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WithdrawnNCT03780634Updated May 6, 2019

HAIC Plus PD-1 Antibody vs HAIC Plus Sorafenib for Advanced HCC

A Phase 2 interventional study of HAIC and PD-1 antibody in Hepatocellular Carcinoma, sponsored by Sun Yat-sen University. Withdrawn at 3 sites in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2019-05-06.

Sponsored by Sun Yat-sen University · Phase 2, Interventional, and Treatment

Why this study was withdrawn
No participants enrolled
Phase
Phase 2
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy and safety of hepatic artery infusion chemotherapy (HAIC) combined with Programmed Cell Death Protein-1 (PD-1) antibody compared with HAIC plus sorafenib in patients with advanced hepatocellular carcinoma (HCC)

Read the detailed description

The results of our preliminary pilot study suggested that sorafenib combined with hepatic arterial infusion chemotherapy (HAIC) may improve the survivals for advanced hepatocellular (HCC). Programmed Cell Death Protein-1 (PD-1) antibody has been proved effective and safety for advanced HCC. There is no study about HAIC plus PD-1 antibody. Thus, the investigators carried out this prospective randomized control study to compare HAIC plus sorafenib and HAIC plus PD-1 antibody.

02

Conditions studied

  • Hepatocellular Carcinoma

Keywords

  • Hepatocellular Carcinoma
  • Hepatic arterial infusion chemotherapy
  • Programmed cell death protein-1 antibody
  • Oxaliplatin, 5-Fluorouracil and Leucovorin
03

In context

Carcinoma

6,741 studies on the registry are indexed under Carcinoma; 1,161 are open to participants now.

Browse Carcinoma studies →

Lead sponsor

Sun Yat-sen University is the lead sponsor of 1,644 studies on the registry; 602 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • The diagnosis of HCC was based on the diagnostic criteria for HCC used by the European Association for the Study of the Liver (EASL)
  • Patients must have at least one tumor lesion that can be accurately measured according to EASL criteria.
  • Barcelona clinic liver cancer-stage C
  • Major portal vein tumor thrombus (Vp3,Vp4)
  • Eastern Cooperative Oncology Group performance status of 0 to 1
  • with no previous treatment
  • No Cirrhosis or cirrhotic status of Child-Pugh class A only
  • Not amendable to surgical resection, local ablative therapy and any other cured treatment.
  • The following laboratory parameters:

    • Platelet count ≥ 75,000/μL
    • Hemoglobin ≥ 8.5 g/dL
    • Total bilirubin ≤ 30mmol/L
    • Serum albumin ≥ 30 g/L
    • ASL and AST ≤ 5 x upper limit of normal
    • Serum creatinine ≤ 1.5 x upper limit of normal
    • INR ≤ 1.5 or PT/APTT within normal limits
    • Absolute neutrophil count (ANC) >1,500/mm3
  • Ability to understand the protocol and to agree to and sign a written informed consent document

Exclusion criteria

Exclusion Criteria:

  • Evidence of hepatic decompensation including ascites, gastrointestinal bleeding or hepatic encephalopathy
  • Known history of HIV
  • History of organ allograft
  • Known or suspected allergy to the investigational agents or any agent given in association with this trial.
  • Cardiac ventricular arrhythmias requiring anti-arrhythmic therapy
  • Evidence of bleeding diathesis.
  • Patients with clinically significant gastrointestinal bleeding within 30 days prior to study entry.
  • Known central nervous system tumors including metastatic brain disease
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    HAIC plus PD-1 antibody

    Participants received PD-1 antibody intravenously and hepatic artery infusion chemotherapy of oxaliplatin, 5-fluorouracil and leucovorin every 3 weeks up to documented disease progression, development of unacceptable toxicity, participant request, or withdrawal of consent.

    Procedure: HAIC · Drug: PD-1 antibody

  • Active comparator
    HAIC plus sorafenib

    Participants received sorafenib capsules 400mg bid in continuous 21-day treatment cycles, and received hepatic artery infusion chemotherapy of oxaliplatin, 5-fluorouracil and leucovorin every 3 weeks up to documented disease progression, development of unacceptable toxicity, participant request, or withdrawal of consent.

    Procedure: HAIC · Drug: Sorafenib

Interventions

  • ProcedureHAIC

    administration of Oxaliplatin , fluorouracil, and leucovorin via the tumor feeding arteries every 3 weeks

  • DrugPD-1 antibody

    200mg intravenously every 3 weeks

    Also known as: Programmed cell death 1 antibody

  • DrugSorafenib

    400 mg Bid Po

06

What researchers measure

Primary outcomes

  1. Progression Free Survival (PFS)

    PFS was defined as the time from the date of randomization to the date of first documentation of disease progression based on Response Evaluation Criteria in Solid Tumors (RECIST 1.1), or date of death, whichever occurred first.

    Time frame: 12 months

Secondary outcomes

  1. Overall Survival (OS)

    OS was defined as the duration from the date of randomization until the date of death from any cause. Participants who were lost to follow-up were censored at the last date the participant was known to be alive, and participants who remained alive were censored at the time of data cutoff.

    Time frame: 12 months

  2. Objective Response Rate (ORR)

    ORR was defined as the percentage of participants with a best overall response of complete response (CR) or partial response (PR) based on RECIST.

    Time frame: 12 months

  3. Adverse Events

    Number of adverse events. Postoperative adverse events were graded based on CTCAE v4.03

    Time frame: 12 months

07

Study locations

3 sites
  • Cancer Center Sun Yat-sen University
    Guangzhou, Guangdong 510060, China
  • Guangzhou Twelfth People 's Hospital
    Guangzhou, Guangdong 510620, China
  • Kaiping Central Hospital
    Kaiping, Guangdong 529300, China
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 6, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03780634
Lead sponsor
Sun Yat-sen University
Collaborators
Kaiping Central Hospital, Guangzhou No.12 People's Hospital
Responsible party
Shi Ming (Proffessor, Sun Yat-sen University) — Principal investigator
First posted
Dec 19, 2018
Start date
Apr 1, 2019 (estimated)
Primary completion
Dec 1, 2020 (estimated)
Completion
Dec 1, 2021 (estimated)
Last update
May 6, 2019

Study contacts

Ming Shi, MD
principal investigator · Sun Yat-sen University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Mar 2019. You cannot join it, but the record below documents what was studied.

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