- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01379521
Safety and Efficacy of RAD001 + TACE in Localized Unresectable HCC (TRACER)
April 13, 2017 updated by: Novartis Pharmaceuticals
A Phase II Randomized, Double-blinded, Multicenter Asian Study Investigating the Combination of Transcatheter Arterial Chemoembolization (TACE) and Oral Everolimus (RAD001, Afinitor®) in Localised Unresectable Hepatocellular Carcinoma (HCC) - The TRACER Study
This study will evaluate the role of everolimus in combination with local Transcatheter Arterial Chemoembolization (TACE) procedure in patients with localized unresectable Hepatocellular Carcinoma (HCC).
Study Overview
Status
Terminated
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
65
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Hong Kong, Hong Kong
- Novartis Investigative Site
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Kaohsiung, Taiwan, 807
- Novartis Investigative Site
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Kaohsiung, Taiwan, 83301
- Novartis Investigative Site
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Lin-Kou, Taiwan, 33305
- Novartis Investigative Site
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Chiang Mai, Thailand, 50200
- Novartis Investigative Site
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Newly diagnosed hepatocellular carcinoma limited to liver and not suitable for resection, liver transplant, or radiofrequency ablation.
- Intermediate stage (stage B) (according to recognized guidelines) and suitable for TACE therapy
- At least one nodule between > 2cm and ≤ 15cm in diameter with no vascular invasion or abdominal lymph node or distant metastases.
- Must have 1 tumor which can be measured in 1 dimension according to specified criteria (RECIST and mRECIST) and has not previously been treated with any type of therapy.
- ECOG performance status < 2cm
- Cirrhotic status of Child-Pugh class A or early B
- HBV-DNA or HBsAg positive at screen or baseline: preventative treatment with anti-viral started 1-2 weeks prior to receiving study drug
Exclusion Criteria:
- Any local and/or investigational drugs within 28 days prior to randomization
- Active bleeding during the last 28 days prior to screening including variceal bleeding
- Prior therapy with mTOR inhibitors
- Tumor burden of > 60% liver involvement
- Prior systemic or local therapy including TACE except for the first TACE at Day 0), surgery or liver transplantation
- Failed first TACE at Day 0, Cycle 1 for any reason
- Known history of human immunodeficiency virus (HIV) seropositivity (HIV testing is not mandatory)
- Alcohol intake of 80 grams per day
- Undergone major surgery ≤ 3 weeks prior to starting study drug or who have not recovered from surgery
- Female patients who are pregnant or breast feeding, or adults of reproductive potential who are not using effective birth control methods
Other protocol-defined inclusion/exclusion criteria may apply
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: SINGLE_GROUP
- Masking: QUADRUPLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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EXPERIMENTAL: everolimus + TACE
everolimus 7.5mg/day by mouth + transcatheter arterial chemoembolization (TACE)
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Other Names:
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PLACEBO_COMPARATOR: placebo + TACE
Placebo by mouth + transcatheter arterial chemoembolization (TACE)
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Time to Progression (TTP) Based on the Modified RECIST Criteria
Time Frame: 3, 6, 12, 18 and 24 months
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Time to Progression (TTP) defined as the time from the date of randomization to the date of first documented radiological confirmation of disease progression based on modified RECIST criteria.
Progressive Disease: >20% increase in sum of the longest diameters (SLD) of "viable" target lesion (arterial phase enhancement)
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3, 6, 12, 18 and 24 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Overall Response Rate (ORR) and Disease Control Rate (DCR) Based on the Modified RECIST
Time Frame: 6, 12 months, end of study
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Overall response rate was defined as the number of patients whose best overall response was either complete response or partial response according to the modified RECIST.
Complete response: Disappearance of arterial phase enhance-ment in all target lesions.
Partial response: >30% decrease in sum of the longest diameters (SLD) of "viable" target lesion (arterial phase enhance-ment)Disease control rate was defined as the number of patients with a best overall response of complete response, partial response or stable disease.
The study was terminated early due to slow enrollment of 4 years, higher than anticipated screen failure rate due to a higher than anticipated proportion of patients having advanced liver disease and a change in clinical practice the total of 80 patients was not reached with only 59 patients recruited in total.
The study was underpowered due to termination therefore data was not collected and the outcome measure was not analyzed.
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6, 12 months, end of study
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Time to Progression Based on Original RECIST
Time Frame: 6, 12 months, end of study
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Time to Progression (TTP) defined as the time from the date of randomization to the date of first documented radiological confirmation of disease progression based on original RECIST criteria.
Progressive Disease: >20% increase in sum of the longest diameters (SLD) of target lesions with an absolute increase of ≥5 mm; new lesions.
The study was terminated early due to slow enrollment of 4 years, higher than anticipated screen failure rate due to a higher than anticipated proportion of patients having advanced liver disease and a change in clinical practice the total of 80 patients was not reached with only 59 patients recruited in total.
The study was underpowered due to termination therefore data was not collected and the outcome measure was not analyzed.
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6, 12 months, end of study
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Overall Response Rate (ORR) and Disease Control Rate (DCR) Based on Original RECIST
Time Frame: 6, 12 months, end of study
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Overall response rate was defined as the number of patients whose best overall response was either complete response or partial response according to the Complete response: Disappearance of all target lesions or lymph nodes <10 mm in the short axis Partial response: >30% decrease in sum of the longest diameters (SLD) of target lesions Disease control rate was defined as the number of patients with a best overall response of complete response, partial response or stable disease.
The study was terminated early due to slow enrollment of 4 years, higher than anticipated screen failure rate due to a higher than anticipated proportion of patients having advanced liver disease and a change in clinical practice the total of 80 patients was not reached with only 59 patients recruited in total.
The study was underpowered due to termination therefore data was not collected and the outcome measure was not analyzed.
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6, 12 months, end of study
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Overall Survival (OS)
Time Frame: 6, 12, 18, 24, 30 months
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Overall survival was defined as the time from date of randomization to date of death due to any cause.
If death had not occurred at the date of the analysis cut-off then OS was censored at the date of the last contact.
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6, 12, 18, 24, 30 months
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Incidences of Cumulative New Nodular Recurrence, Portal Vein Invasion and Extra Hepatic Metastases
Time Frame: 30 months
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Incidences of cumulative new nodular recurrence, portal vein invasion and extra hepatic metastases but incidence of portal vein invasion meant those patients without documented vascular invasion at screening/baseline.
The study was terminated early due to slow enrollment of 4 years, higher than anticipated screen failure rate due to a higher than anticipated proportion of patients having advanced liver disease and a change in clinical practice the total of 80 patients was not reached with only 59 patients recruited in total.
The study was underpowered due to termination therefore data was not collected and the outcome measure was not analyzed.
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30 months
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Percentage of Participants With a Decrease in the Sum of the of Longest Diameters (SLD) of Target Lesions From Baseline to 30 Months
Time Frame: baseline, 30 months
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Percentage of participants with a decrease in the sum of the of longest diameters (SLD) of target lesions from Baseline to 30 months
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baseline, 30 months
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
June 1, 2011
Primary Completion (ACTUAL)
June 1, 2015
Study Completion (ACTUAL)
June 1, 2015
Study Registration Dates
First Submitted
June 1, 2011
First Submitted That Met QC Criteria
June 22, 2011
First Posted (ESTIMATE)
June 23, 2011
Study Record Updates
Last Update Posted (ACTUAL)
May 3, 2017
Last Update Submitted That Met QC Criteria
April 13, 2017
Last Verified
April 1, 2017
More Information
Terms related to this study
Keywords
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
- Liver Neoplasms
- Carcinoma
- Carcinoma, Hepatocellular
- Physiological Effects of Drugs
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Everolimus
Other Study ID Numbers
- CRAD001OHK02
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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