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    Clinical Trial Results:
    Chemoembolisation of patient with hepatocellular carcinoma, not selective for a curative treatment, by microsphere charged with idarubicin

    Summary
    EudraCT number
    2014-000050-10
    Trial protocol
    FR  
    Global end of trial date
    31 May 2018

    Results information
    Results version number
    v1(current)
    This version publication date
    13 Jul 2025
    First version publication date
    13 Jul 2025
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    FFCD1307
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02185768
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Fédération Francophone de Cancérologie Digestive
    Sponsor organisation address
    7 bd Jeanne d'Arc, Dijon, France, 21000
    Public contact
    Project manager, Fédération Francophone de cancérologie Digestive, 33 380393404, marie.moreau@u-bourgogne.fr
    Scientific contact
    Head of biostatistics, Fédération Francophone de cancérologie Digestive, 33 380668013, karine.le-malicot@u-bourgogne.fr
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Interim
    Date of interim/final analysis
    27 Oct 2017
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    27 Oct 2017
    Global end of trial reached?
    Yes
    Global end of trial date
    31 May 2018
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    Objective response rate (complete and partial response) according to mRECIST at 6 months assessed in central review
    Protection of trial subjects
    This trial was conducted in accordance with the New European Directive 2001/20/EC. The investigator undertook to obtain the patient's consent for the clinical and biological studies in writing, after providing adequate information.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    05 Jan 2015
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    France: 46
    Worldwide total number of subjects
    46
    EEA total number of subjects
    46
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    14
    From 65 to 84 years
    28
    85 years and over
    4

    Subject disposition

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    Recruitment
    Recruitment details
    Between January 2015 and June 2016, 46 study participants were included in seven centers. According to the protocol, an interim analysis was performed in January 2017 and the recruitment was stopped because of treatment efficacy.

    Pre-assignment
    Screening details
    Eligibility criteria were as follows: measurable targets according to the modified Response Evaluation Criteria in Solid Tumors (mRECIST) criteria ; Child-Pugh class A or B7 cirrhosis; OMS performance status of 0 or 1; no previous chemotherapy, radiation therapy, or transarterial embolization (with or without chemotherapy) for HCC

    Period 1
    Period 1 title
    Baseline (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    IDASPHERE
    Arm description
    TACE by using idarubicin-loaded beads
    Arm type
    Experimental

    Investigational medicinal product name
    Idarubicin + lodead beads
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection/infusion
    Routes of administration
    Injection
    Dosage and administration details
    After a loading time of 60 minutes, the solution containing idarubicin-loaded beads was transferred to a 30-mL syringe. Just before injection, the interventional radiologists added 5 mL per milliliter of beads of a nonionic contrast medium (iodixanol [320 mg I/mL], Visto the syringe containing idarubicin-eluting beads. It was recommended to use 2.4-F to 2.8-F microcatheters for the catherization of tumor feeders, to perform cone-beam CT as soon as deemed necessary, and to inject the beads slowly (ideally 1 mL/min) through a 1-mL syringe until either complete delivery of the beads or reduced flow of the feeding artery with the conventional method of two to five heartbeats to clear the contrast column from the microcatheter tip

    Number of subjects in period 1
    IDASPHERE
    Started
    46
    Treated patients
    44
    Completed
    44
    Not completed
    2
         Consent withdrawn by subject
    1
         Adverse event, non-fatal
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Baseline
    Reporting group description
    -

    Reporting group values
    Baseline Total
    Number of subjects
    46 46
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    14 14
        From 65-84 years
    28 28
        85 years and over
    4 4
    Gender categorical
    Units: Subjects
        Female
    6 6
        Male
    40 40
    Subject analysis sets

    Subject analysis set title
    mITT set
    Subject analysis set type
    Modified intention-to-treat
    Subject analysis set description
    Patients included in the study and who received the treatment

    Subject analysis sets values
    mITT set
    Number of subjects
    44
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
        Newborns (0-27 days)
    0
        Infants and toddlers (28 days-23 months)
    0
        Children (2-11 years)
    0
        Adolescents (12-17 years)
    0
        Adults (18-64 years)
    14
        From 65-84 years
    27
        85 years and over
    3
    Age continuous
    Units:
        
    ( )
    Gender categorical
    Units: Subjects
        Female
    6
        Male
    38

    End points

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    End points reporting groups
    Reporting group title
    IDASPHERE
    Reporting group description
    TACE by using idarubicin-loaded beads

    Subject analysis set title
    mITT set
    Subject analysis set type
    Modified intention-to-treat
    Subject analysis set description
    Patients included in the study and who received the treatment

    Primary: 6-month ORR by using mRECIST criteria

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    End point title
    6-month ORR by using mRECIST criteria [1]
    End point description
    End point type
    Primary
    End point timeframe
    within the 6 months after inclusion
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This study was a single-arm study so no inferential statistic was done only descriptive statistics
    End point values
    mITT set
    Number of subjects analysed
    44
    Units: patients
        Objective response rate at 6 months
    23
        no objective response rate at 6 months
    11
    No statistical analyses for this end point

    Secondary: Overall survival

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    End point title
    Overall survival
    End point description
    End point type
    Secondary
    End point timeframe
    Until the end of the follow-up or death (Whatever the cause)
    End point values
    mITT set
    Number of subjects analysed
    44
    Units: months
        median (confidence interval 95%)
    18.6 (11.7 to 29.1)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse events are collected before and after each chemoembolisation
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    NCI-CTC
    Dictionary version
    4.0
    Reporting groups
    Reporting group title
    mITT patients
    Reporting group description
    -

    Serious adverse events
    mITT patients
    Total subjects affected by serious adverse events
         subjects affected / exposed
    15 / 44 (34.09%)
         number of deaths (all causes)
    30
         number of deaths resulting from adverse events
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Tumour necrosis
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Vascular disorders
    Malignant hypertension
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pyexia
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Acute respiratory distress syndrome
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Delusion
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Investigations
    C-Reactive protein increased
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Injury, poisoning and procedural complications
    Post embolisation syndrome
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cardiac disorders
    Acute coronary syndrome
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Acsites
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Upper gastrointestinal haemorrhage
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Varice oesophageal
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hepatobiliary disorders
    Biloma
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cholangitis
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cholecystitis acute
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hepatic failure
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hepatorenal syndrome
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Renal and urinary disorders
    Proteinuria
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Bacteraemia
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Bacterial infection
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Liver abcess
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Peritonitis
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pyelonephritis
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    mITT patients
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    43 / 44 (97.73%)
    Investigations
    ALAT increase
         subjects affected / exposed
    31 / 44 (70.45%)
         occurrences all number
    31
    ASAT increase
         subjects affected / exposed
    33 / 44 (75.00%)
         occurrences all number
    33
    Bilirubin increase
         subjects affected / exposed
    27 / 44 (61.36%)
         occurrences all number
    27
    GGT increase
         subjects affected / exposed
    27 / 44 (61.36%)
         occurrences all number
    27
    White blood cell decrease
         subjects affected / exposed
    4 / 44 (9.09%)
         occurrences all number
    4
    Lipase increase
         subjects affected / exposed
    4 / 44 (9.09%)
         occurrences all number
    4
    PNN decrease
         subjects affected / exposed
    4 / 44 (9.09%)
         occurrences all number
    4
    Lymphocytes decrease
         subjects affected / exposed
    12 / 44 (27.27%)
         occurrences all number
    12
    PAL increase
         subjects affected / exposed
    16 / 44 (36.36%)
         occurrences all number
    16
    Platelets decrease
         subjects affected / exposed
    23 / 44 (52.27%)
         occurrences all number
    23
    Vascular disorders
    Hypertension
         subjects affected / exposed
    3 / 44 (6.82%)
         occurrences all number
    3
    Nervous system disorders
    Cephalgia
         subjects affected / exposed
    3 / 44 (6.82%)
         occurrences all number
    3
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    16 / 44 (36.36%)
         occurrences all number
    16
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    7 / 44 (15.91%)
         occurrences all number
    7
    Fever
         subjects affected / exposed
    17 / 44 (38.64%)
         occurrences all number
    17
    Gastrointestinal disorders
    Stomach pain
         subjects affected / exposed
    3 / 44 (6.82%)
         occurrences all number
    3
    Abdominal pain
         subjects affected / exposed
    5 / 44 (11.36%)
         occurrences all number
    5
    Nausea
         subjects affected / exposed
    4 / 44 (9.09%)
         occurrences all number
    4
    Metabolism and nutrition disorders
    Hypercalcemia
         subjects affected / exposed
    3 / 44 (6.82%)
         occurrences all number
    3
    Hyperglycemia
         subjects affected / exposed
    23 / 44 (52.27%)
         occurrences all number
    23
    Hyperkaliemia
         subjects affected / exposed
    4 / 44 (9.09%)
         occurrences all number
    4
    Hypoalbuminemia
         subjects affected / exposed
    21 / 44 (47.73%)
         occurrences all number
    21
    Hypocalcemia
         subjects affected / exposed
    5 / 44 (11.36%)
         occurrences all number
    5
    Hypokaliemia
         subjects affected / exposed
    3 / 44 (6.82%)
         occurrences all number
    3
    Hypomagnesemia
         subjects affected / exposed
    3 / 44 (6.82%)
         occurrences all number
    3
    Hyponatremia
         subjects affected / exposed
    15 / 44 (34.09%)
         occurrences all number
    15
    Hypophosphatemia
         subjects affected / exposed
    3 / 44 (6.82%)
         occurrences all number
    3

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? Yes
    Date
    Interruption
    Restart date
    27 Oct 2017
    Study was interrupted at the 1st interim analysis for efficacy purpose
    -

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/31038408
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
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