Hepato Cellular Carcinoma (HCC)Phase 3BRISK FLNCT00858871
First Line Hepato Cellular Carcinoma (HCC)
A Phase 3 study testing Brivanib and Sorafenib in people with Hepato Cellular Carcinoma (HCC), run by Bristol-Myers Squibb at 173 sites in 26 countries.
Trial summary
The purpose of this study is to compare the overall survival of brivanib versus sorafenib in subjects with advanced HCC who have not received prior systemic therapy. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hepato Cellular Carcinoma (HCC)
- What is being tested?
- Brivanib and Sorafenib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,714 participants
- Where
- 173 sitesin 26 countries
- Study dates
- May 2009to Sep 2013
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologic or cytologic confirmed diagnosis of HCC.
- Advanced HCC: disease not eligible for surgical and/or locoregional therapies OR progressive disease after surgical and/or locoregional therapies
- Child-Pugh Class A
- ECOG performance status 0-1
- Adequate hematologic, hepatic, and renal function
Who cannot join
- Prior use of any systemic anti-cancer chemotherapy, immunotherapy or molecular targeted agents for HCC
- History of active cardiac disease
- Thrombotic or embolic events within the past 6 months (except HCC tumor thrombus)
- Any other hemorrhage/bleeding event >= CTCAE Grade 3 within 8 weeks except for esophageal or gastric varices
- Inability to swallow tablets or untreated malabsorption syndrome
Trial locations and contacts
173 sites in 26 countries.
173 sites in 26 countries
China19 sites
Local Institution
Beijing, Beijing Municipality, 100021
Local Institution
Beijing, Beijing Municipality, 100034
Local Institution
Beijing, Beijing Municipality, 100071
Local Institution
Changsha, Hunan, 410008
Local Institution
Changzhou, Jiangsu, 213003
Local Institution
Chengdu, Sichuan, 610041
Local Institution
Chongqing, Chongqing Municipality, 400038
Local Institution
Dalian, Liaoning, 116011
Local Institution
Guangzhou, Guangdong, 510515
Local Institution
Guanzhou, Guangdong, 510010
Local Institution
Hangzhou, Zhejiang, 130016
Local Institution
Nanjing, Jiangsu, 210000
Local Institution
Nanjing, Jiangsu, 210002
Local Institution
Nanjing, Jiangsu, 210008
Local Institution
Nanning, Guangxi, 530021
Local Institution
Shanghai, Shanghai Municipality, 200080
Local Institution
Suzhou, Jiangsu, 215006
Local Institution
Wuhan, Hubei, 430030
Local Institution
Xi'an, Shaanxi, 710032
Japan18 sites
Local Institution
Chuo-Ku, Tokyo, 104-0045
Local Institution
Higashinari-ku, Osaka, 5378511
Local Institution
Kanazawa, Ishikawa-ken, 9208641
Local Institution
Kashiwa-shi, Chiba, 277-0882
Local Institution
Kawasaki-shi, Kanagawa, 2138587
Local Institution
Minato-ku, Tokyo, 105-0001
Local Institution
Musashino-shi, Tokyo, 180-0023
Local Institution
Nishinomiya-shi, 6638501
Local Institution
Okayama, Okayama-ken, 7000082
Local Institution
Osaka, Osaka, 534-0021
Local Institution
Osaka, Osaka, 5438555
Local Institution
Osaka, Osaka, 5458586
Local Institution
Ōsaka-sayama, Osaka, 5890014
Local Institution
Sapporo, Hokkaido, 060-0033
Local Institution
Shimonoseki-shi, Yamaguchi, 7500061
Local Institution
Sunto-gun, Shizuoka, 411-8777
Local Institution
Tsu, Mie-ken, 5148507
Local Institution
Yokohama, Kanagawa, 232-0024
France13 sites
Local Institution
Bordeaux, 33075
Local Institution
Clichy, 92118
Local Institution
Créteil, 94010
Local Institution
Grenoble, 38043
Local Institution
Lille, 59037
Local Institution
Lyon, 69317
Local Institution
Marseille, 13009
Local Institution
Marseille, 13385
Local Institution
Paris, 75012
Local Institution
Paris, 75013
Local Institution
Paris, 75020
Local Institution
Rennes, 35042
Local Institution
Vandœuvre-lès-Nancy, 54511
India13 sites
Local Institution
Ahmedabad, 380009
Local Institution
Chennai, 600006
Local Institution
Coimbatore, 641037
Local Institution
Hyderabad, Andhra Pradesh, 500082
Local Institution
Hyderabad, 500024
Local Institution
Kochi, Kerala, 682304
Local Institution
Kolkata, 700 053
Local Institution
Kolkata, 700054
Local Institution
Mumbai, 400012
Local Institution
Mumbai, 400036
Local Institution
New Delhi, 110 070
Local Institution
Pune, Maharashtra, 411001
Local Institution
Trivandrum, Kerala, 695011
United States12 sites
3912 Taubman Center
Ann Arbor, Michigan, 48109
Karmanos Cancer Institute
Detroit, Michigan, 48201
Agajanian Institute Of Hematology And Oncology
Downey, California, 90241
Medical Specialists Of Palm Beaches
Lake Worth, Florida, 33467
Univ Of Ark For Med Sci
Little Rock, Arkansas, 72205
James Graham Brown Cancer Center
Louisville, Kentucky, 40202
University Of Wisconsin
Madison, Wisconsin, 53792
Thomas Jefferson Univ.
Philadelphia, Pennsylvania, 19107
Mcguire Dvamc
Richmond, Virginia, 23249
Sharp Clinical Oncology Research
San Diego, California, 92123
Mayo Clinic Arizona
Scottsdale, Arizona, 85259
Va Ct Healthcare System
West Haven, Connecticut, 06516
Brazil12 sites
Local Institution
Barretos, São Paulo, 14784-400
Local Institution
Curitiba, Paraná, 81520-060
Local Institution
Divinópolis, Minas Gerais, 35500-249
Local Institution
Fortaleza, Ceará, 60430-230
Local Institution
Goiânia, Goiás, 74075-040
Local Institution
Jaú, São Paulo, 17210-080
Local Institution
Porto Alegre, Rio Grande do Sul, 90035-903
Local Institution
Porto Alegre, Rio Grande do Sul, 90050-170
Local Institution
Porto Alegre, Rio Grande do Sul, 90610-000
Local Institution
Salvador, Estado de Bahia, 41950-610
Local Institution
Salvador - Ba, Estado de Bahia, 40050-410
Local Institution
São Paulo, São Paulo, 01323-010
South Korea9 sites
Local Institution
Busan, 609-735
Local Institution
Daegu, 700-721
Local Institution
Gyeonggi-do, 410-769
Local Institution
Kyunggi-do, 463-707
Local Institution
Seoul, 110-744
Local Institution
Seoul, 120-752
Local Institution
Seoul, 135-710
Local Institution
Seoul, 137-040
Local Institution
Seoul, 138-736
Mexico7 sites
Local Institution
Aguascalientes, Aguascalientes, 20234
Local Institution
D.f., Mexico City, 06720
Local Institution
D.f., Mexico City, 14140
Local Institution
Distrito Federal, Mexico City, 06760
Local Institution
Mexico City, Mexico City, 06726
Local Institution
Monterrey, Nuevo León, 64710
Local Institution
Tlalpan, Mexico City, 14000
Taiwan7 sites
Local Institution
Changhua, 500
Local Institution
Kaohsiung City, 833
Local Institution
Taichung, 404
Local Institution
Tainan R.o.c., 70403
Local Institution
Taipei, 100
Local Institution
Taipei, 112
Local Institution
Taoyuan, 333
United Kingdom7 sites
Local Institution
Birmingham, West Midlands, B15 2TT
Local Institution
Bristol, Avon, BS2 8ED
Local Institution
Leeds, Yorkshire, LS9 7TF
Local Institution
London, Greater London, NW3 2QG
Local Institution
London, Greater London, SE5 9RS
Local Institution
London, Greater London, W12 0HS
Local Institution
Manchester, Greater Manchester, M20 4BX
Italy6 sites
Local Institution
Milan, 20122
Local Institution
Milan, 20141
Local Institution
Naples, 80131
Local Institution
Pisa, 56124
Local Institution
Roma, 00168
Local Institution
Torrette -Ancona, 60020
Australia5 sites
Local Institution
Camperdown, New South Wales, 2050
Local Institution
Concord, New South Wales, 2139
Local Institution
Parkville, Victoria, 3050
Local Institution
Prahan, Victoria, 3004
Local Institution
Westmead Nsw, New South Wales, 2145
Germany5 sites
Local Institution
Berlin, 13353
Local Institution
Halle, 06120
Local Institution
Hamburg, 20246
Local Institution
Magdeburg, 39120
Local Institution
Ulm, 89081
South Africa5 sites
Local Institution
Cape Town, Western Cape, 7570
Local Institution
Durban, KwaZulu-Natal, 4091
Local Institution
Observatory, Cape Town, Western Cape, 7925
Local Institution
Pretoria, Gauteng, 0002
Local Institution
Rondebosch, Western Cape, 7700
Turkey (Türkiye)5 sites
Local Institution
Ankara, 06460
Local Institution
Antalya, 07070
Local Institution
Istanbul
Local Institution
Izmir, 35100
Local Institution
Kayseri, 38039
Argentina4 sites
Local Institution
Buenos Aires, Buenos Aires, C1181ACH
Local Institution
Caba, Buenos Aires, 1221
Local Institution
Capital Federal, Buenos Aires, C1264AAA
Local Institution
Rosario, Santa Fe Province, 2000
Canada4 sites
Local Institution
Calgary, Alberta, T2N 2T9
Local Institution
London, Ontario, N6A A5
Local Institution
Montreal, Quebec, H2X 3J4
Local Institution
Vancouver, British Columbia, V5Z 1M9
Poland4 sites
Local Institution
Gdansk, 80952
Local Institution
Gliwice, 44-101
Local Institution
Krakow, 31-501
Local Institution
Warsaw, 02-781
Russia4 sites
Local Institution
Moscow, 115 478
Local Institution
Moscow, 115998
Local Institution
Moscow, 119992
Local Institution
Moscow, 125367
Czechia3 sites
Local Institution
Brno, 656 53
Local Institution
Prague, 128 08
Local Institution
Prague, 150 06
Spain3 sites
Local Institution
Alicante, 03010
Local Institution
Barcelona, 08208
Local Institution
Santiago de Compostela, A Coruna, 15706
Hong Kong2 sites
Local Institution
Hong Kong, 8525
Local Institution
Shatin, 8520
Sweden2 sites
Local Institution
Stockholm, 141 86
Local Institution
Uppsala, 751 85
Thailand2 sites
Local Institution
Bangkok, 10400
Local Institution
Bangkok, 10700
About this study
Official title: A Randomized, Double-blind, Multi-center Phase III Study of Brivanib Versus Sorafenib as First-line Treatment in Patients With Advanced Hepatocellular Carcinoma
The purpose of this study is to compare the overall survival of brivanib versus sorafenib in subjects with advanced HCC who have not received prior systemic therapy.
- Conditions
- Hepato Cellular Carcinoma (HCC)
- Being tested
- Brivanib, Placebo, Sorafenib
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BrivanibDrug
Also called BMS-582664
Tablets, Oral, 800 mg, Once Daily, Until disease progression or unacceptable toxicity
PlaceboDrug
Capsules, Oral, twice Daily, Until disease progression or unacceptable toxicity
SorafenibDrug
Capsules, Oral, 800 mg, twice daily, Until disease progression or unacceptable toxicity
PlaceboDrug
Tablets, Oral, Once Daily, Until disease progression or unacceptable toxicity
| Study group | Role | What they receive |
|---|---|---|
| Brivanib | Active comparator | Not described Receives: Drug: Brivanib; Drug: Placebo |
| Sorafenib | Active comparator | Not described Receives: Drug: Sorafenib; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
To compare the overall survival of brivanib versus sorafenib in subjects with advanced HCC who have not received prior systemic treatment
Measured: Survival will be assessed continuously
Secondary outcomes (7)
To compare the time to progression (TTP) (investigator assessed using modified RECIST criteria for HCC
Measured: Every 6 weeks
To compare the investigator assessed objective response rate (ORR) and disease control rate (DCR) using modified RECIST criteria for HCC
Measured: Every 6 weeks
To determine duration of response, duration of disease control, and time to response (TTR)
Measured: Every 6 weeks
To assess the safety profile of brivanib and sorafenib
Measured: Every 6 weeks
To explore PK and exposure-response in the study population
Measured: Every 6 weeks
To compare time to symptomatic progression
Measured: Every 6 weeks
To compare health-related quality of life
Measured: Every 6 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Mar 2009 (estimated)
- Study startMay 2009
- Primary completionJun 2012
- Study completionSep 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Hepato Cellular Carcinoma (HCC)Studies of the same condition, open and under way.
- More trials run by Bristol-Myers SquibbThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,714 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00858871
- Sponsor's protocol ID
- CA182-033
- Other IDs
- EUDRACT # 2008-003533-24
- Acronym
- BRISK FL
- Status last verified
- Oct 2016
- First submitted
- 9 Mar 2009
- Last updated
- 17 Oct 2016
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Kolamunnage-Dona R, Berhane S, Potts H, Williams EH, Tanner J, Janowitz T, Hoare M, Johnson P. Sorafenib is associated with a reduced rate of tumour growth and liver function deterioration in HCV-induced hepatocellular carcinoma. J Hepatol. 2021 Oct;75(4):879-887. doi: 10.1016/j.jhep.2021.05.015. Epub 2021 May 27.
PubMed 34052255Johnson PJ, Qin S, Park JW, Poon RT, Raoul JL, Philip PA, Hsu CH, Hu TH, Heo J, Xu J, Lu L, Chao Y, Boucher E, Han KH, Paik SW, Robles-Avina J, Kudo M, Yan L, Sobhonslidsuk A, Komov D, Decaens T, Tak WY, Jeng LB, Liu D, Ezzeddine R, Walters I, Cheng AL. Brivanib versus sorafenib as first-line therapy in patients with unresectable, advanced hepatocellular carcinoma: results from the randomized phase III BRISK-FL study. J Clin Oncol. 2013 Oct 1;31(28):3517-24. doi: 10.1200/JCO.2012.48.4410. Epub 2013 Aug 26.
PubMed 23980084
Study at a glance
From the registry record, last updated by the sponsor on 17 Oct 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Multi-center Phase III Study of Brivanib Versus Sorafenib as First-line Treatment in Patients With Advanced Hepatocellular Carcinoma
- ClinicalTrials.gov ID
- NCT00858871
- Acronym / sponsor ID
- BRISK FL / CA182-033
- Conditions
- Hepato Cellular Carcinoma (HCC)
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,714 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- May 2009
- Primary completion
- Jun 2012 (actual)
- Study completion
- Sep 2013 (actual)
- First posted
- 10 Mar 2009 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to compare the overall survival of brivanib versus sorafenib in subjects with advanced HCC who have not received prior systemic therapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Brivanib | Active comparator | Drug: Brivanib, Drug: Placebo |
| Sorafenib | Active comparator | Drug: Sorafenib, Drug: Placebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Histologic or cytologic confirmed diagnosis of HCC.
- Advanced HCC: disease not eligible for surgical and/or locoregional therapies OR progressive disease after surgical and/or locoregional therapies
- Child-Pugh Class A
- ECOG performance status 0-1
- Adequate hematologic, hepatic, and renal function
Key exclusion criteria (5 listed)
- Prior use of any systemic anti-cancer chemotherapy, immunotherapy or molecular targeted agents for HCC
- History of active cardiac disease
- Thrombotic or embolic events within the past 6 months (except HCC tumor thrombus)
- Any other hemorrhage/bleeding event >= CTCAE Grade 3 within 8 weeks except for esophageal or gastric varices
- Inability to swallow tablets or untreated malabsorption syndrome
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BrivanibAlso: BMS-582664Tablets, Oral, 800 mg, Once Daily, Until disease progression or unacceptable toxicity | Drug | Brivanib |
| PlaceboCapsules, Oral, twice Daily, Until disease progression or unacceptable toxicity | Drug | Brivanib |
| SorafenibCapsules, Oral, 800 mg, twice daily, Until disease progression or unacceptable toxicity | Drug | Sorafenib |
| PlaceboTablets, Oral, Once Daily, Until disease progression or unacceptable toxicity | Drug | Sorafenib |
Primary outcome
To compare the overall survival of brivanib versus sorafenib in subjects with advanced HCC who have not received prior systemic treatment
Time frame: Survival will be assessed continuously
7 secondary outcomes
To compare the time to progression (TTP) (investigator assessed using modified RECIST criteria for HCC
Time frame: Every 6 weeks
To compare the investigator assessed objective response rate (ORR) and disease control rate (DCR) using modified RECIST criteria for HCC
Time frame: Every 6 weeks
To determine duration of response, duration of disease control, and time to response (TTR)
Time frame: Every 6 weeks
To assess the safety profile of brivanib and sorafenib
Time frame: Every 6 weeks
To explore PK and exposure-response in the study population
Time frame: Every 6 weeks
To compare time to symptomatic progression
Time frame: Every 6 weeks
To compare health-related quality of life
Time frame: Every 6 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Oct 2016.
- Derived from this study: PubMed 34052255Kolamunnage-Dona R, Berhane S, Potts H, Williams EH, Tanner J, Janowitz T, Hoare M, Johnson P. Sorafenib is associated with a reduced rate of tumour growth and liver function deterioration in HCV-induced hepatocellular carcinoma. J Hepatol. 2021 Oct;75(4):879-887. doi: 10.1016/j.jhep.2021.05.015. Epub 2021 May 27.
- Derived from this study: PubMed 23980084Johnson PJ, Qin S, Park JW, Poon RT, Raoul JL, Philip PA, Hsu CH, Hu TH, Heo J, Xu J, Lu L, Chao Y, Boucher E, Han KH, Paik SW, Robles-Avina J, Kudo M, Yan L, Sobhonslidsuk A, Komov D, Decaens T, Tak WY, Jeng LB, Liu D, Ezzeddine R, Walters I, Cheng AL. Brivanib versus sorafenib as first-line therapy in patients with unresectable, advanced hepatocellular carcinoma: results from the randomized phase III BRISK-FL study. J Clin Oncol. 2013 Oct 1;31(28):3517-24. doi: 10.1200/JCO.2012.48.4410. Epub 2013 Aug 26.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
173 sites in 26 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Brivanib and Sorafenib in people with Hepato Cellular Carcinoma (HCC), run by Bristol-Myers Squibb at 173 sites in 26 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 17 Oct 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 173 sites in China, Japan, France, India, United States and 21 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
To compare the overall survival of brivanib versus sorafenib in subjects with advanced HCC who have not received prior systemic treatment (time frame: Survival will be assessed continuously). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00858871, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Oct 2016; AzTrials last refreshed its copy on 30 Oct 2026.