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Oblimersen and Doxorubicin in Treating Patients With Advanced Hepatocellular Carcinoma (Liver Cancer)

Primary Purpose

Liver Cancer

Status
Completed
Phase
Phase 2
Locations
Canada
Study Type
Interventional
Intervention
oblimersen sodium
doxorubicin hydrochloride
Sponsored by
University Health Network, Toronto
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Liver Cancer focused on measuring adult primary hepatocellular carcinoma, advanced adult primary liver cancer, localized unresectable adult primary liver cancer, recurrent adult primary liver cancer

Eligibility Criteria

18 Years - 120 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

DISEASE CHARACTERISTICS: Diagnosis of 1 of the following: Histologically or cytologically confirmed hepatocellular carcinoma (HCC) Locally advanced, recurrent, or metastatic Not candidates for surgical/radical therapies Other solid tumor that is incurable (closed to accrual as of 11/7/03) At least 1 unidimensionally measurable lesion At least 20 mm by conventional techniques OR at least 10 mm by spiral CT scan Target lesion may not be in a previously irradiated field unless subsequent progression was documented No ascites No known brain metastases PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-2 OR Karnofsky 60-100% Life expectancy More than 3 months Hematopoietic WBC at least 2,000/mm^3 Absolute neutrophil count at least 1,500/mm^3 Platelet count at least 100,000/mm^3 Hepatic Bilirubin no greater than 2.0 mg/dL AST no greater than 5 times upper limit of normal (ULN) Albumin greater than 3.5 g/dL No cirrhosis worse than Childs-Pugh class A Renal Creatinine no greater than 1.25 times ULN OR Creatinine clearance at least 50 mL/min Cardiovascular LVEF normal by MUGA No symptomatic congestive heart failure No unstable angina pectoris No cardiac arrhythmia Other Good nutritional status No encephalopathy No other concurrent uncontrolled illness No ongoing or active infection No psychiatric illness or social situation that would preclude study participation No prior allergic reactions to compounds of similar chemical or biological composition to oblimersen or doxorubicin Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy No more than 1 prior biologic therapy regimen for patients with HCC At least 4 weeks since prior biologic therapy Chemotherapy Patients with HCC: No prior systemic chemotherapy Prior chemotherapy as part of localized chemoembolization therapy may be allowed (no more than 150 mg/m^2 for doxorubicin) if completed at least 8 weeks before study treatment All other patients (closed to accrual as of 11/7/03): At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) No prior doxorubicin, epirubicin, or other anthracycline Endocrine therapy Not specified Radiotherapy See Disease Characteristics At least 4 weeks since prior radiotherapy No more than 3,000 cGy to fields including substantial bone marrow Surgery At least 8 weeks since prior surgery Prior liver transplant for HCC allowed Other Recovered from all prior therapy At least 8 weeks since other locally ablative therapies No concurrent commercial or other investigational agents or therapies No other concurrent anticancer therapy No concurrent combination antiretroviral therapy for HIV-positive patients

Sites / Locations

  • British Columbia Cancer Agency - Vancouver Cancer Centre
  • London Regional Cancer Program at London Health Sciences Centre
  • Princess Margaret Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

G3139 in combination with Doxorubicin

Arm Description

Outcomes

Primary Outcome Measures

Rate of objective response (complete and partial)
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; Objective Response (OR) = CR + PR. Objective response rate of >= 30% is considered active, and <10% is considered inactive.

Secondary Outcome Measures

Stable disease rate
Duration of response
Progression-free survival rate
Median survival rate
Overall survival rate
Safety and tolerability

Full Information

First Posted
October 3, 2002
Last Updated
November 6, 2017
Sponsor
University Health Network, Toronto
Collaborators
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00047229
Brief Title
Oblimersen and Doxorubicin in Treating Patients With Advanced Hepatocellular Carcinoma (Liver Cancer)
Official Title
A Phase II Study of G3139 in Combination With Doxorubicin in Advanced Hepatocellular Carcinoma
Study Type
Interventional

2. Study Status

Record Verification Date
November 2017
Overall Recruitment Status
Completed
Study Start Date
October 2002 (undefined)
Primary Completion Date
January 2009 (Actual)
Study Completion Date
April 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University Health Network, Toronto
Collaborators
National Cancer Institute (NCI)

4. Oversight

5. Study Description

Brief Summary
RATIONALE: Drugs used in chemotherapy such as doxorubicin use different ways to stop tumor cells from dividing so they stop growing or die. Oblimersen may increase the effectiveness of doxorubicin by making tumor cells more sensitive to the drug. PURPOSE: Phase II trial to study the effectiveness of combining oblimersen with doxorubicin in treating patients who have locally advanced, recurrent, or metastatic hepatocellular carcinoma (liver cancer).
Detailed Description
OBJECTIVES: Determine the maximum tolerated dose of oblimersen and doxorubicin in patients with advanced hepatocellular carcinoma or other incurable solid tumor (closed to accrual as of 11/7/03). (Phase I completed as of 1/16/04.) Determine the efficacy of this regimen, in terms of objective response rate, in these patients. Determine the toxicity of this regimen in these patients. Determine the time to progression, response duration, progression-free survival, median survival, and overall survival rates in patients treated with this regimen. OUTLINE: This is a dose-escalation, multicenter study. (Phase I completed as of 1/16/04.) Patients receive oblimersen IV continuously on days 1-7 and doxorubicin IV over 5 minutes on day 5. Treatment repeats every 4 weeks for up to 10 courses in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of oblimersen and doxorubicin until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Once the MTD is determined, additional patients*, including 6 patients with hepatocellular carcinoma (HCC), are treated at the recommended phase II dose. (Phase I completed as of 1/16/04.) NOTE: *Other solid tumors closed to accrual as of 11/7/03; only accruing HCC patients PROJECTED ACCRUAL: A total of 12-18 patients will be accrued for the phase I portion of this study within 6 months (phase I completed as of 1/16/04). A total of 30 patients will be accrued for the phase II portion of this study within 10-15 months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Liver Cancer
Keywords
adult primary hepatocellular carcinoma, advanced adult primary liver cancer, localized unresectable adult primary liver cancer, recurrent adult primary liver cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
27 (Actual)

8. Arms, Groups, and Interventions

Arm Title
G3139 in combination with Doxorubicin
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
oblimersen sodium
Intervention Type
Drug
Intervention Name(s)
doxorubicin hydrochloride
Primary Outcome Measure Information:
Title
Rate of objective response (complete and partial)
Description
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; Objective Response (OR) = CR + PR. Objective response rate of >= 30% is considered active, and <10% is considered inactive.
Time Frame
Up to 280 days
Secondary Outcome Measure Information:
Title
Stable disease rate
Time Frame
Up to 280 days
Title
Duration of response
Time Frame
Up to 280 days
Title
Progression-free survival rate
Time Frame
Up to 280 days
Title
Median survival rate
Time Frame
Up to 280 days
Title
Overall survival rate
Time Frame
Up to 280 days
Title
Safety and tolerability
Time Frame
Up to 280 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
120 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Diagnosis of 1 of the following: Histologically or cytologically confirmed hepatocellular carcinoma (HCC) Locally advanced, recurrent, or metastatic Not candidates for surgical/radical therapies Other solid tumor that is incurable (closed to accrual as of 11/7/03) At least 1 unidimensionally measurable lesion At least 20 mm by conventional techniques OR at least 10 mm by spiral CT scan Target lesion may not be in a previously irradiated field unless subsequent progression was documented No ascites No known brain metastases PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-2 OR Karnofsky 60-100% Life expectancy More than 3 months Hematopoietic WBC at least 2,000/mm^3 Absolute neutrophil count at least 1,500/mm^3 Platelet count at least 100,000/mm^3 Hepatic Bilirubin no greater than 2.0 mg/dL AST no greater than 5 times upper limit of normal (ULN) Albumin greater than 3.5 g/dL No cirrhosis worse than Childs-Pugh class A Renal Creatinine no greater than 1.25 times ULN OR Creatinine clearance at least 50 mL/min Cardiovascular LVEF normal by MUGA No symptomatic congestive heart failure No unstable angina pectoris No cardiac arrhythmia Other Good nutritional status No encephalopathy No other concurrent uncontrolled illness No ongoing or active infection No psychiatric illness or social situation that would preclude study participation No prior allergic reactions to compounds of similar chemical or biological composition to oblimersen or doxorubicin Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy No more than 1 prior biologic therapy regimen for patients with HCC At least 4 weeks since prior biologic therapy Chemotherapy Patients with HCC: No prior systemic chemotherapy Prior chemotherapy as part of localized chemoembolization therapy may be allowed (no more than 150 mg/m^2 for doxorubicin) if completed at least 8 weeks before study treatment All other patients (closed to accrual as of 11/7/03): At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) No prior doxorubicin, epirubicin, or other anthracycline Endocrine therapy Not specified Radiotherapy See Disease Characteristics At least 4 weeks since prior radiotherapy No more than 3,000 cGy to fields including substantial bone marrow Surgery At least 8 weeks since prior surgery Prior liver transplant for HCC allowed Other Recovered from all prior therapy At least 8 weeks since other locally ablative therapies No concurrent commercial or other investigational agents or therapies No other concurrent anticancer therapy No concurrent combination antiretroviral therapy for HIV-positive patients
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jennifer Knox, MD
Organizational Affiliation
Princess Margaret Hospital, Canada
Official's Role
Study Chair
Facility Information:
Facility Name
British Columbia Cancer Agency - Vancouver Cancer Centre
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V5Z 4E6
Country
Canada
Facility Name
London Regional Cancer Program at London Health Sciences Centre
City
London
State/Province
Ontario
ZIP/Postal Code
N6A 4L6
Country
Canada
Facility Name
Princess Margaret Hospital
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 2M9
Country
Canada

12. IPD Sharing Statement

Citations:
PubMed Identifier
18060598
Citation
Knox JJ, Chen XE, Feld R, Nematollahi M, Cheiken R, Pond G, Zwiebel JA, Gill S, Moore M. A phase I-II study of oblimersen sodium (G3139, Genasense) in combination with doxorubicin in advanced hepatocellular carcinoma (NCI # 5798). Invest New Drugs. 2008 Apr;26(2):193-4. doi: 10.1007/s10637-007-9104-1. Epub 2007 Dec 4. No abstract available.
Results Reference
result
Citation
Knox JJ, Chen E, Feld R, et al.: A phase II trial of oblimersen sodium (G3139) in combination with doxorubicin (DOX) in advanced hepatocellular carcinoma (HCC). NCI protocol # 5798. [Abstract] J Clin Oncol 24 (Suppl 18): A-14072, 2006.
Results Reference
result
Links:
URL
https://clinicaltrials.gov/ct2/show/NCT00047229
Description
Clinical trial summary from the National Cancer Institute's PDQ® database

Learn more about this trial

Oblimersen and Doxorubicin in Treating Patients With Advanced Hepatocellular Carcinoma (Liver Cancer)

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