Hepatocellular Carcinoma (HCC) Transarterial Chemoembolisation (TACE) +Axitinib
Study Details
Study Description
Brief Summary
The survival of subjects with unresectable hepatocellular carcinoma (HCC) receiving transarterial chemoembolization is improved with addition of axitinib.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: TACE+Axitinib
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Drug: Axitinib
5 mg daily for 6 cycle with TACE+Axitinib, Axitinib continued until PD.
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Outcome Measures
Primary Outcome Measures
- Two-year survival rate [4 years]
Secondary Outcome Measures
- Overall confirmed objective response rate (ORR) as determined according to modified RECIST. [4 years]
- Disease Control Rate (DCR) [4 Years]
- Duration of Response (DR) [4 years]
- Time to Progression (TTP) [4 years]
- Progression-Free Survival (PFS) [4 years]
- Overall survival (OS) [4 years]
- Type, incidence, severity, timing, seriousness, and relatedness of adverse events and laboratory abnormalities [4 years]
- Quality of Life [4 years]
- Tissue and Serum Biomarkers [4 years]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Histologically confirmed HCC (or fulfilling AASLD criteria for HCC diagnosis in HBsAg positive subjects with cirrhosis in case biopsy is not feasible)
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Disease must not be amenable to potentially curative surgery
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Without prior systemic nor transarterial treatment
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Prior surgery or local therapy is allowed but the target lesion must have not been previously treated
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Child-Pugh stage A liver function
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ECOG performance 0-2
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Life expectancy longer than 12 weeks
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At least one measurable treatment lesion according to modified RECIST criteria
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Adequate haematological, hepatic and renal function
Exclusion Criteria:
- Contra-indications to TACE treatment:
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Main portal vein thrombosis or occlusion
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Evidence of biliary obstruction
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Presence of extra-hepatic disease
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Diffuse-type HCC
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Major surgery <4 weeks or radiation therapy <2 weeks of starting the study treatment.
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Any form of prior transarterial therapy or systemic therapy for HCC.
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Current use or anticipated need for treatment with drugs that are known potent CYP3A4 inhibitors or CYP3A4 or CYP1A2 inducers.
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Requirement of anticoagulant therapy with oral vitamin K antagonists. Low dose anticoagulants for maintenance of patency of central venous access devise or prevention of deep venous thrombosis is allowed. Therapeutic use of low molecular weight heparin is allowed.
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Any haemorrhage or bleeding event of CTCAE Grade 3 or more within 4 week
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Department of Clinical Oncology, Prince of Wales Hospital | Hong Kong | Hong Kong |
Sponsors and Collaborators
- Chinese University of Hong Kong
Investigators
- Principal Investigator: Stephen L Chan, MRCP, Chinese University of Hong Kong
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- HCC028