A randomised phase II study of doxorubicin combined with thalidomide versus doxorubicin alone for patients with unresectable hepatocellular carcinoma

ISRCTN ISRCTN53872240
DOI https://doi.org/10.1186/ISRCTN53872240
Protocol serial number NTR411; EMC 04-046
Sponsor Erasmus Medical Centre (Netherlands)
Funder Not provided at time of registration
Submission date
27/01/2006
Registration date
27/01/2006
Last edited
03/07/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr S. Sleijfer
Scientific

Erasmus MC - Daniel den Hoed
Department of Medical Oncology
Groene Hilledijk 301
Rotterdam
3075 EA
Netherlands

Study information

Primary study designInterventional
Study designRandomised active controlled parallel group trial
Secondary study designRandomised controlled trial
Scientific title
Study acronymHCC
Study objectivesPrevious trials showed that both doxorubicin and thalidomide have anti-tumour activity against hepatocellular carcinoma (HCC). There are indications that these two agents interact synergistically and have non-overlapping toxicity profiles. This trial studies the feasibility and efficacy of doxorubicin combined with thalidomide for the treatment of hepatocellular carcinoma, compared with doxorubicin as single agent.
Ethics approval(s)Received from the local medical ethics committee
Health condition(s) or problem(s) studiedHepatocellular cancer
InterventionControl arm: doxorubicin 60 mg/m^2 day 1, three weekly course with in total 6 cycles (maximum 360 mg/m2) given intravenously in 15 minutes.
Experimental arm: doxorubicin treatment as in control arm plus from day 3 on, thalidomide 200 mg daily administered in the evening. When doxorubicin administration has finished, thalidomide should be continued until progression of disease.
Intervention typeDrug
PhaseNot Specified
Drug / device / biological / vaccine name(s)Doxorubicin, thalidomide
Primary outcome measure(s)

One-year survival

Key secondary outcome measure(s)

1. Response rate scored according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria
2. Time to progression
3. Quality of life
4. Toxicity

Completion date01/01/2008

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexNot Specified
Target sample size at registration30
Key inclusion criteria1. Histologically proven HCC
2. Irresectable tumour
3. Failure to previous treatment
4. World Health Organization (WHO) performance status 0 - 2
5. At least 4 weeks since prior treatment with HMG-Coa reductase inhibitors or systemic immunosuppresiva
6. Adequate hepatic and bone marrow function
Key exclusion criteria1. Prior treatment with doxorubicin or thalidomide
2. Uncontrolled hypertension
3. Unstable angina
4. Arrhythmias requiring treatment
5. Myocardial infarction (MI)
6. Thrombo-embolic events requiring treatment
7. Congestive heart failure or cardiomyopathy requiring treatment
8. Peripheral neuropathy
Date of first enrolment17/06/2004
Date of final enrolment01/01/2008

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Erasmus MC - Daniel den Hoed
Rotterdam
3075 EA
Netherlands

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan