Hepatocellular Carcinoma
Conditions
Keywords
Cancer, Tumors, Neoplasms, Anticarcinogenic Agents, Antineoplastic Agents, Dihydrouracil Dehydrogenase (NADP)
Brief summary
5-fluorouracil (5-FU), one of the most actively investigated anti-cancer drugs, is rapidly inactivated by the enzyme dihydropyrimidine dehydrogenase (DPD). ADH300004 blocks DPD. This study will test the safety and effects of oral ADH300004 14 hours prior to oral 5-FU in subjects with locally advanced, recurrent, or metastatic hepatocellular carcinoma.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Signed written informed consent * In the Phase I portion, Asian subjects that are \> or = to 18 years of age * In the Phase II portion, any subjects that are \> or = to 18 years of age * Non-resectable locally advanced, recurrent, or metastatic hepatocellular carcinoma (HCC) that is either histologically proven or a radiologically documented liver mass with: (alpha-fetoprotein \[AFP\] \> 4,000 ng/mL, hepatitis B surface antigen positive or alpha-fetoprotein \[AFP\] \> 400 ng/mL, hepatitis B surface antigen negative) * Radiologically documented measurable disease * Adequate performance status and organ function, as evidenced by hematologic and biochemical blood testing * Willing to not receive fluoropyrimidine containing chemotherapy for 8 weeks after the last dose of ADH300004 in this study
Exclusion criteria
* Chemotherapy, radiotherapy, or any other investigational drug within 28 days prior to study entry * No more than 1 previous treatment with systemic chemotherapy (chemotherapy administered as part of a chemo-embolization procedure is not considered systemic chemotherapy) * Portal hypertension with bleeding esophageal or gastric varices within the past 3 months * Ascites that is refractory to conservative management * Inability to take oral medication * Active peptic ulcer disease * Known hypersensitivity to 5-FU or ADH300004 * History of primary brain tumors or brain metastases * Previous or concurrent malignancy at another site within the last 5 years * Stroke, major surgery, or other major tissue injury within 30 days before study entry
Countries
Singapore, Taiwan, United States