Bortezomib in Intrahepatic Cholangiocellular Carcinoma
Study Details
Study Description
Brief Summary
This study evaluates the efficacy and safety of second-line treatment of bortezomib in advanced intrahepatic cholangiocarcinoma patients.Half of participants will receive bortezomib while the other half will receive best supporting care.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 3 |
Detailed Description
There's no standard second-line treatment for advanced intrahepatic cholangiocarcinoma patients.
Previous study indicated high mutation/deletion rate of PTEN gene in intrahepatic cholangiocarcinoma and poor prognosis of those patients with PTEN mutation/deletion. The investigators also found that the activity of proteasomes elevated in cholangiocarcinoma cells with PTEN mutation/deletion.
So the investigators suppose proteasomes inhibitor could improve prognosis of intrahepatic cholangiocarcinoma patients with PTEN mutation/deletion
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Bortezomib treatment 'Bortezomib Injectable Solution |
Drug: Bortezomib
Bortezomib Injectable Solution
Other Names:
|
No Intervention: supportive care supportive care |
Outcome Measures
Primary Outcome Measures
- Objective response rate [at least 2 months]
Objective response rate include response from stable disease to complete response based on RECIST 1.1
Secondary Outcome Measures
- changes of platelet count [7 days]
changes of platelet count after injection of Bortezomib
- occurrence of peripheral neuritis [7 days]
occurrence of any feeling of numbness of limbs
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Patients with a histologic or cytologic diagnosis of intrahepatic cholangiocarcinoma with stage IV;
-
Have progressed after at least 2 cycles of systematic chemotherapy therapy(gemcitabine+cisplatin/gemcitabine+oxaliplatin);
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The previous treatment and the present trial registration must be at least 2 weeks apart, and they must have recovered from any toxicity of a previous treatment;
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Measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST), version 1.1;
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Eastern Cooperative Oncology Group performance score (ECOG): 0-2; Life expectancy of at least 12 weeks;
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Normal liver,kidney and bone marrow function;
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Subjects who understand and voluntarily signed a written informed consent form.
Exclusion Criteria:
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History of other malignancy within 3 years. Patients with central nervous system metastases or brain metastasis
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There is any contraindication to use Bortezomib
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Patients with contraindications (active bleeding, ulcers, intestinal perforation, intestinal obstruction, within 30 days after major surgery, uncontrolled high blood pressure medication, III-IV level cardiac insufficiency, severe liver and kidney dysfunction).
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A previous history of Interstitial pulmonary disease, drug-induced interstitial disease, radiation pneumonitis requiring hormonal therapy or active interstitial lung disease with any clinical evidence.
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Pregnant or lactating women.
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History of radiation within 4 weeks prior to enrollment.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Easter hepatobiliary surgery hospital | Shanghai | Shanghai | China | 200438 |
Sponsors and Collaborators
- Zhengang Yuan
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- EHBH-201708