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A Randomized Double-blind, Placebo-controlled Japanese Phase III Trial of ARQ 197 in Hepatocellular Carcinoma (HCC) (JET-HCC)

Primary Purpose

Liver Cancer

Status
Completed
Phase
Phase 3
Locations
Japan
Study Type
Interventional
Intervention
ARQ197
Placebo
Sponsored by
Kyowa Kirin Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Liver Cancer

Eligibility Criteria

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

Inclusion Criteria:

  • Informed consent form
  • ≥20 years old
  • Inoperable HCC which is not eligible for locoregional therapy
  • Diagnosed as c-Met high in tumor sample
  • Radiographic progression is confirmed during or after systemic chemotherapy including sorafenib, or those who are intolerance to the chemotherapy.
  • Eastern Cooperative Oncology Group Performance Status (ECOG PS) is 0 or 1
  • Child-Pugh Class A
  • Having measurable target lesions which are defined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1,
  • Negative pregnancy test results
  • Adequate organ function
  • Life expectancy of at least 12 weeks

Exclusion Criteria:

  • More than 2 prior systemic chemotherapy.
  • Prior therapy of c-Met inhibitor (including antibody)
  • Any systemic therapy within ≤2 weeks prior to the randomization
  • Locoregional therapy within ≤4 weeks prior to randomization.
  • Major surgery within ≤4 weeks prior to the randomization
  • Concurrent cancer within ≤5 years prior to the randomization
  • History of cardiac diseases
  • Active clinically serious infections defined as ≥ Grade 3 according to Common Toxicity Criteria for Adverse Effects (CTCAE) 4.0
  • Any psychological disorder affecting Informed Consent
  • Diagnosis positive for anti-HIV antibody and/or anti-HTLV-1 antibody
  • Blood or albumin transfusion within ≤14 days prior to the screening test
  • Concurrent interferon therapy against Hepatitis B Virus (HBV)/ Hepatitis C Virus (HCV)
  • Symptomatic brain metastases
  • History of liver transplantation
  • Inability to swallow oral medications
  • Confirmed interstitial lung disease
  • Pleural effusion and/or clinically significant ascites
  • Pregnancy or breast-feeding
  • Without consent to effective single or combined contraceptive methods

Sites / Locations

  • Cancer Centers in Japan

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

ARQ 197

Placebo

Arm Description

Daily oral dose

Daily oral dose

Outcomes

Primary Outcome Measures

Progression-free survival (PFS)
Progression-free survival will be compared between ARQ 197 group and Placebo group, to prove the efficacy of ARQ 197 in the population.

Secondary Outcome Measures

Overall survival
The date of the events was followed every three months after the end of the treatments of the study drug.

Full Information

First Posted
December 27, 2013
Last Updated
October 6, 2017
Sponsor
Kyowa Kirin Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT02029157
Brief Title
A Randomized Double-blind, Placebo-controlled Japanese Phase III Trial of ARQ 197 in Hepatocellular Carcinoma (HCC)
Acronym
JET-HCC
Official Title
A Phase III Randomized Double-blind, Placebo-controlled Trial of ARQ 197 in Subjects With c-MET Diagnostic-high Inoperable Hepatocellular Carcinoma (HCC) Treated With One Prior Sorafenib Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
October 2017
Overall Recruitment Status
Completed
Study Start Date
January 2014 (undefined)
Primary Completion Date
August 2017 (Actual)
Study Completion Date
August 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kyowa Kirin Co., Ltd.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The present clinical trial is aiming to evaluate efficacy of ARQ 197 in patients with hepatocellular carcinoma (HCC), who were resistant or intolerable to one systemic chemotherapy regimen including sorafenib.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Liver Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
386 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ARQ 197
Arm Type
Experimental
Arm Description
Daily oral dose
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Daily oral dose
Intervention Type
Drug
Intervention Name(s)
ARQ197
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Progression-free survival (PFS)
Description
Progression-free survival will be compared between ARQ 197 group and Placebo group, to prove the efficacy of ARQ 197 in the population.
Time Frame
Estimated median of 8-12 weeks in PFS
Secondary Outcome Measure Information:
Title
Overall survival
Description
The date of the events was followed every three months after the end of the treatments of the study drug.
Time Frame
Estimated median of 24 weeks in overall survival

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Informed consent form ≥20 years old Inoperable HCC which is not eligible for locoregional therapy Diagnosed as c-Met high in tumor sample Radiographic progression is confirmed during or after systemic chemotherapy including sorafenib, or those who are intolerance to the chemotherapy. Eastern Cooperative Oncology Group Performance Status (ECOG PS) is 0 or 1 Child-Pugh Class A Having measurable target lesions which are defined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1, Negative pregnancy test results Adequate organ function Life expectancy of at least 12 weeks Exclusion Criteria: More than 2 prior systemic chemotherapy. Prior therapy of c-Met inhibitor (including antibody) Any systemic therapy within ≤2 weeks prior to the randomization Locoregional therapy within ≤4 weeks prior to randomization. Major surgery within ≤4 weeks prior to the randomization Concurrent cancer within ≤5 years prior to the randomization History of cardiac diseases Active clinically serious infections defined as ≥ Grade 3 according to Common Toxicity Criteria for Adverse Effects (CTCAE) 4.0 Any psychological disorder affecting Informed Consent Diagnosis positive for anti-HIV antibody and/or anti-HTLV-1 antibody Blood or albumin transfusion within ≤14 days prior to the screening test Concurrent interferon therapy against Hepatitis B Virus (HBV)/ Hepatitis C Virus (HCV) Symptomatic brain metastases History of liver transplantation Inability to swallow oral medications Confirmed interstitial lung disease Pleural effusion and/or clinically significant ascites Pregnancy or breast-feeding Without consent to effective single or combined contraceptive methods
Facility Information:
Facility Name
Cancer Centers in Japan
City
Tokyo
Country
Japan

12. IPD Sharing Statement

Citations:
PubMed Identifier
32716114
Citation
Kudo M, Morimoto M, Moriguchi M, Izumi N, Takayama T, Yoshiji H, Hino K, Oikawa T, Chiba T, Motomura K, Kato J, Yasuchika K, Ido A, Sato T, Nakashima D, Ueshima K, Ikeda M, Okusaka T, Tamura K, Furuse J. A randomized, double-blind, placebo-controlled, phase 3 study of tivantinib in Japanese patients with MET-high hepatocellular carcinoma. Cancer Sci. 2020 Oct;111(10):3759-3769. doi: 10.1111/cas.14582. Epub 2020 Aug 26.
Results Reference
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A Randomized Double-blind, Placebo-controlled Japanese Phase III Trial of ARQ 197 in Hepatocellular Carcinoma (HCC)

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