Liver NeoplasmsPTHBCNCT02715089
Precise Treatment in Hepatobiliary Cancers (PTHBC)
An observational study of Liver Neoplasms and Biliary Tract Neoplasms, run by Peking Union Medical College Hospital at 1 site in China.
Trial summary
The purpose of this study is to explore the precise treatment in hepatobiliary cancer patients and evaluate drug safety, progression free and overall survival. This trial study is based on genetic tests, then therapeutic target drugs are administered according to the genetic test reports. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Liver Neoplasms, Biliary Tract Neoplasms, Hepatobiliary Neoplasms
- What is being tested?
- Precise treatment
- How many people
- 30 participants
- Where
- 1 siteChina
- Study dates
- Dec 2015to Dec 2018
- How long will I take part?
- 2 Years
- Phase
- Observational
- 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 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: The subjects : Hepatobiliary Cancer patients.
Who may be able to join
- Age from 18 to 65, male or female.
- Radiologically and pathologically confirmed as hepatobiliary cancers with stage IV.
- Palliative care as the preferred.
- The result of next-generation sequencing (NGS) test show the patient has gene mutation and also can be treated by the right commercial products that have been approved by the China Food and Drug Administration (CFDA) or the Food and Drug Administration (FDA).
- ECOG performance status 0-2.
- Life expectancy ≥3 months.
- Voluntarily participate in the study and agree to sign informed consent form.
Who cannot join
- Hepatobiliary cancer patient with stageI-III, or with any of the following items will not be eligible for screening.Such as, suitable for the treatment of radical resection, radical resection but evaluation unmeasurable.
- The result of NGS test show the patient has no gene mutation, or has gene mutation but no medicine.
- ECOG performance status ≥ 3.
- Female patients who are pregnant or not using a contraceptive method of birth control.
- History or presence of serious cardiovascular or cerebrovascular abnormalities.
- Abnormalities of the hepatic or renal functions, such as jaundice, ascites, bilirubin ≥ 1.5×ULN, alkaline phosphatase ≥ 3×ULN, persistent protein urine≥ grade 3 (according to National Cancer Institute [NCI] Common Terminology Criteria for Adverse Events [CTC-AE] v4.0), creatinine ratio > 3.5g/24 hours, renal failure.
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- Persistent infection > grade 2 (according to National Cancer Institute [NCI] Common Terminology Criteria for Adverse Events [CTC-AE] v4.0).
- Patient has underwent a major operation 4 weeks prior to screening or has not yet recovered from the operation.
- Patient with epilepsy, known or untreated brain metastases.
- The presence of wounds, ulcers or fractures that can not be healed, or with a past history of transplantation.
- The presence of bleeding events ≥grade 3 (according to National Cancer Institute [NCI] Common Terminology Criteria for Adverse Events [CTC-AE] v4.0) , present evidence or past history of coagulation dysfunction disorders.
- Known human immunodeficiency virus (HIV) infection history.
- Patient with drug abuse or unstable compliance.
- The presence of unresolved toxicity caused by any previous treatment/operation > grade 1 (according to National Cancer Institute [NCI] Common Terminology Criteria for Adverse Events [CTC-AE] v4.0), except alopecia, anemia or hypothyroidism).
- Investigator consider that the patient should not be enrolled in this study by careful assessment.
- The subjects participate in any other clinical trial in the meantime.
Trial locations and contacts
1 site in 1 country.
China1 site, 1 recruiting
- Recruiting
Peking Union Medical College Hospital
Beijing, Beijing Municipality, 100730
Yuan Xie, Doctor, +86-150-1085-6596, xieyuan1988@sina.cn
Xiao-Bo Yang, Doctor, +86-138-1167-5126, yangxiaobo67@pumch.cn
About this study
Official title: Single Center, Single Arm, Open Study, to Explore and Evaluate the Precise Treatment in Hepatobiliary Cancers(PTHBC)
The purpose of this study is to explore the precise treatment in hepatobiliary cancer patients and evaluate drug safety, progression free and overall survival. This trial study is based on genetic tests, then therapeutic target drugs are administered according to the genetic test reports. Patients with genetic abnormalities (such as mutations, amplifications, or translocations) may benefit from precise treatment which targets particular genetic abnormality. The identifications of these genetic abnormalities may help treat hepatobiliary cancer patients better.
Read the detailed description
The genetic tests are performed for the eligible subjects in this study, then therapeutic target drugs are administered according to the genetic test reports. While the precise treatments, follow-ups are conducted to evaluate the efficacy and safety of the target drugs for the subjects, until the overall survival.
Study Type: Non-Interventional. Masking: Open Label.
- Being tested
- Precise treatment
- Keywords
- NGS, Liver Neoplasms, Biliary Tract Neoplasms, Hepatobiliary Neoplasms
- Medical subject headings
- Liver Neoplasms, Biliary Tract Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Precise treatmentGenetic
During screening stage, all patients should accept next-generation sequencing (NGS) test.
| Study group | Role | What they receive |
|---|---|---|
| Precise treatment | All patients should accept next-generation sequencing (NGS) test before treatment. Receives: Genetic: Precise treatment |
What is being measured
The primary outcome is the main question the study is designed to answer.
Objective response rates (ORR)
Defined as the percentage of patients whose tumors have a complete or partial response to treatment (RECIST v1.1) .
Measured: 6 weeks
Progression-free survival (PFS)
Progression-free survival (PFS) is the time that passes from the day in which the patient is enrolled in the trial until the date on which disease "progresses" or the date of death from any cause.
Measured: 8 months
Secondary outcomes (4)
Overall survival (OS)
Overall survival (OS) is the duration from the day in which the patient is enrolled in the trial until the date of death from any cause.
Measured: Through study completion, an average of 1 year.
Duration of Response (DOR)
Duration of Response (DOR) is the duration from the first assessment of the tumor was CR or PR to the time that the first assessment for PD (Progressive Disease) or date of death from any cause.
Measured: 6 months
Disease control rate (DCR)
Defined as the percentage of patients whose tumors have a complete or partial response,or stable disease to treatment (RECIST v1.1).
Measured: 6 weeks
Adverse Drug Reaction (ADR)/Adverse Event (AE)
Patients with treatment-related adverse events as assessed by CTC-AE v4.0.
Measured: Through study completion, an average of 2 years.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Mar 2016 (estimated)
- Study startDec 2015
- Primary completionDec 2017 (estimated)
- Study completionDec 2018 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Liver NeoplasmsStudies of the same condition, open and under way.
- More trials run by Peking Union Medical College HospitalThe 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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 30 participants (estimated)
- Target duration
- 2 Years
Sponsor and investigators
- Lead sponsor
- Peking Union Medical College Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- 3D Medicines
- Responsible party
- Sponsor
- Investigators
- Hai-Tao Zhao, Doctor, Principal investigator, Peking Union Medical College Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02715089
- Sponsor's protocol ID
- PM1503
- Acronym
- PTHBC
- Status last verified
- Mar 2016
- First submitted
- 28 Feb 2016
- Last updated
- 22 Mar 2016
- Results posted
- No
- Data monitoring committee
- Yes
- Individual data sharing
- Undecided: The data have the gene mutations information of patients.
Publications
Lin J, Shi J, Guo H, Yang X, Jiang Y, Long J, Bai Y, Wang D, Yang X, Wan X, Zhang L, Pan J, Hu K, Guan M, Huo L, Sang X, Wang K, Zhao H. Alterations in DNA Damage Repair Genes in Primary Liver Cancer. Clin Cancer Res. 2019 Aug 1;25(15):4701-4711. doi: 10.1158/1078-0432.CCR-19-0127. Epub 2019 May 8.
PubMed 31068370
Study at a glance
From the registry record, last updated by the sponsor on 22 Mar 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Single Center, Single Arm, Open Study, to Explore and Evaluate the Precise Treatment in Hepatobiliary Cancers(PTHBC)
- ClinicalTrials.gov ID
- NCT02715089
- Acronym / sponsor ID
- PTHBC / PM1503
- Keywords
- NGS, Liver Neoplasms, Biliary Tract Neoplasms, Hepatobiliary Neoplasms
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 30 participants (estimated)
- Lead sponsor
- Peking Union Medical College HospitalUniversity, hospital or other
- Collaborators
- 3D Medicines
- Study start
- Dec 2015
- Primary completion
- Dec 2017 (estimated)
- Study completion
- Dec 2018 (estimated)
- First posted
- 22 Mar 2016 (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 explore the precise treatment in hepatobiliary cancer patients and evaluate drug safety, progression free and overall survival. This trial study is based on genetic tests, then therapeutic target drugs are administered according to the genetic test reports. Patients with genetic abnormalities (such as mutations, amplifications, or translocations) may benefit from precise treatment which targets particular genetic abnormality. The identifications of these genetic abnormalities may help treat hepatobiliary cancer patients better.
Detailed description
The genetic tests are performed for the eligible subjects in this study, then therapeutic target drugs are administered according to the genetic test reports. While the precise treatments, follow-ups are conducted to evaluate the efficacy and safety of the target drugs for the subjects, until the overall survival.
Study Type: Non-Interventional. Masking: Open Label.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Target follow-up
- 2 Years
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Precise treatment | – | Genetic: Precise treatmentAll patients should accept next-generation sequencing (NGS) test before treatment. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- The subjects : Hepatobiliary Cancer patients.
Key inclusion criteria (7 listed)
- Age from 18 to 65, male or female.
- Radiologically and pathologically confirmed as hepatobiliary cancers with stage IV.
- Palliative care as the preferred.
- The result of next-generation sequencing (NGS) test show the patient has gene mutation and also can be treated by the right commercial products that have been approved by the China Food and Drug Administration (CFDA) or the Food and Drug Administration (FDA).
- ECOG performance status 0-2.
Key exclusion criteria (16 listed)
- Hepatobiliary cancer patient with stageI-III, or with any of the following items will not be eligible for screening.Such as, suitable for the treatment of radical resection, radical resection but evaluation unmeasurable.
- The result of NGS test show the patient has no gene mutation, or has gene mutation but no medicine.
- ECOG performance status ≥ 3.
- Female patients who are pregnant or not using a contraceptive method of birth control.
- History or presence of serious cardiovascular or cerebrovascular abnormalities.
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 |
|---|---|---|
| Precise treatmentDuring screening stage, all patients should accept next-generation sequencing (NGS) test. | Genetic | Precise treatment |
Primary outcome
Objective response rates (ORR)
Time frame: 6 weeks
Defined as the percentage of patients whose tumors have a complete or partial response to treatment (RECIST v1.1) .
Progression-free survival (PFS)
Time frame: 8 months
Progression-free survival (PFS) is the time that passes from the day in which the patient is enrolled in the trial until the date on which disease "progresses" or the date of death from any cause.
4 secondary outcomes
Overall survival (OS)
Time frame: Through study completion, an average of 1 year.
Duration of Response (DOR)
Time frame: 6 months
Disease control rate (DCR)
Time frame: 6 weeks
Adverse Drug Reaction (ADR)/Adverse Event (AE)
Time frame: Through study completion, an average of 2 years.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Mar 2016.
- Derived from this study: PubMed 31068370Lin J, Shi J, Guo H, Yang X, Jiang Y, Long J, Bai Y, Wang D, Yang X, Wan X, Zhang L, Pan J, Hu K, Guan M, Huo L, Sang X, Wang K, Zhao H. Alterations in DNA Damage Repair Genes in Primary Liver Cancer. Clin Cancer Res. 2019 Aug 1;25(15):4701-4711. doi: 10.1158/1078-0432.CCR-19-0127. Epub 2019 May 8.
- Individual participant dataSharing planned: Undecided. The data have the gene mutations information of patients.
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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.
Hai-Tao Zhao, Doctor principal investigator
Peking Union Medical College Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Liver Neoplasms and Biliary Tract Neoplasms, run by Peking Union Medical College Hospital at 1 site in China.
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 7 inclusion and 16 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: status not confirmed, as of the sponsor's last update on 22 Mar 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. 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.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Yuan Xie, Doctor (+86-15010856596, xieyuan1988@sina.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Objective response rates (ORR) (time frame: 6 weeks). The study lists 2 primary outcomes in all. 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 NCT02715089, which also lists 1 linked publication.
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 22 Mar 2016.