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Doxorubicin Transdrug® in Advanced Hepatocellular Carcinoma.

Phase 2
Conditions
HepatoCellular Carcinoma
Cancer - Liver
Registration Number
ACTRN12608000082303
Lead Sponsor
ORION Clinical Services (Australia) Pty Ltd
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot yet recruiting
Sex
All
Target Recruitment
200
Inclusion Criteria

Patients with hepatocellular carcinoma (HCC); Multinodular hepatocellular carcinoma more than one lesion) regardless of the number of lesions, but involves less than 50% of the liver mass; Child-Pugh score A (assessment of the prognosis of chronic liver disease, mainly cirrhosis); Left ventricular ejection fraction (LVEF) greater than or equal to 50% as determined by echocardiography/cardiac ultrasound (the amount of blood pumped out of a ventricle with each heart beat); Adequate pulmonary function; Platelets greater than or equal to 75 x 109L; Absolute neutrophil count (white blood cells)greater than or equal to 1,0 x 109L; Aspartate transaminase (AST) and/or Alanine transaminase (ALT) less than or equal to 5 times upper limit of normal (liver enzymes, determine the health of the liver); Prothrombin time ratio greater than 60% and Factor V greater than 60% (measure of blood clotting ability).

Exclusion Criteria

Blood clots in the main blood vessels of the liver;
Risk for oesophageal bleeding;
Hepatocellular carcinoma developed on transplanted liver;
Presence of extra-hepatic metastases (cancer outside liver);
Patients able to benefit from hepatic transplantation, surgical resection, pure alcogol injection into tumour or radiofrequency ablation (tumour mass is heated by radiofrequency to a point where the cells die);
Patient having undergone a 450 mg/m² cumulated dose of doxorubicin;
Prior chemotherapy, transarterial chemoembolisation (TACE), embolisation, radiation therapy for hepatocellular carcinoma regardless of the time elapsed before the enrolment;
Patients who have benefited from surgical resection or percutaneous (alcohol and/or radiofrequency) treatment in the month preceding the enrolment;
Patients currently being treated with immunosuppressor agent (medication to suppress the immune system) and/or an anticoagulant (medication to thin your blood) that cannot be stopped;
Presence of cardiac abnormalities;
Patient with a life expectancy of less than 3 months;
Pregnant or breast-feeding women; Patients with mental deficiency preventing proper understanding of trial protocol requirements.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
umber of patients free of local progression at 3 months after randomisation (treatment group).[3 months after randomisation];Number of patients free of local progression at 3 months after randomisation (control group).[3 months after randomisation]
Secondary Outcome Measures
NameTimeMethod
Comparison between the treated and control groups: progression free survival, overall survival, objective response rate, tolerance and quality of life[Every three months for 12 months and survivial until death.];To determine the pharmacokinetic profile of Doxorubicin Transdrug.[Detemrined at the end of the study.]
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