TACE and Sorafenib for Advanced Hepatocellular Carcinoma (HCC)
- Registration Number
- NCT00618384
- Lead Sponsor
- Heinrich-Heine University, Duesseldorf
- Brief Summary
For patients with advanced HCC not suitable for resection or liver transplantation but without extrahepatic manifestations, local therapy with TACE is regarded as standard treatment. The present study is planned to evaluate the combination of TACE and sorafenib. A combination of TACE with a multitarget inhibitor like sorafenib may further improve the outcome of patients with HCC.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- All
- Target Recruitment
- 43
- with histologically confirmed HCC not suitable for resection or liver transplantation
- Patients with measurable disease according to RECIST
- Performance status ECOG 0-2
- Normal organ and bone marrow function (defined)
- Women of childbearing potential must have performed a negative serum pregnancy test
- male or female patients must use an approved contraceptive method during treatment and for 3 months after end of treatment after the end of treatment with study medication
- Written informed consent
- Patient is eligible for liver resection or liver transplantation
- Extrahepatic tumor manifestation
- Thrombosis of the portal vein
- > 8 points according to Child Pugh classification
- Prior TACE or RFTA or any other local ablative treatment
- Prior systemic anticancer chemotherapy or radiotherapy for HCC
- Total bilirubin > 4.5 mg/dl
- Life expectancy of less than 12 weeks
- Esophageal varices grade III without prophylactic band ligation
- Cardiac diseases (defined)
- Uncontrolled hypertension
- Known or suspected hyperthyroid state
- Known brain metastasis
- Patients with seizure disorder requiring medication
- History of organ allograft
- Active clinically serious infections > CTCAE grade 2
- Thrombotic or embolic events
- Hemorrhage/bleeding event (defined)
- Acute variceal bleeding
- Therapeutic anticoagulation with vitamin K antagonists (defined)
- Known or suspected allergies to sorafenib, doxorubicin or lipiodol or any agent given in the course of this trial
- Contraindications to the use of sorafenib, doxorubicin or lipiodol
- Previous cancer distinct in primary site or histology from HCC (defined)
- substance abuse
- Participation in another clinical trial with any investigational study drug
- Lactating women
- Incapability to give valid informed consent
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description 1 Sorafenib Patients with TACE therapy will be treated with Sorafenib (2 x 400 mg/day) until progressive disease
- Primary Outcome Measures
Name Time Method determination of time to progression (TTP) every 30 days after administration
- Secondary Outcome Measures
Name Time Method adverse events 3-week-periods
Trial Locations
- Locations (6)
Universitätsklinikum Tübingen Innere Medizin I
🇩🇪Tübingen, BW, Germany
Medizinische Universitätsklinik Ulm Innere Medizin I
🇩🇪Ulm, BW, Germany
Klinikum der Universität Großhardern
🇩🇪Muenchen, BY, Germany
Klinikum der Johann-Goethe-Universität
🇩🇪Frankfurt, HE, Germany
Universitätsklinikum Hamburg-Eppendorf Zentrum für Innere Medizin
🇩🇪Hamburg, HH, Germany
Johannes-Gutenberg-Universität Medizinische Klinik
🇩🇪Mainz, RP, Germany
Universitätsklinikum Tübingen Innere Medizin I🇩🇪Tübingen, BW, Germany