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Safety and Efficacy of Doxorubicin Adsorbed to Magnetic Beads vs. IV Doxorubicin in Treating Liver Cancer



Safety and Efficacy of Doxorubicin Adsorbed to Magnetic Beads vs. IV Doxorubicin in Treating Liver Cancer

For Condition: Carcinoma, Hepatocellular
Status: Terminated
Sponsor(s): FeRx ,
Synopsis: MTC-DOX is Doxorubicin or DOX, a chemotherapy drug, that is adsorbed, or made to "stick", to magnetic beads (MTCs). MTCs are tiny, microscopic particles of iron and carbon. When DOX is added to MTCs, DOX attaches to the carbon part of the MTCs. MTC-DOX is directed to and deposited in the area of a tumor, where it is thought that it then "leaks" through the blood vessel walls. Once in the surrounding tissues, it is thought that Doxorubicin becomes "free from" the magnetic beads and will then be able to act against the tumor cells. The iron component of the particle has magnetic properties, making it possible to direct MTC-DOX to specific tumor sites in the liver by placing a magnet on the body surface. It is hoped that MTC-DOX used with the magnet may target the chemotherapy directly to liver tumors and provide a treatment to patients with liver cancer. To be sure of the effect of MTC-DOX on liver cancer, it will be compared to the effect of Doxorubicin given through the vein. The study treatments will be administered every three weeks, (which is considered a study treatment cycle), until you complete six treatment cycles, the tumor grows, disappears, or you experience a side effect, which may cause you to leave the study. Follow-up visits will occur on Days 3, 10, and 21 following treatment in the first cycle and Days 7 and 21 for the remaining cycles, and also 60 days after you receive your last treatment cycle. Therefore, the purpose of this Phase 2/3 study is to evaluate safety, tolerance, and efficacy (survival time) of an MTC-DOX dosing strategy where the DOX dose is determined by tumor size
Details:
Eligibility:
Study Type:
  Interventional, Treatment, Randomized, Open Label, Active Control, Single Group Assignment, Safety/Efficacy Study
Minimum Age/Maximum Age: 18 Years/80 Years
Genders: Both
Protocol Entry Criteria: Patients may be enrolled into this protocol only if all of the following inclusion criteria are met: - Unresectable hepatocellular carcinoma diagnosed by CT scan and meets the criteria described in Section 23. - Total combined cross-sectional area of all hepatic tumors as determined by CT scan is between 4 and 200 cm2. - Center of the tumor(s) mass must be 60 and an estimated life expectancy of > 3 months. - Is judged by the investigator to have the initiative and means to be compliant with the protocol and be within geographical proximity to allow follow-up. - Have the ability to give informed written consent prior to initiation of therapy. - If female and of childbearing potential,must have a negative beta-HCG prior to receiving treatment. - Must agree to use an effective method of contraception Patients will be excluded from enrollment if any of the following apply: - Has a history of cancer other than hepatocellular (excluding resected basal cell carcinoma; or curatively resected stage 1 or less cervical cancer if disease free for 5 years or more). - Has had prior local radiation therapy within the last 4 weeks, mediastinal radiation therapy within the last 3 months, or chemotherapy within the last 4 weeks. - Diffuse hepatocellular carcinoma or disease that precludes delivery of the drug to the tumor via a vessel that feeds the tumor. - Has another active medical condition(s) or organ disease(s) that may either compromise patient safety or interfere with the safety and/or outcome (e.g., survival) evaluation of the study drugs. While this exclusion is not limited to the following abnormalities, if any of the following laboratory abnormalities are present, the patient should be excluded: WBC < 2,000 /uL Platelets < 50,000/uL Hemoglobin < 8.0 gm/dL Total bilirubin > 3.0 mg/dL ALT or AST >/= 5 x upper limit of normal Serum Creatinine >2.0 mg/dL INR >/= 1.5 - Has cardiac dysfunction with a left ventricular ejection fraction < 40%. - Has clinically significant pulmonary impairment - Plans concomitant chemotherapy, radiation therapy, hormonal and/or biological treatment for cancer including immunotherapy while on study. - Has an indwelling cardiac pacemaker, cerebral aneurysm clips, or any other indwelling device or appliance that could be adversely affected by the use of the external magnet. - Has documented evidence of hemachromatosis or hemosiderosis. - Has CT or ultrasound evidence of portal vein invasion or thrombosis. - Prior orthotopic hepatic transplant. - Has received previous treatment with doxorubicin, idarubicin, and/or other anthracyclines or anthracenes. - Has a known allergy to doxorubicin, MTC-DOX or any of their components. - Has been treated with any investigational drug, investigational biologic, or investigational therapeutic device within 30 days of initiating study treatment.
Total Enrollment: 240

Location and Contact Information:

Overall Study Official:
JoyKoda,  Study Chair,  FeRx

Northwestern Univ. Med. School
Chicago,  Illinois,  60611
United States
 

University Hospital Am Main
Frankfurt,  , 
Germany
 

Landeskrankenhaus Graz University Hospital
Graz,  , 
Austria
 

Scott & White Mem. Hosp. & Clinic
Temple,  Texas,  76508
United States
 

Chiang Mai University
Chiang Mai,  , 
Thailand
 

Hospital of the University of Pennsylvania
Philadelphia,  Pennsylvania,  19104
United States
 

Univ. of North Carolina at Chapel Hill
Chapel Hill,  North Carolina,  27599
United States
 

Institute of Oncology AMS of Ukraine
Kiev,  ,  03022
Ukraine
 

McGuire DVAMC
Richmond,  Virginia,  23249
United States
 

Chulalongkorn University Hospital
Bangkok,  ,  10330
Thailand
 

Edinburgh Royal Infirmary
Edinburgh,  Scotland, 
United Kingdom
 

N.N. Blokhin Cancer Research Center RAMS
Moscow,  ,  115478
Russian Federation
 

VAMC San Francisco and Comprehensive Cancer Ctr.
San Francisco,  California,  94121
United States
 

University Hospital Vienna
Vienna,  , 
Austria
 

Leicester Royal Infirmary
Leicester,  England, 
United Kingdom
 

Central Research Institute of Roentgenology and Radiology
Pesochny,  St. Petersburg,  197758
Russian Federation
 

Siriraj Hospital, Mahidol University
Bangkok,  ,  10700
Thailand
 

Long Beach VA Medical Center
Long Beach,  California,  90822
United States
 

University Hospital Cologne
Cologne,  ,  50924
Germany
 

Allegheny-Singer Research Institute
Pittsburgh,  Pennsylvania,  15212
United States
 

Queen Mary Hospital, University of Hong Kong
Pokfulam,  , 
Hong Kong
 

Khon Kaen Universtiy
Khon Kaen,  ,  40002
Thailand
 

Queen Elizabeth Hospital
Edgbaston,  Birmingham,  B152TH
United Kingdom
 

Cleveland Clinic Foundation
Cleveland,  Ohio,  44195
United States
 

National Cancer Institute
Bangkok,  , 
Thailand
 

Chinese Universtiy of Hong Kong
Shatin, N.T.,  , 
Hong Kong
 

Weill Medical College of Cornell University
New York City,  New York,  10021
United States
 

University of Texas Medical Branch
Galveston,  Texas,  77555
United States
 

St. George's Hospital
London,  England, 
United Kingdom
 


Additional Information:
Study ID Numbers:
  MTC-DOX-004; 
Study Start Date: March 2002
Record last reviewed: May 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00034333

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