Hepatocellular CarcinomaPhase 3NCT03468231
HAIC of FOLFOX vs. HAIC of OXA for Advanced HCC
A Phase 3 study testing Sorafenib, HAIC of FOLFOX and HAIC of OXA in people with Hepatocellular Carcinoma, run by Sun Yat-sen University at 7 sites in China.
Trial summary
The purpose of this study is to evaluate the efficacy and safety of hepatic arterial infusion chemotherapy (HAIC) of oxaliplatin plus fluorouracil/leucovorin compared with HAIC of oxaliplatin alone in patients with hepatocellular carcinoma (HCC) with major portal venous tumor thrombus (PVTT). Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Hepatocellular Carcinoma
- What is being tested?
- Sorafenib, HAIC of FOLFOX and HAIC of OXA
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 300 participants
- Where
- 7 sitesChina
- Study dates
- 9 Mar 2018to 9 Mar 2020
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- The diagnosis of HCC was based on the diagnostic criteria for HCC used by the European Association for the Study of the Liver (EASL)
- Patients must have at least one tumor lesion that can be accurately measured according to EASL criteria.
- diagnosed with major or main portal vein invasion (Vp3 or Vp4)
- KPS≥70;
- with no previous treatment
- No Cirrhosis or cirrhotic status of Child-Pugh class A only
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- Not amendable to surgical resection ,local ablative therapy and any other cured treatment.
- The following laboratory parameters:
- Platelet count ≥ 75,000/µL
- Hemoglobin ≥ 8.5 g/dL
- Total bilirubin ≤ 30mmol/L
- Serum albumin ≥ 30 g/L
- ASL and AST ≤ 5 x upper limit of normal
- Serum creatinine ≤ 1.5 x upper limit of normal
- INR ≤ 1.5 or PT/APTT within normal limits
- Absolute neutrophil count (ANC) >1,500/mm3
- Ability to understand the protocol and to agree to and sign a written informed consent document
Who cannot join
- Evidence of hepatic decompensation including ascites, gastrointestinal bleeding or hepatic encephalopathy
- Known history of HIV
- History of organ allograft
- Known or suspected allergy to the investigational agents or any agent given in association with this trial.
- Cardiac ventricular arrhythmias requiring anti-arrhythmic therapy
- Evidence of bleeding diathesis.
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- Patients with clinically significant gastrointestinal bleeding within 30 days prior to study entry.
- Any other hemorrhage/bleeding event > CTCAE Grade 3 within 4 weeks of first dose of study drug
- Serious non-healing wound, ulcer, or bone fracture
- Known central nervous system tumors including metastatic brain disease
Trial locations and contacts
7 sites in 1 country.
7 sites in 1 country
China7 sites, 7 recruiting
- Recruiting
Dongguan People's Hospital
Dongguan, Guangdong, 523059
Wusheng Yu, MD, 13827285010, yuwusheng1998@126.com
- Recruiting
Cancer Center Sun Yat-sen University
Guangzhou, Guangdong, 510060
Ming Shi, MD, 86-2087343115, shiming@mail.sysu.edu.cn
Ming Shi, MD
- Recruiting
The First Affiliated Hospital, Sun Yat-sen University
Guangzhou, Guangdong, 510060
Guosheng Tan, MD, 13725254145, tgs1976@163.com
- Recruiting
Guangzhou Twelfth People 's Hospital
Guangzhou, Guangdong, 510620
Yuanmin Zhou, MD, 15521278919, 13430288977@139.com
Jinghua Chen, MD
- Recruiting
First Affiliated Hospital of University Of South China
Hengyang, Hunan, 421001
Xiaoping Wu, MD, 13975486015, wxp19730806@sina.com
- Recruiting
Kaiping Central Hospital
Kaiping, Guangdong, 529300
Shijie Zhang, MD, 13717287622, Shijie_9262511@163.com
- Recruiting
The First Affiliated Hospital Of Xi'an Jiaotong University
Xi’an, Shanxi, 710061
Xin Zheng, MD, 13649265446, 183421344@qq.com
About this study
Official title: Sorafenib Plus Hepatic Artery Infusion Chemotherapy of Oxaliplatin, Fluorouracil/Leucovorin Versus Sorafenib Plus Hepatic Artery Infusion Chemotherapy of Oxaliplatin for Hepatocellular Carcinoma With Major Portal Vein Tumor Thrombosis
The purpose of this study is to evaluate the efficacy and safety of hepatic arterial infusion chemotherapy (HAIC) of oxaliplatin plus fluorouracil/leucovorin compared with HAIC of oxaliplatin alone in patients with hepatocellular carcinoma (HCC) with major portal venous tumor thrombus (PVTT).
Read the detailed description
Sorafenib is the most widely used palliative treatment for hepatocellular carcinoma (HCC) patients with portal venous tumor thrombus (PVTT). Our previous prospective study revealed that sorafenib combined with hepatic arterial infusion chemotherapy (HAIC) of oxaliplatin plus fluorouracil/leucovorin confer a survival benefit to HCC with major PVTT. However, HAIC of fluorouracil is not such for advanced HCC. Whether HAIC of oxaliplatin is as effective as HAIC of oxaliplatin plus fluorouracil/leucovorin is controversial. Thus, the investigators carried out this prospective randomized control study to find out it.
- Conditions
- Hepatocellular Carcinoma
- Being tested
- Sorafenib, HAIC of FOLFOX, HAIC of OXA
- Keywords
- Hepatocellular Carcinoma, Hepatic arterial infusion chemotherapy, Sorafenib, Oxaliplatin plus Fluorouracil/Leucovorin, Oxaliplatin
- Medical subject headings
- Carcinoma, Hepatocellular
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SorafenibDrug
Oral Sorafenib, 400mg, Bid
HAIC of FOLFOXDrug
Also called Oxaliplatin , fluorouracil, and leucovorin
administration of Oxaliplatin , fluorouracil, and leucovorin via the tumor feeding arteries
HAIC of OXADrug
Also called Oxaliplatin
administration of Oxaliplatin via the tumor feeding arteries
| Study group | Role | What they receive |
|---|---|---|
| Sorafenib plus HAIC of FOLFOX | Active comparator | Sorafenib combined with Hepatic arterial infusion chemotherapy with Oxaliplatin, Fluorouracil and Leucovorin Receives: Drug: Sorafenib; Drug: HAIC of FOLFOX |
| Sorafenbi plus HAIC of OXA | Experimental | Sorafenib combined with Hepatic arterial infusion chemotherapy with Oxaliplatin Receives: Drug: Sorafenib; Drug: HAIC of OXA |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall survival
Overall survival
Measured: 10 months
Secondary outcomes (4)
Progress free survival
Progress free survival
Measured: 10 months
Adverse Events
Number of adverse events. Postoperative adverse events were graded based on CTCAE v4.0
Measured: 30 days
Number of of Patients developed Adverse Events
Number of of patients who developed adverse event. Postoperative adverse events were graded based on CTCAE v4.0
Measured: 30 days
Tumor response
overall response
Measured: 10 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Mar 2018
- Study start9 Mar 2018
- Primary completion9 Sep 2019 (estimated)
- Study completion9 Mar 2020 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Hepatocellular CarcinomaStudies of the same condition, open and under way.
- More trials run by Sun Yat-sen UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Outcomes assessor
- Enrolment
- 300 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Sun Yat-sen University
- Sponsor type
- University, hospital or other
- Collaborators
- First Affiliated Hospital, Sun Yat-Sen University, Dongguan People's Hospital, Kaiping Central Hospital, First Affiliated Hospital Xi'an Jiaotong University, Guangzhou No.12 People's Hospital, The First Affiliated Hospital of University of South China
- Responsible party
- Principal investigator, Shi Ming, Sun Yat-sen University
- Investigators
- Ming Shi, MD, Principal investigator, The Department of Hepatobiliary Oncology of Sun Yat-sen University Cancer Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03468231
- Sponsor's protocol ID
- HCC-20180309
- Status last verified
- Mar 2018
- First submitted
- 11 Mar 2018
- Last updated
- 16 Mar 2018
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 16 Mar 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Sorafenib Plus Hepatic Artery Infusion Chemotherapy of Oxaliplatin, Fluorouracil/Leucovorin Versus Sorafenib Plus Hepatic Artery Infusion Chemotherapy of Oxaliplatin for Hepatocellular Carcinoma With Major Portal Vein Tumor Thrombosis
- ClinicalTrials.gov ID
- NCT03468231
- Acronym / sponsor ID
- HCC-20180309
- Conditions
- Hepatocellular Carcinoma
- Keywords
- Hepatocellular Carcinoma, Hepatic arterial infusion chemotherapy, Sorafenib, Oxaliplatin plus Fluorouracil/Leucovorin, Oxaliplatin
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 300 participants (estimated)
- Lead sponsor
- Sun Yat-sen UniversityUniversity, hospital or other
- Collaborators
- First Affiliated Hospital, Sun Yat-Sen University, Dongguan People's Hospital, Kaiping Central Hospital, First Affiliated Hospital Xi'an Jiaotong University, Guangzhou No.12 People's Hospital, The First Affiliated Hospital of University of South China
- Study start
- 9 Mar 2018 (actual)
- Primary completion
- 9 Sep 2019 (estimated)
- Study completion
- 9 Mar 2020 (estimated)
- First posted
- 16 Mar 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the efficacy and safety of hepatic arterial infusion chemotherapy (HAIC) of oxaliplatin plus fluorouracil/leucovorin compared with HAIC of oxaliplatin alone in patients with hepatocellular carcinoma (HCC) with major portal venous tumor thrombus (PVTT).
Detailed description
Sorafenib is the most widely used palliative treatment for hepatocellular carcinoma (HCC) patients with portal venous tumor thrombus (PVTT). Our previous prospective study revealed that sorafenib combined with hepatic arterial infusion chemotherapy (HAIC) of oxaliplatin plus fluorouracil/leucovorin confer a survival benefit to HCC with major PVTT. However, HAIC of fluorouracil is not such for advanced HCC. Whether HAIC of oxaliplatin is as effective as HAIC of oxaliplatin plus fluorouracil/leucovorin is controversial. Thus, the investigators carried out this prospective randomized control study to find out it.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Sorafenib plus HAIC of FOLFOX | Active comparator | Drug: Sorafenib, Drug: HAIC of FOLFOXSorafenib combined with Hepatic arterial infusion chemotherapy with Oxaliplatin, Fluorouracil and Leucovorin |
| Sorafenbi plus HAIC of OXA | Experimental | Drug: Sorafenib, Drug: HAIC of OXASorafenib combined with Hepatic arterial infusion chemotherapy with Oxaliplatin |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (17 listed)
- The diagnosis of HCC was based on the diagnostic criteria for HCC used by the European Association for the Study of the Liver (EASL)
- Patients must have at least one tumor lesion that can be accurately measured according to EASL criteria.
- diagnosed with major or main portal vein invasion (Vp3 or Vp4)
- KPS≥70;
- with no previous treatment
Key exclusion criteria (10 listed)
- Evidence of hepatic decompensation including ascites, gastrointestinal bleeding or hepatic encephalopathy
- Known history of HIV
- History of organ allograft
- Known or suspected allergy to the investigational agents or any agent given in association with this trial.
- Cardiac ventricular arrhythmias requiring anti-arrhythmic therapy
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| SorafenibOral Sorafenib, 400mg, Bid | Drug | Sorafenbi plus HAIC of OXA, Sorafenib plus HAIC of FOLFOX |
| HAIC of FOLFOXAlso: Oxaliplatin , fluorouracil, and leucovorinadministration of Oxaliplatin , fluorouracil, and leucovorin via the tumor feeding arteries | Drug | Sorafenib plus HAIC of FOLFOX |
| HAIC of OXAAlso: Oxaliplatinadministration of Oxaliplatin via the tumor feeding arteries | Drug | Sorafenbi plus HAIC of OXA |
Primary outcome
Overall survival
Time frame: 10 months
Overall survival
4 secondary outcomes
Progress free survival
Time frame: 10 months
Adverse Events
Time frame: 30 days
Number of of Patients developed Adverse Events
Time frame: 30 days
Tumor response
Time frame: 10 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Mar 2018.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ming Shi, MD principal investigator
The Department of Hepatobiliary Oncology of Sun Yat-sen University Cancer Center
7 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Sorafenib, HAIC of FOLFOX and HAIC of OXA in people with Hepatocellular Carcinoma, run by Sun Yat-sen University at 7 sites in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 17 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 16 Mar 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 7 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Ming Shi, MD ((8620)-87343938, shiming@sysucc.org.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall survival (time frame: 10 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Mar 2018; AzTrials last refreshed its copy on 8 Nov 2026.