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STOPPER CHINA:With Tandem Microspheres in the Treatment of Localized Hepatocellular Carcinoma

29. november 2021 opdateret af: Varian Medical Systems

A Single-arm Trial of Transcatheter Arterial Chemoembolization With Tandem Microspheres in the Treatment of Localized Hepatocellular Carcinoma

A Single-arm Trial of Transcatheter Arterial Chemoembolization with Tandem Microspheres in the Treatment of Localized Hepatocellular Carcinoma

Studieoversigt

Status

Afsluttet

Detaljeret beskrivelse

It is a prospective, single-arm, multicenter study. The primary effectiveness endpoint for this clinical trial is 6-month overall objective tumor response (ORR).

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

109

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • Beijing
      • Beijing, Beijing, Kina
        • Beijing Cancer Hospital
      • Beijing, Beijing, Kina
        • Cancer Hospital Chinese Academy of Medical Sciences
    • Guangdong
      • Guangzhou, Guangdong, Kina
        • Guangdong Nanfang Hospital
    • Henan
      • Zhengzhou, Henan, Kina
        • Henan Cancer Hospital
    • Jiangsu
      • Nanjing, Jiangsu, Kina
        • Zhongda Hospital Affiliated Southeast University
    • Liaoning
      • Shenyang, Liaoning, Kina
        • Shengjing Hospital Affiliated China Medical University
    • Shanghai
      • Shanghai, Shanghai, Kina
        • Shanghai Zhongshan Hospital
    • Zhejiang
      • Hangzhou, Zhejiang, Kina
        • Zhejiang Cancer Hospital
      • Hangzhou, Zhejiang, Kina
        • The First Affiliated Hospital, Zhejiang University
      • Hangzhou, Zhejiang, Kina
        • Second Aff. Hosp. of Zhejiang University College of Medicine

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 75 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  1. Subject is able to provide informed consent and must sign the Institutional Review Board/Ethics Committee (IRB/EC) approved Informed Consent Form.
  2. Male or female of age ≥18 and ≤75 years.
  3. Confirmed diagnosis of HCC according to the diagnostic criteria included in the management guideline issued by China's Ministry of Health in 2017.
  4. HCC is diagnosed for the first time or recurrence of tumor after surgical or ablation treatment.
  5. Single tumor less than 7cm in diameter or multiple tumors with maximum 3 lesions with >1cm in diameter, individual diameter <7cm and less than 10cm in total diameter.
  6. no previous chemotherapy, radiotherapy or transarterial embolization (with or without chemotherapy) for HCC
  7. Preserved liver function (Child-Pugh A or B7).
  8. ECOG Performance Status 0 or 1.

Exclusion Criteria:

  1. Presence of vascular invasion or extra-hepatic spread of disease, or diffuse HCC, defined as >50% liver involvement , or arteriovenuous fistula
  2. Macrovascular invasion of main or primary branches of portal vein at entry into the study
  3. Any contraindication for TACE treatment
  4. Any contraindication for Epirubicin administration
  5. Advanced liver disease (bilirubin levels >2 mg/dl, AST or ALT >5 times upper limit of normal)
  6. Renal failure or insufficient renal function (Creatinine levels >2 mg/dl)
  7. Subject unable to receive MRI examination
  8. Pregnant or breast feeding woman, or plan to become pregnant during treatment or within 12 months of treatment
  9. couldn't commit reliable birth control measures during treatment or within 12 months of treatment
  10. Subject is participating other investigational drug or device clinical trial within 30 days of signing the informed consent
  11. Subject is not suitable to participate in the study as judged by investigator

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: single -arm
A Single-arm Trial of Transcatheter Arterial Chemoembolization with Tandem Microspheres in the Treatment of Localized Hepatocellular Carcinoma
The primary objective of this study is to evaluate the safety and efficacy of transcatheter arterial chemoembolization with Tandem Microspheres loaded with Epirubicin in the treatment of patients with localized hepatocellular carcinoma (HCC)

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Number of Participants With Objective Tumor Response at 6 Months by MRI (Magnetic Resonance Imaging)
Tidsramme: At 6 months

The objective response rate measured by MRI used EASL (European Society for the Study of the Liver) and mRECIST (Improved criteria for evaluating the efficacy of solid tumors) , Overall Response (OR) = CR + PR.

  1. Per Response Evaluation Criteria In Solid Tumors Criteria (mRECIST ) for target lesions : Complete Response (CR), Disappearance of any intratumoral arterial enhancement in all target lesions; Partial Response (PR), At least a 30% decrease in the sum of the diameters of viable (enhancement in the arterial phase) target lesions, taking as reference the baseline sum of the diameters of target lesions.
  2. Per Response Evaluation Criteria In Solid Tumors Criteria (EASL) for target lesions: Complete Response (CR), Disappearance of all known disease and no new lesions determined by two observations not less than 4 weeks apart; Partial Response (PR), At least 50% reduction in total tumor load of all measurable lesions determined by two observations not less than 4 weeks apart.
At 6 months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Kaplan-Meier Analyses the Percent of Participants for Time to Progression (TTP) at 12 Months
Tidsramme: At 12 months

Kaplan-Meier analyses the percent of participants for TTP which is defined as the length of time from the treatment initiation to either the date of the first disease progression occurred, as assessed by the investigators, or the date of the subject died due to any cause, whichever comes earlier. EASL and mRECIST response assessment of target lesion for HCC. TTP (also referred as "time to treatment failure") will be measured by a few data items list below:

  • The date of the disease progression in the Overall Response form
  • The date of lost-to-follow due to:

    • Adverse events
    • Progressive disease/insufficient therapeutic response
    • Death
    • Failure to return
    • Refusing treatment/being unwilling to cooperate/withdrawing consent
  • The very last date by scanning all available dates in the database
  • The desired cut-off days
At 12 months
Number of Participants With Objective Tumor Response at 30-day
Tidsramme: At 1month

The objective response rate measured by MRI used EASL (European Society for the Study of the Liver) and mRECIST (Improved criteria for evaluating the efficacy of solid tumors) , Overall Response (OR) = CR + PR.

  1. Per Response Evaluation Criteria In Solid Tumors Criteria (mRECIST ) for target lesions : Complete Response (CR), Disappearance of any intratumoral arterial enhancement in all target lesions; Partial Response (PR), At least a 30% decrease in the sum of the diameters of viable (enhancement in the arterial phase) target lesions, taking as reference the baseline sum of the diameters of target lesions.
  2. Per Response Evaluation Criteria In Solid Tumors Criteria (EASL) for target lesions: Complete Response (CR), Disappearance of all known disease and no new lesions determined by two observations not less than 4 weeks apart; Partial Response (PR), At least 50% reduction in total tumor load of all measurable lesions determined by two observations not less than 4 weeks apart.
At 1month
Kaplan-Meier Analyses the Percent of Participants for PPF(Proportion Progression-Free) at 12 Months
Tidsramme: from first TACE to 12 months

Kaplan-Meier analyses the percent of participants for PPF which is defined as the length of time from the treatment initiation, that treated subjects are still progression-free. EASL and mRECIST response assessment of target lesion for HCC.

The data items to be captured will include:

  • The date of the disease progression in the Overall Response form
  • The very last date by scanning all available dates in the database
  • The desired cut-off days The proportion of any time point will be determined by the Kaplan-Meier estimates.
from first TACE to 12 months
Kaplan-Meier Analyses the Percent of Participants for Overall Survival
Tidsramme: from first TACE to 12 months

Kaplan-Meier analyses the percent of participants for Overall survival which is defined as the length of time from the treatment initiation, that treated subjects are still alive. The Kaplan-Meier analysis is aimed to capture the all-cause death for each subject. Subjects who are lost-to-follow will be considered being censored.

There are three critical data items to be captured:

  • Death date
  • The very last date in the database (e.g. follow-up visit date and/or site reported AE date)
  • The desired cut-off days (e.g. 6-month OS at 182 days, 12-month OS at 365 days) In addition to the Kaplan-Meier survival curve, the median survival time (mOS) will also be used to represent the study cohort.
from first TACE to 12 months
Number of Adverse Events Relate to Study Device in 12 Months Post Procedure
Tidsramme: in 12 months
Number and documents of adverse events relate to study device in 12 months post procedure
in 12 months
Number of Participants With Objective Tumor Response at 3 Months
Tidsramme: At 3 months

The objective response rate measured by MRI used EASL (European Society for the Study of the Liver) and mRECIST (Improved criteria for evaluating the efficacy of solid tumors) , Overall Response (OR) = CR + PR.

  1. Per Response Evaluation Criteria In Solid Tumors Criteria (mRECIST ) for target lesions : Complete Response (CR), Disappearance of any intratumoral arterial enhancement in all target lesions; Partial Response (PR), At least a 30% decrease in the sum of the diameters of viable (enhancement in the arterial phase) target lesions, taking as reference the baseline sum of the diameters of target lesions.
  2. Per Response Evaluation Criteria In Solid Tumors Criteria (EASL) for target lesions: Complete Response (CR), Disappearance of all known disease and no new lesions determined by two observations not less than 4 weeks apart; Partial Response (PR), At least 50% reduction in total tumor load of all measurable lesions determined by two observations not less than 4 weeks apart.
At 3 months
Kaplan-Meier Analyses the Percent of Participants for Time to Extrahepatic Spread
Tidsramme: At 12 month

Kaplan-Meier analyses the percent of participants for Time to Extrahepatic Spread which the length of time from the treatment initiation to the development of extrahepatic spread of the disease via imaging assessment.

The data items to be considered will include:

  • The date of the extrahepatic spread in the Overall Response form
  • The very last date by scanning all available dates in the database
  • The desired cut-off days
At 12 month

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Studieleder: Cathy Peng, BSC China

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

24. oktober 2017

Primær færdiggørelse (Faktiske)

28. juni 2019

Studieafslutning (Faktiske)

28. februar 2020

Datoer for studieregistrering

Først indsendt

6. marts 2017

Først indsendt, der opfyldte QC-kriterier

13. april 2017

Først opslået (Faktiske)

14. april 2017

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

1. december 2021

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

29. november 2021

Sidst verificeret

1. november 2021

Mere information

Begreber relateret til denne undersøgelse

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

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Kliniske forsøg med Localized Hepatocellular Carcinoma

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