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Sorafenib VS TACE in HCC Patients With Portal Vein Invasion

This study has been terminated.
(Difficulty of participant enrollment.)
Information provided by (Responsible Party):
Seoul National University Hospital Identifier:
First received: November 20, 2011
Last updated: April 28, 2016
Last verified: December 2013
The investigators are going to compare the therapeutic effect of sorafenib and transarterial chemoembolization in advanced hepatocellular carcinoma with major branch of portal vein invasion.

Condition Intervention Phase
Hepatocellular Carcinoma
Drug: Sorafenib
Procedure: TACE for HCC with portal vein invasion
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: An Open Label, Phase 2 Trial Comparing Sorafenib And TACE in Advanced Hepatocellular Carcinoma With Portal Vein Invasion

Resource links provided by NLM:

Further study details as provided by Seoul National University Hospital:

Primary Outcome Measures:
  • Time to Progression (Efficacy) [ Time Frame: every 6 weeks up to 3 years ]

Secondary Outcome Measures:
  • overall survival [ Time Frame: every 6 weeks up to 3 years ]
  • objective tumor response rate [ Time Frame: every 6 weeks up to 3 years ]
    Determined by dynamic-perfusion CT scan at the end of each cycle

  • objective tumor control rate [ Time Frame: every 6 weeks up to 3 years ]
    Determined by dynamic-perfusion CT scan at the end of each cycle

  • progression-free survival [ Time Frame: every 6 weeks up to 3 years ]
  • the adverse event rate and examine the toxicities [ Time Frame: every 6 weeks up to 3 years ]
    The investigators will evaluate the adverse event according to Common Toxicity Criteria(version 4.0)by National Cancer Institute of National Institutes of Health

  • Change of perfusion parameter [ Time Frame: every 6 weeks up to 3 years ]
  • Alpha feto protein (AFP) responsiveness [ Time Frame: every 6 weeks up to 3 years ]
    AFP responder : 20% reduction from baseline AFP level after 6 weeks of treatment

Enrollment: 2
Study Start Date: June 2012
Study Completion Date: December 2015
Primary Completion Date: December 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Sorafenib
Sorafenib 400mg po bid
Drug: Sorafenib
Sorafenib 400mg po bid
Other Name: Nexavar
Experimental: TACE for HCC with portal vein invasion
Antineoplastic agents are directly injected into the hepatic artery, allowing high intratumoral concentrations of drugs and thereby reducing systemic side effects. The mixture of chemotherapeutic agents and iodized oil is almost completely retained in neoplastic nodules and can remain in HCC tissue for a long time. Subsequent mechanical embolization of the artery feeding the neoplasm causes ischemic damage to the tumor and prolongs the duration of the effects of chemotherapeutic agents.
Procedure: TACE for HCC with portal vein invasion
The volume of iodized oil ranged from 2 to 12 mL, and the amount of doxorubicin ranged from 10 to 60 mg. Gelatin sponge particles were mixed with mitomycin and contrast material.Cisplatin was infused at the tumor feeder vessels as a solution with a concentration of 0.5 mg/mL at a rate of 5-10 mL/min. The total amount of cisplatin used ranged from 50 to 100 mg depending on the patient's body weight and the level of infusion.
Other Name: TACE

Detailed Description:
TACE is an established therapy for patients with unresectable hepatocellular carcinoma (HCC) and has been shown to significantly improve survival in these patients compared to no treatment. Moreover, TACE can be performed safely and may improve the overall survival of patients with HCC and major branch of portal vein invasion. Sorafenib, already approved for HCC, could lead to significantly improvement in tumor control and survival in patients with advanced stage HCC. So far there are no head to head comparison reports about the efficacy of Sorafenib and TACE. Here the investigators evaluate the efficacy of sorafenib and TACE in advanced HCC with major branch of portal vein invasion.

Ages Eligible for Study:   18 Years to 79 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. 80 > Age >= 18 years.
  2. Child-Pugh class A (class B could be included when Childs score is 7).
  3. Hepatocellular carcinoma with major branch of portal vein invasion on dynamic CT or MRI

    • not only newly diagnosed treatment-naive patients,
    • but also HCC patients previously treated with other therapies in case of development of major branch of portal vein invasion
  4. Adequate bone marrow, liver and renal function as assessed by the following laboratory requirements:

    • White blood cell counts (WBC) >= 2,000 /μl, Absolute neutrophil count (ANC) > 1,200/μl
    • Hemoglobin >= 8.0 g/dl
    • Platelet count > 50,000/μl
    • Serum creatinine < 1.7 mg/dl
    • Total bilirubin =< 3.0 mg/dl
    • Prothrombin Time (PT)-international normalized ratio (INR) =< 2.3 or Prothrombin Time (PT)-sec =< 6 sec
  5. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-2.

Exclusion Criteria:

  1. Child-Pugh score >= 8.
  2. Age < 18 or >= 80 years.
  3. ECOG Performance Status >= 3.
  4. Recipient of living donor or deceased donor liver transplantation
  5. Patients unable to understand the contents of informed consent or refuse to sign the informed consent.
  6. Patients with evidence of uncontrolled or severe medical conditions requiring treatment.
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Please refer to this study by its identifier: NCT01480817

Korea, Republic of
Seoul National University Hospital
Seoul, Korea, Republic of, 110-744
Sponsors and Collaborators
Seoul National University Hospital
Principal Investigator: Jung-Hwan Yoon, M.D., Ph.D. Seoul National University Hospital
  More Information

Responsible Party: Seoul National University Hospital Identifier: NCT01480817     History of Changes
Other Study ID Numbers: STAP
Study First Received: November 20, 2011
Last Updated: April 28, 2016

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
Antineoplastic Agents
Protein Kinase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Vitamin B Complex
Growth Substances
Physiological Effects of Drugs processed this record on May 23, 2017