Efficacy and Safety of Immuncell-LC Group and Non-treatment Group in Hepatocelluar Carcinoma Patients
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ClinicalTrials.gov Identifier: NCT00699816 |
Recruitment Status :
Completed
First Posted : June 18, 2008
Results First Posted : September 24, 2015
Last Update Posted : October 26, 2017
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Sponsor:
GC Cell Corporation
Information provided by (Responsible Party):
GC Cell Corporation
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Condition |
Hepatocellular Carcinoma |
Intervention |
Biological: Immuncell-LC |
Enrollment | 230 |
Participant Flow
Recruitment Details | This phase 3 clinical study was a multicenter, randomized, open-labeled trial. The study was conducted at 5 university affiliated hospitals in Korea. All eligible participants were assigned randomly, in a 1:1 ratio, to receive adjuvant adoptive immune therapy using a CIK cell agent or no adjuvant treatment. |
Pre-assignment Details |
Arm/Group Title | Immunotherapy Group | Control Group |
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Patients who had undergone curative treatment(surgical resection, radiofrequency ablation[RFA], or percutaneous ethanol injection[PEI]) for HCC of pretreatment clinical stage I or II according to the American Joint Committee on Cancer staging system(6th edition) based on radiologic imaging studies were eligible for this study with adjuvant adoptive immune therapy using a CIK cell agent | Patients who had undergone curative treatment(surgical resection, radiofrequency ablation[RFA], or percutaneous ethanol injection[PEI]) for HCC of pretreatment clinical stage I or II according to the American Joint Committee on Cancer staging system(6th edition) based on radiologic imaging studies were eligible for this study with no adjuvant treatment |
Period Title: Overall Study | ||
Started | 115 | 115 |
Completed | 114 | 112 |
Not Completed | 1 | 3 |
Reason Not Completed | ||
Protocol Violation | 1 | 3 |
Baseline Characteristics
Arm/Group Title | Immunotherapy Group | Control Group | Total | |
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Patients who had undergone curative treatment(surgical resection, radiofrequency ablation[RFA], or percutaneous ethanol injection[PEI]) for HCC of pretreatment clinical stage I or II according to the American Joint Committee on Cancer staging system(6th edition) based on radiologic imaging studies were eligible for this study with adjuvant adoptive immune therapy using a CIK cell agent | Patients who had undergone curative treatment(surgical resection, radiofrequency ablation[RFA], or percutaneous ethanol injection[PEI]) for HCC of pretreatment clinical stage I or II according to the American Joint Committee on Cancer staging system(6th edition) based on radiologic imaging studies were eligible for this study with no adjuvant treatment | Total of all reporting groups | |
Overall Number of Baseline Participants | 114 | 112 | 226 | |
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A total of 230 eligible participants were assigned randomly to either the immunotherapy group(n=115) or the control group(n=115). Among these randomized patients, 226(114 in the immunotherapy group and 112 in the control group) were included in the efficacy analysis. 4 patients were excluded due to violation of the inclusion and exclusion criteria.
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Age, Customized
Mean (Standard Deviation) Unit of measure: Years |
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Age | Number Analyzed | 114 participants | 112 participants | 226 participants |
55.4 (8.2) | 56.4 (10.6) | 55.9 (9.4) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 114 participants | 112 participants | 226 participants | |
Female |
19 16.7%
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21 18.8%
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40 17.7%
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Male |
95 83.3%
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91 81.3%
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186 82.3%
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Region of Enrollment
Measure Type: Number Unit of measure: Participants |
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Korea, Republic of | Number Analyzed | 114 participants | 112 participants | 226 participants |
114 | 112 | 226 | ||
Treatment modality
Measure Type: Number Unit of measure: Participants |
Number Analyzed | 114 participants | 112 participants | 226 participants |
Percutaneous ethanol injection | 13 | 4 | 17 | |
Radiofrequency ablation | 69 | 70 | 139 | |
Surgical resection | 32 | 38 | 70 | |
HCC stage
[1] Measure Type: Number Unit of measure: Participants |
Number Analyzed | 114 participants | 112 participants | 226 participants |
Stage I | 98 | 94 | 192 | |
Stage II | 16 | 18 | 34 | |
[1]
Measure Description:
HCC staging criteria is AJCC staging system(6th edition) developed by the American Joint Committee on Cancer for describing the extent of disease progression in cancer patients. It utilizes in part the TNM scoring system: Tumor size, Lymph Nodes affected, Metastases. The TNM Staging System is based on the extent of the tumor (T), the extent of spread to the lymph nodes (N), and the presence of metastasis (M). Once the T, N, and M are determined, they are combined, and an overall "Stage" of I, II, III, IV is assigned. Higher stage cancers are more advanced. |
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Number of HCC
[1] Measure Type: Number Unit of measure: Participants |
Number Analyzed | 114 participants | 112 participants | 226 participants |
>3 or =3 | 2 | 2 | 4 | |
<3 | 112 | 110 | 222 | |
[1]
Measure Description: Tumor assessments were performed using dynamic computed tomography or magnetic resonance imaging. All scans were reviewed by 2 independent radiologists at each site(hospital) with more than 5 years' experience, who were unaware of the group assignment. In cases of discordance, an additional third independent experienced radiologist reviewed images and consensus was achieved among the 3 radiologists.
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Size of HCC
[1] Median (Inter-Quartile Range) Unit of measure: Centimeter |
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Number Analyzed | 114 participants | 112 participants | 226 participants | |
1.8
(1.4 to 2.3)
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2.3
(1.5 to 3.1)
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2.0
(1.4 to 2.7)
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[1]
Measure Description: Tumor assessments were performed using dynamic computed tomography or magnetic resonance imaging. All scans were reviewed by 2 independent radiologists at each site(hospital) with more than 5 years' experience, who were unaware of the group assignment. In cases of discordance, an additional third independent experienced radiologist reviewed images and consensus was achieved among the 3 radiologists.
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ECOG performance status
[1] Measure Type: Number Unit of measure: Participants |
Number Analyzed | 114 participants | 112 participants | 226 participants |
0 | 81 | 81 | 162 | |
1 | 33 | 31 | 64 | |
[1]
Measure Description: ECOG (Eastern Cooperative Oncology Group) performance status assesses the daily living abilities of the patient, on a scale ranging from 0(fully active) to 5(dead).
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Cause of liver disease
Measure Type: Number Unit of measure: Participants |
Number Analyzed | 114 participants | 112 participants | 226 participants |
HBV infection only | 96 | 90 | 186 | |
HCV infection only | 9 | 10 | 19 | |
HBV and HCV | 2 | 2 | 4 | |
Co-infection (Others) | 7 | 10 | 17 | |
Co-infection (Cirrhosis) | 76 | 70 | 146 | |
Alpha fetoprotein level
Median (Inter-Quartile Range) Unit of measure: ng/mL |
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Number Analyzed | 114 participants | 112 participants | 226 participants | |
5.2
(3.1 to 9.9)
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5.4
(3.0 to 13.0)
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5.3
(3 to 11.4)
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PIVKA-II
Median (Inter-Quartile Range) Unit of measure: mAU/mL |
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Number Analyzed | 114 participants | 112 participants | 226 participants | |
19.0
(14.0 to 24.8)
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18.0
(14.0 to 24.0)
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18.5
(14 to 24.4)
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Aspartate aminotransferase level
Median (Inter-Quartile Range) Unit of measure: IU/L |
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Number Analyzed | 114 participants | 112 participants | 226 participants | |
33.0
(27.0 to 43.5)
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34.0
(26.8 to 44.0)
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33.5
(26.9 to 43.8)
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Alanine aminotransferase level
Median (Inter-Quartile Range) Unit of measure: IU/L |
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Number Analyzed | 114 participants | 112 participants | 226 participants | |
33.0
(25.0 to 45.8)
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33.0
(23.0 to 47.5)
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33.0
(24.0 to 46.7)
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Alkaline phosphatase level
Median (Inter-Quartile Range) Unit of measure: IU/L |
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Number Analyzed | 114 participants | 112 participants | 226 participants | |
82.5
(70.0 to 101.5)
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82.0
(65.0 to 100.0)
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82.3
(67 to 100.3)
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Albumin level
Median (Inter-Quartile Range) Unit of measure: g/dL |
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Number Analyzed | 114 participants | 112 participants | 226 participants | |
4.1
(3.9 to 4.3)
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4.1
(3.9 to 4.3)
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4.1
(3.9 to 4.3)
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Total bilirubin level
Median (Inter-Quartile Range) Unit of measure: mg/dL |
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Number Analyzed | 114 participants | 112 participants | 226 participants | |
0.8
(0.6 to 1.0)
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0.8
(0.6 to 1.0)
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0.8
(0.6 to 1.0)
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Prothrombin time
Median (Inter-Quartile Range) Unit of measure: Seconds |
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Number Analyzed | 114 participants | 112 participants | 226 participants | |
13.7
(13.1 to 14.7)
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13.9
(13.2 to 14.4)
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13.8
(13.2 to 14.6)
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Creatinine level
Median (Inter-Quartile Range) Unit of measure: mg/dL |
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Number Analyzed | 114 participants | 112 participants | 226 participants | |
0.9
(0.8 to 1.0)
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0.9
(0.7 to 1.0)
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0.9
(0.8 to 1.0)
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Platelet
Median (Inter-Quartile Range) Unit of measure: X 10^3/mm^3 |
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Number Analyzed | 114 participants | 112 participants | 226 participants | |
116.5
(92.3 to 158.0)
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141.0
(117.5 to 166.3)
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128.6
(100.0 to 157.2)
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Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Results Point of Contact
Name/Title: | Jung-Hwan Yoon, MD, PhD |
Organization: | Seoul National University College of Medicine |
Phone: | +82-2-2072-2228 |
EMail: | yoonjh@snu.ac.kr |
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | GC Cell Corporation |
ClinicalTrials.gov Identifier: | NCT00699816 |
Other Study ID Numbers: |
IIC-I01 |
First Submitted: | June 17, 2008 |
First Posted: | June 18, 2008 |
Results First Submitted: | June 18, 2015 |
Results First Posted: | September 24, 2015 |
Last Update Posted: | October 26, 2017 |