Advanced Hepatocellular Carcinoma
Conditions
Keywords
Z-208
Brief summary
This phase I/II is studying the side effect and best dose of Z-208 for patients with advanced hepatocellular carcinoma
Detailed description
This is an open-label, dose-escalation study PhaseI Treatments repeats for 28 days for 1 course in the unacceptable toxicity Cohort of 3 patients receive escalating doses of Z-208 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 1 of 3 patients experience dose-limiting toxicity. PhaseII Treatments repeats for 28 days for 6 courses until absence of disease progression or unacceptable toxicity.
Interventions
Oral pills taken daily; 8mg, 12mg, 16mg, 4mg
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically or cytologically confirmed hepatocellular carcinoma * At least one measurable site of disease according to RECIST criteria that has not been irradiated. * Child-Pugh classification A & B * ECOG performance status of 0-1 * Life expectancy is more than 90 days * Adequate organ function as defined by the following criteria, Hemoglobin ≥ 8.0 g/dL WBC ≥ 3,000/mm\^3 \<12,000/mm\^3 Absolute neutrophil count ≥ 1,500/mm\^3 Platelet count ≥ 50,000/mm\^3 AST and ALT ≤ 5 times upper limit of normal (ULN) Albumin ≥ 2.8 g/dL Bilirubin ≤ 2.0 mg/dL Creatinine ≤ 1.5 times ULN * Must provide written informed consent prior to the implementation of any study assessment or procedures
Exclusion criteria
* Patients received treatment with any of the following within the specified timeframe;Any surgical procedure, radiofrequency ablation, intraarterial chemotherapy within 30 days prior to signing the ICF, any treatment with transfusion, albumin preparation, G-CSF within 15 days prior to signing the ICF * CNS involvement must have completed appropriate treatment * Prior deep vein thrombosis * Has ascites, pleural effusions or pericardial fluid refractory * Active clinically serious infection excluding chronic hepatitis * Any history of deep vein thrombosis, pulmonary embolism, myocardial infraction, cerebrovascular accident * Allergy or hypersensitivity to Vitamin A * Women who are pregnant or breast feeding
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Phase I: Determine the maximum tolerated dose (MTD) of Z-208 in patients with advanced hepatocellular carcinoma | 28 days |
| Phase II : Assess the objective tumor response rate in patients according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria | 28 days for 6 courses |
Secondary
| Measure | Time frame |
|---|---|
| Phase I : Assess the objective tumor response rate in patients according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria | 28 days for 6 courses |
| Phase I : Determine the pharmacokinetics of this drug in these patients | 28 days for 6 courses |
| Phase I : Determine the adverse effects profile of this drug in these patients | 28 days for 6 courses |
| Phase II: Determine the PFS | 28 days for 6 courses |
Countries
Japan