Lenalidomide in Combination With a Fixed Dose of Sorafenib for the Treatment of Hepatocellular Carcinoma

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01348503
Recruitment Status : Terminated (Treatment was ineffective)
First Posted : May 5, 2011
Last Update Posted : August 31, 2015
Celgene Corporation
Information provided by (Responsible Party):
Indiana University ( Indiana University School of Medicine )

Brief Summary:
The purpose of this study is to evaluate the combination of Revlimid® (lenalidomide) and Nexavar® (sorafenib) for the treatment of hepatocellular carcinoma that can't be cured with surgery.

Condition or disease Intervention/treatment Phase
Hepatocellular Carcinoma Drug: Lenalidomide Drug: Sorafenib Phase 1

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 5 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase I Open-label Dose-escalation Study With Lenalidomide in Combination With a Fixed Dose of Sorafenib for the Treatment of Hepatocellular Carcinoma
Study Start Date : May 2011
Actual Primary Completion Date : December 2012
Actual Study Completion Date : March 2014

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Open Label, Single Arm
Dose escalation of lenalidomide in combination with sorafenib at standard doses in patients with advanced, unresectable hepatocellular carcinoma.
Drug: Lenalidomide
Escalating doses starting at 15 mg by mouth per day.

Drug: Sorafenib
Fixed dose of 400 mg by mouth twice a day.

Primary Outcome Measures :
  1. Number of Participants with Dose Limiting Toxicities as a Measure of Safety of the combination of lenalidomide and sorafenib. [ Time Frame: 2 years ]

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Clinical or pathological diagnosis of unresectable hepatocellular carcinoma (HCC) based on radiologic criteria, elevated alpha fetoprotein and/or tissue biopsy
  • All previous cancer therapy, including radiation, hormonal therapy and surgery, must have been discontinued at least 28 days prior to treatment in this study
  • Child-Pugh Liver Function Class A/B9
  • Eastern Cooperative Oncology Group (ECOG) performance status of </= 2 at study entry
  • Laboratory test results within protocol-specific ranges
  • Disease free of prior malignancies for >/= 5 years with exception of currently treated basal cell, squamous cell carcinoma of the skin, or carcinoma "in situ" of the cervix or breast.
  • All study participants must be registered into the mandatory RevAssist® program, and be willing and able to comply with the requirements of RevAssist® (Revlimid is only available under a restricted distribution program called "RevAssist.")
  • Females of childbearing potential must have two negative pregnancy tests before starting lenalidomide and must agree to use two methods of birth control and submit to pregnancy tests throughout the study.
  • Able to take aspirin daily as prophylactic anticoagulation
  • Age >18 years at the time of signing the informed consent form
  • Life expectancy of at least 30 days

Exclusion Criteria:

  • No serious medical condition, laboratory abnormality, or psychiatric illness (including no evidence of hepatic encephalopathy) that would prevent the subject from signing the informed consent form
  • No pregnant or breast feeding females. (Lactating females must agree not to breast feed while taking lenalidomide)
  • No patients who have undergone surgical resection or received chemotherapy, percutaneous ethanol injection, radiation therapy or chemoembolization within 30 days prior to commencement of the study
  • No condition, including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he/she were to participate in the study or confounds the ability to interpret data from the study
  • No use of any other experimental drug or therapy within 28 days of baseline
  • No known hypersensitivity to thalidomide
  • Patients who developed erythema nodosum if characterized by a desquamating rash while taking thalidomide or similar drugs will be excluded
  • No prior use of lenalidomide
  • No concurrent use of other anti-cancer agents or treatments
  • No known positivity for HIV or infectious hepatitis, type B-8/9 or C
  • No active infection not controlled effectively with antimicrobial or antiviral therapy

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01348503

United States, Indiana
Indiana University Melvin and Bren Simon Cancer Center
Indianapolis, Indiana, United States, 46202
Sponsors and Collaborators
Indiana University School of Medicine
Celgene Corporation
Principal Investigator: E. Gabriela Chiorean, MD Indiana University Melvin and Bren Simon Cancer Center

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Indiana University School of Medicine Identifier: NCT01348503     History of Changes
Other Study ID Numbers: 1004-05; IUCRO-0298
First Posted: May 5, 2011    Key Record Dates
Last Update Posted: August 31, 2015
Last Verified: August 2015

Additional relevant MeSH terms:
Carcinoma, Hepatocellular
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Liver Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Digestive System Diseases
Liver Diseases
Immunologic Factors
Physiological Effects of Drugs
Angiogenesis Inhibitors
Angiogenesis Modulating Agents
Growth Substances
Growth Inhibitors
Antineoplastic Agents
Immunosuppressive Agents
Leprostatic Agents
Anti-Bacterial Agents
Anti-Infective Agents
Protein Kinase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Vitamin B Complex