UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000004316
Receipt number R000005114
Scientific Title Phase II study: Transcatheter Arterial Chemoembolization Therapy In Combination with Sorafenib (TACTICS)
Date of disclosure of the study information 2010/10/04
Last modified on 2023/01/05 10:01:56

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Basic information

Public title

Phase II study: Transcatheter Arterial Chemoembolization Therapy In Combination with Sorafenib (TACTICS)

Acronym

TACTICS

Scientific Title

Phase II study: Transcatheter Arterial Chemoembolization Therapy In Combination with Sorafenib (TACTICS)

Scientific Title:Acronym

TACTICS

Region

Japan


Condition

Condition

HCC

Classification by specialty

Hepato-biliary-pancreatic medicine Radiology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To evaluate the safety and efficacy of the combination therapy with TACE and sorafenib compared to TACE alone in patients with unresectable HCC who are not candidates for surgical resection or percutaneous ablation therapy

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

Time To Untreatable Progression(TTUP)

Key secondary outcomes

Time to Progression(TTP)
Overall survival(OS)
Objective Response Rate(ORR)
Tumor markers
Safety


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Cluster

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine Maneuver

Interventions/Control_1

TACE alone

Interventions/Control_2

TACE with Sorafenib

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) Patients aged 20 Years or over
2) Patients who were fully informed of the study beforehand and signed the informed consent to participate in the study.
3) Patients who are expected to live more than 12 weeks.
4) Patients diagnosed with typical HCC by biopsy,cytology, or diagnostic imaging such as dynamic CT(MRI).Typical HCC is defined by AASLD criteria.
5) Patients in whom complete resection of the tumor by hepatectomy or complete tumor necrosis by local tumor necrosis therapy(RFA) cannot be expected to succeed.
6) Patients with tumors which are confirmed to the liver and can be treated by TACE(the maximum diameter equal to or less than 10cm,and the maximum number of nodule equal to or less than 10).
7) Patients with viable and measurable target lesion.
8) patients with no or one history of TACE therapy.
9) patients with an ECOG PS(Performance Status) Score of 0 or 1.
10) patients with Child-Pugh class A.
11) Patients with laboratory values that meet the following criteria:
a.Hemoglobin >= 8.5 g/dl
b.Granulocytes >= 1500/mm3
c.Platelet count >= 50,000 /mm3
d.Total serum bilirubin =< 3 mg/dl
e.AST and ALT =< 6 times upper limits of normal
f.Serum creatinine =< 1.5 times upper limits of normal

Key exclusion criteria

1) History of malignant tumor
2) Severe cardiac disease
3) Serious and active infection, except for HBV and HCV
4) History of HIV infection
5) Renal dialysis
6) Diffuse tumor lesion
7) Extrahepatic metastasis
8) Vascular invasion
9) Intracranial tumor
10) Preexisting or history of hepatic encephalopathy
11) Clinically uncontrolled ascites or pleural effusion
12) Clinically severe gastrointestinal bleeding within 4 weeks of the start of treatment
13) Esophageal and/or gastric varices which has high risk of bleeding
14) History of thrombosis and/or embolism within 6 months of the start of treatment
15) History of receiving any of the following therapies:
a) Systemic chemotherapy for advanced HCC
b) Local therapy, such as radiofrequency ablation, TACE, or hepatic arterial infusion within 3 months of the start of treatment
c) Current treatment with CYP3A4 inducing agents
d) Invasive surgery within 4 weeks of the start of treatment
e) History of allogenic transplantation
f) History of bone marrow transplant or haemopoietic stem cell transplant within 4 weeks of the start of this study
16) Unable to take oral medications
17) Gastrointestinal problems that may affect absorption or pharmacokinetics of the study drugs
18) Use of drugs that may affect absorption or pharmacokinetics of the study drugs
19) Concurrent disease or disability that may affect evaluation of the effects of the study drugs
20) Enrollment in another study within 4 weeks of study entry
21) Female patients who are pregnant, lactating, possibly pregnant, or planning to become pregnant
22) Risk of allergic reactions to the study drugs
23) Drug abuse or other physical, psychological , or social problems that may interfere with the participation in the study or evaluation of study results
24) Any condition that could jeopardize the safety of the patient or their compliance in the study

Target sample size

228


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masatoshi Kudo

Organization

Kinki University Faculty of Medicine

Division name

Department of Gastroenterology and Hepatology

Zip code


Address

377-2, Oono-Higashi, Osaka-Sayama, Osaka, 589-8511, Japan

TEL

072-366-0221

Email



Public contact

Name of contact person

1st name
Middle name
Last name Kazuomi Ueshima

Organization

Kinki University Faculty of Medicine

Division name

Department of Gastroenterology and Hepatology

Zip code


Address

377-2, Oono-Higashi, Osaka-Sayama, Osaka, 589-8511, Japan

TEL

072-366-0221

Homepage URL


Email

kaz-ues@med.kindai.ac.jp


Sponsor or person

Institute

Japan Liver Oncology Group

Institute

Department

Personal name



Funding Source

Organization

Japan Liver Oncology Group

Organization

Division

Category of Funding Organization

Other

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

2010 Year 10 Month 04 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


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 09 Month 30 Day

Date of IRB

2010 Year 09 Month 30 Day

Anticipated trial start date

2010 Year 10 Month 01 Day

Last follow-up date

2020 Year 07 Month 31 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 03 Day

Last modified on

2023 Year 01 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005114


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name