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This multicenter, open-label study will evaluate the maximum tolerated dose (MTD) and dose-limiting toxicities of onartuzumab as single agent or in combination with sorafenib in participants with advanced hepatocellular carcinoma. Participants in Cohort 1 will receive onartuzumab as single agent on Day 1 of each 21-day cycle. Participants in Cohorts 2 or 3 will receive onartuzumab on Day 1 of each 21-day cycle in combination with sorafenib 400 mg orally daily or twice daily. Anticipated time on study treatment is until disease progression or unacceptable toxicity occurs.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 (Onartuzumab) | Experimental |
| |
| Cohorts 2/3 (Onartuzumab + Sorafenib) | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Onartuzumab | Drug | Onartuzumab intravenous infusion at a starting dose of 10 or 15 milligram per kilogram body weight administered every 3 weeks (Q3W) until disease progression or unacceptable toxicity occurs (maximum up to 31 months). |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants with Dose-limiting Toxicities (DLT) | Maximum up to 42 days | |
| Number of Participants With Adverse Events (AEs) or Serious Adverse Events (SAEs) | Up to approximately 31 months |
| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Concentration-time Curve (AUC) of Onartuzumab | Day 1 up to Day 15 of Cycle 1, Day 1 of Cycle 2, 3, 4, and every fourth cycle thereafter (maximum up to 31 months) | |
| Steady-state Plasma Concentrations of Sorafenib When Administered in Combination With Onartuzumab |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Trials | Hoffmann-La Roche | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sarasota | Florida | 34232 | United States | |||
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|
| Sorafenib | Drug | Sorafenib 400 milligram (mg) tablets (2 tablets of 200 mg each) orally once daily or twice daily depending on the cohort assigned until disease progression or unacceptable toxicity occurs (maximum up to 31 months). |
|
| Day 1 Cycles 1-2 |
| Progression-free Survival (PFS) | Up to approximately 31 months |
| Percentage of Participants With Objective Response | Up to approximately 31 months |
| Duration of Response (DR) | Up to approximately 31 months |
| Overall Survival (OS) | Up to approximately 31 months |
| Percentage of Participants With Progression-free Survival at 4 Months (PFS4) | 4 months |
| Number of Participants With Anti-therapeutic Antibodies (ATAs) Against Onartuzumab | Up to approximately 31 months |
| Baltimore |
| Maryland |
| 21231 |
| United States |
| New York | New York | 10065 | United States |
| Nashville | Tennessee | 37203 | United States |
| Houston | Texas | 77030 | United States |
| Pokfulam | Hong Kong |
| Singapore | 119228 | Singapore |
| Singapore | 169610 | Singapore |
| Tainan | 00704 | Taiwan |
| Taipei | 100 | Taiwan |
| ID | Term |
|---|---|
| D006528 | Carcinoma, Hepatocellular |
| ID | Term |
|---|---|
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008113 | Liver Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D004066 | Digestive System Diseases |
| D008107 | Liver Diseases |
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| ID | Term |
|---|---|
| C584058 | onartuzumab |
| D000077157 | Sorafenib |
| ID | Term |
|---|---|
| D010671 | Phenylurea Compounds |
| D014508 | Urea |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009536 | Niacinamide |
| D009539 | Nicotinic Acids |
| D000147 | Acids, Heterocyclic |
| D006571 | Heterocyclic Compounds |
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
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