A randomised clinical trial evaluating the benefits of doxorubicin chemoembolisation (CEM) versus systemic doxorubicin in patients with unresectable, advanced hepatocellular carcinoma (HCC)

ISRCTN ISRCTN78345798
DOI https://doi.org/10.1186/ISRCTN78345798
ClinicalTrials.gov number NCT00079027
Secondary identifying numbers HE3001
Submission date
24/08/2005
Registration date
09/09/2005
Last edited
17/05/2012
Recruitment status
Stopped
Overall study status
Stopped
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

http://cancerhelp.cancerresearchuk.org/trials/a-trial-looking-at-different-ways-of-giving-chemotherapy-for-primary-liver-cancer

Study website

Contact information

Prof James Garden
Scientific

The University of Edinburgh
Clinical and Surgical Sciences (Surgery)
Room F3307, Ward 106
Royal Infirmary
51, Little France Crescent
Edinburgh
EH16 4SA
United Kingdom

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Participant information sheet Patient information can be found at: http://www.hep1.bham.ac.uk/HEP1-PatientGeneralInfo-v1.5.pdf
Scientific title
Study acronymHEP-1
Study objectivesTo test the hypothesis that patients with advanced, unresectable HCC treated with CEM will have an improved survival compared to those treated with single agent Doxorubicin.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedUnresectable, advanced hepatocellular carcinoma
InterventionControl Arm: Single agent doxorubicin, max dose 60 mg/m^2 IV day 1, repeated once every 3 weeks for a max of 6 cycles
Treatment Arm: Chemoembolisation (CEM) using doxorubicin, repeated every 8 weeks for a max of 3 procedures
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Doxorubicin
Primary outcome measureSurvival
Secondary outcome measures1. Overall Response (determined by RECIST criteria)
2. Time to progression (determined by RECIST criteria)
3. Toxicity
4. QoL
5. Health economics
6. Proteomics
7. Immunological
Overall study start date01/10/2005
Completion date01/10/2010
Reason abandoned (if study stopped)Objectives no longer viable

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants280
Key inclusion criteria1. Histological or cytological diagnosis or The European Association for the Study of the Liver (EASL) criteria met for unresectable HCC
2. No prior systemic or regional chemotherapy
3. Aged greater than or equal to 18 years (or greater than or equal to 16 years in Scotland)
4. Laboratory parameters:
4.1. Haemoglobin (Hb) greater than or equal to 8.5 g/dl
4.2. Platelets greater than or equal to 100,000/mm^3
4.3. Absolute neutrophil count (ANC) greater than or equal to 1500/mm^3
4.4. International normalised ratio (INR) less than 1.5
4.5. Bilirubin less than or equal to 50 µm/L
4.6. Transaminases less than 2.5 x upper limit of normal (ULN)
4.7. Serum creatinine less than 2 x ULN
5. Eastern Coooperative Oncology Group (ECOG) performance status less than or equal to 2
6. Modified Pugh's Child B grade or better
7. Not of childbearing potential or using an approved method of contraception
8. Written informed consent
Key exclusion criteria1. New York Heart Association (NYHA) Class III/IV cardiac disease
2. Left ventricular ejection fraction (LVEF) of less than 50% or acute anginal symptoms
3. Thrombosis of main portal vein
4. Main portal vein occlusion/involvement
5. Patients whom in the opinion of the investigator have 'clinically significant ascites'
6. History of second malignancy within 5 years prior to trial entry, excepting cervical carcinoma-in-situ or non-melanotic skin cancer
7. Previous chemotherapy, radiotherapy, biological or hormone therapy given for hepatocellular carcinoma
8. Any ablative therapy for hepatocellular carcinoma within the last 6 weeks. Radiological evidence of progression is required if assessing a previously ablated site as the only site of disease.
9. Use of other investigational agent during the study or within 4 weeks of planned study entry
10. Major surgery within 7 days or laparoscopy within 3 days of trial entry
11. A serious co-existing medical condition including a potential serious infection or significant peripheral vascular disease
12. Psychological, familial, sociological or geographical factors considered likely to prevent compliance with the protocol
13. Presence of extrahepatic tumour of any kind
Date of first enrolment01/10/2005
Date of final enrolment01/10/2010

Locations

Countries of recruitment

  • Scotland
  • United Kingdom

Study participating centre

The University of Edinburgh
Edinburgh
EH16 4SA
United Kingdom

Sponsor information

The University of Birmingham and University of Edinburgh (UK)
University/education

Research & Enterprise Services
Muirhead Tower
University of Birmingham
Edgbaston
Birmingham
B15 2TT
England
United Kingdom

Website http://www.cancerstudies.bham.ac.uk/trials/
ROR logo "ROR" https://ror.org/01nrxwf90

Funders

Funder type

Charity

Cancer Research UK (CRUK) (UK) (ref: C9041/A4578)
Private sector organisation / Other non-profit organizations
Alternative name(s)
CR_UK, Cancer Research UK - London, CRUK
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan