A Randomized, Placebo-controlled, Double-blind Phase 2 Study With OSI-906 in Patients With Advanced HCC

Stopped early · Phase 2 · Has a placebo group

Conditions studied: Advanced Hepatocellular Carcinoma (HCC)

In brief

This is a randomized, placebo-controlled, double-blind phase 2 study of OSI-906 or placebo at a continuous 150 mg twice daily (BID) dose.

Key facts

Study ID

NCT01101906

Run by

Astellas Pharma Inc

People needed

23

Starts

2011-01-10

Expected to finish

2011-12-28

Last updated by the study team

2024-11-20

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Histologically confirmed diagnosis of advanced HCC. Clinical diagnosis by American Association for the Study of Liver Diseases (AASLD) criteria in cirrhotic patients is acceptable. For patients without cirrhosis histological confirmation is mandatory
• Patients must have received prior systemic treatment for advanced HCC with sorafenib and had confirmed disease progression or had discontinued sorafenib due to a drug related toxicity
• Patient has received their last dose of sorafenib at least 14 days prior to randomization
• Patient has recovered from sorafenib or investigational agent related toxicity to ≤ grade 2
• Measurable disease according to RECIST (version 1.1)
• Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0 - 1
• Child-Pugh Status A or B(7)
• Barcelona Clinic Liver Cancer (BCLC) stage B/C
• Previous local therapy (eg, surgery, radiation therapy, hepatic arterial therapy, chemoembolization, radiofrequency ablation, percutaneous ethanol injection, or cryoablation) is permitted if ≥ 21 days before randomization
• Fasting glucose ≤ 150 mg/dL (8.3 mmol/L). Concurrent use of non-insulinotropic oral antihyperglycemic therapy is permitted if the dose has been stable for ≥ 4 weeks at the time of randomization
• Following laboratory parameters (determined by laboratory):
• Platelets ≥ 60 x 10\^9/L
• Hemoglobin ≥ 8.5 g/dL
• Absolute neutraphil count (ANC) ≥ 1.5 x 10\^9/L
• Potassium within normal limits (supplementation may be used)
• Partial thrombopastin time (PTT) ≤ 2.3 x Upper Limit of Normal (ULN)
• Magnesium within normal limits (supplementation may be used)
• Calcium within normal limits (supplementation may be used)
• Adequate organ function (for a HCC population):
• Liver function test (LFT) ≤ 5 x ULN
• Albumin ≥ 2.8 g/dL
• Total bilirubin ≤ 2.8 mg/dL
• Creatinine ≤ 1.5 x ULN
• International normalized ratio (INR) ≤ 2.3
• Estimated life expectancy ≥ 12 weeks based on an investigator assessment of recent changes in laboratory values, performance status, and other clinical criteria

You may not qualify if…

• Child-Pugh B (8 - 9) or C
• Patients who are candidates for potentially curative intervention (ie, surgical resection or transplantation)
• Type 1 diabetes mellitus or Type 2 diabetes mellitus currently requiring insulinotropic or insulin therapy
• Prior insulin-like growth factor - 1 receptor (IGF-1R) therapy
• Patients requiring interferon
• Patients with uncontrolled symptomatic ascites
• Prior investigational agent within 21 days prior to randomization
• History of poorly controlled gastrointestinal disorders that could affect the absorption of study drug (eg, Crohn's disease, ulcerative colitis, etc)
• History of organ allograft including liver transplant
• Malignancy other than HCC within the past 3 years:
• Exceptions: resected basal cell or squamous cell carcinoma of the skin, cured in situ cervical carcinoma, cured ductal carcinoma in situ of the breast, and/or cured superficial bladder cancer
• History (within last 6 months) of significant cardiovascular disease unless the disease is well-controlled. Significant cardiac disease includes second/third degree heart block; clinically significant ischemic heart disease; superior vena cava (SVC) syndrome; poorly controlled hypertension; congestive heart failure of New York Heart Association (NYHA) Class II or worse (slight limitation of physical activity; comfortable at rest, but ordinary physical activity results in fatigue, palpitation, or dyspnea)
• History of arrhythmia (multifocal premature ventricular contractions [PVCs], bigeminy, trigeminy, ventricular tachycardia, or uncontrolled atrial fibrillation) that is symptomatic or requires treatment (≥ grade 3), left bundle branch block (LBBB), or asymptomatic sustained ventricular tachycardia are not allowed. Patients with atrial fibrillation controlled by medication are not excluded
• QTcF interval at screening ≥ 450 msec
• Use of drugs that have a known risk of causing Torsades de Pointes (TdP) ('Torsades List' on www.azcert.org/medical-pros/drug-lists/by category.cfm)are prohibited within 14 days prior to randomization
• Use of the potent CYP1A2 inhibitors ciprofloxacin and fluvoxamine. Other less potent CYP1A2 inhibitors/inducers are not excluded
• History of cerebrovascular accident (CVA) within 6 months prior to randomization or that resulted in ongoing neurologic instability
• Active infection or serious underlying medical condition (including any type of active seizure disorder within 12 months prior to randomization) that would impair the ability of the patient to receive study drug
• History of human immunodeficiency virus (HIV) infection or acquired immune deficiency syndrome (AIDS)-related illness or serious acute or chronic illness
• History of any psychiatric or neurologic condition that might impair the patient's ability to understand or to comply with the requirements of the study or to provide informed consent
• Pregnant or breast-feeding females
• Symptomatic brain metastases that are not stable, require steroids, are potentially life threatening, or that have required radiation within 28 days prior to randomization; and/or
• History of allergic reactions attributed to compounds of similar chemical or biologic composition to study drug

Where it is running

• University of California - Los Angeles — Los Angeles, California, United States
• Tulane University Health Services Center — New Orleans, Louisiana, United States
• Oregon Health & Science University — Portland, Oregon, United States
• Virginia Mason Medical Center — Seattle, Washington, United States
• Seattle Cancer Care Alliance University of Washington — Seattle, Washington, United States
• Medical College of Wisconsin — Milwaukee, Wisconsin, United States
• Cliniques Universitaires Saint-Luc — Brussells, Belgium
• Universitair Ziekenhuis Gent — Ghent, Belgium
• Hopital Jean Verdier - Dervice d'Hepato-Gastroenterologie — Bondy, France
• Hôpital Henri Mondor — Créteil, France
• Hopital de la Timone — Marseille, France
• Hopital l'Archet 2 — Nice, France
• Hôpital Saint-Antoine — Paris, France
• Hôpital de Tenon — Paris, France
• Centre Rene Gauducheau — Saint-Herblain, France
• Universitatsklinikum Essen — Essen, Germany
• Universitätsklinikum Halle — Halle, Germany
• Universitatsklinikum des Saarlandes — Homburg, Germany
• Universitätsklinikum Magdeburg A.ö.R. — Magdeburg, Germany
• Queen Mary Hospital — Hong Kong, Hong Kong
• Fondazione Ca' Granda Ospedale Maggiore Policlinico, Divisione di Gastroenterologia I — Milan, Italy
• Ospedale Fatebenefratelli, Dipartimento Medicina Interna — Naples, Italy
• IRCCS Istituto Nazionale per lo studio e la cura dei tumori Fondazione G. Pascale-SSD Epatobiliare — Naples, Italy
• Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione ISMETT-Dipartimento di Epatologia e Gastroenterologia — Palermo, Italy
• Singapore General Hospital — Singapore, Singapore

Full record on ClinicalTrials.gov

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