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A Phase II Trial of Dasatinib (BMS-354825) in Advanced Hepatocellular Carcinoma

Phase 2
18 Years
Open (Enrolling)
Adult Primary Hepatocellular Carcinoma, Advanced Adult Primary Liver Cancer, Recurrent Adult Primary Liver Cancer

Thank you

Trial Information

A Phase II Trial of Dasatinib (BMS-354825) in Advanced Hepatocellular Carcinoma


I. Determine the progression-free survival (PFS) rate and response rate (complete and
partial response) at 4 months in patients with unresectable advanced hepatocellular
carcinoma treated with dasatinib.


I. Determine the median PFS and overall survival of patients treated with this drug.

II. Assess the toxicity and tolerability of this drug in these patients.

OUTLINE: This is a multicenter study.

Patients receive oral dasatinib twice daily on days 1-28. Courses repeat every 28 days in
the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed at 4 weeks and then every 3-6
months thereafter.

Inclusion Criteria


- WBC >= 3,000/mm^3

- LVEF normal

- Histologically or cytologically confirmed hepatocellular carcinoma; Advanced disease,
unresectable disease, no Childs C criteria

- Measurable disease, defined as >= 1 unidimensionally measurable lesion >= 20 mm by
conventional techniques or >= 10 mm by spiral CT scan

- Not a candidate for percutaneous ethanol injection or radiofrequency ablation (RFA)

- Prior transarterial chemoembolization, ethanol, and RFA allowed if new lesions are
present in the liver and there are no other sites of disease

- No pleural effusion or ascites requiring paracentesis within the past 4 weeks

- No known brain metastases

- ECOG performance status (PS) 0-1 OR Karnofsky PS 70-100%

- Life expectancy > 3 months

- Absolute neutrophil count >= 1,500/mm^3

- Platelet count >= 75,000/mm^3

- Bilirubin =< 2 times upper limit of normal (ULN)

- AST and ALT =<2.5 times ULN (5 times ULN if liver involvement by tumor)

- Creatinine =< 2 times ULN

- PT =< 1.5 times ULN (no anticoagulation)

- Albumin >= 2.5 mg/dL

- No history of allergic reactions attributed to compounds of similar chemical or
biological composition to dasatinib

- No evidence of encephalopathy

- No condition that would preclude ability to swallow and retain dasatinib tablets,
including any of the following:

- Gastrointestinal tract disease resulting in an inability to take oral

- Requirement for IV alimentation;

- Prior surgical procedures affecting absorption:

- Active peptic ulcer disease

- No clinically significant ECG abnormalities

- No clinically significant cardiovascular disease, including any of the following:

- Myocardial infarction or ventricular tachyarrhythmia within the past 6 months;

- Prolonged QTc >= 480 msec (Fridericia correction);

- Major conduction abnormality (unless cardiac pacemaker is present)

- No other uncontrolled illness, including, but not limited to, any of the following:

- Ongoing or active infection;

- History of significant bleeding disorder, including congenital (von Willebrand's
disease) or acquired disorders (antifactor VIII antibodies);

- Psychiatric illness or social situation that would preclude study compliance

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception

- Recovered from all prior therapy

- One prior systemic chemotherapy regimen allowed

- Prior cryosurgery allowed

- More than 4 weeks since prior transarterial chemoembolization

- More than 4 weeks since prior radiotherapy

- Prior or concurrent localized palliative radiotherapy (i.e., bony metastasis) allowed
provided it was administered for =< 3 days

- At least 7 days since prior and no concurrent antithrombotic and/or antiplatelet
agents (e.g., warfarin, heparin, low molecular weight heparin, acetylsalicylic acid,
and/or ibuprofen)

- At least 7 days since prior and no concurrent agents with proarrhythmic potential

- At least 7 days since prior and no concurrent medications or substances that are
potent inhibitors or inducers of CYP3A4

- No concurrent combination antiretroviral therapy for HIV-positive patients

- No concurrent embolization or chemoembolization

- No concurrent systemic antacids (H2 receptor antagonists or proton pump inhibitors)

- Locally active antacids allowed provided they are held for 2 hours before and 2 hours
after dasatinib dose

- No other concurrent investigational agents

- No other concurrent anticancer agents or therapies

Type of Study:


Study Design:

Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Progression-free survival (PFS)

Outcome Time Frame:

4 months

Safety Issue:


Principal Investigator

Heinz-Josef Lenz

Investigator Role:

Principal Investigator

Investigator Affiliation:

City of Hope Medical Center


United States: Food and Drug Administration

Study ID:




Start Date:

April 2007

Completion Date:

Related Keywords:

  • Adult Primary Hepatocellular Carcinoma
  • Advanced Adult Primary Liver Cancer
  • Recurrent Adult Primary Liver Cancer
  • Carcinoma
  • Liver Neoplasms
  • Carcinoma, Hepatocellular



City of Hope Medical Center Duarte, California  91010