Status:

UNKNOWN

Combination Chemotherapy and Interferon Alfa-2b in Treating Patients With Nonmetastatic Liver Cancer That Cannot Be Removed by Surgery

Lead Sponsor:

National Cancer Centre, Singapore

Conditions:

Liver Cancer

Eligibility:

All Genders

16-75 years

Phase:

PHASE2

Brief Summary

RATIONALE: Drugs used in chemotherapy, such as oxaliplatin, doxorubicin, and fluorouracil, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them fro...

Detailed Description

OBJECTIVES: Primary * Determine the response rate in patients with unresectable, nonmetastatic hepatocellular carcinoma treated with neoadjuvant oxaliplatin, doxorubicin hydrochloride, fluorouracil,...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Histologically or cytologically confirmed hepatocellular carcinoma
  • Advanced, unresectable, nonmetastatic disease
  • Multifocal disease within the same lobe of the liver allowed
  • Measurable disease, defined as ≥ 1 unidimensionally measurable lesion ≥ 20 mm by conventional techniques or ≥ 10 mm by spiral CT scan
  • No intractable ascites that cannot be controlled by medical therapy
  • No extrahepatic metastases
  • PATIENT CHARACTERISTICS:
  • ECOG performance status 0-2
  • Life expectancy \> 3 months
  • WBC ≥ 3,000/mm³
  • ANC ≥ 1,500/mm³
  • Platelet count ≥ 100,000/mm³
  • Hemoglobin ≥ 9 g/dL
  • Bilirubin ≤ 2.9 mg/dL
  • AST and ALT ≤ 5 times upper reference range (URR)
  • Albumin \> 30 g/L
  • Creatinine ≤ 1.5 times URR
  • Creatinine clearance \> 50 mL/min
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 6 months after completion of study therapy
  • No other prior malignancy except nonmelanoma skin cancer or carcinoma in situ of the cervix
  • No concurrent substantial medical illness, such as cardiac or renal disease
  • MUGA heart study normal
  • No history of allergic reactions attributed to compounds of similar chemical or biological composition used in the study
  • No history of autoimmune disease
  • No thyroid dysfunction
  • No active hepatitis B or C flare or chronic active hepatitis
  • Hepatitis B surface antigen (HBsAg) status known
  • If HBsAg is negative, anti-HBc antibodies should be tested; if anti-HBc is positive, then hepatitis B virus (HBV) DNA detection should be performed to discern presence of mutant HBV carriage
  • No alcohol or drug abuse
  • No concurrent uncontrolled illness including, but not limited to, any of the following:
  • Ongoing or active infection
  • Symptomatic congestive heart failure
  • Unstable angina pectoris
  • Cardiac arrhythmia
  • No psychiatric illness or social situation that would preclude study compliance
  • Patients with a history of depression or psychiatric disorders are ineligible
  • PRIOR CONCURRENT THERAPY:
  • No prior chemotherapy and/or radiotherapy
  • No other concurrent investigational agents

Exclusion

    Key Trial Info

    Start Date :

    March 1 2007

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    Estimated Enrollment :

    54 Patients enrolled

    Trial Details

    Trial ID

    NCT00471484

    Start Date

    March 1 2007

    Last Update

    June 22 2011

    Active Locations (1)

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    National Cancer Centre - Singapore

    Singapore, Singapore, 169610