- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00459108
Dasatinib in Treating Patients With Advanced Liver Cancer That Cannot Be Removed by Surgery
A Phase II Trial of Dasatinib (BMS-354825) in Advanced Hepatocellular Carcinoma
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
PRIMARY OBJECTIVES:
I. Determine the progression-free survival (PFS) rate and response rate (complete and partial response) at 4 months in patients with unresectable advanced hepatocellular carcinoma treated with dasatinib.
SECONDARY OBJECTIVES:
I. Determine the median PFS and overall survival of patients treated with this drug.
II. Assess the toxicity and tolerability of this drug in these patients.
OUTLINE: This is a multicenter study.
Patients receive oral dasatinib twice daily on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed at 4 weeks and then every 3-6 months thereafter.
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
California
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Los Angeles, California, United States, 90033
- University of Southern California, Norris
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Criteria:
- WBC >= 3,000/mm^3
- LVEF normal
- Histologically or cytologically confirmed hepatocellular carcinoma; Advanced disease, unresectable disease, no Childs C criteria
- Measurable disease, defined as >= 1 unidimensionally measurable lesion >= 20 mm by conventional techniques or >= 10 mm by spiral CT scan
- Not a candidate for percutaneous ethanol injection or radiofrequency ablation (RFA)
- Prior transarterial chemoembolization, ethanol, and RFA allowed if new lesions are present in the liver and there are no other sites of disease
- No pleural effusion or ascites requiring paracentesis within the past 4 weeks
- No known brain metastases
- ECOG performance status (PS) 0-1 OR Karnofsky PS 70-100%
- Life expectancy > 3 months
- Absolute neutrophil count >= 1,500/mm^3
- Platelet count >= 75,000/mm^3
- Bilirubin =< 2 times upper limit of normal (ULN)
- AST and ALT =<2.5 times ULN (5 times ULN if liver involvement by tumor)
- Creatinine =< 2 times ULN
- PT =< 1.5 times ULN (no anticoagulation)
- Albumin >= 2.5 mg/dL
- No history of allergic reactions attributed to compounds of similar chemical or biological composition to dasatinib
- No evidence of encephalopathy
No condition that would preclude ability to swallow and retain dasatinib tablets, including any of the following:
- Gastrointestinal tract disease resulting in an inability to take oral medication;
- Requirement for IV alimentation;
- Prior surgical procedures affecting absorption:
- Active peptic ulcer disease
- No clinically significant ECG abnormalities
No clinically significant cardiovascular disease, including any of the following:
- Myocardial infarction or ventricular tachyarrhythmia within the past 6 months;
- Prolonged QTc >= 480 msec (Fridericia correction);
- Major conduction abnormality (unless cardiac pacemaker is present)
No other uncontrolled illness, including, but not limited to, any of the following:
- Ongoing or active infection;
- History of significant bleeding disorder, including congenital (von Willebrand's disease) or acquired disorders (antifactor VIII antibodies);
- Psychiatric illness or social situation that would preclude study compliance
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- Recovered from all prior therapy
- One prior systemic chemotherapy regimen allowed
- Prior cryosurgery allowed
- More than 4 weeks since prior transarterial chemoembolization
- More than 4 weeks since prior radiotherapy
- Prior or concurrent localized palliative radiotherapy (i.e., bony metastasis) allowed provided it was administered for =< 3 days
- At least 7 days since prior and no concurrent antithrombotic and/or antiplatelet agents (e.g., warfarin, heparin, low molecular weight heparin, acetylsalicylic acid, and/or ibuprofen)
- At least 7 days since prior and no concurrent agents with proarrhythmic potential
- At least 7 days since prior and no concurrent medications or substances that are potent inhibitors or inducers of CYP3A4
- No concurrent combination antiretroviral therapy for HIV-positive patients
- No concurrent embolization or chemoembolization
- No concurrent systemic antacids (H2 receptor antagonists or proton pump inhibitors)
- Locally active antacids allowed provided they are held for 2 hours before and 2 hours after dasatinib dose
- No other concurrent investigational agents
- No other concurrent anticancer agents or therapies
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Oral Dasatinib
Patients receive oral dasatinib at 70 mg twice daily on days 1-28.
Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
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Given orally
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Response Rate (Complete and Partial Response)
Time Frame: 4 months
|
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Response = CR + PR
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4 months
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Four Month Progression-free Survival (PFS)
Time Frame: 4 months
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Progression-free survival calculated using the method of Kaplan-Meier.
Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.
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4 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Median Progression-free Survival
Time Frame: Until disease progression or death, up to 4 years
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Estimated using the product-limit method of Kaplan and Meier.
Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.
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Until disease progression or death, up to 4 years
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Overall Survival
Time Frame: Up to 4 years
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Estimated using the product-limit method of Kaplan and Meier.
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Up to 4 years
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Safety and Tolerability
Time Frame: Up to 4 years
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Summarize observed grade 3 and higher toxicities related to dasatanib.
The descriptions and grading scales found in the revised NCI Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 were used for reporting.
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Up to 4 years
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Heinz-Josef Lenz, City of Hope Medical Center
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms by Site
- Adenocarcinoma
- Neoplasms, Glandular and Epithelial
- Digestive System Neoplasms
- Liver Diseases
- Carcinoma
- Carcinoma, Hepatocellular
- Liver Neoplasms
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antineoplastic Agents
- Protein Kinase Inhibitors
- Dasatinib
Other Study ID Numbers
- NCI-2009-00224 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
- N01CM62201 (U.S. NIH Grant/Contract)
- N01CM62209 (U.S. NIH Grant/Contract)
- CDR0000538220
- PHII-83 (Other Identifier: City of Hope Medical Center)
- 7792 (Other)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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