SGI-110 in the Treatment of Advanced Hepatocellular Carcinoma (HCC)

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: NCT01752933
Recruitment Status : Completed
First Posted : December 19, 2012
Last Update Posted : January 26, 2017
Information provided by (Responsible Party):
Astex Pharmaceuticals

Brief Summary:
A Phase 2 open-label, single-arm, non-randomized study in the treatment of advanced hepatocellular carcinoma (HCC) patients who failed prior treatment with sorafenib using a Simon's 2-stage design. A set minimum number of patients must demonstrate disease control at 16 weeks to proceed to Stage 2. At Stage 2, a set number of patients must have disease control at 16 weeks to declare that SGI-110 is of interest in the treatment of advanced HCC after failure of prior sorafenib.

Condition or disease Intervention/treatment Phase
Hepatocellular Carcinoma Drug: SGI-110 Phase 2

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 51 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase 2 Study of SGI-110 in the Treatment of Advanced Hepatocellular Carcinoma (HCC) Subjects Who Failed Prior Treatment With Sorafenib
Study Start Date : December 2012
Actual Primary Completion Date : September 2015
Actual Study Completion Date : September 2015

Arm Intervention/treatment
Experimental: SGI-110
SGI-110 administered subcutaneously daily on Days 1 - 5 every 28 days
Drug: SGI-110
SGI-110 will be administered by subcutaneously on Days 1 - 5 every 28 days until disease progression or unacceptable toxicity

Primary Outcome Measures :
  1. Assess the disease control rate (DCR) at 16 weeks for patients treated with SGI-110 after failure of sorafenib [ Time Frame: 18 months ]
    Percentage of patients achieving a best overall response of complete response or partial response and stable disease at 16 weeks

Secondary Outcome Measures :
  1. Assess safety and tolerability of SGI-110 [ Time Frame: 18 months ]
    Number of patients with serious adverse events and adverse events

  2. Determine alpha fetoprotein response as a result of SGI-110 administration [ Time Frame: 18 months ]
    Change in alpha fetoprotein levels from pre-treatment levels

  3. Duration of response [ Time Frame: 18 months ]
    Duration of response as measured in weeks.

  4. Progression-free survival [ Time Frame: 18 months ]
    Progression-free survival measured in weeks.

  5. Overall survival [ Time Frame: 18 months ]
    Overall survival measured in weeks.

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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

Inclusion Criteria:

  1. 18 years of age or older
  2. Histological or cytological confirmed hepatocellular carcinoma with advanced stage disease
  3. Received prior sorafenib treatment, and showed evidence of disease progression, which is defined as Investigator verified radiologic progression, or intolerance of prior systemic therapy, which is defined as having had clinically significant adverse events that persisted despite one or more dose reductions or interruptions
  4. ECOG performance status of 0-1
  5. Acceptable organ function
  6. Signed an approved informed consent

Exclusion Criteria:

  1. Known hypersensitivity to SGI-110
  2. Adequate washout of prior radiation, chemotherapy or other locoregional therapy
  3. Abnormal left ventricular ejection fraction
  4. Uncontrolled ischemic heart disease or a history of congestive cardiac failure
  5. Known brain metastases
  6. Clinically evident ascites
  7. Child-Pugh C cirrhosis or Child-Pugh B cirrhosis with more than 7 points
  8. Prior malignancy, except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, non-metastatic prostate cancer with normal PSA or other cancer from which the subject has been disease free for at least three years
  9. Known history of human immunodeficiency virus (HIV)

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): NCT01752933

  Hide Study Locations
United States, California
City of Hope National Medical Center
Duarte, California, United States, 91010
USC Norris Comprehensive Cancer Center
Los Angeles, California, United States, 90033
UC Davis Comprehensive Cancer Center
Sacramento, California, United States, 95817
United States, Florida
H. Lee Moffitt Cancer Center and Research Institute
Tampa, Florida, United States, 33612
United States, Illinois
Northwestern University: Robert H. Lurie Comprehensive Cancer Center
Chicago, Illinois, United States, 60611
United States, Kentucky
University of Louisville James Graham Brown Cancer Center
Louisville, Kentucky, United States, 40201
United States, New York
Columbia University Medical Center - Herbert Irving Comprehensive Cancer Center
New York, New York, United States, 10032
United States, Ohio
The Ohio State University Comprehensive Cancer Center
Columbus, Ohio, United States, 43210
United States, Pennsylvania
Fox Chase Cancer Center
Philadelphia, Pennsylvania, United States, 19111
United States, South Carolina
Medical University of South Carolina, Hollings Cancer Center
Charleston, South Carolina, United States, 29425
United States, Tennessee
The Jones Clinic, PC
Germantown, Tennessee, United States, 38138
United States, Texas
Mary Crowley Medical Research Center
Dallas, Texas, United States, 75230
University of Texas Southwestern Medical Center
Dallas, Texas, United States, 75390
United States, Washington
Swedish Cancer Institute
Seattle, Washington, United States, 98122
United States, Wisconsin
UW Carbone Cancer Center
Madison, Wisconsin, United States, 53792
Canada, British Columbia
University of British Columbia and Vancouver General Hospital
Vancouver, British Columbia, Canada, V5Z 1M9
Canada, Ontario
The Ottawa Hospital Cancer Center
Ottawa, Ontario, Canada, K1H 8L6
Sunnybrook HealthScience Centre
Toronto, Ontario, Canada, M4N 3M5
Canada, Quebec
CHUM Hopital St-Luc
Montreal, Quebec, Canada, H2X 3J4
Centre Hospitalier Universitaire de Sherbrooke
Sherbrooke, Quebec, Canada, J1N 5N4
United Kingdom
University of Liverpool Clatterbridge Cancer Center
Liverpool, United Kingdom
Cambridge University Hospitals NHS Foundation Trust
London, United Kingdom, EC1V 4AD
Imperial College Healthcare NHS Foundation Trust
London, United Kingdom, W12 0NN
University College London
London, United Kingdom, WC1E 6BT
Sponsors and Collaborators
Astex Pharmaceuticals

Responsible Party: Astex Pharmaceuticals Identifier: NCT01752933     History of Changes
Other Study ID Numbers: SGI-110-03
First Posted: December 19, 2012    Key Record Dates
Last Update Posted: January 26, 2017
Last Verified: January 2017

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
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Enzyme Inhibitors