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To evaluate the efficacy and safety of 'Immuncell-LC group' and 'non-treatment group' in the patients undergone Transarterial Chemoembolization for intermediate stage hepatocellular carcinoma
ILC-IIT-05 is randomized, open-label, multi-center phase 2 clinical trial. To confirm clinical efficacy and safety between 'Immuncell-LC group' and 'non-treatment group', primary outcome, recurrence free survival(RFS) will be evaluated.
For secondary outcome, overall survival(OS), changes of Alpha Feto Protein(AFP), correlation of between myeloid-derived suppressor cell change and prognosis, adverse event, ECOG-PS and hematological examination will be evaluated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Immuncell-LC group | Experimental | Adjuvant adoptive immune therapy using a CIK cell agent(Immuncell-LC) 12 times(5 treatments at a frequency of once per week, followed by 5 treatments every 2 weeks, and finally 2 treatments every 4 weeks. |
|
| Non-treatment group | No Intervention | Non-treatment |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Immuncell-LC | Biological | Activated T lymphocyte : intravenous dripping of 200ml (1 x 10^9 ~ 2 x 10^10 lymphocytes / 60kg adult) for 1 hour |
|
| Measure | Description | Time Frame |
|---|---|---|
| Recurrence Free Survival (RFS) | Every 12 weeks from the baseline until 44 weeks, and then every 3 months until the data cut-off date or 12 months from baseline of last subject | baseline until 44 weeks, and then every 3 months until the data cut-off date or 12 months from baseline of last subject |
| Measure | Description | Time Frame |
|---|---|---|
| Overall Survival (OS) | Every 12 weeks from the baseline until 44 weeks, and then every 3 months until the data cut-off date or 12 months from baseline of last subject | baseline until 44 weeks, and then every 3 months until the data cut-off date or 12 months from baseline of last subject |
| Change of Alpha Feto Protein (AFP) level |
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Inclusion Criteria:
Patients who have consented to the study by providing signature of self
Patients who are more than 20 and less than 80 years old
Child-Pugh Class should be A(score 5-6) or B(score 7-8)
ECOG Performance Status (ECOG-PS) score is less than 1 or equal to
Patients who have been diagnosed with BCLC stage B hepatocellular carcinoma by pathological/radiological test(Dynamic contrast-enhanced CT or Dynamic MRI) and tumor removal has been confirmed after TACE (When patients have been diagnosed with recurrence of hepatocellular carcinoma after surgery or local treatment, if conditions are same as above, patients could be included)
Patients who satisfy the following conditions of the blood test and kidney, liver function test
Exclusion Criteria:
Patients who have been confirmed with residual tumor or extrahepatic metastases
Patients who have lymph node metastases or portal vein, hepatic vein invasion
Patients who have a history of treatments or are in conditions as below
Patients who have a history of auto-immune diseases (Ex. Rheumatoid Arthritis, Systemic Lupus Erythematosus, Vasculitis, Multiple sclerosis, Adolescent Insulin-Dependent Diabetes Mellitus, etc.)
Patients who have a history of malignant tumors in the recent 5 years prior to the study except hepatocellular carcinoma
Patients who participated in another clinical trial and conducted treatment in 4 weeks or have a plan for administration of another clinical trial treatment since Informed consent form sign date
Patients who have uncontrollable or serious disease
Pregnant women or nursing mother
Patients who intend to get pregnant during the study
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| Name | Affiliation | Role |
|---|---|---|
| Jung Hwan Yoon, MD | Seoul National University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul St.Mary's Hospital | Seoul | Banpo-daero 222 / Seocho-go | 06591 | South Korea | ||
| Seoul National University Hospital |
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| ID | Term |
|---|---|
| D006528 | Carcinoma, Hepatocellular |
| ID | Term |
|---|---|
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
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Every 12 weeks from the baseline until 44 weeks, and then every 3 months until the data cut-off date or 12 months from baseline of last subject |
| Every 12 weeks from the baseline until 44 weeks, and then every 3 months until the data cut-off date or 12 months from baseline of last subject |
| Correlation of between Myeloid-derived Suppressor Cell change and Prognosis | Every 12 weeks from the baseline until 4 weeks after the last dose of immunotherapy | Every 12 weeks from the baseline until 4 weeks after the last dose of immunotherapy |
| Adverse event | From the time the patient provided written informed consent until drop-out or the end of the study or at least 4 weeks after the last dose of immunotherapy | From the time the patient provided written informed consent until drop-out or the end of the study or at least 4 weeks after the last dose of immunotherapy |
| Eastern Cooperative Oncology Group Performance Status (ECOG-PS) | From the time the patient provided written informed consent until drop-out or the end of the study or 4 weeks after the last dose of immunotherapy | From the time the patient provided written informed consent until drop-out or the end of the study or 4 weeks after the last dose of immunotherapy |
| Hematological examination | Every 12 weeks from the baseline until 4 weeks after the last dose of immunotherapy | Every 12 weeks from the baseline until 4 weeks after the last dose of immunotherapy |
| Seoul |
| Daehak-ro 101/Jongno-gu |
| 03080 |
| South Korea |
| Severance Hospital | Seoul | Seoul,50-1 Yonsei-ro/Seodaemun-gu | 03722 | South Korea |
| D009369 | Neoplasms |
| D008113 | Liver Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D004066 | Digestive System Diseases |
| D008107 | Liver Diseases |