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NCT01900002

Sorafenib Tosylate and Yttrium Y 90 Glass Microspheres in Treating Patients With Liver Cancer That Cannot Be Removed by Surgery

Completed Phase 2 Results posted Last updated 30 December 2021
What this trial tests

Phase 2 trial testing Laboratory Biomarker Analysis in Advanced Adult Hepatocellular Carcinoma in 40 participants. Completed in 10 December 2020.

Timeline
13 September 2013
Primary endpoint
10 December 2020
10 December 2020

Quick facts

Lead sponsorM.D. Anderson Cancer Center
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment40
Start date13 September 2013
Primary completion10 December 2020
Estimated completion10 December 2020
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

M.D. Anderson Cancer Center — full company profile →

Who can join

18 and older, any sex, with Advanced Adult Hepatocellular Carcinoma or BCLC Stage C Hepatocellular Carcinoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Median Progression Free Survival (PFS) Primary · From the start of therapy until failure to disease progression or death, assessed up to 4 years

Will be monitored using the method of Thall et al. Kaplan-Meier method will be used to estimate median progression free survival (PFS) and the 95% confidence interval. Log rank test, univariate and multivariate Cox proportional hazards regression models will be used to identify prognostic factors for progression free survival (PFS).

GroupValue95% CI
Treatment (Sorafenib Tosylate, TheraSphere)10.325.78 – 14.36
Median Time to Progression (TTP) Secondary · Up to 4 years

95% credible interval will be estimated. This will be analyzed using Kaplan-Meier method, Log rank test and Cox proportional hazards regression modeling.

GroupValue95% CI
Treatment (Sorafenib Tosylate, TheraSphere)10.385.78 – 18.76
Incidence of Adverse Events, Graded According to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 4.0 Secondary · Up to 4 years

To evaluate the safety of the combination of sorafenib (sorafenib tosylate) and Yttrium-90; adverse events (National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0 \[NCI-CTAE v 4.0\]) .

Fatigue
GroupValue95% CI
Treatment (Sorafenib Tosylate, TheraSphere)3
Diarrhea
GroupValue95% CI
Treatment (Sorafenib Tosylate, TheraSphere)2
Nausea
GroupValue95% CI
Treatment (Sorafenib Tosylate, TheraSphere)1
Vomiting
GroupValue95% CI
Treatment (Sorafenib Tosylate, TheraSphere)2
Hypertension
GroupValue95% CI
Treatment (Sorafenib Tosylate, TheraSphere)4
Thrombocytopenia
GroupValue95% CI
Treatment (Sorafenib Tosylate, TheraSphere)1
Hyperbilirubinemia
GroupValue95% CI
Treatment (Sorafenib Tosylate, TheraSphere)1
Proteinuria
GroupValue95% CI
Treatment (Sorafenib Tosylate, TheraSphere)1

Adverse events — posted to ClinicalTrials.gov

Time frame: adverse events were collected up to 4 years. Reporting threshold: 1%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment (Sorafenib Tosylate, TheraSphere)
Serious: 11/34 (32%)
Deaths: 0/34

Serious adverse events (18 terms)

ReactionSystemTreatment (Sorafenib Tosyl…
HyponatremiaInvestigations
DizzinessNervous system disorders
DiarrheaGastrointestinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
HematuriaRenal and urinary disorders
Hepatic HemorrhageGastrointestinal disorders
Urinary RetentionRenal and urinary disorders
HypertenstionVascular disorders
Duodenal UlcerGastrointestinal disorders
SepsisInfections and infestations
Acute Renal FailureRenal and urinary disorders
HypotensionVascular disorders
HypophosphatemiaInvestigations
DyspneaRespiratory, thoracic and mediastinal disorders
Rectal BleedGastrointestinal disorders
WeaknessGeneral disorders
Abdominal PainGastrointestinal disorders
Other adverse events (16 terms — click to expand)

ReactionSystemTreatment (Sorafenib Tosyl…
HypertensionVascular disorders
AST increaseInvestigations
FatigueGeneral disorders
DiarrheaGastrointestinal disorders
VomitingGastrointestinal disorders
ALT increaseInvestigations
NauseaGastrointestinal disorders
Weight LossInvestigations
Palmar-Planta ErythrodysesthesiaSkin and subcutaneous tissue disorders
ThrombocytopeniaInvestigations
HyperbilirubinemiaInvestigations
ProteinuriaInvestigations
HyponatremiaInvestigations
HypophosphatemiaInvestigations
MucositisGastrointestinal disorders
EncephalopathyNervous system disorders

Most-reported serious reactions: Hyponatremia, Dizziness, Diarrhea, Nausea, Vomiting, Hematuria, Hepatic Hemorrhage, Urinary Retention.

Data from ClinicalTrials.gov NCT01900002 adverse events section.

Sponsor's own description

This phase II trial studies how well sorafenib tosylate and yttrium Y 90 glass microspheres work in treating patients with liver cancer that cannot be removed by surgery. Sorafenib tosylate may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Yttrium Y 90 glass microspheres use glass beads to carry radiation directly to tumor cells without harming normal cells. Giving sorafenib tosylate with yttrium Y 90 glass microspheres may be an effective treatment for liver cancer.

Publications & conference data

6 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Yttrium-90 hepatic radioembolization: clinical review and current techniques in interventional radiology and personalized dosimetry.
    Tong AK, Kao YH, Too CW, Chin KF, et al · · 2016 · cited 67× · PMID 26943239 · DOI 10.1259/bjr.20150943
  2. Yttrium-90 Selective Internal Radiation Therapy with Glass Microspheres for Hepatocellular Carcinoma: Current and Updated Literature Review.
    Lee EW, Alanis L, Cho SK, Saab S. · · 2016 · cited 30× · PMID 27390539 · DOI 10.3348/kjr.2016.17.4.472
  3. Planning dosimetry for <sup>90</sup> Y radioembolization with glass microspheres: Evaluating the fidelity of <sup>99m</sup> Tc-MAA and partition model predictions.
    Thomas MA, Mahvash A, Abdelsalam M, Kaseb AO, et al · · 2020 · cited 25× · PMID 32790882 · DOI 10.1002/mp.14452
  4. Underrepresentation of Hispanics in clinical trials for liver cancer in the United States over the past 20 years.
    Monge C, Greten TF. · · 2024 · cited 20× · PMID 38124450 · DOI 10.1002/cam4.6814
  5. A Prospective Phase II Study of Safety and Efficacy of Sorafenib Followed by &lt;sup&gt;90&lt;/sup&gt;Y Glass Microspheres for Patients with Advanced or Metastatic Hepatocellular Carcinoma.
    Kaseb AO, Kappadath SC, Lee SS, Raghav KP, et al · · 2021 · cited 6× · PMID 34527608 · DOI 10.2147/jhc.s318865
  6. Lobar Radioembolization for Intermediate and Advanced Hepatocellular Carcinoma: Retrospective and Prospective Data.
    Lakhoo J, Perez TH, Borgmann AJ, Brown DB. · · 2021 · cited 1× · PMID 34629707 · DOI 10.1055/s-0041-1733903

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