- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05517239
Gemcitabine With Oxaliplatin (GEMOX) in Patients With Advanced Hepatocellular Carcinoma After Failure of Sorafenib Treatment (PEACH)
Phase II Study of Gemcitabine With Oxaliplatin in Patients With Advanced Hepatocellular Carcinoma After Failure of Sorafenib Treatment
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
-
Seoul, Korea, Republic of
- Yonsei University Health system, Severance Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patient who signed informed consent.
- Male or female ≥ 20 years of age.
- Diagnosis of advanced HCC according to the AASLD.
- Unresectable HCC
- Advanced disease defined as extrahepatic metastasis or locally advanced disease not amenable to surgical resection or other local-regional therapies including transhepatic arterial (chemo) embolization (TACE or TAE) and local ablative therapy
- Patient who progressed after prior local-regional therapy (local-regional therapy must be completed at least 4weeks prior to the baseline).
Patients who progressed after or cannot tolerate sorafenib treatment. Patients who cannot receive sorafenib for other reason are also permitted.
- Documented radiological confirmation of disease progression during or after sorafenib treatment
- Intolerance to sorafenib is defined as documented sorafenib-related grade 3 or 4 adverse events that led to sorafenib discontinuation
- Patients must have a life expectancy of at least 12 weeks.
- Eastern Cooperative Oncology Group (ECOG) performance state ≤ 2
- Measurable lesion according to the RECIST 1.1 criteria
- Child Pugh Class A or B7
Patients must have adequate organ and marrow function:
- Absolute neutrophil count (ANC) ≥1.5X10^9/L
- Platelets≥75X10^9/L
- Aspartate aminotransferase (AST), Alanine aminotransferase (ALT) < 5 Upper Normal Limit(UNL)
- Total Bilirubin≤1.5 X UNL
- Controlled brain metastasis is allowed(except brain metastasis to require treatment to control symptom-wash out of treatment for brain metastasis is not required.)
Exclusion Criteria:
Imaging findings for HCC corresponding to any of the following
- HCC with >60% liver occupation
- Portal vein invasion at the main portal branch (Vp4)
History of a secondary malignancy within 3 years
- in situ cervical cancer, adequately treated basal cell or superficial bladder cancer
History of chemotherapy or radiotherapy within 4 weeks
- but, 2 weeks for sorafenib and radiotherapy site of bone lesion
- Patient who not recovered toxicity ≥ grade 2 related prior local-regional therapy or systemic therapy.
- Patients with any known severe allergy to Gemcitabine or platinum compound.
- Active gastro-Intestinal bleeding.
- Patients who are receiving any other chemotherapy or study treatments.
- Pregnant or lactating women or women of childbearing potential without proper contraceptive methods.
- Patients with active infections requiring an IV antibiotic.
- Neuropathy ≥ grade 2
- Patients with known interstitial lung disease or pulmonary fibrosis.
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: Gemcitabine, Oxaliplatin
Gemcitabine 1,000 mg/m2 infusion for 30minutes and followed by oxaliplatin 100mg/m2 infusion for 2hours on day1.
All drugs were administered intravenously until progression, intolerance, patient withdrawal, or death.
|
Gemcitabine 1,000 mg/m2 infusion for 30minutes and followed by oxaliplatin 100mg/m2 infusion for 2hours on day1.
All drugs were administered intravenously until progression, intolerance, patient withdrawal, or death.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Progression free survival
Time Frame: 1 year
|
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 1 year.
|
1 year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Time Frame: From enrollment to 30 days follow-up after the end of treatment
|
Overall safety profile verified as relevance of adverse events and laboratory abnormality based on CTCAE v4.0.
|
From enrollment to 30 days follow-up after the end of treatment
|
Response rate
Time Frame: from enrollment to 1 year follow-up after the end of treatment
|
Assessed by RECIST 1.1
|
from enrollment to 1 year follow-up after the end of treatment
|
Overall survival
Time Frame: From enrollment to 1 year follow-up after the end of treatment
|
Estimated by the Kaplan-Meier method
|
From enrollment to 1 year follow-up after the end of treatment
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Hye Jin Choi, Division of Medical Oncology, Department of Internal Medicine, Yonsei Cancer Center, Yonsei University College of Medicine
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
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
- Liver Neoplasms
- Carcinoma
- Carcinoma, Hepatocellular
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Antiviral Agents
- Enzyme Inhibitors
- Antimetabolites, Antineoplastic
- Antimetabolites
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Gemcitabine
- Oxaliplatin
Other Study ID Numbers
- 4-2014-0269
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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.
Clinical Trials on Hepatocellular Carcinoma, Unresectable, Advanced
-
Mayo ClinicRecruitingAdvanced Hepatocellular Carcinoma | Unresectable Hepatocellular Carcinoma | Stage III Hepatocellular Carcinoma AJCC v8 | Stage IV Hepatocellular Carcinoma AJCC v8United States
-
Cancer Hospital of Guangxi Medical UniversityActive, not recruitingTACE | Lenvatinib | Tislelizumab | Advanced Unresectable Hepatocellular CarcinomaChina
-
OHSU Knight Cancer InstituteOregon Health and Science UniversityWithdrawnUnresectable Hepatocellular Carcinoma | Recurrent Hepatocellular Carcinoma | BCLC Stage B Hepatocellular Carcinoma | BCLC Stage C Hepatocellular Carcinoma | Locally Advanced Hepatocellular Carcinoma
-
Academic and Community Cancer Research UnitedNational Cancer Institute (NCI); Genentech, Inc.RecruitingUnresectable Hepatocellular Carcinoma | Stage III Hepatocellular Carcinoma AJCC v8 | Stage IIIA Hepatocellular Carcinoma AJCC v8 | Stage IV Hepatocellular Carcinoma AJCC v8 | Stage IVA Hepatocellular Carcinoma AJCC v8 | Stage IVB Hepatocellular Carcinoma AJCC v8 | Stage IIIB Hepatocellular Carcinoma... and other conditionsUnited States
-
Academic and Community Cancer Research UnitedNational Cancer Institute (NCI)RecruitingUnresectable Hepatocellular Carcinoma | Stage III Hepatocellular Carcinoma AJCC v8 | Stage IIIA Hepatocellular Carcinoma AJCC v8 | Stage IV Hepatocellular Carcinoma AJCC v8 | Stage IVA Hepatocellular Carcinoma AJCC v8 | Stage IVB Hepatocellular Carcinoma AJCC v8 | BCLC Stage B Hepatocellular Carcinoma and other conditionsUnited States
-
City of Hope Medical CenterNational Cancer Institute (NCI)RecruitingUnresectable Hepatocellular Carcinoma | Stage III Hepatocellular Carcinoma AJCC v8 | Stage IIIA Hepatocellular Carcinoma AJCC v8 | Stage IV Hepatocellular Carcinoma AJCC v8 | Stage IVA Hepatocellular Carcinoma AJCC v8 | Stage IVB Hepatocellular Carcinoma AJCC v8 | BCLC Stage B Hepatocellular Carcinoma and other conditionsUnited States
-
National Cancer Institute (NCI)CompletedUnresectable Hepatocellular Carcinoma | Advanced Adult Hepatocellular Carcinoma | Recurrent Hepatocellular Carcinoma | Stage IIIB Hepatocellular Carcinoma AJCC v7 | Stage IIIC Hepatocellular Carcinoma AJCC v7 | Stage IV Hepatocellular Carcinoma AJCC v7 | Stage III Hepatocellular Carcinoma AJCC v7 and other conditionsUnited States, Canada, Puerto Rico
-
M.D. Anderson Cancer CenterNational Cancer Institute (NCI)CompletedUnresectable Hepatocellular Carcinoma | Advanced Adult Hepatocellular Carcinoma | Stage IIIB Hepatocellular Carcinoma AJCC v7 | Stage IIIC Hepatocellular Carcinoma AJCC v7 | BCLC Stage C Hepatocellular Carcinoma | Stage IV Hepatocellular Carcinoma AJCC v7 | Stage III Hepatocellular Carcinoma AJCC... and other conditionsUnited States
-
Shanghai Runshi Pharmaceutical Technology Co., LtdJilin Provincial Tumor HospitalRecruitingLocally Advanced Unresectable CarcinomaChina
-
National Cancer Institute (NCI)Active, not recruitingStage III Intrahepatic Cholangiocarcinoma AJCC v8 | Stage IIIA Intrahepatic Cholangiocarcinoma AJCC v8 | Stage IIIB Intrahepatic Cholangiocarcinoma AJCC v8 | Unresectable Hepatocellular Carcinoma | Metastatic Cholangiocarcinoma | Stage III Hepatocellular Carcinoma AJCC v8 | Stage IIIA Hepatocellular... and other conditionsUnited States
Clinical Trials on Gemcitabine, Oxaliplatin
-
3D Medicines (Sichuan) Co., Ltd.RecruitingBiliary Tract NeoplasmsChina
-
Fudan UniversityNot yet recruitingIntrahepatic Cholangiocarcinoma
-
Sichuan UniversityNot yet recruitingCombined Hepatocellular Cholangiocarcinoma
-
University of California, IrvineTerminatedCarcinoma, Transitional CellUnited States
-
Sun Yat-sen UniversityRecruitingNK/T Cell Lymphoma NosChina
-
University Hospital, MontpellierFederation Francophone de Cancerologie DigestiveRecruitingCholangiocarcinoma Non-resectable | Non-metastaticFrance
-
Shanghai Zhongshan HospitalUnknownCholangiocarcinomaChina
-
Samsung Medical CenterCompletedUnresectable, Metastatic Biliary Tract CarcinomaKorea, Republic of
-
University of HawaiiWithdrawnMetastatic Pancreatic Cancer | ERCC1United States
-
National Health Research Institutes, TaiwanNational Taiwan University Hospital; Mackay Memorial Hospital; China Medical... and other collaboratorsCompletedCholangiocarcinoma | Adenocarcinoma of GallbladderTaiwan