UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000000487
Receipt number R000000591
Scientific Title Phase I/II trial of hepatic arterial infusion of FMP therapy for advanced hepatocellular carcinoma
Date of disclosure of the study information 2006/09/12
Last modified on 2010/09/13 00:40:32

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Basic information

Public title

Phase I/II trial of hepatic arterial infusion of FMP therapy for advanced hepatocellular carcinoma

Acronym

Hepatic arterial infusion of FMP therapy for advanced hepatocellular carcinoma

Scientific Title

Phase I/II trial of hepatic arterial infusion of FMP therapy for advanced hepatocellular carcinoma

Scientific Title:Acronym

Hepatic arterial infusion of FMP therapy for advanced hepatocellular carcinoma

Region

Japan


Condition

Condition

advanced hepatocellular carcinoma

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to investigate the maximum-tolerated dose and the recommended dose based on the frequency of dose-limiting toxicities of continuous intraarterial infusion of 5-fluorouracil, mitoxantrone and cisplatin (FMP therapy) in a phase I, and to evaluate the efficacy and toxicity of FMP therapy at the recommended dose for advanced hepatocellular carcinoma in a phase II.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase I,II


Assessment

Primary outcomes

Phase I:
frequency of dose-limiting toxicities
Phase II:
response rate and adverse events at the recommended dose

Key secondary outcomes

Progression free survival, overall survival


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

FMP therapy:
The therapy consists of intraarterial administration of cisplatin and mitoxantrone on day 1, and continuous intraarterial infusion of 5-fluorouracil on days 1 through 5. The treatment is repeated every four weeks for a maximum of six courses if there is no evidence of tumor progression or unacceptable toxicity.
Dosage level[5-fluorouracil, mitoxantrone, cisplatin (mg/m2)]
Level -1 [300, 4, 50]
Level 0 [300, 4, 60]
Level 1 [400, 4, 60]
Level 2 [400, 6, 60]
Level 3 [500, 6, 60]

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Advanced hepatocellular carcinoma with confirmation of histological examination or typical computed tomographic(CT), angiographic findings and elevated serum alpha-fetoprotein levels
2) No indication for surgical resection, local ablation, and transcatheter arterial embolization
3) Measurable disease
4) Aged 20 years or over
5) An Eastern Cooperative Oncology Group performance status of 0-2
6) A hepatic arterial catheter and port system placed and the adequate drug distribution confirmed by CT angiography or MR angiography
7) Sufficient organ function: WBC>=3,000 /mm3, Hb>=9.0 g/dL, PLT>=70,000 /mm3, Child-Pugh grade A or B, T-Bil<=2.0 mg/dL, Albumin>=3.0 g/dL, AST<=200 U/L, ALT<=200 U/L, Creatinine<=1.1 mg/dL, Creatinine clearance>= 60 ml/min
8) Interval of 4 weeks or over between last treatment and present therapy, and no influence of previous treatments
9) Written informed consent

Key exclusion criteria

1) Prior chemotherapy with 5-fluorouracil, mitoxantrone, and cisplatin for hepatocellular carcinoma
2) Refractory pleural effusion or ascites
3) Allergic reaction to iodine contrast material
4) Severe heart disease
5) Active infection excluding hepatitis B or C viral infection
6) Active concomitant malignancy
7) Severe mental disorder
8) Severe allergic reaction to drug
9) Severe complication
10) Pregnant and lactating females; females of childbearing age unless using effective contraception

Target sample size

45


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masafumi Ikeda, MD.

Organization

National Cancer Center Hospital

Division name

Hepatobiliary and Pancreatic Oncology Division

Zip code


Address

5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan

TEL

03-3542-2511

Email



Public contact

Name of contact person

1st name
Middle name
Last name Masafumi Ikeda, MD.

Organization

FMP HAI Coordinating Office

Division name

Hepatobiliary and Pancreatic Oncology Division, National Cancer Center Hospital

Zip code


Address

5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan

TEL

03-3542-2511

Homepage URL


Email



Sponsor or person

Institute

Hepatobiliary and Pancreatic Oncology Division, National Cancer Center Hospital

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2006 Year 09 Month 12 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2005 Year 09 Month 22 Day

Date of IRB


Anticipated trial start date

2005 Year 10 Month 01 Day

Last follow-up date

2009 Year 10 Month 01 Day

Date of closure to data entry

2009 Year 12 Month 01 Day

Date trial data considered complete

2009 Year 12 Month 01 Day

Date analysis concluded

2010 Year 06 Month 01 Day


Other

Other related information



Management information

Registered date

2006 Year 09 Month 12 Day

Last modified on

2010 Year 09 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000591


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name