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Cisplatin or Carboplatin and Sorafenib in Treating Patients With Liver Cancer That Cannot Be Removed By Surgery

Phase II Trial of Intrahepatic Artery Chemotherapy With Nexavar in Hepatocellular Carcinoma Patients

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00875615
Enrollment
11
Registered
2009-04-03
Start date
2008-12-31
Completion date
2012-06-30
Last updated
2017-02-07

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

Conditions

Liver Cancer

Keywords

adult primary hepatocellular carcinoma, localized unresectable adult primary liver cancer, advanced adult primary liver cancer

Brief summary

RATIONALE: Drugs used in chemotherapy, such as cisplatin and carboplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Sorafenib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor. Infusing chemotherapy directly into the liver and giving it together with sorafenib may kill more tumor cells. PURPOSE: This phase II trial is studying the side effects of infusing cisplatin or carboplatin directly into the liver and giving it together with sorafenib in treating patients with liver cancer that cannot be removed by surgery.

Detailed description

OBJECTIVES: Primary * To assess the safety of intrahepatic arterial infusion of cisplatin or carboplatin in combination with sorafenib tosylate in patients with unresectable hepatocellular carcinoma. Secondary * To assess the time to tumor progression in patients treated with this regimen. * To assess the overall and progression-free survival of patients treated with this regimen. OUTLINE: Patients receive intrahepatic arterial infusion of cisplatin or carboplatin over 30-45 minutes on day 1 and oral sorafenib tosylate twice daily on days 8-35. Treatment repeats every 42 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. After completion of study treatment, patients are followed periodically.

Interventions

DRUGCarboplatin

Carboplatin AUC =6 at the investigator's discretion. Treatment is given every 6 weeks for up to 12 Cycles.

DRUGCisplatin

Cisplatin 60 m/m² via percutaneous intrahepatic (IA) artery infusion at the investigator's discretion. Treatment is given every 6 weeks for up to 12 Cycles.

DRUGSorafenib

Sorafenib 400 mg po bid daily starting on Day 1 (± up to 3 days) continuously.

Sponsors

University of Miami
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 120 Years
Healthy volunteers
No

Inclusion criteria

DISEASE CHARACTERISTICS: * Histologically confirmed hepatocellular carcinoma (HCC) OR serum alpha fetoprotein ≥ 400 ng/mL with radiological evidence suggestive of HCC * Unresectable disease * Child-Pugh class A or selected Child-Pugh class B disease (Child-Pugh score ≤ 7 points) * No Child-Pugh class C disease * No disease outside the liver or macroscopic invasion of the major vessels such as the portal vein * No known brain metastasis * Patients with neurological symptoms must undergo CT scan or MRI of the brain PATIENT CHARACTERISTICS: * ECOG performance status 0-1 * WBC ≥ 3,000/mm³ (for patients scheduled to receive carboplatin) or ≥ 2,000/mm³ (for patients scheduled to receive cisplatin) * Platelet count ≥ 100,000/mm³ (for patients scheduled to receive carboplatin) or ≥ 60,000/mm³ (for patients scheduled to receive cisplatin) * Serum creatinine ≤ 1.9 mg/dL (for patients scheduled to receive carboplatin) or ≤ 1.5 mg/dL (for patients scheduled to receive cisplatin) * Serum total bilirubin ≤ 3 mg/dL * AST and ALT \< 5 times upper limit of normal * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception during and for ≥ 3 months after completion of study treatment * No cardiac disease, including any of the following: * NYHA class III-IV congestive heart failure * Unstable angina (anginal symptoms at rest) * New onset of angina within the past 3 months * Myocardial infarction within the past 6 months * Cardiac ventricular arrhythmias requiring anti-arrhythmic therapy * No uncontrolled hypertension, defined as systolic BP \> 150 mm Hg or diastolic BP \> 90 mm Hg, despite optimal medical management * No thrombolic or embolic events (e.g., cerebrovascular accident, including transient ischemic attacks) within the past 6 months * No pulmonary hemorrhage/bleeding event ≥ CTCAE grade 2 within the past 4 weeks * No other hemorrhage/bleeding event ≥ CTCAE grade 3 within the past 4 weeks * No evidence or history of bleeding diathesis or coagulopathy * No evidence of encephalopathy * No condition that would impair the ability to swallow whole pills * No history of malabsorption problems * No significant traumatic injury within the past 4 weeks * No serious non-healing wound, ulcer, or bone fracture * No active clinically serious infection * No known HIV infection * No known or suspected allergy to sorafenib tosylate or any other study agent PRIOR CONCURRENT THERAPY: * No prior cisplatin, carboplatin, or sorafenib tosylate * No prior systemic chemotherapy for HCC * No other prior systemic or locoregional therapy * More than 4 weeks since prior major surgery or open biopsy * No concurrent St. John's wort or rifampin

Design outcomes

Primary

MeasureTime frameDescription
Number of Subjects Experiencing Adverse Events36 monthsThe number of subjects experiencing adverse events after receiving protocol therapy.

Secondary

MeasureTime frameDescription
Number of Patients Achieving Clinical Benefit36 monthsNumber of patients achieving complete or partial response according to RECIST criteria

Countries

United States

Participant flow

Participants by arm

ArmCount
Cisplatin or Carboplatin + Sorafenib
Cisplatin : Cisplatin 60 m/m² via percutaneous intrahepatic (IA) artery infusion at the investigator's discretion. Treatment is given every 6 weeks for up to 12 Cycles. Sorafenib : Sorafenib 400 mg po bid daily starting on Day 1 (± up to 3 days) continuously. Carboplatin : Carboplatin AUC =6 at the investigator's discretion. Treatment is given every 6 weeks for up to 12 Cycles.
11
Total11

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyWithdrawal by Subject1

Baseline characteristics

CharacteristicCisplatin or Carboplatin + Sorafenib
Age, Categorical
<=18 years
0 Participants
Age, Categorical
>=65 years
7 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
Age, Continuous65 years
Child-Pugh Score
Child-Pugh A
10 participants
Child-Pugh Score
Child-Pugh B
1 participants
Gender
Female
2 Participants
Gender
Male
9 Participants
Region of Enrollment
United States
11 participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
2 / 10
serious
Total, serious adverse events
0 / 10

Outcome results

Primary

Number of Subjects Experiencing Adverse Events

The number of subjects experiencing adverse events after receiving protocol therapy.

Time frame: 36 months

Population: Of the 11 participants enrolled, 10 had results that were evaluable.

ArmMeasureValue (NUMBER)
Cisplatin or Carboplatin + SorafenibNumber of Subjects Experiencing Adverse Events2 participants
Secondary

Number of Patients Achieving Clinical Benefit

Number of patients achieving complete or partial response according to RECIST criteria

Time frame: 36 months

Population: Of the 11 participants enrolled, 10 had results that were evaluable.

ArmMeasureValue (NUMBER)
Cisplatin or Carboplatin + SorafenibNumber of Patients Achieving Clinical Benefit6 participants

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