Advanced Hepatocellular Carcinoma
Conditions
Brief summary
The purpose of this study is to evaluate the safety and tolerability of ARQ 197 in hepatocellular carcinoma (HCC) patients treated with daily oral ARQ 197, to determine the recommended dose of ARQ 197 in advanced HCC patients.
Interventions
Daily repeating dose of oral ARQ 197, twice a day just after meals. Dose of ARQ 197 will be escalated according to 3+3 rule.
Sponsors
Study design
Eligibility
Inclusion criteria
* Confirmed HCC patients who are resistant to, intolerable to, or rejecting a systemic sorafenib therapy * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 * Child-Pugh classification A at the time of registration * Adequate bone marrow, liver, and renal functions within 14 days prior to registration
Exclusion criteria
* Prior therapy with a c-Met inhibitor (including ARQ 197) * Any systemic anti-tumor treatment or investigational agent within 2 weeks prior to registration. If the treatment/agent was antibody, within 4 weeks * Local treatment for malignancy within 4 weeks prior to registration * Major surgical procedure within 4 weeks prior to registration
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with dose-limiting toxicity (DLT), as a measure of safety and tolerability | DLT observation period will be the first 28 days after the start of ARQ 197 treatment. | Adverse Event collection and assessment will be done for all treated subjects to assess the safety, tolerability. The grading for the severity of the adverse events will be determined according to CTCAE ver 4.0. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Profiles of Pharmacokinetics | Plasma sample correction at pre-dose 1, 2, 4, 6, 10, 12 and 24 hours on day 1; at pre-dose, 1, 2, 4, 6, 10, 12 hours on day 15; and at pre-dose on day 29. | maximum concentration (Cmax), area under the curve (AUC), half-life (t1/2), apparent clearance (Cl/F), and apparent volume of distribution in the terminal elimination phase (Vz/F). |
| Antitumor effects according to RECIST 1.1. | Every 6 weeks | — |
Countries
Japan