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Nolatrexed Dihydrochloride Compared With Doxorubicin in Treating Patients With Recurrent or Unresectable Liver Cancer

Phase 3
Completed
Conditions
Liver Cancer
Registration Number
NCT00012324
Lead Sponsor
Eximias Pharmaceutical
Brief Summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. It is not yet known which chemotherapy regimen is more effective for liver cancer.

PURPOSE: Randomized phase III trial to compare the effectiveness of two different chemotherapy regimens in treating patients who have recurrent or unresectable liver cancer.

Detailed Description

OBJECTIVES:

* Compare the overall survival in patients with unresectable or recurrent hepatocellular carcinoma treated with nolatrexed dihydrochloride vs doxorubicin.

* Compare time to progression, time to treatment failure, and response rates in patients treated with these regimens.

* Compare the probability of survival at 3, 6, 9, and 12 months in patients treated with these regimens.

* Compare the safety and clinical benefit of these regimens in these patients.

* Compare the response rates and survival of patients who have received prior therapy or no prior therapy after treatment with these two regimens.

* Compare the rates of conversion from unresectable to resectable lesions in patients treated with these regimens.

OUTLINE: This is a randomized, open-label, multicenter study. Patients are stratified according to CLIP score (0-1 vs 2-3) and Karnofsky performance status (60-70% vs 80-100%). Patients are randomized to one of two treatment arms.

* Arm I: Patients receive nolatrexed dihydrochloride IV continuously on days 1-5.

* Arm II: Patients receive doxorubicin IV on day 1. Treatment continues in both arms every 3 weeks in the absence of unacceptable toxicity or disease progression.

Patients are followed every 2 months for survival.

PROJECTED ACCRUAL: Approximately 446 patients (223 per treatment arm) will be accrued for this study within 12 months.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Overall survival
Secondary Outcome Measures
NameTimeMethod
Time to progression
Time to treatment failure
Survival probabilities at 3, 6, 9, and 12 months
Safety
Response rate (complete response, partial response, stable disease)
Response to treatment in patients with and without prior therapy

Trial Locations

Locations (42)

Arizona Clinical Research Center, Incorporated

🇺🇸

Tucson, Arizona, United States

Arkansas Cancer Research Center at University of Arkansas for Medical Sciences

🇺🇸

Little Rock, Arkansas, United States

Tower Cancer Research Foundation

🇺🇸

Beverly Hills, California, United States

Scripps Cancer Center at Scripps Clinic

🇺🇸

La Jolla, California, United States

David and Donna Long Center for Cancer Treatment at Sharp Grossmont Hospital

🇺🇸

La Mesa, California, United States

Veterans Affairs Medical Center - Long Beach

🇺🇸

Long Beach, California, United States

California Pacific Medical Center - Pacific Campus

🇺🇸

San Francisco, California, United States

Olive View - UCLA Medical Center Foundation

🇺🇸

Sylmar, California, United States

California Hematology/Oncology Medical Group

🇺🇸

Torrance, California, United States

Helen F. Graham Cancer Center

🇺🇸

Newark, Delaware, United States

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Arizona Clinical Research Center, Incorporated
🇺🇸Tucson, Arizona, United States

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