UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000004313
Receipt number R000005049
Scientific Title A phase 1 study of 5-FU and sorafenib combination therapy in patients with hepatocellular carcinoma. Non-blind dosage gradual increase study
Date of disclosure of the study information 2010/10/03
Last modified on 2020/07/13 11:46:44

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

A phase 1 study of 5-FU and sorafenib combination therapy in patients with hepatocellular carcinoma.
Non-blind dosage gradual increase study

Acronym

A phase 1 study of 5-FU and sorafenib combination therapy in patients with hepatocellular carcinoma.
Non-blind dosage gradual increase study

Scientific Title

A phase 1 study of 5-FU and sorafenib combination therapy in patients with hepatocellular carcinoma.
Non-blind dosage gradual increase study

Scientific Title:Acronym

A phase 1 study of 5-FU and sorafenib combination therapy in patients with hepatocellular carcinoma.
Non-blind dosage gradual increase study

Region

Japan


Condition

Condition

Hepatocellular carcinoma

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To determine maximum tolerated dose(MTD) and recommended dose(RD) of combination therapy of 5-FU and sorafenib in patients with hepatocellular carcinoma unresectable and unsuitable for local therapy.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase I


Assessment

Primary outcomes

occurrence of dose limiting toxicity

Key secondary outcomes

Adversed events
Objective tumor response
Change of tumor markers


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

The combination therapy of continuous intravenous infusion of 5-FU and sorafenib

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) Age >= 20 years at informed consent.
2) Patients diagnosed with hepatocellular carcinoma by histologycally or clinically (with diagnostic imaging and tumor makers), and No indication for surgical resection, local therapy.
3) Patients who have target lesions that can be measured with imaging CT or imaging MRI.
At least one or more target regions are there that have no local therapy (surgery, radiation therapy, transarterial chemoembolization, transcatheter arterial infusion, radiofrequency ablation, percutaneous ethanol injection etc.).
Regions are evaluated measurable judged to be progress after any local therapy.
4) No carry-over effect or adverse drug reaction of prior treatments.
Make following intervals from previous treatments; 2 weeks from a surgery and percutaneous local therapy, 4 weeks from transarterial chemoembolization, transcatheter arterial infusion and radiations.
5) Child-pugh A
6) Performance status (ECOG scale):0 or 1
7) The function of the major organ is kept as satisfied by the following requirement.
Within 14 days before study entry,
Neutrophil >= 1,500/microL
Platelets >= 50,000/microL
Hemoglobin >= 10g/dL
Total bilirubin < 2.0mg/dL
AST or ALT <= 5 *Upper limit of Normal(ULN)
Cr <= 1.5 *ULN
8) Patients are considered to keeping procedure of this study such as visit, compliance, having laboratory tests.
9) Patients with written informed consent it was based on the full understanding and free will of themselves after having detailed explanations of the study.

Key exclusion criteria

11) Treatment with sorafenib or other molecular target drugs in past.
2) Any systemic chemotherapy in past.
3) Patients with ascites possessed clinical meaning. (Requiring drainage)
4) After liver transplantation
5) Esophageal varices with bleeding risk
6) Within 12 months before study entry, following events were happened; acute myocardial infarction, unstable angina, heart failure, cerebrovascular diseases.
7) Hepatic Encephalopathy. (Including as a previous disease)
8) Brain tumors.
9) Hemodialysis.
10) Gastrointestinal bleeding was happened within 1 month before study entry.
11) Active second primary malignancies.
12) Treating with CYP3A4 inducing agents.
(rifampicin, phenobarbital, phenytoin, carbamazepine, dexamethasone etc.)
13) Patients with following complications; Arrhythmias coming under Grade2 or more of NCI CTCAE v4.0, uncontrolled hypertension
14) Contraindication of 5-FU and sorafenib
15) Patient with taking herbal medicine approved as a treatment of cancer. (shosaikoto, etc.)
16) Patients with infection of human immunodeficiency virus (HIV) or acquired immune deficiency syndrome (AIDS) related diseases.
17) Any patients are considered unsuitable to participate in the study.

Target sample size

18


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Mitsuru Nakanishi

Organization

Hokkaido University Hospital

Division name

The Third Department of Internal Medicine(Gastroenterology and Hematology)

Zip code


Address

Kita 14,Nishi 5, Kita-ku, Sapporo, Japan

TEL

011-716-1161(5920)

Email



Public contact

Name of contact person

1st name
Middle name
Last name Mitsuru Nakanishi

Organization

Hokkaido University Hospital

Division name

The Third Department of Internal Medicine(Gastroenterology and Hematology)

Zip code


Address

Kita 14,Nishi 5, Kita-ku, Sapporo, Japan

TEL

011-716-1161(5920)

Homepage URL


Email



Sponsor or person

Institute

Hokkaido University Hospital

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

Sapporo city general hospital
Hokkaido Gastroenterology Hospital
Hospital Hakodate Hokkaido

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

北海道大学病院(北海道)


Other administrative information

Date of disclosure of the study information

2010 Year 10 Month 03 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

0

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

2010 Year 07 Month 26 Day

Date of IRB

2010 Year 09 Month 01 Day

Anticipated trial start date

2010 Year 09 Month 01 Day

Last follow-up date

2020 Year 07 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2010 Year 10 Month 02 Day

Last modified on

2020 Year 07 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005049


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name