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A Trial of Thymalfasin in Adult Patients With Hepatocellular Carcinoma

Phase 2
Completed
Conditions
Carcinoma, Hepatocellular
Registration Number
NCT00082082
Lead Sponsor
SciClone Pharmaceuticals
Brief Summary

The objective of this Phase II trial is to compare the efficacy and safety of 6 months of treatment with thymalfasin plus trans arterial chemoembolization (TACE) with TACE alone in adult patients with non-surgical hepatocellular carcinoma (HCC).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • Signed written informed consent.

  • Diagnosis of HCC by:

    1. Presence of HCC on biopsy (core biopsy), or, if biopsy is strongly contra-indicated due to safety or patient-related concerns, then the diagnosis of HCC can be determined by:

    2. A new hepatic defect on imaging with an AFP > 1000 ng/ml, or

    3. A new hepatic defect on ultrasound or CT with an AFP < 1000 ng/ml when one of the following is present:

      1. At least two additional imaging techniques show signs characteristic of HCC, or
      2. The new hepatic defect has doubled in diameter over time, or
      3. The AFP has progressively risen to > 200 ng/ml and triples the mean baseline.
  • HCC must be unresectable and non-transplantable.

  • Hematocrit > 30%, platelet count >= 50,000 per microliter, WBC > 2.0 x 109/L, and polymorphonuclear white cell count >= 1.0 x 109/L.

  • Adequate renal function as demonstrated by serum creatinine level < 1.5 mg/dl.

  • If the patient is a woman, she is using a definitive method of birth control in consultation with her physician, or is surgically sterile or post-menopausal.

Exclusion Criteria
  • Concomitant chronic use of any drug known to be hepatotoxic, or of any immunosuppressive drug (Use of oral contraceptives will not exclude an otherwise eligible patient).
  • Presence of main portal vein thrombosis or hepatic artery malformation.
  • HCC amenable to treatment by surgical resection or hepatic transplantation.
  • HIV infection diagnosed by HIV seropositivity and confirmed by Western blot.
  • Concomitant or prior history of malignancy other than HCC within the last 10 years, except for curatively treated skin cancer or surgically cured in situ carcinoma of the cervix.
  • Active infectious process that is not of a self-limiting nature. TB and AIDS are examples of infectious processes that are not of a self-limiting nature.
  • Pregnancy as documented by a urine pregnancy test. Women with reproductive potential must agree to practice an adequate method of birth control for the duration of the study.
  • Alcohol or intravenous drug abuse within the previous 1 year.
  • Previous treatment with thymalfasin.
  • Patients with known hypersensitivity to iodine.
  • Simultaneous participation in another investigational drug study, or participation in any clinical trial involving investigational drugs within 30 days of study entry.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (5)

Metropolitan Research

🇺🇸

Fairfax, Virginia, United States

Columbia University

🇺🇸

New York, New York, United States

William Beaumont Hospital

🇺🇸

Royal Oak, Michigan, United States

California Pacific Medical Center

🇺🇸

San Francisco, California, United States

University of Florida

🇺🇸

Gainesville, Florida, United States

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