to provide written informed consent
  • Willingness to comply with study visits, treatments, and assessments
Not Eligible

You will not qualify if you...

  • More than 2 prior systemic drug therapies for HCC
  • Systemic cancer therapy, immunosuppressive therapy, or corticosteroids > 20 mg/day prednisone equivalent within 14 days before baseline or during the trial
  • Locoregional treatment within 4 weeks before baseline
  • Major surgery or radiation therapy within 4 weeks before baseline
  • Use of investigational agents within 4 weeks before baseline
  • Concurrent use of certain drug inhibitors/substrates with narrow therapeutic index unless timing separated by 3 hours
  • Child-Pugh Class A, B8/9, or C cirrhosis
  • Hepatic encephalopathy
  • Recent gastrointestinal bleeding requiring transfusion within 4 weeks
  • Uncontrolled thyroid disease
  • Active infections requiring systemic therapy or intervention
  • Known HIV/AIDS-related illness
  • History of liver transplant
  • Active cancers other than HCC
  • Uncontrolled hypertension or severe heart failure
  • Recent serious cardiac events within 3 months
  • History of cardiac arrhythmias requiring treatment or prolonged QTc interval
  • Pregnant or breastfeeding women
  • Women of childbearing potential not agreeing to effective contraception
  • Men with partners of childbearing potential not agreeing to effective contraception during and 3 months after the study
  • Any severe medical or psychiatric condition or lab abnormality that increases risk or interferes with study participation or results interpretation

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 32 locations

1

Site 881

Dallas, Texas, United States, 75201

Not Yet Recruiting

2

841 University Clinical Centre of Republic of Srpska

Banja Luka, Bosnia and Herzegovina

Not Yet Recruiting

3

843 University Clinical Hospital Mostar

Mostar, Bosnia and Herzegovina

Not Yet Recruiting

4

842 University Clinical Centre Sarajevo

Sarajevo, Bosnia and Herzegovina

Not Yet Recruiting

5

831 Dept of Medical Oncology, Complex Oncology Ctr - Burgas EOOD

Burgas, Bulgaria

Not Yet Recruiting

6

835 First Department of Medical Oncology, Gastroenterology and Pulmology, Complex Oncology Center - Plovdiv EOOD, Plovdiv

Plovdiv, Bulgaria

Not Yet Recruiting

7

Medical Center Leo Clinic EOOD Plovdiv

Plovdiv, Bulgaria

Not Yet Recruiting

8

834 Medical Oncology Dept, Univ Multiprofile Hospital for Active Treatment "Sv. Ivan Rilski" EAD, Sofia

Sofia, Bulgaria

Actively Recruiting

9

518 Rabin Medical Center Beilinson Hospital

Petah Tikva, Israel

Actively Recruiting

10

872 IMSP Institute of Oncology

Chisinau, Moldova

Actively Recruiting

11

Site 858

Koszalin, Poland

Not Yet Recruiting

12

Site 852

Krakow, Poland

Not Yet Recruiting

13

Site 857

Mysłowice, Poland

Not Yet Recruiting

14

Site 859

Przemyśl, Poland

Not Yet Recruiting

15

Site 855

Warsaw, Poland

Not Yet Recruiting

16

Site 850

Wroclaw, Poland

Not Yet Recruiting

17

802 Institutul Regional de Gastroenterologie si Hepatologie

Cluj-Napoca, Romania

Actively Recruiting

18

807 IOCN, Medical Oncology

Cluj-Napoca, Romania

Not Yet Recruiting

19

809 Spitalul Clinic Judetean de Urgenta Constanta Oncology Dept

Constanța, Romania

Not Yet Recruiting

20

801 Oncology Center "Sf. Nectarie" Medical Oncology

Craiova, Romania

Actively Recruiting

21

803 Oncolab SRL

Craiova, Romania

Actively Recruiting

22

805 Euroclinic lasi

Iași, Romania

Actively Recruiting

23

810 IRO Iasi-Clinica Oncologie Medicala

Iași, Romania

Actively Recruiting

24

808 Spitalul Clinic Pelican Oradea Oncology Department

Oradea, Romania

Actively Recruiting

25

804 Oncomed - Medical Oncology

Timișoara, Romania

Actively Recruiting

26

806 Oncocenter Oncologie Clinica SRL

Timișoara, Romania

Actively Recruiting

27

821 Clinic for Gastroenterology and Hepatology, Military Medical Academy

Belgrade, Serbia

Not Yet Recruiting

28

822 Oncology Institute of Vojvodina

Kamenitz, Serbia

Not Yet Recruiting

29

823 Oncology Department, Health Center Kladovo

Kladovo, Serbia

Not Yet Recruiting

30

824 Univ Clin Centre Kragujevac, Dept of Oncology

Kragujevac, Serbia

Not Yet Recruiting

31

Site 867

Banská Bystrica, Slovakia

Not Yet Recruiting

32

Site 865

Košice, Slovakia

Not Yet Recruiting

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Research Team

Z

Zivit Harpaz

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Namodenoson in the Treatment of Advanced Hepatocellular Carcinoma in Patients With Child-Pugh Class B7 Cirrhosis | DecenTrialz