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The study was terminated due to low enrollment. This resulted in the study being underpowered and inconclusive.
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This study will evaluate the role of everolimus in combination with local Transcatheter Arterial Chemoembolization (TACE) procedure in patients with localized unresectable Hepatocellular Carcinoma (HCC).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| everolimus + TACE | Experimental | everolimus 7.5mg/day by mouth + transcatheter arterial chemoembolization (TACE) |
|
| placebo + TACE | Placebo Comparator | Placebo by mouth + transcatheter arterial chemoembolization (TACE) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| everolimus | Drug |
|
| |
| everolimus placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Progression (TTP) Based on the Modified RECIST Criteria | Time to Progression (TTP) defined as the time from the date of randomization to the date of first documented radiological confirmation of disease progression based on modified RECIST criteria. Progressive Disease: >20% increase in sum of the longest diameters (SLD) of "viable" target lesion (arterial phase enhancement) | 3, 6, 12, 18 and 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Overall Response Rate (ORR) and Disease Control Rate (DCR) Based on the Modified RECIST | Overall response rate was defined as the number of patients whose best overall response was either complete response or partial response according to the modified RECIST. Complete response: Disappearance of arterial phase enhance-ment in all target lesions. Partial response: >30% decrease in sum of the longest diameters (SLD) of "viable" target lesion (arterial phase enhance-ment)Disease control rate was defined as the number of patients with a best overall response of complete response, partial response or stable disease. The study was terminated early due to slow enrollment of 4 years, higher than anticipated screen failure rate due to a higher than anticipated proportion of patients having advanced liver disease and a change in clinical practice the total of 80 patients was not reached with only 59 patients recruited in total. The study was underpowered due to termination therefore data was not collected and the outcome measure was not analyzed. |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Other protocol-defined inclusion/exclusion criteria may apply
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| Name | Affiliation | Role |
|---|---|---|
| Novartis Pharmaceuticals | Novartis Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Novartis Investigative Site | Hong Kong | Hong Kong | ||||
| Novartis Investigative Site |
Not provided
Of the 65 patients who were screened they reflect the actual enrolment but 59 patients were randomized and were included in the FAS, the Safety Set and the PP Set. There were no exclusions. Post-Treatment evaluations included any patients that was treated and does not reflect the number completed in the Overall Study.
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | Everolimus + TACE | everolimus 7.5mg/day by mouth + transcatheter arterial chemoembolization (TACE) |
| FG001 | Placebo + TACE | Placebo by mouth + transcatheter arterial chemoembolization (TACE) |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study -Treatment Period |
|
| |||||||||||||||||||||
| Post-Treatment Evaluations |
|
Not provided
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| ID | Title | Description |
|---|---|---|
| BG000 | Everolimus + TACE | everolimus 7.5mg/day by mouth + transcatheter arterial chemoembolization (TACE) |
| BG001 | Placebo + TACE | Placebo by mouth + transcatheter arterial chemoembolization (TACE) |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Time to Progression (TTP) Based on the Modified RECIST Criteria | Time to Progression (TTP) defined as the time from the date of randomization to the date of first documented radiological confirmation of disease progression based on modified RECIST criteria. Progressive Disease: >20% increase in sum of the longest diameters (SLD) of "viable" target lesion (arterial phase enhancement) | Full Analysis Set (FAS) comprises all randomized patients. | Posted | Median | 90% Confidence Interval | months | 3, 6, 12, 18 and 24 months |
|
Not provided
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Everolimus + TACE | everolimus 7.5mg/day by mouth + transcatheter arterial chemoembolization (TACE) |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Acute myocardial infarction | Cardiac disorders | 17.1 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | 17.1 | Systematic Assessment |
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Novartis Pharmaceuticals | 862-778-8300 |
| ID | Term |
|---|---|
| D006528 | Carcinoma, Hepatocellular |
| ID | Term |
|---|---|
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
Not provided
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| ID | Term |
|---|---|
| D000068338 | Everolimus |
| ID | Term |
|---|---|
| D020123 | Sirolimus |
| D018942 | Macrolides |
| D007783 | Lactones |
| D009930 | Organic Chemicals |
Not provided
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| Drug |
|
| 6, 12 months, end of study |
| Time to Progression Based on Original RECIST | Time to Progression (TTP) defined as the time from the date of randomization to the date of first documented radiological confirmation of disease progression based on original RECIST criteria. Progressive Disease: >20% increase in sum of the longest diameters (SLD) of target lesions with an absolute increase of ≥5 mm; new lesions. The study was terminated early due to slow enrollment of 4 years, higher than anticipated screen failure rate due to a higher than anticipated proportion of patients having advanced liver disease and a change in clinical practice the total of 80 patients was not reached with only 59 patients recruited in total. The study was underpowered due to termination therefore data was not collected and the outcome measure was not analyzed. | 6, 12 months, end of study |
| Overall Response Rate (ORR) and Disease Control Rate (DCR) Based on Original RECIST | Overall response rate was defined as the number of patients whose best overall response was either complete response or partial response according to the Complete response: Disappearance of all target lesions or lymph nodes <10 mm in the short axis Partial response: >30% decrease in sum of the longest diameters (SLD) of target lesions Disease control rate was defined as the number of patients with a best overall response of complete response, partial response or stable disease. The study was terminated early due to slow enrollment of 4 years, higher than anticipated screen failure rate due to a higher than anticipated proportion of patients having advanced liver disease and a change in clinical practice the total of 80 patients was not reached with only 59 patients recruited in total. The study was underpowered due to termination therefore data was not collected and the outcome measure was not analyzed. | 6, 12 months, end of study |
| Overall Survival (OS) | Overall survival was defined as the time from date of randomization to date of death due to any cause. If death had not occurred at the date of the analysis cut-off then OS was censored at the date of the last contact. | 6, 12, 18, 24, 30 months |
| Incidences of Cumulative New Nodular Recurrence, Portal Vein Invasion and Extra Hepatic Metastases | Incidences of cumulative new nodular recurrence, portal vein invasion and extra hepatic metastases but incidence of portal vein invasion meant those patients without documented vascular invasion at screening/baseline. The study was terminated early due to slow enrollment of 4 years, higher than anticipated screen failure rate due to a higher than anticipated proportion of patients having advanced liver disease and a change in clinical practice the total of 80 patients was not reached with only 59 patients recruited in total. The study was underpowered due to termination therefore data was not collected and the outcome measure was not analyzed. | 30 months |
| Percentage of Participants With a Decrease in the Sum of the of Longest Diameters (SLD) of Target Lesions From Baseline to 30 Months | Percentage of participants with a decrease in the sum of the of longest diameters (SLD) of target lesions from Baseline to 30 months | baseline, 30 months |
| Kaohsiung |
| Taiwan |
| 83301 |
| Taiwan |
| Novartis Investigative Site | Kaohsiung City | 807 | Taiwan |
| Novartis Investigative Site | Linkou District | 33305 | Taiwan |
| Novartis Investigative Site | Chiang Mai | 50200 | Thailand |
| Disease Progression |
|
| New Cancer Therapy |
|
| Protocol Deviation |
|
| Withdrawal by Subject |
|
| Administrative Problems |
|
| Death |
|
| NOT COMPLETED |
|
|
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
Placebo by mouth + transcatheter arterial chemoembolization (TACE)
|
|
| Secondary | Overall Response Rate (ORR) and Disease Control Rate (DCR) Based on the Modified RECIST | Overall response rate was defined as the number of patients whose best overall response was either complete response or partial response according to the modified RECIST. Complete response: Disappearance of arterial phase enhance-ment in all target lesions. Partial response: >30% decrease in sum of the longest diameters (SLD) of "viable" target lesion (arterial phase enhance-ment)Disease control rate was defined as the number of patients with a best overall response of complete response, partial response or stable disease. The study was terminated early due to slow enrollment of 4 years, higher than anticipated screen failure rate due to a higher than anticipated proportion of patients having advanced liver disease and a change in clinical practice the total of 80 patients was not reached with only 59 patients recruited in total. The study was underpowered due to termination therefore data was not collected and the outcome measure was not analyzed. | Full Analysis Set (FAS) comprises all randomized patients. The trial results are inconclusive as the study was underpowered due to termination therefore data was not collected and the outcome measure was not analyzed. | Posted | 6, 12 months, end of study |
|
|
| Secondary | Time to Progression Based on Original RECIST | Time to Progression (TTP) defined as the time from the date of randomization to the date of first documented radiological confirmation of disease progression based on original RECIST criteria. Progressive Disease: >20% increase in sum of the longest diameters (SLD) of target lesions with an absolute increase of ≥5 mm; new lesions. The study was terminated early due to slow enrollment of 4 years, higher than anticipated screen failure rate due to a higher than anticipated proportion of patients having advanced liver disease and a change in clinical practice the total of 80 patients was not reached with only 59 patients recruited in total. The study was underpowered due to termination therefore data was not collected and the outcome measure was not analyzed. | Full Analysis Set (FAS) comprises all randomized patients. The trial results are inconclusive as the study was underpowered due to termination therefore data was not collected and the outcome measure was not analyzed. | Posted | 6, 12 months, end of study |
|
|
| Secondary | Overall Response Rate (ORR) and Disease Control Rate (DCR) Based on Original RECIST | Overall response rate was defined as the number of patients whose best overall response was either complete response or partial response according to the Complete response: Disappearance of all target lesions or lymph nodes <10 mm in the short axis Partial response: >30% decrease in sum of the longest diameters (SLD) of target lesions Disease control rate was defined as the number of patients with a best overall response of complete response, partial response or stable disease. The study was terminated early due to slow enrollment of 4 years, higher than anticipated screen failure rate due to a higher than anticipated proportion of patients having advanced liver disease and a change in clinical practice the total of 80 patients was not reached with only 59 patients recruited in total. The study was underpowered due to termination therefore data was not collected and the outcome measure was not analyzed. | Full Analysis Set (FAS) comprises all randomized patients. The trial results are inconclusive as the study was underpowered due to termination therefore data was not collected and the outcome measure was not analyzed. | Posted | 6, 12 months, end of study |
|
|
| Secondary | Overall Survival (OS) | Overall survival was defined as the time from date of randomization to date of death due to any cause. If death had not occurred at the date of the analysis cut-off then OS was censored at the date of the last contact. | Full Analysis Set (FAS) comprises all randomized patients. The trial results are inconclusive as the study was underpowered | Posted | Median | 90% Confidence Interval | months | 6, 12, 18, 24, 30 months |
|
|
|
| Secondary | Incidences of Cumulative New Nodular Recurrence, Portal Vein Invasion and Extra Hepatic Metastases | Incidences of cumulative new nodular recurrence, portal vein invasion and extra hepatic metastases but incidence of portal vein invasion meant those patients without documented vascular invasion at screening/baseline. The study was terminated early due to slow enrollment of 4 years, higher than anticipated screen failure rate due to a higher than anticipated proportion of patients having advanced liver disease and a change in clinical practice the total of 80 patients was not reached with only 59 patients recruited in total. The study was underpowered due to termination therefore data was not collected and the outcome measure was not analyzed. | Full Analysis Set (FAS) comprises all randomized patients. The trial results are inconclusive as the study was underpowered due to termination therefore data was not collected and the outcome measure was not analyzed. | Posted | 30 months |
|
|
| Secondary | Percentage of Participants With a Decrease in the Sum of the of Longest Diameters (SLD) of Target Lesions From Baseline to 30 Months | Percentage of participants with a decrease in the sum of the of longest diameters (SLD) of target lesions from Baseline to 30 months | Full Analysis Set (FAS) comprises all randomized patients. | Posted | Number | Percentage of participants | baseline, 30 months |
|
|
|
| 10 |
| 33 |
| 33 |
| 33 |
| EG001 | Placebo + TACE | Placebo by mouth + transcatheter arterial chemoembolization (TACE) | 7 | 26 | 25 | 26 |
| Cardiac failure congestive | Cardiac disorders | 17.1 | Systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | 17.1 | Systematic Assessment |
|
| Intestinal ischaemia | Gastrointestinal disorders | 17.1 | Systematic Assessment |
|
| Oesophageal haemorrhage | Gastrointestinal disorders | 17.1 | Systematic Assessment |
|
| Upper gastrointestinal haemorrhage | Gastrointestinal disorders | 17.1 | Systematic Assessment |
|
| Multi-organ failure | General disorders | 17.1 | Systematic Assessment |
|
| Pyrexia | General disorders | 17.1 | Systematic Assessment |
|
| Liver abscess | Infections and infestations | 17.1 | Systematic Assessment |
|
| Peritonitis bacterial | Infections and infestations | 17.1 | Systematic Assessment |
|
| Pneumonia | Infections and infestations | 17.1 | Systematic Assessment |
|
| Sepsis | Infections and infestations | 17.1 | Systematic Assessment |
|
| Septic shock | Infections and infestations | 17.1 | Systematic Assessment |
|
| Post embolisation syndrome | Injury, poisoning and procedural complications | 17.1 | Systematic Assessment |
|
| Renal haematoma | Injury, poisoning and procedural complications | 17.1 | Systematic Assessment |
|
| Hepatic enzyme increased | Investigations | 17.1 | Systematic Assessment |
|
| Hyperkalaemia | Metabolism and nutrition disorders | 17.1 | Systematic Assessment |
|
| Hypoalbuminaemia | Metabolism and nutrition disorders | 17.1 | Systematic Assessment |
|
| Renal failure acute | Renal and urinary disorders | 17.1 | Systematic Assessment |
|
| Pneumonia aspiration | Respiratory, thoracic and mediastinal disorders | 17.1 | Systematic Assessment |
|
| Hypertension | Vascular disorders | 17.1 | Systematic Assessment |
|
| Hypotension | Vascular disorders | 17.1 | Systematic Assessment |
|
| Hypovolaemic shock | Vascular disorders | 17.1 | Systematic Assessment |
|
| Thrombocytopenia | Blood and lymphatic system disorders | 17.1 | Systematic Assessment |
|
| Abdominal discomfort | Gastrointestinal disorders | 17.1 | Systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | 17.1 | Systematic Assessment |
|
| Abdominal pain upper | Gastrointestinal disorders | 17.1 | Systematic Assessment |
|
| Ascites | Gastrointestinal disorders | 17.1 | Systematic Assessment |
|
| Constipation | Gastrointestinal disorders | 17.1 | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | 17.1 | Systematic Assessment |
|
| Gastritis | Gastrointestinal disorders | 17.1 | Systematic Assessment |
|
| Gingival bleeding | Gastrointestinal disorders | 17.1 | Systematic Assessment |
|
| Irritable bowel syndrome | Gastrointestinal disorders | 17.1 | Systematic Assessment |
|
| Mouth ulceration | Gastrointestinal disorders | 17.1 | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | 17.1 | Systematic Assessment |
|
| Stomatitis | Gastrointestinal disorders | 17.1 | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | 17.1 | Systematic Assessment |
|
| Mucosal inflammation | General disorders | 17.1 | Systematic Assessment |
|
| Oedema peripheral | General disorders | 17.1 | Systematic Assessment |
|
| Pyrexia | General disorders | 17.1 | Systematic Assessment |
|
| Hepatitis b | Infections and infestations | 17.1 | Systematic Assessment |
|
| Herpes zoster | Infections and infestations | 17.1 | Systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | 17.1 | Systematic Assessment |
|
| Pneumonia | Infections and infestations | 17.1 | Systematic Assessment |
|
| Skin infection | Infections and infestations | 17.1 | Systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | 17.1 | Systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | 17.1 | Systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | 17.1 | Systematic Assessment |
|
| Blood alkaline phosphatase increased | Investigations | 17.1 | Systematic Assessment |
|
| Platelet count decreased | Investigations | 17.1 | Systematic Assessment |
|
| Weight decreased | Investigations | 17.1 | Systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | 17.1 | Systematic Assessment |
|
| Dyslipidaemia | Metabolism and nutrition disorders | 17.1 | Systematic Assessment |
|
| Hyperglycaemia | Metabolism and nutrition disorders | 17.1 | Systematic Assessment |
|
| Hypoalbuminaemia | Metabolism and nutrition disorders | 17.1 | Systematic Assessment |
|
| Hypokalaemia | Metabolism and nutrition disorders | 17.1 | Systematic Assessment |
|
| Hypomagnesaemia | Metabolism and nutrition disorders | 17.1 | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | 17.1 | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | 17.1 | Systematic Assessment |
|
| Flank pain | Musculoskeletal and connective tissue disorders | 17.1 | Systematic Assessment |
|
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | 17.1 | Systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | 17.1 | Systematic Assessment |
|
| Dizziness | Nervous system disorders | 17.1 | Systematic Assessment |
|
| Headache | Nervous system disorders | 17.1 | Systematic Assessment |
|
| Insomnia | Psychiatric disorders | 17.1 | Systematic Assessment |
|
| Benign prostatic hyperplasia | Reproductive system and breast disorders | 17.1 | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | 17.1 | Systematic Assessment |
|
| Epistaxis | Respiratory, thoracic and mediastinal disorders | 17.1 | Systematic Assessment |
|
| Alopecia | Skin and subcutaneous tissue disorders | 17.1 | Systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | 17.1 | Systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | 17.1 | Systematic Assessment |
|
| Hypertension | Vascular disorders | 17.1 | Systematic Assessment |
|
The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial or disclosure of trial results in their entirety.
| D009369 | Neoplasms |
| D008113 | Liver Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D004066 | Digestive System Diseases |
| D008107 | Liver Diseases |