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A Study of Dovitinib Versus Sorafenib in Adult Patients With Hepatocellular Carcinoma (HCC) as a First Line Treatment

An Open-label, Randomized, Multi-center, Phase II Study to Compare the Safety and Efficacy of TKI258 Versus Sorafenib as First-line Treatment in Adult Patients With Advanced Hepatocellular Carcinoma

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01232296
Enrollment
162
Registered
2010-11-02
Start date
2011-07-31
Completion date
2014-04-30
Last updated
2015-12-04

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

Conditions

Hepatocellular Carcinoma

Keywords

Hepatocellular Carcinoma, HCC, Liver cancer, Child Pugh A, HCC Stage C

Brief summary

The purpose of this open-label, randomized, phase II study is to compare the safety and efficacy of dovitinib versus sorafenib as first-line treatment in adult patients with advanced Hepatocellular Carcinoma (HCC). This trial will be opened in countries of the Asia-Pacific region.

Interventions

DRUGdovitinib

500 mg p.o. o.d. 5 days on/2 days off

DRUGsorafenib

400 mg p.o. b.i.d.

Sponsors

Novartis Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

Diagnosis of advanced Hepatocellular Carcinoma (HCC) according to the AASLD Guidelines * Advance HCC Stage B and C according to BCLC staging classification * Child Pugh A * At least one measurable lesion as assessed by CT or MRI * ECOG PS of 0 or 1 * Adequate bone marrow, liver, and renal function

Exclusion criteria

* Prior systemic therapy for HCC * Brain metastases * Active bleeding (including variceal bleeding as the result of esophageal varices) Patients who have received a liver transplant or are awaiting an immediate transplant Other protocol-defined inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Overall Survival - Overall SurvivalEvery 6 weeks from date of randomization until the patient has progressed, or the patient can no longer be followed, or at least 130 deaths have been observed in the study, whichever came first.The overall survival (OS), defined as the time from date of randomization to the date of death from any cause. If a patient was not known to have died at the date of analysis cut-off, OS was censored at the last date of contact. Survival information was collected every 6 wks until at least 130 deaths have been observed

Secondary

MeasureTime frameDescription
Disease Control Rate (Tumor Assessment)Every 6 weeks from date of randomization until the patient has progressed, or the patient can no longer be followed, or at least 130 deaths have been observed in the study, whichever came first.Disease Control Rate (DCR) is defined as the proportion of patients whose best overall response is either complete response \[CR\], partial response \[PR\] or stable disease \[SD\] according to RECIST 1.1.
Time to Definitive Deterioration in ECOG Performance Status (PS)Every 6 weeks from date of randomization until the patient has progressed, or the patient can no longer be followed, or at least 130 deaths have been observed in the study, whichever came firstTime to definitive deterioration on ECOG PS scale (by at least one point) was defined as the time from the date of randomization to the date of definitive deterioration of the ECOG PS by at least one category of the score from baseline or to the date of death whichever occurred earlier. 0 is Fully active, able to carry on all pre-disease performance without restriction, 1 is Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g. light housework, office work and 2 is ambulatory and capable of all self-care but unable to carry out any work activities. Up and about more than 50% of waking hours.
Time to Tumor Progression (Tumor Assessment)Every 6 weeks from date of randomization until the patient has progressed, or the patient can no longer be followed, or at least 130 deaths have been observed in the study, whichever came first.Disease progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1). For target lesions, disease progression mean at least a 20% increase in the sum of diameter of all measured target lesions, taking as reference the smallest sum of diameter of all target lesions recorded at or after baseline. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. For non-target lesions, disease progression refers to unequivocal progression of existing non-target lesions. In addition, the appearance of new lesions is always considered as disease progression.
Pharmacokinetic (PK) Parameter of Tmax Following a Single Dose of TKI258Week 1 day 1, week 4 day 5Tmax will be evaluated after a single dose of TKI258 following a 5 days on/2 days off dosing schedule. Tmax is the time to to reach maximum (peak) plasma, blood, serum, or other body fluid drug concentration after a single dose administration (time)
Pharmacokinetic (PK) Parameter of AUCtau Following a Single Dose of TKI258Week 1 day 1, week 4 day 5The mean AUC from time zero to the last measurable concentration sampling time (t last) (mass x time x volume-1)
Pharmacokinetic (PK) Parameter of Cmax Following a Single Dose of TKI258Week 1 day 1, week 4 day 5Cmax will be evaluated after a single dose of TKI258 following a 5 days on/2 days off dosing schedule. Cmax is the maximum (peak) observed plasma, blood, serum, or other body fluid drug concentration after a single dose administration (mass x volume - 1).

Countries

China, Hong Kong, Japan, Singapore, South Korea, Taiwan, Thailand

Participant flow

Pre-assignment details

165 Participants were screened and randomized. However 3 participants discontinued prior to recieving study drug. The number enrolled in the protocol section reflects the randomized participants who received study drug.

Participants by arm

ArmCount
TKI258
500 mg capsules p.o. o.d. 5 days on/2 days off
82
Sorafenib
400 mg tablet p.o. b.i.d.
83
Total165

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event2412
Overall StudyDeath16
Overall StudyPhysician Decision11
Overall StudyProgressive disease4361
Overall StudyStudy terminated by sponsor01
Overall StudySubject/guardian decision102
Overall StudyTechnical problems30

Baseline characteristics

CharacteristicTKI258SorafenibTotal
Age, Continuous55.5 Years
STANDARD_DEVIATION 12.16
56.2 Years
STANDARD_DEVIATION 11.72
55.8 Years
STANDARD_DEVIATION 11.91
Sex: Female, Male
Female
9 Participants16 Participants25 Participants
Sex: Female, Male
Male
73 Participants67 Participants140 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
77 / 7980 / 83
serious
Total, serious adverse events
40 / 7934 / 83

Outcome results

Primary

Overall Survival - Overall Survival

The overall survival (OS), defined as the time from date of randomization to the date of death from any cause. If a patient was not known to have died at the date of analysis cut-off, OS was censored at the last date of contact. Survival information was collected every 6 wks until at least 130 deaths have been observed

Time frame: Every 6 weeks from date of randomization until the patient has progressed, or the patient can no longer be followed, or at least 130 deaths have been observed in the study, whichever came first.

Population: The Full Analysis Set (FAS) comprises of all patients to whom study treatment had been assigned by randomization. According to the intent to treat principle, patients were analyzed according to the treatment (and strata) they were assigned to during the randomization procedure.

ArmMeasureValue (MEDIAN)
TKI258Overall Survival - Overall Survival33 Weeks
SorafenibOverall Survival - Overall Survival39.4 Weeks
Secondary

Disease Control Rate (Tumor Assessment)

Disease Control Rate (DCR) is defined as the proportion of patients whose best overall response is either complete response \[CR\], partial response \[PR\] or stable disease \[SD\] according to RECIST 1.1.

Time frame: Every 6 weeks from date of randomization until the patient has progressed, or the patient can no longer be followed, or at least 130 deaths have been observed in the study, whichever came first.

Population: The Full Analysis Set (FAS) comprises of all patients to whom study treatment had been assigned by randomization. According to the intent to treat principle, patients were analyzed according to the treatment (and strata) they were assigned to during the randomization procedure.

ArmMeasureGroupValue (NUMBER)
TKI258Disease Control Rate (Tumor Assessment)Partial response (PR)5 Participants
TKI258Disease Control Rate (Tumor Assessment)Progressive disease17 Participants
TKI258Disease Control Rate (Tumor Assessment)Stable disease (SD)42 Participants
TKI258Disease Control Rate (Tumor Assessment)Unknown (UNK)18 Participants
TKI258Disease Control Rate (Tumor Assessment)Complete response (CR)0 Participants
SorafenibDisease Control Rate (Tumor Assessment)Unknown (UNK)8 Participants
SorafenibDisease Control Rate (Tumor Assessment)Complete response (CR)1 Participants
SorafenibDisease Control Rate (Tumor Assessment)Partial response (PR)8 Participants
SorafenibDisease Control Rate (Tumor Assessment)Stable disease (SD)44 Participants
SorafenibDisease Control Rate (Tumor Assessment)Progressive disease22 Participants
Secondary

Pharmacokinetic (PK) Parameter of AUCtau Following a Single Dose of TKI258

The mean AUC from time zero to the last measurable concentration sampling time (t last) (mass x time x volume-1)

Time frame: Week 1 day 1, week 4 day 5

Population: The Full-PK analysis set: all patients who were selected for full PK sampling and provided at least one evaluable PK concentration profile

ArmMeasureGroupValue (MEAN)Dispersion
TKI258Pharmacokinetic (PK) Parameter of AUCtau Following a Single Dose of TKI258Week 1 Day 15774.69 (ng.h/mL)Standard Deviation 1616.159
TKI258Pharmacokinetic (PK) Parameter of AUCtau Following a Single Dose of TKI258Week 4 Day 5 (n=23)6493.99 (ng.h/mL)Standard Deviation 2409.119
Secondary

Pharmacokinetic (PK) Parameter of Cmax Following a Single Dose of TKI258

Cmax will be evaluated after a single dose of TKI258 following a 5 days on/2 days off dosing schedule. Cmax is the maximum (peak) observed plasma, blood, serum, or other body fluid drug concentration after a single dose administration (mass x volume - 1).

Time frame: Week 1 day 1, week 4 day 5

Population: The Full-PK analysis set: all patients who were selected for full PK sampling and provided at least one evaluable PK concentration profile

ArmMeasureGroupValue (MEAN)Dispersion
TKI258Pharmacokinetic (PK) Parameter of Cmax Following a Single Dose of TKI258Week 1 Day 1 (n=71)326.25 (ng/mL)Standard Deviation 100.405
TKI258Pharmacokinetic (PK) Parameter of Cmax Following a Single Dose of TKI258Week 4 Day 5 (n=23)364.04 (ng/mL)Standard Deviation 131.973
Secondary

Pharmacokinetic (PK) Parameter of Tmax Following a Single Dose of TKI258

Tmax will be evaluated after a single dose of TKI258 following a 5 days on/2 days off dosing schedule. Tmax is the time to to reach maximum (peak) plasma, blood, serum, or other body fluid drug concentration after a single dose administration (time)

Time frame: Week 1 day 1, week 4 day 5

Population: The Full-PK analysis set: all patients who were selected for full PK sampling and provided at least one evaluable PK concentration profile

ArmMeasureGroupValue (MEDIAN)
TKI258Pharmacokinetic (PK) Parameter of Tmax Following a Single Dose of TKI258Week 4 Day 5 (n=23)5.9 hours
TKI258Pharmacokinetic (PK) Parameter of Tmax Following a Single Dose of TKI258Week 1 Day 1(71)6 hours
Secondary

Time to Definitive Deterioration in ECOG Performance Status (PS)

Time to definitive deterioration on ECOG PS scale (by at least one point) was defined as the time from the date of randomization to the date of definitive deterioration of the ECOG PS by at least one category of the score from baseline or to the date of death whichever occurred earlier. 0 is Fully active, able to carry on all pre-disease performance without restriction, 1 is Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g. light housework, office work and 2 is ambulatory and capable of all self-care but unable to carry out any work activities. Up and about more than 50% of waking hours.

Time frame: Every 6 weeks from date of randomization until the patient has progressed, or the patient can no longer be followed, or at least 130 deaths have been observed in the study, whichever came first

Population: The Full Analysis Set (FAS): all patients to whom study treatment had been assigned by randomization. According to the intent to treat principle, patients were analyzed according to the treatment (and strata) they were assigned to during the randomization procedure. Only Total number of definitive deterioration events included in the analysis

ArmMeasureValue (MEDIAN)
TKI258Time to Definitive Deterioration in ECOG Performance Status (PS)22.3 Weeks
SorafenibTime to Definitive Deterioration in ECOG Performance Status (PS)21.3 Weeks
Secondary

Time to Tumor Progression (Tumor Assessment)

Disease progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1). For target lesions, disease progression mean at least a 20% increase in the sum of diameter of all measured target lesions, taking as reference the smallest sum of diameter of all target lesions recorded at or after baseline. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. For non-target lesions, disease progression refers to unequivocal progression of existing non-target lesions. In addition, the appearance of new lesions is always considered as disease progression.

Time frame: Every 6 weeks from date of randomization until the patient has progressed, or the patient can no longer be followed, or at least 130 deaths have been observed in the study, whichever came first.

Population: The Full Analysis Set (FAS) comprises of all patients to whom study treatment had been assigned by randomization. According to the intent to treat principle, patients were analyzed according to the treatment (and strata) they were assigned to during the randomization procedure.

ArmMeasureValue (MEDIAN)
TKI258Time to Tumor Progression (Tumor Assessment)17.6 Weeks
SorafenibTime to Tumor Progression (Tumor Assessment)17.9 Weeks

Source: ClinicalTrials.gov · Data processed: Mar 5, 2026