Status:

TERMINATED

Randomized Phase 1/2 Open-Label Trial of PR104 and Sorafenib in Patients With Advanced Hepatocellular Carcinoma (HCC)

Lead Sponsor:

Proacta, Incorporated

Conditions:

Hepatocellular Carcinoma

Eligibility:

All Genders

18+ years

Phase:

PHASE1

PHASE2

Brief Summary

The current understanding of PR104 justifies the evaluation of PR104 with sorafenib in patients with hepatocellular carcinoma. These include: * Hypoxia. Hepatocellular Carcinoma (HCC) is likely to de...

Detailed Description

A randomized phase I/II, multi-center, open-label, study with a single arm phase I portion to determine the appropriate dose of PR104 combined with sorafenib, followed by a phase II portion with rando...

Eligibility Criteria

Inclusion

  • Advanced-stage hepatocellular carcinoma considered non-operable that is suitable for treatment with sorafenib. Subjects who have demonstrated progression following initial surgical or locoregional therapy are eligible
  • Confirmed hepatocellular carcinoma by pathological analysis (tissue aspirate or biopsy)
  • No previous systemic therapy for hepatocellular carcinoma
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
  • Child-Pugh liver function class A
  • Life expectancy of 12 weeks or more
  • Adequate hematologic function \[Absolute neutrophil count (ANC) ≥ 1.5 x 10\^9/L; platelet count ≥100×10\^9 per liter; hemoglobin ≥8.5 g per deciliter maintained in the absence of red blood cell transfusions; and prothrombin time international normalized ratio ≤1.7; or prothrombin time ≤2 seconds above control\]
  • Adequate hepatic function (albumin ≥2.8 g per deciliter; total bilirubin ≤2 mg per deciliter \[51.3 μmol per liter\]; and alanine aminotransferase and aspartate aminotransferase ≤5 times the upper limit of the normal range)
  • Adequate renal function (serum creatinine ≤1.5 times the upper limit of the normal range or creatinine clearance ≥60 mL/min).
  • At least one untreated target lesion that could be measured in one dimension, according to the Response Evaluation Criteria in Solid Tumors (RECIST)
  • Concomitant systemic antiviral therapy allowed

Exclusion

  • Previous molecularly targeted therapies or any other systemic treatment for hepatocellular carcinoma
  • Active concomitant malignancy likely to effect any of the primary or secondary outcome measures in the current study
  • Women who are pregnant, breast-feeding or planning to become pregnant during the study
  • Men or women of reproductive-potential who are unwilling to use an effective method of contraception during the study and for 30 days following the last dose of study medication
  • Evidence of a significant medical disorder or laboratory finding that, in the opinion of the Investigator, compromises the subject's safety during study participation such as: uncontrolled infection or infection requiring a concomitant parenteral antibiotic; uncontrolled diabetes; congestive heart failure; myocardial infarction within 6 months of study; chronic renal disease; or coagulopathy (excluding prophylactic anticoagulation)
  • Active central nervous system metastatic disease requiring intervention
  • Less than four weeks since major surgery
  • Known Human Immunodeficiency Virus (HIV) positivity

Key Trial Info

Start Date :

March 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2010

Estimated Enrollment :

14 Patients enrolled

Trial Details

Trial ID

NCT00862082

Start Date

March 1 2009

End Date

May 1 2010

Last Update

August 23 2013

Active Locations (17)

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Page 1 of 5 (17 locations)

1

University of Arizona

Tucson, Arizona, United States, 85724

2

Moores UCSD Cancer Center

La Jolla, California, United States, 92093

3

University of California, Irvine

Orange, California, United States, 92868

4

Sharp Clinical Oncology Research

San Diego, California, United States, 92123