A Phase I Dose Escalation Study of TH-302 Plus Doxorubicin Delivered by Trans-Arterial Chemoembolization (TACE) in Patients With Hepatocellular Carcinoma
Transarterial chemoembolization (TACE) is the major modality utilized for tumor downstaging
for transplant and for local therapy in non-transplant patients. This procedure allows
delivery of concentrated drugs to the tumor, followed by embolization that eliminates its
blood supply creating an environment of hypoxia. The process induces tumor ischemia, while
achieving a drug concentration in the tumor 10 to 25 times greater than can be achieved by
infusion.
A hypoxic microenvironment is a characteristic of many solid tumors including hepatocellular
cancer, further induced by TACE. The hypoxia-activated prodrug, TH-302, is designed to
selectively physiologically target the hypoxic microenvironment. While doxorubicin and
cisplatin have been used as the drugs in TACE among other agents, none have stood out as
the optimal agent in targeting HCC. Because of the action of TH-302 in hypoxia, this agent
has a mechanistic advantage as a agent in TACE.
The current study is designed to assess the potential therapeutic benefit of adding TH-302
to the standard doxorubicin based TACE regimen in patients with advanced hepatocellular
carcinomas.
Interventional
Allocation: Non-Randomized, Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Maximum tolerated dose of TH-302 use in TACE
Maximum tolerated dose (MTD) of TH-302 when co-administered with doxorubicin via TACE in patients with advanced hepatocellular cancer will be assessed with a Fibonacci (3+3) dose escalation design.
33 weeks
Yes
Darren S Sigal, MD
Principal Investigator
Scripps Health
United States: Food and Drug Administration
TH302 TACE
NCT01721941
July 2013
December 2015
Name | Location |
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Scripps Clinic | La Jolla, California 92037 |