Phase Ⅱ Study of HAIC of FOLFOX vs. Sorafenib in HCC Refractory to TACE

Launched by SUN YAT-SEN UNIVERSITY · Oct 25, 2018

Keywords

ClinConnect Summary

In most current guidelines, sorafenib is considered as the second-line treatment for patients with transarterial chemoembolization(TACE) failure or refractoriness.However,the median overall survival of those treated with sorafenib monotherapy was 16.4 to 24.7 months.

Whether combining sorafenib with hepatic arterial infusion chemotherapy(HAIC) of oxaliplatin,5-fluorouracil and leucovorin is safe, well tolerated, and efficacious remains unknown, with no prospective clinical data currently available.The investigators therefore conducted a prospective and randomized phase II trial to compare ...

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ALL

Eligibility criteria

• Inclusion Criteria:
• • TACE failure or refractoriness based on the Liver Cancer Study Group of Japan (LCSGJ) criteria, including appearance of vascular invasion or two or more consecutive insufficient responses of the intrahepatic lesion;
• • Except for TACE, patients have received no previous anti-tumor treatment;
• • The diagnosis of HCC was based on histological results;
• • Patients must have at least one tumor lesion that can be accurately measured;
• • Not amendable to surgical resection ,local ablative therapy and any other cured treatment;
• • No Cirrhosis or cirrhotic status of Child-Pugh class A only;
• • No liver protection therapy in 2 weeks before enrolled, and meet the following laboratory parameters:(a) Platelet count ≥ 75,000/μL; (b)Hemoglobin ≥ 8.5 g/dL;(c) Total bilirubin ≤ 30mmol/L;(d) Serum albumin ≥ 32 g/L;(e) ASL and AST ≤ 5 x upper limit of normal;(f) Serum creatinine ≤ 1.5 x upper limit of normal;(g) INR \> 2.3 or PT/APTT within normal limits; (h) Absolute neutrophil count (ANC) \>1,500/mm3;
• • Ability to understand the protocol and to agree to and sign a written informed consent document
• Exclusion Criteria:
• • 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;
• • Any other hemorrhage/bleeding event \> CTCAE Grade 3 within 4 weeks of first dose of study drug.