Randomised Phase II Trial of Sorafenib, Capecitabine and Oxaliplatin (SECOX) Versus Single Agent Sorafenib in Patients With Advanced Hepatocellular Carcinoma
Overview
- Phase
- Phase 2
- Intervention
- Sorafenib
- Conditions
- Carcinoma, Hepatocellular
- Sponsor
- The University of Hong Kong
- Enrollment
- 46
- Locations
- 1
- Primary Endpoint
- Time to progression (TTP)
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
The purpose of this study is to determine if sorafenib, capecitabine and oxaliplatin (SECOX) regimen is more effective than sorafenib alone in the treatment of advanced liver cancer.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Advanced or metastatic hepatocellular carcinoma (HCC) not suitable for surgery or various loco-regional therapies.
- •Diagnosis of HCC confirmed either by cyto-histological confirmation or by non-invasive criteria according to the European Association for Study of Liver disease (EASL) criteria.
- •Child-Pugh A or B7 cirrhosis.
- •Eastern Co-Operative Group (ECOG) performance status ≤
- •Life expectancy of ≥ 12 weeks.
- •Adequate organ function (blood transfusion or use of biologic response modifiers is not permitted).
- •Measurable disease with at least one lesion, which is at least 1 cm in one dimension on computed tomography (CT) or magnetic resonance imaging (MRI).
- •Able and willing to meet all protocol-required treatments, investigations and visits.
- •Signed written informed consent form.
Exclusion Criteria
- •Prior systemic therapy for advanced HCC.
- •Central nervous system (CNS) metastasis.
- •History of liver transplantation.
- •Peripheral sensory neuropathy with functional impairment before the first cycle of treatment.
- •History of cardiac disease.
- •Uncontrolled hypertension.
- •Women who are pregnant or breast-feeding, or women of child-bearing potential who are unable or unwilling to practice a highly effective means of contraception.
- •Substance abuse, medical, psychological or social conditions that may interfere with the patient's participation in the study or evaluation of study results.
Arms & Interventions
SECOX
Sorafenib 400 mg twice daily from Day 1 to 14, Capecitabine 850 mg/m2 twice daily from Day 1 to 7, Oxaliplatin 85 mg/m2 on Day 1
Intervention: Sorafenib
SECOX
Sorafenib 400 mg twice daily from Day 1 to 14, Capecitabine 850 mg/m2 twice daily from Day 1 to 7, Oxaliplatin 85 mg/m2 on Day 1
Intervention: Capecitabine
SECOX
Sorafenib 400 mg twice daily from Day 1 to 14, Capecitabine 850 mg/m2 twice daily from Day 1 to 7, Oxaliplatin 85 mg/m2 on Day 1
Intervention: Oxaliplatin
Sorafenib
Sorafenib 400 mg twice daily from Day 1 to 14
Intervention: Sorafenib
Outcomes
Primary Outcomes
Time to progression (TTP)
Time Frame: Approximately 18 months
Time from study treatment to radiological progression
Secondary Outcomes
- Objective Response Rate (ORR)(Approximately 18 months)
- Progression-free survival (PFS)(Approximately 18 months)
- Overall survival (OS)(Approximately 33 months)
- Frequency and severity of adverse events and laboratory abnormalities(Approximately 18 months)