HAIC With FOLFOX Versus Systemic Chemotherapy With GP for Unresectable ICC
Study Details
Study Description
Brief Summary
The purpose of this study is to evaluate the efficacy and safety of hepatic arterial infusion chemotherapy (HAIC) of oxaliplatin, 5-fluorouracil and leucovorin compared systemic chemotherapy of gemcitabine and cisplatin in patients with unresectable intrahepatic cholangiocarcinoma.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Hepatic artery infusion chemotherapy Participants received hepatic artery infusion chemotherapy of oxaliplatin, 5-fluorouracil and leucovorin |
Drug: oxaliplatin , fluorouracil, and leucovorin
administration of oxaliplatin , fluorouracil, and leucovorin via the tumor feeding arteries
|
Active Comparator: Systemic chemotherapy Participants received systemic chemotherapy of gemcitabine and cisplatin |
Drug: gemcitabine and cisplatin
administration of gemcitabine and cisplatin via vein
|
Outcome Measures
Primary Outcome Measures
- Overall survival [12 months]
OS was defined as the duration from the date of randomization until the date of death from any cause. Participants who were lost to follow-up were censored at the last date the participant was known to be alive, and participants who remained alive were censored at the time of data cutoff.
Secondary Outcome Measures
- Progression free survival [12 months]
PFS was defined as the time from the date of randomization to the date of first documentation of disease progression based on modified Response Evaluation Criteria in Solid Tumors (mRECIST), or date of death, whichever occurred first.
- Time to progression [12 months]
TTP was defined as the time from the date of randomization to the date of first documentation of disease progression based on modified Response Evaluation Criteria in Solid Tumors (mRECIST).
- Number of adverse events. [30 days]
Postoperative adverse events were graded based on CTCAE v4.03
Eligibility Criteria
Criteria
Inclusion Criteria:
-
The diagnosis of ICC
-
Patients must have at least one tumor lesion that can be accurately measured according to mRECIST criteria.
-
With no previous treatment
-
No Cirrhosis or cirrhotic status of Child-Pugh class A only
-
Not amendable to surgical resection ,local ablative therapy and any other cured treatment.
-
Without distant metastasis, but intrahepatic lymph node metastasis is allowed
-
The following laboratory parameters:
Platelet count ≥ 50,000/μL Hemoglobin ≥ 8.5 g/dL Total bilirubin ≤ 30mmol/ L Serum albumin ≥ 32 g/L ASL and AST ≤ 6 x upper limit of normal Serum creatinine ≤ 1.5 x upper limit of normal INR ≤ 1.5 or PT/APTT within normal limits Absolute neutrophil count (ANC) >1,500/mm3
Exclusion Criteria:
-
Evidence of hepatic decompensation including ascites, gastrointestinal bleeding or hepatic encephalopathy
-
Known history of HIV
-
History of organ allograft
-
Known or suspected allergy to the investigational agents or any agent given in association with this trial.
-
Cardiac ventricular arrhythmias requiring anti-arrhythmic therapy
-
Evidence of bleeding diathesis.
-
Patients with clinically significant gastrointestinal bleeding within 30 days prior to study entry.
-
Known central nervous system tumors including metastatic brain disease
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Cancer Center Sun Yat-sen University | Guangzhou | Guangdong | China | 510060 |
Sponsors and Collaborators
- Shi Ming
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- S035B