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临床试验/EUCTR2007-007629-32-GB
EUCTR2007-007629-32-GB进行中(未招募)不适用

A PHASE 2, DOUBLE-BLIND, PLACEBO-CONTROLLED, RANDOMIZED, INTERNATIONAL, MULTICENTER STUDY OF ORAL TAC 101 AS SECOND LINE TREATMENT IN PATIENTS WITH ADVANCED HEPATOCELLULAR CARCINOMA WHO RECEIVED SORAFENIB AS FIRST LINE THERAPY

Taiho Pharma USA, Inc.0 个研究点目标入组 220 人开始时间: 2008年3月14日最近更新:
适应症

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
220

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • •Male or female patients who meet all of the following criteria are eligible for enrollment in the
  • •1. Provide written informed consent prior to performance of any study procedures;
  • •2. Is at least 18 years of age;
  • •3. Have a diagnosis of advanced unresectable histologically confirmed HCC (excluding
  • •fibrolamellar carcinoma);
  • •4. Have discontinued from first line treatment with sorafenib monotherapy for any reason
  • •(ie, tumor disease progression, intolerance) at least 14 days prior to planned
  • •randomization but have not received any second line treatment for HCC;
  • •5. Have recovered from any significant sorafenib-related treatment toxicities prior to
  • •randomization (=Grade 1);
  • •6. Have at least 1 target lesion that is viable (has vascularization) and can be accurately
  • •measured according to RECIST;
  • •7. Patients who have received local therapy prior to sorafenib administration (radiation,
  • •surgery, hepatic arterial embolization, chemoembolization, RFA, percutaneous ethanol
  • •injection [PEI] or cryoablation) are eligible. Local therapy must be completed at least
  • •4 weeks prior to the baseline scan;
  • •8. Have ECOG score of 0, 1, or 2;
  • •9. Child-Pugh score <8;
  • •10. Have adequate organ function defined as:
  • •a. Platelet count =50 × 109/L;
  • •b. Hemoglobin =8.0 g/dL;
  • •c. Total bilirubin =3 mg/dL;
  • •d. Alanine transaminase (ALT) and aspartate aminotransferase (AST) =5 × ULN;
  • •e. Serum creatinine =1.5 × ULN;
  • •f. PT-international normalized ratio (INR) =2.3 or PT =6 seconds above control;
  • •g. Total white blood cell (WBC) count =2.0 × 10 E9/L;
  • •11. Is able to take medications orally (eg, no feeding tube); and
  • •12. Women of childbearing potential must have a negative pregnancy test (urine or serum)
  • •prior to randomization within 2 days prior to starting the study drug. Females must agree
  • •to adequate birth control (intrauterine devices excluding those with dispensing hormones,
  • •barrier methods: condom or occlusive cap with spermicidal foam/gel/film/cream/
  • •suppository or true abstinence) if conception is possible during the study. Females must
  • •agree not to become pregnant or intend to become pregnant while taking the study drug
  • •and also for a period of at least 6 months after they have finished taking the study
  • •medication. Males must agree not to impregnate or intend to impregnate their partner
  • •while taking the study drug and for a period of at least 6 months after they have finished
  • •taking the study medication. If their partner is, or could be pregnant, the couple must use
  • •2 barrier methods of contraception in order to prevent transfer of drug related materials to
  • •a fetus in the semen. The use of a condom and an occlusive cap (diaphragm or
  • •cervical/vault caps) with spermicidal foam/gel/cream/suppository are acceptable double
  • •barrier methods of contraception.
  • •Are the trial subjects under 18? no
  • •Number of subjects for this age range:
  • •F.1.2 Adults (18-64 years) yes
  • •F.1.2.1 Number of subjects for this age range
  • •F.1.3 Elderly (>=65 years) yes
  • •F.1.3.1 Number of subjects for this age range

排除标准

  • •Patients should be excluded from this study if they do not fulfill the inclusion criteria, or if any of
  • •the following conditions are observed:
  • •1. History of DVT, PE, myocardial infarction (MI), CVA, transitory ischemic attack (TIA),
  • •or any other significant TE during the last 3 years;
  • •2. Have clinically significant symptoms of hepatic encephalopathy or known brain
  • •metastasis;
  • •3. Patients who have had clinically significant acute gastrointestinal bleeding as a result of
  • •portal vein hypertension within 4 weeks prior to randomization are excluded; however,
  • •patients with a history of acute gastrointestinal bleeding that have received appropriate
  • •treatment, ie, ligation of varices, are eligible;
  • •4. Are receiving therapeutic regimens of anticoagulants, with the exception of prophylaxis
  • •care of indwelling venous access devices;
  • •5. Have received a liver transplant;
  • •6. Are taking prohibited medication as described in Section 7.3;
  • •7. Have received a previous systemic therapy (including investigational agents) other than
  • •sorafenib (see Inclusion Criterion 4) for treatment of HCC. Patients participating in
  • •surveys or observational studies are eligible to participate in this study;
  • •8. Have had treatment with any of the following within the specified timeframe prior to
  • •randomization:
  • •a. Any sorafenib within the 14 days prior to randomization;
  • •b. Major surgery within the 4 weeks prior to randomization;
  • •c. Any transfusion, treatment with blood component preparation, received
  • •erythropoietin , albumin preparation, and granulocyte colony-stimulating factor
  • •(G-CSF) within the 2 weeks prior to randomization;
  • •9. Has a serious illness or medical condition(s) including, but not limited to the following:
  • •a. Known gastrointestinal disorder, including malabsorption, chronic nausea, vomiting,
  • •or diarrhea present to the extent that it might interfere with oral intake and absorption
  • •of the study medication;
  • •b. Known human immunodeficiency virus (HIV) or acquired immunodeficiency
  • •syndrome (AIDS)-related illness;
  • •c. Previous or concurrent malignancy except for basal cell carcinoma and/or in situ
  • •carcinoma of the cervix, or other solid tumor treated curatively and without evidence
  • •of recurrence for at least 3 years prior to the study;
  • •d. Uncontrolled metabolic disorders or other nonmalignant organ or systemic diseases
  • •or secondary effects of cancer that induce a high medical risk and/or make
  • •assessment of survival uncertain;
  • •e. Has active or uncontrolled clinically serious infection excluding chronic hepatitis;
  • •f. Other severe acute or chronic medical or psychiatric condition or laboratory
  • •abnormality that may increase the risk associated with study participation or study
  • •drug administration, or may interfere with the interpretation of study results, and in
  • •the judgment of the Investigator would make the patient inappropriate for entry into
  • •this study (eg, active urinary tract infection); or
  • •g. Known allergy or hypersensitivity of TAC-101 and any other components used in the
  • •TAC-101 tablet.

研究者

发起方
Taiho Pharma USA, Inc.

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