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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT01636284
Other study ID # JX594-IV-HEP021
Secondary ID
Status Completed
Phase Phase 2
First received
Last updated
Start date June 2012
Est. completion date June 2013

Study information

Verified date December 2020
Source SillaJen, Inc.
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study is to determine how effectively JX-594 (Pexa-Vec) will prolong life in patients with advanced Hepatocellular Carcinoma (HCC) who have not been previously treated with sorafenib, and the safe administration of JX-594 in five weekly IV infusions.


Description:

This was a Phase 2a, two-staged, single-arm, open-label study in sorafenib-naïve patients with advanced HCC. Patients received 5 weekly IV infusions of Pexa-Vec and could have continued to receive IV infusions of Pexa-Vec every 3 weeks until progressive disease (PD).


Recruitment information / eligibility

Status Completed
Enrollment 16
Est. completion date June 2013
Est. primary completion date June 2013
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility KEY Inclusion Criteria: - Histologic or cytologic confirmation of advanced primary hepatocellular carcinoma (HCC) - Measurable tumor (at least one tumor with =1 cm LD of contrast-enhancement during the arterial phase on CT scanning) - ECOG performance status 0, 1 or 2 - Child-Pugh Class A; or Child-Pugh Class B7 without clinically significant ascites - Platelet count =50,000 plts/mm3 - WBC count =2,000 cells/mm3 and =50,000 cells/mm3 - Hemoglobin =10 g/dL - Adequate liver function KEY Exclusion Criteria: - Received sorafenib as previous treatment for HCC for more than 14 days - History of severe exfoliative skin condition (e.g., eczema or atopic dermatitis requiring systemic therapy for > 4 weeks) - Prior treatment with JX-594 - Known significant immunodeficiency due to underlying illness (e.g. HIV/AIDS) and/or medication - Severe or unstable cardiac disease - Viable CNS malignancy associated with clinical symptoms - Pregnant or nursing an infant - Significant bleeding event within the last 12 months.

Study Design


Related Conditions & MeSH terms


Intervention

Biological:
JX-594 recombinant vaccina GM-CSF
Enrolled patients will receive 5 weekly IV infusions on Days 1, 8, 15, 22, and 29. After Day 43, if their disease has improved or remained stable and they have not started other cancer therapy, they may be able to continue to receive JX-594 via IV infusion every three weeks. This treatment extension may continue until radiologic progressive disease, initiation of other cancer therapy, or patient withdrawal.

Locations

Country Name City State
Korea, Republic of Pusan National University Hospital Pusan
Korea, Republic of Pusan National University Yangsan Hospital Yangsan
Spain University Clinic of Navarra Pamplona Navarra
United States University of Texas Health Science Center at San Antonio San Antonio Texas
United States Mayo Clinic Scottsdale Arizona

Sponsors (1)

Lead Sponsor Collaborator
Jennerex Biotherapeutics

Countries where clinical trial is conducted

United States,  Korea, Republic of,  Spain, 

Outcome

Type Measure Description Time frame Safety issue
Primary Number of Participants With Radiographic Response Number of Participants with Complete response [CR] or partial response [PR] per modified Response Evaluation Criteria in Solid Tumors (mRECIST) for target and non-target lesions assessed by enhanced CT scan: CR, disappearance of intratumoral enhancing area; PR, >=30% decrease in sum of diameters of enhancing area; Radiographic Response = CR + PR CT scans every 6 week from Week 6 up to 12 months
Secondary Time to Progression (TTP) TTP (in months) was defined as the number of months from the date of first Pexa-Vec infusion to the date of disease progression. If the patient had no progression then TTP was censored at the date of last evaluable tumor assessment. TTP was summarized and a Kaplan Meier (KM) curve was constructed. CT scans every 6 week from Week 6 up to 12 months.
Secondary Overall Survival (OS) OS was defined as the time from first dose of Pexa-Vec until death from any cause. For patients not known to have died at the time of the analysis, OS was censored on the date they were last known to be alive. OS was summarized and a KM curve was constructed. CT scans every 6 week from Week 6 up to 12 months