4SC-201 (Resminostat) and Sorafenib in Advanced Hepatocellular Carcinoma

NCT00943449 — Phase 2, Completed, 57 participants, 4SC AG

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A Proof-of-concept Phase II Study to Evaluate Efficacy, Safety and Pharmacokinetics of 4SC-201 and the Treatment Combination of Sorafenib Plus 4SC-201 in Patients With Hepatocellular Carcinoma Exhibiting Progressive Disease Under Sorafenib Treatment

RegistryNCT00943449, acronym Shelter
StatusCompleted
PhasePhase 2
Study typeInterventional; non randomized, parallel, masking: none, treatment
Enrollment57 (Actual)
Sponsor4SC AG (Industry)
ConditionsHepatocellular Carcinoma
Interventions4SC-201, Sorafenib (Drug)
Datesstart 2009-07-01, primary completion 2012-06-01, completion 2013-09-01, first posted 2009-07-22, last updated 2014-01-16
Locations15 sites in Germany, Italy

Related Papers Related Patents Related Grants Related Experts
All trials for Hepatocellular Carcinoma All trials of 4SC-201 All trials of Sorafenib

-Summary

The purpose of the study is to determine whether 4SC-201 alone or in combination with Sorafenib is effective and safe in the treatment of hepatocellular carcinoma in patients refractory to Sorafenib monotherapy.

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+Arms and interventions

ArmTypeInterventionsDescription
4SC-201ExperimentalDrug: 4SC-201
4SC-201 + SorafenibExperimentalDrug: 4SC-201; Drug: Sorafenib
  • 4SC-201 (Drug): oral administration
  • Sorafenib (Drug): oral administration

+Outcome measures

Primary outcomes

  • Progression Free Survival Rate (PFSR) of repeated oral doses of 4SC-201 and of the treatment combination of Sorafenib plus 4SC-201 [12 weeks]

Secondary outcomes

  • To establish the MTD of 4SC-201 in combination with Sorafenib [12 weeks]
  • To investigate the safety and tolerability of repeated oral doses of 4SC-201 and of the treatment combination of ascending repeated oral doses of 4SC-201 and Sorafenib [12 weeks]
  • To investigate biomarkers [12 weeks]

+Eligibility

Sex: All, ages: 18 Years to any

Main Inclusion Criteria:

* Advanced stage hepatocellular carcinoma
* Patients exhibiting progressive disease under Sorafenib treatment
* Child-Pugh class A and B. Only patients with Child-Pugh index class B of not more than 7 will be included
* ECOG performance status 0, 1 or 2
* Precedent first-line treatment with Sorafenib minimum continuous dosing of 400 mg per day for at least 8 weeks

Main Exclusion Criteria:

* Previous or concurrent cancer that is distinct in primary site or histology from HCC, EXCEPT cervical carcinoma in situ, treated basal cell carcinoma, superficial bladder tumors (Ta, Tis and T1) - any cancer curatively treated > 3 years prior to entry is permitted
* Renal failure requiring hemo- or peritoneal dialysis
* Known central nervous system (CNS) tumors including symptomatic brain metastasis
* Child-Pugh index class B in combination with more than slight ascites or hepatic encephalopathy > Grade I
* Pregnant or breastfeeding women
* Sorafenib intolerance
* Major surgery within the last 4 weeks

+Locations (15)

FacilityCityCountryStatus
ONKOPLUS Beratung und Hilfe für Menschen mit KrebsBerlinGermany
Universitätsklinikum Essen (Innere Klinik/Tumorforschung und Zentrum für Innere Medizin)EssenGermany
Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg (Klinik und Poliklinik für Innere Medizin I)HalleGermany
Universitätsklinikum Hamburg-Eppendorf (I. Medizinische Klinik und Poliklinik)HamburgGermany
Universitätsklinikum Heidelberg (Medizinische Universitätsklinik/Innere Medizin IV/Nationales Centrum für Tumorerkrankungen)HeidelbergGermany
Johannes Gutenberg-Universität Mainz (I. Medizinische Klinik und Poliklinik)MainzGermany
Klinikum rechts der Isar der Technischen Universität München (Medizinische Klinik und Poliklinik II/Gastroenterologie)MunichGermany
Universitätsklinikum Tübingen (Medizinische Klinik/Innere Medizin I)TübingenGermany
l'Azienda Ospedaliero-Universitaria di Bologna-Policlinico S. Orsola MalpighiBolognaItaly
l'Università degli Studi di Genova (Dipartimento di Medicina Interna e Specialità Mediche)GenovaItaly
Istituto Europea di Oncologia EIOMilanItaly
A.O.R.N. Monaldi-Cotugno-CTONaplesItaly
l'Azienda Ospedaliera di Padova and l'Istituto Oncologico Veneto IOVPadovaItaly
l'Ente "Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone"PalermoItaly
L'Istituto Clinico Humanitas-Humanitas Mirasole S.p.A.Rozzano-MilanoItaly

+Publications

  • Results publication: Bitzer M, Horger M, Giannini EG, Ganten TM, Worns MA, Siveke JT, Dollinger MM, Gerken G, Scheulen ME, Wege H, Zagonel V, Cillo U, Trevisani F, Santoro A, Montesarchio V, Malek NP, Holzapfel J, Herz T, Ammendola AS, Pegoraro S, Hauns B, Mais A, Lauer UM, Henning SW, Hentsch B. Resminostat plus sorafenib as second-line therapy of advanced hepatocellular carcinoma - The SHELTER study. J Hepatol. 2016 Aug;65(2):280-8. doi: 10.1016/j.jhep.2016.02.043. Epub 2016 Mar 4. PMID 26952006

+Investigators