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Efficacy and Safety of Immuncell-LC Group and Non-treatment Group in Hepatocelluar Carcinoma Patients

Primary Purpose

Hepatocellular Carcinoma

Status
Completed
Phase
Phase 3
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Immuncell-LC
Sponsored by
GC Cell Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatocellular Carcinoma

Eligibility Criteria

20 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Prior to the test, patient is fully explained about the purpose/ contents and characteristics of the testing medication, and the patient him(her)self, the guardian or the legal representative signed on written consent.
  • The patient is more than 20 and less than 80 years old
  • The patient is diagnosed as hepatocellular carcinoma by pathological/ radiological test and he (she) is in the stage of I or II. (refer to the attached file 10). Hepatocellular carcinoma should be shown by radiological test; on dynamic CT, dynamic MRI or on angiography.
  • Child-Pugh Score should be less than 6 (refer to the attached file 7)
  • No matter how the patient has been treated before, his (her) tumor should be totally removed by curative resection (PEIT, RFA or operation) in 12 weeks. (based on the agreement date for written consent) The tumor's removal should be perfectly confirmed by pathological or radiological test with the mentioned method in 3) at least 4 weeks later.
  • ECOG Performance status (ECOG-PS) is less than 1 or equal to (refer to the exhibit 8)
  • Patient's remaining life-time should be expected at least more than 3 months.
  • Patient should meet below conditions by blood test, kidney and liver function test

    : Re-evaluation is possible during screening

  • Leukocyte count is bigger than (3 multiply 109/L)
  • Absolute Neutrophil Count (ANC) is bigger than or equal to 1,000/µL
  • Hemoglobin is bigger than or equal to 8.5 g/dL
  • Thrombocyte count is bigger than (5 multiply 1010/L)
  • BUN and serum Creatinine is less than or equal to 1.5 multiply normal upper-limit
  • No more disease abdominal extrahepatic transfer is confirmed by abdominal CT/ MRI

Exclusion Criteria:

  • Hepatocellular carcinoma has been transferred by pathological/ radiological test (Stage III or Stage IV, refer to the exhibit 10)
  • The carcinoma has been invaded to main portal vein or major branch hepatic vein
  • Child-Pugh score is over 6
  • Patient has serious problem with pulmonary function by sub- investigator's opinion
  • Patient who has disease history of immune deficiency (which can be worse by immunotherapy) or auto-immune disease (ex. arthritis rheumatism, Burger's disease, multiple sclerosis and adolescent-occurred insulin dependent diabetes)
  • Diagnosed as an immune deficiency patient
  • Patient who has disease history of malignant tumor within 5 years before this clinical trial. (except for skin cancer, local prostate cancer or carcinoma in situ of the uterine cervix
  • Patient who had anti-cancer medication before the clinical trial
  • Patient who has serious disease in other organs after tumor resection.
  • Patient has serious allergic-history by sub- investigator's opinion
  • Patient has serious mental disease by sub- investigator's opinion
  • Pregnant women, nursing mother or having intention of being pregnant during the clinical test
  • Patient who participated in other clinical trial within 4 weeks before this clinical trial
  • Patient who is incongruent to this clinical trial by sub- investigator's opinion.

Sites / Locations

  • Korea University Ansan Hospital
  • Korea University Guro Hospital
  • Samsung Medical Center
  • Seoul Asan Medical center
  • Seoul National University Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Immunotherapy Group

Control Group

Arm Description

Adjuvant adoptive immune therapy using a CIK cell agent(Immuncell-LC) 16 times(4 treatments at a frequency of once per week, followed by 4 treatments every 2 weeks, then 4 treatments every 4 weeks, and finally 4 treatments every 8 weeks.

Patients who had undergone curative treatment(surgical resection, radiofrequency ablation[RFA], or percutaneous ethanol injection[PEI]) for HCC of pretreatment clinical stage I or II according to the American Joint Committee on Cancer staging system(6th edition) based on radiologic imaging studies were eligible for this study with no adjuvant treatment

Outcomes

Primary Outcome Measures

Recurrence Free Survival(RFS)
RFS was measured from the date of randomization to the first recurrence or to death from any cause.
Recurrence Free Survival(RFS) Rate
RFS rate was measured from the date of randomization to the first recurrence or to death from any cause.

Secondary Outcome Measures

Overall Survival(OS)
Overall survival was measured from the date of randomization until death from any cause.
Cancer-specific Survivals
Cancer-specific survival was measured from the date of randomization until death resulting from HCC.
Overall Survival(OS) Rate
Overall survival rate was measured from the date of randomization until death from any cause.
Cancer-specific Survival Rate
Cancer-specific survival rate was measured from the date of randomization until death resulting from HCC.

Full Information

First Posted
June 17, 2008
Last Updated
June 22, 2023
Sponsor
GC Cell Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT00699816
Brief Title
Efficacy and Safety of Immuncell-LC Group and Non-treatment Group in Hepatocelluar Carcinoma Patients
Official Title
Randomized, Open-label, Multi-center and Phase 3 Clinical Trial to Compare the Efficacy and Safety of 'Green Cross CELL Immuncell-LC Group' and 'Non-treatment Group' in Patient Undergone Curative Resection(PEIT, RFA or Operation) for Hepatocellular Carcinoma in Korea
Study Type
Interventional

2. Study Status

Record Verification Date
August 2015
Overall Recruitment Status
Completed
Study Start Date
July 2008 (undefined)
Primary Completion Date
November 2012 (Actual)
Study Completion Date
November 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GC Cell Corporation

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To prove that the efficacy and safety of 'Green Cross CELL* Immuncell-LC group' is superior to 'non-treatment group(Control group)' in patient undergone curative resection(PEIT, RFA or operation) for hepatocellular carcinoma in Korea
Detailed Description
Multicenter, randomized, open-labeled phase 3 clinical trial.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatocellular Carcinoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
230 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Immunotherapy Group
Arm Type
Experimental
Arm Description
Adjuvant adoptive immune therapy using a CIK cell agent(Immuncell-LC) 16 times(4 treatments at a frequency of once per week, followed by 4 treatments every 2 weeks, then 4 treatments every 4 weeks, and finally 4 treatments every 8 weeks.
Arm Title
Control Group
Arm Type
No Intervention
Arm Description
Patients who had undergone curative treatment(surgical resection, radiofrequency ablation[RFA], or percutaneous ethanol injection[PEI]) for HCC of pretreatment clinical stage I or II according to the American Joint Committee on Cancer staging system(6th edition) based on radiologic imaging studies were eligible for this study with no adjuvant treatment
Intervention Type
Biological
Intervention Name(s)
Immuncell-LC
Intervention Description
Activated T lymphocyte
Primary Outcome Measure Information:
Title
Recurrence Free Survival(RFS)
Description
RFS was measured from the date of randomization to the first recurrence or to death from any cause.
Time Frame
Every 3months from the baseline for 24 months and then every 3-6 months until the data cut-off date, up to LSLV(Last Subject Last Visit)
Title
Recurrence Free Survival(RFS) Rate
Description
RFS rate was measured from the date of randomization to the first recurrence or to death from any cause.
Time Frame
Every 3months from the baseline for 24 months, and then every 3-6 months until the data cut-off date, up to LSLV(Last Subject Last Visit)
Secondary Outcome Measure Information:
Title
Overall Survival(OS)
Description
Overall survival was measured from the date of randomization until death from any cause.
Time Frame
Every 3months from the baseline for 24 months, and then every 3-6 months until the data cut-off date, up to LSLV(Last Subject Last Visit)
Title
Cancer-specific Survivals
Description
Cancer-specific survival was measured from the date of randomization until death resulting from HCC.
Time Frame
Every 3 months from baseline for 24 months, and then every 3-6 months until the data cut-off date, up to LSLV(Last Subject Last Visit)
Title
Overall Survival(OS) Rate
Description
Overall survival rate was measured from the date of randomization until death from any cause.
Time Frame
Every 3months from the baseline for 24 months, and then every 3-6 months until the data cut-off date, up to LSLV(Last Subject Last Visit)
Title
Cancer-specific Survival Rate
Description
Cancer-specific survival rate was measured from the date of randomization until death resulting from HCC.
Time Frame
Every 3 months from baseline for 24 months, and then every 3-6 months until the data cut-off date, up to LSLV(Last Subject Last Visit)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Prior to the test, patient is fully explained about the purpose/ contents and characteristics of the testing medication, and the patient him(her)self, the guardian or the legal representative signed on written consent. The patient is more than 20 and less than 80 years old The patient is diagnosed as hepatocellular carcinoma by pathological/ radiological test and he (she) is in the stage of I or II. (refer to the attached file 10). Hepatocellular carcinoma should be shown by radiological test; on dynamic CT, dynamic MRI or on angiography. Child-Pugh Score should be less than 6 (refer to the attached file 7) No matter how the patient has been treated before, his (her) tumor should be totally removed by curative resection (PEIT, RFA or operation) in 12 weeks. (based on the agreement date for written consent) The tumor's removal should be perfectly confirmed by pathological or radiological test with the mentioned method in 3) at least 4 weeks later. ECOG Performance status (ECOG-PS) is less than 1 or equal to (refer to the exhibit 8) Patient's remaining life-time should be expected at least more than 3 months. Patient should meet below conditions by blood test, kidney and liver function test : Re-evaluation is possible during screening Leukocyte count is bigger than (3 multiply 109/L) Absolute Neutrophil Count (ANC) is bigger than or equal to 1,000/µL Hemoglobin is bigger than or equal to 8.5 g/dL Thrombocyte count is bigger than (5 multiply 1010/L) BUN and serum Creatinine is less than or equal to 1.5 multiply normal upper-limit No more disease abdominal extrahepatic transfer is confirmed by abdominal CT/ MRI Exclusion Criteria: Hepatocellular carcinoma has been transferred by pathological/ radiological test (Stage III or Stage IV, refer to the exhibit 10) The carcinoma has been invaded to main portal vein or major branch hepatic vein Child-Pugh score is over 6 Patient has serious problem with pulmonary function by sub- investigator's opinion Patient who has disease history of immune deficiency (which can be worse by immunotherapy) or auto-immune disease (ex. arthritis rheumatism, Burger's disease, multiple sclerosis and adolescent-occurred insulin dependent diabetes) Diagnosed as an immune deficiency patient Patient who has disease history of malignant tumor within 5 years before this clinical trial. (except for skin cancer, local prostate cancer or carcinoma in situ of the uterine cervix Patient who had anti-cancer medication before the clinical trial Patient who has serious disease in other organs after tumor resection. Patient has serious allergic-history by sub- investigator's opinion Patient has serious mental disease by sub- investigator's opinion Pregnant women, nursing mother or having intention of being pregnant during the clinical test Patient who participated in other clinical trial within 4 weeks before this clinical trial Patient who is incongruent to this clinical trial by sub- investigator's opinion.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jung Hwan Yoon, MD
Organizational Affiliation
Seoul National University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Korea University Ansan Hospital
City
Ansan si
State/Province
Gojan1-dong/Danwon-gu
ZIP/Postal Code
425-707
Country
Korea, Republic of
Facility Name
Korea University Guro Hospital
City
Seoul
State/Province
Guro 2-Dong, Guro-Gu
ZIP/Postal Code
152-703
Country
Korea, Republic of
Facility Name
Samsung Medical Center
City
Seoul
State/Province
Ilwon-dong/Gangnam-gu
ZIP/Postal Code
135-710
Country
Korea, Republic of
Facility Name
Seoul Asan Medical center
City
Seoul
State/Province
Pungnab2-dong/Songpa-gu
ZIP/Postal Code
138-736
Country
Korea, Republic of
Facility Name
Seoul National University Hospital
City
Seoul
State/Province
Yeongun-dong/Jongro-gu
ZIP/Postal Code
110-744
Country
Korea, Republic of

12. IPD Sharing Statement

Citations:
PubMed Identifier
11022927
Citation
Takayama T, Sekine T, Makuuchi M, Yamasaki S, Kosuge T, Yamamoto J, Shimada K, Sakamoto M, Hirohashi S, Ohashi Y, Kakizoe T. Adoptive immunotherapy to lower postsurgical recurrence rates of hepatocellular carcinoma: a randomised trial. Lancet. 2000 Sep 2;356(9232):802-7. doi: 10.1016/S0140-6736(00)02654-4. Erratum In: Lancet 2000 Nov 11;356(9242):1690.
Results Reference
background
PubMed Identifier
25747273
Citation
Lee JH, Lee JH, Lim YS, Yeon JE, Song TJ, Yu SJ, Gwak GY, Kim KM, Kim YJ, Lee JW, Yoon JH. Adjuvant immunotherapy with autologous cytokine-induced killer cells for hepatocellular carcinoma. Gastroenterology. 2015 Jun;148(7):1383-91.e6. doi: 10.1053/j.gastro.2015.02.055. Epub 2015 Mar 4.
Results Reference
derived

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Efficacy and Safety of Immuncell-LC Group and Non-treatment Group in Hepatocelluar Carcinoma Patients

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