UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000048296
Receipt number R000054917
Scientific Title Phase II clinical trial to evaluate the safety and efficacy of particle radiotherapy preceded atezolizumab plus bevacizumab treatment in patients with unresectable multiple hepatocellular carcinoma
Date of disclosure of the study information 2022/09/01
Last modified on 2023/07/07 09:07:07

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Basic information

Public title

Phase II clinical trial to evaluate the safety and efficacy of particle radiotherapy preceded atezolizumab plus bevacizumab treatment in patients with unresectable multiple hepatocellular carcinoma

Acronym

Phase II clinical trial to evaluate the safety and efficacy of particle radiotherapy preceded atezolizumab plus bevacizumab treatment in patients with unresectable multiple hepatocellular carcinoma

Scientific Title

Phase II clinical trial to evaluate the safety and efficacy of particle radiotherapy preceded atezolizumab plus bevacizumab treatment in patients with unresectable multiple hepatocellular carcinoma

Scientific Title:Acronym

Phase II clinical trial to evaluate the safety and efficacy of particle radiotherapy preceded atezolizumab plus bevacizumab treatment in patients with unresectable multiple hepatocellular carcinoma

Region

Japan


Condition

Condition

Hepatocellular carcinoma

Classification by specialty

Hepato-biliary-pancreatic medicine Hepato-biliary-pancreatic surgery Radiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the safety and efficacy of particle radiotherapy and atezolizumab plus bevacizumab treatment for unresectable multiple hepatocellular carcinomas in a phase II study.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Progression-free survival

Key secondary outcomes

Adverse event rate
Tumor size reduction rate (irradiated and non-irradiated lesions)
Objective response rate (RECIST)
Overall survival (OS)


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

Atezolizumab plus bevacizumab treatment
Particle radiotherapy

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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. 18 years of age or older at the time of consent
2. PS 0 or 1
3.Child-Pugh Classification A
4. No more than moderate ascites and no
hepatic encephalopathy
5. Hepatocellular carcinoma diagnosed by
imaging or histology
6. Diagnosed as unresectable and the main
lesion is greater than 4 cm in length
7. Intrahepatic lesions meet one of the
following
a. not meeting Up-to-7 criteria
b. portal vein tumor thrombus (Vp2-4)
and/or inferior vena cava tumor
thrombus(Vv2, 3)
8. Multiple intrahepatic lesions which
delivering curative irradiation of
particle therapy deemed impossible.
9. No extrahepatic metastases
10. Patients who have been fully informed
of the details of this study and have
given their free and voluntary written
consent.

Key exclusion criteria

1. Patients with multiple cancers.
Patients with multiple cancers, but no
signs of recurrence for at least 5
years after completion of treatment,
and patients with epithelial cancer or
endoscopically resectable
gastrointestinal cancer within 5 years
of completion of treatment may be
enrolled.
2.Patients with untreated or poorly
treated esophageal and/or gastric
varices with or at high risk of
bleeding. Patients who have undergone
esophagogastroduodenoscopy prior
to enrollment and who have been
evaluated and treated for all varices,
large or small, according to the
institution's standard of care, and who
are judged to have a low risk of
bleeding may be enrolled.
3. Patients who are judged to be
inappropriate to participate in this
study by the principal investigator or
sub-investigator.
4. Patients who are judged to be
inappropriate according to the latest
practice guideline for the use of
atezolizumab/bevacizumab combination
therapy.
5. Other patients deemed inappropriate
by the study investigators

Target sample size

43


Research contact person

Name of lead principal investigator

1st name Takumi
Middle name
Last name Fukumoto

Organization

Kobe University Graduate School of Medicine

Division name

Department of Surgery, Division of Hepato-Biliary-Pancreatic Surgery

Zip code

650-0017

Address

7-5-2 Kusunoki-cho, Chuo-ku, Kobe

TEL

0783826302

Email

fukumoto@med.kobe-u.ac.jp


Public contact

Name of contact person

1st name Shohei
Middle name
Last name Komatsu

Organization

Kobe University Graduate School of Medicine

Division name

Department of Surgery, Division of Hepato-Biliary-Pancreatic Surgery

Zip code

650-0017

Address

7-5-2 Kusunoki-cho, Chuo-ku, Kobe

TEL

0783826302

Homepage URL


Email

komasho8@gmail.com


Sponsor or person

Institute

Kobe University

Institute

Department

Personal name



Funding Source

Organization

Kobe University

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

Kobe University Graduate School of Medicine

Address

7-5-2 Kusunoki-cho, Chuo-ku, Kobe

Tel

0783826302

Email

komasho8@gmail.com


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

2022 Year 09 Month 01 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

2022 Year 07 Month 01 Day

Date of IRB

2023 Year 03 Month 20 Day

Anticipated trial start date

2023 Year 04 Month 01 Day

Last follow-up date

2027 Year 10 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

2022 Year 07 Month 06 Day

Last modified on

2023 Year 07 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000054917


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name