The Investigation of Peginterferon Alfa-2a on the RFS of the Subjects With HCC Who Have Been Treated by Resection
Primary Purpose
Chronic Hepatitis b, Hepatic Carcinoma
Status
Unknown status
Phase
Phase 4
Locations
China
Study Type
Interventional
Intervention
ETV;TDF;ADV
Peginterferon Alfa-2a
Sponsored by
About this trial
This is an interventional treatment trial for Chronic Hepatitis b
Eligibility Criteria
Inclusion Criteria:
- Male and female patients with age ≥18 and ≤70 years;
- Expected survival time >3 months;
- There should be evidences that chronic hepatitis B or hepatitis have been positive, hepatitis B virus (HBV) DNA detectable or undetectable, Alanine aminotransferase(ALT)<upper limit of normal (ULN) or ≥ULN;
- The patients have been treated by resection due to HCC;
- The characteristic of tumor should be:Barcelona Clinic Liver Cancer(BCLC): 0,A,B
- Child-Pugh scores:A
- Agree to participate in the study and sign the patient informed consent form.
Exclusion Criteria:
- Patients that have been treated by live transplantation、chemoembolization、radiotherapy、chemotherapy、molecular targeted therapy and biotherapy before the resection;
- Patients that are treated by hepatotoxicity drugs 、immunosuppressant or adjuvant chemotherapy after the resection;
- Patients who be treated by transcatheter arterial chemoembolization(TACE) after resection;
- BCLC(Barcelona Clinic Liver Cancer):C、D before the resection;
- History or other evidence of malignant tumor: except by basal cell carcinoma or squamous cell carcinoma which are cured 、carcinoma in situs of cervix
- Allergic history to interferon;
- Co-infection with active hepatitis A, hepatitis C, hepatitis D and/or human immunodeficiency virus (HIV);
- History or other evidence of a medical condition associated with chronic liver disease other than viral hepatitis (e.g., hemochromatosis, autoimmune hepatitis, metabolic liver disease, alcoholic liver disease, toxin exposures, thalassemia);
- absolute neutrophil count(ANC)<1.5x 10^9/L or platelet count(PLT)<70x 10^9/L
- Creatinine over upper limit of normal;
- History of severe psychiatric disease, especially depression. Severe psychiatric disease is defined as major depression or psychosis that treated with antidepressant medication or a major tranquilizer at therapeutic doses respectively at any time prior to 3 months or any history of the following: a suicidal attempt hospitalization for psychiatric disease, or a period of disability due to a psychiatric disease;
- History of severe cardiac disease (e.g., New York Heart Association Functional Class III or IV, myocardial infarction within 6 months, ventricular tachyarrhythmias requiring ongoing treatment, unstable angina or other significant cardiovascular diseases);
- History of thyroid disease poorly controlled on prescribed medications;
- Evidence of severe retinopathy or clinically relevant ophthalmologic disorder;
- History of other severe disease or evidence of other severe disease or any other illness or conditions that the investigator believe that patients are not suitable to join in the study;
- Evidence of postoperative complications: infectious、bleeding, etc,. at baseline; or evidence of recurrence or metastasis at baseline;
- Child-Pugh scores :B、C
- Patients included in another trial or having been given investigational drugs within 12 weeks prior to screening;
- Other disease should exclusive considered by the investigator.
Sites / Locations
- Huashan HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Experimental
Arm Label
Group A
Group B
Arm Description
The subjects will be treated by NAs (ETV, 0.5mg,qd;TDF,300mg,qd;ADV,10mg,qd)for 96 weeks
The subjects will be treated by peginterferon alfa-2a (135μg/week)combination with NAs(ETV\TDF\ADV) for 96 weeks.
Outcomes
Primary Outcome Measures
Recurrence-free Survival Rate (RFS)
Number of subjects without Recurrence in the total subjects
Secondary Outcome Measures
Recurrence-free Survival Rate (RFS)
Number of subjects without Recurrence in the total subjects
Overall Survival Rate (OS)
Number of subjects with survival in the total subjects
Overall Survival Rate (OS)
Number of subjects with survival in the total subjects
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03253250
Brief Title
The Investigation of Peginterferon Alfa-2a on the RFS of the Subjects With HCC Who Have Been Treated by Resection
Official Title
A Prospective, Randomized, Multicenter, Open-label, Exploratory Study of Utilizing of Peginterferon Alfa-2a on the Relapse Rate of the Subjects With Hepatocellular Carcinoma Who Have Been Treated by Resection
Study Type
Interventional
2. Study Status
Record Verification Date
September 2017
Overall Recruitment Status
Unknown status
Study Start Date
September 1, 2017 (Actual)
Primary Completion Date
June 2019 (Anticipated)
Study Completion Date
December 2019 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Huashan Hospital
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
The current study is a prospective, randomized, open, multi-center investigation. The aim of current study is to investigate whether the Recurrence-free Survival Rate (RFS)of the hepatitis B related -hepatocellular carcinoma subjects who have been treated by resection can be improved by peginterferon alfa-2a
Detailed Description
The subjects who have been treated by resection due to hepatocellular carcinoma (HCC) will be randomized into 2 groups: the subjects in group A will be treated by Nucleotide analogues (NAs)( ETV, 0.5mg,qd;tenofovir disoproxil fumarate(TDF),300mg,qd;ADV,10mg,qd)for 96 weeks; the subjects in group B will be treated by peginterferon alfa-2a (135μg/week)combination with NAs (ETV\TDF\ADV)for 96 weeks.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Hepatitis b, Hepatic Carcinoma
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
432 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Group A
Arm Type
Active Comparator
Arm Description
The subjects will be treated by NAs (ETV, 0.5mg,qd;TDF,300mg,qd;ADV,10mg,qd)for 96 weeks
Arm Title
Group B
Arm Type
Experimental
Arm Description
The subjects will be treated by peginterferon alfa-2a (135μg/week)combination with NAs(ETV\TDF\ADV) for 96 weeks.
Intervention Type
Drug
Intervention Name(s)
ETV;TDF;ADV
Other Intervention Name(s)
entecavir;tenofovir disoproxil fumarate;adefovir
Intervention Description
NAs
Intervention Type
Drug
Intervention Name(s)
Peginterferon Alfa-2a
Other Intervention Name(s)
pegasys
Intervention Description
peginterferon
Primary Outcome Measure Information:
Title
Recurrence-free Survival Rate (RFS)
Description
Number of subjects without Recurrence in the total subjects
Time Frame
2 years
Secondary Outcome Measure Information:
Title
Recurrence-free Survival Rate (RFS)
Description
Number of subjects without Recurrence in the total subjects
Time Frame
1 year
Title
Overall Survival Rate (OS)
Description
Number of subjects with survival in the total subjects
Time Frame
2 years
Title
Overall Survival Rate (OS)
Description
Number of subjects with survival in the total subjects
Time Frame
1 year
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male and female patients with age ≥18 and ≤70 years;
Expected survival time >3 months;
There should be evidences that chronic hepatitis B or hepatitis have been positive, hepatitis B virus (HBV) DNA detectable or undetectable, Alanine aminotransferase(ALT)<upper limit of normal (ULN) or ≥ULN;
The patients have been treated by resection due to HCC;
The characteristic of tumor should be:Barcelona Clinic Liver Cancer(BCLC): 0,A,B
Child-Pugh scores:A
Agree to participate in the study and sign the patient informed consent form.
Exclusion Criteria:
Patients that have been treated by live transplantation、chemoembolization、radiotherapy、chemotherapy、molecular targeted therapy and biotherapy before the resection;
Patients that are treated by hepatotoxicity drugs 、immunosuppressant or adjuvant chemotherapy after the resection;
Patients who be treated by transcatheter arterial chemoembolization(TACE) after resection;
BCLC(Barcelona Clinic Liver Cancer):C、D before the resection;
History or other evidence of malignant tumor: except by basal cell carcinoma or squamous cell carcinoma which are cured 、carcinoma in situs of cervix
Allergic history to interferon;
Co-infection with active hepatitis A, hepatitis C, hepatitis D and/or human immunodeficiency virus (HIV);
History or other evidence of a medical condition associated with chronic liver disease other than viral hepatitis (e.g., hemochromatosis, autoimmune hepatitis, metabolic liver disease, alcoholic liver disease, toxin exposures, thalassemia);
absolute neutrophil count(ANC)<1.5x 10^9/L or platelet count(PLT)<70x 10^9/L
Creatinine over upper limit of normal;
History of severe psychiatric disease, especially depression. Severe psychiatric disease is defined as major depression or psychosis that treated with antidepressant medication or a major tranquilizer at therapeutic doses respectively at any time prior to 3 months or any history of the following: a suicidal attempt hospitalization for psychiatric disease, or a period of disability due to a psychiatric disease;
History of severe cardiac disease (e.g., New York Heart Association Functional Class III or IV, myocardial infarction within 6 months, ventricular tachyarrhythmias requiring ongoing treatment, unstable angina or other significant cardiovascular diseases);
History of thyroid disease poorly controlled on prescribed medications;
Evidence of severe retinopathy or clinically relevant ophthalmologic disorder;
History of other severe disease or evidence of other severe disease or any other illness or conditions that the investigator believe that patients are not suitable to join in the study;
Evidence of postoperative complications: infectious、bleeding, etc,. at baseline; or evidence of recurrence or metastasis at baseline;
Child-Pugh scores :B、C
Patients included in another trial or having been given investigational drugs within 12 weeks prior to screening;
Other disease should exclusive considered by the investigator.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Lunxiu Qin
Phone
52887172
Email
qinlx@fudan.edu.cn
First Name & Middle Initial & Last Name or Official Title & Degree
Huliang Jia
Email
jbl-1@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lunxiu Qin
Organizational Affiliation
Huashan Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Jimimg Zhang
Organizational Affiliation
Huashan Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Huashan Hospital
City
Shanghai
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lunxiu Qin
Phone
52887172
Email
qinlx@fudan.edu.cn
First Name & Middle Initial & Last Name & Degree
Huliang Jia
Email
jbl-1@163.com
12. IPD Sharing Statement
Citations:
PubMed Identifier
16557381
Citation
Sun HC, Tang ZY, Wang L, Qin LX, Ma ZC, Ye QH, Zhang BH, Qian YB, Wu ZQ, Fan J, Zhou XD, Zhou J, Qiu SJ, Shen YF. Postoperative interferon alpha treatment postponed recurrence and improved overall survival in patients after curative resection of HBV-related hepatocellular carcinoma: a randomized clinical trial. J Cancer Res Clin Oncol. 2006 Jul;132(7):458-65. doi: 10.1007/s00432-006-0091-y. Epub 2006 Mar 24.
Results Reference
background
PubMed Identifier
24619495
Citation
Sohn W, Paik YH, Kim JM, Kwon CH, Joh JW, Cho JY, Gwak GY, Choi MS, Lee JH, Koh KC, Paik SW, Yoo BC. HBV DNA and HBsAg levels as risk predictors of early and late recurrence after curative resection of HBV-related hepatocellular carcinoma. Ann Surg Oncol. 2014 Jul;21(7):2429-35. doi: 10.1245/s10434-014-3621-x. Epub 2014 Mar 12.
Results Reference
background
PubMed Identifier
23046671
Citation
Micco L, Peppa D, Loggi E, Schurich A, Jefferson L, Cursaro C, Panno AM, Bernardi M, Brander C, Bihl F, Andreone P, Maini MK. Differential boosting of innate and adaptive antiviral responses during pegylated-interferon-alpha therapy of chronic hepatitis B. J Hepatol. 2013 Feb;58(2):225-33. doi: 10.1016/j.jhep.2012.09.029. Epub 2012 Oct 6.
Results Reference
background
Learn more about this trial
The Investigation of Peginterferon Alfa-2a on the RFS of the Subjects With HCC Who Have Been Treated by Resection
We'll reach out to this number within 24 hrs