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    Clinical Trial Results:
    A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study of the Efficacy and Safety of CF102 in the Second-Line Treatment of Advanced Hepatocellular Carcinoma in Subjects with Child-Pugh Class B Cirrhosis

    Summary
    EudraCT number
    2014-000489-23
    Trial protocol
    BG  
    Global end of trial date
    17 Mar 2019

    Results information
    Results version number
    v1(current)
    This version publication date
    04 Jul 2021
    First version publication date
    04 Jul 2021
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    CF102-201HCC
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02128958
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Can-Fite BioPharma, Ltd
    Sponsor organisation address
    10 Bareket Street, Petach Tikva, Israel,
    Public contact
    Clinical Director, Can Fite BioPharma, Ltd, +972 528998672, sari@canfite.co.il
    Scientific contact
    Clinical Director, Can Fite BioPharma, Ltd, +972 528998672, sari@canfite.co.il
    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
    Final
    Date of interim/final analysis
    27 Nov 2017
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    27 Nov 2017
    Global end of trial reached?
    Yes
    Global end of trial date
    17 Mar 2019
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To evaluate the efficacy of orally administered CF102 25 mg twice daily (BID) as compared to placebo, as determined by Overall Survival (OS), when used as second-line therapy in subjects with advanced hepatocellular carcinoma (HCC) and Child-Pugh Class B (CPB) cirrhosis.
    Protection of trial subjects
    This study was reviewed and approved by the IRB/EC representing each participating institution prior to enrolling subjects. It was conducted in accordance with the ethical principles that have their origin in the current Declaration of Helsinki and was consistent with International Conference on Harmonization Good Clinical Practice (ICH GCP) and applicable regulatory requirements.
    Background therapy
    None
    Evidence for comparator
    Placebo as control
    Actual start date of recruitment
    07 Dec 2014
    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
    Romania: 41
    Country: Number of subjects enrolled
    Bulgaria: 11
    Country: Number of subjects enrolled
    Serbia: 15
    Country: Number of subjects enrolled
    Israel: 4
    Country: Number of subjects enrolled
    United States: 7
    Worldwide total number of subjects
    78
    EEA total number of subjects
    52
    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)
    41
    From 65 to 84 years
    37
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    This study was conducted in 15 sites in 5 countries (3 sites in Bulgaria, 2 sites in Serbia, 1 site in Israel, 7 sites in Romania, 2 sites in the United States) . There were 78 subjects randomized to treatment between 07 Dec 2014 and 27 Nov 2017.

    Pre-assignment
    Screening details
    At a Screening Visit subjects who provided written informed consent had procedures performed including medical history, physical examination,eligibility criteria check, body weight, vital signs, laboratory tests, ECOG, ocncomitant medications, tumour imaging (double blind period only), and adverse events (open label period only).

    Period 1
    Period 1 title
    Overall Trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Investigator, Subject
    Blinding implementation details
    The trial was double-blind, meaning the subject and Investigator/staff did not have access to or knowledge of the subject’s treatment assignment.

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    CF102 25 mg
    Arm description
    Medication (CF102 25 mg) was taken orally BID for consecutive 28-day cycles.
    Arm type
    Active comparator

    Investigational medicinal product name
    Methyl 1-[N6-(3-iodobenzyl)-adenin-9-yl]-β-D-ribofuronamide
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule, hard
    Routes of administration
    Oral use
    Dosage and administration details
    25 mg capsule BID

    Arm title
    Placebo
    Arm description
    Medication (placebo) was taken orally BID for consecutive 28 day cycles in a double-blinded fashion
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo, matching for methyl 1-[N6-(3-iodobenzyl)-adenin-9-yl]-β-D-ribofuronamide
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule, hard
    Routes of administration
    Oral use
    Dosage and administration details
    Matching CF102 placebo capsule BID

    Number of subjects in period 1
    CF102 25 mg Placebo
    Started
    50
    28
    Completed
    29
    18
    Not completed
    21
    10
         Adverse event, serious fatal
    19
    9
         Consent withdrawn by subject
    2
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    CF102 25 mg
    Reporting group description
    Medication (CF102 25 mg) was taken orally BID for consecutive 28-day cycles.

    Reporting group title
    Placebo
    Reporting group description
    Medication (placebo) was taken orally BID for consecutive 28 day cycles in a double-blinded fashion

    Reporting group values
    CF102 25 mg Placebo Total
    Number of subjects
    50 28 78
    Age categorical
    Subjects with advanced hepatocellular carcinoma (HCC) and Child-Pugh Class B (CPB) cirrhosis
    Units: Subjects
        Adults (18-64 years)
    28 13 41
        From 65-84 years
    22 15 37
    Gender categorical
    Units: Subjects
        Female
    25 14 39
        Male
    25 14 39
    Subject analysis sets

    Subject analysis set title
    Safety Analysis Population
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    The Safety Population consisted of all subjects who received at least one dose of study medication. Analyses of safety assessments were performed using the Safety Population.

    Subject analysis set title
    Intention-To-Treat Population
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    The Intent-To-Treat (ITT) Population was defined as all subjects in the Safety Population with any post-Baseline assessment recorded. Exclusion of subjects from the ITT Population was determined prior to unblinding. All efficacy analyses were performed using the ITT Population.

    Subject analysis set title
    Per Protocol Population
    Subject analysis set type
    Per protocol
    Subject analysis set description
    The Per Protocol (PP) Population was defined as all subjects in the ITT Population with no major protocol deviations, including major violations of inclusion and exclusion criteria and violation of RECIST requirements regarding the number of target lesions at Screening. Exclusion of subjects from the PP Population was determined prior to unblinding. Tumor response was analyzed for the PP Population.

    Subject analysis sets values
    Safety Analysis Population Intention-To-Treat Population Per Protocol Population
    Number of subjects
    78
    78
    78
    Age categorical
    Subjects with advanced hepatocellular carcinoma (HCC) and Child-Pugh Class B (CPB) cirrhosis
    Units: Subjects
        Adults (18-64 years)
    41
    41
    41
        From 65-84 years
    37
    37
    37
    Age continuous
    Units:
        
    ±
    ±
    ±
    Gender categorical
    Units: Subjects
        Female
    39
    0
    0
        Male
    39
    0
    0

    End points

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    End points reporting groups
    Reporting group title
    CF102 25 mg
    Reporting group description
    Medication (CF102 25 mg) was taken orally BID for consecutive 28-day cycles.

    Reporting group title
    Placebo
    Reporting group description
    Medication (placebo) was taken orally BID for consecutive 28 day cycles in a double-blinded fashion

    Subject analysis set title
    Safety Analysis Population
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    The Safety Population consisted of all subjects who received at least one dose of study medication. Analyses of safety assessments were performed using the Safety Population.

    Subject analysis set title
    Intention-To-Treat Population
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    The Intent-To-Treat (ITT) Population was defined as all subjects in the Safety Population with any post-Baseline assessment recorded. Exclusion of subjects from the ITT Population was determined prior to unblinding. All efficacy analyses were performed using the ITT Population.

    Subject analysis set title
    Per Protocol Population
    Subject analysis set type
    Per protocol
    Subject analysis set description
    The Per Protocol (PP) Population was defined as all subjects in the ITT Population with no major protocol deviations, including major violations of inclusion and exclusion criteria and violation of RECIST requirements regarding the number of target lesions at Screening. Exclusion of subjects from the PP Population was determined prior to unblinding. Tumor response was analyzed for the PP Population.

    Primary: Overall survival - Primary

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    End point title
    Overall survival - Primary
    End point description
    The time to event assessment for OS was the number of days from Day 1 of Cycle 1 to the day of death+1, where a death could have been due to any cause.
    End point type
    Primary
    End point timeframe
    Baseline to time of death
    End point values
    CF102 25 mg Placebo
    Number of subjects analysed
    50
    28
    Units: Months
    median (inter-quartile range (Q1-Q3))
        Overall survival
    4.1 (2.2 to 14.8)
    4.3 (2.0 to 8.9)
    Attachments
    Product Limit Survival Estimates, OS (ITT Pop)
    Statistical analysis title
    Time to Event - Overall Survival (months)
    Statistical analysis description
    Time to event variables were summarized using the number observed, number censored, median, and 25th and 75th percentiles from Kaplan-Meier curves. Data were summarized using descriptive statistics (number of subjects (n), mean, median, standard deviation, minimum, and maximum) for continuous variables. Categorical variables were summarized using frequencies and percentages.
    Comparison groups
    CF102 25 mg v Placebo
    Number of subjects included in analysis
    78
    Analysis specification
    Pre-specified
    Analysis type
    other [1]
    P-value
    = 0.508 [2]
    Method
    Logrank
    Confidence interval
    Notes
    [1] - Kaplan Meier log-rank test.
    [2] - Calculated using logrank test
    Statistical analysis title
    Time to Event - Disease Progression (months)
    Statistical analysis description
    Time to event variables were summarized using the number observed, number censored, median, and 25th and 75th percentiles from Kaplan-Meier curves. Data were summarized using descriptive statistics (number of subjects (n), mean, median, standard deviation, minimum, and maximum) for continuous variables. Categorical variables were summarized using frequencies and percentages.
    Comparison groups
    CF102 25 mg v Placebo
    Number of subjects included in analysis
    78
    Analysis specification
    Pre-specified
    Analysis type
    other [3]
    P-value
    = 0.371
    Method
    Logrank
    Confidence interval
    Notes
    [3] - Kaplan Meier log-rank test.

    Secondary: Disease Progression

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    End point title
    Disease Progression
    End point description
    Time to Progression (TTP) was the number of days from Day 1 of Cycle 1 to the day of PD+1. Progression Free Survival was the number of days from Day 1 of Cycle 1 to the day of death or PD+1.
    End point type
    Secondary
    End point timeframe
    Baseline to time to event
    End point values
    CF102 25 mg Placebo
    Number of subjects analysed
    50
    28
    Units: Months
    median (inter-quartile range (Q1-Q3))
        TTP
    5.1 (1.9 to 11.2)
    3.3 (1.9 to 33.2)
    Attachments
    KM Curve for TTP (ITT)
    Statistical analysis title
    TPP
    Statistical analysis description
    Time to Progression (TTP) was the number of days from Day 1 of Cycle 1 to the day of PD+1. Progression Free Survival was the number of days from Day 1 of Cycle 1 to the day of death or PD+1
    Comparison groups
    Placebo v CF102 25 mg
    Number of subjects included in analysis
    78
    Analysis specification
    Pre-specified
    Analysis type
    other [4]
    P-value
    = 0.371
    Method
    Logrank
    Confidence interval
    Notes
    [4] - Kaplan Meier - Logrank

    Secondary: Progression-free Survival

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    End point title
    Progression-free Survival
    End point description
    Progression Free Survival was the number of days from Day 1 of Cycle 1 to the day of death or PD+1.
    End point type
    Secondary
    End point timeframe
    Baseline to time of event
    End point values
    CF102 25 mg Placebo
    Number of subjects analysed
    50
    28
    Units: Months
    median (inter-quartile range (Q1-Q3))
        PFS
    2.5 (1.8 to 6.1)
    1.9 (1.8 to 3.8)
    Attachments
    KM Curve for PFS (ITT)
    Statistical analysis title
    Time to Event - Progression-free Survival (months)
    Statistical analysis description
    Progression Free Survival was the number of days from Day 1 of Cycle 1 to the day of death or PD+1.
    Comparison groups
    CF102 25 mg v Placebo
    Number of subjects included in analysis
    78
    Analysis specification
    Pre-specified
    Analysis type
    other [5]
    P-value
    = 0.521
    Method
    Logrank
    Confidence interval
    Notes
    [5] - Kaplan Meier - Logrank test

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse events that occurred during the study (Weeks 0 to 28 days)
    Adverse event reporting additional description
    AEs coded by MedDRA v 21.0. No and % of subjects with AEs were tabulated by SOC and PT. Assessments included AE type, incidence, severity, seriousness, and treatment relationship. Dose interruptions/reductions, SAEs, AEs resulting in discontinuation, and deaths were collected. Severity grade were according to NCI-CTCAE criteria, v4.0.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    21.0
    Reporting groups
    Reporting group title
    CF102
    Reporting group description
    Analysed as the Safety Population during the treatment period (Baseline to Day 28).

    Reporting group title
    Placebo
    Reporting group description
    Analysed as the Safety Population during the treatment period (Baseline to Day 28).

    Serious adverse events
    CF102 Placebo
    Total subjects affected by serious adverse events
         subjects affected / exposed
    37 / 50 (74.00%)
    20 / 28 (71.43%)
         number of deaths (all causes)
    46
    26
         number of deaths resulting from adverse events
    23
    10
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Hepatocellular carcinoma
         subjects affected / exposed
    5 / 50 (10.00%)
    2 / 28 (7.14%)
         occurrences causally related to treatment / all
    0 / 5
    0 / 2
         deaths causally related to treatment / all
    0 / 5
    0 / 2
    Metastases to lung
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Malignant neoplasm progression
         subjects affected / exposed
    1 / 50 (2.00%)
    1 / 28 (3.57%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    0 / 1
    Vascular disorders
    Vena cava thrombosis
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Subclavian vein thrombosis
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Superior vena cava occlusion
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Multiple organ dysfunction syndrome
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Death
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Disease progression
         subjects affected / exposed
    14 / 50 (28.00%)
    5 / 28 (17.86%)
         occurrences causally related to treatment / all
    0 / 14
    0 / 5
         deaths causally related to treatment / all
    0 / 14
    0 / 5
    Chest pain
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Pulmonary embolism
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Dyspnoea
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Acute respiratory failure
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pleural effusion
         subjects affected / exposed
    1 / 50 (2.00%)
    1 / 28 (3.57%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Investigations
    Hepatic enzyme increased
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Aspartate aminotransferase increased
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Bilirubin conjugated increased
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Cardiac disorders
    Cardiac failure
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Myocardial infarction
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Cardio-respiratory arrest
         subjects affected / exposed
    2 / 50 (4.00%)
    1 / 28 (3.57%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 2
    0 / 1
    Nervous system disorders
    Coma
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Encephalopathy
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hepatic encephalopathy
         subjects affected / exposed
    3 / 50 (6.00%)
    1 / 28 (3.57%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 1
         deaths causally related to treatment / all
    0 / 2
    0 / 0
    Ischaemic stroke
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Subileus
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Abdominal adhesions
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal haemorrhage
         subjects affected / exposed
    4 / 50 (8.00%)
    0 / 28 (0.00%)
         occurrences causally related to treatment / all
    0 / 6
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Ascites
         subjects affected / exposed
    2 / 50 (4.00%)
    1 / 28 (3.57%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Peritoneal haematoma
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Oesophageal varices haemorrhage
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Abdominal pain
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences causally related to treatment / all
    1 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Hepatic cirrhosis
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hepatic failure
         subjects affected / exposed
    0 / 50 (0.00%)
    2 / 28 (7.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 2
    Renal and urinary disorders
    Renal failure
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Cellulitis
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Sepsis
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Bronchitis
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Hypoglycaemia
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Hyponatraemia
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    CF102 Placebo
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    46 / 50 (92.00%)
    26 / 28 (92.86%)
    Vascular disorders
    Hypotension
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Orthostatic hypotension
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Pallor
         subjects affected / exposed
    1 / 50 (2.00%)
    1 / 28 (3.57%)
         occurrences all number
    1
    1
    Hypertension
         subjects affected / exposed
    1 / 50 (2.00%)
    1 / 28 (3.57%)
         occurrences all number
    1
    1
    Haematoma
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    General disorders and administration site conditions
    Pain
         subjects affected / exposed
    2 / 50 (4.00%)
    2 / 28 (7.14%)
         occurrences all number
    2
    2
    Oedema peripheral
         subjects affected / exposed
    10 / 50 (20.00%)
    5 / 28 (17.86%)
         occurrences all number
    13
    6
    Chills
         subjects affected / exposed
    2 / 50 (4.00%)
    0 / 28 (0.00%)
         occurrences all number
    2
    0
    Fatigue
         subjects affected / exposed
    9 / 50 (18.00%)
    3 / 28 (10.71%)
         occurrences all number
    11
    4
    Pyrexia
         subjects affected / exposed
    3 / 50 (6.00%)
    2 / 28 (7.14%)
         occurrences all number
    4
    2
    Chest pain
         subjects affected / exposed
    2 / 50 (4.00%)
    2 / 28 (7.14%)
         occurrences all number
    2
    2
    Asthenia
         subjects affected / exposed
    6 / 50 (12.00%)
    6 / 28 (21.43%)
         occurrences all number
    6
    9
    Peripheral swelling
         subjects affected / exposed
    1 / 50 (2.00%)
    1 / 28 (3.57%)
         occurrences all number
    1
    2
    Facial pain
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences all number
    0
    1
    Malaise
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences all number
    0
    1
    Swelling
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences all number
    0
    1
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    5 / 50 (10.00%)
    3 / 28 (10.71%)
         occurrences all number
    5
    3
    Dyspnoea
         subjects affected / exposed
    3 / 50 (6.00%)
    2 / 28 (7.14%)
         occurrences all number
    3
    2
    Haemoptysis
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences all number
    0
    1
    Epistaxis
         subjects affected / exposed
    2 / 50 (4.00%)
    1 / 28 (3.57%)
         occurrences all number
    2
    1
    Respiratory failure
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences all number
    0
    1
    Alveolitis
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Rhinitis allergic
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Productive cough
         subjects affected / exposed
    1 / 50 (2.00%)
    1 / 28 (3.57%)
         occurrences all number
    1
    1
    Psychiatric disorders
    Confusional state
         subjects affected / exposed
    1 / 50 (2.00%)
    1 / 28 (3.57%)
         occurrences all number
    0
    0
    Insomnia
         subjects affected / exposed
    2 / 50 (4.00%)
    1 / 28 (3.57%)
         occurrences all number
    5
    1
    Investigations
    Blood uric acid increased
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Aspartate aminotransferase decreased
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Blood thyroid stimulating hormone increased
         subjects affected / exposed
    1 / 50 (2.00%)
    3 / 28 (10.71%)
         occurrences all number
    1
    4
    Weight decreased
         subjects affected / exposed
    4 / 50 (8.00%)
    4 / 28 (14.29%)
         occurrences all number
    7
    5
    International normalised ratio abnormal
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences all number
    0
    1
    Platelet count decreased
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    4
    0
    Blood bilirubin increased
         subjects affected / exposed
    0 / 50 (0.00%)
    3 / 28 (10.71%)
         occurrences all number
    0
    3
    Weight increased
         subjects affected / exposed
    4 / 50 (8.00%)
    3 / 28 (10.71%)
         occurrences all number
    5
    4
    Aspartate aminotransferase increased
         subjects affected / exposed
    4 / 50 (8.00%)
    2 / 28 (7.14%)
         occurrences all number
    4
    2
    Alanine aminotransferase increased
         subjects affected / exposed
    2 / 50 (4.00%)
    2 / 28 (7.14%)
         occurrences all number
    2
    2
    Blood creatine increased
         subjects affected / exposed
    0 / 50 (0.00%)
    2 / 28 (7.14%)
         occurrences all number
    0
    4
    Bilirubin conjugated increased
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences all number
    0
    1
    Blood alkaline phosphatase increased
         subjects affected / exposed
    0 / 50 (0.00%)
    2 / 28 (7.14%)
         occurrences all number
    0
    2
    Tri-iodothyronine free decreased
         subjects affected / exposed
    0 / 50 (0.00%)
    2 / 28 (7.14%)
         occurrences all number
    0
    2
    Neutrophil count increased
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences all number
    0
    1
    White blood cell count increased
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences all number
    0
    1
    Liver function test increased
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Injury, poisoning and procedural complications
    Traumatic haematoma
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Cardiac disorders
    Sinus bradycardia
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences all number
    0
    2
    Atrioventricular block first degree
         subjects affected / exposed
    1 / 50 (2.00%)
    1 / 28 (3.57%)
         occurrences all number
    1
    5
    Bundle branch block left
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences all number
    0
    1
    Atrial fibrillation
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences all number
    0
    1
    Sinus tachycardia
         subjects affected / exposed
    2 / 50 (4.00%)
    1 / 28 (3.57%)
         occurrences all number
    3
    1
    Nervous system disorders
    Headache
         subjects affected / exposed
    3 / 50 (6.00%)
    1 / 28 (3.57%)
         occurrences all number
    3
    1
    Speech disorder
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Movement disorder
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    2
    0
    Sciatica
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences all number
    0
    1
    Dizziness
         subjects affected / exposed
    3 / 50 (6.00%)
    2 / 28 (7.14%)
         occurrences all number
    5
    2
    Neuralgia
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Hypoaesthesia
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Paraesthesia
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Neuropathy peripheral
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    7 / 50 (14.00%)
    6 / 28 (21.43%)
         occurrences all number
    8
    11
    Thrombocytopenia
         subjects affected / exposed
    2 / 50 (4.00%)
    0 / 28 (0.00%)
         occurrences all number
    2
    0
    Leukopenia
         subjects affected / exposed
    2 / 50 (4.00%)
    0 / 28 (0.00%)
         occurrences all number
    4
    0
    Neutropenia
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Ear and labyrinth disorders
    Tinnitus
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Vertigo
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Gastrointestinal disorders
    Nausea
         subjects affected / exposed
    9 / 50 (18.00%)
    6 / 28 (21.43%)
         occurrences all number
    9
    7
    Abdominal pain
         subjects affected / exposed
    7 / 50 (14.00%)
    3 / 28 (10.71%)
         occurrences all number
    7
    5
    Vomiting
         subjects affected / exposed
    3 / 50 (6.00%)
    4 / 28 (14.29%)
         occurrences all number
    3
    5
    Constipation
         subjects affected / exposed
    0 / 50 (0.00%)
    2 / 28 (7.14%)
         occurrences all number
    0
    2
    Oropharyngeal pain
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Ascites
         subjects affected / exposed
    8 / 50 (16.00%)
    3 / 28 (10.71%)
         occurrences all number
    19
    3
    Gastrointestinal haemorrhage
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Dysphagia
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Diarrhoea
         subjects affected / exposed
    2 / 50 (4.00%)
    2 / 28 (7.14%)
         occurrences all number
    2
    2
    Haematemesis
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Abdominal distension
         subjects affected / exposed
    2 / 50 (4.00%)
    0 / 28 (0.00%)
         occurrences all number
    2
    0
    Dyspepsia
         subjects affected / exposed
    1 / 50 (2.00%)
    1 / 28 (3.57%)
         occurrences all number
    0
    0
    Gingival bleeding
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Abdominal pain upper
         subjects affected / exposed
    2 / 50 (4.00%)
    1 / 28 (3.57%)
         occurrences all number
    3
    2
    Flatulence
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences all number
    0
    1
    Gastrooesophageal reflux disease
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Hepatobiliary disorders
    Jaundice
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Hepatomegaly
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Hyperbilirubinaemia
         subjects affected / exposed
    4 / 50 (8.00%)
    0 / 28 (0.00%)
         occurrences all number
    4
    0
    Skin and subcutaneous tissue disorders
    Alopecia
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Pruritus
         subjects affected / exposed
    2 / 50 (4.00%)
    0 / 28 (0.00%)
         occurrences all number
    2
    0
    Eczema
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Skin lesion
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Swelling face
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences all number
    0
    1
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    3 / 50 (6.00%)
    1 / 28 (3.57%)
         occurrences all number
    3
    1
    Bone pain
         subjects affected / exposed
    1 / 50 (2.00%)
    1 / 28 (3.57%)
         occurrences all number
    1
    1
    Pain in extremity
         subjects affected / exposed
    1 / 50 (2.00%)
    3 / 28 (10.71%)
         occurrences all number
    2
    3
    Myalgia
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences all number
    0
    1
    Arthralgia
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Neck pain
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences all number
    0
    1
    Musculoskeletal pain
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Infections and infestations
    Infective glossitis
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Onychomycosis
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0
    Cellulitis
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    2
    0
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    4 / 50 (8.00%)
    1 / 28 (3.57%)
         occurrences all number
    4
    1
    Hypoalbuminaemia
         subjects affected / exposed
    4 / 50 (8.00%)
    2 / 28 (7.14%)
         occurrences all number
    5
    2
    Hypokalaemia
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences all number
    0
    1
    Hypoglycaemia
         subjects affected / exposed
    2 / 50 (4.00%)
    0 / 28 (0.00%)
         occurrences all number
    2
    0
    Hyponatraemia
         subjects affected / exposed
    2 / 50 (4.00%)
    3 / 28 (10.71%)
         occurrences all number
    2
    3
    Hyperkalaemia
         subjects affected / exposed
    3 / 50 (6.00%)
    2 / 28 (7.14%)
         occurrences all number
    4
    2
    Hypoproteinaemia
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences all number
    0
    1
    Hypocalcaemia
         subjects affected / exposed
    0 / 50 (0.00%)
    1 / 28 (3.57%)
         occurrences all number
    0
    1
    Hyperuricaemia
         subjects affected / exposed
    1 / 50 (2.00%)
    0 / 28 (0.00%)
         occurrences all number
    1
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    16 Jun 2014
    The original protocol CF102-201HCC was approved on 07 January 2014. Subsequently, the protocol was amended a first time on 16 June 2014: • Addressed comments and requests for information from FDA in correspondence dated 15 May 2014. • Clearly described rules for dose interruption due to toxicity and criteria for dose modification. • Revised eligibility to require prior treatment with sorafenib. • Required collection of data documenting the reasons for sorafenib intolerance and the duration of prior sorafenib treatment. • Added collection of sparse pharmacokinetic samples to allow for exploratory analyses of exposure-response relationships for CF102. • Added collection of additional ECGs at the anticipated maximal CF102 concentrations at steady state.
    03 Oct 2014
    The original protocol CF102-201HCC was approved on 07 January 2014. Subsequently, the protocol was amended a second time on 03 October 2014: • The Sponsor had recently completed the in-life portion of 90-day toxicology studies in monkeys and rats. In a 90-day monkey study (30, 100, 300 mg/kg/day), preliminary data indicated that there was a dose-related increase in incidence and severity of microscopic thyroid follicular atrophy/degeneration with or without a concurrent neutrophil infiltrate. Thyroid follicular change was noted as minimal in severity in 1 of 6 animals at the low dose, minimal-to-mild severity in 2 of 6 animals at the mid dose, and mild-to-moderate severity in 4 of 6 animals at the high dose. Recovery was not evaluated in this study. The highest non-severely toxic dose in this study was 30 mg/kg. This information was added to the protocol.
    21 Oct 2015
    The original protocol CF102-201HCC was approved on 07 January 2014. Subsequently, the protocol was amended a third time on 21 October 2015: • Changed the assay methodology for A3AR expression determination. • Revised information which was previously clarified, corrected or changed as per the following: o Global Note to File GLO_P_Am. 01_16Jun2014 dated 11 August 2014 o Global Note to File GLO_P_PBMC_08Oct2014 dated 01 April 2015 o Global Note to File GLO_P_WBC_08Oct2014 dated 02 June 2015 The protocol was modified to reflect the new procedure and correct already existing information.
    21 Sep 2018
    The original protocol CF102-201HCC was approved on 07 January 2014. Subsequently, the protocol was amended a fourth time on 21 September 2018: • Eliminated the requirement for 75 deaths prior to the end of the post-accrual period • Terminated the double-blind period of the study prior to the occurrence of 75 deaths • Deleted the MITT population • Added the PP population • Efficacy analyses were to be performed on the ITT population • Tumor response was to be analyzed using the PP population • Subjects who remained on blinded drug were offered the opportunity to continue dosing with open-label CF102 25 mg BID indefinitely, following the protocol-specified schedule of events.
    06 Nov 2018
    The original protocol CF102-201HCC was approved on 07 January 2014. Subsequently, the protocol was amended a fifth time on 06 November 2018: • Added Table 1-2: Schedule of Events for Open Label (OL) Treatment. • Amendment 5 implemented the transition to open-label (OL) dosing for patients who were surviving and remaining on drug at the time of analysis; and established the assessments and schedule of visits for the OL dosing aspect of the trial. This included defining the OL eligibility criteria; detailing the visit and assessment schedule; and specifying that the only patients still on treatment in this trial at the time of this amendment were in Romania. • Required a separate signed ICF prior to subject’s continuation on OL treatment. • Provided for self-administration of CF102 or placebo BID in continuous 28-day cycles beginning on Day 1 of Cycle 1. • Provided for collection of information regarding the occurrence of adverse events during the OL period, up 28 days following the last dose of study drug (OL Follow-Up Visit). Any data for AEs related to study drug that were ongoing at the OL Follow-Up Visit would be collected until the AE resolved or stabilized. • Provided for PE, laboratory testing, ECG, liver chemistry, INR, and measuring of viral load during the OL period and OL Follow-Up.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    The primary endpoint was not met but the subgroup analysis showed a positive efficacy signal (OS) in subjects with CPB7.
    For support, Contact us.
    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
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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