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Orantinib In Combination With Transcatheter Arterial Chemoembolization In Patients With Unresectable Hepatocellular Carcinoma

A Randomized, Double-Blind, Placebo-Controlled Phase III Trial Of TSU-68 In Combination With Transcatheter Arterial Chemoembolization In Patients With Unresectable Hepatocellular Carcinoma

Status
Terminated
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01465464
Acronym
ORIENTAL
Enrollment
888
Registered
2011-11-04
Start date
2010-12-31
Completion date
2014-11-30
Last updated
2019-08-07

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

Conditions

Hepatocellular Carcinoma

Brief summary

The purpose of this study is to compare the overall survival (OS) for Orantinib in combination with transcatheter arterial chemoembolization (TACE) versus placebo in combination with TACE in patients with unresectable hepatocellular carcinoma (HCC).

Detailed description

This is a randomized, multi-center, double-blind, placebo-controlled phase III trial of Orantinib administered in combination with TACE in patients with unresectable HCC. Patients will be randomly assigned (1:1) to receive TACE given in combination with either Orantinib (200 mg orally, twice per day) or placebo. ORIENTAL:ORantinib InvEstigatioN on TAce combination triaL.

Interventions

200 mg (1 tablet) of Orantinib was administered orally twice per day after meals, morning and evening.

DRUGPlacebo

1 tablet was administered orally twice per day after meals, morning and evening.

Sponsors

Taiho Pharmaceutical Co., Ltd.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

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

Inclusion criteria

* Patients must be diagnosed as HCC. * Patients has no indications for treatment with curative hepatic resection or curative percutaneous local therapy. * Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1. * Patients are able to receive oral medication.

Design outcomes

Primary

MeasureTime frame
Overall Survival(OS)The time from the date of enrollment to the date of death from any cause, assessed up to three years after randomizationof the last patient

Secondary

MeasureTime frameDescription
Time to Transcatheter Arterial Chemoembolization (TACE) FailureThe time from the date of enrollment to the date of event for TACE discontinuation, assessed up to three years after randomizationof the last patientPatients should not receive additional TACE therapy in this study after meeting any of the following conditions, at the Investigator's discretion. 1. The patient develops an intra-hepatic lesion that is uncontrolled by serial TACE 2. Deterioration in arterial pathways to treat HCC that makes additional TACE impossible 3. Severe vascular invasion occurs that makes additional TACE impossible 4. Extra hepatic spread considered relevant to life expectancy that requires another treatment modality for HCC 5. Liver function at grade Child-Pugh class C lasting for 28 days

Countries

Japan, South Korea, Taiwan

Participant flow

Participants by arm

ArmCount
Orantinib
Orantinib (TSU-68): 200 mg (1 tablet) of Orantinib was administered orally twice per day after meals, morning and evening.
444
Placebo
Placebo: 1 tablet was administered orally twice per day after meals, morning and evening.
444
Total888

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event9649
Overall StudyLack of Efficacy139190
Overall StudyOngoing treatment at cutoff date140166
Overall StudyOther93
Overall StudyPhysician Decision135
Overall StudyProtocol Violation11
Overall StudyWithdrawal by Subject4630

Baseline characteristics

CharacteristicPlaceboOrantinibTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
242 Participants255 Participants497 Participants
Age, Categorical
Between 18 and 65 years
202 Participants189 Participants391 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
444 Participants444 Participants888 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
0 Participants0 Participants0 Participants
Region of Enrollment
Japan
213 participants219 participants432 participants
Region of Enrollment
South Korea
170 participants170 participants340 participants
Region of Enrollment
Taiwan
61 participants55 participants116 participants
Sex: Female, Male
Female
80 Participants81 Participants161 Participants
Sex: Female, Male
Male
364 Participants363 Participants727 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
33 / 44424 / 444
other
Total, other adverse events
443 / 444436 / 444
serious
Total, serious adverse events
200 / 444134 / 444

Outcome results

Primary

Overall Survival(OS)

Time frame: The time from the date of enrollment to the date of death from any cause, assessed up to three years after randomizationof the last patient

Population: When approximately 50% of the targeted number of time to TACE discontinuation events were confirmed, interim analysis was performed by IDMC.~Because the Committee considered that significant results would no longer be obtained, the IDMC recommended to the Sponsor that the clinical trial would be discontinued, and the Sponsor stopped this trial.

ArmMeasureValue (MEDIAN)
OrantinibOverall Survival(OS)946.0 days
PlaceboOverall Survival(OS)984.0 days
p-value: 0.43595% CI: [0.878, 1.352]Log Rank
Secondary

Time to Transcatheter Arterial Chemoembolization (TACE) Failure

Patients should not receive additional TACE therapy in this study after meeting any of the following conditions, at the Investigator's discretion. 1. The patient develops an intra-hepatic lesion that is uncontrolled by serial TACE 2. Deterioration in arterial pathways to treat HCC that makes additional TACE impossible 3. Severe vascular invasion occurs that makes additional TACE impossible 4. Extra hepatic spread considered relevant to life expectancy that requires another treatment modality for HCC 5. Liver function at grade Child-Pugh class C lasting for 28 days

Time frame: The time from the date of enrollment to the date of event for TACE discontinuation, assessed up to three years after randomizationof the last patient

Population: When approximately 50% of the targeted number of time to TACE discontinuation events were confirmed, interim analysis was performed by IDMC.~Because the Committee considered that significant results would no longer be obtained, the IDMC recommended to the Sponsor that the clinical trial would be discontinued, and the Sponsor stopped this trial.

ArmMeasureValue (MEDIAN)
OrantinibTime to Transcatheter Arterial Chemoembolization (TACE) Failure728.0 days
PlaceboTime to Transcatheter Arterial Chemoembolization (TACE) Failure602.0 days

Source: ClinicalTrials.gov · Data processed: Mar 8, 2026