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Dasatinib in Treating Patients With Advanced Liver Cancer That Cannot Be Removed by Surgery

A Phase II Trial of Dasatinib (BMS-354825) in Advanced Hepatocellular Carcinoma

Status
Terminated
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00459108
Enrollment
25
Registered
2007-04-11
Start date
2007-04-30
Completion date
2011-04-30
Last updated
2018-04-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Adult Primary Hepatocellular Carcinoma, Advanced Adult Primary Liver Cancer, Recurrent Adult Primary Liver Cancer

Brief summary

This phase II trial is studying how well dasatinib works in treating patients with advanced liver cancer that cannot be removed by surgery. Dasatinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.

Detailed description

PRIMARY OBJECTIVES: I. Determine the progression-free survival (PFS) rate and response rate (complete and partial response) at 4 months in patients with unresectable advanced hepatocellular carcinoma treated with dasatinib. SECONDARY OBJECTIVES: I. Determine the median PFS and overall survival of patients treated with this drug. II. Assess the toxicity and tolerability of this drug in these patients. OUTLINE: This is a multicenter study. Patients receive oral dasatinib twice daily on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. After completion of study treatment, patients are followed at 4 weeks and then every 3-6 months thereafter.

Interventions

DRUGdasatinib

Given orally

Sponsors

National Cancer Institute (NCI)
Lead SponsorNIH

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Criteria: * WBC \>= 3,000/mm\^3 * LVEF normal * Histologically or cytologically confirmed hepatocellular carcinoma; Advanced disease, unresectable disease, no Childs C criteria * Measurable disease, defined as \>= 1 unidimensionally measurable lesion \>= 20 mm by conventional techniques or \>= 10 mm by spiral CT scan * Not a candidate for percutaneous ethanol injection or radiofrequency ablation (RFA) * Prior transarterial chemoembolization, ethanol, and RFA allowed if new lesions are present in the liver and there are no other sites of disease * No pleural effusion or ascites requiring paracentesis within the past 4 weeks * No known brain metastases * ECOG performance status (PS) 0-1 OR Karnofsky PS 70-100% * Life expectancy \> 3 months * Absolute neutrophil count \>= 1,500/mm\^3 * Platelet count \>= 75,000/mm\^3 * Bilirubin =\< 2 times upper limit of normal (ULN) * AST and ALT =\<2.5 times ULN (5 times ULN if liver involvement by tumor) * Creatinine =\< 2 times ULN * PT =\< 1.5 times ULN (no anticoagulation) * Albumin \>= 2.5 mg/dL * No history of allergic reactions attributed to compounds of similar chemical or biological composition to dasatinib * No evidence of encephalopathy * No condition that would preclude ability to swallow and retain dasatinib tablets, including any of the following: * Gastrointestinal tract disease resulting in an inability to take oral medication; * Requirement for IV alimentation; * Prior surgical procedures affecting absorption: * Active peptic ulcer disease * No clinically significant ECG abnormalities * No clinically significant cardiovascular disease, including any of the following: * Myocardial infarction or ventricular tachyarrhythmia within the past 6 months; * Prolonged QTc \>= 480 msec (Fridericia correction); * Major conduction abnormality (unless cardiac pacemaker is present) * No other uncontrolled illness, including, but not limited to, any of the following: * Ongoing or active infection; * History of significant bleeding disorder, including congenital (von Willebrand's disease) or acquired disorders (antifactor VIII antibodies); * Psychiatric illness or social situation that would preclude study compliance * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception * Recovered from all prior therapy * One prior systemic chemotherapy regimen allowed * Prior cryosurgery allowed * More than 4 weeks since prior transarterial chemoembolization * More than 4 weeks since prior radiotherapy * Prior or concurrent localized palliative radiotherapy (i.e., bony metastasis) allowed provided it was administered for =\< 3 days * At least 7 days since prior and no concurrent antithrombotic and/or antiplatelet agents (e.g., warfarin, heparin, low molecular weight heparin, acetylsalicylic acid, and/or ibuprofen) * At least 7 days since prior and no concurrent agents with proarrhythmic potential * At least 7 days since prior and no concurrent medications or substances that are potent inhibitors or inducers of CYP3A4 * No concurrent combination antiretroviral therapy for HIV-positive patients * No concurrent embolization or chemoembolization * No concurrent systemic antacids (H2 receptor antagonists or proton pump inhibitors) * Locally active antacids allowed provided they are held for 2 hours before and 2 hours after dasatinib dose * No other concurrent investigational agents * No other concurrent anticancer agents or therapies

Design outcomes

Primary

MeasureTime frameDescription
Response Rate (Complete and Partial Response)4 monthsPer 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; Response = CR + PR
Four Month Progression-free Survival (PFS)4 monthsProgression-free survival calculated using the method of Kaplan-Meier. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

Secondary

MeasureTime frameDescription
Median Progression-free SurvivalUntil disease progression or death, up to 4 yearsEstimated using the product-limit method of Kaplan and Meier. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.
Overall SurvivalUp to 4 yearsEstimated using the product-limit method of Kaplan and Meier.
Safety and TolerabilityUp to 4 yearsSummarize observed grade 3 and higher toxicities related to dasatanib. The descriptions and grading scales found in the revised NCI Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 were used for reporting.

Countries

United States

Participant flow

Participants by arm

ArmCount
Oral Dasatinib
Patients receive oral dasatinib twice daily at 70 mg on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. dasatinib: Given orally
25
Total25

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event3
Overall StudyDeath2
Overall StudyProgression1
Overall StudyWithdrawal by Subject5

Baseline characteristics

CharacteristicOral Dasatinib
Age, Continuous61 years
Region of Enrollment
United States
25 participants
Sex: Female, Male
Female
5 Participants
Sex: Female, Male
Male
20 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
25 / 25
serious
Total, serious adverse events
13 / 25

Outcome results

Primary

Four Month Progression-free Survival (PFS)

Progression-free survival calculated using the method of Kaplan-Meier. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

Time frame: 4 months

ArmMeasureValue (NUMBER)
Oral DasatinibFour Month Progression-free Survival (PFS)40 percentage of participants
Primary

Response Rate (Complete and Partial Response)

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; Response = CR + PR

Time frame: 4 months

ArmMeasureValue (NUMBER)
Oral DasatinibResponse Rate (Complete and Partial Response)0 percentage of responding patients
Secondary

Median Progression-free Survival

Estimated using the product-limit method of Kaplan and Meier. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

Time frame: Until disease progression or death, up to 4 years

ArmMeasureValue (MEDIAN)
Oral DasatinibMedian Progression-free Survival3.7 Months
Secondary

Overall Survival

Estimated using the product-limit method of Kaplan and Meier.

Time frame: Up to 4 years

ArmMeasureValue (MEDIAN)
Oral DasatinibOverall Survival7.5 Months
Secondary

Safety and Tolerability

Summarize observed grade 3 and higher toxicities related to dasatanib. The descriptions and grading scales found in the revised NCI Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 were used for reporting.

Time frame: Up to 4 years

Population: One patient died due to underlying cardiac disease which may have been exacerbated by the dasatanib.

ArmMeasureGroupValue (NUMBER)
Oral DasatinibSafety and TolerabilityGrade 3 : Pneumonitis/pulmonary infiltrates1 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Potassium, serum-low (hypokalemia)1 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Vomiting3 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Sudden death0 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Dehydration0 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Diarrhea0 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Dizziness1 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Edema:head and neck0 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Potassium, serum-low (hypokalemia)0 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Proteinuria0 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Sodium, serum-low (hyponatremia)0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Edema:head and neck0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Fatigue (asthenia, lethargy, malaise)0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Glucose, serum-high (hyperglycemia)0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Hemoglobin0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Nausea0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Dehydration0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Diarrhea0 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Phosphate, serum-low (hypophosphatemia)3 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Platelets1 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Proteinuria1 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Pain - Middle ear1 participants
Oral DasatinibSafety and TolerabilityGrade 3 : AST, SGOT2 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Anorexia2 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Sudden death0 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Dehydration2 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Diarrhea1 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Dizziness0 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Edema:head and neck1 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Fatigue (asthenia, lethargy, malaise)8 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Glucose, serum-high (hyperglycemia)1 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Hemoglobin2 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Hemorrhage, GI - Colon1 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Hemorrhage, GI - Stomach1 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Infection with normal ANC1 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Leukocytes (total WBC)1 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Lymphopenia2 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Nausea3 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Pain - Head/headache2 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Sodium, serum-low (hyponatremia)3 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Thrombotic microangiopathy1 participants
Oral DasatinibSafety and TolerabilityGrade 3 : Urinary retention1 participants
Oral DasatinibSafety and TolerabilityGrade 4 : AST, SGOT0 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Anorexia0 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Fatigue (asthenia, lethargy, malaise)1 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Glucose, serum-high (hyperglycemia)0 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Hemoglobin1 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Hemorrhage, GI - Colon0 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Hemorrhage, GI - Stomach0 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Infection with normal ANC0 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Leukocytes (total WBC)0 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Lymphopenia0 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Nausea0 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Pain - Head/headache0 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Pain - Middle ear0 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Phosphate, serum-low (hypophosphatemia)0 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Platelets0 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Pneumonitis/pulmonary infiltrates0 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Thrombotic microangiopathy0 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Urinary retention0 participants
Oral DasatinibSafety and TolerabilityGrade 4 : Vomiting0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : AST, SGOT0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Anorexia0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Sudden death1 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Dizziness0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Hemorrhage, GI - Colon0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Hemorrhage, GI - Stomach0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Infection with normal ANC0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Leukocytes (total WBC)0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Lymphopenia0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Pain - Head/headache0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Pain - Middle ear0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Phosphate, serum-low (hypophosphatemia)0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Platelets0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Pneumonitis/pulmonary infiltrates0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Potassium, serum-low (hypokalemia)0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Proteinuria0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Sodium, serum-low (hyponatremia)0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Thrombotic microangiopathy0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Urinary retention0 participants
Oral DasatinibSafety and TolerabilityGrade 5 : Vomiting0 participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026