A Phase II Open Label Study of BMS-582664 in Locally Advanced or Metastatic Hepatocellular Cancer

Phase 2

Completed

• Conditions: Hepatocellular Carcinoma (HCC)
• Interventions: Drug: brivanib (active)

• Registration Number: NCT00355238
• Lead Sponsor: Bristol-Myers Squibb

Brief Summary

The purpose of this clinical research study is to learn if BMS-582664 can shrink or slow the growth of advanced liver cancer. The safety of this treatment will also be studied.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2006-07-20
• Study First Submitted QC: 2006-07-20
• Study First Posted: 2006-07-21
• Study Start: 2006-12-31
• Primary Completion: 2010-04-30
• Study Completion: 2010-04-30
• Disposition First Submitted: 2012-04-18
• Disposition First Submitted QC: 2015-09-23
• Disposition First Posted: 2015-10-09
• Status Verified: 2023-11
• Results First Submitted: 2023-11-10
• Results First Submitted QC: 2023-11-10
• Last Update Submitted: 2023-11-10
• Results First Posted: 2023-12-01
• Last Update Posted: 2023-12-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 137

Inclusion Criteria

• Diagnosis of hepatocellular carcinoma (HCC) ≥ 2cm based on:
• Biopsy OR
• Radiological evidence of HCC by contrast-enhanced CT scan or contrast-enhanced AND
• Blood test positive for Hepatitis B or C AND
• Alpha fetoprotein above > 400 mg/L
• Not appropriate for curative surgery
• Screening Blood Pressure <150/100 mmHg, Left Ventricular Ejection Fraction (LVEF) >50%

Exclusion Criteria

• Heart Attack within 12 months, uncontrolled chest pain within 6 months
• Ascites resistant to diuretic medication therapy
• Portal-systemic encephalopathy
• Portal hypertension with bleeding esophageal or gastric varices within the past 2 months
• Deficiency of sodium in the blood with sodium < 125 mEq/L
• Subjects with serious non-healing wounds, ulcers or bone fractures

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
1	brivanib (active)	no comparator to brivanib

Primary Outcome Measures

Name	Time	Method
Progression Free Survival (PFS) Rate at 6 Months Per Independent Response Review Committee (IRRC) in Cohort A	From first dose up to approximately 6 months after first dose	The percent of participants who have not progressed or died prior to 6 months from the date of their first dose. Participants who have neither progressed nor died but had their last tumor assessment prior to 6 months will not be categorized as progression free and will not be included. Tumor response was measured by the IRRC using mWHO criteria.; Progression is defined as a 25% or more increase in the sum of all index lesion areas taking as reference the smallest sum recorded at or following baseline.
The Number of Participants Experiencing Adverse Events (AEs)	From first dose up to 30 days post last dose (up to approximately 34 months)	An Adverse Event (AE) is defined as any new untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have to have a causal relationship with this treatment.

Secondary Outcome Measures

Name	Time	Method
Tumor Response Rate Per Independent Response Review Committee (IRRC)	From first dose to the date of the first documented response (up to approximately 34 months)	The percent of participants whose best overall response is a partial response (PR) or complete response (CR). Tumor measurements by CT/ MRI of the chest, abdomen and pelvis will be obtained at pre-treatment (within 28 days prior to the start of treatment) and every 6 weeks.; Complete Response (CR): Disappearance of all known disease. Must be confirmed 4 or more weeks later.; Partial Response (PR): A 50% or more decrease in the sum of all index lesion areas compared to the baseline sum and no unequivocal progression of existing non-index lesions. In addition, there can be no appearance of new lesions. Must be confirmed 4 or more weeks later.
Overall Survival for Participants With One Prior Angiogenesis Inhibitor Therapy	From first dose to the date of death (up to approximately 34 months)	The time (in months) from first dosing until the date of death. For those participants who have not died, survival duration will be censored at the last date the participant was known to be alive.
Disease Control Rate Per Independent Response Review Committee (IRRC)	From first dose to the date of the first documented response (up to approximately 34 months)	The percent of participants whose best response is a partial response (PR), complete response (CR) or stable disease (SD).; Complete Response (CR): Disappearance of all known disease. Must be confirmed 4 or more weeks later.; Partial Response (PR): A 50% or more decrease in the sum of all index lesion areas compared to the baseline sum and no unequivocal progression of existing non-index lesions. In addition, there can be no appearance of new lesions. Must be confirmed 4 or more weeks later.; Stable Disease (SD): A decrease of 50% or more or an increase of 25% or more in the sum of all index lesion areas compared to baseline cannot be established. There can be no appearance of new lesions. Documentation must occur 6 weeks (42 days) or more from the baseline determination.
Overall Survival for Participants With No Prior Systemic Therapy	From first dose to the date of death (up to approximately 34 months)	The time (in months) from first dosing until the date of death. For those participants who have not died, survival duration will be censored at the last date the participant was known to be alive.
Duration of Response Per Independent Response Review Committee (IRRC)	From first dose to the date of documented progressive disease or death (up to approximately 34 months)	Duration of response will be computed as from time measurement criteria are met for PR or CR until the date of documented progressive disease or death. Participants who neither relapse nor die will be censored on the date of their last tumor assessment. Progression is defined as a 25% or more increase in the sum of all index lesion areas taking as reference the smallest sum recorded at or following baseline.; Complete Response (CR): Disappearance of all known disease. Must be confirmed 4 or more weeks later.; Partial Response (PR): A 50% or more decrease in the sum of all index lesion areas compared to the baseline sum and no unequivocal progression of existing non-index lesions. In addition, there can be no appearance of new lesions. Must be confirmed 4 or more weeks later.
Change From Baseline to End of Treatment in FHSI-8 Total Score	Baseline and end of treatment (up to approximately 33 months)	FHSI-8 (Functional Assessment of Cancer Therapy, Hepatobiliary, Symptom Index) was used to assess HCC-related symptoms. The FHSI-8 includes eight items representing HCC-related symptoms; each symptom is rated by participants on a scale of from 0 to 4. The FHSI-8 total score ranges in value from 0 to 32, with higher scores representing fewer symptoms and lower scores representing more symptoms.
Progression Free Survival (PFS) Per Independent Response Review Committee (IRRC)	From first dose to the date of the first documented progression (up to approximately 34 months)	The time (in months) from first dosing date to the date of progression per IRRC. Participants who die without a reported prior progression will be considered to have progressed on their date of death (as found in the BMS clinical database). Participants who did not progress or die will be censored on the date of their last tumor assessment. Participants who have only baseline tumor assessment will be censored on the first dosing date.; Progression is defined as a 25% or more increase in the sum of all index lesion areas taking as reference the smallest sum recorded at or following baseline.
Time to Response Per Independent Response Review Committee (IRRC)	From first dose to the date of the first documented response (up to approximately 34 months)	The time from the first dose of study therapy until measurement criteria are first met for Partial response (PR) or complete response (CR), whichever is recorded first.; Complete Response (CR): Disappearance of all known disease. Must be confirmed 4 or more weeks later.; Partial Response (PR): A 50% or more decrease in the sum of all index lesion areas compared to the baseline sum and no unequivocal progression of existing non-index lesions. In addition, there can be no appearance of new lesions. Must be confirmed 4 or more weeks later.

Trial Locations

Locations (19)

Univ Of Texas Southwestern; 🇺🇸 Dallas, Texas, United States

Northwestern University Feinberg School Of Medicine; 🇺🇸 Chicago, Illinois, United States

MD Anderson Cancer Center; 🇺🇸 Houston, Texas, United States

Wayne State University; 🇺🇸 Detroit, Michigan, United States

Local Institution; 🇨🇳 Taipei, Taiwan

Penn State Milton S. Hershey Medical Center; 🇺🇸 Hershey, Pennsylvania, United States

Md Anderson Cancer Center; 🇺🇸 Houston, Texas, United States

City Of Hope National Medical Center; 🇺🇸 Duarte, California, United States

Christiana Care Health Services; 🇺🇸 Newark, Delaware, United States

Harbor UCLA Medical Center; 🇺🇸 Los Angeles, California, United States

University Of Miami Miller School Of Medicine; 🇺🇸 Miami, Florida, United States

Saint Louis University; 🇺🇸 Saint Louis, Missouri, United States

University Of Chicago; 🇺🇸 Chicago, Illinois, United States

Duke University Medical Center; 🇺🇸 Durham, North Carolina, United States

University Of Iowa Hospitals And Clinics; 🇺🇸 Iowa City, Iowa, United States

The Cancer Center At Hackensack University Medical Center; 🇺🇸 Hackensack, New Jersey, United States

Albert Einstein Cancer Center; 🇺🇸 Philadelphia, Pennsylvania, United States

Medical College Of Wisconsin; 🇺🇸 Milwaukee, Wisconsin, United States

Harbor-Ucla Medical Center; 🇺🇸 Los Angeles, California, United States