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临床试验/EUCTR2008-001087-36-DE
EUCTR2008-001087-36-DE进行中(未招募)不适用

A Phase III randomized, double-blind, placebo-controlled study of sorafenib as adjuvant treatment for hepatocellular carcinoma after surgical resection or local ablation. - STORM

Bayer Healthcare AG0 个研究点目标入组 1,100 人开始时间: 2009年2月11日最近更新:
适应症
相关药物

试验速览

阶段
不适用
状态
进行中(未招募)
入组人数
1,100

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • Informed consent
  • Confirmation of diagnosis of HCC:
  • - for subjects undergoing surgical resection histological confirmation is mandatory (a post surgery pathology report is required for both histological confirmation and risk stratification).
  • - for subjects undergoing local ablation either histological confirmation or clinical diagnosis by AASLD criteria in cirrhotic subjects is required. For subjects without cirrhosis histological confirmation is mandatory.
  • Prior to curative treatment, confirmation of a maximum tumor load of:
  • - single lesion any size for surgical resection, or
  • single lesion = 5cm (largest diameter, unidimensional measurement) for local ablation
  • - 2-3 lesions, each = 3 cm in size (largest diameter, unidimensional measurement)
  • Subjects who have undergone surgical resection or local ablation (PEI or percutaneous or intraoperative RFA) for treatment of HCC with curative intent within 4 months from staging to potentially curative treatment. A maximum of 2 local ablation courses may be administered during this time period.
  • At least 3 weeks (21 days) but not more than 7 weeks (49 days), from resection or last local ablation course, to CT/MRI scan date. A timeframe of 4 weeks after surgical resection or last ablation is recommended.
  • Male or female subjects = 18 years of age
  • Confirmation of CR (absence of residual tumor after curative treatment), on the eligibility scan by independent radiological review.
  • For subjects undergoing surgical resection pathology proven complete removal of tumor.
  • Intermediate or High Risk of recurrence as assessed by tumor characteristics.
  • Child-Pugh score 5 -7 points. A Child-Pugh score of 7 points is allowed only in the absence of ascites.
  • ECOG Performance Status of 0.
  • Adequate bone marrow, liver and renal function as assessed by central lab by means of the following laboratory requirements from samples within 14 days prior to randomization:
  • Alpha fetoprotein < 400 ng/mL
  • Women of childbearing potential must have a negative serum pregnancy test performed within 14 days prior to the start of treatment (assessed centrally).
  • Both men and women enrolled in this trial must use adequate barrier birth control measures during the course of the trial and two weeks after the completion of trial.
  • No more than 4 weeks (28 days ± 7 days) from the eligibility scan date (CT or MRI) to randomization.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 741
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 373

排除标准

  • Recurrent HCC
  • Child-Pugh score 7 points with presence of ascites.
  • The following tumor characteristics:
  • a) Low risk of recurrence after curative treatment defined as any of the following:
  • ? for local ablation patients: single lesions < 2 cm
  • ? for surgical resection patients: single lesions < 2 cm without microscopic vascular invasion, without tumor satellites and histologically well differentiated.
  • b) > 3 lesions or 2-3 lesions of which any are > 3 cm in size (largest diameter, unidimensional measurement) prior curative treatment (surgical resection or local ablation)
  • c) single lesion > 5 cm (largest diameter, unidimensional measurement) in size prior local ablation.
  • d) Macrovascular invasion
  • e) Extrahepatic spread (including regional lymph nodes and invasion into adjacent structures)
  • History of cardiovascular disease:
  • History of HIV infection
  • Active clinically serious infections (> grade 2 NCI-CTCAE version 3.0)
  • Subjects with seizure disorder requiring medication (such as steroids or anti-epileptics)
  • History of organ allograft
  • Subjects with evidence or history of bleeding diathesis
  • Subjects undergoing renal dialysis
  • Previous or concurrent cancer that is distinct in primary site or histology from the cancer being evaluated in this study EXCEPT cervical carcinoma in situ, treated basal cell carcinoma, superficial bladder tumors [Ta, Tis & T1] or any cancer curatively treated > 3 years prior to study entry as defined by the signing of informed consent.
  • Uncontrolled ascites (defined as not easily controlled with diuretic treatment)
  • Encephalopathy
  • History of GI bleeding within 30 days of randomization.
  • Subjects with a history of esophageal varices bleeding which has not been followed by effective therapy and/or treatment to prevent bleeding recurrence.
  • Prior anti cancer therapy for treatment of HCC (including sorafenib or any other molecular therapy) is excluded.
  • Major surgery within 4 weeks of start of study as defined by the signing of informed consent, except for surgical resection or local ablation of HCC.
  • Autologous bone marrow transplant or stem cell rescue within 4 months of study entry as defined by the signing of informed consent.
  • Use of biologic response modifiers, such as G-CSF, within 3 week of study entry, as defined by the signing of informed consent.
  • Investigational drug therapy outside of this trial during or within 4 weeks of study entry, as defined by the signing of informed consent.
  • Pregnant or breast-feeding subjects.
  • Substance abuse, medical, psychological or social conditions that may interfere with the subject’s participation in the study or evaluation of the study results
  • Known or suspected allergy to sorafenib.
  • Any condition that is unstable or could jeopardize the safety of the subject and their compliance in the study
  • Subjects unable to swallow oral medications. This applies to subjects with severe obstruction of the upper GI tract that require gavage.

研究者

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