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Bortezomib in Treating Patients With Hepatocellular Carcinoma (Liver Cancer)
This study is ongoing, but not recruiting participants.
First Received: February 10, 2004   Last Updated: July 23, 2008   History of Changes
Sponsors and Collaborators: Mayo Clinic
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00077441
  Purpose

RATIONALE: Bortezomib may stop the growth of tumor cells by blocking the enzymes necessary for their growth.

PURPOSE: This phase II trial is studying how well bortezomib works in treating patients with hepatocellular carcinoma (liver cancer) that cannot be removed with surgery.


Condition Intervention Phase
Liver Cancer
Drug: bortezomib
Phase II

Study Type: Interventional
Study Design: Treatment, Open Label
Official Title: Phase II Trial of PS-341 in Patients With Hepatocellular Carcinoma

Resource links provided by NLM:


Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Confirmed tumor response (complete and partial) during first 12 courses of treatment [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Survival time [ Designated as safety issue: No ]
  • Time to disease progression [ Designated as safety issue: No ]
  • Duration of response [ Designated as safety issue: No ]
  • Time to treatment failure [ Designated as safety issue: No ]
  • Correlation of laboratory correlates with clinical outcomes (e.g., response, toxicity, or survival) or patient characteristics (e.g., age or gender) [ Designated as safety issue: Yes ]

Study Start Date: April 2005
Detailed Description:

OBJECTIVES:

Primary

  • Determine the proportion of confirmed tumor responses in patients with hepatocellular carcinoma treated with bortezomib.

Secondary

  • Determine the confirmed and objective response rate in patients treated with this drug.
  • Determine the duration of response, time to disease progression, and survival of patients treated with this drug.
  • Determine the adverse event rate in patients treated with this drug.
  • Correlate laboratory correlates with outcome (e.g., p53 and disease progression) in patients treated with this drug.

OUTLINE: This is a multicenter study.

Patients receive bortezomib IV over 3-5 seconds on days 1, 4, 8, and 11. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

Patients are followed every 3 months until disease progression and then every 6 months for up to 3 years from study entry.

PROJECTED ACCRUAL: A total of 22-55 patients will be accrued for this study within 9-19 months.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed hepatocellular carcinoma
  • Not amenable to surgical resection

    • Tumor amenable to post-treatment biopsy
  • Measurable disease

    • Patients with only lesions measuring > 1 cm to ≤ 2 cm must have all tumor assessments made by spiral CT scan
    • Indicator lesion(s) outside the area of prior treatment

      • If the sole indicator lesion is inside the prior treatment area, there must be clear evidence of disease progression associated with that lesion
    • Edges of the indicator lesion must be clearly distinct by CT scan
  • Child-Pugh classification A or B
  • No known CNS metastases

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Performance status

  • ECOG 0-2

Life expectancy

  • At least 24 weeks

Hematopoietic

  • Absolute neutrophil count ≥ 1,500/mm^3
  • Platelet count ≥ 75,000/mm^3

Hepatic

  • Bilirubin ≤ 2 times upper limit of normal (ULN)
  • AST and ALT ≤ 5 times ULN
  • Albumin ≥ 2.5 g/dL
  • PT/INR ≤ 1.5* NOTE: *INR range of 2-3 allowed for patients on full-dose anticoagulants provided the patient has been on a stable dose of warfarin or low molecular weight heparin for ≥ 2 weeks

Renal

  • Creatinine ≤ 2 mg/dL

Cardiovascular

  • No symptomatic congestive heart failure
  • No unstable angina pectoris
  • No cardiac arrhythmia

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No significant traumatic injury within the past 3 weeks
  • No grade 1 or greater sensory peripheral neuropathy OR grade 1 with neuropathic pain of any etiology
  • No prior allergic reaction attributed to compounds of similar chemical or biological composition to bortezomib
  • No other malignancy within the past 3 years except adequately treated basal cell or squamous cell skin cancer
  • No other concurrent uncontrolled illness
  • No ongoing or active infection
  • No psychiatric illness that would limit study compliance

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • More than 4 weeks since prior immunotherapy
  • More than 4 weeks since prior biologic therapy
  • No concurrent immunotherapy
  • No concurrent colony-stimulating factors during the first course of study therapy

Chemotherapy

  • More than 6 weeks since prior chemoembolization
  • No prior systemic chemotherapy
  • No concurrent chemotherapy

Endocrine therapy

  • Not specified

Radiotherapy

  • More than 4 weeks since prior radiotherapy
  • More than 6 weeks since prior radiofrequency ablation
  • No concurrent radiotherapy

Surgery

  • More than 3 weeks since prior major surgery

Other

  • More than 6 weeks since prior cryotherapy
  • More than 6 weeks since prior ethanol injection
  • More than 6 weeks since prior photodynamic therapy
  • No prior systemic anticancer therapy
  • No prior bortezomib
  • No other concurrent investigational therapy
  • No concurrent combination antiretroviral therapy for HIV-positive patients
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00077441

Locations
United States, Arizona
Mayo Clinic Scottsdale
Scottsdale, Arizona, United States, 85259
United States, District of Columbia
Howard University Cancer Center at Howard University Hospital
Washington, District of Columbia, United States, 20060
United States, Florida
Mayo Clinic - Jacksonville
Jacksonville, Florida, United States, 32224
United States, Maryland
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Baltimore, Maryland, United States, 21231
United States, Michigan
Barbara Ann Karmanos Cancer Institute
Detroit, Michigan, United States, 48201-1379
United States, Minnesota
Mayo Clinic Cancer Center
Rochester, Minnesota, United States, 55905
United States, Missouri
Siteman Cancer Center at Barnes-Jewish Hospital
Saint Louis, Missouri, United States, 63110
United States, Wisconsin
University of Wisconsin Comprehensive Cancer Center
Madison, Wisconsin, United States, 53792
Australia, New South Wales
Sydney Cancer Centre at Royal Prince Alfred Hospital
Sydney, New South Wales, Australia, 2050
Australia, Western Australia
Sir Charles Gairdner Hospital - Perth
Perth, Western Australia, Australia, 6009
Hong Kong
Prince of Wales Hospital
Shatin, New Territories, Hong Kong
Korea, Republic of
Yonsei Cancer Center at Yonsei University Medical Center
Seoul, Korea, Republic of, 120-752
Sponsors and Collaborators
Mayo Clinic
Investigators
Study Chair: George P. Kim, MD Mayo Clinic
  More Information

Additional Information:
No publications provided

Study ID Numbers: CDR0000350328, MAYO-MC0255, NCI-6139
Study First Received: February 10, 2004
Last Updated: July 23, 2008
ClinicalTrials.gov Identifier: NCT00077441     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
adult primary hepatocellular carcinoma
advanced adult primary liver cancer
localized unresectable adult primary liver cancer
recurrent adult primary liver cancer

Study placed in the following topic categories:
Liver Diseases
Digestive System Neoplasms
Carcinoma, Hepatocellular
Bortezomib
Recurrence
Carcinoma
Protease Inhibitors
Liver Neoplasms
Digestive System Diseases
Gastrointestinal Neoplasms
Adenocarcinoma
Hepatocellular Carcinoma
Neoplasms, Glandular and Epithelial

Additional relevant MeSH terms:
Liver Diseases
Neoplasms by Histologic Type
Digestive System Neoplasms
Molecular Mechanisms of Pharmacological Action
Carcinoma, Hepatocellular
Antineoplastic Agents
Bortezomib
Enzyme Inhibitors
Pharmacologic Actions
Protease Inhibitors
Carcinoma
Liver Neoplasms
Neoplasms
Neoplasms by Site
Digestive System Diseases
Therapeutic Uses
Adenocarcinoma
Neoplasms, Glandular and Epithelial

ClinicalTrials.gov processed this record on August 30, 2009