UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000030718
Receipt number R000035059
Scientific Title Combination of molecularly-targeted therapy with stereotactic body radiotherapy in hepatocellular carcinoma with major vascular invasion
Date of disclosure of the study information 2018/01/09
Last modified on 2021/01/09 14:04:03

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Basic information

Public title

Combination of molecularly-targeted therapy with stereotactic body radiotherapy in hepatocellular carcinoma with major vascular invasion

Acronym

Combination of molecularly-targeted therapy with SBRT in HCC with MVI

Scientific Title

Combination of molecularly-targeted therapy with stereotactic body radiotherapy in hepatocellular carcinoma with major vascular invasion

Scientific Title:Acronym

Combination of molecularly-targeted therapy with SBRT in HCC with MVI

Region

Japan


Condition

Condition

Hepatocellular carcinoma with major vascular invasion

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 safety and efficacy of the novel combination therapy of molecularly-targeted therapy with SBRT in patients having HCC with MVI.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Safety; occurrence rate of adverse events, occurrence rate of adverse events of grade 3 or more.

Key secondary outcomes

Efficacy; overall survival rate, progression-free survival, response rate, disease control rate


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 Other

Interventions/Control_1

1) Stereotactic body radiotherapy, 48Gy/4Fr toward the portion of vascular invasion of the tumor.
2) Seven to 28 days after radiotherapy, the molecularly-targeted agent is started.
The sorts of molecularly-targeted agents, that can be selected for this study, are sorafenib (at a dose of 800 mg daily), regorafenib (at a dose of 160 mg daily for the first 3 weeks of each 4-week cycle) or lenvatinib (at a dose of 120 mg daily in patients of body weight of 60 kg or more, or 80 mg daily in patients of body weight of less than 60 kg). The treatment interruption and dose reduction are allowed to manage drug toxicity.

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

The eligible subject must;
1) Be able to provide written informed consent from the subject person.
2) Have no previous molecularly-targeted therapies or systemic chemotherapies.
3) Have an ECOG-PS 0 or 1.
4) Have the liver function of a Child-Pugh class A (5-6 points), or Child-Pugh score 7 points with serum albumin of 3.0-3.5 g/dl and prothrombin time of 60-70%.
5) Fulfill the following the values of laboratory testings within 14 days prior to the trial registration.
Neutrophils > 1500/mm^3, Hemoglobin > 8.5 g/dl, Platelets > 60000/mm^3, AST < x5 ULN, ALT < x5 ULN, Serum creatinine < 1.3 mg/dl, Creatinine clearance < 60 ml/min.
6) Received no treatments for HCC within 28 days prior to the trial registration.
7) Have a predicted life expentancy of 8 weeks or more.

Key exclusion criteria

The subject must be excluded if the subject;
1) Has the hepatic encephalopathy
2) Has the uncontrollable hypertension, heart failure, ischemic heart disease or arrhythmia.
3) Has had the acute myocardial infarction in the last 6 months.
4) Has the synchronous malignancies of other organs, or has had the metachronous ones in the last 2 years.
5) Has the serious psychiatric disorder or a serious decline in cognitive function.
6) Is pregnant or breastfeeding, or a female expecting to conceive a child.
7) Is judged to be inappropriate for the entry of this trial in the opinion of the treating investigator.

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Kazuyoshi
Middle name
Last name Ohkawa

Organization

Osaka International Cancer Institute

Division name

Department of Hepatobiliary and Pancreatic Oncology

Zip code

5418567

Address

3-1-69, Otemae, Chuo-ku, Osaka, Japan

TEL

81-6-6945-1181

Email

kazuyoshi.ohkawa@oici.jp


Public contact

Name of contact person

1st name Kazuyoshi
Middle name
Last name Ohkawa

Organization

Osaka International Cancer Institute

Division name

Department of Hepatobiliary and Pancreatic Oncology

Zip code

5418567

Address

3-1-69, Otemae, Chuo-ku, Osaka, Japan

TEL

81-6-6945-1181

Homepage URL


Email

kazuyoshi.ohkawa@oici.jp


Sponsor or person

Institute

Osaka International Cancer Institute

Institute

Department

Personal name



Funding Source

Organization

Osaka International Cancer Institute

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Osaka International Cancer Institute

Address

3-1-69, Otemae, Chuo-ku, Osaka, Japan

Tel

0669451181

Email

kazuyoshi.ohkawa@oici.jp


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

2018 Year 01 Month 09 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

Open public recruiting

Date of protocol fixation

2017 Year 11 Month 01 Day

Date of IRB

2017 Year 09 Month 07 Day

Anticipated trial start date

2018 Year 01 Month 09 Day

Last follow-up date

2023 Year 12 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

2018 Year 01 Month 07 Day

Last modified on

2021 Year 01 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000035059


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name