E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 9.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10019695 |
E.1.2 | Term | Hepatic neoplasm |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Assess the survival of patients treated with Litx versus standard of care therapies in the treatment of unresectable hepatocellular carcinoma (HCC). Demonstrate the safety of Litx therapy. |
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E.2.2 | Secondary objectives of the trial |
Assess the survival of a subset of patients in the Litx group who received Litx treatment followed by the standard of care versus patients in the standard of care group for the treatment of unresectable hepatocellular carcinoma (HCC). |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. A diagnosis of primary Hepatocellular Carcinoma (HCC), established by any one of the following criteria in a clinical setting suggestive of HCC: A. Two different imaging techniques with characteristics that suggest HCC B. Combination of one imaging technique that suggests HCC and serum AFP level >400 ng/mL C. Histological evidence of HCC 2. Patients who are candidates for surgery with curative intent are not eligible 3. Patients with 6 or more lesions are not eligible 4. Patients with greater than 50% of parenchyma disease involvement are excluded 5. Patients with Child-Pugh C cirrhosis are excluded 6. Patients with diffuse HCC are excluded 7. Patients with grade 3 ascites are excluded 8. Evidence of major vessel invasion or extrahepatic disease is excluded. Lymph node involvement in the hilum region of the liver is eligible if the nodes do not exceed 2 cm. 9. ECOG Performance Status 0-2 10. Life expectancy of at least 16 weeks 11. Patients may have received previous antineoplastic therapy; at least 3 weeks must have elapsed since the completion of any prior therapy and the patient must have recovered from acute side effects. 12. Known sensitivity to porphyrin-type drugs or known history of porphyria are exclusionary 13. Understanding and ability to sign written informed consent 14. 18 years of age or more 15. Pregnancy or breast-feeding patients are excluded. A negative pregnancy test (urine or serum) from women of childbearing age is required prior to enrollment. A fertile patient must use effective contraception during participation in the study 16. Adequate hematologic, liver and renal functions as evidenced by the following: WBC > 2,400/mm3 Platelet Count > 75,000/μl Hemoglobin > 9.4 gm/dL PT and PTT < 1.5 Control SGOT, SGPT < 5 x ULN Bilirubin < 2.5 x ULN Alk Phos < 3 x ULN Creatinine < 2.5 mg/dL (SI: 221 μmol/L) Albumin > 2 g/dL 17. Concurrent participation in another clinical trial involving experimental treatment is excluded 18. Any concurrent disease or condition that in the opinion of the investigator impairs the patients ability to complete the trial such as psychological, familial, sociological, geographical or medical conditions which in the Principal Investigators opinion could compromise compliance with the objectives and procedures of this protocol or obscure interpretation of the trials data are excluded. |
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E.4 | Principal exclusion criteria |
17. Concurrent participation in another clinical trial involving experimental treatment is excluded18. Any concurrent disease or condition that in the opinion of the investigator impairs the patients ability to complete the trial such as psychological, familial, sociological, geographical or medical conditions which in the Principal Investigators opinion could compromise compliance with the objectives and procedures of this protocol or obscure interpretation of the trials data are excluded. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Primary efficacy endpoint: Overall survival in the intent-to-treat population of patients. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
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E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 1 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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-Il paziente decide di ritirare il consenso informato -decisione del medico -il pazienze soffre di tossicitá di grado 4 -il paziente non segue il protocollo |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 5 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 6 |
E.8.9.2 | In all countries concerned by the trial months | 0 |