Safety and Efficacy of Everolimus Treatment in Liver Transplantation for Liver Cancer (NCT02081755) | Clinical Trial Compass
By InvitationPhase 4
Safety and Efficacy of Everolimus Treatment in Liver Transplantation for Liver Cancer
United States336 participantsStarted 2014-03
Plain-language summary
This study is a prospective Phase IV study to determine if the use of Everolimus results in lower liver tumor recurrence and improved patient and graft survival after liver transplant for hepatocellular carcinoma (HCC). The immunosuppressive comparators will be Everolimus and Tacrolimus therapy compared to Tacrolimus and Mycophenolic acid/Mycophenolate Mofetil/Azathioprine. Primary outcomes data is disease free survival (the time from randomization to HCC recurrence or death). Secondary outcomes are rate of recurrence of Hepatitis C, problems related to wound healing, hernia repair within the first 12 months, hepatic arterial thrombosis, renal function, acute cellular rejection, post-transplant diabetes, hypertension, and hyperlipidemia.
Who can participate
Age range18 Years
SexALL
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Screening Inclusion Criteria:
* Have a diagnosis of hepatocellular carcinoma (HCC) and high risk for HCC recurrence
* Able to provide written informed consent
* Male and female patients of any race, 18 years or older
* De novo recipients of a primary orthotopic liver transplant from a deceased or living donor
* Patients willing to comply with study requirements
* Women of child-bearing potential (WOCBP) must agree to use an effective method(s) of contraception during treatment and during the post treatment follow-up period
Screening Exclusion Criteria:
* Past or present malignancy within the last 5 years.
* Severe infection considered by the local site investigator to be unsafe for study participation.
* Use of other investigational drugs at the time of screening or within the last 30 days.
* Patients scheduled for a combined transplant (such as liver-kidney), or having a previous solid organ, bone marrow, or autologous islet cell transplant.
* Recipients of donor/recipient ABO incompatible grafts.
* Recipients of organs from human immunodeficiency virus (HIV) or HBsAg positive donors.
* Macrovascular tumor invasion.
* Proteinuria greater than 2 grams/24 hours.
* Conditions which can result in impaired absorption, distribution, metabolism or excretion of the study treatment.
* Patients with non-infectious pneumonitis.
* Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirm…
What they're measuring
1
Disease free survival (DFS) defined as the time from randomization to the time of tumor recurrence or death, whichever occurs first.